CivilWASHINGTON
Receipt
Receipt #: 1234
Amount Received $ 0.00
Project #: 2021.test3
Permit #: * 2021.9999.test.test1
Permit Category?: * Master Use (MU) Land Division (LD) Simple Permit
Date 12/29/2021
Single Line 2021
Application
Plans Upload: (?) You may upload multiple Files. Files must be in .PDF, .TIF or Image Format.
certificate.pdf 106.48KB
Property Address: * (?)
10084 Terra Glenn st se
Parcel #* (?)
http://www.geodata.org/parcelinfo/
12345678900
Project Description/Scope of Work:
test
Who am 1?* Owner
Lot M
3
Architect/Designer Other
Applicant: *
test
Telephone M *
1231231111
Email *
jasonh@yelmwa.gov
Address*
Street Address
106 2nd ST SE
City State / Province / Region
Yelm Washington
Postal / Zip Code
98597
Engineer #:
Telephone M
Email
Address Street Address
City State / Province / Region
Washington
Postal / Zip Code
General Contractor: License M
Telephone M Email
Civil Plan Review Checklist
STANDARD ITEMS: WATER, SANITARY SEWER,
STORM SEWER, STREET, LIGHTING, AND SIGNALS
() Vicinity Map
() Legend (APWA Standard Symbols)
() North Arrow
() Scale Bar
() Datum - Bench Mark Elevation And Location (on all sheets where
elevations are referenced)
() Title Block:
() Title: APPROVED FOR CONSTRUCTION
() Design By:
() Drawn By:
() Date:
() Checked By:
() Signature Approval Block
() Sheet Number of Total Sheets:
() Section, Township and Range (every plan/profile sheet)
() Engineers Stamp (signed and dated)
() Project Title (cover sheet)
() Utility System Map (showing all proposed utilities on one drawing)
() Revision Block
PLAN PORTION STANDARD ITEMS
() Center line and Stations
() Edge of Pavement and Width
() Right -of -Way and Width
() Proposed Survey Monumentation Locations and Details
() Sidewalk and Width
() Roadway Sections
() Existing Utilities (above and below ground)
() Adjacent Property Lines, Ownership, Parcel Number, and Street Address
() Identify Street Names, Right -of -Way, Lots
() Identify Match Existing Sheet Numbers and Stations
() Easements, Width and Type
() Define Survey Baselines
() Stations for Structures
() Flow Direction Arrows
PROFILE PORTION STANDARD ITEMS
( ) Profile Grades (decimal FT./FT.)
() Existing Ground
() Scale (horizontal and vertical)
() Stationing
() Vertical Elevation Increments
() Existing Utilities (if available)
Misc.
() Detail Sheet
() General Notes
SANITARY SEWER
Plan View: (Gravity System)
() Manhole
() Station Shown at Each Manhole (watch spacing)
() Manholes Numbered
() Manhole Type Designation
() Flow Direction (with arrow on pipe)
() Depth at Property Line and Distance from Downhill Manhole for
Side Sewer
() Distance from Water Lines
() Service to Each Lot
Profile View:
() Manholes Numbered
() Invert Elevation Showing Direction, In and Out
() Gravity
() Grades Shown (decimal form FT./FT.) slopes, depths
() Type of Pipe
() Size of Pipe
() Length of Pipe (in L.F.)
() Existing Utilities Shown
STEP SYSTEM
( ) Pipe Alignment, grade and offset, type and size
( ) Location of water, utilities crossing
( ) Location of pigging ports
( ) Location of pressure sustaining valves, check valves,
vacuum valves, pressure relief valves, gate valves
( ) Trench and restoration details showing depth,
bedding compaction requirements
() Septic (STEP) Tank
() Inverts elevation
() Size, type, location
() Side sewer location
() Electrical hookups
() Alarm and controls
() Pump operational characteristics
() Pump type
Misc.:
() Detail Sheet
() Sewer General Notes
WATER
Plan View:
( ) System Map (1" = 300') showing existing and proposed with line size,
valves, and hydrants
() Existing Utility Conflicts
() Fixtures (need horizontal and vertical control)
() Fire Hydrants (at all intersections. See Yelm Fire District #2)
() Blow -off (at end of line)
() Vacuum and Air Release Valves When Required
() Tees, Crosses, Elbows, Adapters and Valves Need Coupling Type,
Meter Locations
( ) Valves (2 each tee, 3 each cross)
( ) Fire Department Connection
() Thrust Blocking Required at all Fittings Including In -Line Valves
() Distance from Sewer
() Service to Each Lot (include open tracts)
Profile View:
() Existing Utility Crossings
() Show Fixtures (tees, crosses, hydrants)
() Show Valves and Couplers
() Size of Water -main
() Length of Water -main (in L.F.)
() Cover Over Pipe
() Grades (Engineered Design Grade to F.L.)
Misc.
() Detail Sheet
() Water General Notes
STORM SEWER
() Drainage and Erosion Control Plan Report
() Cover sheet
() Table of Contents
() Section 1 - Proposed Project Description
() Section 2 - Existing Conditions
() Section 3 - Infiltration Rates/Soils Report
() Section 4 - Wells
() Section 5 - Fuel Tanks
() Section 6 - Sub -Basin Description
() Section 7 - Analysis of the 100 -Year Flood
() Section 8 - Aesthetic Considerations for Facilities
() Section 9 - Downstream Analysis
() Section 10 - Covenants, Dedications, Easements
() Section 11 - Homeowners - Articles of Incorporation
() Project Engineers Certificate
() Facility Summary Form
() Engineer's Estimate
() Erosion Control Plan Report
() Section 1 - Construction Sequence and Procedure
() Section 2 - Trapping Sediment
() Section 3 - Permanent Erosion Control and Site Restoration
() Section 4 - Geotechnical Analysis and Report
() Section 5 - Inspection Sequence
() Drawings and Specification
() Vicinity map
() Project Boundaries
() Sub -Basin Boundaries
() Off -Site Area Tributary to Project
() Contours
() Major Drainage Features
() Flow Path
() Site Map
() Existing Topography at Least 50 Feet Beyond Site Boundaries
() Finished Grades
() Existing Structures within 100 Feet of Project Boundary
() Utilities
() Easements, Both Existing and Proposed
() Environmentally Sensitive Area
() 100 -Year Flood Plain Boundary
() Existing and Proposed Wells within 1,200 feet of Proposed
Retention Facility
() Existing and Proposed Fuel Tanks
() Existing and Proposed On -Site Sanitary Systems within 100 Feet
of Detention/Retention Facilities
() Proposed Structures Including Roads and Parking Surfaces
() Lot Dimensions and Areas
() Proposed Drainage Facilities and Sufficient Cross -Section and
Details to Build
() Plan View - Conveyance System
() Station and Number at each Manhole/Catch Basin
() Manhole/Catch Basin Type and Size
() Manhole/Catch Basin Rim Elevation
() Flow Direction with Arrow on Pipe/Channel
( ) Type and Size of Pipe
( ) Length of Pipe in Lineal Feet
( ) Profile View - Conveyance System
() Station and Number at each Manhole/Catch Basin
() Rim Elevation
() Invert In and Out
() Length of Pipe (in L.F.)
() Grades (FT./FT.)
() Design Velocity
() Work Map
() Unit Areas (including Off -Site Contributing Areas)
() Percentage Impervious
() Average Slope
() Estimated Ultimate Infiltration Rate
() Conveyance Date, Identifier (for Reference to Model Output),
Length, Slope, Inverts
() Overland Flow Paths and Distances
() Soil Types
() Spot Water Surface Elevations, Discharges and Velocities for the
Design Event
( ) Erosion Control Drawing
( ) Soil Types
() Locations of Soil Pits and Infiltration Tests
() Construction Entrance Detail
() Silt Fences and Traps
() Mulching and Vegetation Plan
() Clearing and Grubbing Limits
() Existing and Finished Grade
() Details and Locations of all BMPs Recommended
() Location and Details of Temporary Sediment Ponds
() Maintenance Report
() Required Type and Frequency of Long -Term Maintenance
() Identification of Responsible Maintenance Organization
() Frequency of Sediment Removal
() Cleaning of Catch Basins
() Vegetation Control
() Annual Cost Estimate of Maintenance
() Construction Inspection Report
Misc.
() Detail Sheet
() Storm General Notes
STREET
Plan View:
() Flow Direction Arrows at Curb Returns Showing Grade
() Spot Elevations on Curb Returns
() Station PC, PT, PI, and Intersections
() Curve Information Delta, Radius, Length and Tangent
() BCR and ECR (Begin Curb Radius, End Curb Radius)
() Identify All Field Design Situations
() Typical Sections
() Pavement Marking Details With Station and Offset
() Sidewalks
() Driveway Entrances
() Station
() Width, Material (AC, PCC)
() Driveway Type
() Curb Ramps - Detail and Type
() Public Transit Facilities and Bus Stops
Profile View:
() Vertical Information VPI, BVC, EVC, AP, Low Point, High Point
() Show Grades in Decimal Form with (+ or -) Slope
() Super Elevated Roadways
() Detail - Show Transitions
() Special Detail Showing Gutter Flowing Adequately
Misc.
() Detail Sheet
() Street General Notes
() AASHTO Street Design Worksheet, With Soils Report, if Applicable
ILLUMINATION AND SIGNALS
() Lighting
() Station and Offset to Fixtures
() Pole Type, including Manufacturer
() Mounting Height, Arm Length, Anchor Bolt Size and Pattern
() Power Source
() Wire size, Type, Conduit
() Line Loss Calculations
() Luminaire Type, Lamp Wattage
() Location of Service Disconnects (5% Max. Voltage Drop from
Source to Farthest Luminaire)
( ) J -Box Location (include station and offset)
( ) Signals (Follow WSDOT Specs Unless Otherwise Required by the
City)
( ) Station and Offset to Signal Base, Cabinets, Ped. Lead, Loops, etc.
( ) Wiring Schedule
( ) Signal Heads and Mounting Assembly
() Detection Loops
() Opticom
() Control Cabinet, Size and Layout
() Power Source
() Conduit
() Wire Size and Type
() Construction Notes
() J -Box Schedule
() Pedestrian Signal Type with Push Button
() Controller Type, Configuration, and Wiring Schematic
Misc.
() Detail Sheet
() Lighting General Notes
() Line Loss Calculations
MISCELLANEOUS
() Easements and/or Dedication Deeds
() Contract Documents/Specifications
Additional Items:
( ) Sheet Index (on title sheet if required)
( ) Field Verify Note on DWG - Expose Connection Points And Verify Fittings
48 Hours Prior To Distributing shut -Down Notices
() Call Before You Dig Note
() Signing - Temporary And Permanent
() Channelization
() Location of Cluster Mailboxes
Applicant I have read the above Application Requirements and understand that there is a $250.00 deposit fee required before
Agreement: * review of my application.
I Agree