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ROW2012-00049 � ,,� CITY OF TIGARD RIGHT OF WAY PERMIT ". . COMMUNITY DEVELOPMENT Permit #: ROW2012 00049 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Date Issued: 05/23/2012 Parcel: SEG2736 Jurisdiction: Site address: SW STREET SEGMENT Subdivision: Lot: Project: 6440 Redwood Lane Project Description: In front of 6640 SW Redwood Lane - Proposal to bore and trench a total of 253 feet and pland (1) 2" conduit a minimum of 36 inches below grade on SW Redwood lane within City of Tigard Right -of -Way. K &B Plan #B29051 Owner: FEES Description Date Amount ROW Permit Fee 05/17/2012 $300.00 PHONE: Contractor: PHONE: FAX: Applicant: • FRANK ZABEL 9605 SW NIMBUS BEAVERTON, OR 97008 PHONE: 503 - 605 -6045 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. r Permittee /Applicant b � Signature: i Issued By: r Special Conditions (See Attached) Note: THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for ROW2012 -00049 Type: Condition Name: Status: S 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. 11 111 CITY OF TIGARD RECEIPT .4 1 3125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 186794 - 05/17/2012 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID R0W2012 -00049 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 Check 3349 JFLOYD 05/17/2012 $300.00 Payor: Tremark LLC Total Payments: $300.00 Balance Due: $0.00 Page 1 of 1 City of Tigard 1111 : Application For Work In The Right-Of-Way TjGA L ROW Permit __,_ y -..,, -•- .. wi Ww__ > _ <. , ._N � . _z FOR STAFF USE ONLY General Information: Right -of -Way 20 kJ r� Ol � _) Property Address /Location(s): 6640 SW Redwood Ln - 3 (v Case No.:_ 01- 7 Portland, OR 97224 Receipt No.: V 4 , J? iv i 0.71 Date: 5 .-- / — l2- *Applicant's Name: comcast Application Accepted By: Jr Address: 9605 SW Nimbus Ave Revised 7/1/10.Ad 46, 6 I $ 300 City /State: Beaverton, OR Zip 97008 Primary Contact: Frank Zabel REQUIRED SUBMITTAL Phone: (503) 605 -6045 Fax: (503) 605 -6233 INFORMATION Contractor's Name: Texstar Enterprises, Attn: Jim Miner CCB# 178798 Expiration: 10/1012013 Submit a scaled sketch of the proposed work to be done Address: 1220 SE 190th Ave City /State: Portland, OR Zip 97223 Phone: (503) 719 -5436 Fax: (503) 328 -9168 Professional Engineered Plans are required for: Plans By: K &B • Street Widening Address: 4120 SE International Way • Subdivision Infrastructure • Main utility line extension: City /State: Milwaukie, OR Zip 97222 Phone: (503) 65o -6041 Fax: (503) 650 -7390 I:curpin \ masters \land use applications \row app.docx Description of work: Comcast is proposing to bore and trench a total of 253' and place (1 )-2" conduit a min. of 36" below grade on SW Redwood Ln within City of Tigard Right -of -Way. Estimated value of work (within the public right -of -way): $ N/A 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 I. If so please specify (BUILDING PERMIT) case #: I 'NOTE: Person specified as "Applicant" shall be designated "Permit and shall provide financial assurance for the work. City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2464 I www.tigard - or.gov I Page 1 of 1 LEGEND i I[ -- DOSrm ( 1; ,', ' � � RIFTIN ---------._ ` EtllTW f„ T E \ ` aa . _ G __ OOSnNO NANRAL OAS 1 0 I ° �� \` _ ^ ...178 _ - -_ FlaSiiXG aIOOIID N,rouA 1 MA EXIST. SmEW t v I • - I I , 1 1 . 1 CATCH B IN ` 4 ' �,,# I � I I - -1 .. -- H A T 3 I 1 I 3 11 :1. $ I $ SIAM P Q PI10P09D 4AMH¢L L ) I F t I I 7/ 4i . IT• ! ' � � 1 • �� 1 1 • O SIAM 1.1611 COND. Y PVC. 11 lEi, •, , t,'�j$, P SEE L Homo STALLED Q91 RI - iri 01/0, ANI! SION T° \ ` l � 1 g � 1 1 `�T p� INTERSECTION ® rn� ).. 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RB) \r") I I I �� —'T - -- , C�'` \'\. • 1 1 l 1 111 11-AN GIN TAP ' NOTES GENERAL I • 30 1. ALL CONSTRUCTION TO BE IN CONFORMANCE WITH CITY OF TIGARD AND 7. 'WASHINGTON COUNTY DEPARTMENT 01 • UNIFIED SEWERAGE AGENCY STANDARD PLANS AND SPECIFICATIONS. CONTROL PLANS' SHALL BE CONSIDER JRO.W. CURVES • CURB RETURNS THE CONTRACTOR SHALL OBTAIN A CI 2. IN ORDER TO PROTECT UNDERGROUND FACBJTIES , EXCAVATORS WITH THEM, AND BE PREPARED TO IM SCALE O A .4 erector O,A. 493041' 0 A. 4938'41' PERFORMING WORK SHOWN ON THESE PLANS MUST COMPLY WITH THE FROM SILT RUNOFF, DIRT TRACKING 0 JO 15 30 60 1 0 5 .37.00' R 44 20.00' R . 28.00' PROVISIONS OF ORS 757.541 TO 767.761. LOCATION OF ALL EXISTING FINES. SHUTDOWN, CR BOTH. CONTRA Q -- L 4. 57.50' L - 17.45' I. • 24,43' UTILITIES SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR. DEBRIS, MUD,ETC. EROSION CONTROL O G. 417541' © O 91'18'1Y 0 27950'2J' NOTIFY ENGINEER OF ANY DISCREPANCIES PRIOR TO CONSTRUCTION, PACIFIC CORPORATE CENTER MASTER (IN RR ) R . 20.00' R - 37. R. 42.00' 8. CONTRACTOR SHALL ADJUST ALL HALT 1 Inch = 30 ft. L - 17.4 5 L .60.78' I. - 200.24' ONE AS-BUILT SET IC AU. NEW THAT U_ WORK SHALL MATERIALS , ALONG WITH CERTIFICATION THAT ALL WORK ANO MATERIALS MISCELLANEOUS STRUCTURES TO MAT( O A W 2785 OB A 4. 4M•5'A1• CONFORM TO THE APPROVED PLANS. STANDARDS, AND SPECIFICATIONS, CONSIDERED INCIDENTAL AND NO SEP, R . 50.00' R 44 28.00' TO THE CITY BY THE PROJECT ENGINEER. 9. SINEt; LIGHTS SHALL CONFORM TO P. L ■ 244.34' L 24'43' 4. THE CITYS INSPECTOR SHALL BE NOTIFIED 24 HOURS IN ADVANCE OF POLE: FIBERGLASS POLE. ECTEI CONSTRUCTION COMMENCEMENT (PH 639 - 4171); A PRECONSTRUCTION DIRECT EMBEDMENT. COI MEETING PRIOR TO THIS NOTICE. IS ALSO REOUIRED. MAST ARE: LUMMAIRE: 20L 0 WATT H LIP ALUMINUM MAST S SEM I -CU1 ARM O P 6. ALL TRAFFIC CONTROL DEVICES AND PEDESTRIAN SAFETY MEASURES COLOR BR°N 190 190 SHALL BE BE I P L A 1 PRIOR O CONSTRUCTION COMMENCEMENT AND SHALL JUNCTION BOXES TO BE PROVIDED AT �LE67flIG,1�6BLY16E- ROM- €RSTINR -- 1.10M C - - -- 1(0.0' VC 6. CONTRA TO )STAIN CITY BUSINESS LCENSE. ' CARO p BV TTALLA O X 5 y ? A PA ST 1427.11 5 } CONNECTION WITH P.C.:.. BRIAN MOOT n $ PVI ELV - 183.34 < r y g Z • _1.85 - -- ` - - -i - - --- - 185 PS ' � x $ ggm w : " iUNRE GRADE/ a /°\ , „85 yy m / 180 �^ ^ c) , T, - - -- m 1 �= c 180 — g ^ k t � 1 185 • N I NOTES: i 1. ALL WORK AREAS TO BE Of I� RESTORED TO LIKE OR BETTER W E CONDITION. Nil 2. ALL OTHER UTILITIES ARE BASED OFF EXISTING LOCATES OR UTILITY S 15055 STRUCTURES. / 3. IT IS THE CONSTRUCTION CONTRACTORS RESPONSIBILITY ss4o TO CALL FOR LOCATES BEFORE DIGGING. 15230 4. BORE /DRILL SYM. - 5. TRENCH SYMBOLOGY - — \ / 6. EXISTING CONDUIT - \ Contact: Frank Zabel Title: Fiber Construction Coordinator Oregon / SW Washington Market r&„. 503 ) 605 -6045 ' Mobile - (503) 519 -5021 �` / '^. REMOVE & RE P LACE Spy, R ■ (2 )-s'X7' FLAGS OF SIW Office - (503) - Frank_Zabel @cable.comcast.com _ O / \ \ \\ O OO� A' \ \ 5'FROMFOC ER — _ / ?'' ' V 4' FROM ROW S `•••' 9 /// ` I •••• • (orn 15115 s \ _ / , � /� 's PRPOPOSED CATV VAULT 30" ®4 +n, 32' /SI % REMOVE & REPLACE 1' TRENCH AND PLACE (1) -2" CONDUIT A g FROM FOC �'••. /i \ L� (1) -s x7 FLAG OF Snw 9605 SW Nimbus Ave MIN. OF 36 BELO TYPICAL "OM ROW • � • �• i •• � • �// \ :\\ ( ) 22' FROM SEWER •••� Beaverton, OR 97008 DIRECTIONAL BORE AND PLACE (1) -2" 41' RADIUS I CONDUIT A MIN. OF 36" BELOW GRADE. g (TYPICAL) © : 4120 SUITE SEA A113 INTERNATIONAL WAY MILWAUKIE, OR 97222 Email: kbeng @att.net Design By: K & B (503) 650-6041 // SITE ADDRESS: a � 7 '� / ---- .. 6640 SW Redwood Ln I es Q Portland, OR 97224 2S1W12 0' REV. DATE DESCRIPTION APPROVED 0 1 5/14/12 City of Tigard Permit / CO I 15350 SCALE; PROJECT NUMBER: 1" = 40' B29051 I SHEET NUMBER nom' FIBER ENHANCEMENT PERMIT DRAWING FILE NAME: I SHEET OF 1 1 CMME- 1093 -509