2015-24 ROW Permit 11022015 ,�y it N
of OM Permit
PUBLIC WORKS �mo.
1 901 11 hoton Rd NW Application to Perform Work on
Yehin,,WA 98597 Public Right of Way and/or Connect
Phone- 360-458-8406 to Utilities
FAX. 360 458 84117
The undersigned hereby makes application toe_
Install new ole in ROW.No ave ent cut/No trenchi °°°°°°°°...,,,,°.. ..n.,�
.� e ��.......�p _. n ....
Job# 105079384
.. --...........°..------
Location of work:
_J 6 5 l agree rce i l u Ai%,
perform the workLin strict rcon pl.aa rrce _....._ °
with �`elun Municipal t,ode, G,Giapteu .. the specictq
conditions enumerated herein and the attached conditions I have read and will adhere to the general provisions
��l�l�licable t�r���G��uts contained on this form,_r ._.. - ----�°w --_
The Public Works Department(360-458-8406) must be contacted for inspection 24 hours before worl�
c e ces or t is er it it e void® _
The Underground Utilities Coordinating Council 1-800 424-5555 must be contacted two 2 working days
before roceedin with any excavation associated with this per it.
Narne
cic[i ss 2711 Pacific Ave' S E 01 Frn �r iF WA 98506 �'hon (3 50) 570-6824
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tion
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l)E! NUTRE UIREMENTS
For Official Jse Only
_ — _...
if ee [ssucd j
Receiet Number �ppl��a��aNiii a61�1 (s�ii
p _ tiiYC: /
To Be f aarui .il feted l .,,. °°°.°.°. _.. ____-
Permission is'hereby ranted to perform the above described work subject to the general provisions contained
on this form, and the following special conditions:
_
A bo n d in
the amount rw_....................ww�...... o f _...�.m..�............._.is...re q uired to.........insure...compliance with the above
conditions, refundable upon satistactor completion of work.
No work shall be done cinder this permit until the party or parties to whom it `" i°a s � a... v...__.
` nted shall have
communicated with and received instructions from:
............_.....................°° .. __ _ —_-..--- ....,_......................
Remarks:
First Inspection Protec
t
Bate: Cn letion Apprqy4l �
. I F1dle
_ ----------
Revised 03/09/2011
GEN ERAL PROVISIONS APPIACA.1311.1', TO All.,111-1 PRIZN111'J'S
In accepting this permit,the petitioner, his successor and ommigoa, agree to protect the CITY OF YELM,
WASHINGTON, and save iiharm\eom6-om all claims, actions or damages of every kind and description which
may accrue toorbe suffered byany pcc000, orpermuno, 00rporabonorprope/tybyreamonofLhcperbornounoeof
any such work, character of materials used or manner of installation, maintenance and operation or by the
improper occupancy or rights of way orpublic structure and in oaeo of any suit or action is brought against said
City for damages arising out mfnrhy reason o[any commencement of such action, defend the same at his or
their sole cost and expense and will satisfy any jadAmeotaftmrdbesuid suit ozaction mhu|| have finally been
determined if adverse tn the said City.
11"1he work done Linder 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 debt-is m6a|| be iounedio1o/y removed and
from the roadway and roadside shall be lo8 in u neat and presentable condition that is satisfactory 1utile City.
The party or parties towhom this permit im issued shall maintain at his or their sole expense the structure or
obiect for which this permit is granted in a condition satisfactory to tile CITY OF1/ELM.
The CITY OF YELM may revoke, annul, change, arnend, arnplify, or terminate this permit or any of the
conditions herein enumerated if grantee fails to comply with any o,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
nri[the utility herein granted is not installed, operated, and maintained in conformity herewith mrctall or for
any cause or reason whatsoever.
&//vvockareammba\/ be adequately barricaded according 1oMD3`CDStandards. Barriers shall beproperly
lighted o1night,
All trenches mbm|| be buckfi\|ed with selected bnokfi|\ materials unless otherwise directed by the Engineer.
PAVEMENT REPLACEMENT: Asphalt pavementshall be /'ep|ouud to aminimom 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 permittcc shall replace base and surface rock,
A|| work shall be conducted using current WISH/&/OSHAregulations. Partiou/ur attention ybal| be paid 1otile
requirements as they pertain to work in trenches, oieo1rioul work, work in high places and to aa(ety apparel such
as, bard hats and safety vests.
All work shall be completed to City Standards am set forth in the City of'Ye|oo Development Guidelines, and
policies.
The PUBLIC WORKS DEPARTMENT office (360-458-8406) inust be con
before work commences.
Revised 03/09/2011
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Ryan Johnstone
From: Wattenberg, Sara [sara.wattenberg @pse.com]
Sent: Friday, November 13, 2015 9:39 AM
To: Ryan Johnstone
Subject: RE: City of Yelm ROW permit app/ 105079384/ 16533 Yelm Ave. E/Bald Hills Rd. S.E.
We'll actually be boring under the road and we'll need to do some trenching on the unpaved
shoulder. The traffic control plan should remain the same.
Thanks, Ryan!
Sara
From: Ryan Johnstone [mailto:ryanj ci.yelm.wa.us]
Sent: Friday, November 13, 2015 9:34 AM
To: Wattenberg, Sara
Subject: RE: City of Yelm ROW permit app/ 105079384/ 16533 Yelm Ave. E/Bald Hills Rd. S.E.
Ok. By road push do you mean closing a lane, using flaggers etc.?Will you be using the same traffic control plan that you
previously submitted?
Ryan Johnstone, P.E.
Public Works Director
City of Yelm
901 Rhoton Rd. I Yelm, WA 98597
agDL@cJ.yelm.vva.us
: 360-458-8406
From: Wattenberg, Sara [maiilto:s ra,wgLtt nb rg� .g r1]
Sent: Friday, November 13, 2015 9:32 AM
To: Ryan Johnstone
Subject: RE: City of Yelm ROW permit app/ 105079384/ 16533 Yelm Ave. E/Bald Hills Rd. S.E.
Hi Ryan,
The scope of this job has changed. We will no longer be installing a new pole and we will
need to do a road push.
Please see the updated work-sketch I have attached.
Do not hesitate to contact me with any questions.
Thank you,
Sara
From: Ryan Johnstone [mailto:ryanj@ci.yelm.wa.us]
Sent: Thursday, November 12, 2015 2:45 PM
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To: Wattenberg, Sara
Subject: FW: City of Yelm ROW permit app/ 105079384/ 16533 Yelm Ave. E/Bald Hills Rd. S.E.
Sara,
You're good to go. See my email and attached from 11/2„
Thanks
Ryan
Ryan Johnstone, P.E.
Public Works Director
City of Yelm
901 Rhoton Rd. I Yelm, WA 98597
r_yanj @ci.yelm.wa.us
p: 360-458-8406
From: Ryan Johnstone
Sent: Monday, November 02, 2015 3:38 PM
To: 'Wattenberg, Sara'
Subject: RE: City of Yelm ROW permit app/ 105079384/ 16533 Yelm Ave. E/Bald Hills Rd. S.E.
Approved right of way permit attached.
Ryan Johnstone, P.E.
Public Works Director
City of Yelm
901 Rhoton Rd. I Yelm, WA 98597
ryanj @ci.yelm.wa.us
p: 360-458-8406
From: Wattenberg, Sara rTi]
Sent: Tuesday, October 20, 2015 12:44 PM
To: Ryan Johnstone
Subject: City of Yelm ROW permit app/ 105079384/ 16533 Yelm Ave. E/Bald Hills Rd. S.E.
Hello Ryan,
Attached please find the permit application for job#105079384 at 16533 Yelm Ave. E./Bald Hills Rd. S.E.
Please do not hesitate to contact me with any questions.
Thank you,
Sara Wattenberg
Permit Specialist
Puget Sound Energy
Cell: (253) 306-2255/Desk: (360)570-6890
Sara.w atte ber @)psc.co n
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