2015, 02-26 Permit App: ROW-2015-0092 ROWCommunity Development Department,
Permit Center
TBo7B!__ 11703 East Sprague Avenue,' Suite B-3
R ne Spokane Valley,' WA 99206
11JJgJ��xHHbbeBHMB. Tel: (509) 688-0036<000
airy— Fax: (509) Oo�anevallev.o37
�/ perinitcenterso
B-6 rq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE: "*"--
"
RIGHT-:Or-wAY- ROW. PERMIT APPLICATION
Q APPROACH -PAVEMENT CUT (SEE BELOW) ® SIDEWALK
1] CURB & GUTTER WORK THROUGH MANHOLE OTHER
ROAD OBSTRUCTION NO E YES (if yes, complete.the following)
5hovaer Wort(
• % of street or # lanes that will be obstructed: _-
• Length of time street will be obstructed:
b Ifwork 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: 8808 E ,Alk; Ate.,- PARCEL NUMBER:
APPLICANT'S JOB #: &3079- LOCATE TICKET .#.. /.5035888
START DATE X015 : ANTICIPATED COMPLETION DATE: 3- 27o20S
PROJECT DESCRIPTION:
Tfenc' Mort 90' .ft. 1 n Row % . P/4ce .2 A /'Vc
forComcGgt - /yicy /La k Poi-Jiole prIvewcy
p.or
PROPERTY OR BUILDING OWNER INFORMATION (IF APPLICABLE)
NAME: - - -
MAILtNG.ADDRESS: ..._...: CITY: - _. STATE:. 2IP: -
PHONE:
FAX: , - CELL:
CONTRACTOR INFORMATION Bill -toaMCO5t Cr D-�t-
NAME: Sefaco_.'Comm N n:co 3;oil 5-.- _-
_
MAILING ADDRESS:' 7)0P/ pA1, FIO,r,i f?A CITY .C;i a/le Vc,ile j STATE: yti/�, ZIP: (19_2/4
PHONE:509 - 5s - i33a.v FAX: 50'j -553a-- ,85)5 CELL:
CONTRACTOR LICENSE NO.: 6o l+id.1 I y.1 _EXPIRES: .'.'CITY BUSINESS LICENSE. NO.:
BOND INSURANCE CERTIFICATE # •er. SVMC Title 10 Article 2 (. ..
'.CONTACT NAME:vJ bre/)nGA::
PHONE: .. ..Zo-�- 83`.7/5. .....
RECEIVED
CSV PERMIT CENTER
FEB 2 6 2015
Project-u�j1 Zo/51-Cxy4
G Z
- -Name 7
Modified April-14;2014-
htto://ivww.saokanevallev.orn/n estorage/124/938/210/948/1496/2831/ROWPA.doc
Page t of 2 ---
****-IF- PAVEMENT .CUT, COMPLETE THE:FOLLOWING ****
NATURE OF WORK:
(circle one)
Gas
Electric
Water.
Communication
Sewer:
Other
CATV
TYPE OF CUT/REPAIR:
(circle one)
Gravel
.�:...
%O'
Concrete
....
are 8')- // of 'dole,
Other
__
...�_... ...
AsphatE
-," SIZE OFCUT ;
(width) x (length) - -
. _
.+� X
STAFF TO COMPLETE:
ROAD TIER: PAVEMENT CUT POLICY APPLIES'
DISCLAIMER - The permitted verifies, acknov: ledges and agrees by their signature that: 1) If this permit Is for construction or on a dwelling, the dwelling Is/villi
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) Plans or additional
Information may be required to be submitted and subsequently approved before this appllcation can be processed. -
.1 .EXPIRATION ""•
Right-of-way permits Issued.between April 1" and September 30`" 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 31P are valid until the following April 30`^.- .
Applicant Signature:
Date: 07-,Z6 ZU/S'
Method of payment: ❑ Cash 0 Check 0 Visa** ❑ Mastercard**
**df 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 • "
0
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Page 2 of 2
t 1 1 1 1 I �..
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507
I I
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i I 7j
I R ZE CBYtti h I :�'�' t
BUFFER DATA
LONGITUDINAL:SUFFER SPACE --B,
SPEED IYPI
LOGIR gear
05'I 30 1 35 1 4011.5 I501'8cil 65 I TO
65I200I.S01NfI. .I. -I I. ,.) 'J.
SIGNSPACING •' X'(FEET) (1
RVR LTIOAC0 S -URBAN ARTERIALS 35 IW MPH 3.50
RURAL' ROADS, URwAN ARITJOALS 252)1'\IPN .'W]f2
RESmFNMI.I BUSwF6S 01Suc.rS )
URBAN amust3 '. 25 MPH ,OR LESS,IWt (-'1
ALL SIGNS ARE 4-.a 48' CLACK ON !ORANGE VNLESS' OTHERWSE
F:m0maVa vette ramlmiaWd - nay 6e a ma ;5/.1353 Ba 'TM -Sr Act. DEAGNATEO."
P9LNa. Be mach* vends N»b upas( t'CTmc 4 S 6W b
m*Wan w ea . 0 rv5wdeb=wd 6m n macfm. :(:) All spot ,g may be. =Gusted -to accommodate interchange:ramps.
'o:-grada Intosorbans, and driveways
•
(2) Tits spacig•may: be reduced In urban areas to r3 roadway'
condition...
MINMUM TAPER LEN0111 •'L'1MOO
DEVICE. SP.ans (FEET)
Srietalar
Wd-'i. Nay
PPF104 4000 OP)
23. TO 35 - a0 A6 MI 55 '.60 65
:70
a
84
120
182 210
-
25 (10
f .
10.
.105
150
2041270..-
- ILC -
I -.{
3 DEVICES AEMMUN SPACE= IDO.C. 01 TAPERS' FOR .
SHOULOSI WDTHS,LESS THAN a FEET
CTwwELRINo
DEVICE. SP.ans (FEET)
IDPH
. I
THEA.
.TANGENT ..
3514
I -
J0
CO
25 (10
f .
53
40_
ROAD
YOWL.
SNW DEA.
warm
r1TH 100(1
NOTES •
1. Pro:ectv0-vehicle recwnniended may bo 0 work *tide.2. When used: device'spaing for IPA clover -beam ' roper should be 2O 0.0
LEGEND
d SIGN LOCATION
00 0 - cMANNELIZMO'OEVICES:
PROTECTIVE :VEHICLE - RECOM1 ENGED
TYPICAL' SHOULDER (CLOSURE -LOW SPEED (40 -MPH -OR '.LESS).
TCP 5
•