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HomeMy WebLinkAboutMFP19003371.pdfDEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Franchise Permit: MFP19003371 IVR Number: 19003371 Permit Informaon Permit Name:Century Link Permits Address/Locaon :06/21/2019Application Date:1604730350Parcel Number:818 MT BAKER AVE NE Permit Type:07/03/2019Issue Date:Franchise Permit Work Class:07/02/2020Expiration Date:Minor Utility Job Number:19053731Franchise Type:Telephone Description:Bore west from hand hole 40' under MT Baker Ave NE, then trench south 15' in ROW to hand hole to provide telephone service. 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 | Published: 3/30/2017 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: 3/30/2017 TO THE APPLICANT: Submit an electronic copy of the plans with the Franchise Permit Application and the Traffic Control Application to franchisepermits@rentonwa.gov. Permit cost is $360.50. 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 Qwest Corp. dba Centurylink QC 19053731 Tom Pfeifle 206-841-3150 seattlemetrobsw@centurylink.com 818 MT BAKER AVE NE 19053731 Bore west from hand hole 40'under Mt Baker Ave NE,then trench south 15'in ROW to hand hole to provide new telephone service. 40 Northsky Communications (253)263-5486 NORTHSC857Q4 BL.036846 05/13/2019 4 MFP19003371 Scott Warlick 6/21/2019 RESTORATION PER CITY OF RENTON STANDARDS POTHOLE ALL EXISTING UTILITIES Holly Powers 7/3/2019 MFP19003371Scott Warlick6/21/20198:00AM - 3:00PMMonday - Friday SIGN STAND TYPE III BARRICADE TRAFFIC CONE/DELINEATOR FLASHING ARROW BOARD WORK AREA / CLOSURE FLAGGER Date:05/10/2019 Author:Dustin Hearring TCS #: 011819 Exp: 11/30/2022 Project:818 Mount Baker Ave NEContractor:North Sky Communications Page:1 Qwest Job #:19053731 Comments: Flagman Cones to be used in all Tangents and Tapers BE PREPAREDTO STOPROADWORKAHEADSLOW ONE LANEROAD AHEAD 100' 100' 100' 100' 100'ROADWORKAHEADNE 8 PL MT BAKER AVE NESIDEWALKCLOSEDSIDEWALKCLOSED SIDEWALK CLOSEDAHEAD CROSS HERE SIDEWALK CLOSEDAHEADCROSS HERENO PARKING(BOTH SIDES)SLOW 100' BE PREPAREDTO STOP 100'ROADWORKAHEAD100' 100' 100' 100' www.invarion.com MFP19003371 SIGN STAND TYPE III BARRICADE TRAFFIC CONE/DELINEATOR FLASHING ARROW BOARD WORK AREA / CLOSURE FLAGGER Date:05/10/2019 Author:Dustin Hearring TCS #: 011819 Exp: 11/30/2022 Project:818 Mount Baker Ave NEContractor:North Sky Communications Page:2 Qwest Job #:19053731 Comments: Flagman Cones to be used in all Tangents and Tapers BE PREPAREDTO STOPROADWORKAHEADSLOWONE LANEROAD AHEAD100' 100' 100' 100' 100'ROADWORKAHEADNE 8 PL MT BAKER AVE NESIDEWALK CLOSED SIDEWALKCLOSEDSIDEWALK CLOSEDAHEADCROSS HERESIDEWALK CLOSEDAHEAD CROSS HERE 100'NO PARKING(BOTH SIDES)SLOW 100'BE PREPAREDTO STOP 100' 100'100'ROADWORKAHEADwww.invarion.com MFP19003371 Qwest Job # This request for permit is for the placement of underground telephone service wire to our customer at the following address: Legend: Trench in ROW (total footage): _______ ROW Push or Bore 2” PVC or BIP under roadway (total footage): _ _ _ _ _ Bore Path Push or Bore 2” PVC or BIP under driveway(s) (total footage): _ _ _ _ _ Trench Path Trench dimensions: ‘L x 1’W x 3’D _______ Water Proximity of trench/bore to Utilities: Trench Disturbance: _______ Sewer Horizontal clearance ≥ 5’ _______ Stormwater Vertical clearance ≥ 2’ Yd3 Road: Grind/Overlay: Section: Sidewalk: No Cut: Township: N Planter Strip: Arterial: Range: E Curb/Gutter: *All crossings and ROW work at 36 inches. *All pits and trenching require select fill. N 19053731 818 MT BAKER AVE NE 15' 40' n/a 15' 1.6 Soft 40' n/a n/a No No No 10 23 05 hand hole hand hole 40'road bore 15'ROW trench MFP19003371POTHOLE ALL EXISTING UTILITIES RESTORATION PER CITY OF RENTON STANDARDS