The URL can be used to link to this page

ROW2013-00089 CITY OF TIGARD RIGHT OF WAY PERMIT ''1 I COMMUNITY DEVELOPMENT Permit#: ROW2013-00089 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 02/20/2014 Parcel: SEG674 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: Portland General Electric Project Description: Adjacent to 9025 SW North Dakota St., install underground service to new ODOT reader board on Hwy. 217. Street segment 674. Owner: FEES Description Date Amount ROW Permit Fee 02/20/2014 $300.00 PHONE: Contractor: PHONE: FAX: Applicant: BRIAN BUSWELL 9480 SW BOECKMAN RD. WILSONVILLE, OR 97070 PHONE: 503-570-4434 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. Perm itt licant pyIKj...-� Si gnature:ure: r fl Issued By: Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for ROW2013-00089 Type: 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 Kenny Fisher at 503-816-6146 or email at kenny @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 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. 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. APPLICATION FOR WORK IN RIGHT-OF-WAY (ROW) PERMIT = Development Engineering TIGARD /3125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 FAX:(503)624-0752 FOR STAFF USE ONLY General Information: WR 674599 Right-of-Wadi., Property Address/Location: SW NORTH DAKOTA @ 90TH AVE Case No.: �oVJ2-013-C X) TIGARD Receipt No.: *Applicant's Name: Portland General Electric Date: 91171 13 Address: 9480 SW Boeckman Rd REQUIRED SUBMITTAL INFORMATION City/State: Wilsonville OR Zip: 97070 9• (. 039=' ro Primary Contact: Brian Buswell q 11-6 !� o-Fpli far- r'I� I�Ci t` Phone: (503) 570-4434 Fax: (503) 570-4420 Submit a scaled sketch of the .Sus we(t @ pJ n.cc>r►-, 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: INSTALL UG SERVICE TO NEW READER BOARD Estimated value of work(within the public right-of-way): $ Is work related to a LAND-USE DECISION? YES 0 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. Wo-"lea- 6 11/ 1A1,0 Ilpenn.ls for wlnbvan buswells permits\wr 674599 city of tigard permit.docx RIGHT-OF-WAY PERMIT NOTICE: COMMERCIAL LEGEND INSTALL 3'POLE CONDUIT UNIT ./ A PERMIT FROM THE LOCAL JURISDICTION IS REQUIRED BEFORE ANY INST'BRACKETS& WEDUIT UNIT // WORK IN THE RIGHT-OF-WAY MAY BE PERFORMED. ONLY PGE APPROVED NEW PGE FACILITIES TO BE INSTALLED °�%/ CONTRACTORS AND CONTRACTORS WHO HAVE MADE OTHER SPECIAL // AGREEMENTS WITH PGE WILL BE ALLOWED TO WORK UNDER PGE'S PERMIT. (UNLESS OTHERWISE SPECIFIED) // THE CONTRACTOR MUST NOTIFY THE LOCAL JURISDICTION 48 HOURS BEFORE WORK IS TO BEGIN.A COPY OF THE PERMIT MUST BE ON SITE - INSTALL 1-8350 AL-TX IN 1 OF 1-3"PVC CONDUIT PROVIDED R INSTALLED BY CUSTOMER B cCNTRRES1, �� h B°'°Side 24" Spoil CONSTRUCTION NOTES: CMDEV CONDUIT \N.\ ?,, —Trvleel i I. CUSTOMER IS RESPONSIBLE FOR AL:TRENCH,CONDUIT,VAULTS,PADS AND \ / LEGEND p.-05839 < \� ROAD CROSSINGS \ i, ,m O PGE Primary/ \ y^ Min Bewadery Cobb e 2. ALL CONDUIT TO BE INSTALLED 36 INCHES(MIN)BELOW FINAL GRADE. Cover lea(de DIAN r 0 Telco/CATV WR CHECKLIST 3.ALL PGE CONDUCTORS i0 BE INSTAILEp IN GRAY,SCHEDULE 40,EIERRIGLL \ BOe F \ / ITEM YES COMMENT GRADE,PVC CONDUIT WITH NYLON PULL STRINGS(MIN.500 LBf.TEST). \4 ®BRRYIW POE TO DETERMINE THE SIZE AND NUMBER OF CONDUITS REQUIRED. \ 10" HOLEDIGGER MAINTAIN 12 VERTICAL INCHES AND 24 HORIZONTAL INCHES CLEARANCE BETWEEN pew I 1 Select BeckEdl BOOM X GAS AND OTHER UTILITIES. ALL ELBOWS 4 INCH&SMALLER TO BE 36 INCH RADIUS. B9P5 9025 ALL BENDS MUST BE FACTORY MADE.ALL ELBOWS LARGER THAN 4 INCH TO BE NO CO A 50 Pd} \ 12„Min Undisturbed BACKHOE 60 INCH RADIUS.RIGID STEEL OR PGE APPROVED.FIBERGLASS BENDS ARE REQUIRED 1W PEDBBPP \ I EAM FOR RUNS OF PSI FEET OR LONGER OR FOR ANY LENGTH RUN WITH MORE THAN INSTALL 7200V ^ \ PGE TRENCH 180 DEGREES IN BENDS.PVC SCHEDULE 40 BENDS ARE ACCEPTABLE FOR RUNS OF �y \ 150 FEET OR LESS.THE MAXIMUM TOTAL BENDS IN ANY CONDUIT RUN IS 270 DEGREES OH •50 AD 120240V •� 4' �p 'RSw N. Joint Use Trench WO Gas 1PH,40 O,, \ LOCATES A ALL POE TRANSFORMERS TO BE INSTALLED B FEET(MIN)FROM ANY COMBUSTIBLE 8.1KW EXIT IFPEwf RIX 1-350 AL-TX-D \ STARING BUILDING,WALL OR OVERHANG AND•FEET(MINI FROM ANT FIRE HYDRANT. O PGE TRANSFORMERS FAUST BE WITHIN IS FEET OF A ORMEABIE AREA. TAP 9025 8 8995 26.9KW ADDED N. ODOT 120240V RAGGING ALWAYS MAINTAIN 10 FEET CLEARANCE IN FRONT OF ALL TRANSFORMERS. TO NEW OH XFMR 35KW TOTAL DMD IOW .a-2 AL-04 —\ 200AMP TREET 5. TRANSFORMER PADS ARE TO BE SET SO THAT THE TOP IS 2 INCHES ABOVE 2.07%VD LANDSCAPE FINAL GRADE. CONDUIT IS TO BE INSTALLED IN PAD AS INDICATED IN DETAIL 3.00%FLKR ELEMENT AND TO EXTEND I INCH ABOVE THE PAD. F 4,199A AC SW NORTH DAKOTA ST 4,1 PERMRS X TIGLRD 6 STEEL BARRIER POSTS ARE REQUIRED MOUND TRANSFORMERS THAT ARE EXPOSED ` TRAFFIC PLAN - RA TO VEHICLES. e I CUISHEET 7. ALL SWITCH VAULTS TO BE SET AT FINAL GRADE WITH 6 INCH GRAVEL BASE AND B CONDUITS ALIGNED TO ENTER THE VAULT END LOWER KNOCKOUTS(TERM-A-DUCTS). 11230 IX DR VEA. ISFE DETAIL ON SXETCHJ 11245 LOAD SUMMARY SHUTDOWN B. PGE TO BE NOTIFIED AND INSPECT ALL CONDUIT,VAULT AND PAD B'TALIATIONS LOAD TYPE CONNECT DEMAND EST CUSTOMER BEFORE BACKFILL. ALL NEW VAULT 8 PAD LOCATIONS TO BE FIELD VERIFIED 05838 KW FACTORS' DEMAND SHUTDOWN 0 WHOM '/1 AND CUSTOMER REPRESENTATIVE 1003-45 1 9.REFER TO PGE ELECTRICAL SERVICE REQUIREMENTS BOOK FOR FURTHER DETAILS O COOKING 0.30 DOOR HANGER K SOFA 8 SPECIFIC REQUIREMENTS.UNIT TO waoodooloodemooLosoolOut owe- 3 LIGHTING 28.8 0.90 25.92 CONTACT 10.DESIGN IS BASED ON STANDARD UNDERGROUND EQUIPMENT.NON-STANDARD 00500' RECEPTACLES I.8 0.10 0.18 COMPANY Pt 05838 UNDERGROUND EQUIPMENT MAY BE AN OPTION AT AN ADOMONAL COST TO WATER HEATING 0.20 PHF CA ME CUSTOMER 11260 ELECTRIC HEAT 0.1 0.75 0.075 DATE THE II. THE POINT OF DELIVERY AND DIVISION OF OWNERSHIP BETWEEN THE CUSTOMER ANL AIR CONDITIONING 0.75 - POE WILL BE AT THE LINE SIDE OF THE NEW CUSTOMER PROVIDED SWITCH GEM. REFRIGERATION 0.75 MOTORS 0.50 PGE CONSTRUCTION DRAWING COMPUTERS 115 010 0.770 0.70 WELDERS AS—BUILT VERIFICATION & NESC VIOLATIONS CORRECTED ELEVATORS 0.10 This document accurately represents FIELD Conslrucnor, L/ \ I IRRIGATION p.75 Foreman: Date: I JOB SITE D MISCELLANEOUS O s0 General Foreman: Date: I TOTAL EST CONNECTED 3(.85 (Signature only required for field constnuiion changes.) TOTAL E57 DEMAND 2ayd SDPM'ENG REVIEW: IASBUILT BY DESIGNER: t DArE: 7Q52013 scuE� 1' 80' 'ACCOUNr 1070001 IAwo: 7000001931 671599 f ANY DEVIATION FROM THIS DESIGN MUST TITLE VS I _ ` 000T READER BOARD SITE a12 e BE APPROVED BY PGE PROJECT MANAGER CIRCUIT Ty}e a CALL 811 BEFORE YOU DIG /PGE TIGARD 13336 13KV I pX17 ATTENTION: LOCATION •i ` OREGON EL AE REQUIRES YOU 70 FOLLOW RULES ADOPTED SW NORTH DAKOTA @ 90TH AVE.TICiARO THINK BY THE OREGON UTILITY NOTIFICATION CENTER. g ` DESCRIPTION THOSE RULES ARE SET FORTH IN OAR 952-001-0010 - e INSTALL UG SVC 70 NEW READER BOARD ��( SAFETY THROUGH 952-001-0090.YOU MAT OBTAIN COPIES OF COUNTY CTON(5) WORK wan SIT . N"- THE RULES BY CALLING THE OREGON UTILITY WASHINGTON C)1-35D Bs- FIRST! NOTIFICATION CENTER ADMINISTRATION Tye (503-232-1987) / � I OF1 LINE CREW CENTER DESIGN BY PHONE(503) DRAWN IT nlows GUM 1 S\ J�� 7\44. i0 REQUEST UTILITY LOCATES CALL THE OREGON UTILITY NOTIFICATION CENTER,BIT AI LEAST Know WhoYS below. +u tF fEC RIO, RALPH REISBECK 570-4409 I K.RIITHERFORD 655—F3 VICINITY MAP 2 BUSINESS DAYS PRIOR TO EXCAVATION. COIL before you dig. ` R 0 PORTLAND GENERAL ELECTRIC CO.-ALL RIGHTS RESERVED IN CITY OF TIGARD RECEIPT a 2 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 194958 - 02/20/2014 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID ROW2013-00089 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 053865 AKOWACZ 02/20/2014 $300.00 Payor: Linda Miller Total Payments: $300.00 Balance Due: $0.00 Page 1 of 1