Application for a Permit for Works-Placement in Road Reserve Form

Terms and Conditions apply. Please read prior to completing this form.

All Road and/or Footpath Obstructions, must be accompanied with a site plan, which can be emailed to mail@vincent.wa.gov.au

A NON REFUNDABLE APPLICATION FEE is required to process this application, the fees are:

  • $42.00 (Skip Bin - Verge)
  • $53.00 (Skip Bin – Road)
  • $132.00 (All Others)
= Required Fields
Area to be obstructed


Type of obstruction




I confirm all information is true and correct, to the best of my knowledge, and understand that APPROVAL must be given prior to obstruction.
I have read and understood the conditions that may be imposed on the permit.

 

ISSUING OF A PERMIT WILL BE SUBJECT TO CONDITIONS, EXAMPLES INCLUDE

 

  • 48 hours notice between Monday and Friday must be given prior to the operation due date.
  • The area of operation must be adequately signed and barricaded from vehicles and pedestrians. Full temporary signage is to be in place when lane is obstructed, in accordance with AS 1742.3  2002.
  • The City is to be indemnified against any claim or action arising from the operation.
  • Barricades must be used to provide safe movement of pedestrians together with safe access for pedestrians being provided at all times.
  • The movement of all path users, with or without disabilities, within the road reserve shall not be impeded during building works. 
  • The area shall be maintained in a safe and trafficable condition and a continuous path of travel (minimum width of 1.5 metres) shall be maintained for all users at all times during construction works. Note: If the safety of the path is compromised by either construction damage or a temporary obstruction then appropriate warning signs (in accordance with AS1742.3) are to be erected. If a continuous path cannot be maintained, temporary pedestrian facilities suitable for all users shall be installed. Prior approval must be obtained from the Director Technical Services if scaffolding, site fencing or the like is to be erected, or building materials stored, within the road reserve.
  • Access to commercial properties and businesses is to be maintained at ALL times.
  • ALL affected householders/businesses are to be notified in writing by the applicant at least 24 hours prior to commencement of works.
  • The requirements of the Police Traffic Branch must be complied with.
  • The requirements of Work Safe Western Australia must be complied with at all times.
  • Full protection to footpath/road under outriggers must be provided.
  • The bin must not exceed two (2) metres in width.
  • Bin must be placed adjacent to kerbline on verge with footpath to remain clear of obstruction and available for pedestrian use at all times.
  • The bin must have an approved reflective device or flashing amber lights placed at either end and be lit from dusk to dawn every night.
  • No material is to be placed adjacent to the bin, all rubbish must be contained within the bin, and the bin is to be immediately emptied once full.
  • Any damage to road or footpath must be repaired at the applicant’s expense in accordance with City’s specifications within 24 hours.
  • City reserves the right to amend the conditions of the permit and/or request immediate removal of the obstruction without prior notice at anytime.
  • Bin is to be placed on the road directly adjacent to the kerbline at the approved location, but not in contact with the kerb.
  • Existing kerbside “Clearway” & "No Stopping" restrictions to be adhered to at ALL TIMES.
  • Hours of work to comply with Environment Protection (Noise) Regulations 1997.
  • The Applicant is to employ a Main Roads Western Australia accredited traffic management organisation to supply and implement traffic management, and a copy of the organisation's traffic management plan is to be supplied to the City of Vincent’s Technical Services Division prior to the commencement of works.
  • Vehicles may not make use of the set aside bays at any time.
  • Building materials to be fenced off with bunting and reflective tape and remain clear from pedestrian traffic. Star pickets require capping to be in place and secured.
  • Storage of loose construction material is not permitted in the set aside bays.
  • Storage of equipment and materials on the verge must be kept a minimum of one (1) metre from the base of street verge trees and any other infrastructure that is located on the verge.
  • No building activity is to be carried out on the thoroughfare or verge area.
  • Applicant is to re-apply before expiry date of permit, if works are to continue beyond permit expiry date.
  • Failure to comply with the Permit conditions is an offence. The City reserves the right to cancel the permit if the above conditions are not adhered to.