PFI2015-00061 CITY OF TIGARD RIGHT OF WAY PERMIT
• COMMUNITY DEVELOPMENT Permit#: PF12015-00061
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 05/14/2015
Parcel: SEG1696
Jurisdiction: Tigard
Site address: Gv t
Subdivision: Lot:
Project: PGE
Project Description: Adjacent to 14030 SW 97th Avenue. Boring under 97th and trenching in the right of way.
Owner: FEES
Description Date Amount
PFI Permit Fee 05/13/2015 $300.00
PHONE:
Contractor:
PHONE'
FAX:
Applicant:
TIMOTHY BELL
10800 SW AVERY ST
TUALATIN, OR 97062
PHONE: 503-672-5483
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 Not Present
Signature:
Issued By: — —`
Special Conditions(See Attached)
Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY
Conditions for PF12015-00061
Ty pe: 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 503.816.6146(cell), 503.718.2602(office), or
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
CITY OF TIGARD RIGHT OF WAY PERMIT
COMMUNITY DEVELOPMENT Permit#: PF12015-00061
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 05/14/2015
Parcel: SEG1696
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: PGE
Project Description: Adjacent to 14030 SW 97th Avenue. Single Family Line Extension. Install 200 AMP 120/240V overhead
service.
Owner: FEES
Description Date Amount
PFI Permit Fee 05/13/2015 $30000
PHONE.
Contractor:
PHONE
FAX
Applicant:
TIMOTHY BELL
10800 SW AVERY ST
TUALATIN, OR 97062
PHONE 503-672-5483
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 PF12015-00061
Type: Condition Name: Status: Sever :
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 503.816.6146(cell), 503.718.2602(office),or
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
City of Tigard
PUBLIC WORKS —ENGINEERING PGE WORK ORDER# M1578268
Public Facility Improvement (PFI) Permit
DESCRIPTION OF WORK(in the right-of-way) REQUIRED SUBMITTAL
Check one: ig Utilities ❑ Sidewalk/driveway approach Li Street improvements ELEMENTS
Detailed description: Single Family Line Extension B Minor work in right-of-way
INSTALL 200 AMP 120/240V OVERHEAD SERVICE opening,ewalk repair,curb cut,street
opening,etc.)requires:
•Application form,completed
and signed
•Submit one(1)copy of scaled sketch
Property address/location(s): 14030 SW 97TH AVENUE of the proposed work to be done
TIGARD,OREGON 97224 P •Submit one(1)copy of traffic
control plan
-OR-
Applicant's name: TIMOTHY BELL FOR LEE MARTINEZ ❑ Substantial project work requires
above items and professional
Address: 10800 SW AVERY STREET engineered plans for:
TUALATIN, OREGON 97062 •Street widening
Ci /state: Zip: •Subdivision infrastructure
Phone: 503-672-5483 Ems: T&DSUPPORTAVERY@PGN.COM •Main utility line extension:
- Storm Drain,Sanitary-Tigard
- Water-Tigard Water Service
Contractor's name: N/A Area Cmcludes Durham,King City
CCB#: Expiration: and a portion of unincorporated
Washington County)
Address:
City/state: Zip: DELIVER APPLICATION TO:
City of Tigard
Phone: Email: Planning/Engineering
13125 SW Hall Blvd.
Engineer's name: N/A
Tigard,OR 97223
Applications for"minor work in right-of-way"
Address: only may be emailed to:
City/state: Zip: rQwpermitalktigard-or.¢ov
Phone: Email:
Case No.:
Estimated value of work (within the public right-of-way) �JQX�PPhcation submittal fee: 300
.� � •-
Is work related to a LAND-USE DECISION? ❑ Yes p No Application accepted:
If so,please specify(MLP,SDR,SUB,etc.) case #: By:—/y9 Date:
Is work related to a BUILDING PERMIT? ❑ Yes 8 No Application reviewed:
If so,PleasesP � PERMIT)specify(BUILDING case#: By:_� Date: 5
�
Applicant otified:
By: S Date: S /J
1:\[UfflWAMas[ers\1ind use Appkadons Rev.07/16Pw4
Cityof Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.*ard-or.gov • 503-718-2421 • Page 1 of 4
APPLICANTS
NOTE: Person specified as"Applicant"shall be designated"Permittee"and shall provide financial assurance for work. -_-
*When the owner and the applicant are different people,the applicant must be the purchaser of record or a lessee in possession with written
authorization from the rnvner or an agent of the owner. The owner(s)must sign this application in the space provided or submit a written
authorization with this application.
BY SIGNING BELOW,THE APPLICANTS) SHALL CERTIFY THAT:
• The above request does not violate any eed restrictions that may be attached to or imposed upon the subject prop.
• If the application is granted,the applicant will exercise the rights granted in accordance with the terms and subject to all the
conditions and limitations of the approval.
• All of the above statements and the statements in the plot plan,attachments,and exhibits transmitted herewith,are true;and
the applicants so acknowledge that any permit issued,based on this application,may be revoked if it is found that any such
statements are false.
• The applicant has read the entire contents of the application,including the policies and criteria,and understands the
requirements for approving or denying the application.
SIGNATURES of each owner of the subject property required.
L��- I Ti M O I-Wr SELL 12-ols-
cp-�
t/Autho�d Agent's signature Print name 'Fp R 4.EE M A9 —zDate
Owner's signature Print name Date
Owner's signature Print name Date
Owner's signature Print name Date
PUBLIC FACILITY IMPROVEMENT PERMIT
City of Tigard • 13125 SAX/Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov 503-718-2421 • Page 2 of 4
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01494 A 50 5940 1-142 RIGHT-OF-WAY PERMIT NOTICE: NEW PGE FACILITIES TO BE INSTALLED
2001-45 F40T A PERMIT FROM THE LOCAL JURISDICTION IS REQUIRED BEFORE ANY
O AC-4 CD 2001-45 03097 PL'03097 WORK IN THE RIGHT-OF WAY MAY BE PERFORMED. ONLY PGE APPROVED (UNLESS OTHERWISE SPECIFIED)B-2 ACSR CONTRACTORS AND CONTRACTORS WHO HAVE MADE OTHER SPECIAL
AGREEMENTS WITH PGE WILL BE ALLOWED TO WORK UNDER PGE'S PERMIT PF VI SECONDARY PEDESTAL
O D PROVIDED BY PGE B INSTALLED BY CUSTOMER
THE CONTRACTOR MUST NOTIFY THE LOCAL JURISDICTION 48 HOURS
BEFORE WORK IS TO BEGIN. A COPY OF THE PERMIT MUST BE ON SITE -------- INSTALL 1-350 AL-TX SECONDARY IN 1-3"PVC CONDUIT
PROVIDED &INSTALLED BY CUSTOMER
08730 m
1 982-35 O -------' INSTALL AL-TX SECONDARY IN 1-3"PVC CONDUIT
JW MC DONALD ST J FRONDEDD B INSTALLED BY CUSTOMER
Oa PO 09098 Tm.R BLw rw l..I
925 72836 06369 O I LEGENII
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PF300 SECONDARY SPLICE PEDESTAL01769 Q
2001-45 E WR CHECKLIST r Tesco PAT
ITEM YES COMMENT ®°•r"n"
120240V A 15 39220 HOfED(GGER
PL-1789s<I..I a.wm
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3' Ea Y` 170'1 HP/A C: BACKHOE �n
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^^-• '� 8 T02A AFC CONSTRUCTION NOTES: sFExr
CUSTOMPROVI
RUIT.
ER TO DE ALL iNE--AND BACKFILLING TRENCH TO BE
M a IOe.EIRI •RNRR ----- Q-1 30' LOCATES T 36 INCHES DEEP,MEASURED fROM FINN GRADE
8 STAKING 2 CONDUIT IIIf NECESSAR DULL BE GRAY,SCHEDULE 10.ELECTRICAL GRADE.
_e �•ATT NC CONf%Nf WITH NYLON NLL STRNGS IMN 500 LBS TEST)
.. PD 00041 PUGGING K ID
MAINFGE TAAN�EWR"TICAL INHE CHES AND AND 24 HORIZONTAL OF INCHES CLEARANCE BETWEEN
INSTALL 3"POLE CONDUIT UNIT TREETRIM G. AND owt UTILITIES ALL ELBOWS ro BE aB'%'� RAaus
ON EXISTING BRACKETS LANDSCAPE �E o°EZNDNiE'ESoix n u°tPUNS'M 0'u��"0"10 A k a BOB�LEN�GFN
NLW fIM Yn gytp AM RUN WITH MORE THAN 180 DEGREES N BENDS PVC SCHEDULE 40 BENDS ARE
EASEMENT ACCEPTABLE FOR RUNS OF 150 FEET OR LESS THE MAXIMUM TOT.BENDS M ANY
CONDOR RUN IS 210 DEGREES.
sXcoH rtoesTALs RADE A ro A INsnuED o.. ST. ulrts WTTHR+THE urRm A 25 51 172 PERMBS X 11GARD J. CUSTOMER RESPON$NU FOIL ROAD CROSSINGS USF ONLY GRAY,$CNFWLF Q.
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"mT�iesw min TTY aF iHEABounTINDnw�iY puIDERnEwLoreq"nFDE� .Is soi TRAFFIC PLAN KCTR GRADE,RK CaNDtxr WTm NnoN FIRE SrRwgs(Rw.sDD Lss.TEST).
AWTNH Wxl BE B.[0 ON PPMI GRME AND lOG1ION CHneu SA or rlrt—ORER DIRECTIONA,BORING REQUIREMENTS,BLACK HDPE((HIGH DEN51'Y FOLYETNYLENEI DUCT
A-2 AL-D CUTSHEET 4 OR SCHEDULE 40 PVC WITH A MECHANICAL CONN ECDON(CFRTAlOK OR LIKE MECHANICAL
CONNECTION PROOUCn AS AN NTERHATNE i0 HDPE DUCT.HDPE SHALL MEET ME
1-142 UG CIA.VER. REQULREMEMS OF PGE SPEOECATION LC2033 IIAVN Asu ON REQUEST FROM LGE PROJECT
TRANSMISSION ExT 01 RD STIUPES REASONS THE
DUCT
S=
BE BUCK WITH THREE EQUALLY SPACE
fYnBCFI G A SPECRK:ATION REQUIREMENtI. OREL TEST OF
F6T PD 00232 SHUTDOWN HDPE FIRE IS REQUIRED AFTER NS AS"ION WITH PGE INSPECTOR PRESENT
PL 01 770 CUSTOMER s.SINGLE FRFMARY►arAwTICIG-coHaRr TO EXTEND A.wxwxA OF n FROM
SHUTDOWN TRNNSFow w MD.
PD 00231 e.ALL rot TRAPGFOIMIEtl TG BE NBTALItD a rm MN=%ANY ca*L6T11u
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4f O CONTACT ALWAYS AAANIAN ID Pm OfARA1Nal N PRONT OF ALL TRRl4TORA
PD 09427 N 2000-20 COMPANY 7 CUSTOMER TRENCH ANO ELBOW CONFIGURATIONS MUST BE INSPECTED BY PGE PRIOR TO
THINK -2 AL-DS BACKFIWNG WHEN YOU ARE READY FOR PGE TO INSPECT(AFTER INSTALLATION IS COMPLETE)
PNB CR nEASE CALL S.3-7aB-s.N3o oB sa2-�La-4a4Is SALEM ABEN
SAFETY SW ELROSE ST a DATE ME B 0015100,,ees1U ON siA"`w°Ro FOR uo BLnaL4No°"TiaUIPMERAT isoNSTANDAAD
LRNDMORpRD EOUIPMEFR BUY BE AN OPTION AT AN ADDITIONAL cosi TO THE CUSTOBOR,
FIRST! 01770 A-� AL XL p N
1982-45 JACT_O AS—BUILT VERIFICATION & NESC VIOLATIONS CORRECTED
Li This document mcurctely represents FIELD Construction.
Foreman: Dale:
D SW OMA O General Foreman: Die.
.� > PD 00227
� (Signature on wired for field construction changes.)
P m SDPMfNG REVIEW: JASBUILT BY DESIGNER:
la1 �P� $w EDGEw00D ST J CONTACT SERVICE COORDINATOR DATE: 420'5015 SCALE: 1-=60' ACCOUNT- 1070001 AWO W00004594 °No_M1578268
O J
FOR BACK
AND C—1 N NINS1 ON PRIORTITLE
Q ` = TO BACKFIII PGE WILL NOT cll,ALI w;RE NEW
C3
L urnit TRENTAL Is IDR- RAcTOR ` NEW CENTURY
SERVICE COORDINATOR ORfuli SIZE
P- JOB SITE LnT. 503-73 5150 OR 503-45.4 4348(SALEM) / TIGARD -1333711 11x17
L. ATTENTION: 4CALL 811 BEFORE YOU DIG PGE030 SW 97TH AVE
/ LDurroN
SW MC D ALD ST OREGON LAW REQUIRES YOU IC FOLLOW RULES ADOPTED 1
BY THE OREGON UTILITY NOTIFICATION CENTER. DES[RNnOR/
N , A NEW 200A RESIDENTIAL SERVICE
THOSE RULES ARE SET FORTH IN OAR 952-001-0070
THROUGH 952-001-0090.YOU MAY OBTAIN COPIES OF COUNTY ISECTTDH(5) wDItX WITH SHEET
I
THE RULES BY CALLING THE OREGON UTILITY L�AVERioN WASHINGTON C21-118 1 EK I
NOTIFICATION CENTER ADMINISTRATION @ (503-232-1987) UNE CREW CENTER
TO REQUEST UTILITY LOCATES CALL THE OREGON 2na sw uaro DR LEE MARTINEZ 6Tj By
BE SIE I LANE WHITNEY
IN UTILITY NOTIFICATION CENTER,817 AT LEAST KEBw MIIGrf�IOYX. 6AVE"GA,LTR P1ooN
2 BUSINESS DAYS PRIOR TO EXCAVATION. Call before you dig., O PORTLAND GENERAL ELECTRIC CO.-ALL RIGHTS RESERVED