HomeMy WebLinkAboutMFP20000077.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Minor Franchise Permit: MFP20000077
IVR Number: 20000077
Permit Informaon
Permit Name:Puget Sound Energy - Electric
Address/Locaon :01/02/2020Application Date:8645501130Parcel Number:1633 FERNDALE AVE SE
Permit Type:01/09/2020Issue Date:Franchise
Permit Work Class:01/08/2021Expiration Date:Minor Utility
Job Number:101124779Franchise Type:Electric
Description:Crew to replace existing UG bad order service at V01. Pothole all existing utilities. Restoration per City of Renton
standards.
APPROVED WITH COMMENTS OR REDLINES
Contacts
Name Address PhoneTypeBilling
Corrie Rydberg
Puget Sound Energy
C: (425) 892-0416Applicant
Scott Warlick 1055 S Grady Way
Renton, WA 98057
Applicant
Marita Bond
Puget Sound Energy Billing
6905 S 228 St
Kent, WA 98032
B: (253) 395-6346Contact
Vicki Henson
Potelco Inc
8001 212th St S
Kent, WA 98032
B: (253) 863-0484Contractor
Business License Number: 5109Electrical Contractor: POTELI*344O4
Construction Contractor: POTELI*227PL
JONES MARIA A+ROGERS EDWARD 1633 FERNDALE AVE SE
RENTON , WA 98058
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: https://permitting.rentonwa.gov 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 - Electric
101124779
CORRIE RYDBERG
(253) 234-6410
CORRIE.RYDBERG@PSE.COM
1633 FERNDALE AVE SE
CREW TO REPLACE EXISTING UG BAD ORDER SERVICE AT V01 (317247-166657)
2:10'X2' HS CUTS ANTICIPATED
✔✔✔✔
✔✔
Potelco, Inc. (253) 234-6410
POTELI#227PL BL005109
Corrie Rydberg Digitally signed by Corrie Rydberg Date: 2020.01.02 12:01:46 -08'00'01/02/2020
MFP20000077
Scott Warlick 1/9/2020
Holly Powers 1/9/2020
RESTORATION PER CITY OF RENTON STANDARDSPOTHOLE ALL EXISTING UTILITIES
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
101124779
Potelco, Inc
LUKE NEELY (253) 569-2523
6905 S 228th St, Kent, WA 98032
LUKE.NEELY@PSE.COM
1633 FERNDALE AVE SE
TBD
TBD
CORRIE RYDBERG
01/02/2020
Corrie Rydberg Digitally signed by Corrie Rydberg
Date: 2020.01.02 12:00:11 -08'00'
Scott Warlick
1/9/2020Monday - Friday
8:00AM - 3:00PM
MFP20000077
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).
16331
6
1
6 FERNDALE AVE SSE 16T
H
S
T
S
E
1
8
T
H
P
L 1639V
0
1
STOPFLAGGER
STOPFLAGGER
W20-7AR
O
A
DWO
R
K
A
H
E
A
D
W20-1W20-4
O
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A
D100'100'100'W20-7AROADWORKAHEADW20-1W20-4ONE LANEROADAHEAD100'100'100'IP1CHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040NPSEPUGETSOUNDENERGY-O%1011247791633 FERNDALE AVE SE, RENTON, WA 9805812/12/2019jason.bisenius@pse.com425-424-7316SHEET 1 of 1TEMPORARY TRAFFIC CONTROL PLANPuget Sound EnergyTraffic Control Supervisor:Gregory HarwoodCard No. 012238Card Exp. 09/30/2023gregory.harwood@pse.com(425)424-6425SIGN SPACINGMPH60/6545/5535/403025"X"1000'500'350'200'100'28" TRAFFIC CONELEGENDTRAFFIC FLOWSIGN LOCATIONFLAGGERSTOP VAULTVaultWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYNotes: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 9 a.m. and 4 p.munless otherwise specified. All work for arterialsand major roadways will be from 9 a.m. to 3 p.m.MFP20000077
GAS
PHONE
CABLE TV
N/A N/A
N/A N/A
N/A 108117405
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
PROJECT PHASE
PWR
NOTIF#ORDER#
Superior
Perm. Service
Relocation
Removal
Temporary
Job Order
Distribution
HP Main
HP Svc/MSA
THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIES
CALL (800) 424-5555
2 BUSINESS DAYS BEFORE YOU DIG
For contacts below dial 1-888-CALL PSE (225-5773)101124779N
Vicinity Map
NOT TO SCALE
FOREMAN (CHECK BOX WHEN COMPLETED)
PSE Equipment LOCKED/SECURED & Work Area left in CLEAN/SAFE Condition.
Grid, Cable, and Switch numbers INSTALLED & VERIFIED.
Field Changes RED-LINED on As-built.
Indicate correct FUSE SIZE on As-built & VERIFY proper PHASE.
Foreman's Signature _______________________________________________
Print Name ___________________________________ Date ______________
Material VERIFIED and CHANGES noted on Paperwork.
Total PRIMARY Cable noted on As-built.
Company ID#'s RECORDED in correct location on As-built.
Correct QC Checklist(s) reviewed.
Deviations noted on the As-built and their reason.
I certify that the work performed meets PSE's standards and procedures
and that all quality requirements are met.
DESIGNED BY
UTILITIES
CONTACT
PHONE#
COUNTY
1/4 SEC
U-MAP NO (POWER)
OP MAP
Emer Sect Gas Wk Ctr POWER WK CTR
PLAT MAP
JOINT FACILITIES ARRANGEMENTS
DRAWN BY
CHECKED BY
APPROVED BY
FOREMAN #1
FOREMAN #2
MAPPING
INCIDENT MAOP
Gas Order Elect Order
SCALE PAGE
ENGR - POWER
ENGR - GAS
FUNCTION
PROJECT MGR
PERMITREAL ESTATE/EASEMENT
2
1
REV#
3
DATE DESCRIPTIONBY
CONTACT PHONE NO DATE
OH CKT MAP CIRCUIT NOUG CKT MAP
L. NEELY 253-569-2523 12/05/19
L. NEELY 425-495-1304 12/05/19
T. LAKE 714-822-4346 12/05/19
N/A RENTON
ROL-16 / 1633 FERNDALE AVE SE
REPLACE UG SVC
1633 FERNDALE AVE SE, RENTON, WA 98058
ASPLUNDH CONSTRUCTION CORP.
O-565971
101124779
AS NOTED 1/2
KING QCSOKE
SW 21-23N-05E
2305E083 2305E088 ROL-162305E083
11602403 101124779
Owner / Developer Contact Info
officeATTN:
E-Mail:
Cell Phone:
Project Manager Contact Information:
Manager:LUKE NEELY
253-569-2523
LUKE.NEELY@PSE.COM
THOMAS GUIDE
656-E5
SITE MAP - UNIVERSAL MAP
SCALE: 1" = 50' (2305E083)
ARE TO BE INSTALLED, CROSS SECTION DETAILS OF THE TYPICAL EROSION
STRUCTURES, & SPECIAL REQUIREMENTS FOR WORK IN SENSITIVE AREAS.)
EROSION & SEDIMENT CONTROL REQUIREMENTS
NOTES DETAILING WHERE EROSION OR SEDIMENT CONTROL STRUCTURES
(LOCAL JURISDICTIONS MAY HAVE ADDITIONAL REQUIREMENTS INCLUDING
0150.3200 TECHNIQUES FOR TEMPORARY EROSION & SEDIMENT CONTROL
EROSION & SEDIMENT CONTROL SHALL BE PER PSE STANDARD PRACTICE
& ANY ADDITIONAL LOCAL JURISDICTION REQUIREMENTS.
OVERHEAD CIRCUIT MAP
SCALE: 6" = 1 MILE MAP#: 2305E088
PSE
No
No
No
Yes
Yes
Yes
"Flagging Required"
"Outages Required"
"Locates Required"
Luke Neely
Luke Neely
253-569-2523
253-569-2523
12/09/19
12/09/19
SECONDARY CABLE ABANDON TABLE
LOCATION PRIMARY CABLE
ASBUILT INFORMATION
Cable LENGTH
Design
(ft)
Cable Numbers Please Record Foreman - Complete
FROM TO Size A B C Manufacturer Year Actual Amount Installed (Conduit & Cable)
HH1 1633 40 TPLX 100 N/A N/A N/S
JOB SITESCOPE OF WORK
12-04-19 PER LUKE NEELY CELL 253-569-2523:
NOTE: RENTON PERMIT & 2 FLAGGERS REQ'D
CORE HOURS, LOCATES, OUTAGE ON 1 RESIDENTIAL CUSTOMER, DIRECTIONAL DRILL, VAC TRUCK
O-565971
PROBLEM: UG SVC TO 1633 FERNDALE AVE SE HAS A B/O NEUTRAL AND THE FAULT CANNOT BE LOCATED.
POTELCO SERVICE CREW DROVE A GROUND ROD UNDER THE DIRECTION OF THE S.O. SO PSE SERVICEMEN
COULD SET AN AUTO. THE UG SVC IS FED BY A HANDHOLE IN THE BACKYARD OF 1700 BEACON WAY SE AND
BOTH CUSTOMERS ARE AWARE OF THE SITUATION AND THE GATES WILL BE UNLOCKED. LOCATES# 19420959.
FROM V01 TO IP1:
BORE ONE 3-INCH RED POLYPIPE APPROX 130 FEET
RESTORE SIDEWALK/LANDSCAPING TO ORIGINAL CONDITION
FROM IP1 TO 1633:
BORE/TRENCH ONE 3-INCH RED POLYPIPE APPROX 50 FEET
RESTORE LANDSCAPING TO ORIGINAL CONDITION
FROM V01 TO 1633:
PULL IN NEW 4/0 UG TPLX SVC APPROX 180 FEET
FROM HH1 TO 1633:
DISCONNECT AND ABANDON OLD DIRECT BURIED 4/0 UG SVC APPROX 100 FEET IN BACKYARD
UNDERGROUND CIRCUIT MAP
SCALE: 1" = 50' MAP#: 2305E083
SECONDARY CABLE & CONDUIT TABLE
LOCATION CABLE Assumed
Lot Corner
CONDUIT VOLTAGE
DROP
VOLTAGE
FLICKER ASBUILT INFORMATION
SIZE LENGTH
Design
(ft)
SIZE LENGTH
Design
(ft)
BENDS
Foreman - Complete
FROM TO (1/0,4/0,350)to Meter(ft)(in)90°45°22°11°(Percent)(Percent)Actual Amount Installed (Conduit & Cable)
V01 1633 40 TPLX 180 3 180 1
MFP20000077
101124779DESIGNED BY
UTILITIES
CONTACT
PHONE#
COUNTY
1/4 SEC
U-MAP NO (POWER)
OP MAP
Emer Sect Gas Wk Ctr POWER WK CTR
PLAT MAP
JOINT FACILITIES ARRANGEMENTS
DRAWN BY
CHECKED BY
APPROVED BY
FOREMAN #1
FOREMAN #2
MAPPING
INCIDENT MAOP
Gas Order Elect Order
SCALE PAGE
ENGR - POWER
ENGR - GAS
FUNCTION
PROJECT MGR
PERMITREAL ESTATE/EASEMENT
2
1
REV#
3
DATE DESCRIPTIONBY
CONTACT PHONE NO DATE
OH CKT MAP CIRCUIT NOUG CKT MAP
L. NEELY 253-569-2523 12/05/19
L. NEELY 425-495-1304 12/05/19
T. LAKE 714-822-4346 12/05/19
N/A RENTON
ROL-16 / 1633 FERNDALE AVE SE
REPLACE UG SVC
1633 FERNDALE AVE SE, RENTON, WA 98058
ASPLUNDH CONSTRUCTION CORP.
O-565971
101124779
AS NOTED 2/2
KING QCSOKE
SW 21-23N-05E
2305E083 2305E088 ROL-162305E083
Luke Neely
Luke Neely
253-569-2523
253-569-2523
12/09/19
12/09/19
MFP20000077