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20160244 ROW Permit 06172016of �" 34 City of Yelm � PUBLIC WORKS 901 Rhoton Rd NW Location of work: 311 Cullens St. N.W. Yelm, WA 98597 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. Phone: 360 -458 -8406 Name: Puget Sound Ener /Potelco, INC Address:2711 Pacific Ave. S.E., Olympia, WA 98506 Phone: (253) 306 -2255 FAX: 360- 458 -8417 Permit No. 20go Q aim Application to Perform Work on Public Right of Way and /or Connect to Utilities APPLICATION The undersigned hereby makes application to: _ Work in the ROW to install underground electric service and install new padmount transformer. o asphalt cut/Trench- 50'and road push Location of work: 311 Cullens St. N.W. 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 installation 8/01/16 I Duration: 15 days Date: co �Ilgnature: PERMIT REQtiIREMENTS I For Official 1.1se O ly Fee $ )f.5 �° _ Issued Z2 Fee Received $ 125. Application pprqkai Signature: cv, Receipt Number Qo Z To Be Completed By City Permission is hereby granted to perform the above des ribed work subject o the general provisions contained on this form, and the followin s ecial conditions: vw Op A bond in the amount of r— 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 A roval: Date: Revised 03/09/2011 C16 1)o f5ae3244 i3 REC #: 00235065 OPEP: CO TERM: REF #: 828699 PAID BY : INC, PERMITS 6/17/2016 2:16 PM 001 TRAN: 33.0000 BUILD 125.0(iCR 20160244 PSE POTELCO, OLYMPIC\ 311 CULLENS RD125,0(CR ROW TENDERED: 125.00 (.HECK 125.00 - p,pPLIED CHANGE: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: PSE POTELCO, OLYMPIA Address: 2711 PACIFIC AVE SE OLYMPIA WA 98506 Property Information: Site Address: 1111 rill II 11=AIC on MW Assessor Parcel No.: 21724140502 Subdivision: Contractor Information: Name: PUGET SOUND ENERGY OLYMPIA Address: 2711 PACIFIC AVE SE OLYMPIA WA 98506 Contractor License No.: Permit No.: 201602" Issue Date: 6/17/2016 (Work must be completed within 180 days) Phone: 253 - 306 -2255 Owner: N/A Phone: Expires: 0 /00 10000 Lot: N/A Project Information: Project: UTILITY Description of Work: INSTALL UNGERGROUND ELECTRIC SERVICE AND INSTALL NEW PADMOUNT TRANSFORMER. NO ASPHALT CUT. TRENCH 50 FT AND ROAD PUSH. Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item RIGHT OF WAY Contractor PSE POTELCO, OLYMPIA TOTAL FEES: Applicant's Affidavit: I certify that ' ave read and examined the information contained within the application and know the same to be true an correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regula ons i those governing zoning and land subdivision, and in addition, all covenants, easements nd restriction of record. If applying as a contractor, I further certify that I am currently registered i the State of ashington. Signature Date (4� Firm Fees $ 125.00 $ 125.00 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: ROAD CONSIROCIION AHF�W (W20 -I) SEE OIL I I i ONE tANE ROAD AREAO ({420"4) SEE OTE I (420 -7 A) SEE NOTE I �� L 45 NOTE: I . FLASHING BEAEON SHALL BE INSTALLED AT EACH SIGN FOR NIGHT -TIME USE. 2. DISTANCES MAY VARY AS APPROVED BY THE ENGINEER, 3. FLAGGERS REQUIRED TO CONTROL TRAFFIC WHENEVER THE CONTRACTOR MUST INTERRUPT TRAFFIC FLOW TO ACCESS THE WORK SITE WITH MATERIALS OR EQUIPMENT. 4. SIGN SIZE PER MUTCD. LEGEND: M CONE OR CHANNELIZING DEVICE STD 702) i �O 0 dO / /ORK AREA IA -,b_ TRUCK WITH FLASHING OR WITH BEACON O O 0° TAPER LENGTH (TABLE A) t SEE NOTE t o (W20 -7 Al. 250' _ o noAa E r -- AHeAo < > 1 250' ROAD coNSraucr�oN AHkA1T TRAFFIC C O N T R O L PLAN ORAA7N0 nuvaER: PUGET 2 LANE ROADWAY: ONE LANE CLOSED WITH soU D ALTERNATING ONE—WAY TRAFFIC ANO FL.AGGERS PLANNING AND ENGINEERING DEPARTMENT I__ TAPER LENGTH SPEED (FT) CONE SPACING (MPH) OFFSET WIDTH ALONG TAPER 10' 12' (FT) __ 25 105 _ 125 25 30 150 180 30 35 205 245 35_ 45 NOTE: I . FLASHING BEAEON SHALL BE INSTALLED AT EACH SIGN FOR NIGHT -TIME USE. 2. DISTANCES MAY VARY AS APPROVED BY THE ENGINEER, 3. FLAGGERS REQUIRED TO CONTROL TRAFFIC WHENEVER THE CONTRACTOR MUST INTERRUPT TRAFFIC FLOW TO ACCESS THE WORK SITE WITH MATERIALS OR EQUIPMENT. 4. SIGN SIZE PER MUTCD. LEGEND: M CONE OR CHANNELIZING DEVICE STD 702) i �O 0 dO / /ORK AREA IA -,b_ TRUCK WITH FLASHING OR WITH BEACON O O 0° TAPER LENGTH (TABLE A) t SEE NOTE t o (W20 -7 Al. 250' _ o noAa E r -- AHeAo < > 1 250' ROAD coNSraucr�oN AHkA1T TRAFFIC C O N T R O L PLAN ORAA7N0 nuvaER: PUGET 2 LANE ROADWAY: ONE LANE CLOSED WITH soU D ALTERNATING ONE—WAY TRAFFIC ANO FL.AGGERS PLANNING AND ENGINEERING DEPARTMENT I__ � ��.�� •��. do � x�+ � � P �i : a �at� 104 ' III ii 3 1 ; } iypGtlpqq i f z J' I City of Yelm Permit No. 201('0 0 aMY PUBLIC WORKS 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: Work in the ROW to install underground electric service and install new admount transformer. Location of work: 311 Cullens St. N.W. 1 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 installation- 8/01/16 1 Duration: 15 days Date: q I Signature: PERMIT REQUIREMENTS I For Official Use Only Fee $ ); Issued Fee Received $ 25, '� Application Approval Signature: Receipt Number Qp Z 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 Clt �� QfI e3m44 (36�) � 6 PM RECD' 00235065 6/17J2U16 2.1 Opp., CO TERM: 001 REF #: 828699 PAID BY: IRAN : 33.0000 BUILDING O( IS CR 20160244 PSE POTELCO, OLYMPIA 311 CULL RD 125. O(,CR ROW 1ENDERED: 125.00 CHECK 125.00 - F,PPLIED : _ ----- 0.00 C'HANGE City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: PSE POTELCO, OLYMPIA Address: 2711 PACIFIC AVE SE OLYMPIA WA 98506 Property Information: Site Address: 1111 rill I LAIC RIl AIW Assessor Parcel No.: 21724140502 Contractor Information: Name: PUGET SOUND ENERGY OLYMPIA Address: 2711 PACIFIC AVE SE OLYMPIA WA 98506 Contractor License No.: Permit No.: 20160244 Issue Date: 6/1712016 (Work must be completed within 180 days) Phone Owner: Subdivision: N/A Phone: Expires: 0 /00 /0000 253 - 306 -2255 Lot: N/A Project Information: Project: UTILITY Description of Work: INSTALL UNGERGROUND ELECTRIC SERVICE AND INSTALL NEW PADMOUNT TRANSFORMER. NO ASPHALT CUT. TRENCH 50 FT AND ROAD PUSH. Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item RIGHT OF WAY Contractor PSE POTELCO, OLYMPIA TOTAL FEES: Applicant's Affidavit: I certify that I ave read and examined the information contained within the application and know the same to be true an correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regula ons i those governing zoning and land subdivision, and in addition, all covenants, easements nd restriction of record. If applying as a contractor, I further certify that I am currently registered i the State of ashington. Signature II Date l'\(.- Firm h7,o4c_1 loft Fees $ 125.00 $ 125.00 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: ROAD CONS�AUCIIDN o - dNEdO (1420 1) SEE OTE 1 AHEAD ONE LANE ROAD � (1420 -4) SEE OTE I (1420 -7 A) SEE NOTE I 7 O dO WORK AREA TABLE A TAPER LENGTH SPEED (FT) CONE SPACING (MPH) OFFSET WIDTH ALONG TAPER 10' 12' (FT) 25 105 125 2-5 - 30 150 180 30 TRUCK YJITH 35 205 1 245 35 bi FLASHING OR WITH 40 270 1 320 40 BEACON 45 450 1 540 j 45 NOTE; I. FLASHING BEAWN SHALL BE INSTALLED AT EACH SfGN FOR TAPER LENGTH NIGHT -TIME USE. O° w (TABLE A) 2. DISTANCES MAY VARY AS APPROVED o BY THE ENGINEER. 3. FLAGCERS REQUIRED TO CONTROL SEE NOTE I � TRAFFIC WHENEVER THE CONTRACTOR MUST INTERRUPT TRAFFIC FLOW (1420 -7 A) TO ACCESS THE WORK SITE WITH MATERIALS OR EQUIPMENT, 250' 4. SIGN SIZE PER MUTCO. o o a�VE dr+EAO 250' (1420 -4) LEGEND: RDAD o CONSiAUC7�ON o CONE OR CHANNELIZING DEVICE 'W SEE STD 702) (Qf20 1} TRAFFIC CONTROL PLAN -RBI NO NUMBER; PUGET 2 LANE ROADWAY: ONE LANE CLOSED WITH SOUND ALTERNATING ONE -- -WAY TRAFFIC AND FLAGGERS txMUr - PLANNING AND ENGINEERING DEPARTMENT L -_ 105077897 ee- au 1j" &7 gill i M1 Mi• RM o F ..cowls bi o I LU / LL g A a. 0 Al 0 zj� It 19 uj 02. 19 jj cc lu 5 5 i R, CL y -.;' -- 1- •I„, .. t- '­ ­" , - ­L '4 ." City of Yelm PUBLIC WORKS 901 Rhoton Rd NW Yelm, WA 98597 Phone: 360 - 458 -8406 FAX: 360 -458 -8417 Permit No. Application to Perform Work on Public Right of Way and /or Connect to Utilities APPLICATION The undersigned hereby makes application to: Work in the ROW to install underground electric service and install new padmount transformer. No asphalt cut/Trench- road push _90'and Location of work: 311 Cullens St. N.W. 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 installation/p8/01/16 I Duration: 15 days Date: Signature: V\ I 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 Com letion Approv al: Date: Revised 03/09/2011 ROAD C6N5TRUC710N o AHEAD SEE TOTE 1 ONE LIVE ROAD AHEAD {120-4) SEE OTE 1 � 0 (x{20 -7 A) SEE NOTE 1 SICP O O O O O WORK AREA TABLE A TAPER LENGTH SPEED (FT) CONE SPACING (MPH) OFFSET WIDTH ALONG TAPER 10' 12 (FT) 25 iO5 125 25 30 150 180 30 TRUCK WITH 35 205 245 35 b' FLASHING OR WITH 40 270 320 40 BEACON 45 450 540 45 NOTE: d I. FLASHING BEACON SHALL BE T INSTALLED AT EACH SIGN FOR TAPER LENGTH NIGHT —TIME USE. O° srw O (TABLE A) 2, DISTANCES MAY VARY AS APPROVED o BY THE ENGINEER, 1 3. FLAGGERS REQUIRED TO CONTROL SEE NOTE TRAFFIC WHENEVER THE CONTRACTOR MUST INTERRUPT TRAFFIC FLOW TO ACCESS THE WORK SITE WITH MATERIALS OR EQUIPMENT. 250' 4. SIGN SIZE PER MUTCD. o ONE LA4E ROAD AHEAD 250' {1120 -4) LEGEND: ROAD o CONSTRUCTION o CONE OR CHANNELIZING DEVICE AHEAD SEE STD 702) 0120° � ) TRAFFIC CONTROL PLAN DRA`AMO NUUBER; PUGET 2 LANE ROADWAY: ONE LANE CLOSED WITH soyrlD ALTERNATING ONE —WAY TRAFFIC AND FLAGGERS PANNING AND ENGINEERING DEPARTMENT 105077857 ti A y wz 5c5 li p gg �� hd s $� g© o 'gill � � '� s Ulf 4'' 8 I minis $ a� Nil UJ 1 g , - ° 12 a - T M k1J �� g r v �a ixsg g q> a � s E�� �� a o p 3 y mn z �# w ° a a 's V 3 a y O Eq ,9 lONN 0 AU Tyr gums b.n r w m v z z" rc LL " rvm C r G F i�- - in ¢ m c � w w u u> > a ¢ w �A. },�r I Sh os? J o �o 0 5 3 � e namix k rO�+ � �... �'� . � � ^,b� u _ ➢^ ,a 1 0 2 W W 1 V ivomi0l ,°-O o i �uitt tt O t4 9OZA' `z ' . a of dw ° , ry n w0 ~ f � O I w v w° y�. y � 1 a IIXj ts , RHO SIR � m -- - -- jig 0 E v S . /\ o ry R 3 m Z 6A d C: i e p i ry n ,, i e ��maa333`'z �b a8 X E� aa6 e a3EG � e 8 R RggA�i � E ffiffi E� .e � E f i e Karen Bennett From: Ryan Johnstone Sent: Thursday, June 09, 2016 3:23 PM To: Karen Bennett Subject: FW: City of Yelm ROW permit app/ 105077897 / 311 Cullens St. N.W. Attachments: Yelm_105077897 app.pdf; Yelm_105077897 sketch.pdf Follow Up Flag: Follow up Flag Status: Flagged Categories: Blue Category 11Mr, City of Yelm 901 Rhoton Rd. I Yelm, WA 98597 ryanj @ci.yelm.wa.us p:360- 458 -8406 From: Wattenberg, Sara [ mailto:sara.wattenberg @pse.com] Sent: Thursday, June 09, 2016 10:05 AM To: Ryan Johnstone Subject: City of Yelm ROW permit app/ 105077897 / 311 Cullens St. N.W. Hi Ryan, Attached please find the permit application for job # 105077897 at 311 Cullens St. N.W. I have put in a check request for $125.00 and will send the check with a copy of the permit app as soon as I receive it. 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.wattenberg@pse.co