20160406 ROW Permit 12202016City of Velm
Permit No. _A110
PUBLIC WORKS
Asphalt cut - 60' / Trench- 50' in soft surface
901 Rhoton Rd NW
Application to Perform Work on
Velrn, WA 98597
Public Right of Way and /or Connect
Phone: 360 - 458 -8406
to Utilities
FAX: 360- 458 -8417
Address: 2711 Pacific Ave. S.E., OlympipIWA 98506 Phone: 253) 306 -2255
APPLICATION
The undersigned hereby makes application to:
Work in ROW to install underground electric service and install new padmount transformer.
Asphalt cut - 60' / Trench- 50' in soft surface
JOB # 10507,7897
Location of work: 311 Cullen 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 ��orh
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 Energy/ Potelco, INC
Address: 2711 Pacific Ave. S.E., OlympipIWA 98506 Phone: 253) 306 -2255
Proposed starting date of installation- 23/16 1 Duration: 15 days
Date:
Signature:
PERMIT RF; .11�i
For Official Use Only
Fee $ ITS. `
Issued / �J
Fee Received $ Z
Application Approval
Signature:
Receipt Number p0;t _
To Be Completed ByTity
_
Permission is hereby granted to perform the above described work subject to the general provisions contained
on this for1n, and the following special conditions.
i
A bond in the amount of is required to insure compliance with the above
conditions, refundable upon satisfiactory 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 Inspector Final Project Date:
Date: Completion A roval:
Revised 03/09/2011
Google Earth feet 500
meters 100
0�
MINIMUM 0.25' CLASS *8' A.C.P.
(COMPACTED DEPTH) OR EXISTING
PLUS 0.08', WHICHEVER IS GREATER
APPLIED IN MAXIMUM 0.17' LIFTS -
0,67' GRAVEL BASE
COMPACTED TO 95% lZ ............. -------
OF MAXIMUM DENSITY 0.17' CRUSHED
PER. 2-03.3(14)D SURFACING
TOP COURSE
0,67' GRAVEL BASE
COMPACTED TO 95%
OF MAXIMUM DENSITY
PER, 2-03,3(14�1) -
l' MIN!
TYP.
MINIMUM 0.75' CEMENT CONC. PVMT
OR MATCH EXISTING PLUS 0.08',
WHICHEVER IS GREATER, ----I
l' WIN
TYP.
NOTES:
ALL MATERIALS, WORKMANSHIP, AND INSTALL-
ATION SHALL BE IN CONFORMANCE WITH THE
STANDARD SPECIFICATIONS FOR ROAD, BRIDGE
AND MUNICIPAL CONSTRUCTION AS AMENDED BY
CITY OF YELM STANDARDS,
SAW CUT EXISTING PAVEMENT.
EMULSIFIED ASPHALT GRADE
OSS-1 TACK SHALL BE APPLIED
TO EDGES OF EXISTING PAVEMENT.
ALL JOINTS SHALL BE SEALED
USING PAVING ASPHALT AR4000W.
EXISTING
FLEXIBLE
PAVEMENT
TRENCH BACKFILL
COMPACTED PER.
2-03.3(14)0 METHOD B
TRANSVERSE CONSTRUCTION JOINT.
SEE STANDARD PLAN A-1
SAW CUT EXISTING PAVEMENT,
0.17- CRUSHED 'EXISTING
SURFACING RIGID
TOP COURSE I PAVEMENT
TRENCH BACKFILL
COMPACTED PER.
2-03.3(14)C METHOD C
CITY OF YELM
DEPT. OF PUBLIC WQRK�S
TENCH ---- PAVEMENT
RE'-z-)'T(--.'PATIOI\J DETAIL
APPROVED DWG. NO
PUBLIC WORKS DIRECTOR
DES. DMI
5-C,
DATE 4-10
'KD
, ' DATE
S-ul 10/3/94
71
,4 .
City of Yelm
PUBLIC WORKS
901 Rhoton Rd NW
Yelm, WA 98597
Phone: 360- 458 -8406
FAX: 360- 458 -8417
Permit No. AlWN2-
Application to Pei-form Work on
Public Right of Way and /or Connect
to Utilities
APPLICATION
The undersigned hereby makes application to:
Work in ROW to install underground electric service and install new padmount transformer.
Asphalt cut - 60' / Trench- 50' in soft surface
JOB # 105077897
Location of work: 311 Cullen 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 1 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 Energy/ Potelco, INC
Address: 2711 Pacific Ave. S.E., Ol m i WA 98506 Phone: 253 306 -2255
Proposed starting date of installation' 23/16 1 Duration: 15 days
Date:
Signature: , -Y '� I
PERMIT REQ S I
For Official Use Only
Fee $ 125. `
Issued
Fee Received $ 2 ."
Application Approval
Signature:
Receipt Number 0(7'e0
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
ROAD
CpysIRUC710N °
AHEAD
(yy2tt I) SEE TOTE I
ONE UNE
ROAD °
AHEAD
(W20 -4) SEE OTE i
61 °
(1420 -7 A) SEE NOTE 1
SSCP °
O
O
O
0
WORK AREA
TABLE A
TAPER LENGTH
SPEED (FT) CONE SPACING
(MPH) OFFSET WIDTH ALONG TAPER
10' 12' (FT)
25 105 125 25
30 150 180 30 11 TRUCK WITH
35 205 245 35 ��' FLASHING OR WITH
40 270 320 40 BEACON
45 450 1 540 45
NOTE: p
I, FLASHING BEAT ON SHALL BE
INSTALLED AT EACH SIGN FOR
NIGHT —TIME USE.
°0
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 MUTCO.
LEGEND:
° CONE OR CHANNELIZINC DEVICE
SEE STD 702)
PUGET
SOUND
1NEPW
T
TAPER LENGTH
" (TABLE A)
SEE NOTE I
1
250'
0
I'
250'
*(w2,-7 A)
OkE IANE
ROAD
AHEAD
(1420'4)
ROAD
coksrRUCnok
AHEAD
(1 o -I)
TRAFFIC CONTROL PLAN
2 LANE ROADWAY: ONE LANE CLOSED WITH
ALTERNATING ONE -WAY TRAFFIC AND FLAGGERS
PLANNING AND ENGINEERING DEPARTMENT
DRAVN0 NOWER;
IN,
Is a
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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: %11 rm I IFNC Pn NW
Assessor Parcel No.: 21724140502
Contractor Information:
Name: PSE INTOLIGHT
Address: PAUL KINBERG
3380 146TH PL SE
BELLEVUE WA 98007
Contractor License No.:
Permit No.: 20160406
Issue Date: 12/20/2016
(Work must be completed within 180 days)
Phone: 253 - 306 -2255
Owner:
Subdivision: N/A
Phone:
Expires: 0 /00 /0000
Lot: N/A
Project Information:
Project: UTILITY
Description of Work: WORK IN ROW TO INSTALL UNDERGROUND ELECTRIC SERVICE AND INSTALL NEW
PADMOUNT TRANSFORMER. ASPHALT CUT - 60 FT. TRENCH 50 FT IN SOFT SURFACE
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
RIGHT OF WAY
Contractor
PSE INTOLIGHT
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 and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations i luding those governing zoning and land subdivision, and in addition, all covenants,
easements and r trictions of record. If applying as a contractor, I further certify that I am currently
registered in t tate of Washington.
Siqnature Date 1112-6114
Firm
Fees
$ 125.00
$ 125.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cite of Mm
(361) 458 -3244
REC #: 00253635 12/20/2016 12:09 PM
OPER: CO TERM: 001
REF #:
PAID BY:
ACCT #: XXXXXXXXXXXXXXXXXXX
AUTH #: 089440
TRAN #: 000000003641
TYPE:: PURCHASE
TRAN: 33.0000 BUILDING PERMIT'S
20160406 125.0(CR
PSE POTELCO, OLYMPIE
311 CULLENS RD NW
F'OW 125.0(CR
IE:NDERED: 125.00 (REDI( CARD
APPLIED: 125.00-
CHANGE; 050