HomeMy WebLinkAboutMFP21002783.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Minor Franchise Permit: MFP21002783
IVR Number: 21002783
Permit Information
Permit Name: Puget Sound Energy - Electric
Address/Location:06/15/2021Application Date:7227500755Parcel Number: 767 EDMONDS AVE NE
Permit Type:07/29/2021Issue Date:Franchise
Permit Work Class:07/29/2022Expiration Date:Minor Utility
Job Number: 101138968Franchise Type:Electric
Description: Puget Sound Energy Electric CREW TO REPLACE B/O POLE AT P01. WILL REQUIRE SOUTHBOUND CLOSURE
OF EDMONDS AVE NE AT P01 W/ FLAGGERS. NO DISTURBANCE OF HARD SURFACE REQUIRED.
RESTORATION PER CITY OF RENTON STANDARDS.
Contacts
Name Address PhoneTypeBilling
Corrie Rydberg
Puget Sound Energy
6905 S 228TH St
KENT, WA 98032
C: (253) 905-5031Applicant
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
KIM CHANVONG+SAMNANG SUN 767 EDMONDS AVE NE
RENTON , WA 98056
Owner
Corrie Rydberg
Puget Sound Energy
6905 S 228TH St
KENT, WA 98032
C: (253) 905-5031Specialized
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 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
4
4
4
4
4
4
4
4
4
4
4
101138968
767 EDMONDS AVE NE
Monday Friday 8:00am 3:00pm
PLEASE SEE ATTACHED
POTELCO, INC 425 892 0416
EHSAN ESTIRI EHSAN.ESTIRI@PSE.COM
6905 S. 228TH ST KENT, WA 98032
MFP21002783
Scott Warlick CED 7/29/2021
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
CORRIE RYDBERG
767 Edmonds Ave NE Renton WA 98056 USA1212161613131616
NE 9TH ST
NE 9TH STEDMONDS AVE NE1616 151515151616
1616
P01
STOP
FLAGGER
STOP
FLAGGERW20-7AROADWORKAHEADW20-1W20-4ONE LANEROADAHEAD100'100'100'W20-7AROAD
WORK
AHEAD W20-1W20-4ONE LANEROADAHEAD100'100'100'ROADWORKAHEADW20-1BEPREPAREDTOSTOPW3-4100'
100'ROADWORKAHEADW20-
1 BEPREPAREDTOSTOPW3-4
100'
100'
NE 7
T
H
S
T
NE 7
T
H
S
T
DETOURM4-9bDETOURM4-9bR9-11SIDEWALKCLOSEDAHEADR9-11SIDEWALK
CLOSED
AHEAD
PLACE SIGNS
BOTH SIDES OF
WORK AREA
FROMTOTOW AWAY AREAPHONE 888-9999
INFRASOURCE
LLC
000
0000
000 NO PARKINGNO-PARK FROMTOTOW AWAY AREAPHONE 888-9999INFRASOURCE LLC 000 0000000NO PARKINGNO-PARK290EDMONDS AVE NEEDMONDS AVE NES/W
CLOSEDR9-9S/WCLOSEDR9-9RESIDENT(S) WILL BE INFORMED OF
TEMPORARY DRIVEWAY CLOSURE
EMERGENCY VEHICLES WILL BE
ALLOWED TO PASS WORK ZONE.
28" TRAFFIC CONE
LEGEND
TRAFFIC FLOW
SIGN LOCATION
FLAGGER
STOP
POLE
WORK VEHICLE/
FLASHING LIGHTS
RIGHT OF WAY
SIGN SPACING
MPH
60/65
45/55
35/40
30
25
"X"
1000'
500'
350'
200'
100'
CHANNELIZATION
DEVICE SPACING
MPH
55/70
35/45
25/30
TAPER
40
30
20
TANGENT
80
60
40
TEMPORARY TRAFFIC CONTROL PLAN
N
Notes:
1. All signs and spacing to conform to the
MUTCD and City of Renton standards.
2. All sidewalks, driveways, exits and egresses
shall be completely clear unless otherwise indicated.
3. Channelizing devices are 28" traffic cones.
Use traffic drums (barrels) with steady burning
Type C lights on all State State Routes and Hwys.
4. Sign size can be a minimum of 36" x 36" and
shall not obstruct pedestrian access.
5. Crew is required to leave a minimum of 11' for
traveling lane width.
6. Alert affected residents and businesses.
7. Work to take place between 9 a.m. and 4 p.m
unless otherwise specified. All work for arterials
and major roadways will be from 9 a.m. to 3 p.m.
Project Address:
Page
PSE PUGETSOUNDENERGY
Designer:
Job #
REV
06/08/2021
101138968
0
767 Edmonds Ave NE, Renton, WA 98056
Safaa Al Neema
(425) 398-6077
safaa.alneema@pse.com
1 OF 1
Puget Sound Energy
Traffic Control Supervisor:
Safaa Al Neema
Card No. 012611
Card Exp. 10/31/2024
Safaa.alneema@pse.com
(425)398-6077
MFP21002783
801
803
771
767
763
759
2502
720
755 EDMONDS AVE NE318367-166601
X857
318383-166602
37.5kVA 120/240V
800ROW
ROWROWROWROWROWROWROWROWNO
318354-166600
ROWROWROWROWRO
W
ROW
RO
W
RO
W
Owner / Developer Contact Info
officeATTN:
N/A
N/A
N/A
N/A N/A
N
Vicinity Map
NOT TO SCALE
FOREMAN (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.
SITE PLAN
POWER GENERAL NOTES - RESIDENTIAL PROJECT
10.
7.
6.
5.
4.
3.
2.
1.All materials to be installed in accordance with Puget Sound Energy's (PSE) standards. Any deviation from
this work sketch must be AUTHORIZED by PSE's Project Manager and NOTED on the Foremans' Copy.
All switching arrangements and/or outage arrangements are to be made with the Project Manager at least
three (3) working days in advance.
Contact the Utilities Underground Location Center (1-800-424-5555) at least 48 hours prior to commencing
work to get the underground facilities located.
STAKING: The customer will provide all staking (transformer, handhole, trench, grade, lot, pole, sidewalk,
etc.). See sketch and details for locations. Equipment locations must be approved by the Project Manager.
SITE PREPARATION: The work area will be at or near finished grade, clear of trench spoils or construction
materials which would restrict construction and/or equipment access, before work can begin.
Roads shall be paved or have a compacted , crushed rock base in place.
CLEARANCES: Transformers require a minimum of 6 feet from fire fighting equipment, 10 feet from
combustible walls, overhangs, doors, and windows, and a minimum of 5 feet from the back of curb (or guard
posts will be required per PSE standards). All conduits and vaults are to be at least 5 feet away from water,
storm and sewer lines when paralleling them in the right of way, and at least 1 foot when crossing them.
All work is to be done in accordance with local municipal and county permit requirements as applicable.
Inclement weather conditions may cause delays in construction times and dates.
EXCAVATION: The customer is to provide all trenching, backfill, vault excavations, compaction and
restoration per this sketch and per PSE standards. A minimum protective cover of 36" is required over
PSE's primary voltage equipment and 24" is required of PSE's secondary voltage equipment. The customer
will provide any and all shoring or they will side slope the trench to 1:1.
ARE TO BE INSTALLED, CROSS SECTION DETAILS OF THE TYPICAL EROSION
STRUCTURES, & SPECIAL REQUIREMENTS FOR WORK IN SENSITIVE AREAS.)
EROSION & SEDIMENT CONTROL REQUIREMENTS
NOTES DETAILING WHERE EROSION OR SEDIMENT CONTROL STRUCTURES
(LOCAL JURISDICTIONS MAY HAVE ADDITIONAL REQUIREMENTS INCLUDING
0150.3200 TECHNIQUES FOR TEMPORARY EROSION & SEDIMENT CONTROL
EROSION & SEDIMENT CONTROL SHALL BE PER PSE STANDARD PRACTICE
& ANY ADDITIONAL LOCAL JURISDICTION REQUIREMENTS.
8.
9.
PSE
No
No
No
Yes
Yes
Yes
No
YesDeveloper
"Flagging Required"
"Outages Required"
"Locates Required"
X
X
X
X
SCALE: 1" = 50'101138968THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIES
CALL 811 TWO BUSINESS DAYS BEFORE YOU DIG
For contacts below dial 1-888-CALL PSE (225-5773)
OVERHEAD CIRCUIT MAP
SCALE: 6" = 1 MILE MAP#: 2305E040
CIRCUIT FEET ADDED: NONE
THOMAS GUIDE
626-E7
WORKSITE
SITE SPECIFIC NOTES
P01 (318367-166601)
-REPL B.O. (1967) 40' CL3 POLE W/ NEW 40' CL3 POLE 6010.1100
-REPL B.O. GANG OP SWITCH [CU ID# DLSG15]6022.2000
-TRANSFER OH TO UG RISER
-TRANSFER OH CONDUCTORS & PSE EQUIPMENTS
-TOP OLD POLE & REMOVE AFTER COMM TRANSFER
**SWITCHING REQUIRED
**RETURN NORMAL PER SYSTEM OPERATOR
**OUTAGE REQUIRED - POTELCO TO NOTIFY (5) RESIDENTIAL CUSTOMERS
UTILITIES
CONTACT
PHONE#
COUNTY
1/4 SEC
U-MAP NO (POWER)
OP MAP
Emer Sect Gas Wk Ctr POWER WK CTR
PLAT MAP
JOINT FACILITIES ARRANGEMENTS
DRAWN BY
CHECKED BY
APPROVED BY
FOREMAN #1
FOREMAN #2
MAPPING
INCIDENT MAOP
Gas Order Elect Order
SCALE PAGE
ENGR - POWER
ENGR - GAS
FUNCTION
PROJECT MGR
PERMITREAL ESTATE/EASEMENT
2
1
REV#
3
DATE DESCRIPTIONBY
CONTACT PHONE NO DATE
OH CKT MAP CIRCUIT NOUG CKT MAP
E. ESTIRI 253-437-6716 6/2/21
J. WARNER 714-893-2405 6/2/21
H. HUYNH 714-893-2405 6/2/21
N/A RENTON
HIG-13 / CREW2 / 767 EDMONDS AVE NE
REPL B.O. POLE
767 EDMONDS AVE NE, RENTON, WA. 98056
ASPLUNDH CONSTRUCTION CORP.
O-706579
101138968
AS NOTED 1/1
KING FAC-SVC
SE 8-23N-05E
2305E032 2305E040 HIG-132305E032
N/A
N/A N/A
N/A 108128857
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
PROJECT PHASE
PWR
NOTIF#ORDER#
Superior
Perm. Service
Relocation
Removal
TUT Retirement
Job Order
Distribution
HP Main
HP Svc/MSA
11763353 101138968
N/A
E-Mail:
Cell Phone:
Project Manager Contact Information:
Manager:EHSAN ESTIRI
253-260-7928
EHSAN.ESTIRI@PSE.COM
POLE RETIREMENT TABLE TEMP TRANSFERS ST. LIGHT TRANSFERS
Wk
Loc
Pole Data Pole
TEL TV FIBER TRAN RMVD ID NUMBER
Grid #Length Class Year TOPPED RMVD
P01 318367-166601 40'CL-3 1967
POLE TABLE (NEW)
Work
Location
Pole Data
Grid #Height Class Year Remarks / Location Ref.
P01 318367-166601 40'CL-3 2021
UTILITY POLE EROSION CONTROL DETAIL
TOP VIEW
DRY DRAINAGE DITCH or DRY VEGETATED SITE
SLOPE
Place gravel bags for
Sediment Trap
Place straw mulch
on disturbed areaExcavated or
Augered Hole
Pole
SLOPE
Not to scale Drainage ditches or Dry vegetated sites
MFP21002783
RESTORATION PER CITY OF RENTON STANDARDS