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HomeMy WebLinkAboutMFP19006193.pdfDEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Minor Franchise Permit: MFP19006193 IVR Number: 19006193 Permit Informaon Permit Name:Puget Sound Energy Gas Permits Address/Locaon :11/18/2019Application Date:3340401290Parcel Number:1713 DAVIS AVE S Permit Type:12/03/2019Issue Date:Franchise Permit Work Class:12/02/2020Expiration Date:Minor Utility Job Number:106359837Franchise Type:Natural Gas Description:Tie into existing 2" gas main and install new gas service. 10' in ROW. Pothole all existing utilities. Restoration per City of Renton standards 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 HURLOCKER & FOSTER 6747 37TH AVE SW SEATTLE , WA 98126 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 106359837 CORRIE RYDBERG (253) 234-6410 CORRIE.RYDBERG@PSE.COM 1713 DAVIS AVE S TIE INTO EXISTING 2" GAS MAIN AND INSTALL NEW GAS SERVICE, APPROX 10' IN ROW 1: 3'X5' HS CUT ANTICIPATED ✔✔ ✔ Infrasource (253) 234-6410 INFRASL871C2 BL036742 Corrie Rydberg Digitally signed by Corrie Rydberg Date: 2019.11.18 08:27:20 -08'00'11/18/19 MFP19006193 Scott Warlick RESTORATION PER CITY OF RENTON STANDARDS Holly Powers 12/3/2019 12/3/2019 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 106359837 Infrasource RANDY DEBOLT (206) 276-2081 6905 S 228th St, Kent, WA 98032 RANDALL.DEBOLT@PSE.COM 1713 DAVIS AVE S TBD TBD CORRIE RYDBERG 11/18/19 Corrie Rydberg Digitally signed by Corrie Rydberg Date: 2019.11.18 08:27:05 -08'00' MFP19006193 Monday - Friday 8:00AM - 3:00PM Scott Warlick 11/18/2019 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: & & & Tie-In Fitting Route #'s:Bollards:2.5" #4" #ADA Ramps #: Del Press:6" W.C.Traffic Signal:Bus Stop: No Parks #: Meter Loc:08 - OR Trolley Lines:Mtr Hoods #: Meter:A425 Speed Limit: New Residential Svc EFV:1-1/8" - 2600 - 9999144 Police #:TCP:Yes Diameter:1-1/8" PE Flaggers #:Arterial:No of CL Service Information Street Information Job Type of CL of CL of CL DAVIS AVE S 3X5 ASPHALT of CL 772'South of CL S 15TH ST 19'West PLAT Map:211.081 N Work Location Size of Cut Surface Type Job Description / Scope of Work TIE INTO EXISTING 2" MPE IP MAIN(107038277) AND INSTALL 86FT SCAT 1 1/8" SERVICE(10FT SCAT STUB/76FT SCAT EXTN) WITH 2600 EFV AND A425 METER W/7400191 REG. New Construction: No Construction Method All Scat / Trenchless 12/27/19 PM / Inspector:RANDY DEBOLT 206-276-2081 Est. Duration:1 Day (8 Hours) Jurisdiction:RENTON City / Zip:RENTON, 98055 ROW Permit:Yes Customer:KATHERINE FOSTER 206-650-3732 Job #:106359837 Date:11/11/19 Address:1713 DAVIS AVE S Puget Sound Energy Gas Pre-Inspect Form 1713 S 15TH ST Driveway PL CL PL WASTE WATER 2FT W OF C/L MFP19006193 RESTORATION PER CITY OF RENTON STANDARDS 1111 1111DAVIS AVE SSTOP FLAGGER STOP FLAGGER W20-7AROAD WORK AHEAD W20-1W20-4ONE LANE ROAD AHEAD 100'100'100'W20-7AROADWORKAHEADW20-1W20-4ONE LANEROADAHEAD100'100'100'FROM TO TOW AWAY AREA PHONE 888-9999 INFRASOURCE LLC 000 0000000 NO PARKING NO-PARK PLACE SIGNS ON ALL SIDES OF WORK AREA RESIDENT(S) WILL BE INFORMED OF POSSIBLE TEMPORARY DRIVEWAY CLOSURE 1713 S 15TH ST CHANNELIZATION DEVICE SPACING MPH 55/70 35/45 25/30 TAPER 40 30 20 TANGENT 80 60 40 N PSE PUGETSOUNDENERGY -OB106359837 1713 Davis Ave S, Renton, WA November 12, 2019 ina.ustemchuk@pse.com (425)398-6063 SHEET 1 of 1 Puget Sound Energy Traffic Control Supervisor: Ina Ustemchuk Card No. 010768 Card Exp.06/30/2021 ina.ustemchuk@pse.com (425)398-6063 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 772' SCL of S 15th St & 19' WCL of Davis Ave S. WORK PIT 28" TRAFFIC CONE LEGEND TRAFFIC FLOW SIGN LOCATION FLAGGER STOP WORK VEHICLE/ FLASHING LIGHTS RIGHT OF WAY ROW ROW MFP19006193