ROW2011-00016 APPLICATION FOR V �,
WORK IN RIGHT -OF -WAY (ROW) PERMIT
Development Engineering TI GARD
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 624 -0752
FOR STAFF USE ONLY
General Information: WR 638072 (301 0 — 7 1°
Right -of -Way
Property Address /Location(s): 14200 SW 72 Ave ( 38
, Case No.: ?L)a®1 DO /4
((e Receipt No.:
*Applicant's Name: Portland General Electric Date: 3) lilt ( 43°.° / -7" ti. it
A A •
Address: 9480 SW Boeckman Rd
REQUIRED SUBMITTAL INFORMATION
City /State: Wilsonville OR Zip: 97070
Primary Contact: Lorraine Katz
Phone: (503) 570 -4407 Fax: (503) 570 -4420 Submit a scaled sketch of the
proposed work to be done
Contractor's Name: Potelco Inc (Ryan Doud)
CCB# 76668 Expiration: 10/2/11 Professional Engineered Plans are
Address: 14103 Stewart Rd required for:
City /State:503- 793 -9918 Fax: • Street Widening
• Subdivision Infrastructure
Plans By:
• Main utility line extension:
Address:
City /State: Zip:
Phone: Fax:
Description of work: PGE to replace bad order cable 3 phase UG primary to VT 7241. PGE to replace VT 37241
Estimated value of work (within the public right -of -way): $
Is work related to a LAND -USE DECISION? YES ® NO
If so, please specify (MLP, SDR, SUB, etc.) case #:
Is the work related to a BUILDING PERMIT? YES NO III
If so, please specify (BUILDING PERMIT) case #:
*NOTE: Person specified as "Applicant" shall be designated "Permitee" and shall provide
financial assurance for the work.
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UNDERGROUND LEGEND
NEW PGE FACILITIES TO BE INSTALLED
(UNLESS OTHERWISE SPECIFIED)
WR CHECKLIST M INSTALL PGE FACILITIES
ITEM YES COMMENT SHOFLY POLES TO BE SIME 101180004 REMOVED ON WR 611877 REMOVE (OR ABANDON AS NOTED) PGE FACILITIES
BODY ,1151 ALL CUTOUT
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CUTSHEEI ROAD CROSSINGS.
It CIA. VER. 2. ALL CONDUIT 70 BE INSTALLED 36 00405 141N/BELOW FINAL GRADE. CALL BEFORE YOU DIG: OREGON LAW 40001RE5 YOU TO RE0UE5T UIILII9 LOCATION
SHUTDOWN 2 BUSINESS DAYS PRIOR 10 EXCAVATION. FOR LOCATES CALL THE OREGON UTILITY
SHUTDOWN S. ALL 0. 0 0 006101 10 BE w51 ALl E0 IN GRAY. SCHEDULE 90. ELECTRICAL
CUSTOMER 000E. PVC CONDUIT WITH NYLON PALL STRINGS MIN. 500 LBS. TEST, NOTIFICATION CENTER AT BIT.
51111DOMN X PRE TO DETERMINE THE SIZE AND NUMBER OF CONDUITS REOUWED.
Ix 12 004 UJC w Arv0 2x x12N1 wcnES R+NETWE CONTAC GENERAL OREMAN AND /OR CONDUIT INSPECTOR ) 3.0 10
OODA RANGER Lei AND OTHER UTILITIES. eLL ELBOWS aR 4 I S 00000 CLf+T TO BE 16 B INCH EN R5OWS.
60 INCH RADIUS. WORKING OAT'S PRIOR 3. EXCd VA iION. l
CONTACISDPY eL BETO uUST BE F u +DE. eLL ELBOW S T 9 I NCH 10 BE CONDUIT INSPECTION RE0 IRED PRIOR 3.0 BACXFILL. �
COMPANY FOR 00*65 OF 151 G 51 04 0 0 E OT 10.OR FOR ANY LENGTH FIBERGLASS RUN wTH 14000 10 0N O UREO PGE WILL NOT INSTALL WIRE UNTIL TRENCH IS IDO% BACKGILL ED. �.
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DATE TIME PHONE:1503/ 570 - 4431 CELL: 849 - 8670 Kmw what's below.
4. L PLC TRAN5FORMERS TO BE INSTALLED B FEET 124151MRON ANY COMBUSTIBLE STREETLIGHT SPECIALIST: JEFF STEIGLEDER
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a \? , s. \ UNDERGROUND UE DESIGN Is BASED ON STANDARD ERGROUND EOUIPNT. NON- STANDARD 14200 SW 72ND AVE, TIGARD; WASH CO
J p // \ / /I ..-- UNDERGROUND EOUPUENI MAY BE AN OPTION AT AN AOONIONAL COST TO DATE SECTION./ WORK WITH SHEET
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655 - 05 SW DURHAM RD "")..„71 / 5ILSON60.LE.OR 97070
0 PORTLAND GENERAL ELECTRIC CO.- ALL RIGHTS RESERVED
00 t �C
APPLICATION FOR 1 . 111 1
WORK IN RIGHT -OF -WAY (ROW) PERMIT
Development Engineering TIGARD
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 624 -0752
FOR STAFF USE ONLY
General Information: WR 638072 apj p — 7 Co
a Right -of -Way l l
Property Address /Location(s): 14200 SW 72 Ave l S 3b Case No.: W Od-DI 1'0 00 /!D
Receipt No.:
*Applicant's Name: Portland General Electric Date: 3) ti 11' 41 ' idy
Address: 9480 SW Boeckman Rd REQUIRED SUBMITTAL INFORMATION
City /State: Wilsonville OR Zip: 97070
Primary Contact: Lorraine Katz
Phone: (503) 570 -4407 Fax: (503) 570 4420 Submit a scaled sketch of the
proposed work to be done
Contractor's Name: Potelco Inc (Ryan Doud)
CCB# 76668 Expiration: 10/2/11 Professional Engineered Plans are
Address: 14103 Stewart Rd required for:
City /State:503- 793 -9918 Fax: • Street Widening
• Subdivision Infrastructure
Plans By:
• Main utility line extension:
Address:
City /State: Zip:
Phone: Fax:
Description of work: PGE to replace bad order cable 3 phase UG primary to VT 7241. PGE to replace VT 37241
Estimated value of work (within the public right -of -way): $
Is work related to a LAND -USE DECISION? YES • NO
If so, please specify (MLP, SDR, SUB, etc.) case #:
Is the work related to a BUILDING PERMIT? YES NO ■
If so, please specify (BUILDING PERMIT) case #:
*NOTE: Person specified as "Applicant" shall be designated "Permitee" and shall provide
financial assurance for the work.
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638072.docx
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UNDERGROUND LEGEND
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NEW PGE FACILITIES TO BE INSTALLED
T (UNLESS OTHERWISE SPECIFIED)
WR CHECKLIST = INSTALL PGE FACILITIES
ITEM YES COMMENT SHOFLY POLES TO BE
R1 REMOVE TOR ABANDON AS NOTED: PGE FACILITIES
ADIEUE¢R REMOVED ON WR 611877
90 STALL CUTOUT
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INSTALL I-•2 AL JET TA PRIMARY IN 4" PVC CONDUIT
PROVIDED & INSTALLED BY PGE
LOCATES X SAC
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IRYISIE550 SCICOILE 40.
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3. ALL POE CONDUCTORS 10 BE OSTALLEO w GRAY. ADE.PVC [NOLO WITH NTLON PL SS 00.500 LBS. TESTA ANTA ELECTRICAL NOTIFICATION CENTER AT SR
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0031 AwIAN Q vERTIC ID AL NCHES A 24 W FOCI. x[NES CLEARANCE BETWEEN
GAS CONTACT GENERAL FOREMAN AND/OR CONDUIT INSPECTOR 1 TO 10
ODIC NOW [ GAS AM OMEN U ALL ELBOWS I 4 LBO L A SMALLER 10 BE 36 ONO RADIUS. WORKING DAs PRIOR TO EXCAVATION.
ALL BENDS MUST BE T FACT FACTORY MADE. ALL ELBOWS LARGER THAN 4 INCH TO BE CONDUIT INSPECTION REOURED PRIOR TO BACKFL.
CONIACTSOPY 6O NCH RADIUS. NOD STEEL OR PEE APPROVED. FIBERGLASS BENDS ARE REOIWED PGE WILL NOT INSTALL WIRE UNTIL TRENCH IS 100% BACKFILLED.
COMPANY FOR RIMS OF RI FEET OR LONGER. OR FOR ANT LENGTH RUN NTH YORE THAN ED BURLS
l e
N. C. IRO F DR IN GEMS. Pvt 5[IEDLLC 40 BENDS ARE ACCEPTABLE FOR RUNS Q GENERAL FOREMAN
150 FEET OR LESS. THE YAxNUI TOTAL BENDS N ANY MIMI Rum IS 210 DEGREES PHONE:15031 570 -4431 CELL: 1349 - 8670
BRIE TIE Know ries H. below.
L ALL PGE TRANSFORMERS TO RE INSTALLED R FEET IMNIFRCM ANY COMBUSTIBLE STREETLIGHT SPECIALIST: JEFF EDER
BULm M xG. WALL OR OVERHANG A 4 FEET moo FROA ANT FIRE NTDRANI. PHONE: 15031 570.4404 CELL: 1349 -6549-65 48 Call before youdIB.
AGE TRANSFCUINERS NT 444 -POE VAULT • P DV
E -AC 444 -PGE VAULT ALW i5 YCOTORT 0 FEET C EARANCE FROM OF A OT AL TR N5FRORLERS.
T ' This document accurately
PVC AS-BUILT VERIFICATION
VICI�JIT MAP yr -07291 T RM -A -DIETS o1-00022 i -r PVC 5. TRANSFORMER PADS ARE }O BE SET 50 THAT THE TOP K 2 ACHES ABOVE 8 NESC VIOLATIONS CORRECTED represents FIELD construction.
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C S. STEEL BARKER POSTS SiS ARE REOIL(IED APOUNm TRANSFORMERS TORT ARE [xPOSE Foremen: (M
�( F R O W 000.00 \V , W '''1' 10 Y[MKL[5. OWdpnWN DAIh: JOB SITE f l � 7 • LLL SN}Cx vA1A15 i0 BE SET [] vNLL LRAx WI}x 6 INcx eRAVEL BAU Arm M » - ».PoN UOnocene: m.com ... Ponlonaeene.Al Oi: . + +- EarinA0wnt0ge.com QP MC DONALD — COU }S ALIGKNOCKOUTS x[O i0 ENTER IxE vAUlr C LOWER [NOCNiS UCRM- A- pUCT51. E 613 N0.
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9 / WIIN PLE A [USIOY[R REPRESEHi•IIVE.
PG� OE EPLACE SCALE 9. REFEP LO LETTER 0! RESPONSIBEITY FOR FURTHER DElALS AND THE OREGON R EPLACE B/0 CABLE SCALE > ` I ELECTRIC SERVICE REmAREMEN15 BOOKLET FOR SPECIFIC RCOIYIEYEN}S. L OCSiION
a y / \A ID. DESICN STANDARD Lrm UN IS B.sfo ax srAARO ERCROD EmwMEWr. Non- 5}ACDARO ` 14200 SW 72ND AVE. TIGARD: WASH CO
M O ( 4 / \ / UERGROI O EOUPTAENT MAY BE AN OPTION AT AN ADDITIONAL COST TO DATE SECTIOTISI WORT SHEET
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O PORTLAND GENERAL ELECTRIC CO.- ALL RIGHTS RESERVED