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
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D
S
TALB
O
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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