2015, 04-09 Permit App: ROW-2015-0164 ROWCommunity Development Department
Permit Center •
ponce 11703 East Sprague Avenue,- Suite B=3
®Tsea'e Spokane Valley WA 99206
Q.Y�LC6.YY Tei (509) 688 0036-
1r 11 a Fax: (509)"688-0037
permitcenterOsookanevalleyorq
(Staff Use Only)
PERMIT NUMBER:
'PERMIT FEE:
RIGHT OF WAY (ROW) PERMIT APPLICATION
ID APPROACH ® PAVEMENT CUT (SEE BELOW) ® SIDEWALK
Ej CURB & GUTTER ®. WORK THROUGH MANHOLE g OTHER
ROAD OBSTRUCTION rn NO El YES (if yes, complete the following)
5,1oJ/der .Worn" • % of street or # lanes that will be obstructed: -_
•. Length of time street will be obstructed:
c> 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 ® Pre -Approved TCP Proposed.
PROJECT ADDRESS: / l 06 S. 84x45 i?.! PARCEL NUMBER:
APPLICANT'S JOB#: /53915 LOCATE .TICKET -# /5069670
START DATE: -AD _ _ . ANTICIPATED COMPLETION DATE: .5 ,22-.2o/S'
PROJECT DESCRIPTIONr
1 renes /t re p o '!t. + /„ z%/l 2" Pvc. C.- 6,Mcart
PROPERTY OR BUILDING OWNER INFORMATION (IF APPLICABLE)
NAME: -
MAILING ADDRESS:
c> rr:
STATE:.. ZIP: -
PHONE:
FAX:
CELU
CONTRACTOR INFORMATION Qiice A2MGajt (r -Me
NAME: - e-mco Conirviun:GCI+J04$ -/J �. [ �/. (]p.
MAILING ADDRESS: !�nHY tAt• nor et /v_" CITY: ,pohe,ne Vcc, J!t/ STATE: %�" 2IP: /-/�tEj
PHONE: SO� - S3 &3D FAX: 5C1- _53.2 -. 1351!5 CELL:
CONTRACTOR LICENSE NO.: 6o/9,2.119i EXPIRES: j
BOND/INSURANCE CERTIFICATE # (per SVMC Title 10, Article 2):
CONTACT NAME:
/QM Brennan
CITY BUSINESS LICENSE NO.:
ScFNcs *Li9ypc/,..
PHONE:
RECEIVED
CSV PERMIT CENTER'
APR 0 3 2015
!Project #:KOof°4..
r Name
?' 7i
Modified .April '14,2014 - Si ILLTi+t
htfoi//wwwsookenevallev org/filestoraoe/124/938/210/948/1496/2831/ROWPA.do'
O2&‘ -x'83 7959
Page 1 oft
**** IF PAVEMENT CUT, COMPLETE THE FOLLOWING **.*.* •
NATURE OF WORK:
(circle one)
Gas
Electric
Water
CATV
Communication
Sewer
Other
TYPE OF CUT/REPAIR.
(circle one)"--
Asphalt
Gravel
Concrete,
_
. . Other
SIZE OF CUT
(width) x (length)
STAFF TO COMPLETE:
ROAD TIER: PAVEMENT CUT POLICY APPLIES?
.DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature than 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) signatory Is the property
owner or has permission to represent the property owner In this transaction. 4) All construction. Is to be done Infull 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) Plans or additional
Information may be required to be submitted and subsequently approved before this application can tie processed: - -
•
EXPIRATION •- .. ..
Right-of-way permits Issued between 'April 1" and September 30th are valid for30 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 AprU 30"'. - -
Applicant Signature:
Date: y-1-2..0/5.
Method of payment: ❑ Cash ❑ Check 0 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 i4, 2014
htto://www.spbkanevallev ora/filestoragel124l93$!230/948!1496!2831/ROWPA:doC
Page.2 o!2
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K
I
BUFFER DATA
LONCITUOINA BUFFER SPACE a 9
SPEED /
1 25.
3D 35
<0 160i�
65
T0.
LDGTM:I earl
55
200 250
145 150 155
305 -
I. SIGN SPACING . X (FEET)'(1) -
URSAN ARTERIALS
RURAL ROADS & URBAN ARTERIALS 35140 MPH 3Aa.
.,I -RE EMROM �6. BUSDOSS CT6 n I" MPH :YDa C7
URw.11l STPEETS ... 25 MPN.OR'LESS 1076 (2)
• ALL SIGNS ARE Arai 4CBLACH ON OMNGC. UNLESS OTHERWISE
PnrsAe ve166s :' DECICNATFD. -
ateche no lamlm4MM. may be 6 wt.wSHa.lra TLA b M -
PRoeve vim* t be sweJ,'OPJ 4=010 n no PAD n
mn +�Slob= a5v
sand ro O mm b 1P.:1506. (1) An spacing may be. adjusted 'to waa
ominodate. (nchange ramps.
..atgrado.Intersecdons: oro drlvexays.
f2)This spadng may rotted N urban Naas to aroadnay
MC
p ▪ 2'NIl.N.
▪ IR.-conml
aL•,'
11G54
W21-5
LEGEND,.`
SIGN LOCATION is'e'a CuAnNELIaNG:'DEVICES ..
PROTECTIVE ,VEHICLE -RECOMMENDED
MCS
.L/3
/% %l P777
EA
MINIUM TAPER LENGTH P. L. (I
56ol doenano same Vnal
minute:. ....
minute: 25 30 35 40 45 50 55 60 65 70.
a 64:1120'.162 2101 -
I7 -
3 DEVICES NMMUM, SPACED WWO.C. N TAPERS' FOR
SHONDER WDT116 LESS.THAN II FEET
CWJi0IEUDHG DEMOS 'SPACING -(FEET)
.MPH • 1. _TAPER
TANGENT.
. -35440.
60
25 n0.
0
\30' MIN- CD' MAA'
vITH IDA
..
10
..NOTES.
1. Protective vehicle Tecatimenaed - may,be'o wok vetllde.
2. Wien used. device rowingfor the doxnsbeaf taper should -be 20'O.C. ,
TYPICAL SHOULDER -CLOSURE--LOW' SPEED (40MPH OR LESS)
TCP 5
la•
0:
N
149 14911 14917 14921
03 14905
1� , 1
1501
an ID
0
L 133'
133
'/ 500
101)1 .1 AVC.
168'
120'
168s/ .500
18.0
18.0
0.1
c
2)
CONSTRUCTIO NOTE:
REPLACE 167 .500
WITH P3-625,
SPLICE, PER 0 N 1
JTN15.975
14902
1
1
4
22
d
15006
12
rtc
222
0
14821
0
11
J1
6
3975
(.0
0
f
'S ROAD
1
E5A28
/NN
TJ
0)
0
14903
0
inN
15007
1
0
N
14 3'
141'
18
a 2
222
Ell
222
-1.
2841.500 —
E 12TH AVE
12
SZE5A27;
,APPROVED)
'+7c /&(' 1
,, ft/6
—
362s/ 500
11
—
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