HomeMy WebLinkAboutMFP19003226.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Franchise Permit: MFP19003226
IVR Number: 19003226
Permit Informaon
Permit Name:Century Link Permits
Address/Locaon :06/13/2019Application Date:7224500335Parcel Number:530 BURNETT AVE N
Permit Type:07/01/2019Issue Date:Franchise
Permit Work Class:06/30/2020Expiration Date:Minor Utility
Job Number:N.551941.E.01Franchise Type:Telephone
Description:Transfer Century Link services from old pole to new pole. Expose buried cables. break up and restore concrete.
Restoration per City of Renton standards.
Contacts
Name Address PhoneTypeBilling
C/O QWEST CORP 1801 CALIFORNIA ST #4600
Denver, CO 80202
Applicant
Kim Parker
QWest Corporation
931 14th St, Suite 1000A
Denver, CO 80202
B: (303) 992-0752Contact
Heather Binkly
Dycom Industries dba North Sky
11770 Us Hwy 1, SUITE 101
Palm Beach Gardens, FL 33408
B: (360) 254-6920
O: (360) 450-3287
Contractor
Business License Number: 36846Construction Contractor: NORTHSC857Q4
CITY OF RENTON ROW 1055 S Grady Way
Renton, WA 98057-3232
Owner
QWest/Century Link - Billing 7850 S TRAFTON St
TACOMA, WA 98409
Specialized
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: 2/1/2018
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: 2/1/2018
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 $367.50.
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:
☐New Construction ☐Repair/Relocate ☐Underground ☐Overhead ☐Sidewalk ☐Street
☐Open Trench ☐ 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 $75/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
CenturyLink
N.551941.E.01 206.345.4476
Alex Harb alex.harb@centurylink.com
530 Burnett Ave N Nat'l Foreign Pole Transfer
Transfer CenturyLink services from old utility pole to new foreign pole; Expose buried cables;
break-open and restore concrete.
4 4
4
4
3
North Sky Communications, LLC 360.254.6920
NORTHSC857Q4 601-973-572
6/12/19
MFP19003226
Scott Warlick
RESTORATION PER CITY OF RENTON STANDARDS
Holly Powers 7/1/2019
7/1/2019
POLE TRANSFER OF CENTURYLINK FACILITIES FROM OLD POLES TO NEW FOREIGN POLES
State: Washington Wire Center: RNTNWA01 Job #: N.551941.E.01
Address: 530 Burnett Ave N Asset Tag: A2813945
Section: 8 Town: 23N Range: 5E Lat/Lon: 47.491495, -122.2066288333 X=OLD POLE T=NEW FOREIGN POLE TX MFP19003226
Transfer 1 cable attachment, 4 aerial drops; Expose
existing facilities; Remove 1 u-guard, 1 cross-arm, 1
pole marking, pole steps; Install 1 cable tag, 1 pole
marking, 1 riser pipe, splice copper connector in
buried environment, copper cable placement in
buried environment, concrete assembly unit.
MFP19003226
MFP19003226
MFP19003226
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:
6/13/19Simone Mann
CenturyLink Pole Transfer
North Sky Communications
Michelle Godkin 360-254-6920 ext. 3641
22517 88th Ave South, Kent WA 253-653-2474
mgodkin@northskycomm.com
530 Burnett Ave N
8a - 5p
7/8/19 - 7/29/19
Reset FormPrint Form
MFP19003226
Monday - Friday
8:00AM - 3:00PM Scott Warlick
6/14/2019
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).
TRAFFIC FLOW
PERM LANE MARKINGS
TAPERS / TANGENTS
PROTECTIVE VEHICLE
W/BEACON
TRUCK-MOUNTED
ATTENTUATOR
PORTABLE TRAFFIC
SIGNAL
SLOW
VMS12
LEGEND
FLAGGER
OFFICER
SURVEYORS
WORK SPACE
UTILITY WORK
CONSTRUCTION
DEVICES
SIGNS
BARRICADES
ARROW BOARD
ARROW MODE
ARROW BOARD
CAUTION MODE
PCMS
/ VMS
TEMPORARY TRAFFIC CONTROL PLAN
Not Drawn to Scale
This sketch not to be relied upon for exact location of utilities.
CALL (800) 424-5555 TWO BUSINESS DAYS BEFORE YOU DIG
PERMIT
DRAWING NOT
TO SCALE
Drawn by: D Sandall - WA TCS Certificate # 8957
6/13/2019
1 of 1
City of Renton
WORK HOURS
LANE WIDTH
POSTED SPEED
BUFFER
SIGN SPACING
DEVICES TAPERS
DEVICES TANGENT
SHOULDER TAPER
X
9am to 5pm
12ft
+/-200ft
50ft
30mph
200ft
40ft
20ft
OSMOSE
Simone Mann
770.631.6969
N.551941.E.01
530 Burnett Ave N
Renton
smann@osmose.com
PROJECT
PROJECT
LOCATION
Yes No
Traffic Control Supervisor(TCS) X
Flaggers/Spotters X
Uniformed Officer X
Notes:
1. All signs and spacing must conform to the City of Renton, WSDOT and the MUTCD.
2.All signs are 48”x48” B/O unless otherwise specified.
3.Channeling devices are 28” cones with retro reflective banding.
4. Notify City , County or WSDOT authorities 48 to 72 hours in advance of work if required.
“K&D Services, Inc., as the preparer of this traffic control plan makes no representation as to its general adequacy or being
approved for implementation. Approval must come from the Traffic Engineer or other public official having statutory enforcement
authority in the jurisdiction. Utilization and implementation of this plan shall be as a result of that approval. Ref: MUTCD 2009 6A-
01(10).”
530 Burnett Ave N
Osmose
Farhan Shahbuddin
770.631.6983
N.350051.E.01
N.349524.E.01
2104 & 2012 NE 87thAve
Vancouver, WA
fshahbubbin@osmose.com
OSMOSE
Asia Johnson
770.631.6942
N.3611310
5109 Shilshole Ave NW
Seattle
asiajohnson@osmose.com
Work at pole A2813945
MFP19003226