The URL can be used to link to this page

PFI2022-00146 City of Tigard PFI#: ENGINEERING DEPARTMENT 2022-00146 . Public Facilities Improvement (PFI) Permit PROJECT INFORMATION PGE Job # M2498741 TYPE OF WORK Project name: ❑. TYPE 1—Franchise Utility Work Brief descri tion of project: PGE to replace bad light pole 2301 , performed byNWN,PGE, or utility p p agency install conduit from pole to vault and install junction box 1730. ❑ TYPE 2—ROW Sidewalk/Driveway/Sewer Work performed for the purpose o£ • Sidewalk installation or repair • Driveway approach installation and repair SITE INFORMATION • Sanitary sewer lateral installation and Location (address if available): 14275 SW 125TH AVE main line tap ❑ TYPE 3—Full Scale Development Work Portland, OR 97224 performed with land use approval which includes any of the following: • Subdivisions or Partitions APPLICANT INFORMATION • Streetwidening PGE [April Neale for Jordan Wells] • Mainline installation for sanitary sewer, Name: storm sewer, Tigard water, and Tigard Mailing address: 2213 SW 153rd Dr water service area City/State: Beaverton, OR Zip. 97003 ❑ TYPE 4—Small Cell Technology Phone: 503-672-5459 ❑ TYPE 5-Tigard Triangle crewcoordination-western@pgn.com 503-464-7777 Email: Phone: NOTE: Type 1 and 2 applications may be Contact name: Jordan Wells emailed to rowpermits e,tigard-or.gov. Phone: 503-867-2665 Email: crewcoordination-western@pgn.com CONTRACTOR INFORMATION 10 Same as applicant Name: CCB Number: Mailing address: City/State: Zip: Phone: Email: ENGINEER INFORMATION Name: Mailing address: City/State: Zip: Phone: Email: ADDITIONAL INFORMATION Estimated value of work is required(if over$5,000):$ (within the public right-of-way) Is work related to a LAND USE DECISION? ❑Yes ❑r 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. xvo..ud A14A April Neale 4/11/22 It Applicant's or authorized agent's signature Print name Date Property owner's signature (if required) Print name Date STAFF USE ONLY Case No: Permit fee: Received by: Date: Approved by: Date: Notified by:---j-Date: City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-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 PFI 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 PFI Pen-nit Fee). WATER LINE CONSTRUCTION FEE Part 3: All public water system improvements engineer's estimate X 12%. FOR STAFF USE ONLY • ' 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: ❑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 • www.tigard-or.gov • 503-718-2421 • Page 3 of 4 SW Edge of f avement Ditch ---4P Streetlight I •—•—.—•—•—• —r—•— f. i s � I ' T–�iojaos cf'SeliveiTine-- � I .;i Existing House Existing Driveway 01 IL I I � L afl 1 o Existing Shop 1 Powerpole I = I Q 1 I� 1 7roperty Line II Fire Hydrant(F H) � � I Scale: 'l"=30' � I I � � I � I I � � I d REQUIREMENTSTYPE 1 AND TYPE 2: MINIUM SKETCH pp 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 • www.tigard-or.gov • 503-718-2421 • Page 4 of 4 B 25 64942423 _[ LEGEND PD- ¢ �� O wly- 621 WORK LOCATIONS r 6 41 - - - - - - - • SURVEY GRID BOUNDARY 12345 ' REMOVE/ABANDON FACILITIES_INSTALL FACILITIES 1242 O MODIFY/TRANSFER/INSTALL ADDITIONAL FACILITIES 70 POLES `P POLE CLASS (1, 2, 3, 4, H1, H2, S) �y HT-CL 01P 9l 9'L� I-POLE HEIGHT FRAMING TRANSMISSION&DISTRIBUTION(SEE CODES BELOW) D9 FRAME DISTRIBUTION-LC10710, MU 0009 (1 PH DBL DE, POLY) Q CONDUCTORS N INSTALL 1-#350 AL-TX UG SECONDARY IN 3"PVC CONDUIT �d FROM POLE TO VAULT OP EQUIPMENT PGE PROVIDED 1730 VAULT D INSTALL 1730 VAULT AS STAKED IN FIELD REROUTE EXISTING SECONDARIES AND ROUTE TO VAULT 12360 LANDSCAPING NOTES WL1 PL-2301: p BUSHES & DEBRIS AROUND POLE BAS 14215 N N 12334 V C-)9316 142 25 T 040'4 1987 WL 2 VT-2400 (NEW VAULT): Install: in JUNCTION BOX 1730 UNFUSED , M 12357 - 1 12 `rs i 50 .a 1 VT 2400�� 3 4B 50 34181 � 2301 B 50 IRJl 45'-3 �'3' 12405 14255 None W 1 Q u� 14275 N co ROW=0' ROAD = 12' u7 U Q N Z m ANY DEVL47YON FROM THIS DESIGN MUST BE APPROVED BY THE PGE PROJECT MANAGER ATTENTION: CALL 811 BEFORE YOU DIG NOREGON LAW REQUIRES YOU TO FOLLOW RULES ADOPTED , WL 1 PL-2301: FTR OWNED POLE THINK BY THE OREGON UTILITY NOTIFICATION CENTER. THOSE RULES ARE SET FORTH IN OAR 952-001-0010 Install: SAFETY THROUGH 952-001-0090 YOU MAY OBTAIN COPIES OF PL 45'- 3 THE RULES BY CALLING THE OREGON UTILITY 1'SOUTH FIRST NOTIFICATION CENTER ADMINISTRATION @ (502-232-1987) EOP =4' TO REQUEST UTILITY LOCATES CALL THE OREGON Koowwhat's below. D9 UTILITY NOTIFICATION CENTER, 811 AT LEAST Call before you dig. 1 P 50KVA OH 120/240 7.2 NT1 CB 2 BUSINESS DAYS PRIOR TO EXCAVATION 4 ACCOUNTS 14335 PGE CONSTRUCTION DRAWING 28.13KW AS-BUILT VERIFICATION&NESC VIOLATIONS CORRECTED 3-IN PVC COND UNIT W/12" BKTS This document accurately represents FIELD Construction Remove: Foreman: Date: PL 40'-4 12370 General Foreman: Date: D9 1 P 50KVA OH 120/240 7.2 NT1 CB (Signature only required for field construction changes.) (2)2-IN PVC COND UNIT W/12"BKTS SDPM/ENG REVIEW• ASBUILTBYDES/GNER: DATE: SCALE: ACCOUNT.' AWO: JOB NO. NEW3"SEC 1 1/2/2019 1 in = 40 ft 1070001 1000004545 M2498741 TITLE RMV 2"SEC c rrF'- 1 Change B/O Pole PL2301 RMV 2"SEC C �y k w' >` y 1 ` CIRCUIT SIZE KING CITY-BULL MOUNTAIN 17 x 22 B 25 59 9 142 40 T PGE LOCATION TEMP TRANSFER COMM(S), 14275 SW 125TH AVE,TIGARD, OR, 97224 ❑ PGE PULLED 0300 TDESCRIPTION OPPED TO COMM(S) 4 TELCO TO PULL 14441 1952 REPLACE PL-2301 INSTALL J-BOX AT POLE BASE SHEET COUNTY SECTIONS WORK WITH z WASHINGTON C2110B, C2109A 1 OF 1 VID 20 40 80 Feet D BEAVERTON DESIGN BY PHONE DRAWN BY LINE CREW CENTER i i i I i i i I � JORDAN WELLS 503.867.2665 CHRISTIAN S-C � N BEAVER ONS OR 97006 ©PORTLAND GENERAL ELECTRIC CO.-ALL RIGHTS RESERVED Page 84 2011 Edition Stationary Lane Closure with Flagging 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 flagger to control both directions of traffic on low volume roads (less than 400 ADT)with good sight distance as discussed below. 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. Flaggers at each approach are required if any of the following conditions exist: a. Night Operations. b. Work space is over 200 feet in length. c. Sight distance is less than 750 feet from each approach through the lane closure. d. Traffic volumes are greater than 400 ADT. 4. The length between the Flagger Ahead signs shall not exceed one mile. Use Diagram 340— Lane Closure with Pilot Car if exceeding one mile. 5. Cones should be used to outline the work space when curves or other roadway alignments prevent clear direction for the motorists to pass the work space safely. 6. Cones along the work space are recommended when posted speeds are 45 mph or greater, when working under heavy traffic or when travel lanes are narrower than 11 feet. 7. Extended queue signing (see Diagram 5-4) should be used when traffic queues extend beyond the initial advance warning sign. 8. When flagging near an intersection, the "Flagger Ahead" (CW23-2) sign should be visible to traffic entering from any side road. Additional advance warning and Flagger Ahead symbol signs may be placed on the side road(s). 9. Sign set-up and flagger placement shown may be used for intermittent full road closures of 20 minutes or less. 10. The "ONE LANE ROAD AHEAD" (W20-4)sign is optional and should be considered on high volume or high speed roads, or when extended queues are expected. Chapter 5 December 2011 2011 Edition Page 85 Stationary Lane Closure with Flagging Diagram 320 Q Y 0 ooh o W z A s1 U W,< O O pia • L t) m � LL cc � 0 a O 1 1 W m iW 0 a Q� •• at c r--------------- • moa � I •• mOa�a a • > o_ v • C-5 COL AMU E Ea 75 I I . • I • m III � �� III •• Q E ddd 1 •• O 7 0^ ,� • V CU O!S F r � cc to l I t rm W m Lu C13 w cc Sign Spacing and Buffer Lengths(feet) 1 1 ♦ ww N Posted Spacing Between Signs Buffer U J p O Speed A B C Space zO 0 20 50 25 100 100 100 75 30 100 35 125 01 Y�Q 40 350 350 350 150 O O Q 45 180 C a 50 500 500 500 210 55 250 December 2011 Chapter 5