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PFI2015-00033 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT COMMUNITY DEVELOPMENT Permit#: PFI2015-00033 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 04/13/2015 Parcel: SEG952 Jurisdiction: TIGARD Site address: Subdivision: Lot: Project: SW Tigard Street PFI Project Description: North side of SW Tigard St.just west of Hwy 99,Astound broadband proposes to place 1 OTN cabinet, 1 power vault, 1 25 TA vault,a 9x3 concrete slab,and a 1 3x3 slab, in addition to 32'trench and place (2)4", (1)2", and(1)2"conduits a min of 36 below grade. Owner: FEES Description Date Amount PFI Permit Fee 03/19/2015 $300.00 PHONE: Contractor: PHONE: FAX: Applicant: JEFF MCCONVILLE PO BOX 568 WOODBURN,OR 97071 PHONE: 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: Not Present Issued By: ---�— Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12015-00033 Type: Condition Name: Status: Severity: PFI—Utilities 01 -WORK SITE REQUIREMENTS Applied Notice Applicant must comply with all applicable provisions of federal and state law,the Tigard Municipal Code, and the terms of any agreement with the City of Tigard regarding work to be done pursuant to this permit. PFI_Utilities 02-WORK SITE AREA Applied Notice The work area and approach roads shall be maintained in a clean condition,free from obstructions and hazards. 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 clean-up and suspension of work to accomplish clean-up. PFI_Utilities 03-WORK SITE EROSION CONTROL Applied Notice Prior to starting work, effective and approved erosion control devices must be installed and maintained meeting the Clean Water Services and DEQ requirements. The City may at any time order corrective action and suspension of work to accomplish effective erosion control. PFI_Utilities 04-WORK SITE REPAIRS Applied Notice Disturbed landscaped areas shall be restored or replaced. Existing signs, pavement markings,mailboxes,etc.shall be reinstalled or replaced,with like kind of material.Obtain City approval of restoration work. PFI_Utilities 05-TRAFFIC CONTROL SPECIFICATIONS Applied Notice Applicant shall provide traffic control according to the current edition of the"Manual on Uniform Traffic Control Devices [MUTCD]for Streets and Highways", U.S. Dept. of Transportation, FHWA,current edition,American Traffic Safety Services Association[ATSSA], and Oregon Temporary Traffic Control Handbook[OTTCH]. PFI_Utilities 06-TRAFFIC CONTROL PLAN Applied Notice Submit a job specific traffic control plan. A copy of the approved traffic control plan shall be readily available at the work area.Traffic control devices,flag persons,etc.,shall be in place prior to initiation of construction work and shall be effectively maintained. PFI_Utilities 07-TRAFFIC CONTROL ROAD CLOSURE Applied Notice Public roadway shall not be closed to traffic,at any time,without obtaining written approval from the City Engineer. The applicant is responsible to provide 48 hour advance notice of traffic flow disruptions to affected businesses, residents and area wide Emergency Services: 503-629-0111 (Tigard Police Dept.,Tualatin Fire&Rescue)and to 503-962-8140(Tri-Met) and 503-431-2345(Tigard School District)and other service providers impacted by such closure. PFI_Utilities 08-TRAFFIC CONTROL PROPERTY ACCESS Applied Notice Access to existing properties shall be maintained at all times, including normal delivery service and mail service. Obtain City approval of any access closures. PFI_Utilities 09-TRAFFIC CONTROL WORK HOURS Applied Notice Work is permitted in daylight between the hours of 7:00 a.m.to 7:00 p.m. Mon-Fri unless otherwise authorized by the City. PFI_Utilities 10-TRAFFIC CONTROL LIMITED WORK HOURS Applied Notice Hours of construction work on collector and arterial roads will be limited to 9:00 a.m.to 3:00 p.m. unless authorized by the City Engineer. Work will not be permitted on collector and arterial roads between 3:00 p.m. to 9:00 a.m. unless authorized by the City Engineer. PFI_Utilities 11 -TRAFFIC CONTROL MODIFICATION Applied Notice The City reserves the right to add to or modify traffic control requirements as necessary to effectively control traffic and to assure public safety. PFI_Utilities 12-UTILITY NOTIFICATION Applied Notice Oregon law requires following the rules adopted by the Oregon Utility Notification Center. Said rules are set forth in OAR 952-001-0100 through OAR 952-001-0080.Copies of said rules may be obtained from the Center by calling 503-246-1987. If you have any question about the rules, contact the Center. NOTE: Damage to utilities shall be corrected at the permit holder's expense. PFI_Utilities 13-UTILITY LOCATION CONFLICT Applied Notice Applicant 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 applicant's expense. Changes must be approved by the City in advance of work.Applicant shall coordinate the work with affected utility agencies. PFI Utilities 14-TEMPORARY PATCH Applied Notice A temporary hard-surface patch shall be placed on trenches within roadways at the end of each work shift. Obtain advance approval of patching method. No trench shall be left at any time in an un-safe condition. Applicant is responsible for and is liable for hazards or damage resulting from the prosecution of the work. PFI_Utilities 15-REPAIR OF EXISTING FACILITIES Applied Notice Work under this permit shall include repair of existing facilities(roads,ditches,etc.)as may be necessary, as determined by the Inspector,to overcome deterioration or damage which occurred in conjunction with the work authorized by the permit. Corrective work shall be done at the applicant's expense. PFI_Utilities 16-PRECONSTRUCTION MEETING Applied Notice Before initiating any construction activity,the applicant shall coordinate with the City's inspector, <Insert Name>at<Insert Phone#>,to establish a preconstruction meeting. PFI_Utilities 17-NOTICE TO COMMENCE WORK Applied Notice The applicant 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, prior to any staged inspection, and after completing work covered by the permit. PFI_Utilities 18-PERMIT/PLAN ON SITE Applied Notice A copy of the permit including a Certificate of Insurance,and all attachments, and a copy of the approved construction plan and all amendments shall be readily 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 these must be approved by the City, in advance of work performance. PFI_Utilities 19-MONUMENT PROTECTION Applied Notice Existing monuments, property corners, and survey markers shall be protected. Replacement shall be at the permit holder's expense. PFI_Utilities 20-EMERGENCY CONTACTS Applied Notice 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 any emergency. The applicant shall notify the City Inspector, in writing, of any/all assignment changes. PFI_Utilities 21 -OTHER Applied Notice Provide art wrap according to approved plan. RuCEIVEI) City of Tigard M A R 19 2015 Application For Work In The RiO I�W"An�TON ROW Pernut 3 -2-J -iC eco_o „r AvGot 19. Property Address/Location(s):North side of SW Tigard St just West of FOR STAFF USE ONLY Hwy 99W Right-of--Way *Applicant's Name:Astound Broadband Case No.:_ pFE 2015 -0003 3 Application Accepted:- By:�A S Address:PO Box 568 Woodburn, OR Zip:97071 Application Reviewed:M� By; City/state. Application Fee Due:i 3 00Primary Contact:Jeff McConville (503)318-9804 Applicant Notified: /—!g '4 13 1 Phone: Fax: 1 q 9 (,j-1 Email:jmcconville@wavebroadband.com Receipt No.: Contractor's Name:TBD REQUIRED SUBMITTALINFORMATION CCB# Expiration: • Application form,completed and signed Address: 0 Submit one (1) copy of scaled sketch of City/State: Zip: the proposed work to be done Phone: Fax: • Submit one(1) copy of traffic control Email: plan Professional Engineered Plans are required Plans By:K&B Technical Solutions Attn: Jack Nygard 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:Jack_Nygard@kbmail.net Rev.6/24/2013 i:cu%pin\maters\land use applications\ro app.doa Description of work Option B Astound Broadband proposes to place(1)-OTN cabinet, (1)-power vault, (1)-25-TA vault, (1)-9'x3'concrete slab,(1)-3'X3'stab and, trench 32'and place(2)4", (1)4', (1)-2"conduits a min of 36"below grade. Estimated value of work(within the public right-of-way): $ Is work related to a LAND-USE DECISION? YES F] NOFNJ If so, please specify(MLP,SDR,SUB,etc.)case#: Is the work related to a BUILDING PERMIT? YES F1 NOFM If so, please specify(BUILDING PERMIT)case#: G Signature of Applicant/Permittee: - Date.3/12/15 Print Name:Jeff McConville Tide:Construction Manager City of Tigard 1 13125 SW Hall Blvd.,Tigard,OR 97223 1 503-718-2464 1 www.tigard-or.gov N °Dw NOTES:. 1.ALL WORK AREAS TO BE RESTORED TO LIKE OR BETTER W F. Nae:y.-pAsft�Broadband a U—m eSow Ca cM d T4md m demrme o, pe the Gomel m CONDITION. Ina Clya e,cpenee end wltn Iv rratdenenca rseporwbtiy,prwlding Cal wdr peml,deNrelbn Of rrreMden do-n'mler/ba w#h AeleuM Broedb nd'a ebky to access Or use lire Gbin I. ATRBMp en Alt—d B—clbd b coor*a W Wdh db Cdy on muNay agreeable r getedon mrd ruraeeeeer4 e.ew Usµ,w.ve,e4ry, Iend—ON oplbne. T uer*ae.ti..w.«a««o•A a:. 2.ALL OTHER UTILITIES ARE BASED \ S oolmmeAp oszaaiooao.Te nw.enr OFF EXISTING LOCATES OR UTILITY a»awr.«.,w..e..rarn.br.Lw,ua, STRUCTURES. n«�. c..w.ulwar��x-ran>eir� 3.IT IS THE CONSTRUCTION CONTRACTORS RESPONSIBILITY TO CALL FOR LOCATES BEFORE \ DIGGING. \ 4.TRENCH SYMBOLOGY- — so' UNIMPROVED AREAS (TRENCH0401 trwarnh raeaA.c \ rae TO NIb11 FYGVATtlN r Contact:Jeff McConville IS'FROM ROW '•' %•' Title:Construction Manager Mobile-(503)318-9804 15'FROM ROW is! Email-jmcconville@wavebroadband.com <.51el Wrnrel PAarr - /•-PROPOSED SHRUBS astound. ?1' V / A/ PROPOSED TSTA VAULT. —EXISTING SHRUB,DO NOT DISTURB \ /PROPOSED T,11 OTN CABINET • PO BOX SIB \/\ W/3'X9'CONCRETE Woodburn,OR 97071 - C •�l• / � PO BOX Y599 KB CLACKAMAS,OR 97015 ST TREN%'.X1 AD PLACE(2}4'6(1 \ V DeoIgn W.K 8 B(503)5506041 I.ONDURS OF 36'BELOW GRADE. / ///��� Errol:Erk_ElplundmlmrrW,rpt \ PROPOSED SHRUBS • SITE ADDRESS: SW Tigard St Y f0 TRENCH AND PLACE(2}4-A(1).T \ Tigard,OR 97223 OOtOINTS A MIN OF 38•BELOW GRADE. \ 2S 1 W02 NOTE:EXPRESS 4'CONDUITS UNDER VMRT. IV VAULT IS FOR POWER ONLY. BN. M1E oelC11PT1aN APP p TRENCH AND PLACE(1)-Y CONOUITA 1 1 /15 CRY OF TIGARD PERMIT.OPTMG EE \ PROPOSED 97q' MIN OF 36'BELOW GRADE FOR POWER.�� 9 517115 VAULT UPDATE EE METER BASE \ \ w \ \ teOALk -- \ 10' WEET NUMBER FIBER ENHANCEMENT 1 PERMIT DRAWING F le 4�T 1 ar 1 WB-3081-3043 25-TA T� Full 180' Open Galvanized Diamond Plate Doors / w/Locking Bolts Optionol—Nonslip Doors i r. �W'o ♦���I� � ��� I—I—I—I—I—I—I—I—I— � _ I—I—I—I—I—I—I—I—I—I—I—I—I— '�,� I—I—I—I—I-1—I—I—I—I—I—I—I—I— Bolt Down Locking —I—I—I—I—I—I—I—I—I—I—I-1—I—I—I—I (2) Dia. Hex Bolts I—I—I—I—I—I-1—I—I—I—I—I—I—I—I—I— I— —I—I—I—I—I-1—I—I—I—I—I—I—I—I—I—I—I— —I—I—I-1—I—I—I—I—I-1—I—I—I—I—I—I—I—I—I —I—I—I—I—I—I—I—I—I—I—I—I—I—I—I—I—I— —I 1-1-1— I—I—I—I—I—I—I—I—I—I—I—I—I— —I—I—I—I—I—I—I—I—I—I—I—_ I—I—I—I—I—I—I— COVER with —I—I—I—I—I—I—I— I—I—I—I—I—I—I—I—I—I ADJUSTABLE FRAME — —I— �—I—I—I—I—I—I—I—I—I—I—I—I—I—I I- -I—I—I—I—I—I—I—I—I—I—I—I—I—I—I— NO. 25P ASSEMBLY —I—I—I—I—I—I—I—I—I—I—I—I—I—I—I—I—I—I—I—_ 229 lbs. —II�I�I�I�I�I�I�I�I�I�I�I�I�I�I�III�—I —I I—I—I—I—I—I—I—I—I—I—I— Suitable for use in off—street locations where not subjected to high density traffic. I- -I— 4 BASE 2'-,i. No. 25-BT r 1,930 lbs. � �Y a a yB R 2,-6. y-F 1}" Dia. Lift Hole 0 R (1 Each Side) 4'-0' Long Galvanized 5'-3" \ "C" Channel (1 Each Side) / ..5i" x 10' Blockout 2'-34" (1 Each End) Scale: 3/4' 25-TA 25-TA OIdCaStl@ Precast®0 File Name:020UTT25TA1 2 X 5 X 2 PO Box 323,Wilsonville,Oregon 97070-0323 Issue Date:2011 COMMUNICATIONS Tel:(503)682-2844 Fax:(503)682-2657 Oldcastlepretest-comMlllsonvllle 69.0 25-TA 5--3- 4 1-114" '-3"4'-11}" Doors O.D. 4'-8j" Clear Opening Bolt Down Locking (2) Dia. 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I........aa_azaazzazzaal a _ ___________________J In I v s I I 5j" x 10` Blackout `N QI it (1 Each End) Nrl Long Galvanized "C" Channel (1 Eoch Side) In T v _J el N Full Length 10' Wide Knockout 8,. 10` �+-8�" ►� in Floor for Intercepts SECTION AA END VIEW Scale: 3/4" 1'-0" Oldcasft Precast® 25-TA 25-TA File Name:020UT r25TA2 2 X 5 X 2 PO Box 323,Wilsonville,Oregon 97070-0323 Issue Date:2011 COMMUNICATIONS Tel:(503)682-2844 Fax:(503)682-2657 oldcastleprecast.com/wllsonville 69.1 s � 6 Bay OTN Cabinet Applications: An above ground housing to shelter Environmentally sensitive equipment from Rain, sleet, snow,dust, driving wind, hail, Corrosion,and vandalism. Specifications Dimensions: 106 ''/z"W x36 %2"D x 62 ''/2"H(270.5cm x 92.7cm x 158.75cm) Weight: 1200 Pounds(544.3 kg) Construction: Main Body: 1/8"Marine Grade Aluminum 5052-H32 Hardware: Type 304 Stainless Steel Finish: Polyester Powder Coated Racks: 3/16" Steel E.I.A./T.I.A. spacing (10-32 threads) Doors: 3 point latch for maximum security Cable Entrance Compartment: Four slack storage brackets with heavy duty Velcro® straps to secure cables Two entry holes for bringing cables into the main cabinet Powering Compartment: 100 Amp Service 12,000 BTU Air conditioner with integrated heater 60 Amp Generator Hook-up with a manual transfer switch AC Load Center: 4 GFI Outlets; 120V, 15 Amp 1 240V, 30 Amp Outlet Separate battery compartment Main Cabinet: 3 19"-23"Adjustable width racks, also adjustable front to rear position (43"tall) 3 19"23"Adjustable width racks, swing out for ease of rear equipment access (40"tall) 249" of total inches of rack space(142 RU) 4, 15 Watt Shatter-shield light fixtures Grounding All components are grounded to the main copper bus bar Mounting: Stainless steel frame structure is provided to be placed in wet concrete for mounting 109.38 5133 75 25.00 .50 I OPENING OPENING OPENINGSLACK STORAGE n z CABINET J I VAN CHAMBER WITH .n o S W A/C & POWER I I FRONT/REAR ACCESS CABINET j AND RACK SYSTEM. • io RACK SYSTEM HAS • • • :s s • rCAPACfTY TO HOLD 23 O RACK UNITS. 1 i.i 3 5400 ----�{�— 30.1 11 13 12.75 10638 — � 35.00 CABINET BATTERY TRAY J HEIGHT FRONT VIEW STORAGE CHAMBER 44.00 END VIEW o A/C RECEPTACLE BREAKER • o • o PANEL AIR CONDIfK)NER — - �----- 46.00 20.00 10.00 GENERATOR MOUNTING PATTERN - - TRANSFER SWITCH MAIN BREAKER F-T-T-- 1 ET TT-1 • s s s • - - - GENERATOR INLFT 2ILAB AVAILABLE CONNECTOR AVAILABLE AVAIIA&E BATTERY BATTERY SPACE SPACE BATTERY CHAMBER FRONT VIEW " 29.63 GROUND BAR AVAILABLE BATTERY SPACE � _ 10.50 A C & POWER CABINET LAYOUT 24.50 EXTENDED t� BATTERY CHAMBER SIDE VIEW MultimUnk 582 Temes Avenue Elyria,OH 44035 Phone:(440)366-6966 Fax: (440)-366-6802 e-mail:engsupport@multilinkbuilt4u.com Page 78 2011 Edition Work on Shoulder Diagram 210 Diagram 210 covers stationary work with work or parked equipment on the shoulder. This diagram does not cover work on a freeway shoulder. See Diagram 710 for Freeway Shoulder work. 1. Vehicles should be parked as far off the roadway as practical. 2. Use truck-mounted flashing warning lights on work and protection vehicles. See Section 4.3—Lights and Lighted Signs for exceptions. 3. For added visibility, truck-mounted arrow boards or PCMS in caution mode may be used. 4. Arrow panels in caution mode are recommended for work on roads with posted speeds of 45 mph or greater and high traffic volumes, greater than 2000 average daily traffic(ADT). 5. Requirements for signing and devices are shown in Table 5-2, below. Table 5-2: Device and Signage Guidelines Proximity to Edge of Traveled Way More than 15 feet or behind Barrier or Less than 15 feet Guardrail One advance warning sign is Advance warning required and two signs are Work in Place signs, devices, and recommended. More than 1 Hour flashing warning Cone taper is required. Cones lights are optional. along the edge of traveled way are optional. Work in Place Advance warning signs and devices are optional. Less than 1 Hour Sign Spacing and Buffer Lengths (feet) Posted S acing Between Signs Buffer Speed A B C Space 20 50 25 100 100 100 75 30 100 35 40 350 350 350 125 150 45 180 50 500 500 500 210 55 250 Chapter 5 December 2011 N "'.t NOTES: - 1.ALL WORK AREAS TO BE RESTORED TO LIKE OR BETTER A E,, Nae:City's ex naa and"wi r is l a d allow are X or TlOere ro deeore t u h pn tib raba,el at CONDITION. the CNyb azpanae en0 with Its maManenro re6poMIE•ty,provN4g Nvl such Da4e,deooratbn maipenance da 't INer(ere with AetWnd 8roadband's abMy W ameaa or use the-Nm. ATTllglf Orp�ra,•aw ro.r eew Aat—dG—dba"dm—.,dk.awnhtMCRY on—Wafyegeaeblero e0eta6n arM a.. "re,a n`aIa, Feu` 2.ALL OTHER UTILITIES ARE BASED bMsnaphO oPtlona. o , Mt61a Ws NT-0praale.— OFF EXISTING LOCATES OR UTILITY S' a•.ltaawa alwwa y ft Ons es L sty STRUCTURES. WWI.bICNWb(.101jt7itN/Y eHh 3.IT IS THE CONSTRUCTION CONTRACTORS RESPONSIBILITY TO CALL FOR LOCATES BEFORE ROk DIGGING6 � 4.TREN(�J 1ll1�..1rl�1 /P ulwMfaaovEO AREAS �i,;, 'i g� (TRENCHING, rlwla•mreoar i am® r1a,I,ro erAVA711X1 1 ITYOFTIGAkii ContaGE2.bf Jcft1*W1 '►1ViS1�1� LS'FROM ROW / !%�' Title:Constructlon Manager k Mobile-(503)318 9804 15'FROM ROW ro � L% Email-Imcconville@wavebroodband.00m ,Mit_,' ` � �ahbliteurrtlybe,r 27 / / —PROPOSED SHRUBS astound_ PROPOSED 21TA VAULT. rnxr • EXISTING SHRUB,00 NOT DISTURB PO Bol 568 cy— s �C PROPOSED 3'.9'OTN CABINET_ \ W/3"CONCRETE PAD .,;, WooclbtRn,OR 97071 �c PO Box 25n T'rO / \\: • GIACKAANS,OR'TO" ST TRENCH AND PLACE(2}4'6(to- I \�� � Deabn By:K 8 B(503)6304011 CONDUITS A MIN OF 38-BELOW GRADE. EmML Erk .'It PROPOSED SHRUBS-� __ ---- ------ ND � • e -/�,` • • • SITE ADDRESS: `/y`J SW Tigard St TRENCH Tigard,OR 97223 3 0 / —ITS -aftrr 2S1W02 /\ CONWRS A MIN OF 36'BELOW GRADE. i NOTE:EXPRESS e'CONDUITS UNDER VAULT. VAULT IS FOR POWER ONLY. e•v. liA 0♦gl►Ipy ® TRENCH AND PLACE(1)-2-CONDUIT A il ums crrVOF TuARD Pa•/%oprlpN• BE PROPOSED 3X3' MIN OF 36'BELOW GRADE FOR POWER. Z 3M2016 VALLT UPDATE BE F� METER BASE o's •10' R SKET NUMBER - o- � FIBER ENHANCEMENT PERMIT DRAWING wrbe: Ker ar VVB-MI-3043 .,,•rFrii, rr�,t� � _ � j . yell*rr +%► rwe 'r�r' 938 6 384 19388 X�,�A f -t 2 4 2011 Edition Page 79 Work on Shoulder Diagram 210 1t (Optional) • • ` Protection Vehicle w/TMA(both Optional) See Chapter 4 • Buffer • • • U3 • A ROAD SHOULDER WORK OR WORK AHEAD AHEAD Initial Warning Sign 1 t *Use as appropriate-see Table 5-2 December 2011 Chapter 5