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2007, 07-27 Permit App: 07002928 ROWProject Number: 07002928 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/27/2007 Page 1 of 2 Project Information: Permit Use: ROW -GAS INSTALLATION. 4X 10 CUT Setbacks: Front Left: Right: Rear: Site Information: 000,1%4 4,1a-AggAMMUMNEW Plat Key: 000000 Name: Range Parcel Number: 45163.0153 Contact: AVISTA Utilities Address: 1411 E MISSION MSC -60 C - S - Z: SPOKANE WA 99220 Phone: (509) 495-2244 Group Name: Project Name: Block: SiteAddress: 718 N UNIVERSITY RD Location:: CSV Zoning: UR -3.5 Urban Residential 3.5 Water District: 011 MODERN District: Nort Lot: Owner: Name: PEARSON, KENNETH Address: 718 N UNIVERSITY RD SPOKANE VALLEY, WA 99206-50 Hold: ❑ Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: • Review Bldg Plan Review Released Water District Review PW Concurrency - Traffic Fi e District Review Health st Re Operator: jmm Printed By: jmm ed B' Print Date: 7/27/2007 Project Number: 07002928 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/27/2007 Page 2 of 2 SCAPCA Review Rele, County Utilities (Sewer) Permits: Contractor: OWNER Released By: Item Description ROW - PAVE CUT OBS NO WIN ROW - TRFC CTRL PLN REV Right of Way Firm: OWNER Phone: (000) 000-0000 Units Unit Desc 1 NUMBER OF 1 SELECT Permit Total Fees: Notes: . ,SP:M40 : _ m - .6 Fee Amount $160.00 $50.00 $210.00 Payment Summary: r ,VBA MWteNAM. Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Right of Way $210.00 $210.00 $0.00 $210.00 $210.00 $210.00 $0.00 $210.00 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: jmm Printed By: jmm Print Date: 7/27/2007 SOlane 400%'ley Call 24 hours before inspection required Phone 509.688-0195 Fax 509.688-0037 DEPARTMENT OF PUBLIC WORKS Anticipated start date 7/26/07 Permit # Account # ROW CONSTRUCTION PERMIT LOCATION OF PROPERTY- 718 N University Rd (Address/Parcel #, if available) Applicant Name Avista Utilities Fax 534-2463 Address 1411 E. Mission Ave. Spokane, Wa. 99202 — Monne MSC 60 Phone 509-495-2244 Customer's Name Address Contractor's Reg.# Expires Phone PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity) Driveway n Sewer Connection Curb & Gutter Cable/Conduit/Pole Water Installation/Repair Pavement Cut X Gas Installation/Repair nSidewalk Repair/Construction n Other Dimensions Bond/insurance certification must be on file with the City. Bond # SPECIAL INSTRUCTIONS): Gas Work: Cathodic Protection. Dig area marked with white arrows in Broadway SS 85 feet east of University. Asphalt cut 4X10. Flaggers needed. Call Jan Shea with questions 990-8714. 1 Permittee Signature Monne Forsi Date Approved I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card. Card # Expiration Date Name of Holder Signature Fees Paid$ 25.00 Date !nit (Application) (Inspection) In addition to the permit application fee of $16.00 (utility) or $25.00 (construction), inspection on each permit will be billed to the permittee at a rate of $50.00 per hour with a $25.00 (1/2 hour) minimum. Permittee signature constitutes an agreement to these terms and provisions. Work completed satisfactorily (Signed) Date Permit not valid until One -Call Notification Ticket # entered here PERMIT MUST BE KEPT ON SITE 1 4. MIIMA I4- • J Aft -A 1111;17,1111107/31/2007 08:37 r1 1 '� -o alOr1 xe- Ati5ed co 0 2-? 5099223332 tor/ ' P8-9)54 TA; ' 111k7 -t oc Tr, ‘e.,6 uNwrzes (rr' rmuc. ui OK ao a+ Z or. vc -(c c 4 g r 0,0 ,1 gR zzE E t T,5 / vet kL4 4§.fpisAoig' eco at 071 k 6G1A S(I" Mkoane ,��LVal ley 11707 E Sprague Ave Suite 106 + Spokane Valley WA 99206 509.921.1000 ♦ Fax: 509.921.1008 ♦ cityhall@spokanevalley.org TCP Review To: John — Northstar From: Inga Note — Senior Traffic Engineer Fax: 922-3332 CC: Re: Broadway work Pages: 1-12 Date: 7131107 The traffic control plan submi d for the above referenced work has been APPROVED AS NOTED below. By: Date: 7 Note, PE/PTOE Notes: 1. The traffic control plan submitted has been approved for concept only. The contractor is responsible for determining specific signing and layout as required by the Manual on Uniform Traffic Control Devices, WSDOT specifications, and Washington State modifications to the MUTCD. All devices shall conform to the MUTCD and WSDOT specifications. 2. The contractor shall contact Gay James Public Works Administrative Assistant within 24 hours of receiving this approval. The contractor must provide the location of the work, expected start and end dates, and dates and times of any road closures or delays. Gay can be reached at 688- 0171 or giames(M-spokanevalley.org, and she will notify the newspaper, school districts, Spokane Valley police department, and fire dispatch as necessary. 3. The City of Spokane Valley may request changes as warranted by traffic conditions and motorist behavior. 4. The signal must be put into all -red flash by Spokane County. The signal shop must be contacted at 477-7702 by 3 pm the day before work commences. 5. All work must be complete and both lanes re -opened to traffic by 3 pm each day. The signal will be put into normal operation for the PM peak hour and overnight. 6. Supplemental STOP signs should be placed at the intersection while in red flash. _50[9 -01 ---rat, Fop A P jL/i C- $k{o N OP.�t 5}T�Z -�-SPR-FSGS W 'g—t T1-tU( _ E-1 fb1' 7:10 AM 61:>0 ..r3 TO DM (Gr iV eD _ Doi Tut?. '" "ro v - (NG- MOM,- (5‘ti arry off- sVoice 134!MP k Nla-co,w cA-e 7C06.)1-7oQJ ftp 35of (Nc":3) [A `�l 63m m —Po s[ its fax -Mete -7-674 1A-5( 4101 2r 1 ■11111■ ■ ■■■i1i woe -4e_ A QP *e'- F. ( © PA-iQ , lela 1 s.a)' c B45, sH i F --t j'J&' AteA ,wxkl (tx) Act8 lila tt -fl G- taw (a-)' Kc -4S 6/o 1T, cw. - .182»c4' g(a E . Wi byt1-t --tia s$CRx:4(6)016% bio, • 6 LwIC..iZk k k-- z 3rcom r 5�° -- tra geo'—`- 5�P As ,d' j�l�AidsA (G 0--4110 • /-() • so -, 15o4\11 • eizoocouitAy Fax Nr2tIr_r_l_ S. nate7,31__pl 1p $P Phan A ?bre 41Fax l moi -10°5 Fax oIZZ 33 Z Co. 4fJorzAl.A D841 �, �y P. 1 * COMMUNICATION RESULT REPORT ( JUL 31.2007 11:45AM ) * FAX HEADER: CITY SPOKANE VALLEY TRANSMITTED/STORED : JUL 31.2007 11:38AM FILE MODE OPTION ADDRESS 837 MEMORY TX 9223332 RESULT PAGE OK 2/2 REASON FOR ERROR E -S) HANE UP OR LINE FAIL E-3) NO ANSWER g":""a"~-' i ley E-1 BUSY E-4)_ NO FACRIMILE CONNECTION 1%707 E 5pfague Ave Suite 106 * Spokane Valley WA 90206 509.921.10001* Fax: 509.921.1 OOB ♦ cityhallaispokanevelley.org TCP Review To: John — Northster Fax: 922-3332 CC: Ra: laroatdway wore From: Inge Note —Senior Traffic Engineer. Pages: Date: 7131107 The traffic control plan ssubmi ad for the above referenced work has been APPROVED AS NOTED below. By: Ini Note, PEJPTOE Date: ? 1� 7 Not®s: 1. The traffic control plan submitted has been approved for concept only. The contractor is responsible for determining specific signing and layout as required by the Manual on uniform Traffic Control Devices, WSDOT specifications, and Washington State modifications to the MUTCD. All devices shall conform to the MUTCD and WSDOT specifications_ 2.. The contractgr Shall contact nay James, Public Works Administrative Assistant. Within 24 hours of recelvin6 this approval. The contractor must provide the location of the work, expected start end and dates, and dates and tunes of any road closures or delays. Gay can be reached at 685- 0171 or plemeetialsPokienevailev.ora, and she will notify the newspaper. school districts, Spokane Valley police department, and fire dispatch as necessary_ 3. The City of Spokane Valley may request changes as warranted by traffic conditions and motorist behavior_ 4. The signal must be put Into all -red flash by Spokane County_ The signal shop must be contaoted sat 477-7702 by 3 pm the day before work commences. 5. All work muett be complete and both lanes re -opened to traffic by 3 pm each day_ The signal will be put into normal operation for the PM peak hour and overnight_ 6. `3uppielnentai STOP signs should be plaice(' at the intersection while in red flash. Sanaain'•e\"" 11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206 509.921.1000 • Fax: 509.921.1008 1 cityhall®spokanevalley.org TCP Review To: John — Northstar Fax: 922-3332 CC: Re: Broadway work From: Inge Note — Senior Traffic Engineer Pages: Date: 7131/07 The traffic control plan submit -d for the above referenced work has been APPROVED AS NOTED below. r By: Note, PE/PTOE Date: Notes: 1. The traffic control plan submitted has been approved for concept only. The contractor is responsible for determining specific signing and layout as required by the Manual on Uniform Traffic Control Devices, WSDOT specifications, and Washington State modifications to the MUTCD. All devices shall conform to the MUTCD and WSDOT specifications. 2. The contractor shall contact Gay James, Public Works Administrative Assistant, within 24 hours of receiving this approval. The contractor must provide the location of the work, expected start and end dates, and dates and times of any road closures or delays. Gay can be reached at 688- 0171 or giamesaspokanevalley.orq, and she will notify the newspaper, school districts, Spokane Valley police department, and fire dispatch as necessary. 3. The City of Spokane Valley may request changes as warranted by traffic conditions and motorist behavior. 4. The signal must be put into all -red flash by Spokane County. The signal shop must be contacted at 477-7702 by 3 pm the day before work commences. 5. All work must be complete and both lanes re -opened to traffic by 3 pm each day. The signal will be put into normal operation for the PM peak hour and overnight. 6. Supplemental STOP signs should be placed at the intersection while in red flash. - �Ez. CD PX Z t -P - cam. A+4 t�, 4 , a (3 PAUE -r s.�l)4 , a 96 IL 15,/o ;i S OG- w (P -r) R&K-416 (3/0' 6 t -r, UY=- ct)t>_ A44D_ q4e) Aga (3(0 -ra �t �� -r 7 6P .�E. w{ -T�5, Ctu) 0v6yc-v2) sla A -C K Se > E ---D _ D4a rt- evrrz_s oN - WO—( -po sr -c- ., StC-,4c._ gab-yuc--�r�-cc�c, c4.vz.1 Tu p To ��M load s�`�snda OL 350Z49- 0--o M m N Cn m <o N N On cn m Lo N C7 co J�1 uj T� s-+ 0--o .--o e-4 .--o A i 0 - - o s ----W ca -6 S0'k P. 1 * * * COMMUNICATION RESULT REPORT ( JUL.31.2007 11:45AM ) * * * FAX HEADER: CITY SPOKANE VALLEY TRANSMITTED/STORED : JUL. 31.2007 11:38AM FILE MODE OPTION ADDRESS RESULT PAGE 837 MEMORY TX 9223332 OK 2/2 REASON FOR ERROR E-1) HANG UP OR LINE FAIL E -3i) NO ANSWER Valley E-2) BUSY NO FACS IMI LE CONNECT ION 11707 E Sprague Ave Suite 106 4 Spokane Valley WA 99206 509.921.1000i♦ Fax: 509.921.1008 • cftyitiallospokanevaltey.org TCP Review To: John — Northstar Fax: 922-2332 GC: Re; eroaadwey work • • From: Inge Note —Senior Traffic Engineer, pages: Data: 7/31107 The traffic control plan submit ed for the above referenced work has bean APPROVED AS NOTED below. By; In9a Note, PE/PT©E Date: L-'/ //17 Notees_ 1. The traffic control plan submitted has been approved' for concept only. The contractor is responsible for determining specific signing and layout as rsquired by the Manual on Uniform Traffic Control Devices, WSDOT specifications, and Washington State modifications to the MUTCD. All devices shall conform to the MUTCD and WSL)OT specifications_ 2. The contractor shall contact Gay James, Public Warks Administrative Assistant. within 24 hours of recehrinsm this approval. The contractor must provide the location of the work, expected start end end dates, and dates and times of any road closures or delays. Gay can be reached at 688- 0171 or plamesiaspok9nevarley.oru and she wilt notify the newspaper. school districts, Spokane Valley police department, and fire dispatch as necessary_ 3_ The City of Spokane Valley may request changes as inarranted by traffic conditions and motorist behavior. 4. The signer must be put Into all -red flash by Spokane County_ Tho signal shop must be contacted at 477-7702 by 3 pm the day before work commences. 5. All work runt be complete and both lanes re -opened to traffic by 3 pm each day. This signal will be put into normal operation for the PM peak hour and overnight 6_ $upptementai STOP signs should be placed at the intersection while in red flash_ IN 42 SV`. _ 4'r " s &RA 5_5 ;BRO,1.--j DkIA y r AI&E /.;z 'I -Ir r- iA/A L tG I Z>,E CK L!t 6"9 10 �,