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ROW2014-00043
y CITY OF TIGARD RIGHT OF WAY PERMIT "! = COMMUNITY DEVELOPMENT Permit#: ROW2014-00043 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 05/13/2014 Parcel: SEG1063 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: PGE Project Description: Adjacent to 7086 SW Beveland Street. UG span for street improvement. SEG 1063. Owner: FEES Description Date Amount ROW Permit Fee 05/12/2014 $300.00 PHONE: Contractor: PHONE: FAX: Applicant: LORRAINE KATZ 2213 SW 153RD DRIVE BEAVERTON, OR 97006 PHONE: 503-672-5484 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 Sign ature: &10-1- prose)-7-(- — Aol Issued By: =` . •1 / _ Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for ROW2014-00043 Type: Condition Name: Status: Severity: ROW 01-CUSTOM CONDITION Applied Notice Water service is provided by TVWD. 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 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. RECEIVEO MAY072014 111 City of Tigard PLq NiING/ENGGN ERING Application For Work In The Right-Of-Way TIGARD ROW Permit Property Address/Location(s): e6 k/ d'y'e/dr7j 51- FOR STAFF USE ONLY li'p.A 7 3.3 a oo) SEC" 10(03 Case No.: ay�� 2014- 00b4n PO L / .) Case No.: 1`'�/" f *Applicant's Name: Ica t'°/ I�Pk &et1 era/ f Iectric Application Accepted:SI1 I14 Address: 2 2./3 5 1t;' /-7 v'.i DYt l' C r/ �+ Application Reviewed:f''8 l By:.� City/State: 13ez, & e fo n r G�= Zip: `} 7t C' G` Application Fee Due:S.1 Primary Contact•. L ra.J / g C,fZ. Applicant Notified: 1 I L — " Phone: ?GS 3- (0 7.2—6-4(9`7/ Fax 5 3 ' 7 :z - -5 5-'1-5- I/� ("1" i Receipt No.: 1 "/ Email: 7723 ppI--tE5LC 'fjf , ce"m Al l4 REQUIRED SUBMITTAL � Contractor's Name: /4 INFORMATION CCB# Expiration: • Application form,completed and signed Address: • Submit one(1)copy of scaled sketch of City/State: Zip: the proposed work to be done • Submit one(1)copy of traffic Fax: fic control plan Email: � /n� Professional Engineered Plans are required A Plans By: r L4 for: Address: • Street Widening City/State: Zip: • Subdivision Infrastructure Phone: Fax: • Main utility line extension Email: Rev.6/24/2013 Lcutpla\masters\had use applications\row app.docs Description of work I.i G- `_ctVi c'76 11_i�Yl1L'�?/�c'i'Z� Estimated value of work(within the public right-of-way): $ Is work related to a LAND-USE DECISION? YES n NO C 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#: Signature of Applicant/Permittee: t i ' /G7 U/n rl 141 5/7//4 Print Name: ' N 1 ri Ylc/eV Ze7 tie!e11 Title: T4 t/ 5 u ppr'v--1-FAY vrra;ne k4-z-1 517/21 Il City of Tigard I 13125 SW Hall Blvd.,Tigard,OR 97223 I 503-718-2464 I www.tigard-or.gov -rV Adie Page 86 2011 Edition Operations with Moving Flagger Stations Diagram 325 Diagram 325 covers work activities that move along the road intermittently and involve frequent short stops. 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 shall be stationed for the best visibility for the situation and within sight distance of the active work space except at curves or crests on the road. 4. When the Flagger is more than 1000 feet from the"FLAGGER NEXT MILE" (CW20-7b) sign, intermittent cones shall be placed on the shoulder, as shown. 5. Flaggers are required at each end of the work space if any of the following conditions exist: a. Night operations, or b. Work space is over 200 feet in length, or c. Sight distance is less than 750 feet from each approach through the lane closure, or d. Traffic volumes are greater than 400 ADT. 6. The length between Flagger Ahead signs shall not exceed one mile in length. 7. Extended Traffic Queue signing (as shown on Diagram 5-4) should be used when the line of vehicles(queue)stopped at the beginning of a work zone extend beyond the ROAD WORK AHEAD signs. 8. When flagging near an intersection, the Flagger Ahead sign should be visible to traffic entering from any side road. Additional advance warning and Flagger Ahead signs may be placed on the side road(s). 9. 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 may be expected. Chapter 5 December 2011 2011 Edition Page 87 Operations with Moving Flagger Stations Diagram 325, ROAD WORK Sign Spacing and Buffer Lengths(feet) AHEAD A I Posted Spacing Between Signs Buffer ONE LANE C+ Speed A - -:.-B C Specs (Optional) ROAD • 20 50 AHEAD •� 25 100 100 100 75 BE B 30 100 PREPARED I 40 350 350 350 150 TO STOP B 45 180 50 500 500 500 210 /t • A — 55 250 kI E A • MILE 1 I • A Variable Location �. Iir I Work Space Protection Vehicle w/TMA(both Optional) See Chapter 4 III 1 Buffer 1a• •• Cone taper optional 1 mile � • maximum rpo I jr Variable Location A A Noce Intermittent Cones MILE A SS A PREPARED — V TO STOP M B • M B •NE LANE • AHEAD (Optional)C ROAD I V ROAD WORK AHEAD December 2011 Chapter 5 „ 45`�- / OVERHEAD LEGEND B)♦REMOVE FACILE TIES INSTALL FACILITIES ABC 150 31367 BC 2 AL XLP JKT-D Toes SW Toss SW BEVELAND , ete61NS TALL ADDITIONAL FACILRIES/MODIFY FACILRI” J ABC-2 AL XLP JKT-0 BEVELAND `• a LAND 0 '//\\// 660)PGE SWITCH VAULT WITH 6A-3S2P-NS-PGE TC, 00067 / I Q PROVDED d INSTALLED BY CUSTOMER `• ` •: SITE PGE r0 INSTALL 3.MY LATERAL TAPS H"PVC CONDUIT FOR EU,JRF. ` I IRONDED d INS]N.IFO BY CUSTOMER F KR�E INSTALL 3-r2 Al-XLI IRS PRIMARY IN I-4 PVC -350 AL-OX-B " In �� w'1Y •CDNDUPT,nOwoEO a DSraow BY CLTC6AER 2-3'SPARE EXIST INSTALL I-n AL-nr JKT IRIMMr wr rrvc coN0 SODA I 2TX SVC EXIST I n10MR1 WRRR PROVIDED d INSTALLED By CUSTOMER J 2TX SVC 655-G4 VICINITY NAP- A 75 12061 J 10 AL-TX 3-142 , VT 00069 A 50 60571 FRAMING TRANSMISSION A DISTRIBUTION(SEE CODES BELOWI F40T n / CND ACSR 10004 2 PLO!643\ 6008 B 4 Cu 7 otoo-o CI072 .H MD PAT E.A,M oanwnroN L nre wl DP ou 11 o POIr,B.w 3-I/O ACSR SEC ON GUY„ SW BEVELAND ST O THINK• 6C4 ZUACSR / / -� 50 AL-TX V SAFETY C -r. FIRST! ANCHORS 01643 '• C 1951-45 rE- •18• 01644 01 814- Q e 01814- 3-1 3D' VT 00096 5568 1851-49 00015/ O3 A (LEAD ) `g P000143 F10T 1 5 •� PL01644 1984-35 f Les 1 i h PL04054 I PARCEL ANEW*GOOF 0©©m© 3-14 1 OFFICE F25T PARCEL BLDG IN EXIST ZTX SVC 3 SF HOME VD 0.92% GUYING i ]i u PL04054 BLDG I oo� ci0dR? ou•I G I EMS-LOS, A ! k P X ri t P Guy al alra=MME BEVELAND BEVELAND I 2 GUYS EIMEIMF�R�P�1PEIRY�iR3JR�RSiI L }-- ----- 3GUYS m©EEIS's IZE0I EXIST 10 AL-TX 6990 SW PARCEL BEVELAND OFFICE, WR CHECKLIST IN B DG SF HOME ITEM YES COMMENT / 1-4'STUB r 660-PGE SWITCH VAULT '/ J U l TO INTERCEPT �e� NOM GOO OE EXISTING 0' ...",,,,....i.. rrOro PGE Em¢B REDIRECTED OFF POLE ]TWV VD lIXARS R - . NE AT APPROVED o fUAHG X 44414144%%/ I . e.wss wosCAIE 7 B• M BeTivMry IRRIAIM k` YMA R.IW T 30j.Lu GlF1L[BT S1BW MPERM5 K COY DF IR'AAm PL a 4 ` VT-00098 WPC MN armor pL-04054 PlR 01944 1-2"TO De� R/^4•4111 e' .813. PL 164n 2+11113:31R FRAME 1 PH UG FEED MONO ROCE ` MUNN S DEAD END TO WEST PER LC 20015-15 6'CAM(Meb RFFRAME O 2-42 ACSR PRIMARY LEAVE EXISTING CROSSARMS AT STUB B D81 NOTE: AT PL 3909 1-04 CU PRIMARY LI'STUB FOR -02 ACSR NEUTRAL SUBJECT TO CHANGE FUTURE SVC 1-E'STU. (MAC SDiu DEAD END EC EAST BASED ON COKPANY 1-10 AL TX SECONDARY PRECONSTRUCTION AT PL 1804 FM PGE TO REDIRECT EXISTING 3-02 AL JKTD MEETING G OFF POLE AND INTO NEW VAULT 98 DM 13'L Ai 7,6410 SEC 7,6416 /^\ 13 L RIGHT-OF-WAY PERMIT NOTICE: J""\32,491* ®' PRI 26,6870 RELOCATE TRANSFORMER •PERM,FROM THE LOCAL JURISDICTION IS REQUIRED BEFORE ANY PGE CONSTRUCTION DRAWING TO EAST SIDE OF POLE WORK IN THE RIGHT-OF-WAY MAT BE PERFORMED. ONLY PGE APPROVED CM NEUTR 5,8200 CONTRACTORS AND CONTRACTORS WNO HAVE MADE OTHER SPECIAL AS BUILT VERIFICATION & NESC VIOLATIONS CORRECTED RELOCATE EXISTING 10 AL-TX, AGREEMENTS WITH PGE WILL BE ALLOWED TO WORK UNDER POE'S PERMIT .FIELD Conrrru Dote. 2'SVC CONDUIT,WEATHER HEAD&12'errs THE CONTRACTOR MUST NOTIFY THE LOCAL JURISDICTION 48 HOURS Forman. T n•," ,..,,.,aN.'sPie�e�� INSTALL 4'POLE CONDUIT UNIT TO EAST SIDE OF POLE BEFORE WORK IS TO BEGIN.A COPY OF THE PERMIT MUST BE ON SITE WITH 12'BRACKETS,3-142 CO F25T m CONTACT GENERAL FOREMAN General Foran: Dole: &LIGHTNING ARRESTERS INSTALL 1-2'PVC CONDUIT UNIT ANGOR CONDUIT INSPECTOR J TO ID WORKING DAYS PRIOR (Signature only requIntd tar field ELT construction changes.) • & 1-142 CO F107 TO EKC.sv6noN CONDUIT INSPECTION REQUIRED PRIOR TO RACK FILL SDPMENG REVIEW: IASBUILT BY DESIGNER: PGE W:5 NOT INSTALL WIRE L INT11 TRENCH IS POD:BACKEILLED. EXIST 4'TELCO ER RARER KEN CONDUIT INSPECTOR STIR TO NEW BRACKET REMOVE FF�JRIi' RELOCATED 1 CELL S03 BAs 8670 PHONE SO-9A92964 \ BEVELAND STREET OFFICE-STREET IMPROVEMENT-DDR IDLE 112' �iP'/F 2P I STREERIGNT PROJECT MANAGER.JEFF STTIGLEDFR RILL, • PHONE.503-570-AA0A CELL 503-N9-65/d WEST/ORTI,.WD-72ND s,E17o22 / ` CALL 811 BEFORE YOU DIG /C,E/ L7086 5 • • • . ORFOON LAW ` 7086 SW BEVELAND ST,TIGARD NEW 4" EXIST 4'PGE RELOCATE ----' NEW 2" le THE LAG RFwarn.NOT TO FOLLOW ER ADOPTED le THOSE OREGON ARE SET FO TH IN OAR 9 CENTER D/G SPAN CONDUIT TO VT 00068 EXIST 7" CONDUIT THOSE RULE5 ARE SET FORTH IN OM 952-001-0010 UG SPAN FOR STREET IMPROVEMENT TIRE ULE H]-0LLING.IRE MAY MINN COPIES OF 'COUNTY TKNRSI 'WON,WIT. own I ' TM RULES BY CALLING TIKE OREGON LAW, RMV[RTw WASH 1 C2401A I a TELCO TO RETAIN OWNERSHIP TELCO TO RETAIN OWNERSHIP NOTIFICATroN CENTER ADMINTRATION., 1503-232-191F lee CRIED C0NRR LESIGN era PHON1 ISIS]) sr -- Knew,.Aa'r below. LORRAINE KATZ 672-5484 I DumiTRU 11.101 Of Call before MN dig. R vaR 0 PORTLAND GENERAL etecn4C CO.-ALL RIGHTS RESERVED 12490 bo 2456 1244212442 12442 1241 4 12490 12490 1247812478 '' 2456 12490 12490 12478 1247 12414124101A109F 12456 12442 12414 12414 ll__ _ 12442 T w > 12447 Q 2 i o 7_07/ 7117 r` 7085 7065 1 1 - 7117 7 -=1 01A117C *--,, i —SS01A05 1A186- InA187- —01A188C t E a:•12 Ot1A153C ti 1A201 QLA200` DIAL$„ SS01A0 -01A098C Lizi 144 64 1J 11 o1AlsacBEVELAND RD —ts+ `� Dla:•�.2"_ _ .--_ A ® 04099C 17110 - .• 7080 p ,,;,,,,410 jSSOIAO64 12600 12600 12600 MO 1 12600 i 6988 lak —_ _ 1 7090 li Ei , 125 II i 1 709 tt -- .._. j - 12625 01A196C I Q Feet 012. x, 0 125 01A195C Cm1A135C o~ Ltd rr I UPI CITY OF TIGARD RECEIPT II # 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 195993 - 05/12/2014 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID R0W2014-00043 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 021758 BGALICIA 05/12/2014 $300.00 Payor: Kathryn Vanderzanden PGE Total Payments: $300.00 Balance Due: $0.00 Page 1 of 1