HomeMy WebLinkAboutMFP22003617.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Minor Franchise Permit: MFP22003617
IVR Number: 22003617
Permit Information
Permit Name: Puget Sound Energy Gas Permits
Address/Location:07/12/2022Application Date:0088000889Parcel Number: 10946 SE 164TH ST
Permit Type:07/26/2022Issue Date:Franchise
Permit Work Class:07/26/2023Expiration Date:Minor Utility
Job Number: 106385824Franchise Type:Natural Gas
Description: PSE Gas CREW TO INSTALL NEW GAS SERVICE AT MAIN, APPROX 40' IN ROW. 2: 3'X5' ASPHALT CUTS
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
109385824
10946 SE 164TH AVE SE
RUBY OTIS 425-919-3219
Monday - Friday 8:00AM - 3:00PM
MFP22003617
Scott Warlick CED 7/26/2022
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
MFP22003617
MFP22003617
Service Address:
City Zip:
Customer:Phone:
Customer Email:
Est. Start Date:
Site Contact Email:
&
&
&
&
212.083 * Clean - Dispose of Soil Normally *
3 X 3 X 2
of CL
of CL of CL
15'N of CL SE 164TH ST 222'W of CL 111TH AVE SE
PM / Inspector:
kamaljitlally@yahoo.com
98055
Phone:425-271-8522
Puget Sound Energy Gas Pre-Inspect Form
4/13/22Date:
106385824Job #:
RENTON, 98055
10946 SE 164th Ave SE
KAMALJIT LALLY 425-271-8522
kamaljitlally@yahoo.com
Phone:425-919-3219RUBY OTIS7/25/22
14'S
Surface Type
A
A
Size of Cut
of CL SE 164TH ST 222'W of CL 111TH AVE SE 3 X 5 X 2
of CL
Work Location
No New Residential Svc
Service Information Street Information
1-1/8" PE
9997039
Del Press:6" W.C.Traffic Signal:Bus Stop:No KNT FLT - KentBollards:2.5" #4" #ADA Ramps #:0 Route #'s:
Meter Loc:Trolley Lines:No Mtr Hoods #:004 - OL (rear)
A425 Steel - 1" Serv x 1/8" PE Outlet (MOP) - 125
(3/4" Cutter)
PLAT Map:
N
EFV:1-1/8" - 2600 - 9999144 Police #:0 TCP:Yes Tie-In Fitting
Meter:Speed Limit:25 No Parks #:0
Job Type
Diameter:Flaggers #:0 Arterial:
RENTON
Yes
Soil Condition: ppm Estimated Soil: yard(s)
ROW Permit:
Jurisdiction:
Project Scope: TIE INTO 2" STW IP 14'S (76E089) - INSTALL 145' OF 1 1/8" PE SCAT ROW/ PLAT PROPERTY SERVICE - (40' SCAT STUB)
(105' PLAT EXTENSTION) 25' OF EXTENSION WILL BE STUB FOR FUTURE TWIN SERVICE - SET A245 / OL (REAR) ***TYPE 17 BACK FILL,
MIN. 95% ROAD COMPACTION PER ROW WORK STANDARDS.***
CleanSoil Management:
Est. Duration:
Yes
Job Description
New Construction:
Construction Method
Building Foundation Type
Septic System
1 Day (8 Hours)
No
Slab
Hole Hog7/25
10946
#512644775
#106385824
10936
#506481023
#106348005
65'
15'
25'
A425 METER
PL
PL
5'
3'2" STW IP 14'S (76E089)
44' STUB
105' EXTENSION
1 1/8" PEDRAIN DITCH DRAIN DITCH
3'3'
MFP22003617
POTHOLE ALL EXISTING UTILITIES
RESTORATION PER CITY OF RENTON STANDARDS
1710
10831 16404
16420
16446
16425
16457
16463
11123
16442
16410
16452
16438
11135
11126
16446
16430
16459
16411
9
12
816451
16473
3
16433
10955
6
7
45
16420
16465
16457
16449
16427
16439
16406
1802
16417
16409
16443
11122
109451093510927
10928
10930
10911
10921
10936
10952
109TH AVE SESE 164TH ST
111TH AVE SESE 164TH STSE 164TH ST
2" STW IP 14'W 69E4292" STW IP W EDGE BT 70E0442" MPE-9 IP 29'N 107059335-2021 JT
2" PE-A IP @ S EDGE BLACK-TOP 782214
2" STW 18'W2" STW 14'S 2" PE-A IP @ S EDGE BLACK-TOP 782214
2" MPE IP 11'E 107013695-20022" STW IP 14'S 76E089
5/8" MPE2018
1 1/8" MPE-9-E1 1/8" MPE-9-E
1 1/8" MPE-9-E
1 1/8" MPE-9-E
1 1/8" MPE-9-E1 1/8" MPE-9-E
1 1/8" MPE-9-E1 1/8" MPE-9-E
1 1/8" MPE-9-E
1 1/8" MPE2012-E
5/8" PE1989
1 1/8" MPEI2007-E
1 1/8" MPEI2007-E
5/8" PE1986 5/8" PE1988
5/8" MPE2001
5/8" MPE2003
5/8" MPE19961/2" STW-U1970
1/2" STW-U1970
1/2"1150'N
5/8" MPE1997
5/8" PE1988
5/8" MPE2002
5/8" PE1979
5/8"312'N
5/8" MPE2002
5/8" PE1993
5/8" PE1990
5/8" PE1991
5/8" MPE1997
5/8" MPE1995
5/8" PE19825/8" PE1982
0
TF15'W15'STF
17'WTF
40'W84'W93'W185'W193'W241'W265'W233'W140'W345'S 71'E288'E212'S268'W186'E951'N
237'S
537'S
136'S 73'E107'E178'W881'N
399'S 115'W74'S68'W84'S
175'S
312'N
368'S
1150'N
40'EROPES11'E
TL359'S
TL
TLTL 65'STL10'S,30'ET15'W15'W12'W285'W
15'W 242'S404'S29'NT
284'WPT40'E,12'S19'S T
B1154'N
S 69'W 18'W
68'SIC
EOC 30'WEOC 17'WBEGIN JT 30'W2" STW IP 14'S 76E089
2" STW IP 14'S 76E089
2" STW 14'S
No electric grid information availableS212080, Q212083
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).“
04-19-2022
Scale 1:1519
Lat\Long=47.456, -122.193
10946
2" STW IP 14'S - 76E089
MFP22003617