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Home My WebLink AboutMFP21006011.pdfDEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Minor Franchise Permit: MFP21006011 IVR Number: 21006011 Permit Information Permit Name: Century Link Permits Address/Location:12/15/2021Application Date:7789000255Parcel Number: 4014 NE 21ST ST Permit Type:01/05/2022Issue Date:Franchise Permit Work Class:01/05/2023Expiration Date:Minor Utility Job Number: N.755474.E.01Franchise Type:Telephone Description: Century Link/Lumen Transfer services from old pole to new pole already installed. Restoration per City of Renton standards. Contacts Name Address PhoneTypeBilling Jazmine Ford Osmose 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 Michael Smith Dycom Industries dba North Sky 11818 SE Mill Plain Blvd, SUITE 410 Vancouver, WA 98684 C: (206) 305-5881Contractor 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 Osmose Utility Services Inc. To whom it may concern: This is to confirm that Osmose Utility Services, Inc. is a contractor in good standing with Lumen under contract and authorized to perform engineering activities for Lumen in accordance with their signed Lumen Master Services Agreement Patrick Fahey Lumen Manager Network Contracts Patrick.Fahey@Lumen.com January 28, 2021 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 CenturyLink Denise Abbott 360-946-2890 denise.abbott@lumen.com Transfer CenturyLink services from old utility pole to new foreign pole already in place; North Sky Communications, LLC 360-946-2890 NORTHSC857Q4 601-973-572 4014 NE 21ST ST N.755474.E.01 CTL Nat'l Pole Transfer 12/15/21 MFP21006011 Scott Warlick RESTORATION PER CITY OF RENTON STANDARDS 1/5/2022 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: 11/25/2019 Transportation Division | 1055 South Grady Way, 5th Floor | Renton, WA 98057 | 425-430-7380 Website: rentonwa.gov TRAFFIC CONTROL PLAN (TCP) APPLICATION Published: 11/25/2019 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 CenturyLink Pole Transfer 4014 NE 21ST ST(N.755474.E.01) 01/03/22 01/24/22 8 a.m.5 p.m.Transfer CenturyLink services from old utility pole to existing foreign pole. North Sky Communications, LLC 360 946 2890Jazmine Ford/ Denise Abbott jford@osmose.com 635 Hwy 74 S Peachtree City / GA 30269 MFP21006011 Monday - Friday 8:00AM - 3:00PM Scott Warlick CED 1/5/2022 Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document. Page 2 of 2 | Published: 11/25/2019 APPLICANT AGREES TO ALL THE FOLLOWING: •TCP must be approved prior to commencing the work, and all permit conditions shall be met. •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. •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. •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. •Emergency services (253-852-2121) shall be notified twenty-four (24) hours before any street or lane closures. •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. •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). •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. •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. •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. •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. •Flagger and sign placement are subject to revision by the City Inspector on site, if needed to address traffic or pedestrian safety or travel. •Total road closure lasting more than twenty-four (24) hours is subject to the approval by the City Council. •Approved Temporary TCP must be at the work site during work hours. •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. •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: •Contractor must complete form to show limits of Temporary No Parking Zone identifying barricade locations for vacate parking or curb lane usage. •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. •The cover sheet of this TCP form must be attached to each Temporary No Parking Sign on the project site. •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 Jazmine Ford 12/15/21 POLE TRANSFER OF CENTURYLINK FACILITIES FROM OLD POLES TO NEW FOREIGN POLES State: WASHINGTON Wire Center: RNTNWA01 Job #: N.755474.E.01 Address(es): 4014 NE 21ST ST Asset Tag: A4297566 Section: 4 Town: 23N Range: 5E Lat/Lon: 47.510273, -122.165383 X=OLD POLE T=NEW FOREIGN POLE XT MFP21006011RESTORATION PER CITY OF RENTON STANDARDS Transfer 1 cable attachment. Excavate and expose 1 cu yd of buried facilities. Remove 200ft of ASW. Remove and install 1 U guard, 1 down guy, anchor, and guard, 1 pole mounted terminal. Install 225ft of ASW, 1 pole tag, 1 cable ground, 1 cable tag. Install 50pr cable, 100pr splice. MFP21006011 MFP21006011 MFP21006011 UNION AVE NEUNION AVE NEUNION AVE NENE 21ST ST UTILITY WORKAHEAD W21-7 BE PREPARED TO STOP W20-7b W20-7A W20-7A UTILITYWORKAHEAD W21-7 UTILITYWORKAHEAD W21-7 BE PREPAREDTO STOP W20-7b BE PREPAREDTO STOP W20-7b Asset Tag: A4297566 Transfer 1 cable attachment. Excavate and expose 1 cu yd of buried facilities. Remove 200ft of ASW. Remove and install 1 U guard, 1 down guy, anchor, and guard, 1 pole mounted terminal. Install 225ft of ASW, 1 pole tag, 1 cable ground, 1 cable tag. Install 50pr cable, 100pr splice. 100'100' 200' 200' K&D Services, as the preparer of this traffic control plan makes no representation as to its' general adequacy or being approved for implementation. Approval must result from the Traffic Engineer or other Public Official having statutory enforcement authority in the jurisdiction. Utilization and implementation of this plan shall be a result of that approval. Ref. MUTCD 2009 6A-01 (10) Legend CONE Flagger Pole W20-7A Flagger AheadBE PREPAREDTO STOP W20-7b be prepared to stopUTILITYWORKAHEADW21-7 utility work ahead Work Area INVENTORY: 3-UTILITY WORK AHEAD 3-BE PREPARED TO STOP 3-FLAGGER AHEAD 30-CONES 2-FLAGGERS PLEASE SCHEDULEWITH DISPATCH@ 800-343-4049 OPT.1 AND PROVIDE A COPY OF THE APPROVEDTRAFFIC CONTROL PLAN NOTIFY EMS, FIRE AND POLICE 72 HOURS IN ADVANCE NOT TO SCALE NOTES: 1. MAINTAIN PED. ACCESS TO AND THROUGH CROSSWALKS 2. MAINTAIN MIN. 10' LANES3. MAINTAIN LOCAL ACCESS 4. NOTIFY TRANSIT AUTHORITY AT LEAST 48 HRS. IN ADVANCE OF BUS STOP CLOSURE5. TRAFFIC CONTROL PLAN AND ALL DEVICES SHALL COMPLY WITH MUTCD, PROWAG & WSDOT 6. DEVICE SPACING FLAGGER TAPER 20' SIGNS PER WSDOT TAPERS PER WSDOT 7. 28" CONES 36" BARRELS 48" SIGNS 24" PADDLE8. ADJUST TO FIELD CONDITIONS CUSTOMER: CONTACT: LOCATION: DATE:W/O # OSMOSE JAZMINE FORD 770.631.6953 4014 NE 21ST ST RENTON WA 7/7/20 DESIGNED BY: GARRETT HOOPER OFFICE: 800-343-4049 CELL: 425-551-8297 WATCP@KNDSERVICES.NET WSTCS#010855 N.755474.E.01 Lat/Lon: 47.510273, -122.165383 www.invarion.comMFP21006011