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HomeMy WebLinkAboutMFP20004632.pdfDEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Minor Franchise Permit: MFP20004632 IVR Number: 20004632 Permit Information Permit Name: Puget Sound Energy - Electric Address/Location:09/30/2020Application Date:7941000310Parcel Number: 19919 TALBOT RD S Permit Type:10/27/2020Issue Date:Franchise Permit Work Class:10/27/2021Expiration Date:Minor Utility Job Number: 111025789Franchise Type:Electric Description: Puget Sound Energy to replace 1 transmission pole in Kent City Limits. Part of Closure crosses over the Renton City limits. Contacts Name Address PhoneTypeBilling Corrie Rydberg Puget Sound Energy 6905 S 228TH St KENT, WA 98032 C: (253) 905-5031ApplicantX 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 ZHOU HAIYING 19919 TALBOT ROAD SOUTH RENTON , WA 98055 Owner 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: 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 111025789 9602 S 200th St - KENT Replace 1 transmission pole in Kent city limits. Part of the closure crosses over the Corrie Rydberg corrie.rydberg@pse.com 425-892-0416 Potelco, Inc.253-234-6410 POTELI#227PL BL005109 9/30/2020 Renton city limits. The city of Kent and the issued Kent permit states we need a Renton permit before they will allow our job to go to construction. x x Scott Warlick 10/12/2020 MFP20004632 TRANSMISSION MAINTENANCE WORK SKETCH REV 1 (3/25/2020) ENGINEER: KRAMER KORS, 425-732-0829 PROJECT MANAGER: BOB CARLSEN, 425-864-0496 CREW 2 ON: NOTIFICATION: 11680989 WORK ORDER: 111025789 (CAPITAL) TRANS EXPENSE: 571017252 REMOVAL: 108121307 DIST EXPENSE: 593220718 RETURN THIS SKETCH TO TRANSMISSIONE ENGINEERING WITH FOREMAN'S NOTES POLE# 3/23 GRID NUMBER: 315743-165833 NEW 45'/1 GUY STUB FROM WO#101127917 SCOPE: CUSTOMER COMPLAINT OF DEFLECTING POLE AFTER GUY STUB WAS REPLACED. REPLACE DEFLECTING POLE. TRANSMISSION (795 KCMIL ACSR TERN): REPLACE POLE WITH AN 85'/H1 (PT85H1) PER STD 6010.2000 REPLACE VDE-LA FRAMING (VDET1) PER STD 6085.1040 -[3] WEDGE CONNECTORS (AMPACS) = MID 2368400, 795-795 -[2] BOLT ASSEMBLIES BB181820 REPLACE [3] TRANSMISSION 3/8" GUYS (GYT3D8) TO EXISTING ANCHOR WEST PER STD 6073.0100 REPLACE [3] TRANSMISSION SPAN GUYS (GYT3OD) PER STD 6073.0170 INSTALL EXTENSION LINKS AS NEEDED DISTRIBUTION (336.4 KCMIL ACSR MERLIN WITH 1 PHASE #4 AWG SWAN SOUTH): INSTALL DISTRIBUTION PER WORK SKETCH 571017252 REPLACE 3PH DOUBLE DEADEND (DDEU315) PER STD 6034.1044 AT 34'-6" FROM TOP OF POLE REPLACE 3PH LATERAL DEADEND (DEH315) PER STD 6034.1042 AT 37' FROM TOP OF POLE -REPLACE [1] ARM MOUNTED DEADEND (DEDR21A) SOUTH PER STD 6016.1000 -TRANSFER OR REPLACE SECONDARY TRIPLEX AS NECESSARY -REPLACE [1] DISTRIBUTION 7/16" SPAN GUY (GYD7OW) PER STD 6013.0170 TRANSFER STREETLIGHT INSTALL GRID NUMBER 315743-165833 INSTALL POLE NUMBER 3/23 STUB POLE 1' ABOVE COMMS COMMS TO TRANSFER MFP20004632 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: 1ϭ/Ϯϱ/2019 Transportation Division | 1055 South Grady Way, 5th Floor | Renton, WA 98057 | 425-430-7380 Website: rentonwa.gov TRAFFIC CONTROL PLAN (TCP) APPLICATION Published: 1ϭ/Ϯϱ/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 MFP20004632 Scott Warlick CED 10/12/2020 Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document. Page 2 of 2 | Published: 1ϭ/Ϯϱ/2019 APPLICANT AGREES TO ALL THE FOLLOWING: x TCP must be approved prior to commencing the work, and all permit conditions shall be met. x 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. x 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. x 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. x Emergency services (253-852-2121) shall be notified twenty-four (24) hours before any street or lane closures. x 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. x 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). x 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. x 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. x 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. x 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. x Flagger and sign placement are subject to revision by the City Inspector on site, if needed to address traffic or pedestrian safety or travel. x Total road closure lasting more than twenty-four (24) hours is subject to the approval by the City Council. x Approved Temporary TCP must be at the work site during work hours. x 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. x 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: x Contractor must complete form to show limits of Temporary No Parking Zone identifying barricade locations for vacate parking or curb lane usage. x 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. x The cover sheet of this TCP form must be attached to each Temporary No Parking Sign on the project site. x 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 S 200TH STS 200TH STTALB O T R D S TALB O T R D S S 199TH ST1111 101010101010 1010 ROADWORKAHEADW20-1100'FROMTOTOW AWAY AREAPHONE 888-9999INFRASOURCE LLC 000 0000000NO PARKINGNO-PA R K VICINITY MAPSTOP FLAGGER STOP FLAGGERSTOP FLAGGER W20-7AROADWORKAHEADW20-1W20-4ONE LANEROADAHEAD100' 100' 100'W20-7AROAD WORK AHEAD W20-1W20-4ONE LANE ROADAHEAD100'100'100'W20-7AROADWORKAHEADW20-1W20-4ONE LANEROADAHEAD100'100'100'28" TRAFFIC CONELEGENDTRAFFIC FLOWSIGN LOCATIONWORK AREAPOLEWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYFLAGGERSTOPFLAGGERCHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040NTEMPORARY TRAFFIC CONTROL PLANPuget Sound EnergyTraffic Control Supervisor:Gregory HarwoodCard No. 012238Card Exp. 09/30/2023gregory.harwood@pse.com(425)424-6425PSEPUGETSOUNDENERGY-OB111025789S 200TH ST & TALBOT RD S, KENTREV1 - 07/17/2020FLAVIANA.NUNES@PSE.COM425-424-7809SHEET 1 of 1Notes:1. All signs and spacing to conform to theMUTCD and City of Kent 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.0'6030MFP20004632See comments on Kent traffic control plan Project: 9413 S 200 ST KENT, WA 98031 PERMIT 0622059037APN: CNST-2202909UTLPermit #: 111025789 - PSE (BB)Permit Name: Location:S 200 ST AND TALBOT RD S Site Address: Check permit status "online" at www.ci.kent.wa.us/permitcenter 222321IVR #: Page 1 of 4 TYPE OF CONSTRUCTION Square Feet Valuation SR-6 Zone District Scope of Work JOB NUMBER: 111025789 SCOPE OF WORK: CREW TO REPLACE (1) TRANSMISSION POLE STREET CUT/DISTURBANCE IN RIGHT-OF-WAY: ___ 2'X2' POTHOLE/WINDOW (PER DETAIL 6-69) ___ PAVEMENT CUT - SIZE: _________ ___ TRENCH ACROSS ROADWAY-LENGTH: _________ ___ TRENCH ALONG SHOULDER-LENGTH: _________ ___ SIDEWALK CUT ___ NO CUT/DISTURBANCE IN ROW _X__ SOIL DISTURBANCE ___ GRAVEL DISTURBANCE ___ OTHER ________________________________________________________________ TRAFFIC IMPACT: ___ ROAD CLOSURE/DETOUR ___ MULTI-LANE CLOSURE _X__ LANE CLOSURE ___ LANE SHIFT ___ SCHOOL ZONE _X__ SHOULDER CLOSURE _X__ FLAGGER CONTROL ___ NO TRAFFIC IMPACTS _X__ SIDEWALK CLOSURE/PEDESTRIAN DETOUR ___ SPOTTER ___ OTHER ________________________________________________________________ CITY OF RENTON PERMIT REQUIRED PRIOR TO A JOB START. WORK ZONE HOURS APPROVED BETWEEN 9AM AND 3PM WEEKDAYS. SEE APPROVED TRAFFIC CONTROL PLAN FOR DETAILS. DURATION OF WORK: ___ LONG-TERM STATIONARY: MORE THAN 3 DAYS _X__ INTERMEDIATE-TERM STATIONARY: MORE THAN ONE DAYLIGHT PERIOUD UP TO 3 DAYS, OR NIGHT WORK OVER 1 HOUR. ___ SHORT-TERM STATIONARY: MORE THAN 1 HOUR WITHIN A SINGLE DAYLIGHT PERIOD. ___ SHORT DURATION: UP TO 1 HOUR ___ MOBILE: WORK THAT MOVES INTERMITTENTLY/OR CONTINUOUSLY. Stories Bedrooms Units Code Edition 1997 UTILITY PERMITS - OUTSIDE AGENCIES PSE 6905 S. 228TH ST KENT, WA 98032 206-639-9258 TINA.COLEMAN@PSE.COM Name: Address: Phone: E-mail: OWNER ON APPLICATION Project: 9413 S 200 ST KENT, WA 98031 PERMIT 0622059037APN: CNST-2202909UTLPermit #: 111025789 - PSE (BB)Permit Name: Location:S 200 ST AND TALBOT RD S Site Address: Check permit status "online" at www.ci.kent.wa.us/permitcenter 222321IVR #: Page 2 of 4 CONTRACTOR SHALL CONTACT CITY OF KENT CONSTRUCTION INSPECTOR JAY MOUNTS AT (253) 740-6530 TO DISCUSS SCOPE OF WORK, COORDINATE A JOB START AND OR PRE-CONSTRUCTION MEETING AND REVIEW THE APPROVED TRAFFIC CONTROL PLANS. Conditions STREET CLEANING REQUIREMENT (E001) INDEMNIFICATION AND HOLD HARMLESS TITLE 51 INDUSTRIAL INSURANCE ACT PERMIT CANCELLATION OR REVOCATION Applicant shall continuously keep the streets and storm drain system free from all debris attributed to the work performed under the respective building, civil construction, street use, utility or grading and/or fill permit. Tracking mud, dirt or any other substance onto the streets is specifically prohibited. The Grantee, its successors and assigns, agrees to protect the City of Kent, its officers and employees and to save them harmless from all claims, actions or damages of every kind and description which may accrue to or be suffered by any person, persons, or property by reason of the acts or omissions of the Grantee, its assigns, agents, contractors, licensees, employees or any person whomsoever, in connection with Grantee's, its assigns', agents', contractors', licensees', or employees' construction, installation, maintenance, operation, use or occupancy of the right of way or in the exercise of this permit. In case any suit or action is brought against the City of Kent, its officers and employees, arising out of or by reason of any of the above causes, the Grantee, its successors or assigns will, upon notice of such action, defend the same at its sole cost and expense and satisfy any judgment against the City of Kent, its officers, or employees: PROVIDED, that if the claims or damages are caused by or result from the concurrent negligence of (a) the City of Kent's agents or employees and (b) the Grantee or Grantee's agents or employees, this indemnity provision shall be valid and enforceable only to the extent of the negligence of the Grantee or the Grantee's agents or employees. AND The Grantee, and on behalf of its assigns, agents, licensees, contractors and employees agrees to waive any claims for losses, expenses, damages or lost revenues incurred by it or its agents, contractors, licensees, employees or customers in connection with Grantee's, its assigns', agents', contractors', licensees', or employees' construction, installation, maintenance, operation, use of occupancy of the right of way or in the exercise of this permit against the City of Kent, its agents or employees except the reasonable costs of repair to property resulting from the negligent injury or damage to Grantee's property by the City of Kent, its agents, contractors or employees. Solely for purposes of enforcing the indemnification obligations of a Party under this Section 8, each party expressly waives its immunity under Title 51 of the Revised Code of Washington, the Industrial Insurance Act, and agrees that the obligation to indemnify, defend and hold harmless provided for in this Section 8 extends to any such claim brought against the indemnified Party by or on behalf of any employee of the indemnifying Party. The foregoing waiver shall not in any way preclude the indemnifying Party from raising such immunity as a defense against any claim brought against the indemnifying Party by any of its employees. This permit or privilege shall not be deemed or held to be an exclusive one and shall not prohibit the City from granting other permits or franchise rights of like or other nature to other public or private companies or individuals, nor shall it prevent the City from using Project: 9413 S 200 ST KENT, WA 98031 PERMIT 0622059037APN: CNST-2202909UTLPermit #: 111025789 - PSE (BB)Permit Name: Location:S 200 ST AND TALBOT RD S Site Address: Check permit status "online" at www.ci.kent.wa.us/permitcenter 222321IVR #: Page 3 of 4 Conditions TRAFFIC CONTROL WORK SUSPENSION PERMIT ACKNOWLEDGEMENT CITY CODES ADJACENT PROPERTY ACCESS POINTS MONUMENT RESTORATION PAVEMENT RESTORATION UTILITY PERMIT INSPECTION any of its roads, streets, or public places, or affect its right to full supervision and control over all or any part of them, none of which is hereby surrendered. AND The City may revoke, amend, or cancel this permit or any of the provisions thereof at any time by giving written notice to the Grantee. The Grantee shall immediately remove all facilities from the right of way. Any facilities remaining upon the right of way 30 days after written notice of cancellation shall be removed by the City at the expense of the Grantee. During the progress of the work, such barriers shall be erected and maintained as may be necessary or as may be directed for the protection of the traveling public; the barriers shall be properly lighted at night. All traffic control plans and installations shall be per the MUTCD. All traffic control devices shall be clearly visible and maintained at all times. AND/OR Except as herein authorized, no excavation shall be made or obstacle placed within the limits of the City street in such a manner as to interfere with the travel over said road. The Engineer and/or his or her authorized representatives may without advance notice and by posting the work site suspend or revoke a permit issued hereunder. AND The Engineer and/or his or her authorized representatives may in writing suspend or revoke a permit issued hereunder whenever the permit was issued in error or on the basis of incorrect information supplied or in violation of any other ordinance or regulation of the City I hereby acknowledge that I have read this permit and state that the above is correct and I agree to comply with all City ordinances, State laws and lawful orders of the inspector. I further agree to reimburse the City for any charges incurred from outside agencies (State, County, etc.) Applicant shall be required to comply with all City codes, ordinances and resolutions in effect as of the date of the issuance of this permit. Applicant shall coordinate with adjacent property owners to ensure their access points are kept open and maintained at all times No survey monument shall be removed or destroyed before a permit is obtained as required by WAC 332-120 from the DNR (Department of Natural Resources). A copy of the authorized DNR permit with permit number shall be submitted prior to the issuance of a City of Kent permit. A survey monument includes all street monuments, property corners, GLO corners and agency control disks, washers or tags as defined in WAC 332-120-020 inclusive of City of Kent, WSDOT, King County and NGS control disks, washers or tags PAVEMENT RESTORATION SHALL CONFORM TO KENT DESIGN AND CONSTRUCTION STANDARDS SECTION 6.17.B(2.D.2) AND STANDARD PLANS 6-64 THROUGH 6-69 FOR NON-ARTERIAL ROADS. A FULL WIDTH OVERLAY 2" HMA CLASS ½" IS REQUIRED FOR A NON-ARTERIAL ROAD, 75 < OCI <= 55. A FULL WIDTH OVERLAY WITH 1" HMA CLASS 3/8" IS REQUIRED FOR A NON-ARTERIAL ROAD, OCI >= 75. PAVEMENT RESTORATION SHALL CONFORM TO KENT DESIGN AND CONSTRUCTION STANDARDS SECTION 6.17.B(2.D.1) FOR AN ARTERIAL ROAD, AND STANDARD PLANS 6-64 THROUGH 6-69. If your permit does not have a site address, please schedule your inspection by calling (Continued) Project: 9413 S 200 ST KENT, WA 98031 PERMIT 0622059037APN: CNST-2202909UTLPermit #: 111025789 - PSE (BB)Permit Name: Location:S 200 ST AND TALBOT RD S Site Address: Check permit status "online" at www.ci.kent.wa.us/permitcenter 222321IVR #: Page 4 of 4 Conditions TRAFFIC CONTROL AT SIGNALIZED INTX HOT MIX PATCH REQUIREMENTS Public Works at 253-856-5500. If after business hours, please leave a message. If your permit has a site address, schedule your inspection through the City of Kent permit IVR system by calling 253-856-5427 before 4:30 p.m. You will need your permit IVR number, an inspection code and your phone number. Please use the following inspection codes: 2905 - Job Start. 2906 - Job Final. If you have any questions or need to talk to your Public Works Inspector, please call 253- 856-5545 between the hours of 7:00 a.m. - 8:00 a.m. or call 253-856-5500 after 8:00 a.m. The City of Kent requires an off-duty uniformed Kent police officer with police vehicle to provide traffic control at all signalized intersections or when required by Public Works Inspector. It will be the responsibility of the contractor to coordinate scheduling with the police department by contacting Sgt. Matt Stansfield at mstansfield@kentwa.gov or calling 253-856-5800. Two weeks' notice is required. Contractor to install hot mix asphalt for temporary patches on projects that will be unworked for more than one day from November 1st to March 31st. Date:18-SEP-20 Expiration Date:Issued By:Building Services Mgr 17-MAR-21 CONSTRUCTION CONTRACTOR POTELCO INC POTELI*227PL 8001 S 212 ST License:Name: Address:206-639-9258 KENT, WA 98032 Phone: (Continued) Name (please print) ________________________________ Signature ____________________________ Date _____________ Permit Center Location: 400 W. Gowe Mail to: 220 4th Avenue S.  Kent, WA 98032 253-856-5300 FAX: 253-856-6412 KentWA.gov/permitcenter Project Address or Location: _________________________________________________________________________________ Utility Company’s Job Number: ______________________________________________________________________________ Brief Description of Project: __________________________________________________________________________________ ________________________________________________________________________________________________________ Franchise Utility Application for Street Use/Street Cut Rtg. Type Tracking Number Project Name Date Submitted Projected Review Date Application received byPlease Print in Black Ink Only I certify that I have read this application and declare under penalty of perjury that the information contained herein is correct and complete. I am either the owner of the property described or I represent the owner or contractor as signified above and am acting with the owner/contractor’s full knowledge and consent. Utility Company Company Name: Contact Person: Address: City: State: Zip: Phone(s): Cell: Email: Contractor Name: Contact Person: Address: City: State: Zip: Phone(s): Cell: Email: REUP Washington ECONOMIC & COMMUNITY DEVELOPMENT Street Cut / Disturbance in Right of Way  2' × 2' pothole/window (per detail 6-69)  Pavement cut Size: __________________________  Trench across roadway Length: __________________  Trench along shoulder Length: ___________________  Sidewalk cut  No Cut/Disturbance in right of way  Soil Disturbance  Gravel Disturbance  Other (please describe below): ______________________________________________ OFFICIAL USE ONLY  Arterial  Non-Arterial  Work Hours  Daylight hours  9 a.m.–3 p.m.  Night Work  Weekend Work  Other _________ _________________ Traffic Impact  Road Closure/Detour  Multi-Lane Closure  Lane Closure  Lane Shift  School Zone  Shoulder Closure  Flagger Control  Sidewalk Closure/ Pedestrian Detour  No Traffic Impacts  Spotter  Other (please describe below): ________________________________________________ Approximate Project Start Date: ___________ Duration of work:  Long Term Stationary: More than 3 days  Intermediate-term Stationary: More than one daylight period up to 3 days, or night work over 1 hour  Short-term Stationary: More than 1 hour within a single daylight period  Short Duration: Up to 1 hour  Mobile: Work that moves intermittently or continuously  Advance Notification  Road Users  Residential / Businesses  Restoration  Pedestrian Ramp  Roadway  Sidewalk  Shoulder WH1-2 pwd2045_2_17 p. 1 of 2 2202909 See Approved Traffic Control Plan Instructions and Checklist for Franchise Utility Applications THE CITY OF KENT REQUIRES THE FOLLOWING INFORMATION IN ORDER TO ACCEPT A UTILITY APPLICATION FOR REVIEW:  Completed Application Form  Traffic Control Plan (Three (3) Copies) The Traffic Control Plan (TCP) showing how traffic and pedestrians will move safely through the construction area per the most current version of part 6 of the Manual on Uniform Traffic Control Devices (MUTCD). You may also use the Checklist for Completeness of a Traffic Control Plan, available at KentWA.gov/permitcenter.  Engineering Plans (Three (3) Copies) Show what work will be done or what facilities will be installed in the right-of-way. NH1-2 pwd2045_2_17 p. 2 of 2 PERMIT REQUEST FORM Date of Request: Job number: Job address: City: Zip: Project mgr: PM email: PM contact #: ______________________ Estimated job start date: Estimated job completion date: Description of work to be performed: Pavement cut? Yes No If yes, Dimensions of Cut: Length Width How many cuts? Surface Type Require trenching? Yes No If yes, Dimensions of trench: Length Width Depth Method of installation: Traffic impact: Road closed Yes No Lane closed Yes No How Many? Shoulder closed Yes No Sidewalk closed Yes No Emergency Contact: Cell Number: Direction? S 200TH STS 200TH STTALB O T R D S TALB O T R D S S 199TH ST1111 101010101010 1010 ROADWORKAHEADW20-1100'FROMTOTOW AWAY AREAPHONE 888-9999INFRASOURCE LLC 000 0000000NO PARKINGNO-PA R K VICINITY MAPSTOP FLAGGER STOP FLAGGERSTOP FLAGGER W20-7AROADWORKAHEADW20-1W20-4ONE LANEROADAHEAD100' 100' 100'W20-7AROAD WORK AHEAD W20-1W20-4ONE LANE ROADAHEAD100'100'100'W20-7AROADWORKAHEADW20-1W20-4ONE LANEROADAHEAD100'100'100'28" TRAFFIC CONELEGENDTRAFFIC FLOWSIGN LOCATIONWORK AREAPOLEWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYFLAGGERSTOPFLAGGERCHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040NTEMPORARY TRAFFIC CONTROL PLANPuget Sound EnergyTraffic Control Supervisor:Gregory HarwoodCard No. 012238Card Exp. 09/30/2023gregory.harwood@pse.com(425)424-6425PSEPUGETSOUNDENERGY-OB111025789S 200TH ST & TALBOT RD S, KENTREV1 - 07/17/2020FLAVIANA.NUNES@PSE.COM425-424-7809SHEET 1 of 1Notes:1. All signs and spacing to conform to theMUTCD and City of Kent 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.0'6030Advance WarningSign Spacing shall be200' +-Advance WarningSign Spacing shall be200'+-Advance WarningSign Spacing shall be200'+-APPROVED09/15/2020CITY OF KENTDEVELOPMENT ENGINEERINGBY:_rknutsen______WORK HOURS SHALL BE BETWEEN 9 AM AND 3 PMTCP APPROVAL IS CONTINGENT UPONNOTIFYING PW INSPECTOR JAY MOUNTSAT LEAST 48 HOURS IN ADVANCE OF WORK BY CALLING: 253-740-6530CITY OF RENTONPERMIT REQUIREDPRIOR TO A JOBSTART IN CITY OFKENT LIMITS. TRANSMISSION MAINTENANCE WORK SKETCH REV 1 (3/25/2020) ENGINEER: KRAMER KORS, 425-732-0829 PROJECT MANAGER: BOB CARLSEN, 425-864-0496 CREW 2 ON: NOTIFICATION: 11680989 WORK ORDER: 111025789 (CAPITAL) TRANS EXPENSE: 571017252 REMOVAL: 108121307 DIST EXPENSE: 593220718 RETURN THIS SKETCH TO TRANSMISSIONE ENGINEERING WITH FOREMAN'S NOTES POLE# 3/23 GRID NUMBER: 315743-165833 NEW 45'/1 GUY STUB FROM WO#101127917 SCOPE: CUSTOMER COMPLAINT OF DEFLECTING POLE AFTER GUY STUB WAS REPLACED. REPLACE DEFLECTING POLE. TRANSMISSION (795 KCMIL ACSR TERN): REPLACE POLE WITH AN 85'/H1 (PT85H1) PER STD 6010.2000 REPLACE VDE-LA FRAMING (VDET1) PER STD 6085.1040 -[3] WEDGE CONNECTORS (AMPACS) = MID 2368400, 795-795 -[2] BOLT ASSEMBLIES BB181820 REPLACE [3] TRANSMISSION 3/8" GUYS (GYT3D8) TO EXISTING ANCHOR WEST PER STD 6073.0100 REPLACE [3] TRANSMISSION SPAN GUYS (GYT3OD) PER STD 6073.0170 INSTALL EXTENSION LINKS AS NEEDED DISTRIBUTION (336.4 KCMIL ACSR MERLIN WITH 1 PHASE #4 AWG SWAN SOUTH): INSTALL DISTRIBUTION PER WORK SKETCH 571017252 REPLACE 3PH DOUBLE DEADEND (DDEU315) PER STD 6034.1044 AT 34'-6" FROM TOP OF POLE REPLACE 3PH LATERAL DEADEND (DEH315) PER STD 6034.1042 AT 37' FROM TOP OF POLE -REPLACE [1] ARM MOUNTED DEADEND (DEDR21A) SOUTH PER STD 6016.1000 -TRANSFER OR REPLACE SECONDARY TRIPLEX AS NECESSARY -REPLACE [1] DISTRIBUTION 7/16" SPAN GUY (GYD7OW) PER STD 6013.0170 TRANSFER STREETLIGHT INSTALL GRID NUMBER 315743-165833 INSTALL POLE NUMBER 3/23 STUB POLE 1' ABOVE COMMS COMMS TO TRANSFER