HomeMy WebLinkAboutMFP19002811.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Franchise Permit: MFP19002811
IVR Number: 19002811
Permit Informaon
Permit Name:Puget Sound Energy Gas Permits
Address/Locaon :05/28/2019Application Date:0522059375Parcel Number:19208 102ND AVE SE
Permit Type:06/18/2019Issue Date:Franchise
Permit Work Class:06/17/2020Expiration Date:Minor Utility
Job Number:106354789Franchise Type:Natural Gas
Description:New SVC at main. 18' in the ROW. Pothole all existing utilities. Restoration per city of Renton standards.
APPROVED WITH COMMENTS OR REDLINES.
Contacts
Name Address PhoneTypeBilling
Marita Bond
Puget Sound Energy Billing
6905 S 228 St
Kent, WA 98032
B: (253) 395-6346Applicant
Stuart Bennett
Infrasource Services LLC
14103 Stewart Rd
Sumner, WA 98490
B: (303) 419-8755
H: (425) 677-5197
C: (713) 985-6489
Contractor
Business License Number: 36742Construction Contractor: INFRASL871C2
CITY OF RENTON ROW 1055 S Grady Way
Renton, WA 98057-3232
Owner
Marita Bond
Puget Sound Energy Billing
6905 S 228 St
Kent, WA 98032
B: (253) 395-6346Specialized
Billing
X
General Condions & Signature
Permission is hereby given for the work described on this permit according to the conditions hereon and according to the
approved plans and specifications pertaining thereto, subject to compliance with the Ordinance of the City of Renton.
This permit and plans must be posted at the job site at all times.
I hereby certify that no work is to be done except as described above and in approved plans, and that work is to conform to
Renton Trench Restoration and Street Overlay Requirements.
Call 425.430.7203 or go to: www.MyBuildingPermit.com one working day in advance to schedule an inspections and for ANY
work in the Right of Way.
Call 8 1 1 to locate underground utilities at least two full business days prior to any excavation.
In accordance with RCW 19.122.033(4) the permit holder is required to contact (Williams Northwest Pipeline at 425.868.1010)
(Olympic Pipeline at 206.510.0575) (Puget Sound Energy at 425.375.3397) to request a consultation with the transmission
pipeline company prior to performing any construction or excavation activities. This requirement to consult with the
transmission pipeline company is in addition to the requirement to Call before You Dig as required in RCW 19.122.
(Date)(Signature)
Page 1 of 1THIS PERMIT AND PLANS MUST BE POSTED AT THE JOB SITE AT ALL TIMES
DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Page 1 of 1 | Published: 1/2/2019
Planning Division | 1055 South Grady Way, 6th Floor | Renton, WA 98057 | 425-430-7200
Email: franchisepermits@rentonwa.gov Website: rentonwa.gov
FRANCHISE PERMIT APPLICATION
Published: 1/2/2019
TO THE APPLICANT: Submit an electronic copy of the plans with the Franchise Permit Application and the Site
Specific Traffic Control Application to franchisepermits@rentonwa.gov. Permit cost is $630.00. Inspection fee
for trenching more than 60 lineal feet or installation of 6 or more poles will be billed at $60.00 per hour.
Franchise Agency:
Franchise Job Number: Phone:
Contact Name: Email:
Job Site Address: Project Name:
Description of Work:
Please check all that apply:
տ New Construction տ Repair/Relocate տ Underground տ Overhead տ Sidewalk տ Street
տ Open Trench տ Bore # of feet:
Contractor Name: Phone:
State Contractors License #: City of Renton Business License #:
“I certify that I am the owner or applicant’s authorized agent and do hereby agree to abide to the terms and conditions set forth
under this permit and shall comply with the City of Renton’s Trench Restoration and Street Overlay Requirements. ”
Signature Date
INSPECTIONS SHALL BE REQUESTED 24 HOURS PRIOR TO COMMENCEMENT OF ALL WORK BY CALLING THE
INSPECTION LINE AT 425-430-7203 OR BY GOING TO MYBUILDINGPERMIT.COM
Jobs are required to be called in for job start, re-inspection and project final. Re-inspection fees are billed at
$125/hour. All Pre-Construction meetings shall be scheduled at a maximum of 14 days prior to the job start date.
Plan Review/Development Engineering Date Approved as submitted
Pre-Construction Meeting required
Site Construction Inspector Date Approved with comments or redlines
Camera inspection of utilities required
Development Engineering Manager Date
Puget Sound Energy - Gas
106354789
CORRIE RYDBERG
(253) 234-6410
CORRIE.RYDBERG@PSE.COM
19208 102ND AVE SE
NEW SVC AT MAIN, APPROX 18' IN ROW.
1: 3X5' HARD SURFACE CUT ANTICIPATED
4 4 4
Infrasource (253) 234-6410
INFRASL871C2 BL036742
5/28/19
RESTORATION PER CITY OF RENTON STANDARDS
POTHOLE ALL EXISTING UTILITIES
Scott Warlick 5/28/2019
MFP19002811
Holly Powers 6/18/2019
CITY OF RENTON
TRAFFIC CONTROL PLAN
PROJECT NAME: PERMIT#
CONSTRUCTION COMPANY: PHONE#:
CONTACT NAME: PHONE#:
ADDRESS: CELL#:
E-MAIL ADDRESS: FAX#:
PROJECT LOCATION: N/E/S/W OF:
WORK TIME: APPROVED BY:
WORK DATE: APPROVAL DATE:
OFFICE COPY T-
CONTRACTOR
DEV. SERVICE, INSPECTION P. MILLER
DEV. SERVICE, PLAN REVIEW B. BANNWARTH
POLICE CHARLES KARLEWICZ
FIRE FIRE MARSHALL FS #13
Permit Holder agrees to all the following:
• Comply with all traffic regulations of the City of Renton and the State of Washington.
• Prepare a traffic control plan and obtain City approval of that plan. That plan shall be implemented for
all street and lane closures, and the plan shall be performed in compliance with the Manual on
Uniform Traffic Control Devices.
• Notify emergency services (253-852-2121) twenty-four (24) hours before any street or lane closures.
• Any lane or street closures not in conformance with the approved traffic control plan and/or without
notification of emergency services may result in receiving a citation for violation of R.C.W. 47.36.200
through 47.36.220, 9A.36.050 Reckless Endangerment, and other applicable State and City codes.
• Indemnify and hold harmless the City of Renton from any and all claims, actions, and judgments,
including all costs of defense and attorney’s fees incurred in defending against same, arising from and
related to implementation of the approved traffic control plans including claims arising from towing of
private vehicles and the acts of the Permit Holder’s agents and employees.
• The City of Renton shall be entitled, in its reasonable discretion, to settle claims prior to suit or
judgment, and in such event shall indemnify and hold harmless the City for any such claims paid,
including the City’s reasonable attorney’s fees and litigation costs incurred resulting from such claim.
• In the event any claim or suit is brought against City within the scope of this Agreement, Permit Holder
will pay for legal counsel chosen by the City to defend against same.
• Flagger and sign placement are subject to revision by the City Inspector on site, if needed to address
traffic or pedestrian safety or travel.
• By my signature herein, I acknowledge all the above requirements.
PRINT NAME: DATE:
SIGNATURE:
Reset FormPrint Form
106354789
Infrasource
SHANNON MOORE (206) 681-7086
6905 S 228th St, Kent, WA 98032
SHANNON.MOORE@PSE.COM
19208 102ND AVE SE
TBD
TBD
CORRIE RYDBERG 5/28/19
MFP19002811
Scott Warlick
5/28/2019Monday - Friday
8:00AM - 3:00PM
SKETCH
I
-- NORTH --
I
NOTES:
• Work Zone Traffic Control shall be in accordance with the Manual on Uniform Traffic Control Devices (MUTCD)
and shown by sketch or reference to WSDOT.
• The plan must be submitted to the City’s PW/Transportation Division for review and/or approval at least three
working days prior to work.
• Approved Temporary Traffic Control Plan must be at the work site during work hours.
• Contractor or entity must call Renton School District (425-204-4455) or any public/private agency to be affected
by a temporary lane or road closure.
• Complete assistance and accommodation shall be provided to all kinds of pedestrian traffic when sidewalk or
walkway is impeded.
• Total road closure lasting more than 24 hours is subject to the approval by the City Council.
• Any vehicle, equipment, barricade, or portable tow-away sign used within the work area must display a
company logo or any legally acceptable sign showing the company name, address, and telephone number at a
conspicuous place on the vehicle or equipment.
In the case of Temporary No Parking Zones, all the following apply in addition to previous:
• Contractor must complete form to show limits of Temporary No Parking Zone identifying barricade locations for
vacate parking or curb lane usage.
• Contractor must post notice of dates and time of Temporary No Parking Zone with at least two signs per block
72 hours in advance of effective date and time.
• The cover sheet of this Traffic Control Plan form must be attached to each Temporary No Parking Sign on the
project site.
• Temporary traffic control devices must be removed immediately when work is done or no construction activities
are going on. If deemed abandoned, City crews will remove and store them at the City’s maintenance shop
(3555 NE 2nd Street).
SE 192ND ST102ND AVE SE
#19208SE 192ND PL101ST PL SE101ST AVE SE
101011111111161611111111121113102ND AVE SESTOPFLAG
GE
RSTOPFLAG
GE
R
STOPFLAGG
ER W20-7AROADWORKAHEADW20-1W20-4ONE LANEROADAHEAD100'
X'
100'USE MAXIMUM AVAILABLESPACE FOR SIGNSROAD
WORK
AHEAD W20-1BE
PREPARED
TO
STOP W3-4100'100'ROADWORKAHEADW20-1BEPREPAREDTOSTOPW3-4100'100'W20-7AROADWORKAHEADW20-1BEPREPAREDTOSTOPW3-4100'100'100'DeadEndDeadEnd1414
W20-7AROADWORKAHEADW20-1
W20-4ONE LANEROADAHEAD100'100'100'RESIDENT(S) WILL BE INFORMED OFTEMPORARY DRIVEWAY CLOSUREEMERGENCY VEHICLES WILL BEALLOWED TO PASS WORK ZONE.PLACE SIGNSBOTH SIDES OFWORK AREAFROMTOTOW AWAY AREAPHONE 888-9999INFRASOURCE LLC 000 0000000NO PARKINGFROM TO
TOW AWAY AREA
PHONE 888-9999
INFRASOURCE LLC 000 0000000
NO PARKINGCHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040PSEPUGETSOUNDENERGYJOB#10635478919208 102nd Ave SE, Renton, WA 980578/6/2020safaa.alneema@pse.com(425) 398-6077SHEET 1 of 2Puget Sound EnergyTraffic Control Supervisor:Gregory HarwoodCard No. 012238Card Exp. 09/30/2023gregory.harwood@pse.com(425)424-6425NNotes:1. All signs and spacing to conform to theMUTCD and King County standards.2. All sidewalks, driveways, exits and egressesshall be completely clear unless otherwise indicated.3. Channelizing devices are 28" traffic cones.Use traffic drums (barrels) with steady burningType C lights on all State State Routes and Hwys.4. Sign size can be a minimum of 36" x 36" andshall not obstruct pedestrian access.5. Crew is required to leave a minimum of 11' fortraveling lane width.6. Alert affected residents and businesses.7. Work to take place between 9 a.m. and 4 p.munless otherwise specified. All work for arterialsand major roadways will be from 9 a.m. to 3 p.m.8. Work area will be 10' ECL of 102nd Ave SE & 124'SCL of SE 192nd St.WORK PIT28" TRAFFIC CONELEGENDTRAFFIC FLOWSIGN LOCATIONFLAGGERSTOPWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAY
SE 192ND ST102ND AVE SE
#19208SE 192ND PL101ST PL SE101ST AVE SE
101011111111161611111111121113102ND AVE SESTOPFLAG
GE
RSTOPFLAG
GE
R
STOPFLAGG
ER W20-7AROADWORKAHEADW20-1W20-4ONE LANEROADAHEAD100'
100'
100'
ROAD
WORK
AHEAD W20-1BE
PREPARED
TO
STOP W3-4100'100'ROADWORKAHEADW20-1BEPREPAREDTOSTOPW3-4100'100'W20-7AROADWORKAHEADW20-1BEPREPAREDTOSTOPW3-4100'100'100'DeadEndDeadEnd1414
W20-7AROADWORKAHEADW20-1
W20-4ONE LANEROADAHEAD100'100'100'RESIDENT(S) WILL BE INFORMED OFTEMPORARY DRIVEWAY CLOSUREEMERGENCY VEHICLES WILL BEALLOWED TO PASS WORK ZONE.PLACE SIGNSBOTH SIDES OFWORK AREAFROMTOTOW AWAY AREAPHONE 888-9999INFRASOURCE LLC 000 0000000NO PARKINGFROM TO
TOW AWAY AREA
PHONE 888-9999
INFRASOURCE LLC 000 0000000
NO PARKING W20-7A100'W20-7A100'CHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040PSEPUGETSOUNDENERGYJOB#10635478919208 102nd Ave SE, Renton, WA 980578/6/2020safaa.alneema@pse.com(425) 398-6077SHEET 2 of 2Puget Sound EnergyTraffic Control Supervisor:Gregory HarwoodCard No. 012238Card Exp. 09/30/2023gregory.harwood@pse.com(425)424-6425NNotes:1. All signs and spacing to conform to theMUTCD and King County standards.2. All sidewalks, driveways, exits and egressesshall be completely clear unless otherwise indicated.3. Channelizing devices are 28" traffic cones.Use traffic drums (barrels) with steady burningType C lights on all State State Routes and Hwys.4. Sign size can be a minimum of 36" x 36" andshall not obstruct pedestrian access.5. Crew is required to leave a minimum of 11' fortraveling lane width.6. Alert affected residents and businesses.7. Work to take place between 9 a.m. and 4 p.munless otherwise specified. All work for arterialsand major roadways will be from 9 a.m. to 3 p.m.8. Work area will be 12' WCL of 102nd Ave SE & 124'SCL of SE 192nd St.WORK PIT28" TRAFFIC CONELEGENDTRAFFIC FLOWSIGN LOCATIONFLAGGERSTOPWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAY
SE 192ND ST102ND AVE SE
#19208SE 192ND PL101ST PL SE101ST AVE SE
101011111111161611111111121113102ND AVE SESTOPFLAG
GE
RSTOPFLAGG
ER
STOPFLAG
GE
R W20-7AROADWORKAHEADW20-1W20-4ONE LANEROADAHEAD100'
X'
100'USE MAXIMUM AVAILABLESPACE FOR SIGNSROAD
WORK
AHEAD W20-1BE
PREPARED
TO
STOP W3-4100'100'ROADWORKAHEADW20-1BEPREPAREDTOSTOPW3-4100'100'W20-7AROADWORKAHEADW20-1BEPREPAREDTOSTOPW3-4100'100'100'DeadEndDeadEnd1414
W20-7AROADWORKAHEADW20-1
W20-4ONE LANEROADAHEAD100'100'100'RESIDENT(S) WILL BE INFORMED OFTEMPORARY DRIVEWAY CLOSUREEMERGENCY VEHICLES WILL BEALLOWED TO PASS WORK ZONE.PLACE SIGNSBOTH SIDES OFWORK AREAFROMTOTOW AWAY AREAPHONE 888-9999INFRASOURCE LLC 000 0000000NO PARKINGFROM TO
TOW AWAY AREA
PHONE 888-9999
INFRASOURCE LLC 000 0000000
NO PARKINGCHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040PSEPUGETSOUNDENERGYJOB#10635478919208 102nd Ave SE, Renton, WA 980575/16/2019safaa.neema@pse.com(425) 398-6077SHEET 1 of 1Puget Sound EnergyTraffic Control Supervisor:Gregory HarwoodCard No. 008997Card Exp. 08/13/2019gregory.harwood@pse.com(425)424-6425NNotes:1. All signs and spacing to conform to theMUTCD and King County standards.2. All sidewalks, driveways, exits and egressesshall be comp
lete
ly c
lear un
less otherw
ise
indicated.3. Channelizing devices are 28" traffic cones.Use traffic drums (barrels) with steady burningType C lights on all State State Routes and Hwys.4. Sign size can be a minimum of 36" x 36" andshall not obstruct pedestrian access.5. Crew is required to leave a minimum of 11' fortraveling lane width.6. Alert affected residents and businesses.7. Work to take place between 9 a.m. and 4 p.munless otherwise specified. All work for arterialsand major roadways will be from 9 a.m. to 3 p.m.8. Work area will be 12' ECL of 102nd Ave SE & 111'SCL of SE 192nd St.WORK PIT28" TRAFFIC CONELEGENDTRAFFIC FLOWSIGN LOCATIONFLAGGERSTOPWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYMFP19002811
Est. Start Date:
&
&
&
Tie-In Fitting
Route #'s:Bollards:2.5" #4" #ADA Ramps #:
Del Press:6" W.C.Traffic Signal:no Bus Stop:NO
20 No Parks #:
Meter Loc:08 - OR Trolley Lines:no Mtr Hoods #:
Meter:A425 Speed Limit:
New Residential Svc
EFV:1-1/8" - 2600 - 9996743 Police #:TCP:YES
Diameter:1-1/8" PE Flaggers #:Arterial:NO
of CL
Service Information Street Information Job Type
of CL
of CL
of CL SE 192ND ST 3X5 ASPHALT
of CL
12'WEST of CL 102ND AVE SE 111'SOUTH
PLAT Map:216.082
N
Work Location Size of Cut Surface Type
Job Description / Scope of Work
TIE INTO 2" STW IP MAIN 67E121, INSTALL 53' 1-1/8" PE SVC (18' SCAT STUB, 35' PLAT EXT) SET
A425 METER. CP: APPROVED AS DESIGNED/WJOHNS 050309
New Construction:
Yes
Construction Method
Scat ROW / Plat Property
6/10/19 PM / Inspector:Shannon Moore 206-681-7086
Est. Duration:1 Day (8 Hours)
Jurisdiction:RENTON City / Zip:RENTON, 98057
ROW Permit:Yes Customer:SERGE AFANASIEV (206) 227-1075
Job #:106354789
Date:5/3/19 Address:19208 102ND AVE SE
Puget Sound Energy Gas Pre-Inspect Form
Driveway
P/L P/LROW 60 FT
SIDEWALK
SIDEWALK
PLANTERS STRIP
PLANTERS STRIP
6" STW HP 1' N B.T
P/L
P/L
C/L
ROW 60 102ND AVE SESE 192ND ST
19208
C/LWater Main2" STW IP 12' W 67E121A425 MSA
1-1/8" PE
25'40'SIDEWALKPLANTERSSTRIP25'
40'
4" STW IP 1'S OF S EDGE PAV
MFP19002811