PFI2020-00467 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.
Please call 503-639-4175 to schedule inspection, use code 738
********Please call before starting work. Resident is very sensitive to
Construction********
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 MATERIAL/CONSTRUCTION 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 applicants 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
City of Tigard PFI#: PF12020-00467
I.IIII ENGINEERING DEPARTMENT
TIGARD Public Facilities Improvement (PFI) Permit
PROJECT INFORMATION
423207 7555 SW Hermoso Way TYPE OF WORK
Project name: El TYPE 1—Franchise Utility Work
Brief description of project: Comcast proposes to bore & place performed by NWN,PGE, or utility
(2)-2" conduits a min. of 36" below grade between existing ❑ TYPE2—ROW Sidewalk/Driveway/Sewer
enclosures. Remove & replace (2)-5'x6' flags of sidewalk. Work performed for the purpose of:
• Sidewalk installation or repair
• Driveway approach installation and repair
SITE INFORMATION • Sanitary sewer lateral installation and
Location (address if available):
7555 SW Hermoso Way, Portland, OR 97223 main line tap
❑ TYPE 3-Full Scale Development Work
performed with land use approval which
indudes any of the following
• Subdivisions or Partitions
APPLICANT INFORMATION • Street widening
Comcast • Mainline installation for sanitary sewer,
Name: storm sewer, Tigard water, and Tigard
Mailing address: 11308 SW 68th Parkway water service area
City/State: Tigard, OR zip: 97223 El TYPE4-SmallCellTechnology
Phone:
(503) 798 5785 ❑ TYPE 5—Tigard Triangle
Mircea_Burghelea@cable.comcast.com
Phone: (503) 798-5785
Email: NOTE: Type 1 and 2 applications may be
Mitch Burghelea cmailed to rowpermits(a)tigard-or.gov.
Contact name: g
Phone: (503) 798-5785 Email: Mircea_Burghelea@cable.comcast.com
CONTRACTOR INFORMATION ❑ Same as applicant
Name: Texstar Enterprises LLC CCB Number: 228361
Mailing address: 14122 Arndt Rd, City/State: Aurora, OR zip: 97002
Phone: (503) 793-3140 Email: scottboyles@texstarenterprises.com
ENGINEER INFORMATION
Name: K&B Technical Solutions Attn: Kyle Browning
Mailing address: 6566 SE Lake Rd Suite F City/state: Milwaukie, OR zip: 97222
Phone: (719) 244-1608 Email: Permits@kbmail.net
ADDITIONAL INFORMATION
Estimated value of work is required(if over$5,000):$ 8951.00 (within the public right-of-way)
Is work related to a LAND USE DECISION? 0 Yes NI No Case number:
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of 4
APPLICANTS
NOTE: Person specified as `Applicant"shall be designated"Permittee" and shall provide financial assurance for
work,if required by the city pursuant to TMC 15.04.140.
* With the exception of a utility operating pursuant to a valid franchise or license with the City of Tigard,when the owner and the applicant
are different people,the applicant must be the purchaser of record or a lessee in possession with written authorization from the owner
or an agent of the owner. The owner must sign this application in the space provided or submit a written authorization with this
application. Franchised or Licensed Utilities are not required to obtain the owner's signature on the application.
I,the applicant,certify that:
• To the best of my knowledge,all the information provided within this application package is complete and
accurate.
• The above request does not violate any recorded deed restrictions that may be attached to or imposed upon the
subject property.
• If the application is granted,I will exercise the rights granted in accordance with the terms and subject to all the
conditions and limitations of the approval.
Kyle Browning Kyle Browning for Mitch Burghelea 12/1/2020
Applicant's or authorized agent's signature Print name Date
Property owner's signature (if required) Print name Date
STAFF USE ONLY
Case No: PFI2020-00467 Permit fee: 3eaOP Received by:HPOlIardDate:_1
Approved by: Tiei2.fll Date: /2Ji /Z4 ZD Notified by: LS• Date: •2 I
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 2 of 4
DEVELOPMENT ENGINEERING FEES
Public Facility Improvement(PFI)Permit:
INITIAL PFI PERMIT FEE
Part 1: Required submittal fee is 10%of the Net PH Permit Fee.See below for calculations.Minimum of$300.
NET PFI PERMIT FEE
Part 2: All non-water system improvements engineer's estimate X 7%(less the initial PH Permit Fee).
WATER LINE CONSTRUCTION FEE
Part 3: All public water system improvements engineer's estimate X 12%.
FOR STAFF USE ONLY FOR STAFF USE ONLY
TYPE 4: SMALL WIRELESS FACILITY TYPE 1—3:DETAILED SUBMITTAL
CHECKLIST REQUIREMENTS
Does applicant have a right-of-way license? ❑Yes ❑No TYPE 1 AND TYPE 2-Must include a sketch
showing:
Under the wireless facilities standards,is the proposal
❑ Dimensions
considered?(check all that apply): ❑Small Cell ❑Macro ❑ Street Name
How many install sites are proposed as part of this permit
❑ Site Address
application?
TYPE 3-Must provide 4 sets of plans (sized 24 x 36
or 22 x 34) and an electronic version of all submittal
The proposed equipment is located on which of the following items. The plans must that include:
0 Public Right-of-Way ❑Private Property
❑ Cover—Site,Vicinity,Abbreviation,Legend
If equipment is to be located on private property,describe the ❑ General Notes(City,Water,Sewer,etc.)
type&use: ❑ Street(Plan,Profile)
❑ Water,Storm and Sanitary(Plan Profile)
❑ Water Quality Facilities
❑ Grading
❑ Landscaping/Tree Plan
❑ Composite Utility Plan(Electrical,Phone,Gas, Storm,
Sanitary,Water,Signage,Street Lights,etc.)
❑ Details
❑ Traffic Sight Distance
❑ Signing and Striping
❑ Street Light Plan and Photometric
❑ Engineers seal/signature
❑ Sheet label(project land use name,revision and plan
log block,dates and sheet numbers.)
❑ Engineer's Construction Estimate
Additional Submittals
(per land use conditions,if applicable)
❑ Traffic Report
❑ Storm water Drainage Calculations
❑ Geotechnical Report
❑ Preliminary Access Report(Sight Distance)
❑ Proposed Plat
❑ Pathway Design
❑ Water Provider Approval
City of-Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-orgov • 503-718-2421 • Page 3 of 4
9 sivv ' y .. S1
Edge of P avement
"`"'""''\\�l ctreetbght
- = Latch ��' .�. ._
I �/ •r _
Rau,nrn ...-.
1 '/ b ,
T—�iogostd'Se eiTlfie" ( 1
a� .2I i
I
i
ry EatsUng House I
ri 1 Existing i
`� tr . Driveway
~�I vs i 1
a !
o' � • to
n t �I
al I r1
1I _ I
fl 1 °` 1
>i I 1
o
1 Existing Shop I
Powerpole . I L\ I
"*"-le.. o
� s
I� I
O
I 95' --a----
I •Property Line
I P
i 9 I IN
Fire Hydrant(FH)
I I
I I Scale 1'=30'
I I
I I
I I
I
TYPE 1 AND TYPE 2:
MINIUM SKETCH REQUIREMENTS (Put N/A if not applicable)
North arrow Property lines&dimensions Existing utilities locations
(sewer, storm,water)
Street&street names All existing structures
Proposed work Existing curb or edge of pavement Utility&street light poles
Existing S/W or D/W apron Slope of property Trees
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 4 of 4
-40-- 1 I t i i
M- 11 g e
og to
I ,a file 16
1 1
s
m
eEON CONSTRUCTION MEW1Nq E 5
_ / n;� ➢SlMNf.OYO TIW06OW
'[ uq+Eavmnc[ BORE TO n.`RnN'Caarrs MIAOWapgW 6
•a'a r (IIng NIGGor 9BE 6L. /*UIN Fre63ewtl4,c6 O PIOS FLAG s6c6.iw. 6
WO /`` - . /
I [, ,.�1w�.' - VFgiif4 wPTI6To6no Ml`N '
SW NERMOSO WAY __,¢ - ,< ,«_,:----,¢ T
,,,_____,,,,_ ,,,_..,=..:.. .,,,. .., II!,
tl
•
/610
I¢
t1 !. i IM
p Ib f.
t6
[]3J
CO
Mb 1./MMON. OTIL�nEB NEME WED Off EXISTING LOCATES g 6 �--_ ONinu10 SIRIXI66E
11116 Tn CEISTNICC ION CONTRACTORS
_._.... PESOMBILI Y TOM/FOR LOCATES BEFORE poor*.
13 3<i�( ppp
IEIEMgYED H SURFACE O
AIlA9 M TeI ��1113,,
oNCPoVIp_ ELF' ____if ME M) nwe• 2 w
TRENCH JOINT use PHEW TRVINOp6r ❑ g
W6fN5 CONDUIT .4Y61.d1 W,11AHBIW6t ® I
S TEAM - _. POEM rue ...__X___ I 4
RIGHT OF WAY -- COEPoIE • �. F
PROMPT"ME TELEPHONE POLE 0 c''' I MALE UunwfS4T ., MEMETE.VMtT m ECt-
¢rn L F'a .
EA ME .n 4vwule B ! f .
MAE OF CURE .—AA— CATQIWH - 1 !
MOEOF PAYE fl VEVE MOM W.MCI HI
e.� ` .
ME EOOF SS. —os. 4etsOVATER.EM m
OP .ETC) iI Ei
EOM OF MEWNK rfIE HWME r i 'J
MOE Or vmWAY .g E e L
EM• f M
AMER S 1
F-EIWI —_'.-- - ff..
!i 1-1
00010 i ICI
Tp4dYEANATION .e. Q
M• EM COMET ne 1,741 I
B er FENCE LIME .cr.5)1 S
4$
MAR=TTANE 41111111111111 O S
U I
RP-L
"AMEf-
WISHESI 31T6
Page 54 2011 Edition
Pedestrian Accommodation Diagrams
See Diagrams 5-7 and 5-8, below,for pedestrian accommodations in work
zones.
Pedestrian Accommodation Principles:
1. If the work impacts the sidewalk or pedestrian facility, provide a safe,
accessible path, where practical, in accordance with the requirements
of the ADA.
2. If not practical to match the width of the existing pedestrian facilities,
maintain a 4-ft minimum width.
3. Unless a reasonably safe route can be provided through the work
space, pedestrians should be appropriately directed with advance
signing to cross the road. Do not divert pedestrians into travel lanes.
4. Install pedestrian closure or detour signing on Type II barricades.
Make every practical effort to satisfy the following:
• If work closes a sidewalk or sidewalk ramp, close sidewalks at a point
where an alternate crossing point or route can be provided. Minimize
the amount of out-of-direction travel for pedestrians.
• Use a combination of"SIDEWALK CLOSED" (R9-9), "SIDEWALK
CLOSED USE OTHER SIDE" (R9-10), "SIDEWALK CLOSED AHEAD
CROSS HERE" (R9-11), and "SIDEWALK CLOSED CROSS HERE"
(R9-11a)signing to direct pedestrians to an alternate facility.
• Where there are business destinations between the nearest crosswalk
and the work area, close the sidewalk at the business access nearest
the work area, where practical using the SIDEWALK CLOSED sign.
Include the SIDEWALK CLOSED AHEAD CROSS HERE sign at the
nearest crosswalk prior to the closure.
Chapter 5 September 2016
2011 Edition Page 55
Pedestrian Accommodation, Mid-Block Diagram 5-7
The sidewalk should be closed at the nearest intersection on each side of the
work area when a safe, ADA-compliant path through the work area is not
available.
SIDEWALK CLOSED SIDEWALK CLOSED
or
AHEAD
CROSS HERE
j CROSS HERE
24x12
__. Type W1(Mount on B(II)L) Type
°W1"
j�. SIDEWALK
CLOSED
24x12
Type'W1"
(Mount on B(II)LR)
(2 Reed.)
•
O
CD
SIDEWALK CLOSED p)
SIDEWALK CLOSED
411 or AHEAD N
-_.
CROSS HERECROSS HERE
,
_ 24x12 24x18
Type'W1"
(Mount on B(II)R) Type"W1"
September 2016 Chapter 5
Page 80 2011 Edition
5.3 Two-Lane, Two-Way Roads
Shoulder Work w/ Minor Road Encroachment Diag. 300
Use this detail for non-freeway work which extends into a travel lane and
maintains a minimum 10 foot travel lane. If a minimum 10 foot travel lane
cannot be maintained, or when traffic cannot safely pass by in both lanes
simultaneously, use the appropriate lane closure diagrams—for example,
Diagrams 310 through 350.
A lane closure may be appropriate for conditions such as high traffic
volumes, high speeds, and inadequate approach sight distance to the work
space, or heavy equipment adjacent to the travel lane.
1. Use truck-mounted flashing warning lights on work and protection
vehicles. See Section 4.3—Lights and Lighted Signs for exceptions.
2. For added visibility, a truck-mounted arrow board or PCMS in caution
mode may be used.
3. Cones shall be placed along the entire length of the work space. If a
protection vehicle is used and work is in place one hour or less, the
taper and tangent devices may be omitted.
4. If the speed is 45 mph or higher, volumes exceed 2000 ADT, or there
is limited sight distance, consider placing cones or tubular markers on
centerline.
5. An arrow board in caution mode or truck-mounted PCMS with
"SHOULDER WORK"or other appropriate message may be used for
higher visibility.
Sign Spacing and Buffer Lengths(feet)
Posted Spacing Between Signs "Buffer"
Speed A B C Space
20 50
25 100 100 100 75
30 100
35 125
350 350 350
40 150
45 180
50 500 S00 500 210
55 250
60 285
65 700 700 700 325
70 365
Chapter 5 September 2016
2011 Edition Page 81
Shoulder Work w/ Minor Road Encroachment Diag. 300
/ROAD
•
Initial
Warning A •
Sign
it •
•
(Optional) •
• •
INN
• • ;
ProtectionA Vehiclepio
60
w/TMA(both Optional)
See Chapter 4 • Buffer
•
10' •
minimum • 113
•
•
A /OAD
NARROWS
(Optional)
B
jr 1 ROAD
WORK
AHEAD
Initial
Warning
Sign
September 2016 Chapter 5