20170142 ROW Permit Pkg 03212017RNi
City of Yelm
PUBLIC WORKS
901 Rhoton Rd NW
Yelm, WA 98597
Phone: 360- 458 -8406
FAX: 360- 458 -8417
Permit No. 201!10149--
Application to Perform Work on
Public Right of Way and /or Connect
to Utilities
APPLICATION
The undersigned hereby makes application to:
Work in ROW to set new pole and transfer overhead electric service due to conflict with new sidewalk location
No asphalt cuts/ No trenching
ml Project Manager: Ryan Walsh (253) 245 -0798
Location of work:
305 1 st St. S.
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: Sara Wattenberg
Address: 2711 Pacific Ave. S.E., Olympia, WA 9 01
Phone: (253) 306 -2255
Proposed starting date of installatio Duration: 1 day
Date: JL ---
Signature:
PERMIT REQUIREMENTS
For Official Use Only
Fee $
Issued 3 �,
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 followingspecial 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
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Work Zone Traffic Control Guidelines M 54 -44.04 Page 2 -7
February 2012
From: Maryanne Zukowski
To, Walsh, Ryan
Cc: "Cory Taylor "; Brian Sourwine; Chad Bedlington; Karen Bennett
Subject: FW: 1st Street Pole Relocation - Sidewalk RFP
Date: Wednesday, February 22, 2017 10:05:57 AM
Hi Ryan,
By this email I am checking for the G -0 schedule for the final plans that shows the new location. We
shall check the new location and see if it will work moving it prior to construction and get back to
you.
Cory and Brian's Contract for the survey and construction goes to council for approval on 2/28/17.
We will execute the contract to G -0 and they can get that work done for you if the pole does not
interfere with existing traffic patterns before construction.
1. Yes - we need Right of Way permit for the relocation for traffic control and liability
purposes — but we can waive the fee. We should get you the drawing from G -0 for the
proposed location and submit to Karen at City Hall. We will notify her that the fee is to be
waived.
2. By this email, asking Brian and Cory to add the work of the pole relocation to the WSDOT
permit we have already.
Maryanne Zukowski, PE
Public Works Manager
901 Rhoton Road SE
Yelm, WA 98597
360.458.8499
maryannez @ci.yelm.wa.us
From: Walsh, Ryan [mailto:Ryan.Walsh @pse.com]
Sent: Wednesday, February 22, 2017 9:18 AM
To: Maryanne Zukowski
Subject: 1st Street Pole Relocation - Sidewalk RFP
Maryanne,
It was mentioned that the city wanted the pole moved prior to construction. If that is most
convenient method for the city, PSE will need staking /Survey benchmarks of new sidewalk
preferred front and rear of curb) and right of way. If that is not going to be possible please let us
know the construction window, so we can schedule the pole relocation.
The city of Yelm use permit for relocation of the pole (is this going to be waived by the city)? Are we
required to apply for a WSDOT permit?
PSE will not be seeking charges for the pole relocation.
Thanks
Ryan Walsh
Project Manager
Customer & System Projects
Southwest - Electric
PUGET SOUND ENERGY
360- 570 -6833
253 - 245 -0798
2711 Pacific Avenue SE
Olympia, WA 98501
htt{Z//pse.com
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: PUGET SOUND ENERGY OLYMPIA
Address: 2711 PACIFIC AVE SE
OLYMPIA WA 98506
Property Information:
Site Address: ing FIRCT CT C
Assessor Parcel No.: 64420200100
Contractor Information:
Name: PUGET SOUND ENERGY OLYMPIA
Address:
2711 PACIFIC AVE SE
OLYMPIA WA 98506
Contractor License No.:
Permit No.: 20170142
Issue Date: 3/21/2017
(Work must be completed within 180 days)
Phone: 253 - 306 -2255
Owner:
Subdivision: Lot:
Phone:
Expires: 0 /00 /0000
Project Information:
Project: UTILITY
Description of Work: NO ASPHALT CUTS. NO TRENCHING. WORK IN ROW TO SET NEW POLE AND TRANSFER
OVERHEAD ELECTRIC SERVICE DUE TO CONFLICT WITH NEW SIDEWALK LOCATION
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
RIGHT OF WAY
Contractor
PUGET SOUND ENERGY OLYMPIA
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 including those governing zoning and land subdivision, and in addition, all covenants,
easement estric4ions of record. If applying as a contractor, I further certify that I am currently
registered in t e Stat of Washington.
Signature L-JAAX�A-
/y Date ' 2 •' 1
Firm ./1r
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Sara Wattenberg
Pemtit Specialist
Street Use Permitting
Sara.Wattenberg@pse.com
PUGET 360 - 570 -6890 tel
' SOUND 253- 306 -2255 cell
ENERGY 2711 Pacfic Ave SE
Olympia, WA 98506
1 �1