HomeMy WebLinkAboutMFP19002954.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Franchise Permit: MFP19002954
IVR Number: 19002954
Permit Informaon
Permit Name:Puget Sound Energy Gas Permits
Address/Locaon :06/04/2019Application Date:1423500720Parcel Number:16231 123RD AVE SE
Permit Type:06/20/2019Issue Date:Franchise
Permit Work Class:06/19/2020Expiration Date:Minor Utility
Job Number:109122087Franchise Type:Natural Gas
Description:Remove existing service at main. Install new service at main. 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
109122087
Corrie Rydberg
(253) 234-6410
corrie.rydberg@pse.com
16231 123RD AVE SE
REMOVE EXISTING SERVICE AT MAIN. INSTALL NEW SERVICE AT MAIN
(APPROXIMATELY 7' IN ROW) 1: 3X5 HARD SURFACE CUT ANTICIPATED
4 4 4
Infrasource (253) 234-6410
INFRASL871C2 BL036742
6/03/19
MFP19002954
Scott Warlick 6/4/2019
Holly Powers 6/20/2019
RESTORATION PER CITY OF RENTON STANDARDS
POTHOLE ALL EXISTING UTILITIES
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
109122087
Infrasource
SHANNON MOORE (206) 681-7086
6905 S 228th St, Kent, WA 98032
SHANNON.MOORE@PSE.COM
16231 123RD AVE SE
TBD
TBD
Corrie Rydberg 6/03/19
MFP19002954
Scott Warlick
6/4/2019Monday - 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).
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:
Altered 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 SE 164TH ST 3X5 GRASS
of CL
of CL SE 164TH ST 3X5 ASPHALT
70'WEST of CL 123RD AVE SE 254'NORTH
18'WEST of CL 123RD AVE SE 234'NORTH
PLAT Map:212.084
N
Work Location Size of Cut Surface Type
Job Description / Scope of Work
CUT AND CAP 3/4" STW (1959) TWIN FROM HOST AT 16223 REMOVE A250 METER 407622.
INSTALL NEW 61' 1-1/8" PE SCAT SVC (7' STUB, 54' EXT) SET A425 METER CP: T/L wires on main
//WJOHNS 04/30/2019
New Construction:
No
Construction Method
All Scat / Trenchless
6/3/19 PM / Inspector:Shannon Moore 206-681-7086
Est. Duration:1 Day (8 Hours)
Jurisdiction:RENTON City / Zip:RENTON, 98058
ROW Permit:Yes Customer:JEFFREY KANE (206) 350-1310
Job #:109122087
Date:5/1/19 Address:16231 123RD AVE SE
Puget Sound Energy Gas Pre-Inspect Form
RETAINING WALLDriveway
NEW
A425
2" STW IP 18'W 1512-1959PLANTERSSTRIPPARKING AREA Water MainP/L P/L
C/L
ROW 50 FT
SW 164TH ST123RD AVE SENEW 1-1/8" PE
16231
16223
MFP19002954
#16231
1717171717171414
1414
123RD AVE SESW 164TH ST
RESIDENT(S) WILL BE INFORMED
OF POSSIBLE TEMPORARY
DRIVEWAY CLOSURE
FROM TO
TOW AWAY AREA
PHONE 888-9999
INFRASOURCE LLC 000 0000000
NO PARKINGSHOULDERWORKW21-5UTILITYWORKAHEADW21-7100'100'UTILITY
WORK
AHEAD W21-7100'N PSE PUGETSOUNDENERGY
JOB#109122087
16231, 123rd Ave SE, Renton, WA
3rd May, 2019
prachi.joshi@pse.com
425-424-7806
SHEET 1 of 1
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
(425)424-6425
TEMPORARY TRAFFIC CONTROL PLAN
Notes:
1. All signs and spacing to conform to the
MUTCD and City of Renton standards.
2. All sidewalks, driveways, exits and egresses
shall be completely clear unless otherwise indicated.
3. Channelizing devices are 28" traffic cones.
Use traffic drums (barrels) with steady burning
Type C lights on all State State Routes and Hwys.
4. Sign size can be a minimum of 36" x 36" and
shall not obstruct pedestrian access.
5. Crew is required to leave a minimum of 11' for
traveling lane width.
6. Alert affected residents and businesses.
7. Work to take place between 9 a.m. and 4 p.m
unless otherwise specified. All work for arterials
and major roadways will be from 9 a.m. to 3 p.m.
8. Work area will be 18' WCL 123rd Ave SE & 234'
NCL SE 164th St.
MINIMUM TAPER LENGTH=L (FT.)
LANE
WIDTH
10
11
12
20
70
75
80
25
105
115
125
30
150
165
180
35
205
225
245
40
270
295
320
45
475
495
540
POSTED SPEED (MPH)
50
500
550
600
55
550
605
660
60
-
660
720
65
-
-
780
70
-
-
840
WORK PIT
LEGEND
28" TRAFFIC CONE
SIGN LOCATION
TRAFFIC FLOW
WORK VEHICLE/
FLASHING LIGHTS
RIGHT OF WAY
ROW ROW
CHANNELIZATION
DEVICE SPACING
MPH
55/70
35/45
25/30
TAPER
40
30
20
TANGENT
80
60
40
SIGN SPACING
MPH
60/65
45/55
35/40
30
25
"X"
1000'
500'
350'
200'
100'
MFP19002954