HomeMy WebLinkAboutMFP21002874.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Minor Franchise Permit: MFP21002874
IVR Number: 21002874
Permit Information
Permit Name: Puget Sound Energy - Electric
Address/Location:06/21/2021Application Date:7938400100Parcel Number: 17420 116TH AVE SE
Permit Type:07/29/2021Issue Date:Franchise
Permit Work Class:07/29/2022Expiration Date:Minor Utility
Job Number: 593235014Franchise Type:Electric
Description: Puget Sound Energy Electric CREW TO REMOVE BO CUTOUT AND REPLACE WITH NEW.
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
NAISA LLC 33124 170TH PL SE
AUBURN , WA 98092
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
593235014
17420 116TH AVE SE
Monday Friday 8:00am 3:00pm
PLEASE SEE ATTACHED
POTELCO, INC 425 892 0416
NIGEL COSME NIGEL.COSME@PSE.COM
6905 S. 228TH ST KENT, WA 98032
MFP21002874
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
17420 116th Ave SE
Renton
WA 98058
USA
P01
316569-166565
SE 175TH ST 116TH AVE SESE PETROVITSKY RD
1111
1111
BIKE
LANEENDS W9-1BBIKESMERGE WITHTRAFFIC W4-1BSTOP
FLAGGER
STOP
FLAGGER
W20-7AROAD
WORKAHEAD W20-1W20-4ONE LANEROADAHEAD200'200'200'ROADWORKAHEADW20-1BEPREPAREDTOSTOPW3-4350'350'ROADWORKAHEADW20-1 BEPREPAREDTOSTOPW3-4
350'350'W20-7AROADWORKAHEADW20-1W20-4ONE LANEROADAHEAD350'350'350'W20-7A
RESIDENT(S) WILL BE INFORMED OF
TEMPORARY DRIVEWAY CLOSURE
EMERGENCY VEHICLES WILL BE
ALLOWED TO PASS WORK ZONE.
DETOUR M4-9bR9-11SIDEWALK
CLOSED
AHEAD DETOURM4-9bR9-11SIDEWALKCLOSEDAHEADPLACE PDETOUR SIGNS AT
CROSSWALK/ 1450' NORTH WORK AREA.S/WCLOSEDR9-9S/W
CLOSED R9-928" 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
05/21/2021
593235014
0
17420 116th Ave SE, Renton, WA 98058
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
MFP21002874
100T
UNK
ROW=60'
EOP=33'
17408
17420
17428
17440
11500
116TH AVE SE (PAVED)SE 175TH ST (PAVED
)
100T
UNK
SITE PLAN
SCALE: 1:50
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
N. COSME 253-569-6158 5/11/2021
C. TOBIN 253-548-4516 5/11/2021
N/A N/A N/A
N. COSME 253-569-6158 5/11/2021
N/A CITY OF RENTON
613559 ROL-13 CREW2 17420 116TH
REPLACE B/O CUTOUT
17420 116TH AVE SE, RENTON, WA 98058
N/A N/A
N/A 593235014
AS NOTED 1 OF 1
KING N/A N/A QCSOKE
SW 28-23-05 N/A N/A
2305E111 2305E136 2305E111 ROL-13
N/A N/A N/A
N/A N/A N/A
N/A N/A N/A
Potelco, Inc.DESIGNED BY 593235014EXISTING UNDERGROUND MAP: # .
SCALE: 1:100
2305E116 OVERHEAD CIRCUIT MAP: # .
SCALE: 1:100
2305E136
GENERAL OVERHEAD NOTES:
-POLES, CONDUCTORS, DEVICES TO BE INSTALLED PER PSE STANDARDS &
SPECIFICATIONS.
-POLES ARE TO BE INSTALLED OR RELOCATED AS STAKED.
-ALL NEW POLES SET SHALL BE THE CLASS INDICATED ON THE SKETCH OR BETTER.
-INSTALL GROUND PLATE ASSEMBLY ON ALL NEW POLES.
-INSTALL GRID NUMBERS ON ALL NEW AND EXISTING POLES AS SHOWN ON SKETCH.
-TREAT ALL FIELD-DRILLED POLES WITH COPPER NAPHTHENATE WOOD PRESERVATIVE.
SITE SPECIFIC NOTES
P01: 316569-166565
-REMOVE B/O 100T CUTOUT
-INST 3Ø LI C/O TERM F:100T STD 6043.1000 (TSU3L1F)
-INST SW#
FOREMAN (CHECK BOX WHEN COMPLETED)
#1 Print Name ___________________________________ Date ______________
PSE Equipment LOCKED/SECURED & Work Area left in CLEAN/SAFE Condition.
Grid, Cable, and Switch numbers INSTALLED & VERIFIED.
Indicate correct FUSE SIZE on As-built & VERIFY proper PHASE.
Material VERIFIED and CHANGES noted on Paperwork.
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
#1 Foreman's Signature _______________________________________________
and that all quality requirements are met.
Field Changes RED-LINED on As-built.
Total PRIMARY Cable noted on As-built.
Correct QC Checklist(s) reviewed.
#1 #2
#2 Print Name ___________________________________ Date ______________
#2 Foreman's Signature _______________________________________________
THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIES
CALL (800) 424-5555
2 BUSINESS DAYS BEFORE YOU DIG
No
No
No
Yes
Yes
Yes
"Flagging Required"
"Outages Required"
"Locates Required"
POTELCO DESIGN AND
Signature _________________________________________
Print Name _________________________________________
This design complies with PSE
Any/all variations have been
Design/Engineering Standards.
QUALITY ASSURANCE
pre-approved/documented by the
appropriate PSE Representative.
Date _________________
JOB SITE
MAKE NO CHANGES TO THIS JOB WITHOUT PRIOR APPROVAL
Notify Customers and Service Area
48 HRS Prior To Planned Outages
ORDER#NOTIF#PROJECT PHASE
MAINTENENCE
O & M
SUPERIOR
FAILED SILICONE
REMOVAL
EXPENSE
11764474 593235014
N/A
N/A
VICINITY MAP
For contacts below dial 1-888-CALL PSE (225-5773)
Contact Information
1216_140TH_AVE_CT_E_SUMNER_WA_98390
253-569-6158
NIGEL_COSME
SCOPE OF WORK
The general scope of this project is to make repair on b/o 100T
cutout at pole 316569-166565.
Project type : Planned
Project location :
Number of Cables : 0
Cable Footage Estimated : 0'
Cable Numbers Injected : 0
Cable Numbers Repaired : 0
Cable Numbers Abandoned : 0
Cable Numbers Replaced : 0
There will be an advance notice provided by the contractor
24-hour advance notice of no parking in work areas. Access will
be maintained to all residences and their driveways. When work
is occurring directly in front of driveways, the contractor will work
with the residence to manage access.
Traffic Revisions
Flagging crews will maintain one lane; flaggers will assist
vehicles alternating through the roadway during work hours.
For more information on the project
24-hour project information (888) 471-7339, (360) 825-5236
CREW TO PROVIDE ALL PROPERTY OWNER'S THAT ARE
IMPACTED BY PROJECT PRIOR NOTICE AND MAKE AN EFFORT
TO WORK WITH PROPERTY OWNER'S TO MAINTAIN THEIR
ACCESS TO THEIR PROPERTY, AS WELL AS, REDUCE THE
IMPACT OF OUR WORK ON THEIR USE OF THEIR PROPERTY.
17420 116TH AVE SE, RENTON, WA 98058
MFP21002874
RESTORATION PER CITY OF RENTON STANDARDS