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ROW2014-00060 CITY OF TIGARD RIGHT OF WAY PERMIT • s • COMMUNITY DEVELOPMENT Permit#: ROW2014-00060 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 06/05/2014 Parcel: SEG1706 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: Comcast Project Description: Adjacent to 13950 SW 72nd Avenue. Comcast proposed to trench/bore and place(1)-2"conduit a min of 36"below grade within the CIT ROW along the north side of SW 72nd Avenue,south of SW Tech Center Drive. SEG 1706 Owner: FEES Description Date Amount ROW Permit Fee 06/04/2014 $300.00 PHONE Contractor: PHONE: FAX: Applicant: SCOTT SARBER 11308 SW 68TH PARKWAY TIGARD, OR 97223 PHONE 503-519-7538 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 t \ 1 n,^ Signature: �J 7 (`� /y Issued By: 1 Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY RECEIVED JUN 0 4 2014 City of Tigard PLANNING/ENGINEERING NG/ENGINEERING Application For Work In The Right-Of-Way TIGARD ROW Permit Property Address/Location(s): 13950 SW 72nd Ave. Tigard, OR 97223 FOR STAFF USE ONLY :SE4 I11Q Right-of-Way,,/��, ��,y Case No.: CAW v ea L frCT P0 *Applicant's Name:ComcaSt Application Accepted: I , 1L Address:11308 SW 68th Parkway By: xJC({� Application Reviewed: 6' By:/ l36 City/State:Tigard, OR Zip:97223 ao Application Fee Due: WO Primary Contact:Scott Sarber Applicant Notified: Phone:(503) 519-7538 Fax: ii Receipt No.: 1 q Email:Scott_Sarber @Cable.comcast.com REQUIRED SUBMITTAL Contractor's Name:Texstar Enterprises INFORMATION CCB#178798 Expiration: 10/10/2014 • Application form,completed and signed Address:14122 Arndt Rd • Submit one (1) copy of scaled sketch of City/State:Aurora, OR Zip:97002 the proposed work to be done Phone:(503) 776-5049 Fax:(503)776-5050 • Submit one (1) copy of traffic control Email:jimminer @texstarenterprises.com plan Professional Engineered Plans are required Plans By:K&B Technical Solutions for: Address:PO Box 2529 • Street Widening City/State:Clackamas, OR Zip:97015 • Subdivision Infrastructure Phone: (503) 650-6041 Fax:(503)650-7390 • Main utility line extension Email:kbeng @att.net Rev.6/24/2013 Lcurpin\masters\land use applications\row app.docx Description of work:Comcast proposes to trench/bore and place(1)-2"conduit a min of 36"below grade with in the City of Tigard ROW along the North Side of SW 72nd Ave, South of SW Tech Center Dr. Estimated value of work(within the public right-of-way): $ Is work related to a LAND-USE DECISION? YES n NO El If so, please specify(MLP,SDR,SUB,etc.)case#: Is the work related to a BUILDING PERMIT? YES n NO ❑ If so, please specify(BUILDING PE' T)case#: Signature of Applicant/Permittee: . " .!A Excrf SAjZfziLDate:5/27/2014 Print Name:Justen Phillips For Scott Sarber Title:Project Manager City of Tigard I 13125 SW Hall Blvd.,Tigard,OR 97223 I 503-718-2464 I www.tigard-or.gov Conditions for ROW2014-00060 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 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. CONSTRUCTION NOTES: N 811II h % 1. ALL WORK AREAS TO BE W E ATTENTIOttQl100ppwl09kM)/OY10%kW RESTORED TO LIKE OR BETTER A000*scold W S CONDITION. � � cMat.Thum odes are..r•+aw w OAR ou- 001-00t010000.1132-0Dt-0000.Vow may°Mam 2. ALL OTHER UTILITIES ARE BASED oopbod lissu syoigllowow.INot. S labliylomMobbalbrilwitbeyer i0i" OFF EXISTING LOCATES OR UTILITY Nillbilmeratar YFINID:04•97 or till). STRUCTURES. 3. IT IS THE CONSTRUCTION CONTRACTORS RESPONSIBILITY TO CALL FOR LOCATES BEFORE DIGGING. I 4. BORE/DRILL 5. TRENCH - — - UNIMPROVED � AREAS \ I? ATE TOP SOIL IF TOP SOIL EXISTED PRIOR TO EXCAVATION Contact: Scott Sarber ' N,iNy,,y,.,.�,,,N Title: Fiber Construction Analyst 13950 �c:`�i<��i.``�i;`ii.`;;`. Mobile- (503) 519-7538 375' FROM SOUTH FOC OF SW TECH CENTER DR Office- (503)596-3819 s0 d ' OR ' Email - Scott_Sarber @cable.comcast.com v GRANULAR�� s ii NATIVE i m o ',BACKFILL' ' i S �'3PEAS .- s -- - -- /,OH ....... ,,• \ S/ \ HOC ii3O,_ @OMOCIISt* \ Ivy TRENCH TO INSTALL(1)-2" ,y.y�y�y�., 11308 SW 68th Parkway \ \ ?/�/O \ 3rr87 CONDUIT A MIN.OF 36"BELOW `!``'`'\\/`\'. 'Q(� \ ■ 0"25 GRADE.(TYPICAL) "' Tigard, OR 97223 \� ■ . 5j' DIRECTIONAL DRILL TO INSTALL �\ j (1)-2"CONDUIT A MIN.OF 36" \ \ BELOW GRADE.(TYPICAL) PO BOX 2529 ., \ \.6„/ii• i CLACKAMAS,OR 97015 `4� \ 9' S'`\` ��.',,.,- \ Email:Justen_Phillips @ k6ma I neBy K&B(503)650-6041 �i \ `` \� �`�i,., \ EXIT CITY OF TIGARD ROW SITE ADDRESS: 40' ��..,� ,• 13950 SW 72ND Ave ` ``� S'� .� �� 4'x6'BORE PIT(TYPICAL) Tigard, OR 97223 ��., 2S1W1DD--#\`\ �` REV. DATE DESCRIPTION APPROVED \ \ �\ (r 40' 10' \ 1 05/20/14 CITY OF TIGARD PERMIT DRAWING JP \ ` - 55' 30 S d • \ /-* • �l\` ` SCALE: PROJECT NUMBER: 5' 1•=30' 40001 \\ \ SHEET NUMBER TmE: �•.f N. ■5' . . `\ FIBER ENHANCEMENT �� PERMIT DRAWING \ FILE NAME: \ \ SHEET 1 of 1 CMME-3262-2247 • COC N N ,„ 1. ALL WORK AREAS TO BE RESTORED NSTRU TO LI KE OR TION BETTER W Mw adopted by mo r Nioelicat on CONDITION. Center.Those rubes we setLAr In OAR 952- ootOCtO through W52-0Ot-0OID YouN,uyomav 2. ALL OTHER UTILITIES ARE BASED copies of the rules by calling 1111010/e.+Note S me bylirphone numberforthoORPOUlll) OFF EXISTING LOCATES OR UTILITY Notlncabon Censor Is(503)232-118T or 8111. STRUCTURES. 3. IT IS THE CONSTRUCTION CONTRACTORS RESPONSIBILITY TO CALL FOR LOCATES BEFORE ' DIGGING. \ 4. BORE/DRILL- ----,.., • 5. TRENCH - UNIMPROVED AREAS IT NATIVE TOP SOIL IF TOP SOIL EXISTED PRICR TO EXCAVATION Contact: Scott Sarber Title: Fiber Construction Analyst �.p.pppp�� Mobile - (503) 519-7538 13950 :G.c4c4c4c4<�i,:/. 375' FROM SOUTH FOC OF SW TECH CENTER DR r', ; Office (503) 596-3819 /, RANULAR'; Email- Scott_Sarber @cable.comcast.com 1 DR i NATIVE i i i,BACKFILL' z I / AS 7, N 8 /'Sr. CIFIE,� S� 2 TRENCH TO INSTALL(1)-2” 11308 SW 68th Parkway \ CONDUIT A MIN.OF 36"BELOW �G�b��ipi��0 \ tipq�� 3ssa!25 GRADE.(TYPICAL) "��`�� Tigard, OR 97223 r DIRECTIONAL DRILL TO INSTALL \\ y\"-, ! 5 (1)-2"CONDUIT A MIN.OF 36"fa�'\ BELOW GRADE.(TYPICAL) . CLACKAMAS,OR 97015 Design By:K&B(503)650-6041 „ • Email:Justen_Phillips@kbmail.net i,. EXIT CITY OF TIGARD ROW SITE ADDRESS: 40' -.`•°�.,• � 13950 SW 72ND Ave .� 4'x6'BORE PIT(TYPICAL) Tigard, OR 97223 2S1W1DD REV. DATE DESCRIPTION APPROVED • /1 0' 1 05/20/14 CITY OF TIGARD PERMIT DRAWING JP 40' 55' 30 ~ SCALE: PROJECT NUMBER: . ''',, ./ 5, 5 1^=30' 40001 SHEET NUMBER TITLE: 5' J -. • FIBER ENHANCEMENT PERMIT DRAWING �•...'\ FILE NAME: W SHEET OF 1 1 CMME-3262-2247 Page 106 2011 Edition Diversion into a Continuous Left Turn Lane Diagram 430 Diagram 430 shows work in the travel lane(s) next to a continuous two-way left turn lane with one direction of traffic diverted into the continuous two-way left turn lane. 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. When two or more travel lanes are reduced to a single lane before the diversion, each lane shall be closed separately. Layout traffic control according to ODOT Standard Drawing TM 852 for 5-lane sections. 4. A shifting taper(L/2) may be added in the diverted traffic direction across the continuous two-way left turn lane (as shown). This option is recommended when the speed is 45 mph or greater. Sign Spacing and Buffer Lengths(feet) Posted Spacing Between Signs Buffer Speed A B C Space 20 50 25 100 100 100 75 30 _ 100 35 125 40 350 350 350 150 45 180 50 500 500 500 210 55 250 Chapter 5 December 2011 2011 Edition Page 107 Diversion into a Continuous Left Turn Lane Diagram 430 ROAD WORK A AHEAD A B I Iy 1 CENTER 1 A I I `�"E CLOSED A II • U2 I . I • • 1 1 S Buffer Protection Vehicle w/TMA(both Optional) • See Chapter 4 n r 1 Buffer I • • • U2 11 • • • • • U2 I• I A • 1 • r II • lyt B I 1 ROAD WORK AHEAD December 2011 Chapter 5 %OOTOSSI 0 S£00 S Sti0OW I I .gtooya VZT .4' \. STOZT Li T TrO TO 1'1 TOOVZT 016E1 Z9 T LSTOO T00% a T 6at TOO 0 9STOO 95T00 TC 6S II. t'9100 LO £9TO 0TIG 05T00 TO co OLTOOT LLTOOTO fiLTOOTO TO #6\1: p To T TO q'ot LT00 SLID OTO STOOTOSS SD 0 10,4 39 19001 3590010 bTOOTOSS 1111 CITY OF TIGARD RECEIPT q $ 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 196308 - 06/04/2014 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID R0W2014-00060 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 3896 AKOWACZ 06/04/2014 $300.00 Payor: Tremark, LLC Total Payments: $300.00 Balance Due: $0.00 Page 1 of 1