20160314 ROW Permit 05272016City of Yelm
PUBLIC WORKS
901 Rhoton Rd NW
Yelm, WA 98597
Phone: 360- 458 -8406
FAX: 360- 458 -8417
APPLICATION
The undersigned hereby makes application to„
Permit No. 74440 3 q
Application to Perform Work on
Public Right of Way and /or Connect
to Utilities
Overlash 1 span (302') of .875 aerial coax cable..
Trench / bore 30' west along WA -507 from pole in ROW, then bore 50' across WA -507.
Place 1-4" conduit to new pedestal in front of Yelm Glass Company, then trench /bore to private property,
Location of work:
Yelm Glass Company, 16601 WA -507, Yelm, WA 98597
I agree to perform the work in strict compliance with Yelm Municipal Code, 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 inspection 24 hours before work
The Underground Utilities Coordinating Council (1- 800 - 424 -5555) must be contacted two (2) working days
before Loceedin , with any excavation associated with this permit.
Name: steve Steve Harshfield
Address: 4610 ma
Taco��
_.. Ave, Sumner, WA 98390 Phone; 253-266-4741
Proposed starting date of installation: 3/1/16 Duratitav:30 days
Date: 2/5/16 9 Signature:
PERMIT RI UIREMENTS
For Official Use Only
Tee ,'U- t issue .�
Fee Received 1 . ao _J Application 4provef ,
To Be Com leted By City f
Permission is hereby granted to perform the above described work subject to the general provisions contained
on this form. and the followine special conditions: .
A bond in the amount of V. -.... is required to insure compliance with the above
conditions refundable upon satisfact2g 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:
First Inspection
Date:
Revised 03/09/2011
Inspector Final Project
Completion Annroval:
Date:
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
156642
YELM GLASS COMPANY
16601 WA -507
YELM, WA 98597
CONTACT PERSON:
SEFNCO COMMUNICATIONS
COMCAST
STEVE HARSHFIELD
TODD ZIMNY
4610 TACOMA AVE.
440 YEAGER WAY
SUMNER, WA 98390
OLYMPIA, WA 98502
253 - 266 -4741
(360) 507 -0598
sharshfield @sefnco.com
Todd —Zimny @cable.comcast.com
PROJECT SCOPE:
OVERLASH 302' OF .875 COAX & PLACE NEW RISER.
TRENCH /BORE 30' FROM ALONG WA -507.
BORE 50' ACROSS WA -507. PLACE 1 -4" CONDUIT
TO NEW PEDESTAL IN FRONT OF YELM GLASS CO.,
THEN TRENCH /BORE TO PRIVATE PROPERTY.
YELM
OF
Z S
.j
W
LLI
SECTION INDEX:
CL
1— COVER SHEET/ PROJECT LOCATION
2
2 — OVERVIEW
3 — DETAIL VIEW
66mcast
4— DESIGN MAP
5 — TRAFFIC CONTROL PLAN
WASHIMOTO YWtl(ET
PROJECT SCOPE:
OVERLASH 302' OF .875 COAX & PLACE NEW RISER.
TRENCH /BORE 30' FROM ALONG WA -507.
BORE 50' ACROSS WA -507. PLACE 1 -4" CONDUIT
TO NEW PEDESTAL IN FRONT OF YELM GLASS CO.,
THEN TRENCH /BORE TO PRIVATE PROPERTY.
YELM
OF
H
O
A US Post Office x
A
a
2
n
'r 7O61h Ave SE
-
g
m SITE
f y
p
= a,
�9
F
_ 1T# 156642 FILE NAME: YELM GLASS COMPANY SHEET
SERN VER REV 1 DATE: 2/5/16 1 OF 5
NUMBER:
COMMUNICATIONS
Verification of all utilities is the contractors responsibility. WA Dig line can be reached by dialing 811, WA law requires a 48 hour notice prior to digging. Not to sca.e. Do sae usefa .Dating.
TRAFFIC CONTROL PLAN
........
W
60 / 65 MPH
156642
I
YELM GLASS COMPANY
SPEED
LIMIT
35
16601 WA -507
5OF5
YELM, WA 98597
REVIEWED &APPROVED
1:
A SPOTTER AND /OR FLAGGER WILL MONITOR PEDESTRIAN & SIDE
STREET ACTIVITY TO MINIMIZE DISRUPTION TO TRAFFIC FLOW.
PROJECT SCOPE:
OVERLASH 302' OF .875 COAX & PLACE NEW RISER.
TRENCH /BORE 30' FROM ALONG WA -507.
BORE 50' ACROSS WA -507. PLACE 1 -4" CONDUIT
TO NEW PEDESTAL IN FRONT OF YELM GLASS CO.,
THEN TRENCH /BORE TO PRIVATE PROPERTY.
VA
DESIGN MAP
156642
YELM GLASS COMPANY I 16601 WA -507
Y040
YELM, WA 98597
ARM,= 3twtMlimtooR.Mi Se:llw4 I Sil Iiiiall m I =I ME I = I ON B = ISM I m i mmi mm i on i m i m im i m ism 9 m imoo am 1 m( 15 A 8 A >< mimtmimi
S
E
SEFNCO
Prepared By:
STEVE HARSHFIELD
Date:
2/5/16
ENGINEERED FOR:
COMMUNICATIONS
"Where service begins"
mcast
WASHINGTON MARKET
REV 4 OF 5
1
PROJECT SCOPE:
OVERLASH 302' OF .875 COAX & PLACE NEW RISER.
TRENCH /BORE 30' FROM ALONG WA -507,
BORE 50' ACROSS WA -507. PLACE 1 -4" CONDUIT
TO NEW PEDESTAL IN FRONT OF YELM GLASS CO.,
THEN TRENCH /BORE TO PRIVATE PROPERTY.
Karen Bennett
From: Karen Bennett
Sent: Thursday, May 26, 2016 11:51 AM
To: Karen Bennett
Attachments: 20160526114240. pdf
RIGHT OF WAY PERMIT TO RYAN TODAY2o160231
STUPID ME GOT INTO INCODE WHAT I COULD, AND SCANNED TO YOUR SCAN
FOLDER THE PLANS....
Karen T. Bennett
105 Yelm Ave W
Yelm, WA 98597
(360)458 -3835
karenb (& ci. uelm. wa. us
o"' T
a
a A
�T.
WAt l IIMG -UY
City of Yelm
PUBLIC WORKS
901 Rhoton Rd NW
Yelm, WA 98597
Phone: 360 - 458 -8406
FAX: 360 - 458 -8417
APPLICATION
The undersigned hereby makes application to:
Permit No. Zt'>140 3 )
Application to Perform Work on
Public Right of Way and /or Connect
to Utilities
Overlash 1 span (302') of .875 aerial coax cable.
""""""".
Trench / bore 30
west along WA -507 from pole in ROW, then bore 50' across WA -507..
Place 14" conduit to
new pedestal in front of Yelm Glass Company, then tre nch /boo re to private property.
Location of work:
Yelm Glass Company, 16601 WA -507, Yelm, WA 98597
I agree to perform the work in strict compliance with Yelm Municipal Code, the special conditions enumerat
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 inspection 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 rop ceedin�g with any excavation associated with this permit.
Name: Steve Harshfield
Address: 4610 Tacoma . Ave, Sumner, WA 98390 Phone: 253- 266 -4741
Proposed starting date of installation: 3/1/16 Duratirap:30 days
Date: 2/5/16 1 Signature:.
PERMIT R14OUIREMENTS
For Official
Fee JIssued u.
Fec Received I .Go Application
Receict Number Signature:.
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 followin s ecial conditions:
�i.'I
A bond in the amount of I? ° ° ° ° " ".... -_-- -- is required to insure compliance with the above
conditions, refundable upon satisfactog 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:
First Inspection
Revised 03/09/2011
Inspector Final Project
Completion At)nroval:
Date:
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 PLACEMENT: 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 WIS A /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
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