HomeMy WebLinkAboutMFP20005795.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Minor Franchise Permit: MFP20005795
IVR Number: 20005795
Permit Information
Permit Name: Puget Sound Energy - Electric
Address/Location:12/15/2020Application Date:5214500010Parcel Number: 6203 NE 4TH CIR
Permit Type:01/12/2021Issue Date:Franchise
Permit Work Class:01/12/2022Expiration Date:Minor Utility
Job Number: 593228638Franchise Type:Electric
Description: Puget Sound Energy Electric Transfer NEUT and lower street light.
Contacts
Name Address PhoneTypeBilling
Corrie Rydberg
Puget Sound Energy
6905 S 228TH St
KENT, WA 98032
C: (253) 905-5031ApplicantX
Carli Bunkelman
PSE/POTELCO - Billing
6905 S 228th St
Kent, WA 98032
B: (253) 437-6708Contractor
Business License Number: 5109Construction Contractor: POTELI*227PL
BASI SARBJIT+GURJIT 6203 NE 4TH CIR
RENTON , WA 98059
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.
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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.
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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.
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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.
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(Date)(Signature)
Page 1 of 1THIS PERMIT AND PLANS MUST BE POSTED AT THE JOB SITE AT ALL TIMES
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
MFP20005795
Scott Warlick CED 1/12/2021
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
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ARRW-BRD
ROADWORK
AHEAD W20-1350'350'350'RIGHT LANECLOSEDAHEAD W20-5RW4-2L24241111W20-1ROADWORKAHEADW20-1ROADWORKAHEADW20-1ROADWORKAHEADTHE CREW SHALL CEASEWORK FOR A FLAGGER/SPOTTERTO ESCORT PEDESTRIANSAROUND THE WORK AREANE 4TH ST155TH AVE SE
SHADOW AVE NE Puget Sound EnergyTraffic Control Supervisor:Gregory HarwoodCard No. 012238Card Exp. 09/30/2023gregory.harwood@pse.com(425)424-6425TEMPORARY TRAFFIC CONTROL PLANPSEPUGETSOUNDENERGYJOB5932286386203 NE 4th St, Renton, WA 9805912/1/20KALI-JAMAL.COLLINS@PSE.COM425-424-6425SHEET 1 of 1Notes: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.NWORK PIT28" TRAFFIC CONETRAFFIC FLOWSIGN LOCATIONLEGENDCHEVRONARROW BOARDWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYCHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT80604055 +60/6545/5535/403025SIGN SPACING"X"800500'350'200'100'MINIMUM TAPER LENGTH=L (FT.)LANEWIDTH101112207075802510511512530150165180352052252454027029532045475495540POSTED SPEED (MPH)505005506005555060566060-66072065--78070--840MFP20005795
NE 4TH STSHADOW AVE NENE 3RD CT"6182""6174""6209""6203"POWER GENERAL NOTES1.All materials to be installed in accordance with Puget Sound Energy's (PSE) standards. Any deviation from thiswork sketch must be AUTHORIZED by Potelco's Project Manager and NOTED on the Foremans' Copy.2.All switching arrangements and/or outage arrangements are to be made with the Project Manager at least three(3) working days in advance.3.Contact the Utilities Underground Location Center (1-800-424-5555) at least 48 hours prior to commencing workto get the underground facilities located.4.All work is to be done in accordance with local municipal and county permit requirements as applicable.5.Inclement weather conditions may cause delays in construction times and dates.11729655593228638N/APROJECT PHASEPWRNOTIF#ORDER#SuperiorSub OrderN/AN/APSENoNoNoYesYesYesNoYesDeveloper"Flagging Required""Outages Required""Locates Required"THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIESCALL (800) 424-55552 BUSINESS DAYS BEFORE YOU DIGVICINITY MAPFOREMAN (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.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.OH CIRCUIT MAP: 2305E088 SCALE 6" = 1 MILEJOB SITEJOB SITEDESIGNED BYUTILITIESCONTACTPHONE#COUNTY1/4 SECU-MAP NO (POWER)OP MAPEmer SectGas Wk CtrPOWER WK CTRPLAT MAPJOINT FACILITIES ARRANGEMENTSDRAWN BYCHECKED BYAPPROVED BYFOREMAN #1FOREMAN #2MAPPINGINCIDENTMAOPGas OrderElect OrderSCALEPAGEENGR - POWERENGR - GASFUNCTIONPROJECT MGRPERMITREAL ESTATE/EASEMENT21REV#3DATEDESCRIPTIONBYCONTACTPHONE NODATEOH CKT MAPCIRCUIT NOUG CKT MAPW. VILLANUEVA253-285-620111/23/20W. VILLANUEVA253-285-620111/23/20N/AN/AN/AC. ROATE253-841-628311/23/20N/ACITY OF RENTONRENTON TRANSFERTRANSFER NEUT; LOWER STREET LIGHT6203 NE 4TH ST, RENTON WA, 98059POTELCON/AN/AN/A593228638AS NOTED1/1KINGN/AN/AQCSOKET23-R05E-S15N/AN/A2305E0572305E0882305E057MAP-17N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/ASITE SPECIFIC NOTESP01 (318096-167835)-TRANSFER NEUT TO NEW POLE-LOWER EXISTING S/L (SLAT4809) 12" ABOVE TOP COMMS-CREW TO MAINTAIN SAFETY SPACE CLEARANCESSAP W.O. #593228638SCALE: 1:100SITE PLAN P01MFP20005795