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PFI2020-00322 Conditions for PFI2020-00322 Tvoe: Condition Name: Status: Severity: PFI_Utilities 01 -WORK SITE REQUIREMENTS Applied Notice Applicant must comply with all applicable provisions of federal and state law,the Tigard Municipal Code, and the terms of any agreement with the City of Tigard regarding work to be done pursuant to this permit. PFI_Utilities 02-WORK SITE AREA Applied Notice The work area and approach roads shall be maintained in a clean condition,free from obstructions and hazards. The spreading of mud or debris or storage of materials or equipment of any kind upon any public roadway is strictly prohibited and violation shall be cause for immediate cancellation of the permit. The City may at any time order immediate clean-up and suspension of work to accomplish clean-up. PFI_Utilities 03-WORK SITE EROSION CONTROL Applied Notice Prior to starting work,effective and approved erosion control devices must be installed and maintained meeting the Clean Water Services and DEQ requirements. The City may at any time order corrective action and suspension of work to accomplish effective erosion control. PFI_Utilities 04-WORK SITE REPAIRS Applied Notice Disturbed landscaped areas shall be restored or replaced. Existing signs, pavement markings,mailboxes, etc.shall be reinstalled or replaced,with like kind of material. Obtain City approval of restoration-work. PFI_Utilities 05-TRAFFIC CONTROL SPECIFICATIONS Applied Notice Applicant shall provide traffic control according to the current edition of the"Manual on Uniform Traffic Control Devices [MUTCD]for Streets and Highways", U.S. Dept. of Transportation, FHWA, current edition, American Traffic Safety Services Association[ATSSA], and Oregon Temporary Traffic Control Handbook[OUCH]: PFI_Utilities 06-TRAFFIC CONTROL PLAN Applied Notice Submit a job specific traffic control plan. A copy of the approved traffic control plan shall be readily available at the work area. Traffic control devices,flag persons,etc., shall be in place prior to initiation of construction work and shall be effectively maintained. PFI_Utilities 07-TRAFFIC CONTROL ROAD CLOSURE Applied Notice Public roadway shall not be closed to traffic, at any time, without obtaining written approval from the City Engineer. The applicant is responsible to provide 48 hour advance notice of traffic flow disruptions to affected businesses, residents and area wide Emergency Services: 503-629-0111 (Tigard Police Dept., Tualatin Fire&Rescue)and to 503-962-8140(Id-Met) and 503-431-2345(Tigard School District)and other service providers impacted by such closure. PFI_Utilities 08-TRAFFIC CONTROL ADVANCE WARNING Applied Notice Advance warning of traffic disruption shall be provided to the public by placement of an approved advance notification sign at each end of the construction area 72 hours(min.)before initiation of construction work. PFI_Utilities 09-TRAFFIC CONTROL PROPERTY ACCESS Applied Notice Access to existing properties shall be maintained at all times, including normal delivery service and mail service.Obtain City approval of any access closures. PFI_Utilities 10-TRAFFIC CONTROL WORK HOURS Applied Notice Work is permitted in daylight between the hours of 7:00 a.m. to 7:00 p.m:Mon-Fri unless otherwise authorized by the City. PFI_Utilities 11 -TRAFFIC CONTROL LIMITED WORK HOURS Applied Notice Hours of construction work on collector and arterial roads will be limited to 9:00 a.m.to 3:00 p.m. unless authorized by the City Engineer. Work will not be permitted on collector and arterial roads between 3:00 p.m.to 9:00 a.m. unless authorized by the City Engineer. PFI_Utilities 12-TRAFFIC CONTROL MODIFICATION Applied Notice The City reserves the right to add to or modify traffic control requirements as necessary to effectively control traffic and to assure public safety. PFI_Utilities 13-DRAINAGE CONTROL Applied Notice Drainage shall be controlled within the work site and shall not adversely affect adjacent private property,public property and the receiving system. The City may at any time order corrective action and suspension of work to accomplish effective drainage control. PFI_Utilities 14-UTILITY NOTIFICATION Applied Notice Oregon law requires following the rules adopted by the Oregon Utility Notification Center. Said rules are set forth in OAR 952-001-0100 through OAR 952-001-0080.Copies of said rules may be obtained from the Center by calling 503-246-1987. If you have any question about the rules,contact the Center. NOTE: Damage to utilities shall be corrected at the permit holder's expense. PFI_Utilities 15-UTILITY LOCATION CONFLICT Applied Notice Applicant must verify all existing utilities for both vertical elevation and horizontal location prior to start of work(pothole before digging if necessary). Should conflicts arise and redesign or relocation of facilities be necessary, it shall be done at the applicant's expense. Changes must be approved by the City in advance of work.Applicant shall coordinate the work with affected utility agencies. PFI_Utilities 16-TEMPORARY PATCH Applied Notice A temporary hard-surface patch shall be placed on trenches within roadways at the end of each work shift. Obtain advance approval of patching method. No trench shall be left at any time in an un-safe condition. Applicant is responsible for and is liable for hazards or damage resulting from the prosecution of the work. PFI_Utilities 17-REPAIR OF EXISTING FACILITIES Applied Notice Work under this permit shall include repair of existing facilities(roads,ditches,etc.)as may be necessary, as determined by the Inspector,to overcome deterioration or damage which occurred in conjunction with the work authorized by the permit. Corrective work shall be done at the applicant's expense. PFI_Utilities 19-PRECONSTRUCTION MEETING Applied Notice Before initiating any construction activity,the applicant shall coordinate with the City's inspector,Trent Brickey at 971-228-9269,to establish a preconstruction meeting. PFI_Utilities 20-NOTICE TO COMMENCE WORK Applied Notice The applicant shall notify the City's Inspector twenty-four(24)hours prior to commencing work, prior to any staged inspection, and after completing work covered by the permit. PFI_Utilities 21 -PERMIT/PLAN ON SITE Applied Notice A copy of the permit including a Certificate of Insurance, and all attachments, and a copy of the approved construction plan and all amendments shall be readily available at the work area. All work shall conform to the permit terms,conditions and provisions and to the City approved permit plans,and approved plan amendments and to the City's standards and specifications and to these General Conditions. Changes to any of these must be approved by the City, in advance of work performance. PFI_Utilities 22-DAILY INSPECTION REPORTS Applied Notice Applicant shall submit daily inspection reports,on a weekly basis, to the City's Inspector. PFI_Utilities 23-MONUMENT PROTECTION Applied Notice Existing monuments, property corners, and survey markers shall be protected. Replacement shall be at the permit holder's expense. PFI_Utilities 24-VALIDATION OF MATERIAUCONSTRUCTION Applied Notice The City's Inspector may, at his discretion, require tests and or reports from the applicant to validate claims of material or construction adequacy/compliance. Such tests/reports shall be provided at the applicant's expense. PFI_Utilities 25-EMERGENCY CONTACTS Applied Notice Provide to the City inspector, in writing,the names and 24 hour emergency telephone number of two(2)persons who have authority to resolve problems,take corrective action and, in general,will be responsible in case of any emergency. The applicant shall notify the City Inspector,in writing,of any/all assignment changes. PFI_Utilities 26-RIGHT OF ENTRY/EASEMENTS Applied Notice Applicant to obtain proper right-of-entry and/or easements prior to starting work. Proof of right-of-entry or properly executed easements, shall be provided to the City. The City shall in no way be construed to be liable for the applicant's failure to obtain or provide for proof of right-of-entry or easements. PFI_Utilities 27-PRIVATE PROPERTY AGREEMENTS Applied Notice Provide the City a copy of an executed agreement[s]from the owner for each private property disturbed by construction activity. PFI_Utilities 28-AS-BUILT DRAWING Applied Notice 1,2,3,4,5 28-AS-BUILT DRAWING One as-built drawing showing all new public improvements, including any revision made to the previously approved construction plans and,also,any improvement which may impact an existing public system or facility, shall be provided to the City by a registered civil engineer along with an engineer's certification of installation compliance(Certificate of Compliance). 1,2,3,4,5 28-AS-BUILT DRAWING One as-built drawing showing all new public improvements, including any revision made to the previously approved construction plans and,also,any improvement which may impact an existing public system or facility, shall be provided to the City by a registered civil engineer along with an engineer's certification of installation compliance(Certificate of Compliance). One as-built drawing showing all new public improvements, including any revision made to the previously approved construction plans and, also, any improvement which may impact an existing public system or facility,shall be provided to the City by a registered civil engineer along with an engineer's certification of installation compliance(Certificate of Compliance). PFI_Utilities 31 -OTHER Applied Notice Other INCity of Tigard 1)1:1 : 2020 00322 • ENGINEERING DEPARTMENT lit: ,a1) Public Facilities Improvement (PFI) Permit PROJECT INFORMATION TYPE OF WORK Pnrjcctnanx: 16515 %%,^‘i R164-4-131001:--- i. ( 14.1"- (-I wit,.t-Tra,.ltia vat,lr•rtk Brief description of project: .--ilext..C 0e-2+ P I Cu rt ---. I car performed hr NwN.P61:.. re wain agrno CA C. y"rs) V\ Qck 1 r)r.,"2-0 W I," 5/Ws s t Revd 0 TYPE 2-Kt ra'S`irrall/Driveway,Scnu - 1 r W..rk perfomrm d for IN:p.q• c..f: 4, �Ot.-W11 p y,,,'ftVC-1- 47r v'Ccr-0".11551rJo-Y Q 1•••:.) CiL['ft, •N.kw4¢m.rallamminrepair rA -..ID`'• •1)rrvr..ai uppnuth inttatluion and trparr SITE INFORMATION •Sanaa,!OAcr Larra1 matallarr•n anti Location (address If available): 1 0515 `SIN A lbs i-J t c -_)'1• man)tine tap u U TYPE 3-Kin Sca SEG2211 kl)nel•gcnon Vaal; I a 0-r� c�1.aDLV rcrt.:.nucJ unh lard vr at+pr.n-d wiu.h i,� / .nclu.k-5 an. ,(the felloving •Sih.tn'r.NM1•r+r P.Inaw.ii• APPLICANT INFORMATION -�rm't rehlotrnr. T • \Irrnline irr.ralltuuu i••r wuun ante', Name: �trMl.(�-T1` C\ Vii %ewer,Tigard wear. and'Itgarri G C Mailing address: 1\-- �`yV * lk 1 wl ) scare•creirc arra CZ- U TYPE 4-Small Cell Tcvlmuh,� E City/State: 'T �k.rc� G Zip: `)i`}.��� Phone: D).-�1 J L - r f C TIME 5-Tiga TriangleTriangleTrianglehone: ii"- Entail: -R7t (_cM 1,lurnc; :,.•"`L- Nam TT, I and 2 apirlicathans mat ?t • RCI- a�1111. tt-S rn,.... I i ;xt:iut 1l r .wK.nn Ctmtact name:. ) Phone: ».r.••a- - ..-11r yr,. Email: 'iii -&. CONTRACTOR INFORMATION 0 Same as applicant Name:: 1—M4_5 C-6-‘)-0.-- LI.L CCl3 Number. I ko t40% Mailing address: lel I Cc: `...',n r--)1."' A`x--• City/Stare: `[la-A-Ldl •'\ CP -Lip:H-4©(. Phone: (11-I _ C -- 11V'1: Email: Vt.(',Ask-C>(74,Li- e C a YeI.LC.•(Aar** ENGINEER INFORMAT]uN Name: Mailing address: Cil r/Stan•: Air Phone: I snail: ADDITIONAL INFORMA'T'ION Estimated value of work is required(if over$5.i HA I):S (within the public right-ref-wad') is work related to a LAND l!Sr DGCISIUN% 0 Yes f N0 (:ase number: City of Tigard • 13125 5\C'I I:iI1 ItI.I • Algani,(rrri:..n 0-723 • w wu.ngard-nr.tit.v • 503.-1$•2421 • Puge I of 4 APPLICANTS NOTE: Pcn.,in '1krnunctand shall pr.n ak Iinma.J ac.ut.utrc for work.if required bl the an purva.tul e. 1\11 15114 lau. • Witi,the ra.tpn.n.4auathn igrytr•m•...r ai. +..,,,„!tr u,...1,• n.r, 'r.t.,t..,..11-.ud.•h:nt!w_..ur..wl r.., .p!•a.ant arc drttclrnl pnij .Fix a{.pa.ant tm..,In tin t. I:..., r n. ...., ,1, ,. ::t: . ...,•;tl:..man awn,.r..an•m ir,.m tl...AS net Wan a!lant td tl r,w,n. Ihr um;LLY nt i-,a.Tl.Fr.Md,.a!•.n.r ... .Da.,pt n;.ka•.,,,tlrw a ut,nrn aud•muw.n.toil thu appbuum. 1-ruuhtvrl as,I u.tnn!t''�i. mnr n. :-a +nu'. ..:ua•, c,I ,pphram�:. L the applicant,certify that: • Tn the best of me kmnvlcdgc,all till. intonuauon pn,vltkd withal dos applicant n package is eontplctc and accurate. • 71te above request dues not violate am rru.rdcd deed realnl.us•ns that may be attached tour imp tsed up in the subject pntpvn . • I I the applicant n is granted.I rt dl eacu7•c the tights granted m acct,rdauec w toil the terms and.ublert to all the conditions and liltntantms sir the appn•rat. N0-0 qr, / pplicant's or authorized agent..sigma on. poll!mink Date Property owner's,ignaturc iifrequire.b Prim mutt I)ate • STAFF USE ONLY Came No; PF12020-00322 Permit fee: . •40 Received by: C Date: 9 / 0 Approved by: TYY.thfi5Q- t).:" gl2/20?.v Notified by; Daty: / Za City of Tigard • 13123 SN'11.41 Nhd. • I ip.oti.•: .. ' • n • :0.-I S.242I • Page 2 of 4 DEVELOPMENT ENGINEERING FEES Public Facility Improvement(PFI)Permit: INITIAL PA PERMIT FEE Pan 1: Requited submittal fee is I(1':,of the Net Pi'1 Permit Fcc.s t hdow t r c.tkul.tnun..Alini urm of 5.300. NET PFI PERMIT FEE Pan 2: .\ll non-seater systrm introNomms vi uner'.emit um S , 'lix.the nuual P}•1 Ircnnit Feci. WATER LINE CONSTRUCTION FEE Pan 3: All pub: impel,c:nem. urgu ei.r s cenmatc N I FOR STAFF STAFF USL'ONLY FOR STAFF USIi ONLY TYPE 4:SMALL WIRELESS FACILITY TYPE 1-3:DETAILED SUBMITTAL CHECKLIST REQUIREMENTS TYPE 1 AND TYPE 2-Must Include a sketch Dr-ss applicant base nGht,.d-w ac kcrnx� ❑Sa L Noshnwi ng: Under the u x:mtlards.t>the pn,lwsal _-t Dtrtunua, al+nsideredr lcheck all that apph): f Small(:el 1 71 )treei?Sai tie Ilow many itntall sites arc prnputcJ a:part of tins pert::: spphzationv > T'YI E 3-Must provide 4 sets of plans(sized 24 x 36 or 22 x 34)and an electronic version of all submittal The purposed equipnend is 1ucsac ut alticit of the follon.1 items. The plans must that include: ❑Pubin Right-of-Wa) ❑Priratc Propeth ❑ Sur.Vteinin.Xi:mi:anon,Legend General Natcs itati.Warne,Steer,etc.; If egtupmcnt i>lu be located tin rink ale p:up•cn,,.leectibe the Street(plait.Profile) t pe&Ube: El Wiwi,Storm and Salutary(Plan Profile) iI Wader Quality Pacifior, Gning O IaruxaptngiTtcc Plan Con-To:tie Utility Plan{I:kctricai,Phone.GIs,Stuns, ?anita:y,Water,Signage,Street lights,elc.i Details ❑ Trfftr Sight Distract L.. Signing and S:np:ng Cl Surcr Light Pian and Phniomeuir Engineer.5e21(s gnature El Shot bin too tint End use name,tnium and plan for idnck,date and sheet nuntl>etr', C] Engineer's Con•mtcnnn Estimate Addition!Submittals (per land toe ntnininnt.if appacablc) ❑ Traflic Kep on Ll Storm water Dnhragc Caku)atros LiCirotcchnical Report C Prelim:uan Access Repon tSight Distance) _.. u Proposed Plat ^° ❑ Pahang'Ucsign e t'r § Cl \`laulrosvkr:\ total > PP $`i+al^1741* . "sass. Atu. City of Tigard • 13125 i\\'39aui 1tlsJ. • 'Food.l treg,ut'17_'d: • v.:, u;;udnrgin • :113.-11,.2421 • Page3 of4 1 S‘c51 .'a �ao�s or, yr' i > I. v21.wrS k-4Sx..ys ,,,, ms I �; o u et a y r+Ci S h '�3SNtlld„ two+5 f ' , -01 a —neraS ig7 —*WV. j J 9 I 'j1lV M '1M re,-oat G Cry r Y oZSSt : • y,,?,o1d -re; Z > Page 84 2011 Edition 2011 Erll!on i,,,l„i;, Stationary Lane Closure with Flagging Diagram 320 Stationary Lane Closure with Flagging' r :'' Diagram 320 Diagram 320 covers total closure of one lane of a two-lane,two-way roadway. See the detail inset for the layout if using a single nagger to control both directions of traffic on low volume roads(less than 400 ADT)with good sight distance as discussed below. m o 1. Use truck-mounted flashing warning lights on work and protection 10. U O vehicles. See Section 4.3—Lights and Lighted Signs for exceptions. gL gp 2. For added visibility,a truck mounted arrow board or PCMS in caution m I W mode may be used. - E % / m p 3. naggers al each approach are required if any of the following ? A — I F conditions exist: a. Night Operations. ® ..L = b. Work space is over 200 feet in length. c. Sight distance is less than 750 feet from each approach a through the lane closure., !! ,• il < d. Traffic volumes are greater than 400 ADT. d � ■ -6i o g A I • e' 4. The length between the Flogger Ahead signs shall not exceed one mite. Use Diagram 340—Lane Closure with Pilot Car if exceeding one a 'a 11 t �g 1 lu'1 �: a a- mile. 4.41 •1.. �_ � - • 11-••• t5. Cones should be used to outline the work space when curves or otheriA roadway alignments prevent clear direction for the motorists to pass g e a the work space safely. m' ttl pa I•• a E . II 6. Cones along the work space are mcommendeA when posted speeds O? �, are 45 mph or greater,when working under heavy traffic or when travel ....j lanes are narrower than 11 feet. m o I �ja 1 • - . LL-J • 7. Extended queue signing(see Diagram 5-4)should be used when m o — g traffic queues extend beyond the initial advance warning sign. �" 1 I t - I la. B. When flagging near an intersection,the-Fagger Ahead"(CW23.2) V g sign should be visible to traffic entering from any side road. Additional advance warning and Fiagoer Ahead symbol signs may be placed on sign Spacing.M+m,n.,r..sa.spent 1 x Ihe side road(s). [M iA. e•e01 A ..e a.n5ye. e•n•. >q}3 `s 9. Sign set-up and flogger placement shown may be used for intermittent SopNmm• • T.bl. 25 tan ,ao ,•, a full road closures of 20 minutes or less. 30 tW ua....ows,,>. 11 12S Ma 150SI° 10. The'ONE LANE ROAD AHEAD'(W20-1)sign is optional and should . b� @NY.....• 45 110 be considered on high volume or high speed roads,or when extended "` w mn Sta Seo 210 queues are expected. —_- no Sign 5patiqriend Butter Ienjaih,peetl Supplement :Meter 5 December 2011 December 2011 Posted Sparing Between Signs_ 'Buller' Chapter 5 5pfla __..A _._B C _.." 5p_oce 60 265 65 700 700 700 325 70 365