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