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2015, 02-26 Permit: ROW-2015-0092 Right of WaySfilikane Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 perrnitcenter@sgok_enevalley,orn (Staff Use Only) PERMIT NUMBER: PERMIT FEE: RIGHT OF WAY ROW PERMIT APPLICAT ON— , El APPROACH D CURB & GUTTER ROAD OBSTRUCTION 5))0.41A-er Work PAVEMENT CUT (SEE BELOW) WORK THROUGH MANHOLE El SIDEWALK OTHER NO j1 YES (If yes, complete the following) • % of street or # lanes that will be obstructed: • Length of time street will be obstructed: i=> If work closes more than 50% of a local access street, or closes any portion of an arterial street, then a TRAFFIC PLAN IS REQUIRED 0 Pre -Approved TCP Proposed: PROJECT ADDRESS: S808 E Ak; Ave APPLICANT'S JOB #: 019 - START DATE: PARCEL NUMBER: LOCATE TICKET # /5035 Set, ANTICIPATED COMPLETION DATE: 3- ,„272a'5 PROJECT DESCRIPTION: Tr e c • Cor ) 'RDr lilt:id:el. f/ ; rt RO /4.J2- .2 " Alcy 1,94 01 e :vetAlcy PROPERTY OR BUILDING OWNER INFORMATION (IF APPLICABLE) NAME: MAILING ADDRESS: CITY: STATE: ZIP: PHONE: FAX: CELL: CONTRACTOR INFORMATION 6)/ NAME: Se int c n • cgo MAILING ADDRESS: __1( 7 ,11'1 N. nor.. AA PHONE: 509 - -53:2 - 030 CONTRACTOR LICENSE NO.: IQ j c?.. 7 Li 1 CITY: Ikne1 FAX: 51-Yi -53.) - f5)5 EXPIRES: STATE: t.i./M Z/P: 992/6 CELL: CITY BUSINESS LICENSE NO.: 5EF/Vt. BOND/INSURANCE CERTIFICATE # (per SVMC Title 10, Article 2): CONTACT NAME: .6r_ftirg. PHONE: .2Cil r - i 3 r..r,..• ' 0 /041 ._,,.-r•.1::,. ,-.._ it , ..,,, 7 5 Modified April 14, 2014 ritto:// k •• . . - I 0/948/1496/2831/ROWPA.doC Page 1 o2 "." IF PAVEMENT CUT, COMPLETE THE FOLLOWING **** NATURE WORK: (circlee one) Gas Electric Water Communication Sewer Other TYPE OF CUT/REPAIR: (circle one) SIZE OF CUT (width) x (length) Asphalt Gravel Concrete Other x /0 i re Pd- /Poi /-1©1e STAFF TO COMPLETE: ROAD TIER: PAVEMENT CUT POLICY APPLIES? DISCLAIMER The permitted verifies, acknowledges and agrees by their signature that: 1) If this permit Is for construction or on a dwelling, the dwelling Is/wIll be served by potable water. 2) Ownership of this City of Spokane Valley permit Inures to the property owner. 3) The signatory Is the property owner or has permission to represent the property owner In this transaction. 4) All construction Is to be done In full compliance with the City of Spokane Valley Development code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of Spokane Valley permit Is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Pians or additional Information may be required to be submitted and subsequently approved before this application can be processed. EXPIRATION Right-of-way permits Issued between April 1" and September 30th are valid for 30 days after the date of Issuance, with a one-time 30 -day extension available. Right-of-way permits Issued between October 1" and March 31" are valid until the following April 30th. Applicant Signature: Date: 2-42_6-.zu/S' Method of payment: 0 Cash 0 Check ❑ Visa** 0 Mastercard** ** If paying with credit card, the City will call for credit card information when the permit Is ready to be issued. PLEASE FAX TO CITY OF SPOKANE VALLEY (509) 688-0037 UPON COMPLETION Modified April 14, 2014 1 .. i !r-. 2 0 9 Page 2of2 TrencJ /CA, ,r vc Ft. R d 14/ +, p/c -e ©rvr c a s BUFFER DATA LONGITUDINAL BUFFER SPACE . SPEW ..+P`,, 2,6 i 40 1 45 1 51 t i 60 / 5 7 ILENT.4 .•00r) 155 i 300 350 i • 1 • • I - • • chntscave vohi6e reczerrioreirl ...wry be osrolic 00010 Vs 71M 1 not a0$, VS politerm VOW. eel 54 10V:wary mum 0 no 611,10 040 "WWI 40r, ro ref 0,001 distoRce 0 4444444 SIGN SPACING - X rrEtTi (1 num. ROADS 6 URRAN ARTERIAL35 40 MPH 392* RUR AL ROADS, URBAN ARTERIALS RESSOENTTAL INSINESS DIU S UR0AN STREETS 25 P.41.14 OR LESS ,Cro CD 1 ALI SIGNS ARE 4$ Alr SLAP( ON ORANGE UNLESS 01 S0 Desicrixrep, (1) All spacing may be adjusted to accommodate intorcherge MIMS, 214,268 InTirSecborIS. and driveways. Thi3 spacing may be reduced in urban areas to fl roadway conditions. -.,..; 0 0L 01- 0 0 0 CP INNIMLPA TAPER LENGTH 'L (5ro Shover, .1 Potera 4005 (rfmA) w4s, (1000 25 30 35 40 45 50 55 EC 65 70 8 !8110mro •1-1-1,1• -1 IC I los i iso 20412/0 • I . . ' - 2 DEVICES 511,4511NA SPACED *IP 0.C. IN TAPERS FOR SHOULDER WOTH5 LESS THAN a FEET CMANNEUZING DEVICE SPACING (FEET) MPH TAPER TANGENT 35740 30 60 25 I 30 20 10 0 0 0 W20 -I LEGEND 0 0 0 0421.5 VON LOCATION CHANNELIZING MACES PRIOTECTTVE VEHICLE -RECOMENDED MAt 1 NOTES 1, Protective vehicle recommended - may be a work •ehic'e. 2. When osed, device splicing for the dovmstomm taper should be 20O.C. TYPICAL SHOULDER CLOSURE - LOW SPEED 00 MPH OR LESS) TCP 5