HomeMy WebLinkAboutMFP22000197.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Minor Franchise Permit: MFP22000197
IVR Number: 22000197
Permit Information
Permit Name: Puget Sound Energy Gas Permits
Address/Location:01/13/2022Application Date:3344500210Parcel Number: 2301 JONES AVE NE
Permit Type:03/01/2022Issue Date:Franchise
Permit Work Class:03/01/2023Expiration Date:Minor Utility
Job Number: 106363640Franchise Type:Natural Gas
Description: PSE Gas CREW TO INSTALL NEW 1 1/8" PE GAS SERVICE AT MAIN, APPROX 15' IN ROW. 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
1622 Eastport Plaza Dr
Collinsville, IL 62234
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.
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 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:
տ New Construction տ Repair/Relocate տ Underground տ Overhead տ Sidewalk տ Street
տ Open Trench տ 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
PUGET SOUND ENERGY - GAS
106363640
CORRIE RYDBERG
253-905-5031
CORRIE.RYDBERG@PSE.COM
2301 JONES AVE NE 106363640
CREW TO INSTALL NEW 1 1/8" PE GAS SERVICE AT MAIN, APPROX
15' IN ROW. 1: 3'X5' HS CUT ANTICIPATED. PLEASE SEE ATTACHED
4 4 4
4
INFRASOURCE 253-234-6410
INFRASL871C2 BL036742
MFP22000197
Scott Warlick 3/1/2022
RESTORATION PER CITY OF RENTON STANDARDS
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
106363640
2301 JONES AVE NE
Monday Friday 8:00am 3:00pm
PLEASE SEE ATTACHED
INFRASOURCE 425 892 0416
SARA HYACINTHE SARA.HYACINTHE@PSE.COM
6905 S. 228TH ST KENT, WA 98032
MFP22000197
Scott Warlick CED 3/1/2022
Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document.
Page 2 of 2 | Published: 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
1800
1801
1650
2312
2306
1713 1719
1712
2408
17321726
2301
2300
1509
2219
2100
2033
2124
2115
2125
2116
2132
2209
2120
2100
2134
2202
1829
1833
2208
2216
1711
1717
1813
2217
1705
1725
2216
2300
2224 2225
1601
1607
2304
1635
2207
2115
2121
2237
2231
2225
2219
2213
2109
2103
1512
2407
2406
1904
18302400
I-405I-405I-405JONES AVE NEHIGH AVE NENE 23RD STMEAD
OW AVE NNE 24TH ST
JONES AVE NEunset28'S
2" MPE IP 14'S 107021639-2005 JT 2" MPE IP 265'E 107021639-2005 JT2" STW IP 14'S-N PL 69E5112" MPE IP 107030134-20072" MPE 33'E2" STW IP 14'S 6876-1964
2" STW IP 12'W 69E4802" M P E IP 51'R
1 070 2 0159 -2004 JT
2" MPE IP 14'N 107021639-2005 JT
1 1/8" MPE2012-E
1 1/8" MPE2018-E
5/8" MPE1995
5/8" MPE2010-E
5/8" PE1990
5/8" MPE1995
3/4" STW-U1966
1 1/8" MPEI2012-E
1 1/8" MPE2014-E
5/8" MPE1997
5/8" MPEI2005
1/2" STW-U19725/8" PE19881 1/8" MPE2014-E
1/2" STW-U1969
1 1/8" MPE2010-E 5/8" MPE2005
5/8" MPE2005
5/8" PE1980
5/8" MPEI2005
5/8" MPE2006
5/8" PE1972
5/8" MPEI2005
5/8" MPEI2005
5/8" MPEI2005
5/8" MPE2005
1/2" STW-U1970
5/8" MPE1995
5/8" MPE1995
3/4" STW-U1964
3/4" STW-U1965
3/4" STW-U1965
5/8" MPEI2005
5/8" MPE2001
5/8" MPE2001
5/8" MPE2001
5/8" MPE2001
5/8" MPEI2005
5/8" MPEI2008-E
5/8" MPE2002
5/8" MPE2001
5/8" MPEI2005
5/8" MPEI2005
5/8" MPEI2000
5/8" PE1990
5/8" MPE2001
5/8" MPEI2005
1 1/8" MPE2015-E
TF12'WTF
14'S
TF33'N
27'E30'S110'E309'S
131'N
81'E340'S 175'E444'E206'E 372'W163'E133'E123'E110'N
438'S
350'N
612'S
584'S
705'S
302'N
472'S
520'S
275'W97'W218'E196'E278'E30'S 285'E316'E140'S 55'E118'S159'E519'N
459'S
343'N
73'S
159'W
840'S
205'S
16351607 ATL12'WTL14'S T20'S
14'S
206'E74'N278'W535'S105'N845'S121'ST
T T
26'W265'ET
B 27'S
B346'N
No electric grid information availableS204080, Q204082
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).“
12-17-2021
Scale 1:1519
Lat\Long=47.512, -122.1967
MFP22000197
Est. Start Date:
&
&
&
&
&
KNT FLT - Kent
of CL of CL
0 Route #'s:Bollards:2.5" #4" #ADA Ramps #:
Del Press:6" W.C.Traffic Signal:Bus Stop:No
25 No Parks #:0
Meter Loc:08 - OR
Trolley Lines:No Mtr Hoods #:0
Meter:A425 Speed Limit:
New Residential Svc
EFV:1-1/8" - 2600 - 9996743 Police #:0 TCP:No
Diameter:1-1/8" PE Flaggers #:0 Arterial:Yes
Tie-In Fitting
of CL
Service Information Street Information Job Type
of CL
of CL
of CL of CL
of CL JONES AVE NE 3 X 5 X 3 A
of CL
190'SOUTH of CL NE 24TH ST 12'WEST
ROW Permit:Yes Customer:STEPHAN JURGENS 206-661-1761
Work Location Size of Cut Surface Type
Job Description
New Construction:
Yes
Construction Method
All Scat / Trenchless
PLAT Map:204.082
N
Project Scope: INSTALL 1 1/8" PE SERVICE TO NEW ADDITION OF HOME. 15' SCAT STUB W/ 2600 EFV - 135' SCAT EXT - SET A425 MSA
OUT RIGHT
Steel - 1" Serv x 1/8" PE Outlet (MOP) - 125
(3/4" Cutter)9997039
Job #:106363640
Date:12/17/21 Address:2301 JONES AVE NE
Puget Sound Energy Gas Pre-Inspect Form
2/15/21 PM / Inspector:SARA HYACINTHE 253-395-6342
Est. Duration:1 Day (8 Hours)
Jurisdiction:RENTON City / Zip:RENTON , 98056
NEW
ADDITION
A425 2"stw ip 12' w 69e48060' rowjones ave neNE 24TH ST
MFP22000197
RESTORATION PER CITY OF RENTON STANDARDS
2301 Jones Ave NE
Renton
WA 98056
USA
15 151313
1010NE 24TH ST
NE 23RD STJONES AVE NESTOP
FLAGGER
STOP
FLAGGER
W20-7AW20-4ONE LANEROAD
AHEAD
100'100'100'ROAD
WORK
AHEAD W20-1W20-7ASTOP
FLAGGERW20-7AW20-4ONE LANEROADAHEAD100'100'100'ROADWORKAHEADW20-1W20-7AW20-4ONE LANEROADAHEAD100'100'100'ROADWORKAHEADW20-1W20-7A
W20-4ONE LANEROADAHEAD100'100'100'ROADWORKAHEADW20-1
14 14
WORK PIT
28" TRAFFIC CONE
LEGEND
TRAFFIC FLOW
SIGN LOCATION
FLAGGER
STOP
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.
8. Work area will be 190' SCL of NE 24th St @ 12'
WCL of Jones Ave NE
Project Address:
Page
PSE PUGETSOUNDENERGY
Designer:
Job #
REV
12/29/2021
106363640
0
2301 Jones Ave NE, Renton, WA
Kaitlynn Davis
209-456-0264
kaitlynn.davis@pse.com
1 OF 1
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 012238
Card Exp. 09/30/2023
gregory.harwood@pse.com
(425)424-6425
MFP22000197