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039-24 - Puget Sound Energy - ContractDocuSign Envelope ID: BBOA38FD-A9FB-4B48-BF60-5199DBEOB1BB ruuc l COMMERCIAL ELECTRIC FACILITIES CONTRACT ' SOUND ENERGY Date 04/08/2024 Contract is subject to revision after 90 days CUSTOMER (OWNER) NAME CITY OF PORT ORCHARD CO-OWNER NAME (IF APPLICABLE) SERVICE ADDRESS 5171 SAINT ANDREWS DR SW CITY PORT ORCHARD STATE ZIP 98366 WA BILLING ADDRESS 216 PROSPECT ST CITY PORT ORCHARD STATE WA ZIP 98366 PHONE 360-876-7048 EMAIL jbrown@portorchardwa.gov PSE WORKORDER NO. 105104090 Summary of Charges: Construction Costs: $ 48,020.92 Transformation Charges: $ 12,809.19 Less Applicable Margin Allowance: $ 0 Sub -Total (Potential Refundable Costs): $ 60,830.11 Permitting Fees*: $ 340.66 Relocation/Removal of Existing Facilities: $ 0 Other Non -Refundable Construction Charges: $ 1,042.17 Sub -Total (Non -Refundable Costs): $ 1,382.83 Less Deposit Paid in Advance: $ 0 Total Amount to be Billed Under This C t: $ 62,212.94 Customer InitialsLi__ Brief Description of Work: COMMERCIAL 3 PHASE UNDERGROUND LINE EXTENSION & CONVERT TRANSFORMER INTO HANDHOLE. Brief Description of Other Costs: MATERIALS, LABOR & FLAGGING. *If the above Permitting Fees are associated with service work only, those costs will be billed with the applicable service charges below after the service is energized. SECONDARY SERVICE CHARGES (PERMANENT AND TEMPORARY) ARE NOT INCLUDED IN THE SUMMARY OF CHARGES ABOVE Any applicable Secondary Service Type charges listed below will be billed after your service line installation, based on the actual work performed. Base Costs, in the table below, are based on the current tariff pricing as of the date of installation and include the Schedule 87 tax effect. These charges also do not include permitting fees, trenching and other excavation related work that is your responsibility. The Secondary Service Type charges from the list below that apply to your project will be invoiced on a second bill. Secondary Service Tyl2e 1480 Voltage or Below Cost w/Schedule 87 tax effect Single wire run to handhole or transformer $912.07 Each additional run of wire(per circuits) $189.92 Each additional trip beyond 1st trip due to customer needs $564.25 per trip Hourly rate for additional engineering at customer's request $246.24 Underground Temporary Service Charge $230.00 Overhead Temporary Service Charge $474.00 Overhead to Overhead Permanent Service Charge $914.28 Underground to Underground Permanent Service Charge $749.75 Overhead to Underground Permanent Service Charge $1,401.23 Customer i#ials: S By signing this contract you are authorizing PSE to continue with all the needed elements to complete your project. Upon receipt of a signed contract, PSE will bill you for the amount indicated on the "Total Amount to Be Billed Under This Contract" line. The bill will sent to the billing address listed on this contract. PSE requires payment of these line extension charges prior to scheduling construction. Payments can be made via pse.com (fees may apply), by mail, or at a PSE Pay Station. Delaying payment may result in a construction delay for your project. Customer requested changes in the scope of the project may result in additional charges, and/or delays to your project. DocuSigned by: DocuSigned by: Signature: Name: JACKI BROWN Title: Date:04/08/2024 d�bi Utilities Manager 687BF8834FF04EC... Rob Putaansuu Mayor 5/22/2024 3B96492E3F5847D... DocuSign Envelope ID: BBOA38FD-A9FB-4B48-BF60-5199DBEOB1BB TERMS AND CONDITIONS PROJECT INFORMATION 1. The PSE drawing shows the proposed scope of your project including the location of permanent, above ground electrical facilities required to provide electrical service to your project. Fault current information for transformers associated with your project is noted on the work sketch drawing. Please review this drawing as soon as possible to ensure there are no unforeseen conflicts between PSE's design and your project. If you determine there are conflicts or if you identify a discrepancy while reviewing the drawing for your project, please contact me at the number below. This is attached as Exhibit A. 2. Additional construction -related information and information on metering and service entrance requirements areprovided in PSE's Electric Service handbook for commercial projects. If you would like a copy of the handbook please contact me at the number below. It is your responsibility to provide your project manager, site superintendent, and/or subcontractors with any relevant information from this correspondence that apply to their work in support of your project. 3. The Excavation Requirements & Final Grade Certification must be signed by the project owner or designee and returned to me along with a signed copy of this contract. This is attached as Exhibit B. 4. Transformers have been sized for diversified commercial loads only, and shall not be used for high load factor (continuous) temporary power uses, such as electric heaters for dry -out. Fault currents for non- residential transformers in your project are noted on the attached PSE design drawing. Please notify the PSE representative listed on this contract immediately if you believe there are conflicts between this design and your project. It is your responsibility to provide your project manager, site superintendent, and subcontractors with any information from this correspondence and it's attachments that apply to their work. 5. The requirements for trenching by customers on public right-of-ways and/or on Puget Sound Energy easements must be signed by the project owner or designee and returned along with a signed copy of this contract. This is attached as Exhibit C. POTENTIAL REFUNDS Margin Allowance: If PSE has not provided a Margin Allowance or if your Margin Allowance exceeds $75,000, PSE agrees to calculate and refund the Margin Allowance, subject to Schedule 85. Refund requests must be made within six (6) years of the date on which the facilities installed under this contract are energized. Customers are responsible for making the one-time refund request. DIM Refund: Other refunds associated with the line extension charge may be available if additional permanent service hook-ups are made to your line extension. These service hook-ups must be made within five (5) years of the date on which your project is initially energized Customers are responsible for making all refund requests. A refund may be requested one (1) time within six (6) years of the date on which your line extension is initially energized. It is the customer's responsibility to make the refund request. Your refund request should be directed to PSE's Customer Accounting Coordinators at Schedule85refundrequests@pse.com. RATE SCHEDULE 85 All terms and conditions, costs, and refunds are in accordance with PSE's Rate Schedule 85, and any discrepancies between this contract and the Rate Schedule will be resolved in favor of the Rate Schedule. Rate Schedule 85 contains more detailed information covering costs, refunds, rights, and obligations than is reflected in this contract. The entirety of Rate Schedule 85 can be viewed at PSE's website www.pse.com. This cost information is valid for 90 days from the Date Issued, and is subject to being updated after that time. I have read both pages and agree to the terms and conditions outlined in this contract and its attachments. The amount noted on this contract is an estimated cost; however PSE's Schedule 85 line extension tariff requires customers to pay the actual cost of construction. PSE will determine the actual cost of the job once construction is complete. If the actual cost of the job is more than 10% above or below the estimated cost, an additional billing or refund will result to account for the difference. DocuSign Envelope ID: BBOA38FD-A9FB-4B48-BF60-5199DBEOB1BB VruuE:I SOUND ENERGY REQUIREMENTS FOR TRENCHING BY CUSTOMERS ON PUBLIC RIGHT-OF-WAYS AND/OR ON PUGET SOUND ENERGY, INC. EASEMENTS The following outlines most local governmental guidelines and company standards for trenching on a public right-of-way or Puget Sound Energy, Inc. (PSE) easement. Any trenching performed by the customer, or their contractor, under a PSE permit or easement must comply with these requirements. 1. All trench construction must be performed by a Washington State licensed and bonded contractor. 2. Trench excavation, backfill, restoration, and facility placement must be coordinated with a PSE designated representative, and receive on -site approval by that representative, and local jurisdiction. 3. Right-of-way easement trenching and backfill must be performed during normal business hours, Monday through Friday. Same day excavation and backfill is required for all trenching. Job start notification to the local jurisdiction is the responsibility of Potelco, Inc. Customer shall notify Potelco Project Manager three working days prior to trenching. Penalties for failure to comply with this requirement will be borne by the customer. 4. If the job scope requires excavation beyond a single day, fencing and barricading must be installed around utility facilities exposed above the trench, if allowed, must be in accordance with local regulatory requirements. 5. PSE, all participating utilities, and One -Call Locate, must be notified a minimum of 72 hours in advance of the date and time for right-of-way trenching and facility placement. The One -Call Locate number is 1-800-424-5555. State law requires locating service notification. 6. Excavated material must remain clear of the roadway whenever possible. Excavation material, spoils, and debris shall be removed off -site each day, in accordance with local regulatory requirements. All erosion control requirements in accordance with local regulatory requirements are the responsibility of the customer. 7. Material excavated from the shoulder of the right-of-way shall be properly disposed, and replaced with select backfill material in accordance with local regulatory requirements. 8. Proper compaction is required to comply with local regulatory specifications. If the permit requires compaction testing, the cost of said testing is the responsibility of the customer. 9. All permit requirements, traffic control plans, traffic control and flagging shall meet local regulatory specifications and satisfaction. 10. In the event of failure to abide by the above requirements, PSE reserves the right, at its sole discretion, to assume trenching. In the event of delays due to equipment failure, PSE may assume trenching to meet regulatory and joint construction requirements. The customer is responsible for all trenching costs, and will reimburse the company for costs should PSE perform the trenching. DS ^^DS Customer Initials: J6 11. The customer agrees to indemnify, defend and hold harmless PSE from all liability (including reasonable attorneys' fees) arising out of, or in connection with, the above mentioned trenching '�rities. ^^DS Customer Initials: J� I AGREE TO ADHERE TO THE ABOVE CONDITIONS Service Address: 5171 SAINT ANDREWS DR SW PORT ORCHARD 98366 Work Order Number: 105104090 Er DocuSigned by: 6b P a&A SWA, DocuV,gned�Ey F5847D... Signature: 687BF8834FF04EC... Rob Putaansuu Name: JACKI BROWN Mayor 5/22/2024 Title: Utilities Manager Date: 04/08/2024 DocuSign Envelope ID: BBOA38FD-A9FB-4B48-BF60-5199DBEOB1BB PV CJt ' SOUND ENERGY PSE ELECTRICAL FACILITIES EXCAVATION REQUIREMENTS AND FINAL GRADE CERTIFICATION PURPOSE This document is an agreement between Puget Sound Energy (PSE) and the Owner/Developer (Developer) who is providing excavation for the installation of PSE's facilities. This document does not provide an easement for operating rights. If PSE determines that a recordable easement on the Developer's property or other property is necessary, it shall be the Developer's responsibility to obtain such easements in a form acceptable to PSE prior to construction. EXCAVATION REQUIREMENTS The requirements and conditions outlined below apply when you provide the excavation for PSE's electrical facilities as a condition of receiving electrical service for your project. If you need additional information, please call the PSE contact person listed below. Developer is responsible for acquiring utility locates by calling One -Call, 1-800-424-5555 at least 48 hours (two full working week days) prior to digging. The excavation must meet the requirements of the Washington Administrative Code and Safety Standards. 2. Developer shall call the PSE contact person noted below for trench and route approval prior to starting excavation. 3. The electrical primary trench shall be excavated to provide a minimum of 36 inches of facility coverage, to a maximum trench depth of 48 inches. The electric service trench shall be excavated to provide a minimum of 24 inches of facility coverage, to a maximum trench depth of 36 inches. A 12 inch horizontal separation is required between PSE electrical facilities and other utilities within a joint trench. 4. All back fill must be free of sharp objects and construction debris. Developer shall provide and install sand bedding and shading for electrical facility protection as directed by PSE's contact person. Developer is responsible for any damages caused by improper backfill or compaction. 5. Developer agrees to maintain a minimum of 2 feet of horizontal clearance between PSE conduit, pipe or conductors and any foundation on Developer's property. 6. The vault excavation shall be dug to the dimensions noted on the attached work sketch. Vault holes shall have a solid level bottom with a 6 inch deep layer of crushed rock bedding. 7. Developer shall provide the excavation for PSE electrical facilities within the designed location. Developer shall identify and provide final grade, property lines, and utility easements prior to installation of PSE's electrical facilities. 8. Developer will be financially liable for the relocation of PSE's facilities which are inadequately covered, located outside the area where PSE has adequate operating rights, improperly graded inhibiting standard access and/or any damages resulting from dig -ins due to changes or variations in grade that are made after the installation of PSE's facilities. FINAL GRADE CERTIFICATION By my signing below, I certify that the electrical facilities work area shall be at final grade prior to excavation. I assume full responsibility for my excavation work and the resulting location of these facilities. I also agree to indemnify, defend, and hold harmless Puget Sound Energy from all liability arising out of, or in connection with my work, including but not limited to all claims, losses, damages, and expenses, including reasonable attorney's fees, which result from my failure to excavate within easement areas or rights -of -way, or from digging without adequate rights on adjoining properties. Service Address: 5171 SAINT ANDREWS DR SW PORT ORCHARD 98366 uSigned by: Signature: Doc°usn �' N 6x a 4 SWA, 2806 08/15 M96492EY5847D... Name: JACKI BROWN Rob Putaansuu Work Order Number: 105104090 Title: Utilities Manager Mayor Date:04/08/2024 5/22/2024 DocuSign Envelope ID: BBOA38FD-A9FB-4B48-BF60-5199DBEOB1BB SITE SPECIFIC NOTES CIRCUIT FEET ADDED: 30' m 4762 \\ / W J01 GRID #618955-154240: (EXISTING) Sq. Footage: 2992 SQ. - WELL 11 SITE 0� \ 4781 -EXIST 3P JBOX TO REMAIN Panel Size: 800 AMPS x W D — — -EXIST CABLE #'S AO-ACN898, BO-ACN899, CO-ACN900 TO REMAIN Heat Type: ELECT �z ` -EXIST CABLE #'S AO-EHX044, BO-EHX045, CO-EHX046 TO REMAIN Est. Demand: 380.98KW -EXIST CABLE #CO-EIY668 TO REMAIN °LRC: 443A ° M I a ,` \ \ -REMOVE (3) ELBOWS & CABLE #'S AO-ADS104, BO-ADS105, CO-ADS106 /o V. Drop: 3.2 /o A 768 H \\ - INST (3) L/B ELBOWS ELB10J, 6041.1000 % Flicker: 1.6% m \\�\ O - INST CABLE #'S AO-AEM064, BO-AEM065, CO-AEM066 p RF GOLF COURSE MAINT. FAC m \ \\ Sq. Footage: 6,60OSQ. ��� �A IN C�,�, \ \ V01/H01 GRID #618982-154241: Panel Size: 200 AMPS mP =o= 4774 / i v w \ **CONVERT INTO A SEC CONCRETE HANDHOLE** Heat Type: ELECT m i -REMOVE & DISPOSE EXIST 3PH 5'-6" X 4'-8" LID Est. Demand: 17 KW p r 00 A -EXIST 3PH 4'-8" X 4'-8" SQ VAULT TO REMAIN LRC: 96.2A 4780 -INST NEW 4'-8" X 4'-8" 504 LID (MID:7656400) • K / � V. Drop: 3.3% �Y_ _ �� -INST (8) 4-POS FARGO LUGS • Flicker: 0.9%,f " \ i \� z� / 792 -RECONNECT EXIST SVC'S 500kVA 277/480v -REMOVE & DELIVER THE EXISTING 3P 112.5kVA, 277/480V PM XFMR 4786 / -REMOVE (6) ELBOWS Fault Current: 31,700 -REMOVE CABLE #'S AO-ADS104, BO-ADS105, CO-ADS106 -REMOVE CABLE #'S AO-7730, BO-7731, CO-7732 R/X:0.5 %Z:1.90 " V02 GRID #618957-154242: (NEW) - INST 7' X TX 4' W/ 60" X 24" ACCESS W/8' SQ COVER PM3P15M, 6045.5000 - SET 500KVA, 277/480V PM XFMR X - INST (3) L/B ELBOWS 77 \ - INST (4) 4-POS CONNECTOR BARS (MID:7651002 ) B 31 "z - INST (3) BOLT KITS (MID:7651008) 077 mx - INST CABLE #'S Aft-AEM064, BO-AEM065, CO-AEM066 618982 - INST GRID #618957-154242 01 /H0 154241 -CONNECT & TAG CUST OWNED UG CONDUCTORS 11 2.5kVA 277 80V (3 RUNS OF 300KCMIL WIRE) �\� 5171" — SPAN SPECIFIC NOTES I I I J01 - Vol: I A z -REMOVE EXIST (2006) 3PH 1/0 AL SOL PRI CABLE, ±185' & ABANDONED EXIST CONDUIT ACTUAL FOOTAGE REMOVED= " a I I mpg J01 - V02: I I i - INST 14" DB120 CONDUIT ±30', (ACTUAL= ') 1\ I IN CUST PROVIDED TRENCH W/ 3/8" POLY PULL ROPE V02 154242 II AOACN898 - INST (3) 1/0 AL SOL JACKETED PRI CABLE, ±50', (ACTUAL= ) 500 kVA 277/480V (ABC) J01 I ADS1 I I BQl 105 BOACN899 V02 - H01: 6189 ADS1 COACN900 / \ -INST 1-3" DB120 CONDUIT ±120' W/ (2) 6" BELL ENDS, (ACTUAL= ) 154240 _ \ IN CUST PROVIDED TRENCH W/ 3/8" POLY PULL ROPE COEIY668� _ -:�i R SW \NSD PN SNI----_ ----- SITE PLAN SCALE: 1" = 50' Cover 1300-1365Ibs J 12 -N, 3' Sq Sid P4ateorArni-9kid door l 3 1 Base 3600 Ibs -INST (1) RUN OF 350 QUAD SEC UG WIRE, ±135', (ACTUAL= ) _ — AOEHX044 \ � BOEHX045 COEHX046 OE INSTALL NE1i'll' 504 LID Connect 42 Cu to internal ground insert I nterral vault g it -talked by vault mar,.ia cturer V01/H01 CONVERT 3PH VAULT TO CONCRETE HANDHOLE NOT TO SCALE Trench and backfill requirements for primary electric line extension trenches (No PSE gas) - A 12" layer of sand, 5/8" minus, or clean shading is required when excavated native material contains rocks up to 10" in diameter. - A 6" layer of sand, 5/8" minus, or clean shading is allowed when excavated native material contains rocks no larger than 8" in diameter. Excavated Dirt Pile ROADSIDE 18" 24" Min Final Grade Typical To Excavated Dirt Pile j/A� \i % Backfill for DB 120 Conduit/Direct Buried Cable % (No Rocks over 10" Diameter 12" Min \! 48" 36� Separation Min Max Cover 6" or 12" of sand, 5/8" minus or clean backfill shading 3" of sand, 5/8" minus, or clean backfill bedding %Z/ Phone & TV J Primary Power Cable Direct Buried or in PSE provided DB120 Grade Conduit JOINT TRENCH DETAIL — 1- 5F' MIN 3' z z MIN O o w ° �w i z °a 2 Wrn LL LL Q 0 v 3' MIN Q z Lu 3' MIN uJ 0-�of o 1--06U 5'MIN Lu o00 l n n U i o 1-- WQW 5'MIN W �UQ 5'MIN cnU) v WY UQ 10- MIN UQ o I�� Q Q I� ROAD OR PARKING AREA MINUMUM CLEARANCES FOR PSE EQUIPMENT NO2 SCALE: NONE 8'-0" 8'-0" 8" or 10'-0" 4'-2" j jJ, 7'-0" i 7'-0" 131313 Ju E [30 _�..- SIDE VIEW -�-1 Excavation - 20 cubic yards VAULT & EXCAVATION DETAIL AT V02 Not to scale TOP VIEW 6045.5000 2" Crushed 4'-6" Rock I TRANSFORMER INSTALLATION (PM) Installed at site: V02 Grid Number: 618957-154242 kVA Rating: 500kVA 277/480y Material ID#: 6259250 Foreman to redline the following information Company ID#: Primary phase connected to: Tested Secondary Voltage 15424 500 kVA 277/480V (ABC) PSE PROVIDE 14" DB120 COND 2-573) 2-57(3) 2-60, 2-59 2-34 2-44 R 2-57(6) 3-19B 2-55(185') 2-36(120') 2-54A(120') 'SE PROVIDE 1-Y DB120 COND - 350 UG QUAD (136) 618955 J01 154240 ONE -LINE CONDUIT DIAGRAM NOT TO SCALE .1 . B­—; 15W ; i ••.• CO2469 • 13-140165T �A,B C: A © 13-13217 65T 13-1523 Rp •30 cal FTON �.30 13-423 . •C• A" 13-914 3 30 o �• •- 'OR C: 1 pREwS :300 JOB SITE S SA/Nr AN •'a 13-424 A . •'3S h :A. 30. MC CORMICK WOODS... GOLF COURSE G� OVERHEAD CIRCUIT MAP TRANSFORMER REMOVAL Removed at site: _ Vol Grid Number: 618982-154241 kVA Rating: _ 112.5kVA Foreman to redline the following information Company ID#: Primary phase connected to: Tested Secondary Voltage 618982 3� V01 /H01 154241 ✓ O77 112. o J ADS1 J01 BO 105 618955 ADS1 COE1Y6681 154240 A-COACN900 AOACN898\BOACN899 AOEHX044 BOEHX045 COEHX046 Project Manager Contact Information: Manager: Susan Williams Cell Phone: 360-204-0473 PRIMARY ONE -LINE & UG MAP: BEFORE E-mail: susan.williams@pse.com NOT TO SCALE PSE Locates Required NO Customer Locates Required YES V01 /H01 618982 154241 V02 618957 • AO-AEM064 (30') 154242 I BO-AEM065 (30') 500 kVA 277/480V (ABC) I CO-AEM066 (30') � J COEIY668� 618955 J01 15 240 J01 AOEHX044 r AOACN898 BOEHX0451 BOACN899 COEHX0461 COACN900 PRIMARY ONE -LINE & UG MAP: AFTER O POWER GENERAL NOTES - COMMERCIAL PROJECT 1. All materials to be installed in accordance with Puget Sound Energy's (PSE) standards. Any deviation from this work sketch must be AUTHORIZED by PSE's Project Manager and NOTED on the Foremans' Copy. 2. All switching arrangements and/or outage arrangements are to be made with the Project Manager at least three (3) working days in advance. CUSTOMER NOTES Customer is responsible for all trenching, select backfill, compaction & restoration per Puget Sound Energy Standards & Local Municipality (See PSE Electric Service Handbook for more details). 1. Contact the Utilities Underground Location Center (1-800-424-5555) at least 48 hours prior to commencing work to get the underground facilities located. 2. STAKING: The customer will provide all staking (transformer, handhole, trench, grade, lot, pole, sidewalk, etc.). See sketch and details for locations. Equipment locations must be approved by the Project Manager. 3. SITE PREPARATION: The work area will be at or near finished grade, clear of trench spoils or construction materials which would restrict construction and/or equipment access, before work can begin. 4. Roads shall be paved or have a compacted , crushed rock base in place. 5. CLEARANCES: Transformers require a minimum of 6 feet from fire fighting equipment, 10 feet from combustible walls, overhangs, doors, and windows, and a minimum of 5 feet from the back of curb (or guard posts will be required per PSE standards). All conduits and vaults are to be at least 5 feet away from water, storm and sewer lines when paralleling them in the right of way, and at least 1 foot when crossing them. 6. All work is to be done in accordance with local municipal and county permit requirements as applicable. 7. Inclement weather conditions may cause delays in construction times and dates. 8. EXCAVATION: The customer is to provide all trenching, backfill, vault excavations, compaction and restoration per this sketch and per PSE standards. A minimum protective cover of 36" is required over PSE's primary voltage equipment and 24" is required of PSE's secondary voltage equipment. The customer will provide any and all shoring or they will side slope the trench to 1:1. 9. EROSION & SEDIMENT CONTROL: Erosion & sediment control shall be per PSE standard practice 0150.3200 techniques for temporary erosion & sediment control & any additional local jurisdiction requirements. (Local jurisdiction may have additional requirements including notes detailing where erosion or sediment control structures are to be installed, cross section details of the typical erosion structures, & special requirements for work in sensitive areas.) 10. Customer is required to have meter inspected and approved by L&I/City prior to construction. CIRCUIT LOADING TABLE CIRCUIT: SIN-24 AS OF 9/22/2023 A PHASE B PHASE C PHASE EXIST. PEAK LOAD 333 280 242 EST. NEW LOAD 24 24 24 TOTAL 357 304 265 FOREMAN (CHECK BOX WHEN COMPLETED) ❑ PSE Equipment LOCKED/SECURED & Work Area left in CLEAN/SAFE Condition. ❑ Grid, Cable, and Switch numbers INSTALLED & VERIFIED. ❑ Field Changes RED -LINED on As -built. ❑ Material VERIFIED and CHANGES noted on Paperwork. ❑ Total PRIMARY Cable noted on As -built. ❑ Company ID#'s RECORDED in correct location on As -built. ❑ Indicate correct FUSE SIZE on As -built & VERIFY proper PHASE. ❑ Deviations noted on the As -built and their reason. ❑ 1 certify that the work performed meets PSE's standards and procedures and that all quality requirements are met. Foreman's Signature Print Name Date PROJECT PHASE NOTIF# ORDER# PWR Superior Cust Paid Xfmr Retire Cust Paid Wire Rem UG Misc Perm Svc Metering 513333693 105104090 584050254 108149754 594156790 514447538 104356580 514447539 3002390465 CABLE TV PHONE Vicinity Map jai z N 0 4 Q �o � oN 5� JOB SITE o� h akes r- Owner / Developer Contact Info City of Port Orchard Public Works Department 216 Prospect St Port Orchard, WA 98366 ATTN: Jacki Brown 360-876-7048 office C) C) For contacts below dial 1-888-CALL PSE (225-5773) CALL 811 TWO BUSINESS DAYS BEFORE YOU DIG THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIES Outages Required Flagging Required YES YES REAL ESTATE/EASEMENT EASEMENT AS NEEDED PERMIT City of Port Orchard 3 FUNCTION CONTACT PHONE NO DATE 2 PROJECT MGR Susan Williams 360-204-0473 9/21/23 1 ENGR - POWER Helene Sparks 360-475-7001 9/21/23 REV# I DATE BY IDESCRIPTION ENGR - GAS N/A N/A N/A COUNTY KITSAP Emer Sect N/A Gas Wk Ctr N/A POWER WK CTR QSSPE DRAWN BY Helene Sparks 360-475-7001 9/21/23 CHECKED BY Susan Williams 360-204-0473 3-12-24 1/4 SEC SE SEC9 T23 R1 E OP MAP N/A PLAT MAP N/A APPROVED BY Victor Ibarra 425-429-4574 3-12-24 FOREMAN #1 U-MAP NO (POWER) 2301EO36 OH CKT MAP 2301E040 �UG CKT MAP 2301E034 CIRCUIT NO SIN-24 FOREMAN #2 MAPPING JOINT FACILITIES ARRANGEMENTS UTILITIES N/A N/A N/A N/A CONTACT PHONE# N/A N/A N/A N/A N/A N/A N/A N/A PUGET SOUND ENERGY PSE CITY OF PORT ORCHARD COMMERCIAL 3P UG L/E & CONVERT XFMR VAULT INTO HH 5171 SAINT ANDREWS DR SW PORT ORCHARD, WA 98366 INCIDENT MAOP N/A N/A Gas Order Elect Order N/A 105104090 SCALE PAGE AS NOTED 1/1 Primary -Direct Buried or DB 120 (NTS) SCALE: 6" = 1 Mi NOT TO SCALE