20170370 ApplicationCommunity Development
Department
City of Yehn
P.O. Box 479
Yelm, WA 98597
CIVIL PLAN REVIEW APPLICATION
OFFICIAL USE ONLY
Date Received:
Received By:
USE BLACK INK ONLY
Owner: U 1 " "- 'Sad} tl _ PROPERTY LOCATION:
Address: T.6 &
City & State: V aLL44 0 oi'th South East West side of:
Zip: Phone: 3 , (road name): 1Q R Y( T _ a�
Applicant r� W e : a N. fffi-- -F
Address:
City and State:
Zip: Phone:
Engineer:
Address: I I CX) P iEN V
City & S te: � V � C,
> °" �
Zip: Phone:
SUMMARY OF REQUEST (List
No. of proposed dwelling
Dimensions of
Total sq.ft. of site:
To ft. in buildings:
Total sq. ft. in paved and covered surfaces (include buildings,
driveways, streets, sidewalks, and parking lots) - -
Between (road name) 0'r - -'F '/ U
�)
_
Section:
4- Township Range
Assessors Parcel No. -(�" 2A
1 2 -4 7 -r
A cursory check of the plans against the attached plan checklist will be made by the Development Engineer. If the
plans meet the minimum checklist requirements as to content, they will be routed to the appropriate City staff
and the plan review process will begin. If minimum checklist requirements are not met, plans will be returned to
submitting engineer.
7/95 3 - 6
GENERAL PUBLIC WORKS CONSIDERATION
PLAN CHECKLIST
STANDARD ITEMS: WATER, SANITARY SEWER,
STORM SEWER, STREET, LIGHTING, AND SIGNALS
( Vicinity Map
(4 Legend (APWA Standard Symbols)
( North Arrow
('F Scale Bar
Datum - Bench Mark Elevation And Location (on all sheets where
elevations are referenced)
(
itle- Block:
) Title:
Design By:
9 Drawn By:
/ Date:
( t Checked By:
O Signature Approval Block
APPROVED FOR CONSTRUCTION
BY: DATE:
Director of Public Works
APPROVAL
EXPIRES:
(see above example):
lj Sheet Number of Total Sheets:
(y Section, Township and Range (every plan/profile sheet)
A,,,Engineers Stamp (signed and dated)
j„ Project Title (cover sheet)
O Utility System Map (showing all proposed utilities on one drawing)
(�l Revision Block
PLAN PORTION STANDARD ITEMS
(r-�- Centerline and Stations
Edge of Pavement and Width
() Right -of -Way and Width
() Proposed Survey Monumentation Locations and Details
O Sidewalk and Width
( Roadway Sections
Existing Utilities (above and below ground)
( -- -'Adjacent Property Lines, Ownership, Parcel Number, and Street Address
( Identify Street Names, Right -of -Way, Lots
( Identify Match Existing Sheet Numbers and Stations
Easements, Width and Type
( t)s Define Survey Baselines
Stations for Structures
( Flow Direction Arrows
3 - 7 7/95
PROFILE PORTION STANDARD ITEMS
Profile Grades (decimal FT. /FT.)
Existing Ground
Scale (horizontal and vertical)
(- Stationing
O - Vertical Elevation Increments
Existing Utilities (if available)
Misc.
(� j j Detail Sheet
(� General Notes
,�91 "kI F.
Ian View: (Gravity System)
( N Manhole
() Station Shown at Each Manhole
() Manholes Numbered
\Service hole Type Designation
Direction (with arrow o pi l th at Property Line and ist, Sewer
ance from Water Lin s ach Lot
Profile View:
() Manholes Nu
ered
O Invert Elevation
owin,
() Gravity
() Grades Shown (ded al
() Type of Pipe
() Size of Pipe
() Length of Pipe (i
L.F.)
() Existing Utiliti
Shown
spacing)
from Downhill Manhole for
Direction, In and Out
form FT. /FT.) slopes, depths
SYSTEM
O Pipe Ali ment, grade and offset, e and size
() Locatio 6 of water, utilities crossing
() /ench n of pigging ports
() n of pressure sustaining valves, c ck valves,
m valves, pressure relief valves, gate ves
O and restoration det ails showing dep g compaction requirements
7/95 3 - 8
GENERAL PUBLIC WORKS CONSIDERATION
() Se 'c (STEP) Tank/
Misc.:
() Detail Shee
() Sewer General Notes
WATER
Plan
() S tem. Map (1" = 300 showing existing and oposed with line size,
val s, and hydrants
() Exis Utility Conflicts
() Fixture (need horizontal and vertical co ol)
() F. Hydrants (at all intersectio s. See Yelm Fire District #2)
() Blo off (at end of line)
() Vacuu and Air Release V es When Required
() Tees, Crosses, bows, Adapters d Valves Need Coupling Type,
Meter Locations
() Valves (2 each tee,
O Fire Department Cor.
O Thrust Blocking Reqi
() Distance from Sewer
() Service to Each Lot (i
Profile View:
all Fittings Including In -Line Valves
() Existing Utility ossings
() Show Fixtures ees, crosses,
() Show Valves d Couplers
() Size of Wa rmain
() Length o atermain (in L.F.)
tracts)
() Cover er Pipe
() Grad (Engineered Design Grade to F.L.)
Misc.
() Detail Sheet
() Water General Notes
3 -9
7/95
STORM SEWER
() Dr
age and Erosion Control Plan Report
7( _ Cover sheet
� Table of Contents
( )' Section 1 - Proposed Project Description
(Y Section 2 - Existing Conditions
()f Section 3 - Infiltration Rates /Soils Report
Section 4 - Wells
(,) Section 5 - Fuel Tanks
Section 6 - Sub -Basin Description
(+" Section 7 - Analysis of the 100 -Year Flood
( Section 8 - Aesthetic Considerations for Facilities
() Section 9 - Downstream Analysis
( )� Section 10 - Covenants, Dedications, Easements
( Section 11 - Homeowners - Articles of Incorporation
(� Project Engineers Certificate
�( - -Facility Summary Form
Engineer's Estimate
() Erosion Control Plan Report
Section 1 - Construction Sequence and Procedure
(. Section 2 - Trapping Sediment
O Section 3 - Permanent Erosion Control and Site Restoration
( Section 4 - Geotechnical Analysis and Report
{ )`" Section 5 - Inspection Sequence
() Drawings and Specification
( :) Vicinity map
Project Boundaries
�) Sub -Basin Boundaries
( Off -Site Area Tributary to Project
}-' Contours
( % ajor Drainage Features
Flow Path
() Site Map
.' - Existing Topography at Least 50 Feet Beyond Site Boundaries
,( Finished Grades
(�- Existing Structures within 100 Feet of Project Boundary
Utilities
Easements, Both Existing and Proposed
( )� Environmentally Sensitive Area
( 100 -Year Flood Plain Boundary
( Existing and Proposed Wells within 1,200 feet of Proposed
Retention Facility
(„ ..Existing and Proposed Fuel Tanks
Existing and Proposed On -Site Sanitary Systems within 100 Feet
of Detention /Retention Facilities
( Proposed Structures Including Roads and Parking Surfaces
(+'`J Lot Dimensions and Areas
Proposed Drainage Facilities and Sufficient Cross - Section and
7/95 3- 10
GENERAL PUBLIC WORKS CONSIDERATION
Details to Build
()
Pla View - Conveyance System
( Station and Number at each Manhole /Catch Basin
( Manhole /Catch Basin Type and Size
( Manhole /Catch Basin Rim Elevation
Flow Direction with Arrow on Pipe/ Channel
Type and Size of Pipe
Length of Pipe in Lineal Feet
() Profile View - Conveyance System
( Station and Number at each Manhole/ Catch Basin
E(� ' Rim Elevation
Invert In and Out
(� Length of Pipe (in L.F.)
(r)- Grades (FT. /FT.)
O Design Velocity
() Work Map
(� Unit Areas (including Off -Site Contributing Areas)
( Percentage Impervious
Average Slope
( Estimated Ultimate Infiltration Rate
Conveyance Date, Identifier (for Reference to Model Output),
Length, Slope, Inverts
Overland Flow Paths and Distances
(W;- . Soil Types
Spot Water Surface Elevations, Discharges and Velocities for the
Design Event
O Erosion Control Drawing
Soil Types
Locations of Soil Pits and Infiltration Tests
(
Construction Entrance Detail
(% Silt Fences and Traps
Mulching and Vegetation Plan
Clearing and Grubbing Limits
Existing and Finished Grade
�}
-Details and Locations of all BMPs Recommended
( Location and Details of Temporary Sediment Ponds
()
Maintenance Report
(� Required Type and Frequency of Long -Term Maintenance
Identification of Responsible Maintenance Organization
( )' Frequency of Sediment Removal
Cleaning of Catch Basins
Vegetation Control
3- 11 7/95
Annual Cost Estimate of Maintenance
Construction Inspection Report
Misc. --
( Detail Sheet
( Storm General Notes
1 t3_t ��
Plan View:
()-'
,
� %Flow Direction Arrows at Curb Returns Showing Grade
( Spot Elevations on Curb Returns
O Station PC, PT, PI, and Intersections
(ai Curve Information Delta, Radius, Length and Tangent
(� BCR and ECR (Begin Curb Radius, End Curb Radius)
( '" ..Identify All Field Design Situations
Typical Sections
(.) -- Pavement Marking Details With Station and Offset
(_ >)- Sidewalks
Driveway Entrances
O Station
Width, Material (AC, PCC)
(j- - -- "Driveway Type
( Curb Ramps - Detail and Type
Public Transit Facilities and Bus Stops
Profile View:
(� Vertical Information VPI, BVC, EVC, AP, Low Point, High Point
( Show Grades in Decimal Form with (+ or -) Slope
Super Elevated Roadways
( Detail - Show Transitions
Special Detail Showing Gutter Flowing Adequately
( Detail Sheet
( Street General Notes
AASHTO Street Design Worksheet, With Soils Report, if Applicable
ILLUMINATION AND SIGNALS
() Li ting
Station and Offset to Fixtures
Pole Type, including Manufacturer
O Mounting Height, Arm Length, Anchor Bolt Size and Pattern
Power Source
() Wire size, Type, Conduit
() Line Loss Calculations
7
7/95 3- 12
GENERAL PUBLIC WORKS CONSIDERATION
17 ()
Luminaire Type, Lamp Wattage
(<- �Location
of Service Disconnects (5% Max. Voltage Drop from
Source to Farthest Luminaire)
(-}
J -Box Location (include station and offset)
Signals (Follow WSDOT Specs Unless Otherwise Required by the
City)
O
Station and Offset to Signal Base, Cabinets, Ped. Lead, Loops, etc.
Wiring Schedule
() Signal Heads and Mounting Assembly
() Detection Loops
() Opticom
() Control Cabinet, Size and Layout
() Power Source
() Conduit
() Wire Size and Type
t� ()
Construction Notes
i O
J -Box Schedule
f, ()
Pedestrian Signal Type with Push Button
O
Controller Type, Configuration, and Wiring Schematic
Misc.
Detail Sheet
{� Lighting
General Notes
�� () Line Loss Calculations
MISCELLANEOUS
O Easements and /or Dedication Deeds
() Contract Documents/ Specifications
Additional Items:
(� Sheet Index (on title sheet if required)
Field Verify Note on DWG - Expose Connection Points And Verify Fittings
48 Hours Prior To Distributing shut -Down Notices
Call Before You Dig Note
( - Signing - Temporary And Permanent
(� Channelization
I () Location of Cluster Mailboxes
3- 13 7/95