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20160199 ROW Permit Pkg 05052016Applicant: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No.: 20160199 Issue Date: 5/05/2016 (Work must be completed within 180 days) Name: PUGET SOUND ENERGY Phone: 253 - 306 -2255 Address: 2711 PACIFIC AVE SE OLYMPIA, WA 98506 Property Information: Site Address: 15624 COATES RD SE Owner: Assessor Parcel No.: 22719230400 Subdivision: Lot: Contractor Information: Name: PUGET SOUND ENERGY Phone: Address: 2711 PACIFIC AVE SE OLYMPIA, WA 98506 Contractor License No.: Expires: Project Information: Project: UTILITY Description of Work: WORK IN ROW TO RELOCATE AN EXISTING POLE APRROX 10 FT NW OF THE CURRENT LOCATION. NO TRENCHING AND NO ASPHALT CUTS Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item RIGHT OF WAY Contractor PUGET SOUND ENERGY TOTAL FEES: App cant's Affidavit: I ce ify that I have read and examined the information contained within the application and know the same tc b true and r . I a o certify that the proposed structure is in conformity with all applicable City of Yel regulati s imcludi those governing zoning and land subdivision, and in addition, all covenants, eas ments a re tric ns of record. If applying a contractor, I further certify that I am currently regi tered in t o tate hin t c Signa re Date c ✓ - J ''v v [ Firm JC-' Fees $ 125.00 $ 125.00 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: City of Yelm Permit No. d lUi� 19 PUBLIC WORKS trenching/No asphalt cuts 901 Rhoton Rd NW Application to Perform Work on Yelm, WA 98597 Public Right of Way and /or Connect Phone: 360- 458 -8406 to Utilities FAX: 360 - 458 -8417 Name: Puget Sound Ener /Potelco INC APPLICATION The undersigned hereby makes application to: I'No Work in ROW to relocate an existing pole- approx. 10' N.W. of the current location. trenching/No asphalt cuts Location of work: 15624 Coates Rd. S.E. 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 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 proceeding with any excavation associated with this permit. Name: Puget Sound Ener /Potelco INC Address: 2711 Pacific Ave. S.E., Olympia, WA 98506 Phone: 253 306 -2255 Proposed starting date of instal latio : 05/16/16 Durati :2 days Date: 04/21/16 Signature: PERMIT REQUIREMENTS For Official Use Only Fee $ IZ Issued 7 l Fee Received $ IBS.— Application Approval Signature: Receipt Number po a3 o34 2 To Be Completed B City Permission is hereby granted to perform the above des ibex( work subject t theeneral provisio s contained on this form, and the followingspecial conditions: VA: - , ,� fit i r00 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: r' Inspector Final Project Com letion Approval: Date: _ Revised 03/09/2011 z w g � a .a � 00 zm O of U S�c U N N o 9 °- a LL.L, m &fn m E0 EN Y gd y , N a° m Q to m m 0 U N r N o 2 i Y m� m Wt >u NF Y o� e� C Olb c CV O N O E �t o-oo.v a � �I x m ° w m Em m m Lei LL C3 LL a m� MN h� # E 0 U CL c c 0 0 EEC m m � =Lm Q1 0 mco ° z x ma° } x U F- o O Z z m U W a za m cnu U N ° aO c � � U N m m Co o c F- LL 3 51- 10 i I I I I f 3S IJ djawS 0350V � � MN IS 6aagpS C } •I yU a ti ' C V m I v c Wo co •` j Oj '' �' ll .. 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Ziyj am j 9•. �U7. r . yQ SITE PLAN 0 11 2' 111 =50' 0 50' 109- E PF71PPUFNT Or)l F TAR[ F SIT_ SPECIFIC NOTES LABOR UNITS At P01 (559579-147361) 2006 CLASS 2 - 45' - REMOVE POLE AND ALL PSE EQUIPMENT (2ND TRIP) 2 -129 X 1 At P02(559578- 147361) - INSTALL NEW CLASS 2 - 45' POLE (PD452) 6010.1000 3-10 X 1 APPROXIMATELY 9' NE OF EXISTING POLE DEVELOPER TO STAKE NEW POLE LOCATION - INSTALL 1-9'8P ARM WITH 30 PTP (TAN313) 6033.1012 - INSTALL 1- 4"RIGID CLEVIS -EIW - TRANSFER EXISTING 25KVA OH TRF 2 -24 X 1 -SWING EXISTING SVC FOR "509- TO NEW POLE TRANSFORMER TRANSFER New Ia at Ala: P01 /1"02 Grid Number 559578- 147361 4VA R: 25 Foreman to redline Ne following Intormation Company ID# Primary Phu. wnnected b Tented Secondary VOlu9e I POLE TABLE (NEW) Sill POLE DATA ORDER# POLE TRANSFERS REMARKS SITE GRID # HEIGHT C 45' XFMR CO. TOPPE PSE Equip 15624 Coates Rd. SE WA F «emana sl9retw4 - N/A # WA NIA S S Y -R ID# D RMVD TEL TV FIBER ST. LIGHT IADOITIONAL INFORMATION) P01 559578- 147361 45' 2 2008 Gas V1k Ott POWER WA SITEx 0 ED E ❑ E Comcast, Century Link SIT_ SPECIFIC NOTES LABOR UNITS At P01 (559579-147361) 2006 CLASS 2 - 45' - REMOVE POLE AND ALL PSE EQUIPMENT (2ND TRIP) 2 -129 X 1 At P02(559578- 147361) - INSTALL NEW CLASS 2 - 45' POLE (PD452) 6010.1000 3-10 X 1 APPROXIMATELY 9' NE OF EXISTING POLE DEVELOPER TO STAKE NEW POLE LOCATION - INSTALL 1-9'8P ARM WITH 30 PTP (TAN313) 6033.1012 - INSTALL 1- 4"RIGID CLEVIS -EIW - TRANSFER EXISTING 25KVA OH TRF 2 -24 X 1 -SWING EXISTING SVC FOR "509- TO NEW POLE TRANSFORMER TRANSFER New Ia at Ala: P01 /1"02 Grid Number 559578- 147361 4VA R: 25 Foreman to redline Ne following Intormation Company ID# Primary Phu. wnnected b Tented Secondary VOlu9e I POLE TABLE (NEW) Sill Pole Data ORDER# Grid M Height Class Year Remarks I Location Ref. P02 559578 - 147361 45' 2 WA PSE Equip EROSION & SEDIMENT CONTROL REQUIREMENTS EROSION & SEDIMENT CONTROL SHALL BE PER PSE STANDARD PRACTICE 0150.3200 TECHNIQUES FOR TEMPORARY EROSION & SEDIMENT CONTROL & ANY ADDITIONAL LOCAL JURISDICTION REQUIREMENTS. (LOCAL JURISDICTIONS 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 YORK IN SENSITIVE AREAS.) rar�rw `E�r rxvnnNra. All- 6,® n.uvatmr« anvalaa ��J� EX. UNDERGROUND CIRCUIT MAP 1702EO74 D sl' S mvtlaNNACa otrw «oar vscFrAlso snE ' TOP VIEW UTILITY POLE EROSION CONTROL DETAIL Not to scale Drainage ditches or Dry vegetated sites Utility Pole Erosion Control EX OVERHEAD CIRCUIT MAP 1702E116 SCALE: 1" =880' FOREMAN (CHECK BOX WHEN COMPLETED) Vicinity Map ORDER# ❑ PSE E4ugmenl LOCKEDSECURED d WOM Na WO in CLEAN/3AFE COMbion. ❑ GM-1 and Sundt rMmben lNS'lALLEDS VERIFIED. ❑ FWdCMn RED-LINEO -Aa- N.T.S. 101098227 N/A ❑ Mnme1VERIFIEO aM CHPNGES rated en PePenmrk ❑ Tae- PRIMARY Cabal loved on Aa bua - 593169324 ❑ Co rry lDa'a RECORDED n wrte¢botion en Aa-bviL ❑ FUSE SIZE en A -butt b VE2 par PHASE. E3 M ed on IM Aa2uA aM IMk reams. _ WA ❑ urvMN.Ilw.,vH:cedam » d mane PSea st.m.raaam vmvmxraa .m Net.laut4y r.9a.em.nta.a m.t 15624 Coates Rd. SE WA F «emana sl9retw4 - N/A Pmt Nome Dela WA NIA WA CABIF TV Bnen Harmon 4254955528 PHONE REYi! DATE BY DESCRIPTION ENGR -GAS Brun Harmon 425495-5528 04.14.16 COUNTY Thtaetpn County Error Sect WA Gas V1k Ott POWER WA SITEx DRAWN BY Brun Haman 4254955528 04.14.16 CHECKED BY � 1/4 SEC NE 19- 17N42E tl� MAP N/A APPROVED BY FOREMAN #1 U-MAP NO (POWER) 17112E0]4 OH CKT MAP UG CKT MAP CIRCUR NO 1702_ 16 1702E074 YEL -25 FOREMAN #2 MAPPING JOINT FACILITIES ARRANGEMENTS UTILITIES rtwe Cat Olympia Can Usk RIGHT OF WAY EX OVERHEAD CIRCUIT MAP 1702E116 SCALE: 1" =880' FOREMAN (CHECK BOX WHEN COMPLETED) Vicinity Map ORDER# ❑ PSE E4ugmenl LOCKEDSECURED d WOM Na WO in CLEAN/3AFE COMbion. ❑ GM-1 and Sundt rMmben lNS'lALLEDS VERIFIED. ❑ FWdCMn RED-LINEO -Aa- N.T.S. 101098227 N/A ❑ Mnme1VERIFIEO aM CHPNGES rated en PePenmrk ❑ Tae- PRIMARY Cabal loved on Aa bua - 593169324 ❑ Co rry lDa'a RECORDED n wrte¢botion en Aa-bviL ❑ FUSE SIZE en A -butt b VE2 par PHASE. E3 M ed on IM Aa2uA aM IMk reams. _ WA ❑ urvMN.Ilw.,vH:cedam » d mane PSea st.m.raaam vmvmxraa .m Net.laut4y r.9a.em.nta.a m.t 15624 Coates Rd. SE WA F «emana sl9retw4 - N/A Pmt Nome Dela WA NIA WA PROJECT PHASE NOTIF9 ORDER# PWR SuPenor Pole Ramovai YMre Transfer Td Transfer Job Order Jab Order 503032194 101098227 N/A INN4842 WA 593169324 WA 583053974 WA WA WA WA GAS DStri.4- Service Stubs HP S-iMSA NIA N/A NIA WA NIA WA CABIF TV Bnen Harmon 4254955528 PHONE REYi! DATE Owner / Developer Contact Info Mounts n Terrace Bolden Protect Manager C-1- Intomaeom 14730S R-. 507 Manager.' Brun He Yelm WA. 90597 Ced Phone: 4254955520 ATTN: Mike Kempmn 360.5074IM af8ce E -Mad' brun.harmon @pae.R m Far --I. — dui 1- CALL PSE (225 -5773) �. CALL (600) 424 -5555 VaeX Yea X PSE 2 BUSINESS DAYS BEFORE YOU DIG - .V Requkad- Y.X w -F,,i, Raaunad- YaaX No REAL ESTATEIEASEMENT NIA PERMIT CIN Or Yelm 3 FUNCTION CONTACT PHONE NO DATE 2 PROJECT MGR Bran Harmon 425495-5528 04.14.16 1 ENGR -POWER Bnen Harmon 4254955528 04.14.16 REYi! DATE BY DESCRIPTION ENGR -GAS Brun Harmon 425495-5528 04.14.16 COUNTY Thtaetpn County Error Sect WA Gas V1k Ott POWER WA WK CTR OSTHLE DRAWN BY Brun Haman 4254955528 04.14.16 CHECKED BY 1/4 SEC NE 19- 17N42E OP MAP PLAT N/A MAP N/A APPROVED BY FOREMAN #1 U-MAP NO (POWER) 17112E0]4 OH CKT MAP UG CKT MAP CIRCUR NO 1702_ 16 1702E074 YEL -25 FOREMAN #2 MAPPING JOINT FACILITIES ARRANGEMENTS UTILITIES rtwe Cat Olympia Can Usk RIGHT OF WAY CONTACT Mark Tanea Waldo Hoknpuat ROW TBD PHONE# 360.357.1230 360-754-5912 ROW TEL TBD T PUGEI Tyler Terrace Pole Relocate SOUND Relocate 1 Distribution Pole for Tyler Terrace Plat ENERGY 15624 Coates Rd SE, Yelm, WA 98597 DESIGNED BY PUGET SOUND ENERGY NIA NIA ]INCIDENT 010687 PAGE 50' 1 OF 1 City of Yolm (36 ) 458 -3244 REC #: 00230342 5/05/2016 12:29 PM OPER: CO TERM: 001 REF #: 827177 PAID BY: TRAN: 33.0000 BUILDING P(RMITS 20160199 125.000R PUGET SOUND ENERGY 15624 COATES RD SE ROW 125.00CR TENDERED: 125.00 ('HECK APPLIED: 125.00 - CHANGE: 0.00