Loading...
ROW2012-00033 CITY OF TIGARD RIGHT OF WAY PERMIT 6 :i Permit #: ROW2012 -00033 COMMUNITY DEVELOPMENT 1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Date Issued: 03/20/2012 TIGARD 13125 Parcel: SEG3661 Jurisdiction: TIGARD Site address: . Subdivision: Lot: Project: Portland General Electric Project Description: In front of 15422 SW Cache Creek Ln., replace and relocate transformer pad and vault Owner: FEES Description Date Amount ROW Permit Fee 03/20/2012 $300.00 PHONE: Contractor: PHONE: FAX: Applicant: RALPH REISBECK 9480 SW BOECKMAN RD WILSONVILLE, OR 97070 PHONE: 503 - 570 -4409 Total $300.00 Please sign below to indicate acceptance of conditions and return a copy with the proposed work schedule along with names and contact information of responsible parties before beginning work. Permittee /Applicant Signature: �/�� � I` /,1 Issued By: ,t'f 1�L 1 d Special Conditions (See Attached) Note: THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for ROW2012 -00033 Tyge: Condition Name: Status: Severity: ROW 01- CUSTOM CONDITION Applied Notice <Custom Condition goes here> ROW 02- PERMIT & PLAN REQ ON SITE Applied Notice A copy of the permit and all attachments, and a copy of the approved construction plan and all amendments shall be 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 the aforesaid must be approved by the City, in advance of work performance. ROW 03 -TRAF CTRL - SPECIF (CITY) Applied Notice The City's standard specification for traffic control is "Manual on Uniform Traffic Control Devices for Streets and Highways ", U.S. Dept. of Transportation, F.H.A., 1988 Ed. ROW 04 -TRAF CTRL -CONTR RESPON FOR Applied Notice Traffic control shall be provided for by the contractor in accordance with the City's standard specification and, also, in accordance with a City (job specific) approved traffic control plan. A copy of the approved traffic control plan shall be available at the work area. ROW 05 -TRAF CTRL -ROAD CLOSURE Applied Notice Public roadway shall not be closed to traffic, at any time, without having first obtained written approval from the City Engineer. The permit holder is responsible for provision of timely notification of traffic flow disruptions to area wide Emergency Services (Tigard Police Dept., Tualatin Fire & Rescue) and to Tri -Met and Tigard School District. ROW 06 -TRAF CTRL - ADVANCE WARNING Applied Notice Advance warning of imminent traffic disruption shall be provided to the general motoring public by placement of an advance notification sign at each end of the construction area 72 hours (min.) before initiation of construction work. ROW 07 -TRAF CTRL -PRIV PROP ACCESS Applied Notice Access to existing properties shall be maintained at all times, including normal delivery service and mail service and if not, shall be cause for work stoppage until effective access is established. ROW 08 -TRAF CTRL - DEVICES IN PLACE Applied Notice Traffic control devices, flagpersons, etc., shall be in place prior to initiation of construction work and shall be effectively maintained. ROW 09 -TRAF /NOISE CTRL -WORK HRS Applied Notice No work will be permitted during the hours of darkness, nor between 9:00 p.m. to 7:00 a.m. Monday through Friday, nor between 9:00 p.m. to 8:00 a.m. Saturday, nor between 9:00 p.m. to 9:00 a.m. Sunday. ROW 10 -TRAF CTRL -MIN LANE WIDTH Applied Notice Minimum travel lane width shall be eleven (11) feet; pedestrian travel shall also be provided for. ROW 11 -TRAF CTRL -CITY CAN MODIFY Applied Notice The City reserves the right to add to or modify traffic control requirements as may be necessary to effectively control traffic and to assure public safety. ROW 12 -INSP 24 HR NOTICE REQUIRED Applied Notice The permit holder or his contractor shall notify the City's inspector Zen Dutson, at 503 - 718 -2472 or email at zen @tigard- or.gov, twenty -four (24) hours prior to commencing work, twenty -four (24) hours prior to any staged inspection, and after completing work covered by the permit. ROW 13- HAZARDS -CERT OF INS Applied Notice Maintenance of the work area and approach roads is the responsibility of the permit holder. The work area and approach roads shall be maintained in a clean condition, free from obstructions and hazards. A copy of the permit holders Certificate of Insurance shall be available at the work area. ROW 14- DEBRIS - MATERIALS Applied Notice 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 cleanup and stoppage of work to accomplish cleanup. ROW 15- EROSION CTRL REQ Applied Notice Effective erosion control is required. Erosion control devices must be installed and maintained meeting D.E.Q. requirements. The City may at any time order corrective action and stoppage of work to accomplish effective erosion control. ROW 16- REPAIRS -LIKE MATERIALS REQ Applied Notice Property disturbed by construction activity shall be seeded with a standard grass mix; shrubs, flowers, barkdust, existing signs, pavement markings, mailboxes, etc., shall be reestablished, reinstalled or replaced, with like kind and material. ROW 17- DRAINAGE CONTROL REQ Applied Notice Effective drainage control is required. Drainage shall be controlled within the work site and shall be so routed that adjacent private property, public property and the receiving system is not adversely impacted. The City may, at any time, order corrective action and stoppage of work to accomplish effective drainage control. ROW 18- UTILITIES PRELOCATION REQ Applied Notice Oregon law requires following the rules adopted by the Oregon Utility Notification Center. Said rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. Copies of the rules may be obtained from the Center by calling (503) 232 -1987. If you have questions about the rules, contact the Center. NOTE: Damage to utilities shall be corrected at the permit holders expense. ROW 19- UTILITY LOCATIONAL CONFLICT Applied Notice Contractor 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 permit holders expense. Changes must be approved by the City in advance of work performance. Contractor shall coordinate the work with affected utility agencies. ROW 20- TRENCH - PATCH /SAFETY /LBILITY Applied Notice A temporary hard - surface patch (Cold mix A.C. or Hot mix A.C. base paving) shall be placed on trenches within roadways at the end of each day's work. No trench, on site or off site, shall be left at any time in an unsafe condition. The permit holder is responsible for and is liable for hazards or damage resulting from the work. ROW 21- REPAIRS REQ - INSPTR OPINION Applied Notice Work provided for under the permit shall include repair of existing facilities (roads, ditches, etc.) as may be necessary, in the City Inspectors opinion, to overcome deterioration or damage which occurred in conjunction with the work authorized by the permit. Corrective work shall be done at the permit holders expense. ROW 22 -AS- BUILT /ENGR CERTIF REQ Applied Notice At the end of each year, or an a mutually agreeable yearly date, any entity making changes to its facilities in the public right -of -way shall submit complete "as- built" drawings 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 engineers certification of installation compliance (form attached). ROW 23 -DAILY INSP REPORTS REQ Applied Notice The permit holders Engineer /Inspector shall submit daily inspection reports, on a weekly basis, to the City's Inspector. (see Developer- Engineer Agreement note #5). ROW 24- TESTS /REPTS TO VALIDT CLMS Applied Notice The City's Inspector may, at their discretion, require provision of tests and or reports from the permit holder, permit holder's engineer or contractor to validate claims of material or construction adequacy /compliance. Such tests /reports shall be provided at the permit holder's expense. ROW 25- RELEASE - WAIVER REQ Applied Notice The permit holder shall provide a copy of a properly executed Release & Waiver document to the City for each ownership disturbed by construction activity, as evidence of disturbance resolution and owner satisfaction. ROW 26- MONUMENT PROTECTION REQ Applied Notice Existing monuments, property corners, and survey markers shall be protected. Replacement shall be at the permit holders expense. ROW 27 -PROB SOLVING - RESPON PARTY Applied Notice The permit holder shall 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 an emergency. The permit holder shall notify the City Inspector, in writing, of any /all assignment changes. ROW 28- CONSTR SAFETY - RESPON PARTY Applied Notice The permit holder shall cause his contractor to provide to the City Inspector, in writing, the name and 24 hr emergency telephone number of a designated "Competent Person" responsible for construction safety as per OR -OSHA, Chap. 437, Div. 3 Construction, Subdivision P - Excavations. The contractor shall notify the City Inspector of any /all assignment changes. ROW 29- ESMT /RT OF ENTRY - RESPON Applied Notice It is the sole responsibility of the permit holder to provide for 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 permit holder's failure to obtain or provide for proof of right -of -entry or easements. APPLICATION FOR 4 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 667288 1_-�f�•. tsf1iv �' Right- of- Way /�,� ( Property Address /Location(s): 198A3'S SW 124T" AVE TIGAR Case No.: /2(52 ) � as— ODd. L ! Receipt No.: 18114603 *Applicant's Name: Portland General Electric Date: ..3) I 51/ A A........4....1 0.•• •7 Address: 9480 SW Boeckman Rd REQUIRED SUBMITTAL INFORMATION City /State: Wilsonville OR Zip: 97070 .2S0 S rZ0• /2_ 43e0` Primary Contact: RALPH REISBECK Phone: (503) 570 -4409 Fax: (503) 570 -4420 Submit a scaled sketch of the proposed work to be done Contractor's Name: N/A CCB# Expiration: Professional Engineered Plans are Address: required for: City /State: Zip: • Street Widening Phone: Fax: • Subdivision Infrastructure • Main utility line extension: Plans By: Address: City /State: Zip: Phone: Fax: Description of work: REPLACE & RELOCATE TRANSFORMER, PAD & VAULT 4 Estimated value of work (within the public right -of -way): $ Is work related to a LAND -USE DECISION? YES 111 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. c.\ users \shirley\appdata \IOCaMMIOrosoft\windows \temporary internet files \content. outlook \rkfdOgku \wr 667288 city of tgard permit.docx UNDERGROUND LEGEND j iGf h 'Ee<F "r,' C «"•E NEW PGE FACILITIES TO BE INSTALLED 3.' (��xEe 1 a E n .+FTY.r j - 1 (UNLESS OTHERWISE SPECIFIED) • 1 A I ` \I FACILITIES IN BLUE ARE YED TO BE MODIF VA2 LOT vACAFR LOT VACANT lOi PAD "137 13943 I 1393) + 11929 1 66o-J?GE VAU, WITH 3' iERMI - DUCTS INSTALL 172000 PaovIDFD 8 INS 8r Gus Z PO 01231 I 10 PAD MT 100 601120/2400 7 INSTALL 1 - 12 01 XI PRIMARY IN 2 - PVC CONDUIT I EXTG 12667 KWH R PO N31252 • — _ _ - >� _ _ _ I PROVIDED s INSTALLED BY CUSTOMER ESTD NEW 7 x - SOOOKWH PVT ST + INSTALL 1--050 ,PVC CONDUIT AMID E D A INSTALLED B CUSTOMER A 100 j 1 (, 5422 — - — CONSTRUCTION NOTES: CMDEV • - _ 5C sD ... 41/ NEW HOME ' Y 1 EP 15 RESPONSIBLE FOR ALL TRENCH, CONDUIT. VAULTS. PADS AND R3 3^ W (_' ROAD 0040 CROSSINGS. A., LOT rid a 2. ALL CONDUIT TO BE NSTALLEO 36 INCHES IMINIBELOw FINAL GRADE. 11 N005 ^-.IZ d - o 3 ALL PGE CONDUCTORS TO BE INSTALLED IN GRAY, z[HEDULE 40. ELECTRICAL _ _ - \ L . VT UD] :B GRADE.PVC CONDUIT WITH NxLON PULL STRINGS IMIN.500 LBS. TESTI. • PGE 10 DETERMINE THE SIZE AND NuMBER OF CONDUITS REQUIRED. DEPT 1? EB F: 1 I AREA w0 \ I/ ?,1 MAINTAIN 12 VERTICAL AND 29 HO 4L INCHES CLEARANCE BETWEEN N A / / GAS OTHER uB iTES. ALL ELBOWS a a INCH Su ALLER TO BE 36 INCH S. 5 NEEDED ',! — _ � ;i:iF:ALS. ALL BENDS MUST BE E FACTORY ORY MADE. ALL ELBOWS S LARGER THAN 4 INCH TO BE FO 00139 — U _ Ent'S ifF7 fNOM STREET OF 60 INCH RADIUS. RIGID STEEL OR PGE APPROVED. FIBERGLASS BENDS ARE REQUIRED PD 001 F OR FOR RUNS OF I, FEET OR LONGER. OR FOR ANY LENGTH PUN WITH MORE THAN Ui 013;3 SW L.ACH 180 DEGREES IN BENDS. PVC SCHEDULE 40 BENDS ARE ACCEPTABLE FOR RUNS OF 000021 ERK L - ISO FEET OR LESS. THE MAXIMUM UIT M TOTAL BENDS IN ANY CON PUN IS 270 DEGREES 14051 {1 II IV PI.U0153 PGE 000650E W /VAC TRUCK TO PREP NEW • V ,' 00153 A. ALL PGE TRANSFORMERS TO BE INSTALLED B FEET IMwIFROM ANY caueuSTIBLE Man I 200 - 30 BUILDING. R OVERHANG AND a FEET IM FROM FIRE HYDRANT. 44 - 3 - PGE PAD /VAULT LOCATION DAY PGE NG. WALL OR r0 THIN Mu51 BE THIN IS FEEL OF OF A DRIVEABLE AREA. BEFORE LINE CREW WORK. 1 . i 1 ALwerS MAINTAIN ID FEE CLEARANCE IN FRONT OF ALL TRANSFORMERS. u0 510R PGE TO DISCONNECT 350 AL TX UG WIRE �I I CONSTRUCT ON 5. TRANSFORMER PADS ARE TO BE SET SO THAT THE TOP 15 2 INCHES ABOVE AT PD 140, 141, 139. 1282. 1281. AND 152. r QI _ 1 5,11 FINAL GRADE. CONDUIT IS TO BE INSULTED IN PAD AS INDICATED IN DETAIL u AND TO EXTEND 1 INCH ABOVE THE PAD. RECONNECT AFTER TRANSFORMER RELOCATED. PO 00141 0 P00 TO R' 2' PRIMARY 5 CONDUITS 6. STEEL BARRIER POSTS ARE REQUIRED AROUND TRANSFORMERS THAI ARE EXPOSED TO PEGS INTO NEW 644 - 3 - FGL TRANSFORMER VAULT. _ '1 1 - 10 VEHICLES. ' 01833 - 1 E00152 2009 00152 7. ALL SwITC0 VAULTS T O BE SE1 A I I N O L GRADE w1TH 6 NCH GRevEL RASE AND • 00003/ CONDUITS ALIGNED TO ENTER THE veULI END LOWER KNOCKOUTS ITERM -A- 00075,. / PL OOi E2 30 ISEE DETAIL ON SKEIGH1 14087, ,' 0 5 00142 GOLD 8• PGE 70 BE NOTIFIED AND INSPECT ALL CONDUIT. AND PAD INSTALLATIONS I TEMP BEFORE BACKE!, ALL NCw VAULT 6 PAD LOCAUONS TO BE FIELD vER1000 Li WITH PGE AND CUSTOMER REPRESENTATIVE. ___ __ , ; 9• REFER TO LETTER OF RESPONSIBILITY FOR FUPINER DETAILS AND THE OREGON 14104 ELECTRIC SERVICE REQUIREMENTS BOOKLET FOR SPECIFIC REQUIREMENTS. ' 10. DESIGN IS BASED ON STANDARD uNOEPGROUND EQUIPMENT. NON - STANDARD uNDEFGROUND EODIPMENT MAY BE AN OPTION AT AN ADDITIONAL COSI TO THE CuSTOmER. 1 E I. THE POINT OF DELIVERY AND DIVISION OF OWNERSHIP BETWEEN THE CUSTOMER AND PGE WILL BE A' THE LINE SIDE OF THE NEW CUSTOMER PROVIDED SWITCH GEAR 01033' O PD 0014) 00004/ OPEN. Iry lPANSFORMER PAD uUSi FACE PL00151 2011 STREET OF DREAMS STREET SIDE OR PARKING AREA. ■ 00151 O 2009 - 30 1 ai a- X ST N RUCT U CLEARANCE ' FROM SIDE Y AND BACK OF PO 00144Q W z 00 CHECKLIST VAULT WITH , CLEAR SPACE IN FRONT i ti ITEM YES COMMENT \ A / FI Xe L GreeoE wHp C s 1 = HOLEUIGCdR ] CON a TD. N z7o A H D u ACE 1 OM ' SO -_I BO g 1282 u - - 1 LI A N T PL GRADE EN IN RACRHOE pX J in m — - - _ PGE TRENCH X i ` %) OSCAPE AREA 0 ;3 F LOCeTES % S TREET PREFERRED LOCATIONS �/ N MI STAKING AKINC % 1 ' SID p � . DUGS IBOTHi SECONDARY DUCTS EA 1 - p'mrvcun o: / O � / 16A 50 668 9 I FLAGGING 1 ti p0 L q I 1REETR111 PO 1 05 \ O(o \� FD ❑0136 II 0 2 CONDUIT LANDSCAPE X P OST 6' 3'cpNO QIT FIE SCE 05011 7 EASEMENT % DIG PUE R ' '° 5•r, D 1 2-- T F I O / 00150 PERMITS X OWN d -LNG ,± / 2009 Y+ "MIrv [ ROCK � �. _- -I CUT SHEEt 6.. DEEP IM 01333 11C CP. NEIL. MIN 1 / 01033- 00005/ TRANSMISSION A O 00007/ I . P V / PLOOi50 SHU100WN PE00149 I CUSTOMER 3" CONDUIT 00145 ` FD 00145 SHUTDOWN % 4 TS O NN ] RY - STREET SOE GNLY1 2009 - 30 .0 YOU i0 F CONDUIT GUTI / DOOR RANGER' X 0004 CONTACT 60404 VAULT WITH 3' TERMI -DUCTS -vw '�- -'L.`- VICINITY 01451 Tara , 1 / COMPANY w /TR0N5voRMER j,•.: I PH' PD DDZZ4 C. y9 //% __ SOB SITE DATE TIME SDPMi NG REVIEW: IASBUILT BY DESIGNER: 1 \2 '/ /0 in - AS -BUILT VERIFICATION & NESC VIOLATIONS CORRECTED (� // l ® TT,Is dOCOO Io 5p05 0 F,TS FIEL D cons *ruction. _ J ��/�� '' COM G ENEML FO /,' � C \ I`\\ — _ I ANOwJR CO INSPECTO )O 10 WORKING DAYS PRIOR Forema Urnen. 000o n: Dale: J/ \ \ ,,,,—,r,.)) _ i0 IXCAVATION. CONDUIT INSPfCIION REQUIRED PRIOR i0 BACKfILL. GF: Dule: �� \ � \ 7 / A 7 U , ) JIM KAC ALEN INSTALL WIRE UNTIL TRENCH IS ... BACKFRLED. OAT,: 12/19/2011 KALE: I• =60' I9EEE.T: 1070001 HE: 7000001921 I'm NO. 661208 � • _ I E 1 l GENERAL FORMAN INSPECTOR , � C 3 L'-' \ ( _ '4(aVN U ).7N GERAL OPM' INSPE _ ' � I PHONE, .503,71,501 CELL: 74010 -d 10J PHONE: 50 }969 -3960 BRENTWOOD HOMES .J I R.' Q J STREET SPECIALIST: JEFF 005 -0EOFR • 1 1 PHONE: 50 }5)0. 46. CELL 503- 849 -5648 Lt` _ I . BULL MOUNTA 1 N I I ( - ? 4--7: CALL BEFORE YOU DIG, LOCATION SCROLLS FY -ROY ROGERS N2 17x22 DG - - lI_ l 1 o THINK i r OREGON a W REQU FOLLOW 811 \ E 19855 5W 124TH AVE, TIGARD ♦ T � 'J � IRES RULES ADOPTED DESCRiPlioN ' %/ I' � A P I — J SAFETY BY THE OREGON UTILITY NOTIFICATION CENTER. REPLACE /RELOCATE XFMR & PAD VAULT � )/ /,1 — THOSE RULES ARE SET FORTH IN OAR 952 -001 -0010 s I vJ FIR THR OUGH 951,07,090. YOU MAY OBTAIN COP/. OF _ 1 E wOR6 WITH sNEET THE RULES BY CALLING THE OREGON UTILITY S� ^ -. �pII Ntt sFCFI0N151 Cr' I %J w1 SONVILLE WASHINGTON 021 - OBA 1 of 1 111 NOTIFICATION CENTER ADMINISTRATION C (503 - 232 -19871 / , To REQUEST um, LOCATES CALL THE OREGON Know wb J 6W BUi;UANDY ST LINE CREW CENTER Lslc BY P «,ONE N By IHnMASOLIK - - '� > � J � UTILMY NOTIFICATION CENTER. e e s below. RALPH'REISBECK 570 -4409 BRIGANTE ( ) � - ,�� — -- — 811 AT LEAH CoII before dig. 654 -55 .� 2 BUSINESS DAYS PRIOR. TO EXCAVATION. you �KSOxvnLL. u+ woo. 0PORTLAND GENERAL ELECTRIC co. - ALL 710715 RESEFVEo 1111 , ~ CITY OF TIGARD RECEIPT !i - ,! 13125 SW Hall Blvd., Tigard OR 97223 ' 503.639.4171 TI Receipt Number: 186003 - 03/20/2012 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID R0W2012 -00033 ROW Permit Fee 100 - 0000 -43114 $300.00 Total: $300.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 000052 STREAT 03/20/2012 $300.00 Payor: Brian Moore - Portland General Electric Total Payments: $300.00 Balance Due: $0.00 Page 1 of 1