HomeMy WebLinkAbout1 - Original Submission_ 101138673 1237 Kitsap Lake Rd Bremerton-PrintSLAF8998CABLE TVPHONEGASPROJECT PHASESt. LightTemporaryJob OrderDistributionHP MainHP Svc/MSRemovalNew InstallSuperiorPWRNOTIF#ORDER#NVicinity Map 47.57422285887, -122.71167834543SCALE: 1"=75'SITE PLANOwner / Developer Contact InfocellATTN:City of Bremerton345 6th St, Ste 100Bremerton, WA 98337PSENoNoNoYesYesYesNoYesDeveloper"Flagging Required""Outages Required""Locates Required"UTILITIESCONTACTPHONE#COUNTY1/4 SECU-MAP NO (POWER)OP MAPEmer SectGas Wk CtrPOWER WK CTRPLAT MAPJOINT FACILITIES ARRANGEMENTSDRAWN BYCHECKED BYAPPROVED BYFOREMAN #1FOREMAN #2MAPPINGINCIDENTMAOPGas OrderElect OrderSCALEPAGEENGR - POWERENGR - GASFUNCTIONACCOUNT MGRPERMITREAL ESTATE/EASEMENT21REV#3NEW BUSINESSDESCRIPTIONBYCONTACTPHONE NODATEOH CKT MAPCIRCUIT NOUG CKT MAPN/AN/A1237 KITASP LAKE RD BREMERTONUPGRADE STREETLIGHT TO LED1237 KITSAP LAKE RD, BREMERTON, WA 983121011386731"=75'1 of 135152401E068N/A2401E088CHI-13N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/ACORRECTIVE /10 DAY WAIVEDTHIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIESCALL (800) 424-55552 BUSINESS DAYS BEFORE YOU DIGFor contacts below dial 1-888-CALL PSE (225-5773)XJOB SITEProject Manager Contact Information:7/1/21and that all quality requirements are met.I certify that the work performed meets PSE's standards and proceduresDeviations noted on the As-built and their reason.Correct QA Checklist(s) reviewed.Company ID#'s RECORDED in correct location on As-built.Total PRIMARY Cable noted on As-built.Material VERIFIED and CHANGES noted on Paperwork.Print Name ___________________________________ Date ______________Foreman's Signature _______________________________________________Indicate correct FUSE SIZE on As-built & VERIFY proper PHASE.Field Changes RED-LINED on As-built.Grid, Cable, and Switch numbers INSTALLED & VERIFIED.PSE Equipment LOCKED/SECURED & Work Area left in CLEAN/SAFE Condition.FOREMAN (CHECK BOX WHEN COMPLETED)IN ALL SHOEBOX AND COBRAHEAD INSTALLATIONS, THE LUMINAIRE MUST BE LEVELED.STREET LIGHT NOTESPOTELCO:Christine Buffalow425-324-1114Christine Buffalow425-324-1114KITSAPMike Hammons425-765-1395Cell PhoneLisa Kinney425-396-3841STREET LIGHT TABLE - CHANGEOUTSSITE#POLELUMINAIREWO #BILLINGSCH.TOTALCONNLOADNOTESGRID #INTOLIGHTTAG #TYPEARMPREVIOUSLUMINAIRENEWLUMINAIRESL1621511153671SLAF8998WOOD6'100W HPSCHDL39W 3000KTYPE 2 LEDCHFL101138673 /10812864153120/240CHANGEGRID FROM"621511-153674"TO "621511-153671".SCOPE OF PROJECT:AT SITE SL1-REMOVEEXISTING HPS LUMINAIRE.-INSTALL NEW 39W 3000K TYPE 2 LED CHFL ON EXIST ARM.-CHANGE GRID FROM "621511- 153674" TO "621511- 153671".*FLAGGING REQUIRED*.511175797101138673101138673108128641DocuSign Envelope ID: E5971126-73AD-4114-9B50-7F86CC8CDC5E