HomeMy WebLinkAboutMFP21002974.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Major Franchise Permit: MFP21002974
IVR Number: 21002974
Permit Information
Permit Name: Puget Sound Energy Gas Permits
Address/Location:06/25/2021Application Date:3342102685Parcel Number: 1106 N 34TH ST
Permit Type:07/30/2021Issue Date:Franchise
Permit Work Class:08/01/2022Expiration Date:Major Utility
Job Number: 106377775Franchise Type:Natural Gas
Description: PSE Gas 1108 & 1112 TO GO IN SEPT AND 1106 TO GO ABOUT A MONTH LATER. CREW TO INSTALL NEW GAS
SERVICES AT MAIN, APPROX 45' IN ROW AT EACH LOCATION.
POTHOLE ALL EXISTING UTILITIES. RESTORATION PER CITY OF RENTON STANDARDS.
Contacts
Name Address PhoneTypeBilling
Corrie Rydberg
Puget Sound Energy
6905 S 228TH St
KENT, WA 98032
C: (253) 905-5031ApplicantX
Stuart Bennett
Infrasource Services LLC
14103 Stewart Rd
Sumner, WA 98490
B: (303) 419-8755
H: (425) 677-5197
C: (713) 985-6489
Contractor
Business License Number: 36742Construction Contractor: INFRASL871C2
CITY OF RENTON ROW 1055 S Grady Way
Renton, WA 98057-3232
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.
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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.
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
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106377775
1106,1108,1112 N 34TH ST
Monday Friday 8:00am 3:00pm
PLEASE SEE ATTACHED
POTELCO, INC 425 892 0416
DAVID ZETTERBERG DAVID.ZETTERBERG@PSE.COM
6905 S. 228TH ST KENT, WA 98032
MFP21002974
Scott Warlick CED 7/30/2021
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
1108 N 34th St Renton WA 98056 USA1010N 34TH STPARK AVE N
FROM TO
TOW AWAY AREA
PHONE 888-9999
INFRASOURCE LLC 000 0000000
NO PARKING
NO-PARK
FROMTOTOW AWAY AREAPHONE 888-9999INFRASOURCE LLC 000 0000000NO PARKINGNO-PARK RESIDENT(S) WILL BE INFORMEDOF POSSIBLE TEMPORARYDRIVEWAY CLOSURESTOPFLAGGERSTOPFLAGGERW20-7AROADWORKAHEADW20-1W20-4ONE LANEROADAHEAD100'100'100'W20-7AROAD
WORK
AHEAD W20-1W20-4ONE LANE
ROADAHEAD100'100'100'TEMPORARY TRAFFIC CONTROL PLANWORK PIT28" TRAFFIC CONELEGENDTRAFFIC FLOWSIGN LOCATIONFLAGGERSTOPWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYSIGN SPACINGMPH60/6545/5535/403025"X"1000'500'350'200'100'CHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040Notes:1. All signs and spacing to conform to theMUTCD and City of XXXXXX 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.8. Work area will be (fill in locations by CL:street/avenue etc).NProject Address:PagePSEPUGETSOUNDENERGYDesigner:Job #REV06/23/2021 10637777501108 N 34th St, Renton, WA Kaitlynn Davis 209-456-0264 kaitlynn.davis@pse.com1 OF 2Puget Sound EnergyTraffic Control Supervisor:Gregory HarwoodCard No. 012238Card Exp. 09/30/2023gregory.harwood@pse.com(425)424-6425MFP21002974
1108 N 34th St Renton WA 98056 USA1010N 34TH STPARK AVE N CREW SHALL POTHOLEFOR WATER MAIN DEPTHPRIOR TO PROJECT STARTRESIDENT(S) WILL BE INFORMEDOF POSSIBLE TEMPORARYDRIVEWAY CLOSUREW20-7AROAD
WORK
AHEAD W20-1W20-4ONE LANEROADAHEAD100'100'100'W20-7AROADWORKAHEADW20-1W20-4ONE LANEROADAHEAD100'100'100'FROMTOTOW AWAY AREAPHONE 888-9999INFRASOURCE LLC 000 0000000NO PARKINGNO-PARK
FROM TO
TOW AWAY AREA
PHONE 888-9999
INFRASOURCE LLC 000 0000000
NO PARKING
NO-PARK
STOPFLAGGERSTOPFLAGGER TEMPORARY TRAFFIC CONTROL PLANWORK PITLEGEND28" TRAFFIC CONESIGN LOCATIONTRAFFIC FLOWWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYSIGN SPACINGMPH60/6545/5535/403025"X"1000'500'350'200'100'CHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040Notes:1. All signs and spacing to conform to theMUTCD and City of XXXXXX 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.8. Work area will be (fill in locations by CL:street/avenue etc).NProject Address:PagePSEPUGETSOUNDENERGYDesigner:Job #REV06/23/2021 10637777501108 N 34th St, Renton, WA Kaitlynn Davis 209-456-0264 kaitlynn.davis@pse.com2 OF 2Puget Sound EnergyTraffic Control Supervisor:Gregory HarwoodCard No. 012238Card Exp. 09/30/2023gregory.harwood@pse.com(425)424-6425MFP21002974
Est. Start Date:
CONSTRUCTION METHOD:
SCAT ROW/PLAT PROP.
&
&
&
&
&
&
KNT FLT - Kent
ASPHALT480'West of CL PARK AVE N 20'South of CL N 34TH ST 2 X 5
ASPHALT
440'West of CL PARK AVE N 7'North of CL N 34TH ST 2 X 5 ASPHALT
440'West of CL PARK AVE N 20'South of CL N 34TH ST 2 X 5
480'West of CL PARK AVE N 7'North of CL N 34TH ST 2 X 5 ASPHALT
Route #'s:Bollards:2.5" #4" #ADA Ramps #:
Del Press:6" W.C.Traffic Signal:No Bus Stop:No
No Parks #:
Meter Loc:08 - OR Trolley Lines:No Mtr Hoods #:
Meter:A425 A425 A425 Speed Limit:
New Residential Svc
EFV:1-1/8" - 2600 - 9999144 Police #:TCP:Yes
Diameter:1-1/8" PE Flaggers #:Arterial:No
Tie-In Fitting
Service Information Street Information Job Type
of CL N 34TH ST 2 X 5 ASPHALT
of CL N 34TH ST 2 X 5 ASPHALT
520'West of CL PARK AVE N 7'North
520'West of CL PARK AVE N 20'South
ROW Permit:Yes Customer:DAN FINKBEINER 425-471-3472
Work Location Size of Cut Surface Type
Job Description / ROW Scope of Work
New Construction:
Yes
Construction Method
All Scat / Trenchless
PLAT Map:203.082
N
TIE INTO 2" PE 9300515
INSTALL (3) 1 1/8" PE SERVICES (45' SCAT STUB - 2600 EFV / 40' PLAT EXT); INSTALL (3) A425 METERS
*CREW TO ADHERE TO MUNICIPAL CONTROLS AND RESTORATION REQUIREMENTS*
ROW Work Description: EXCAVATE TO POTHOLE EXISTING UTILITIES. HOLE HOG TO INSTALL NATURAL GAS SERVICE TO SFR. CREW
TO RESTORE ROW TO MUNICIPALITY STANDARDS.
HDPE - 2" IPS - (DIA) 1"CTS
9999564
Job #:106377775
Date:5/26/21 Address:1106, 1108, 1112 N 34TH ST
Puget Sound Energy Gas Pre-Inspect Form
9/1/21 PM / Inspector:David Zetterberg 206-531-5841
Est. Duration:2 Days (16 Hours)
Jurisdiction:RENTON City / Zip:RENTON , 98056
1108
ALL ARE ON CITY SEWER
CLEAN OUT UNKNOWN
PLAT MAP I 203.082
PARK AVE N2" PE IP 20' S 9300515
8" DI WATER MAIN
N
C/L
12" CONC. STORM
A425
METER
50'ROW8" CONC. SEWER
12" CONC. STORM
11121106
A425
METER
COMMUNICATIONS
A425
METER
POTHOLE ALL EXISTING UTILITIES RESTORATION PER CITY OF RENTON STANDARDS
MFP21002974
This permit is for Major construction work in the ROW and will be billed at an additional
$60/HR for inspections. After hours and weekend work will be billed at $125/HR
11121106
3326
1215
1209
3320
3406
1121
11171115 1125
1201
1114
1118 1120
1207
1204
1213
1210
3315
1129 1133 1205
1301
34051214
12131209
1208
12051201
1125
1119
1117
11151113
1111
1200112211161110
1300
3418
3336
1109
1100
1029 1105
1104
1101 1107
N 33RD PL
N 34TH ST
PARK AVE N14'N10'W2" PE IP 12'N 912558
2" PE IP 12'S 902734
2" PE 14'S
2" MPE IP 14'W 96113572" PE IP 20'S 912852
2" MPE IP 13'W 96202562" PE IP 12'S 902580
2" PE IP 12'W 9025802" PE IP 20'S 9300515
1 1/8"-E
1 1/8" MPE2019-E
1 1/8" MPEI2019-E
1 1/8" MPE-72020-E 1 1/8" MPE-72020-E
1 1/8" MPEI2016-E
1 1/4" MPEI2015-E
5/8"77'W1 1/8" MPE2014-E
1 1/8" MPE2015-E
5/8" MPE2001
5/8" PE1992
5/8" PE1991
5/8" PE1991 5/8" PE1989
5/8" MPEI2003
5/8" MPE1995
5/8" MPE2005 5/8" MPEI2007
1 1/8" MPE2009
5/8" MPE2007-E
5/8" PE1992
5/8" MPEI2006-E5/8" MPE1999
5/8" PE1991
5/8" MPE2002
5 /8 "1 8 3 'W
5/8" MPE2004
5/8" PE1993
5/8" MPE1995
5/8" PE1992
5/8" MPE2005
5/8" PE1991
5/8" PE1994
5/8"234'W5/8" PE19905/8" MPEI2002
5/8" MPEI2007-E
5/8" MPE1996
3/4" STW-U1990
659'E518'W955'E78'W95'S385'W104'S
675'E623'E183'W234'W99'W73'W32'N
77'W87'S 97'E107'E502'W381'W485'W312'W39'N
179'W280'W571'W651'E101'N
283'W232'W222'W328'W428'W46'S271'W92'W574'W338'W15'W341'W77'N229'W65'S
30'E27'E28'N
13'W TEC36'S D2405E136, R2405E127, A2405E127S200080, Q203082
The information on the attached maps is subject to change without notice. Puget Sound Energy makes no warranty, expressed or implied, concerningthe suitability of this information for any purpose. Recipient agrees to not disclose this confidential information to any other person or entity,unless authorized in writing by Puget Sound Energy. This map is not to be used for determining the actual location of any PSE facilities (call 811).“
05-26-2021
Scale 1:855
Lat\Long=47.5219, -122.2028
MFP21002974