2014, 10-15 Permit App: ROW-2014-0582Sbn'done
.0•00Valley
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite 8-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenteraSPO kanevallev. orq
(Staff Use Only)
PERMIT NUMBER: r
PERMIT FEE:J 1 1 0
RIGHT OF WAY (ROW) PERMIT APPLICATION
APPROACH PAVEMENT CUT (SEE BELOW)
CURB & GUTTER ` WORK THROUGH MANHOLE
ROAD OBSTRUCTION NO 0 YES (if yes, complete the following)
• % of street or # lanes that will be obstructed:
• Length of time street will be obstructed:
• SIDEWALK
OTHER
(=> 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 Ea Pre -Approved TCP Proposed:
PROJECT ADDRESS: .5 / 3 /0 4,4,4.41
APPLICANT'S JOB #: /''//1/3 %
PARCEL NUMBER:
LOCATE TICKET #
START DATE: /0/..//
PROJECT
PROJECT DESCRIPTION:
3C ate—
ANTICIPATED COMPLETION DATE: /0/3///_
Project
to- W'z/ -o5S
RECEIVED
PROPERTY OR BUILDING OWNER INFORMATION (IF APPLICABLE) T ) 5 2014
NAME:
MAILING ADDRESS:
CITY:
PHONE:
FAX:
1 :PERMr I�ENTER
SUB £6L: j REV.
CONTRACTOR INFORMATION
3To g- o f `1 ITC- - CA B&..f
MAILING ADDRESS: pQ �, (5yc (0Z 19
NAME:
PHONE:
" (,'i - q - 1 Z 1 z -
�.0 LiroV
CITY: pO-kA it) i=
STATE: (. ZIP: 619 al 7
FAX: So 9 - yX 3 L$ 5 CELL:
CONTRACTOR LICENSE NO.: `S PO K. Ab C OIN CC EXPIRES: 3// 5 CITY BUSINESS LICENSE NO.:
BOND/INSURANCE CERTIFICATE # (per SVMC Title 10, Article 2):
CONTACT NAME: U ( � To a NF PHONE: y 3 -12 7 Z --
Modified AprIl 14, 2014
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Received Time Oct. 15. 2014 5:55AM No.1128
Page 1 of 2
**** 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 that: 1) if thls 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) Plans 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't 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 lit and March 31't are valid until the following April 30m
Applicant Signature: )(X•it, hi - tiL.-
Date: /c//
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 Page 2 of 2
p•\Community Development\11 Forms\B. Development Engineerina\ROWPA.doq
Received Time Oct. 15. 2014 5:55AM No.1128
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MS 14117/39
Received Time Oct, 15. 2014 5:55AM No. 1128
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BUFFER DATA
BUFFER SPACE = B
SPEED MPH)
25
30
35
40
45
50
55
60
65
70
LENGTH Ifeetl
55
85
120
—
—
—
—
—
-
—
PROTECTIVE VEHICLE ROLL AHEAD DISTANCE • R•
VEHICLE
TYPE
TYPICAL VEHICLE
LDADEO WEIGHT
ILBSI
POSTED
SPEED
(mOh)
STATrONARY
OPERATION
(feet)
• VALUES MAY
BE REDUCED 1N
ACCORDANCE
WITH TMA USE.
SEE PAGE 5.
4 YARD
DUMP TRUCK
24.000
60 -TO
-
50-55
-
45
50
2 ON
ARGOT TRUCK
15.000
60-70
50-55
45
75
1 TON
CARGO TRUCK
10.000
60-70
50-55
45
100
ROLL AHEAD STOPPING DISTANCE ASSUMES DRY PAVEMENT
TMA - RECOMMENDEO. SEE TABLE FOR APPLICATION PRIORITIES. PAGE 6.
SIGN SPACING = X (FEET)
Urban Arterials 35 MPH
350'4-
Urbon Streets
Residentleis & 25/30 MPH
Business Olstrlets
200'. -
All sign ore 48'x48' block on orange
unless otherwise designated.
60
CHANNELIZINC DEVICE SPACING IFEET)
MPH
TAPER
TANGENT
35
30
60
25/30
20
40
Ta
0
0
L/3
MINIMUM TAPER LENGTH (L) IN FEET
Lane
Width
(feet)
Posted Speed (mph)
25 30 35 40 45 50 55 60 65 TO
10
105
150
205
-
-
-
-
-
-
-
11
115
165
225
-
-
-
-
-
-
-
12
125
180
245
-
-
-
-
-
-
-
10' M I N
B
W20-1
LEGEND
W21-5
ISI SIGN LOCATION
0 0 0 TEMPORARY TRAFFIC CONTROL DEVICES
PROTECTIVE VEHICLE - RECOMMENDED
M
PIM
SHOULDER CLOSURE - LOW SPEED
(35 MPH OR LESS)
TCP 4
2' min.
i/��E
1100' -0-
500' MAX.
G20 -2A
48"X24"
B/0
�1END
ROAD WORK,
or
down stream
taper to show end
of work area
GENERAL NOTES
1. PROTECTIVE VEHICLE RECOMMENDED -
MAY BE A WORK VEHICLE.
LC
0