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HomeMy WebLinkAboutEXCAVATION PERMIT & DOCS - 21-00161 - 12 W. MAIN TOWARDS ALLEY - PVC FOR CALBE ONEExcavation Permit Public Works 35 North 10 East johnmOrexburg.org Phone: 208.359.3070 x2313 Rexburg, ID 83440 wwwrexburg.org Fox: 208.359.3022 Starting Date & Time: Area of Street Repair: Use Explorer to Email Time Received: Date Issued: t;I YY ;Jf RMURG AUTHORIZATION IS HEREBY GIVENTO}Sm_Service omDanyLLQPhoneNo. (208)521-2980 Contractor._Km Rervir.P (ora any LLG Phone No. (208) 521-2980 To make an excavation in the public right of way at 12 WeSt Mai Street for the purpose ot Directions[ Bore and Pla excavation: X asphalt street )_ alley Refund to: in lawn —behind sidewalk _undeveloped Amount Refunded: GSA CONDITIONS OF PERMIT: 1. No excavation shall be made in any city street or right of way without fust obtaining an excavation permit and paving the requiredfees. 2. This permit is good for 30 calendar days after issuance. 3. Contractor is to carry a minimum of$500,000 in general liability insurance to cover possible damages that may be caused by the excavation or any accident caused by the work. C The permit fee within the public right ofway is $1000 for any excavation that will disturb less than 30 square yards of asphalt surfacing. A fee of $100 will be retained from the permit fee to cover city inspection costs. S. For excavations that will disturb more than 30 square yards of asphalt surfacing the permit fee will be determined by the city on an individual basis. 6. The contractor is to notify the city prior to placing backfill material and final asphalt placement. If these conditions are acceptable to the city engineer, $900 ofthe permit fee will be refunded within 30 calendar days of completion. 7. If stated conditions are not met, the city may hold the permit fee for one year from final asphalt placemcnL In the event repairs are needed, the contractor will be responsible for the repairs, If contractor fails to make the repairs, the city may do the repairs and retain the permit fee and permit holder is responsible for any costover ars. 8. The contractor is to notify Dig Line at 1-800-342-1585, at least two (2) business days in advance of an excavation. 9. The contractor shall furnish and maintain all barricades, signs, and flagmen as required by the Manual on Uniform Traffic Control Devices (MUTCD). 10. Existing asphalt pavement shall be saw cut to provide a vertical surface. 11. Excavation and backfill work shall be completed in accordance with the requirements of Sections 300 and 800 ofthe ISPWC(Idaho Standards for Public Works Construction). Seesummaryattached. 12. All excavated material shall be stockpiled forte -use or immediately removed from the site if it is unacceptable for re- use as backfill. Keep excavated material safely away from the bench and from the traveled roadway. 11. Excavations made in all streets shall be backfilled with 3 feet of flowable fill, 4 inches of 3/4 inch crushed aggregate road base, and 2 h inch minimum thickness ofplmt mix pavement surface: or equal to the existing material thiclmess, whichever is greater. 14. Existing asphalt pavement shall be "tacked" prior to new aspluthplacement. 15. Final repair of asphalt surfaces is to be completed within 10 calendar days ofthe initial excavation. In the winter, a temporary cold mix paving must be placed and maintained by the contractor until final paving is completed as soon as weather permits in the spring. In making application for this permit, I hereby agree to the above conditions ofthe permit and applicable City Ordinances. Address: 1418 West Colorado Idaho Falls ID 83402 By: Approved this day of. 20 ]__; Office ofthe City Clerk Issued by: Office Use only: Receipt Codes: []$900=5DEP 11$100=SMISC Revised 9/24/2015 (1/u,w 3—o -Z1 o� Q� EFX S Total distance: 275.67 ft (84.03 m) { -!Oz-F s ; ,1. If"M ��� Y y Public Right -Of -Way Permit Permit # RWG21-0025 H City of Idaho Falls Type: ROW GENERAL Engineering Division p 380 Constitution Way (208)612-8250 Permittee: K M Service Company PO BOX 3609 IDAHO FALLS, ID, 83402 2085236978 Property Owner Site Address/Location: 2065-2123 (2091) E 17TH ST Digline Reference No: 2021111594 Detailed Work Description: Direct Bore SE Comer to 600' N - Place 2-2" PVC for Fiber Conditions of Permit 1. Contractorshall comply with all licensing requirements of Title 4, Chapter 5 of the City of Idaho Falls Code of Ordinances. 2. Contractor shall comply with all permit requirements of Title 8, Chapter 7 of said Code. 3. The Utility Owner shall submit Plans for any Utility Main Line to the City Engineer for approval and "As -Built Drawings" after construction to the Engineering Division. 4. The Contractor shall notify the Street Division (208) 612-8490 at least One (1) Working Day and no more than Seven (7) Working Days in advance of any work. 5. Permanent pavement patches shall be made within Three (3) days of backfill in accordance with City Code 8-7-8 unless otherwise approved bythe City Engineer. Temporary pavement patches maybe required by the City Engineer. 6. Permittee warrants the adequacy and continued satisfactory condition and function of any backfill and/or permanent patch installed by Permittee underthis permit for a period of One (1) year afterthey have been accepted bythe City Engineer. 7. All work described herein shall be performed In accordance with the current Building Code, Electrical Code, Idaho Falls Engineering Standard Drawings and Specifications or other applicable Ordinances. Any work not conformingto these conditions may be corrected by the City of Idaho Falls and the cost of such corrective work may be billed to the Permittee. 8. Issuance of this Permit only allows Construction and/or Excavation within a Public Right -Of -Way or Easement for the Improvements Indicated Above, and does not relieve Permittee from the responsibility to obtain a Building Permit, Special Use Permit, Variance or other Approval By Law. All workshall comply with erosion control requirements of Title 8, Chapter 14 of the Code of Ordinances. 9. The Contractor shall notifythe Street Division at (208) 612-8490 or 881-7787for a final inspection of completed work. Date: 3/10/2021 Authorized Person: Donald Hansen AUTHORIZED PERSON NAMED ABOVE HAS AGREED TO THE ABOVE TERMS AND CONDITIONS This permit is hereby approved and issued in accordance with Title 8, Chapter 7 of the City of Idaho Falls Code of Ordinances. /62--( Kent J. Fugal, P.E., ME, aly Enaincer APPROVED PERMIT MUST BE ONSITE DURING WORK Backfill Material Requirements Backfill material shall meet the above gradation requirements and be placed in 12 inch maximum loose lifts and compacted to 95% of maximum density in accordance with AASHTO T 99. 1/2 inch Class III Plant Mix Pavement shall be compacted to between 92% and 95% of maximum density in accordance with mix design. Asphalt surfacing must extend I foot beyond the trench sides in all directions or a minimum of 4 feet in width, whichever is greater. Minimum asphalt thickness shall be 2'/2 inches or equal to the existing material thickness, whichever is greater Final surface deviation must be within +/- %" or less of surrounding surface conditions unless approved by City of Rexburg Engineer. Damages caused by the excavation must also be repaired at contractors' expense. ®Excavation Permit Summary ✓ ObtainPermitpriortostartingexcavation © ✓ Notify Dig -line at 1-800-342-1585 ® ✓ Provide Insurance © ✓ Backfilled with flowablefill ©✓ Notify citypriorto backfilling, or loose refund ® ✓ Compactallbackfill-seeattachedspecifications 0 ✓ Fill and compacttip oftrench with approved gravel © ✓ Notify city priorto paying, or looserefund ® ✓ Paving surface to be completed within 10 days, or citywill complete © ✓ Pavingto bedone accordingto attached specifications ® ✓ Fix surface repair if it fails or the trench settles Office Use Only: Receipt Codes: 1 1$900=SDEP 1 1$100=SMISC Revised 9/24/2015 3' Minus 3/4" crushed Road Base e I 3 in. 100 1 in. 100 3/4 in. 90-100 3/8 in. No.4 25.80 40-65 No. 8 30-50 No. 200 0-12 3_9 Backfill material shall meet the above gradation requirements and be placed in 12 inch maximum loose lifts and compacted to 95% of maximum density in accordance with AASHTO T 99. 1/2 inch Class III Plant Mix Pavement shall be compacted to between 92% and 95% of maximum density in accordance with mix design. Asphalt surfacing must extend I foot beyond the trench sides in all directions or a minimum of 4 feet in width, whichever is greater. Minimum asphalt thickness shall be 2'/2 inches or equal to the existing material thickness, whichever is greater Final surface deviation must be within +/- %" or less of surrounding surface conditions unless approved by City of Rexburg Engineer. Damages caused by the excavation must also be repaired at contractors' expense. ®Excavation Permit Summary ✓ ObtainPermitpriortostartingexcavation © ✓ Notify Dig -line at 1-800-342-1585 ® ✓ Provide Insurance © ✓ Backfilled with flowablefill ©✓ Notify citypriorto backfilling, or loose refund ® ✓ Compactallbackfill-seeattachedspecifications 0 ✓ Fill and compacttip oftrench with approved gravel © ✓ Notify city priorto paying, or looserefund ® ✓ Paving surface to be completed within 10 days, or citywill complete © ✓ Pavingto bedone accordingto attached specifications ® ✓ Fix surface repair if it fails or the trench settles Office Use Only: Receipt Codes: 1 1$900=SDEP 1 1$100=SMISC Revised 9/24/2015