PFI2020-00445 Conditions for PF12020-00445
Tv De: 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[OTTCH].
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(Tri-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.
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
0a City of Tigard PI l #, Zo2o-ooaas
a I yGIyI,I RIyt; DEPARTMENT
Public t'acilit-ies Improc�ement- (PIP) Permit
PROJECT INFORMATION
'�'. ...Sr. w 1,pwet TYPE off WORK
Pntjtrr mum 1IN, 'p q'ti!� G
(J 1YPt':I- Ir,nx lua 1 erne \\.rtA
�A�r. 1artonnetl i, \l\\,t'(i I-, .or uoisis
Brief description of ptrtjrrt 0-e. J 0Csvv‘ Styx•+'
p r \ga• -s C) %,..a ,�^'t teh I� I Qc't SK4 �.; '0, r] TYPE 2-Rt n5 shit+rdkrl�r es, „
`�Ir CAP lets, A e* eg 0..C. tom\ IAt�I1flt,lr/11R1 lot the purpose a lt:
{ �" �^ cJ _ ▪ :.,44.11.a16 await inlet In mum
• 15davery appawch tnelathtion and repair
Sl fI I NI=C)RtMATION • aalatartfenv lateralinttaitam,n anti
!ax'at:t tit (address if available):�' 2. S_ S W 1\t main tune tar
`� I TYPE 3-I'ti l Scak 130d elli nt 1Ct�tit
(u.lar - 'P06it . to t 0 u wk-1 Itetit.rnuri w elt bml MC ikalm n al n li:rl!
\\\\ '�J\ �„'��++" `'.'1' includes NW of the flanking:
• t.4Mlttt4 In..r I'atna.tn.
APPLIC NT INFORMATION • StrtctunknmK
• \Li nhnr: insullAtion fin .anrtan wait,
Name: ‘0%S a;,.rtu ,11.1 t. Tit ud r attt. and Tt;anl
Mailing address: %&*c At/VICr AMA
U TH
City/State:atC: �I�: Y PE4-Sena)1.rt17echo,J.r),n is TYPE S-'l lgartl"1'rwyk
I'ht tne:
Email: Phone: NOTE: Tyra I arri 2 arrtitannro mat tot'
Contact name:
Phone: Email:
CONTRACTOR INFORMATION San •as apph cant
Xanit ef ,\&• Q-4)v1L k.] Ns 1•1,4.r C(: 'umber: I l(01,1,c1
Nlailinl;address: 1Q :�'1
t:its ititale1�, r • f`i 0 � Zip: 1 ,ay
Phone: S012t1(Al.CA'31'� 1 I ttt:ut: in-C-o@b ' ckcoolcUtn revile-owl
ENGINEER INFORMATION
Name:
Mailing address: t m/State. lip:
Phr one: Email:
ADDITIONAL INFORMATION
:.sumated value of work is required(if overS5.100):$ N (within the public right-nf-way)
is work related to a LAND USE DECISION ❑N'cs 0 No Case number
City of Tigard • I i)25:+\1 I Ial!lils,l • 'Fiord.t)n- oo 9'213 • wssw.11Prtl-.,r.g,n • 5111-118-2421 • Page 1 of
APPLICANTS
NOTE: Person specitietl as'•.Spplirant'shall he designated"Permirtee'and shall pm\ide financial assurance ti+r
\c•'t l., t t•yuirct1 by the an'pursuant to TMC "AM.'441
\\u::rlw ..ctivn”n oti A Ulltlt5 I.leT.lnf`L;tnlfM.;atl h•a t:1L.t(inncia.t.n Iran% ugh i h t i ..t`I tont,when tin owns and tip*Kiln sot
ere.hfrnefa p\xgsk.the pplr,mt must to tlh pctnha.er of nasmt on a Iron;in tuntn,.ion+with tampon autt..ri#anus Irmo ttk.Mn.s
oPr an INV, .,t' litc uwnar, me o.rnor must sry;n thus artphrsium in the spsvc imnxd d.-ssdredt a si*iicM authon,unm a•tth thn
.tsplitau.m t'f*nhlRCil.4lxena.l I1t:Lou.tartINnntlu1Ralt...d.tWnthe.'eni .al ,uluntotINC appAcnioon
1,the applicant,certify that:
• Tit the hest of my knowledge,all the information pi-twirled within this application package is etanpkte 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 at rations of the approval.
ttAla
041/2 Q.OkAtI \
s or aulh<t67`• • c si filature 'P e (.$\
Or4 4'+ Li—) Da 4 1
Property owner's signature(if required) Print name Date
•1 \i tt I *-•I tt\I.1
case No: PF12020-00445 Permit fee: `- ID° kecetved he SW I).ne: 11/16/2
Approved by: K f" Date: Ito 7° Notified by: Date:
City of Tigard • !Ill;SA\ I!all Ilk.1 • 'Iiganl,(hvgun't '." • wUwujtni-ttr.Ko3t • i40i•7162421 • Page 2of4
12240
' C P
]?"PVC vim�P .
, 12255
t . .
i
r 4..r
v 1<
1 // W.�� , 1 L I S
1 1 2 i 5
i
/ - .----4,-_....,_
..�„ ram`.
R
122'a5 5c,, ....._ •�_ `ram
r
2