HomeMy WebLinkAboutMFP20003322.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Minor Franchise Permit: MFP20003322
IVR Number: 20003322
Permit Information
Permit Name: Century Link Permits
Address/Location:07/07/2020Application Date:1623059052Parcel Number: 3123 NE 4TH ST
Permit Type:08/07/2020Issue Date:Franchise
Permit Work Class:08/09/2021Expiration Date:Minor Utility
Job Number: N.738770Franchise Type:Telephone
Description: Century Link to access HH, dig and fix conduit, dig 1 bore pit, place new HH, and bore onto private property. Pothole
all existing utilities. Restoration per City of Renton standards.
Contacts
Name Address PhoneTypeBilling
Austin Sweeney
Century Link
Contact
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 Conditions & 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.
Ÿ
This permit and plans must be posted at the job site at all times.Ÿ
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.
Ÿ
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.
Ÿ
Call 8 1 1 to locate underground utilities at least two full business days prior to any excavation.Ÿ
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.
Ÿ
(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:
☐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
$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
QWEST corp d/b/a CenturyLink QC
Austin Sweeney
253 766 7549
Austin.sweeney@centurylink.com
Northsky Communications 425 615 7121
NORTHSC857Q4 BL.028638
N.738770
3123 NE 4th St
CenturyLink to access HH, dig& fix conduit, dig 1 bore pit, and bore onto private property
X X X X
7/7/20Austin Sweeney
MFP20003322
Scott Warlick 7/29/2020
POTHOLE ALL EXISTING UTILITIES RESTORATION PER CITY OF RENTON STANDARDS
Nathan Janders 8/7/2020
DEPARTMENT OF PUBLIC WORKS
Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document.
Page 1 of 2 | Published: 11/25/2019
Transportation Division | 1055 South Grady Way, 5th Floor | Renton, WA 98057 | 425-430-7380
Website: rentonwa.gov
TRAFFIC CONTROL PLAN (TCP) APPLICATION
Published: 11/25/2019
TRAFFIC CONTROL PLAN (TCP) MUST BE SUBMITTED TO PUBLIC WORKS TRANSPORTATION DIVISION
FOR REVIEW/APPROVAL NO LATER THAN FIVE (5) WORKING DAYS BEFORE THE DATE OF WORK.
The City of Renton requires any contractor, firm, corporation, or other public/private agency to prepare a TCP and
obtain City of Renton's approval of that plan when construction, repair, or maintenance work is to be conducted
within the city's right-of-way.
TO THE APPLICANT: Submit the TCP application form and required submittal documents to
TCP@rentonwa.gov with the subject line “TCP Application – [Project Name]” or the above address.
The following items, electronic copies preferred, are all required for submittal of the TCP Application:
1.☐ A copy of the Traffic Control Plan (TCP) Application form.
2.☐ A copy of the required TCP layout, preferred 11” X 17” paper size format, which shall:
☐Include map(s) showing the location of the project and work area.
☐Be legible lettering and clear, contrasting, symbols of viewing or printing.
☐Must indicate street names, and north arrow and scale.
☐All signs and detour routes shall conform to the MUTCD, WSDOT TCPs, and the Washington State
Traffic Control Flagger Certification handbook, by the Evergreen Safety Council.
☐Types of plans required:
☐Work hour plan – show all mobility impacts during construction hours.
☐Non-work plan - show all mobility impacts after work hours when limited or no work is
happening in the right-of-way (ROW), if applicable.
☐Changing construction phases – show construction sequence and each construction phase
change even if the traffic control is not modified, if applicable.
☐Pedestrian access/detour plan, if applicable.
Project Name: ______________________________________________ Permit #: _____________________
Project Address: ____________________________________________________________________________
Work Date: From _____________ To _____________ Work Time: Start ______________ End ______________
Description of Work, Work Schedule, Equipment Used: _____________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Construction Company: ________________________________________ Phone/Cell: (_____) _____-________
Applicant Name: _________________________________ Email: ______________________________________
Business Address: _________________________________ City/State: __________________ Zip: __________
Approved By: _______________________________________________ Date: ________________________
Transportation Operations Engineering
MFP20003322
Scott Warlick CED 7/29/2020
Monday - Friday 8:00AM - 3:00PM
Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document.
Page 2 of 2 | Published: 11/25/2019
APPLICANT AGREES TO ALL THE FOLLOWING:
•TCP must be approved prior to commencing the work, and all permit conditions shall be met.
•Existing pedestrian access shall be maintained. The work on pedestrian facilities shall be limited to one corner
at a time, with the least possible inconvenience or delay to pedestrians.
•Signage shall be used to warn motorcyclists/bicyclists of the potential hazards on any uneven surfaced or
slippery road conditions during work and non-work hours.
•The start of Work Time begins when any street or travel lane is fully/partially closed or impacts the follow of
traffic. This includes set up within the traveled way or immediately adjacent to the roadway.
•Emergency services (253-852-2121) shall be notified twenty-four (24) hours before any street or lane closures.
•Contractor or entity must call Renton School District (425-204-4455) or any public/private agency, including
public transit, to be affected by a temporary lane or road closure.
•TCP for all street and/or lane closures shall be implemented and performed in compliance with the Manual on
Uniform Traffic Control Devices (MUTCD) and/or State of Washington Department of Transportation (WSDOT)
and all traffic regulations of the City of Renton and Revised Code of Washington (RCW).
•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 RCW 47.36.200 Signs or
Flaggers at thoroughfare work sites and RCW 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 Applicant’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 the City within the scope of this Agreement, Applicant 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.
•Total road closure lasting more than twenty-four (24) hours is subject to the approval by the City Council.
•Approved Temporary TCP must be at the work site during work hours.
•Complete assistance and accommodation shall be provided to all kinds of pedestrian traffic when sidewalk or
walkway is impeded to safely redirect pedestrians around a work zone.
•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
seventy-two (72) hours in advance of effective date and time.
•The cover sheet of this TCP 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; 425-430-7423).
_______________________________ _______________________________ _______________________
Applicant’s Signature Print Name Date
Austin Sweeney
JEFFERSON AVE NENE 4TH ST
3123NE 4TH STTRAFFIC CONTROL PLAN
JOB # N.738770.C.45
PERMIT #
Date:6/25/2020 Author:JORGIA DURR Project:N.738770.C.45CENTURYLINK:Certified Traffic Control Plan (DO NOT ALTER)
Comments:
General Requirements
1. All signs and spacing to conform to the MUTCD and City of RENTON requirements.
2. Channelizing devices are 28" traffic cones with retro reflective material.3. All signs are 48' X 48' B/O unless otherwise specified.
4. Alert affected local residents and businesses.
5. Crew is required to leave a minimum 11' for lane width.
6. Work hours will be ____am to ____pm.
Legend
BORE AREA
WORK TRUCK
Work Area
CONES
X BORE PIT
SPOTTER
UNLAWFUL FOR ANYONE OTHER THAN THE CITY OF RENTON TO
ALTER THIS CERTIFIED TRAFFIC CONTROL PLAN
IN ANY FORM WITHOUT EXPRESS WRITTEN CONSENT FROM:
DARLENE DURR, TCS #011915, darlene.durr@hotmail.com
ONE LANE TWO WAY TAPER 50' MIN/100' MAX
JEFFERSON AVE NE @ NE 4TH ST
BORE / RESTORE
SHOULDER WORK
NOT TO SCALE
Approved 6/25/2020
Darlene Durr
TCS # 011915
Phone 253-737-5198
darlene.durr@hotmail.com
_______________________Darlene Durr
CHANNELIZING DEVICE SPACING (FEET)
MPH TAPER TANGENT
50/70
35/45
25/30
40
40
30
20
80
60
WORK AREA
10' X 50'
NSPEEDLIMIT
25
Comments:
THIS IS TO BORE FROM BP1 TO BP2
RESTORE AS REQUIRED
THIS IS SHOULDER WORK
SPOTTER WILL ASSIST PEDESTRIANS AT WORK AREA
PARKING RESTRICTED AT WORK AREA
BUSINESSES WILL BE NOTIFIED PRIOR TO WORK
X X
BORE AREA
+/-200'
WORK AREA
10' X 70'
BP1 BP2
ROADWORKAHEAD
W20-1
ROADWORKAHEAD
W20-1
ROADWORKAHEAD
W20-1
SHOULDERWORK
W21-5
NOPARKINGFROMTOTOW AWAY AREAPHONE 685-5444YOUR COMPANY NAME 555-5555
R7-T39
www.invarion.com
MFP20003322
JEFFERSON AVE NENE 4TH ST
TRAFFIC CONTROL PLAN
JOB # N.738770.C.45
PERMIT #
Date:6/25/2020 Author:JORGIA DURR Project:N.738770.C.45CENTURYLINK:Certified Traffic Control Plan (DO NOT ALTER)
Comments:
General Requirements
1. All signs and spacing to conform to the MUTCD and City of RENTON requirements.
2. Channelizing devices are 28" traffic cones with retro reflective material.3. All signs are 48' X 48' B/O unless otherwise specified.
4. Alert affected local residents and businesses.
5. Crew is required to leave a minimum 11' for lane width.
6. Work hours will be ____am to ____pm.
Legend
WORK TRUCK
CONES
Work Area
SPOTTER
DIG AND FIX
UNLAWFUL FOR ANYONE OTHER THAN THE CITY OF RENTON TO
ALTER THIS CERTIFIED TRAFFIC CONTROL PLAN
IN ANY FORM WITHOUT EXPRESS WRITTEN CONSENT FROM:
DARLENE DURR, TCS #011915, darlene.durr@hotmail.com
ONE LANE TWO WAY TAPER 50' MIN/100' MAX
NE 4TH ST @ JEFFERSON AVE NE
DIG AND FIX / RESTORE
RIGHT LANE CLOSURE
NOT TO SCALE
Approved 6/25/2020
Darlene Durr
TCS # 011915
Phone 253-737-5198
darlene.durr@hotmail.com
_______________________Darlene Durr
CHANNELIZING DEVICE SPACING (FEET)
MPH TAPER TANGENT
50/70
35/45
25/30
40
40
30
20
80
60
DIG AND FIX
WORK AREA
10' X 150'
NSPEEDLIMIT
25
Comments:
THIS IS TO DIG AND FIX CONDUIT
RESTORE AS REQUIRED
THIS IS A RIGHT LANE CLOSURE
SPOTTER WILL ASSIST PEDESTRIANS AT WORK AREA
ROADWORKAHEAD
W20-1
ROADWORKAHEAD
W20-1
W4-2
RIGHT LANECLOSEDAHEAD
W20-5
www.invarion.com
MFP20003322
JEFFERSON AVE NENE 4TH ST
TRAFFIC CONTROL PLAN
JOB # N.738770.C.45
PERMIT #
Date:6/25/2020 Author:JORGIA DURR Project:N.738770.C.45CENTURYLINK:Certified Traffic Control Plan (DO NOT ALTER)
Comments:
General Requirements
1. All signs and spacing to conform to the MUTCD and City of RENTON requirements.
2. Channelizing devices are 28" traffic cones with retro reflective material.3. All signs are 48' X 48' B/O unless otherwise specified.
4. Alert affected local residents and businesses.
5. Crew is required to leave a minimum 11' for lane width.
6. Work hours will be ____am to ____pm.
Legend
HANDHOLE
WORK TRUCK
CONES
Work Area
SPOTTER
UNLAWFUL FOR ANYONE OTHER THAN THE CITY OF RENTON TO
ALTER THIS CERTIFIED TRAFFIC CONTROL PLAN
IN ANY FORM WITHOUT EXPRESS WRITTEN CONSENT FROM:
DARLENE DURR, TCS #011915, darlene.durr@hotmail.com
ONE LANE TWO WAY TAPER 50' MIN/100' MAX
JEFFERSON AVE NE @ NE 4TH ST
HH UNK ACCESS
SHOULDER WORK
NOT TO SCALE
Approved 6/25/2020
Darlene Durr
TCS # 011915
Phone 253-737-5198
darlene.durr@hotmail.com
_______________________Darlene Durr
CHANNELIZING DEVICE SPACING (FEET)
MPH TAPER TANGENT
50/70
35/45
25/30
40
40
30
20
80
60
HH UNK
WORK AREA
8' X 60'
ROADWORKAHEAD
W20-1
ROADWORKAHEAD
W20-1
SHOULDERWORK
W21-5
NSPEEDLIMIT
25
Comments:
THIS IS TO ACCESS HH UNKTHIS IS SHOULDER WORK
SPOTTER WILL ASSIST PEDESTRIANS AT WORK AREA
www.invarion.com
MFP20003322
NOTICE-NOT FOR DISCLOSURE OUTSIDE OF CENTURYLINK AND AFFILIATES EXCEPT UNDER WRITTEN AGREEMENTJOB:SH OF BEFORE YOU DIG811CALL TWO WORKING DAYSRNGE:SECT:TOWN:GEO CODE:WC CLLI:TOTAL EXISTING CONDUIT USED:TOTAL NEW BORE:TOTAL NEW DIRT TRENCHESTIMATED TOTALSTOTAL NEW AERIAL:SIDEWALK (PCC) R&R:ASPHALT (AC) R&R:S.F.S.F.L.F.L.F.L.F.L.F.TOTAL NEW ASPHALT TRENCH:L.F.TOTAL NEW S/W TRENCH:L.F.1702050024000”NVICINITY MAPDRAFTED BY: MOUNTAIN LTD/DL - 06/15/2024N5E16N.738770W26226RNTNWA013123 NE 4TH STRENTON, WA 9805613(+'.&'0)+0''44+%-('4&+0#0&12*10'01
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