20160116 ROW Permit 01252016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20160116
Issue Date: 1/2512016
(Work must be completed within 180 days)
Applicant:
Name: ASTOUND BROADBAND, LLC Phone
Address: 401 PARKPLACE CENTER, STE 500
KIRKLAND WA 98033
Property Information:
Site Address: MOSMAN AVE SE Owner:
Assessor Parcel No.: Subdivision:
Contractor Information:
Name: ASTOUND BROADBAND, LLC Phone:
Address:
401 PARKPLACE CENTER, STE 500
KIRKLAND WA 98033
Contractor License No.: Expires: 0 /00 /0000
Project Information:
Project: UTILITY
Description of Work: FIBER OPTIC CABLE. MOSMAN AVE SE AND 1ST ST S
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
RIGHT OF WAY
Contractor
ASTOUND BROADBAND, LLC
TOTAL FEES:
Applicant's Affidavit:
I certify that I have read and examined the information contained within the application and know the same
to be true nd correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm reg lations including those governing zoning and land subdivision, and in addition, all covenants,
easemen s a dpe5£rictions of record. If applying as a contractor, I further certify that I am currently
register e in State of Washington.
Signature _f Date Z5 UP
Firm
425 - 256 -0547
Lot:
Fees
$ 125.00
$ 125.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: ASTOUND BROADBAND, LLC
Address: 401 PARKPLACE CENTER, STE 500
KIRKLAND WA 98033
Property Information:
Site Address: MOSMAN AVE SE
Assessor Parcel No.: Subdivision:
Project Information:
Project: UTILITY
Permit No.: 20160116
Fee Calculation Worksheet
Phone: 425 - 256 -0547
Owner:
Description of Work: FIBER OPTIC CABLE. MOSMAN AVE SE AND 1 ST ST S
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Units
RIGHT OF WAY PERMIT 1
TOTAL FEES:
PAYMENTS MADE:
BALANCE DUE:
Lot:
Fees
$ 125.00
$ 125.00
$ 0.00
$ 125.00
City of Yelm
(36 ) 458 -3244
REC #: 00220335 1/25/2016 4:57 PM
OPER: CO TERM: 001
REF #: 13231
PAID BY:
TRAN: 33.0000 BUILDING PERMITS
20160116 125.0(CR
ASTOUND BROADBAND, LLC
MOSMAN AVE SE
ROW 125.0(CR
TENDERED: 125.00 [HECK
APPLIED: 125.00-
CHANGE: 0.00
Llba4,4
b c�di z @..give btz
Aas a%- a ye
N
1
City of Yelm
PUBLIC WORKS
901 Rhoton Rd NW
Yelm, WA 98597
Phone: 360-458 -8406
FAX: 360 - 458 -8417
Permit No. U 1 (0
Application to Perform Work on
Public Right of Way and /or Connect
to Utilities
APPLICATION
The undersigned hereby makes application to:
_
Attach 8,000' of New' /." Strand and xxCT Fiber Optic cable(s). We plan to run our new strand and fiber optic cables from Mosman
Ave SE and 1 st St S(where it will tie in with our existing (future) fiber optic cable). Our cable will run NE on the eastern side of the
road for approx. 1,130' before ending one pole north of the intersection of N 1 st St and E Yelm Ave, From there it will continue NW on
the Southern side of the road for approx. 850' before crossing to the northern side of the road at the intersection of W Yelm Ave and
SW Edwards St. It will run on the northern side of W Yelm Ave for approx. 6,272' where it will end.
Location of work: The location of the work is 1st St S between Mosman Ave SE and E Yelm Ave. As well as W Yelm Ave
between N 1 st St and Burnett Rd E; Where the job will end.
I agree to perform the work in strict compliance with Yelm Municipal Code, Chapter /, the special
conditions enumerated herein and the attached conditions I have read and will adhere to the general provisions
applicable to permits contained on this form.
The Public Works Department (360 -458 -8406) must be contacted for insaection 24 hours before work
commences or this permit will be void.
The Underground Utilities Coordinating Council (1- 800 - 424 -5555) must be contacted two (2) working days
before proceeding with any excavation associated with this permit.
Name: Astound Broadband. LLC
Address: 401 Parkplace Center, Suite 500, Kirkl d, WA, 98033 Phone: 206 -765 -0915
Proposed starting date of installation: Z / I Duration: •
Date: / 6
Signature:
CE PERMIT REQUIREMENTS '
For Official Use Only
Fee $
Issued
Fee Received $
Application Approval
Signature:
Receipt Number
To Be Completed By City
Permission is hereby granted to perform the above described work subject to the general provisions contained
on this form, and the following special conditions:
A bond in the amount of is required to insure compliance with the above
conditions, refundable upon satisfactory completion of work.
No work shall be done under this permit until the party or parties to whom it is granted shall have
communicated with and received instructions from:
Remarks:
First Inspection
Date:
Inspector Final Project
Completion Approval:
Date:
Revised 03/09/2011
GENERAL PROVISIONS APPLICABLE TO ALL PERMITS
In accepting this permit, the petitioner, his successor and assigns, agree to protect the CITY OF YELM,
WASHINGTON, and save it harmless from all claims, actions or damages of every kind and description which
may accrue to or be suffered by any person, or persons, corporation or property by reason of the performance of
any such work, character of materials used or manner of installation, maintenance and operation or by the
improper occupancy or rights of way or public structure and in case of any suit or action is brought against said
City for damages arising out of or by reason of any commencement of such action, defend the same at his or
their sole cost and expense and will satisfy any judgment after the said suit or action shall have finally been
determined if adverse to the said City.
If the work done under this permit interferes in any way with the drainage of the area, the grantee shall wholly
and at his own expense make such provisions as the City may direct to correct said drainage problems.
Upon completion of said work herein contemplated, all rubbish and debris shall be immediately removed and
from the roadway and roadside shall be left in a neat and presentable condition that is satisfactory to the City.
The party or parties to whom this permit is issued shall maintain at his or their sole expense the structure or
object for which this permit is granted in a condition satisfactory to the CITY OF YELM.
The CITY OF YELM may revoke, annul, change, amend, amplify, or terminate this permit or any of the
conditions herein enumerated if grantee fails to comply with any or all of its provisions, requirements or
regulations as herein set forth or thru willful or unreasonable neglect, fails to heed or comply with notices given
or if the utility herein granted is not installed, operated, and maintained in conformity herewith or at all or for
any cause or reason whatsoever.
All work areas shall be adequately barricaded according to MUTCD Standards. Barriers shall be properly
lighted at night.
All trenches shall be backfilled with selected backfill materials unless otherwise directed by the Engineer.
PAVEMENT REPLACEMENT: Asphalt pavement shall be replaced to a minimum depth of four (4) inches
thick or match to the existing pavement whichever depth is greater and to the dimensions specified by the
Engineer. In gravel alleys the permittee shall replace base and surface rock.
All work shall be conducted using current WISHA/OSHA regulations. Particular attention shall be paid to the
requirements as they pertain to work in trenches, electrical work, work in high places and to safety apparel such
as, hard hats and safety vests.
All work shall be completed to City Standards as set forth in the City of Yelm Development Guidelines, and
policies.
The PUBLIC WORKS DEPARTMENT office (360 -458 -8406) must be contacted for inspections 24 hours
before work commences.
Revised 03/09/2011
Astound Broadband, LLC:
5364 -TMO
Job Contacts
I.W!- t ZI -1 M-
20'8" Street Clearance
W' Strand & New
Fiber Optic Cable
Edge of RoW
Tyler Libadia 425 - 256 -0547
I Cover Page I TMO -5364 I Cover
tlibadia @wavebroadband.com
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Job Contacts
Tyler Libadia 425 - 256 -0547
Design TMO -5364 Page 3
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TRAFFIC CONTROL PLAN
(0"E& F;Ot - Job Contacts
i w k Tyler Libadia 425 - 256 -0547 Traffic Control Plan 2 TMO -5364 Page 8
:3 SfON 401-DINGS ccr*,11 r`r ` tlibadia @wavebroadband.com
BUFFER DATA
LONGITUDINAL BUFFER SPACE ■ B
SMID om" .i 1s 1_ ii 60 4i t0
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BUFFER 'VEHICLE ROLL AHEAD DISTANCE ■ R
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GPEED OAPHI j t7 35 Ti 45 . w 55 60 is 70
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TRANSPORTAIBLE ATTENUATOW
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:57;
RURAL ROADS 4 URBAN ARTErbALS 23 30 MPH
RESIDENTAL 3 BUSNIESS DIST14EICTS
_
URBAN STREETS 25 MPH pit L--SS
>ar t 4:
111 ALL SPACING MAY BE AWUSTEE TO AZ:COMkWA1E tNTERCHANGE
RAMPS AT•GRADE NTERSECTIONS A40 02141EV1AYS
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Job Contacts
Tyler Libadia 425 - 256 -0547
tlibadia @wavebroadband.com
NOTES
GHANNIL.hZATKJN UEVGE
SPACING (foell
fIPH T i4PER i IANCxthT
5ube 4o '0
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PCMS _!1
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11`1E 15 LOCATE It. ADVANCE
OF TEMPORARY SKIS
�PCMS $2
LANE 1 MILE
3NIF73 A14EAD
LEFT
2.0 SEC i -0 SEC
F;E -D LOCATE IA ADVANCE
OF TEMPORARY SIGNS
1 SEE "CW. PASIASiaNS 'OR 'HORN. 4OUR RESTRICTIC#9
2 FOR SFEFO LIMT OF 30 UP-1 4R IES5 USf 54;-A Wl.3 IN IIFU Cr SIGN W?+I
RECOMIRIFJOR) EITENDINC DE410E TAPER 1.11 AC4OES SF4D.,`LDER
4 ALL SG" ARE BL4CK ON OFAW4E JNLESS OTKRYASE DESIGKik-ED
F ICY
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Washinglon State e..
Department of Transportatio-a _ v
TRAFFIC CONTROL PLAN
Traffic Control Plan 3
TMO -5364 I Page 10
SIGN SPACING a X (1)
RURAL ROADS & URBAN AR'ERIALS 3S .40 IuPH 3W*
RURAI ROAM, 1JR N ARTERIALS, 25 1 30 MPN 2W - 121
RESIDENTIAL d WSNESS MIRICTS
IIRDAN STREETS 25 1AP17, DR LESS
i; ALL SPACIN3 MItY BE ACIUSTED TO ACCOMMODATE
INTERSECTIONS A D DFNE.V4YS
Im S SPACING MAY BE REDUCED IN uRem AREAS TD PfY
RCWpItW4Y C00111IDW
MINIMUM SHOULDER TAPER LENGTH w U3 (IAN) CHANNEWATION DEVICE
SPACING foot
4OLLDER PuNd Spoad (mph) tNPfl TAPER TANCE4- s
VAU IN -"- - -- 3740 10 60
lowl 25 )7 4 4C 45 SO 5: 69 C5 i0 2930 20 40
! 40 43 EO lK
----- ---- -
17 4C 63 00 K _
IkC A. ' OtVGES TAPER FOR W0VLDEF; LESS Itt " d
OAHEAD 43,
ROAD SHOULDER
WORK 4r
W23 -3 Wi i 5
BUFFER DATA
LCKGITU0I4A!_ 13UFFER SPACE R B
SPFEG MPM(
It 0 35 40 47 $O 5 60 65 i 70
LEND WI l 1% 20C ZSO 3U5
BUFFER VEHICLE ROLL AHEAD DISTANCE = R
TRANSPOPTABLE ATIENUATOR 3D FEET MIN
IdINIMUV HOST VEHICLE 'ALIGHT '50500 LR'; T14E W"IMLM �3
WE* KT $BALL BE IN ACGCftDAhCC VW—M 1HC #AANI rACrURF'R6. !C0 ILLT MAX
HE„',47MhIENDPTIQV
FttiaT trfE JfHICLF VO SPTCIFiFD
MAY BE A VQRK VEHICLE STRATEGICALLY LOW" TO SHELD CASTANC`
THE VOORC AREA REGLIFED
1. T
O I If II ; 'ARK ANCA 0 O
x U7 • R
30'
Fir Job Contacts
W'IVES
(in L Tyler Libadia 425 - 256 -0547 Traffic Control Plan 4 TMO -5364 Page 11
AAStON 4OLL7IN �C air4a ' tlibadia @wavebroadband.com
LEGEND
TEMPORARY SIGN LOCATION
SHOULDER CLOSURE -LOW
SPEED
C
CHANNEL04G DEVICES
I;40 MPH OR LESS)
NOTES:
l.rl
PRDTECTI'lE ✓ENILLE
t DEVICE SPACING FOR THE DCAWSTREAM TAI ER SHAL- BE 2UIFTi
NOT TO SCALE
A„L SIGNS ARE ELACK ON ORANGE
F LE MAME
SA -91 R P& S'43a`142arda'2
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4 I.P.olskad P5L'4TCI Work Zo—
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TRAFFIC CONTROL PLAN
Fir Job Contacts
W'IVES
(in L Tyler Libadia 425 - 256 -0547 Traffic Control Plan 4 TMO -5364 Page 11
AAStON 4OLL7IN �C air4a ' tlibadia @wavebroadband.com