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HomeMy WebLinkAboutMFP20005563.pdfDEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Minor Franchise Permit: MFP20005563 IVR Number: 20005563 Permit Information Permit Name: Century Link Permits Address/Location:12/02/2020Application Date:2923059150Parcel Number: 10405 SE 172ND ST Permit Type:12/03/2020Issue Date:Franchise Permit Work Class:12/03/2021Expiration Date:Minor Utility Job Number: CMS20209891Franchise Type:Telephone Description: Emergency work complete. Century Link replaced damaged Ped. Contacts Name Address PhoneTypeBilling Austin Sweeney Century Link Applicant Dena Overaa QWEST / Century Link 23315 66th Ave S KENT, WA 98032 B: (206) 345-0173 C: (425) 247-6248 Applicant 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 CMS20209891 Cedar ave S and SE 172nd st CenturyLink to replace damaged Ped. Work is already complete at this time. X X X 12/2/2020Austin Sweeney MFP20005563 Scott Warlick 12/3/2020 RESTORATION PER CITY OF RENTON STANDARDS MFP20005563 MFP20005563