2016, 05-17 Permit App: ROW-2016-0253 ROW Community Development Department
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Permit n
Spokane 11703 EastCeSpragueter Avenue, Suite 8-3
(Staff Use Only)
Spokane Valley, WA 99206 PERMIT NUMBER'
Tel: (509) 688-0036
41
Valley Fax: (509) 688-0037 PERMIT FEE:_
permitcentera@sookanevalley.orq
RIGHT OF WAY (ROW) PERMIT APPLICATION
0 APPROACH n PAVEMENT CUT (SEE BELOW)
C1 CURB & GUTTER 0 WORK THROUGH MANHOLE Q OTHER
ROAD OBSTRUCTION NO YES (if yes, complete the following)
• % of street or # lanes that will be obstructed:
• Length of time street will be obstructed:
b 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: ,a(>r S Cyr- PARCEL NUMBER:
APPLICANT'S JOB #: LOCATE TICKET#
START DATE: 3423heo ANTICIPATED COMPLETION DATE: /
PROJECT DESCRIPTION: G! S�/�
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PROPERTY OR BUILDING OWNER INFORMATION (IF APPLICABLE) ��JJ
NAME:
MAILING ADDRESS: CITY:
STATE: ZIP:
PHONE:
FAX: CELL:
CONTRACTOR INFORMATION
NAME: f�R CX U 1 ' L 1 i ELLC
MAILING ADDRESS: 41-.1 + (,v '1 p RA T e26 R CITY: (Y\€ C-161 '\ N STATE: j T ZIP: (36A"Z_
PHONE: 609 - S 3- J Z 72.. FAX: 509'-9 g 3 --a 52-5 CELL:
CONTRACTOR LICENSE NO.: 'TRAc k U L g 70C i- EXPIRES: CITY BUSINESS LICENSE NO.:
BOND/INSURANCE CERTIFICATE# (per SVMC Title 10, Article 2):
CONTACT NAME: \J(C ' —r1,t 12_4,tom_ PHON �` �T -1272-
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CEIVED
CSV PERMIT CENTER
AY 1 7 2016
Project# a
ZG/ —0 5_3
Name
Submittal* —"
Modified April 14, 2014
C:\Users\vturner,TRACK\Downloads\rowoa (2).doc Page 1 of 2
Received Time May, 17. 2016 12: 26PM No. 3412
**** IF PAVEMENT CUT, COMPLETE THE FOLLOWING ****
NATURE OF WORK:
(circle one) Gas I Electric 1 Water CATV Communication Sewer Other
TYPE OF CUT/REPAIR: r
(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 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) 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" 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 1st and March 31'are valid until the following April 30th
Applicant Signature: A._ 1/1.:C/L4a.(...--) Date: ----h -7/8„
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
C:\Users\vturner.TRACK\Downloads\rowoa (2).doc Page 2 of 2
Received Time May, 17. 2016 12: 26PM No. 3412
23
16316 16406 16416
16321
16325
16405 16415
/
I
L
47_. .
-
E 22ND AVE
r
1926
JT#59876
16111 22ND
AVE MAINT
I0
16206 E
22ND
JT#49152
16201
16305
'8
2
N .A."
SPLICES UNDER
SInFWAI K 876
218
OO
25
d
2315
CDCDCD
TCP 5 Typical Shoulder Closure - Low Speed (40 mph or Less)
BUFFER DATA
LONGITUDINAL BUFFER SPACE = B
SPEED 1/'011
25
30
35
40
45
60
56
60 65
70
LENGTH Mei/
155
200
200
305
-
-
-
- -
-
ProSYti+e %elide 109,11nended - may ba a cork whide. 6 a TMA is net
available, the pralaAe Ware ma0 be strategically 5tabed m Die field to
shield =deem ed no mT ahead dater®e specified.
SIGN SPACING = X (FEET) (1 )
RURAL ROADS 6 URBAN ARTERIALS 35 / 40 MPH 3603
RURAL ROADS, URBAN ARTERIALS 25/30 MPH 2O0s
RESIDENTIAL 1 BUSINESS DISTRICTS (4
URBAN STREETS 25 MPH OR LESS Wax G3
ALL S1555 ARE 4r x 46 BLACK ON ORANGE UNLESS OTHERWISE
DESIGNATED.
(1) AMI spacing may be adjusted 10 accommodate interchange lamps,
at -glade intersections, and driveways.
(2) This spa may be reduced in urban alias to fit roadway
conditions.
MINIMUM TAPER LENGTH = L (feet)
Shoudar
(866 (550
Pfd 550ad (mph)
25 30 35 40 45 50 S 00 66 70
8
04
120
182
210
-
•
-
-
-
10
105
150
204
270
-
-
-
-
-
3 DEVICES MINIMUM SPACED 10 O.C. IN TAPERS FOR
SHOULDER WaTTHS LESS THAN IT FEET
CHANNELLaNG DEVICE SPACING (FEET)
MPH
TAPER
TANGENT
35/40
30
60
26/90
20
40
W20-1
LEGEND
W21-5
SIGN LOCATION
• • • CHANNELIZING DEVICES
® PROTECTIVE VEHICLE - RECOMMENDED
NOTES
1. Protective vehicle recommended - may be a work vehicle.
2. When used, device spacing for the downstream taper should be 20 O.C.
TYPICAL SHOULDER CLOSURE - LOW SPEED (40 MPH OR LESS)
TCP 5
sauoz wom Xieuoijen