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Home My WebLink AboutMFP22003283.pdfDEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Minor Franchise Permit: MFP22003283 IVR Number: 22003283 Permit Information Permit Name: Puget Sound Energy Gas Permits Address/Location:06/23/2022Application Date:2143700675Parcel Number: 277 THOMAS AVE SW Permit Type:06/30/2022Issue Date:Franchise Permit Work Class:06/30/2023Expiration Date:Minor Utility Job Number: 108635844Franchise Type:Natural Gas Description: PSE Gas CREW TO RETIRE EXISTING GAS SERVICE AT MAIN. 1:3'X5' ASPHALT CUT ANTICIPATED. RESTORATION PER CITY OF RENTON STANDARDS. Contacts Name Address PhoneTypeBilling Corrie Rydberg Puget Sound Energy 3702 71st Ave W University Place, WA 98466 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 Corrie Rydberg Puget Sound Energy 3702 71st Ave W University Place, WA 98466 C: (253) 905-5031Specialized Billing 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 Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document. DEPARTMENT OF PUBLIC WORKS Page 1 of 3 | Published: 10/27/2021 Transportation Division | 1055 South Grady Way, 5th Floor | Renton, WA 98057 | 425-430-7380 Website: rentonwa.gov TRAFFIC CONTROL PLAN APPLICATION Published: 10/27/2021 TRAFFIC CONTROL PLAN (TCP) MUST BE SUBMITTED TO PUBLIC WORKS TRANSPORTATION DIVISION FOR REVIEW/APPROVAL AT LEAST 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 traffic control plan (TCP) and obtain city's approval of that plan when construction, repair, or maintenance work is to be conducted within the city's right-of-way. 1. Fill out the Traffic Control Plan (TCP) Application form and prepare required submittal documents. 2. The following items are all required for submittal of the TCP Application: ☐Electronic Copy of the TCP Application ☐Electronic Copy of the TCP Layout, on 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. Types of plans required: o Work hour plan – show all mobility impacts during construction hours. o 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. o Changing construction phases – show construction sequence and each construction phase change even if the traffic control is not modified, if applicable. o Pedestrian access/detour plan, if applicable. - Shall conform to the Washington State Traffic Control Flagger Certification handbook, by the Evergreen Safety Council. 3. Submit Application via email to TCP@rentonwa.gov with the subject line “TCP Application – [Project Name].” Project Name: Permit #: Site Address: Work Date: From _____________ To _____________ Work Time: Start ______________ End ______________ Construction Company: Contact Name: Phone/Cell: _________________________ Business Address: City/State: Zip: Description of Work: Approval By: _________________________________________________ Date:____________________ Transportation Engineering INFRASOURCE, INC 6905 S 228TH ST KENT, WA 98032 PLEASE SEE ATTACHED 108635844 277 THOMAS AVE SW GAYLE.PLAISANCE@PSE.COM MFP22003283 Monday - Friday 8:00AM - 3:00PM Scott Warlick CED 6/30/2022 Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document. Page 2 of 3 | Published: 10/27/2021 PERMIT HOLDER AGREES TO ALL THE FOLLOWING: Must have approved Traffic Control Plan (TCP) prior to commencing the work. Maintain existing pedestrian access. The work on pedestrian facilities, shall be limited to one corner at a time, with the least possible inconvenience or delay to pedestrians. WORK TIME begins when any street or travel lane is fully or partially closed. This includes set up within the traveled way. Comply with all traffic regulations of the City of Renton and the State of Washington. Prepare a traffic control plan and obtain City approval of that plan. That plan shall be implemented for all street and lane closures, and the plan shall be performed in compliance with the Manual on Uniform Traffic Control Devices. Notify emergency services (253-852-2121) 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 a minimum of five business days (excluding weekends and holidays) prior to starting any work. Contractor or entity must notify King County Metro in writing at construction.coord@kingcounty.gov a minimum of five business days (excluding weekends and holidays) prior to starting any work impacting bus stops, a temporary lane or road closure. Work requiring removing a bus shelter or sign requires notification in writing a minimum of 30 business days (excluding weekends and holidays). Please call King County Metro at 206-477-1140 with any questions. 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 R.C.W. 47.36.200 Signs or Flaggers at thoroughfare work sites and R.C.W. 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 Permit Holder’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 City within the scope of this Agreement, Permit Holder 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. All permit conditions shall be met. NOTES: Total road closure lasting more than twenty-four (24) hours is subject to the approval by the City Council. Work Zone Traffic Control shall be in accordance with the Manual on Uniform Traffic Control Devices (MUTCD) and shown by a traffic control plan layout or reference to WSDOT. Approved Temporary Traffic Control Plan 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. 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. 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. Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document. Page 3 of 3 | Published: 10/27/2021 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 Traffic Control Plan 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). I certify that the information on this application and within the submittal documents are accurate to the best of my knowledge and I acknowledge all the requirements on this application. Applicant’s Signature Date Applicant’s Name (Print) CORRIE RYDBERG MFP22003283 Job #: Date: Address: Jurisdiction: City / Zip: Right of Way Permit? Customer:PSE Est. Start Date: PM / Insp: Est. Duration: PL PL & & & Fuel Line Length: Mtr Loc:OL Fuel Line Diameter: Thomas Ave SW 3'x5'172' N of C/L SW 3 Place W of C/L12' Retire existing 1/2" STW Gas service @ 172' N c/l of SW 3rd St & 12' W c/l of Thomas Ave SW / Install (1) 20# Anode & Test Lead Wires and bring up in a CP box / (1) Hard Surface cut Anticipated 20 108635844 5/26/22 Renton 1 Day Ken Elvsaas 277 Thomas Ave SW Renton, 98057 206 498 0053 888-225-5773 Construction Method Asphalt Plat# 209.079 PRE-INSPECTION REPORT WORK DESCRIPTION: CUST PHONE NUMBER Work Location PHONE NUMBER Size of Cut Surface Type SPEED LIMIT MPH Service Information Diameter Meter EFV N FLAGGERS # OFFICERS # TROLLY LINES TRAFFIC SIGNAL BUS STOP # ARTERIAL METER HOODS # NO PARKS # Commercial Residential Multi-Family New Constr. Stub Extension Cut & Cap Altered Commercial Altered Residential Replacement Service Main Maintenance Service Maintenance Valve Maintenance Leak Repair CP Work Pothole Extension Compete Serv 5/8" 11/8" 11/4" 2" 250 425 630 1000 1800 2600 10,000 Bollards 2.5" # Bollards 4" # FUEL LINE PERMIT NEEDED Template Bar YES NO 277Pressure 6" WC 2# >_ 5# Trenchless Open Trench New Construct Existing G r a v e l P a r k i n g S t r i p CONC S/WALKThomas Ave SW 3 Place 500 SF Work Area A s p h a l t P a r k i n g S t r i p 2" STW Main @ 12' W c/lMFP22003283 RESTORATION PER CITY OF RENTON STANDARDS 701301267311269273277281908912285901325351324819325813273277281285313820284278816274261257800210712708702621265263613THOMAS AVE SWSW 3RD PLTHOMAS AVE SW1 1/4" PEI IP 3'S 8520091 1/4" PEI-A IP 3'S 75E0152" STW IP 12'W 9515-19662" STW IP 14'S 68E1761 1/4" PEI IP 3'S 852009DEACT 2" STW 9'W 109038162-20081 1/8" MPEI2016-E1 1/8" MPE2019-E1/2" 19671 1/8" MPE2014-E1/2" STW-U19731/2" STW-U19711/2" STW-U19695/8" MPE19951/2" STW-U19675/8" PE19755/8" MPE19951 1/2"5/8 PE19845/8" PE19935/8" PE19773/4" STW-U19701/2" STW-U19701/2" STW-U1970515/8" M19955/8" MPE19955/8" MPE2008-E5/8" MPE20033/4" STW19615/8" PEI19885/8" MPE2008-E1/2"5/8" PE19885/8" PE19865/8" MPEI19965/8" MPE2008-E5/8" MPEI20005/8" MPE20045/8" MPE19955/8" MPE1995TF11'WTF81'E87W231'E,19'S232'N335' S165' W172'N40' N122' N574' S165' E95'N74' S156'E260'W135' S85' S417' S255' S356' N143' E80' E187' E132'N318'W267' N182'W149' SRPDT 3'S892043433A40'N,12'W35'NTLTLT11'W4'STTT82'E7'S,231'ET184'WSS3'SS35'NIC2" CasingLC130'S No electric grid information availableS208074, Q209079The 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).“04-26-2022Scale 1:900Lat\Long=47.4802, -122.2277MFP22003283