CITY OF TUMWATER 555 ISRAEL RD. SW, TUMWATER, WA (360)

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CITY OF TUMWATER 555 ISRAEL RD. SW, TUMWATER, WA 98501 (360) 754-4180 Email: cdd@ci.tumwater.wa.us WATER-SEWER-STREET-STORM (IN CITY) Submittal Checklist TUM - RCVD BY DATE STAMP APPLICANT INFORMATION (please print neatly) NAME OF APPLICANT: EMAIL: SUBJECT PROPERTY INFORMATION ADDRESS OF PROPERTY: In order to construct or extend utilities, you must submit a completed permit application and all items on this checklist unless modified or waived by Staff. A. APPLICATION N/A Provided Staff 1. Provide a complete and signed (by owner or authorized representative) application and applicable fee. Note: Payment of the plan check fee is required at the time of application. 2. Provide three copies of all plans and two copies of all specifications. Draw plans to scale of 1 = 10 to 60. Plan sheet size shall be 24 x36. All notations and drawings must be clear and legible. B. ENGINEERING PLAN REQUIREMENTS N/A Provided Staff 1. Show: a. Vicinity map. b. Legend (APWA standard symbols). c. North arrow. d. Scale bar. e. Datum (NVGD 29) Bench mark elevation and location (on all sheets where elevations are referenced). f. Title block: - Title: - Design by: - Drawn by: - Date: - Checked by: - Signature approval block (see example at end): - Sheet number of total sheets (all sheets, i.e., 1 of 20, 2 of 20, etc). g. Section, township and range (every plan/profile sheet) ¼, ¼ section. h. Engineer s stamp (signed and dated). i. Project title (cover sheet). Updated 12/29/2014

B. ENGINEERING PLAN REQUIREMENTS (CONTINUED) N/A Provided Staff j. Utility system plan (showing all proposed utilities on one drawing). k. Revision block. l. Site plan and Grading Permit TUM #, all sheets. m. Centerline, stations and offsets. n. Proposed survey monumentation locations and details. o. Sidewalk and width. p. Roadway sections with dimensions (existing and proposed). q. Existing utilities (above and below ground). r. Adjacent property lines, ownership, parcel number and street address. 2. Identify street names, right-of-way, lots. 3. Provide match lines. 4. Show easements, width and type. 5. Please note on the plans that the PLS responsible for the surveying of the project must obtain a permit from DNR before any monuments are disturbed. 6. Show right-of-way dimensions (existing and proposed). 7. Define survey baseline. 8. Show: a. Stations and offsets for structures. b. Flow direction arrows. 9. Show on profile portion: a. Profile grades (decimal FT/FT) (percent). b. Existing ground. c. Scale (horizontal and vertical) (matching grid lines). d. Stationing. e. Vertical elevation increments. f. Existing utilities (if available). 10. Provide: a. Detail sheet(s). b. General notes. c. Sheet index. d. Field verify note on DWG Expose connection points and verify fittings 48 hours prior to distributing shut-down notices. e. Call Before You Dig note: 800-424-555 or 811 (cell). C. SANITARY SEWER REQUIREMENTS N/A Provided Staff 1. Show on plan view: a. Station at each manhole (300-foot maximum spacing). b. Manholes numbered. Updated 12/29/2014 Page 2 of 8

C. SANITARY SEWER REQUIREMENTS (CONTINUED) N/A Provided Staff c. Manhole type designation and size. d. Flow direction (with arrow on pipe). e. Distance from water mains. f. Service to each lot (station laterals). 2. Show on profile view: a. Manholes numbered. b. Invert elevation showing direction, in and out. c. Rim elevation. d. Grades shown (decimal from FT/FT) (minimum slopes). e. Type of pipe. f. Size of pipe. g. Length of pipe (in LF). h. Existing utilities. 3. Provide: a. Detail sheet(s). b. General notes. D. WATER MAIN REQUIREMENTS N/A Provided Staff 1. Provide system map (1 = 300 ) showing existing and proposed with line size, valves, and hydrants. 2. Show on plan view: a. Existing utility conflicts. b. Fixtures (need horizontal and vertical control). c. Fire hydrants (per Building Official). d. Blow-off (at end of line). e. Tees, crosses, elbows, adapters and valves need coupling type, meter locations, stationing, offsets. f. Valves (2 each tee, 3 each cross). g. Fire Department connection. h. Thrust blocking required at all PIV, DCVA fittings. i. Distance from sewer main. j. Service to each lot (include open tracts), irrigation meters. 3. Show on profile view: a. Existing utility crossings. b. Show fixtures (tees, crosses, valves, couplings, hydrants) (stationing and offsets). c. Size and material type of water main. d. Length of water main (in LF). Updated 12/29/2014 Page 3 of 8

D. WATER MAIN REQUIREMENTS (CONTINUED) N/A Provided Staff e. Cover over pipe (42-inch standard). f. Street design to insure sufficient cover of future street. 4. Provide: a. Detail sheet(s). b. Water general notes. E. STORM SEWER REQUIREMENTS N/A Provided Staff 1. Provide the following for Drainage and Erosion Control Plan Report: a. Cover sheet. b. Table of contents. c. Section 1 Proposed project description. d. Section 2 Existing conditions. e. Section 3 Infiltration rates / soils report. f. Section 4 Wells. g. Section 5 Fuel tanks. h. Section 6 Sub-basin description. i. Section 7 Analysis of the 100-year flood. j. Section 8 Aesthetic considerations for facilities. k. Section 9 Downstream analysis. l. Section 10 Covenants, dedications, easements. m. Project engineer s certificate. n. Facility summary form. 2. Provide the following for the Erosion Control Plan Report: a. Section 1 Construction sequence and procedure. b. Section 2 Trapping sediment. c. Section 3 Permanent erosion control and site restoration. d. Section 4 Geotechnical analysis and report. e. Section 5 Inspection sequence. 3. Show on drawings and specifications: a. Sub-basin boundaries. b. Off-site area tributary to project. c. Contours. d. Flow path. 4. Show on site map: a. Existing topography at least 50 feet beyond site boundaries. b. Finished grades. c. Existing structures within 100 feet of project boundary. Updated 12/29/2014 Page 4 of 8

E. STORM SEWER REQUIREMENTS (CONTINUED) N/A Provided Staff d. Utilities. e. Easements, both existing and proposed. f. Environmentally sensitive areas. g. 100-year floodplain boundary. h. Existing and proposed wells within 200 feet of proposed storm facility. i. Existing and proposed fuel tanks. j. Existing and proposed on-site septic systems within 100 feet of storm facilities. k. Proposed structures including roads and parking surfaces. l. Proposed drainage facilities and sufficient cross-section details and dimensions to build. 5. Show on conveyance system plan view: a. Station and number at each manhole/catch basin. b. Manhole/catch basin type and size. c. Manhole/catch basin rim elevation. d. Flow direction with arrow on pipe/channel. e. Type and size of pipe. f. Length of pipe in lineal feet. 6. Show on conveyance system profile view: a. Station, offset and number at each manhole/catch basin. b. Rim elevation c. Invert in and out. d. Length of pipe in lineal feet. e. Grades (FT/FT) (percent). f. Design velocity. 7. Show on work map: a. Unit areas (including off-site contributing areas). b. Percentage impervious. c. Average slope. d. Conveyance date, identifier (for reference to model output), length, slope, inverts. e. Overland flow paths and distances. f. Soil types. 8. Show on erosion control drawing: a. Soil types. b. Location of soil pits and infiltration tests. c. Construction entrance detail. Updated 12/29/2014 Page 5 of 8

E. STORM SEWER REQUIREMENTS (CONTINUED) N/A Provided Staff d. Silt fences and traps. e. Mulching and vegetation plan. f. Clearing and grubbing limits. g. Existing and finished grade. h. Details and locations of all BMPs recommended. i. Location and details of temporary sediment ponds. F. STREET REQUIREMENTS N/A Provided Staff 1. Show on plan view: a. Flow direction arrows at curb returns showing grade. b. Spot elevations on curb returns. c. Station PC, PT, PI and intersections. d. Curve information delta, radius, length and tangent. e. BCR and ECR (Begin Curb Radius, End Curb Radius) station/offsite. f. Identify all field design situations. g. Typical sections. h. Pavement marking details with station and offset. i. Sidewalks: - Driveway entrances/station/width, material (AC,PCC)/driveway type. - Handicap ramps detail and type. 2. Show on profile view: a. Vertical information VPI, BVC, EVC, AP, low point, high point. b. Show grades in decimal form or percent with (+ or -) slope. c. Super elevated roadways: - Detail show transitions. - Special detail showing gutter flowing adequately. 3. Provide: a. Detail sheet. b. Street general notes. c. AASHTO Street Design Worksheet, with soils report, if applicable: d. Signing temporary and permanent. e. Channelization. f. Location of cluster mailboxes. g. Location of school bus (and/or IT) bus shelter/pad. G. STREET LIGHTS N/A Provided Staff 1. Provide: a. Station and offset to fixtures. Updated 12/29/2014 Page 6 of 8

G. STREET LIGHTS (CONTINUED) N/A Provided Staff b. Pole type, including manufacturer and model number. c. Mounting height, arm length, anchor bolt size and pattern. d. Power source: - Wire size, type, conduit. - Line loss calculations. e. Luminaire type, lamp wattage. f. Location of service disconnects (five-percent max voltage drop from source to farthest luminaire). g. J-Box location (include station and offset). h. Detail sheet. i. Lighting general notes. H. STREET SIGNALS N/A Provided Staff 1. Provide: a. Station and offset to signal base, cabinets, ped lead loops, etc. b. Wiring schedule: - Signal heads and mounting assembly. - Detection loops. - Opticom. - Control cabinet, size and layout. - Power source. - Conduit. - Wire size and type. c. Construction notes. d. J-Box schedule. e. Pedestrian signal type with push button. f. Controller type, configuration, and wiring schematic. g. Detail sheets. h. Lighting general notes. I. COMMUNITY DEVELOPMENT ENGINEERING PLAN CHECK FEES - ON-SITE AND OFF-SITE Streets, curbs, sidewalks, # of linear feet: Street lighting, # of linear feet: Street signal, # of intersections: Water main, # of linear feet: Sewer main, gravity, # of linear feet: Updated 12/29/2014 Page 7 of 8

I. COMMUNITY DEVELOPMENT ENGINEERING PLAN CHECK FEES - ON-SITE AND OFF-SITE (CONTINUED) Sewer main, pressure, # of linear feet: Sewer pump station, public, # of stations: Storm pipe, # of linear feet: # of Storm water systems:, # of acres: and # of Storm Water Reports: J. ADDITIONAL ITEMS N/A Provided Staff 1. Submit Right-of-Way permit application and checklist. 2. Submit Latecomer s Agreement permit and application and checklist. 3. Submit existing Easement (public or private) documents. 4. Provide cost of improvements in right-of-way. 5. Complete bond process. K. ELECTRONIC SUBMITTAL N/A Provided Staff 1. Compact disc (CD) or USB drive containing all of the plans, reports, etc. as outlined under A through J above, in PDF-file format. Maximum format shall be 300 dpi. Note: Please do not include the application or submittal checklist in electronic format. EXAMPLE OF SIGNATURE APPROVAL BLOCK FOR THE CITY OF TUMWATER By: CITY ENGINEER Date: EXPIRES ONE YEAR FROM ACCEPTANCE DATE I verify that all required documents associated with this application have been submitted. Signature of Applicant/Representative Date Updated 12/29/2014 Page 8 of 8