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Home My WebLink AboutMFP19004673.pdfDEPARTMENT 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 106358511 CORRIE RYDBERG (253) 234-6410 CORRIE.RYDBERG@PSE.COM 151 TAYLOR AVE NW INSTALL NEW GAS SERVICE AT MAIN, APPROX 39' IN ROW. 1:3'X5' HS CUT ANTICIPATED ✔✔✔ Infrasource (253) 234-6410 INFRASL871C2 BL036742 Corrie Rydberg Digitally signed by Corrie Rydberg Date: 2019.08.26 11:43:25 -07'00'8/26/19 MFP19004673 POTHOLE ALL EXISTING UTILITIES RESTORATION PER CITY OF RENTON STANDARDS Nathan Janders 8/28/2019 Scott Warlick 9/10/2019 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 106358511 Infrasource RANDY DEBOLT (206) 276-2081 6905 S 228th St, Kent, WA 98032 RANDALL.DEBOLT@PSE.COM 151 TAYLOR AVE NW TBD TBD CORRIE RYDBERG 8/26/19 Corrie Rydberg Digitally signed by Corrie Rydberg Date: 2019.08.26 11:43:38 -07'00' MFP19004673 8:00AM - 3:00PM Monday - Friday Scott Warlick 9/10/2019 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). Est. Start Date: & & & Job #:106358511 Date:8/14/19 Address:151 TAYLOR AVE NW Puget Sound Energy Gas Pre-Inspect Form 10/9/19 PM / Inspector:RANDY DEBOLT 206-276-2081 Est. Duration:1 Day (8 Hours) Jurisdiction:RENTON City / Zip:RENTON, 98057 ROW Permit:Yes Customer:NINA TRUONG 206-664-1479 PLAT Map:208.08 N Work Location Size of Cut Surface Type Job Description / Scope of Work TIE INTO EXISTING 6" PE IP MAIN(9415836) AND INSTALL 75FT 1 1/8" SERVICE(39FT SCAT STUB/36FT SCAT EXTN) WITH 2600 EFV AND A250 METER. New Construction: No Construction Method All Scat / Trenchless of CL TAYLOR AVE NW 3X5 ASPHALT of CL 99'North of CL RENTON AVE S 3'West of CL Service Information Street Information Job Type of CL of CL New Residential Svc EFV:1-1/8" - 2600 - 9996743 Police #:TCP:Yes Diameter:1-1/8" PE Flaggers #:Arterial:Yes Trolley Lines:Mtr Hoods #: Meter:A250 Speed Limit: Tie-In Fitting Route #'s:Bollards:2.5" #2 4" #ADA Ramps #: Del Press:6" W.C.Traffic Signal:Bus Stop: No Parks #: Meter Loc:08 - OR WORK AREA 1500 SQ FT TAYLOR AVE NWSEWER 1FT W OF C/L 6" PE IP 3'W9415836PL CL NO OTHER UTILITES KNOWN IN WORK AREA WATER 5FT W OF C/L MFP19004673 POTHOLE ALL EXISTING UTILITIES RESTORATION PER CITY OF RENTON STANDARDS sewer stub and side sewer are in this general area. BUSSTOPPOLICEUPO 1111 12111010111111111112111111B USST OP 881818S 132ND STNW 2ND STTAYLOR AVE NW HAYES PL SWHARDIE AVE NW 1 0 1 01618#151RENTON AVE S R E N T O N A V E S 1212 HARDIE AVE SWSW VICTORIA STSTOP FLAGGERRIGHTKEEPR4-7BSTOP FLAGGER FROMTOTOW AWAY AREAPHONE 888 -9999 INF RASOU RCE L LC 000 0 000 00 0 NO PARKINGNO-PARKPLACE SIGNS BOTH SIDESOF STREET IN WORK ZONESTOP FLAGGER W20-7AROAD WORK AHEAD W20-1W20-4ONE LANE ROADAHEAD100'100'100'W20-7AROADWORKAHEADW20-1BEPREPAREDTOSTOPW3-4100'100'100'W20-7AROADWORKAHEADW20-1W20-4ONE LANEROADAHEAD200'200'200'W20-7AROAD WORK AHEA D W20-1BE PREP A R E D TO STOP W3-43 5 0 ' X' 3 5 0 'USE MAXIMUMAVAILABLE SPACEFOR SIGNSROADWORKAHEADW20-1BEPREPAREDTOSTOPW3-4100'100'W20-7AROADWORKAHEADW20-1BEPREPAREDTOSTOPW3-4 3 5 0 ' 3 50 '35 0 '100'W20-1ROADWORKAHEAD R O A DWO R K A H E A D W20-1100'RAINIER AVE SBUSSTOP X'X'PLACE W20-1 SIGNS ON ALLADJACENT STREETS WITHIN FEET OF WORK AREAROADWORKAHEADW20-1 ROADWORKAHEADW20-11050RESIDENT(S) WILL BE INFORMEDOF POSSIBLE TEMPORARYDRIVEWAY CLOSURECHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040NPSEPUGETSOUNDENERGYJOB#106358511151 Taylor Ave NW, Renton, WA 980578/23/2019stacie.fortiner@pse.com425-424-6514SHEET 1 of 1Puget Sound EnergyTraffic Control Supervisor:Gregory HarwoodCard No. 008997Card Exp. 08/13/2019gregory.harwood@pse.com(425)424-6425TEMPORARY TRAFFIC CONTROL PLANNotes:1. All signs and spacing to conform to theMUTCD and City of Renton 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 __a.m. and __p.munless otherwise specified.8. Work area will be approx 99' NCL of Renton Ave S& 3' WCL of Taylor Ave NW.28" TRAFFIC CONELEGENDWORK PITTRAFFIC FLOWSIGN LOCATIONFLAGGERUNIFORMEDPOLICE OFFICERPOLICESTOPWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYMFP19004673