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WebLinkAboutA_Application_234782CITYOFRENTCNDEPARTMENTOFCOMMUNITYANDECONOMICDVELFtT..ilqtillDEVELOPMENTSERVICESDIVISIONMASTERUSE/FRANCHISEUTILITYPERMITAPPLICATIONtPhone:(425)430-7266Fax:(425)430-7231franchise@rentonwa.gbvTOTHEAPPLICANT:Submit3copiesofplanswithapplication.Permitcostis$360.50.Inspectionfeefortrenchingmorethan60linealfeetorinstallationof6ormorepoleswillbebilledat$60.00perhour.ForCityUseOnlyCITYPERMITNO:MFPWORKORDERNO.:870293/7/17FranchiseAgency:COMCASTOFWASHINGTONDateofApplication:_____________________________________________________________98059410VALLEYAVENW,PUYALLUP,WA.Zip:_____MailingAddressforPermit:________ContactName:KENPONTELANDOLFOPhone:2532887540JobNumber:JT#234782e-mail:ken_pontelandolfo@cable.comcast.cornJobSiteAddress:4361TalbotRdSProjectName:ProlianceSurgeonsTieintoexistingU/Gsplicecase.Trench20ftinlandscapeandinterceptexistingComcastconduit.Pullthrough(1)48ctfiberopticcable.DescriptionofWork:Pullthrough(1)48ctfiberopticcable.Tieintoexistingaerialsplicecase.Overlash(1)96ctfiberopticcabletoexistingComcaststrand.Pleasecheckallthatapply:NewConstructionElRepair/RelocateUndergroundOverheadElSidewalkElStreetUOpentrenchElBoreEl#offeet:ElGasElElectricElOther:EstimatedJobcompletiondate:TBDContractorname:SEFNCOCommunicationsIShaneDunawayPhone:253-266-4944CityofRentonBusinessLicenseNumber:_On_FileStateContractorsLicenseNumber:SEFNCI*994P9“IcertifythatIamtheapplicant’sownerorauthorizedagentanddoherebyagreetoabidetothetermsandconditionssetforthunderthispermitandshallcomplywiththeCityofRenton’sTrenchRestorationandStreetOverlayRequirements.”Signature__—Date3/7/1711131PEEIfRIIA’LLBENOTIFIED24HOURSPRIORTOCOMMENCEMENTOFALLWORKBYCALLINGTHEINSPECTIONLINEAT425-430-7203Jobsarerequiredtobecalledinforjobstart,re-inspectionandprojectfinal.__________________________________________UApprovedasSubmittedPlanReview/DevelopmentServicesDateUOn-SitePre-ConRequiredElApprovedwithCommentsorRedlines__________________________________________I1TrafficControlPlanAttachedUtilityInspectorDateUCameraInspectionofUtilitiesRequired______________________________________________IssueDate:________________________PublicWorksPermitSupervisorDatePermitexpires6monthsfromissuedateZ/Z3 PrintForm-ResetFormJTRAFFICCONTROLPLANPROJECTNAME:ProlianceSurgeonsPERMIT#______________CONSTRUCTIONCOMPANY:SEENCOCommunicationsPHONE#:253-299-8601CONTACTNAME:ShaneDunawayPHONE#:2532998601ADDRESS:4610TacomaAve.Sumner,Wa.98390CELL#:253-266-4944E-MAILADDRESS:sdunaway@sefnco.comFAX#:______________PROJECTLOCATION:4361TalbotRdSN/E/S/WOF:____________________WORKTIME:9AM-3PMAPPROVEDBY:___________________WORKDATE:TBD-PENDINGOTHERPERMITSAPPROVALDATE:__________________PermitHolderagreestoallthefollowing:•ComplywithalltrafficregulationsoftheCityofRentonandtheStateofWashington.•PrepareatrafficcontrolplanandobtainCityapprovalofthatplan.Thatplanshallbeimplementedforallstreetandlaneclosures,andtheplanshallbeperformedincompliancewiththeManualonUniformTrafficControlDevices.•Notifyemergencyservices(253-852-2121)twenty-four(24)hoursbeforeanyStreetorlaneclosures.•Anylaneorstreetclosuresnotinconformancewiththeapprovedtrafficcontrolplanand/orwithoutnotificationofemergencyservicesmayresultinreceivingacitationforviolationofR.C.W.47.36.200through47.36.220,9A.36.050RecklessEndangerment,andotherapplicableStateandCitycodes.•IndemnifyandholdharmlesstheCityofRentonfromanyandallclaims,actions,andjudgments,includingallcostsofdefenseandattorney’sfeesincurredindefendingagainstsame,arisingfromandrelatedtoimplementationoftheapprovedtrafficcontrolplansincludingclaimsarisingfromtowingofprivatevehiclesandtheactsofthePermitHolder’sagentsandemployees.•TheCityofRentonshallbeentitled,initsreasonablediscretion,tosettleclaimspriortosuitorjudgment,andinsucheventshallindemnifyandholdharmlesstheCityforanysuchclaimspaid,includingtheCity’sreasonableattorney’sfeesandlitigationcostsincurredresultingfromsuchclaim.•IntheeventanyclaimorsuitisbroughtagainstCitywithinthescopeofthisAgreement,PermitHolderwillpayforlegalcounselchosenbytheCitytodefendagainstsame.•FlaggerandsignplacementaresubjecttorevisionbytheCityInspectoronsite,ifneededtoaddresstrafficorpedestriansafetyortravel.•Bymysignatureherein,Iacknowledgealltheaboverequirements.PRINTNAME:haA.C,,DU1ctIJO(DATE:3/7/IfOFO’_________f—0EV.SERVICE,INSPECTIONK.KIflRICK/C1f1i1A.flJDE.,,,0EV.SERVICE,PLANREVIEWA.HENNINGER/J.lILIAN“‘‘‘“•POLICECLARKWILCOXFIREDAVIOPARGARS/STA.#13 NOTES:•WorkZoneTrafficControlshallbeinaccordancewiththeManualonUniformTrafficControlDevices(MUTCD)andshownbysketchorreferencetoWSDOT.•TheplanmustbesubmittedtotheCity’sPW/TransportationDivisionforreviewand/orapprovalatleastthreeworkingdayspriortowork.•ApprovedTemporaryTrafficControlPlanmustbeattheworksiteduringworkhours.•ContractororentitymustcallRentonSchoolDistrict(425-204-4455)oranypublic/privateagencytobeaffectedbyatemporarylaneorroadclosure.•Completeassistanceandaccommodationshallbeprovidedtoallkindsofpedestriantrafficwhensidewalkorwalkwayisimpeded.•Totalroadclosurelastingmorethan24hoursissubjecttotheapprovalbytheCityCouncil.•Anyvehicle,equipment,barricade,orportabletow-awaysignusedwithintheworkareamustdisplayacompanylogooranylegallyacceptablesignshowingthecompanyname,address,andtelephonenumberataconspicuousplaceonthevehicleorequipment.InthecaseofTemporaryNoParkingZones,allthefollowingapplyinadditiontoprevious:•ContractormustcompleteformtoshowlimitsofTemporaryNoParkingZoneidentifyingbarricadelocationsforvacateparkingorcurblaneusage.•ContractormustpostnoticeofdatesandtimeofTemporaryNoParkingZonewithatleasttwosignsperblock72hoursinadvanceofeffectivedateandtime.•ThecoversheetofthisTrafficControlPlanformmustbeattachedtoeachTemporaryNoParkingSignontheprojectsite.•Temporarytrafficcontroldevicesmustberemovedimmediatelywhenworkisdoneornoconstructionactivitiesaregoingon.Ifdeemedabandoned,CitycrewswillremoveandstorethemattheCity’smaintenanceshop(3555NE2nidStreet).SKETCH--NORTH--