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PFI2015-00155 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT COMMUNITY DEVELOPMENT Permit#: PF12015-00155 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 11/19/2015Parcel: SEG2623 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: Integra Telecom Project Description: Adjacent to 7244 SW Durham Rd. From the intersection of SW Boones Ferry Rd&SW Durham Rd, on the south corner from the ODOT ROW&City of Tigard ELI-(Integra)proposes to place 1,453'conduit, locate wire, and fiber along SW Durham Rd by means of directional boring. Owner: FEES Description Date Amount PFI Permit Fee 11/19/2015 $300.00 PHONE: Contractor: PHONE: FAX: Applicant: DAVID MINER 18110 SW 34TH ST BUILDING ONE, SUITE 100 VANCOUVER, WA 98683 PHONE: 503-710-6296 Tota 1 $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 PF12015-00155 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 No traffic restriction 6:30-9:00 am and 3:30-6:00 pm. RECEIVED OCT 26 2015 City Of TigardCITY OF TIGARD ® PUBLIC WORDS—ENGINEERING PLANNING/ENGINEERING Public Facility Improvement (PFI) hermit DESCRIPTION OF WORK(in the right-of-way) REQUIRED SUBMITTAL Check one: A Utilities W Sidewalk/driveway approach ❑ Street improvements ELEMENTS Detailed description: From the intersection of SW Boones Ferry Rd&SW Durham Rd, ❑ 1\inor work in right-of-way (sidewalk repair,curb cut,street on the South corner from the ODOT ROW&City of Tigard ELI-(Integra)proposes to place opening,etc.)requires: 1,453'conduit,locate wire,and fiber along SW Durham Rd by means of directional drilling. -Application form,completed and signed •Submit one(1)copy of scaled sketch Property address/location(s): 7244 SW Durham Rd,Ste 900 Portland OR 97224 of the proposed work to be done •Submit one(1)copy of traffic control plan —OR— ELI(Integra)-Dave Miner El Substantial project work requires Applicant's name: above items and professional Address: 18110 SE 34th Street, Bldg One, Ste 100 engineered plans for: °Street widening City/state: Vancouver, WA Zip: 98683 •Subdivision infrastructure Phone: (503) 710-6296 Email: David.Miner@integratelecom.com •?\Iain utility line extension: Storm Drain,Sanitary—Tigard - \Vater—Tigard Water Service Contractor's name: Standard Utility Attn: Darrel Williams Area(includes Durham,King City CCB#: 66948 Expiration: 5/29/2017 and a portion of unincorporated Address: PO BOX 1008 Washington County) City/state: Salem, OR Zip: 97308 DELIVER APPLICATION TO: 503 849-4828 darrel standardutilit com City of Tigard Phone: ( ) Email: @ Y• Plan2riug/Enghleeriug 13125 SW Hall Blvd. Engineer's name: Tigard,OR 97223 Application.for"minor work ul right-of-way" Address: only may be emailed to: City/state: Zip: vow permitsir xigard-or,gov Phone: Email: FO -^ e NLY Case No.: k —l�Cy/s Wi Estimated value of work (within the public right-of-way): $ 1,395 me Application submittal fee: 31DO Is work related to a LAND-USE DECISION? ❑ Yes ® No Application accepted: If so,please specify(MLP, SDR,SUB,etc.) case #: By: L--S Date: 0b- Is work related to a BUILDING PERNET? ❑ Yes 9No Application reviewed: If so,please specifjr(BUILDING PERl\4I'I)case#: By: &0 Date: Applicant notified: > J By: J Date: I:\CURPLN\Masters\Land Use Applications Rev.07/16/2014 � j Coityof Tigard • 13125 SW Hall Blvd. Tigard,Otegon 97223 www.tigard-or.gov ° 503-718-2421 • Page 1 of 4 /lam/ma �O =3 o r `rj:a°o.r.. o-�.e/ 3-'SO— 6-'o 0 �o,.., OW , 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 ora lessee in possession with written authorization from the owner or an agent of the owner. The owncr(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 deed restrictions that may be attached to or imposed upon the subject prope tv. • 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. Dave Miner/Roy Spaulding 10/23/2015 A licant/Aut ri ed Agent's signature Print name Date Owner's signature Print name Date Owner's signature Print name Date Owner's signature Print name Date PUBLIC FACILITY IMPROVEMENT PERMIT Cityof Tigard • 13125 SW Hall Blvd. Tigard,Oregon 97223 • mvwtigard-or.gov 503-718-2421 • Page 2 of 4 ¢ CONSTRUCTION NOTES f I. ILLI WORK AREAS TO BE RESTORED TO LIKE OR BETTER BEGINNING OF PROJECT IN O y CONDITION. THE CITY OF TIGARD ROW 2.ALL OTHER UTIUTIES ARE BASED OFF EXISTING LOCATES 5 SW m-r a�"�:.,.. OR UTILffY STRUCTURES.3.R IS THE CONSTRUCTION CONTRACTORS RESPONSIBILITY_ TO CALL FOR LOCATES BEFORE DWMG. LEGEND DIRECTIONAL DRILL Z PROPOSED INTEGRA VAULT QV �/ DIRECTIONAL DRILL/BORE A RIGHT OF WAY ,�g� ..o" 4 t�F MINIMUM OF 36'BELOW GRADE. �` \ - FACE OF CURB/ //r• EDGE OF PAVEMENT EXISTING SIDEWALK +.m EXISTING WATER EXISTING FIRE HYDRANT `S PROPOSED 2'X5'VAULT. �!� \N \\ EXISTING SEWER u. 5•syr ., • \ `g TYPICAL DETAIL A #VM) EXISTING WATER VALVE ca LT PRE-CASs TSJiA OIDGSRE-]595139 �\ 5'SW L DIRECTIONAL DRILL/BORE A , �\ MINIMUM OF 36"BELOW GRADE. BORE DETAIL TRENCH DETAIL AGOftEG1E � /�/��, ��CRnOORIAR/i iCRANULA 95X C04PACtIONOR 95%coIIPACigN , NAiFS i'BACKFlLL \ .� �BACKFlLL i 3inteql C1 O i _ �j.#• q5 i SPF�CIFIED Contact:David Miner Title:Sr.OSP Engineer 1 ph:(360)5584213 tt, t2'/ \),t Jj\ cell:(503) 0.6296 `{ ema0:Davld.71Mine Integratelecom.com NK MEO PPE ZONE O 1 PO BOX 2529 L L i \ I IK15Clackamas.OR (503 I Design By:K d B(503)65DE041 TECHNICAL SOLUTIONS Email:Justen PhiAiw®kbmail.net 1�5 I I REV. .DATE DESCRIPnON - MW DES 51 1 1 10/23/15 ODOT PERMff DRAWING DPASN IGN J.P. I riExrrorxor.9Ra�,.ae..9wmmw I I 3 ml«.a9Pm4Mu.Owea lldtr exr,4oma 0' 60' 120' _ cw..Tlw.Ra...wlamnoAn eu• PROPOSED 2'X5'VAULT. 1 scm.e -.ECTNUM rormt9 aPw9n 9aml.moo.rm R�T.er,n avk.aa-Rr.wrm9 n.r.r..r.w�+. I r I1"=60' ESO,5-2315 i SCALE: t"=60' iL SHEET NUMBER 51'TO WATER Fiber Enhancement Project F11TOER 1 7244 SW Durham Rd 50' Tigard,OR 97224 SEE SHEET 2 FOR 80. IL "µ'E` CONTINUED CONSTRUCTION. r I °F 2 INT-5575.3847 5'SW I i I I BORE DETAIL CONSTRUCTION NOTES CONTINUE UNDERGROUND i CONSTRUCTION FROM SHEET 1 1 �'��.. I}I __ 1. ALL WORK AREAS TO BE RESTORED TO LIKE OR BETTER T 1 I 'aA".."1w �" '✓: :s CONDMON. AGGREGI.IE DIRECTIONAL DRILL/BORE A ° i - - ia-r .." ,�fiaAAiuu 2.ALL OTHER UTILITIES ARE BASED OFF EXISTING LOCATES MINIMUM OF 36"BELOW GRADE. i5 ssx wuPAcrwx OR s OR UR1TY STRUCTURES. it } &1CT L 3.R IS THE CONSTRUCTIO CONTRACTORS RESPONSIBILITY }r I I i As TO CALL FOR LOCATES BEFORE DIGGING. I ECIFIF�D� LEGEND 12" DIRECTIONAL DRILL PROPOSED INTEGRA VAULT QV RPE ZONE PROPOSED 2'X5'VAULT. � I I � RIGHT OF WAY o. 0 11 I FACE OF CURB/ EDGE OF PAVEMENT I>• a� 11 I y� EXISTING SIDEWALK s EXISTING WATER 4'BEHIND SIDEWALK 74' EXISTING FIRE HYDRANT v 15'- tt 44' TYPICAL DLTAIL - H TRENCH DETAIL EXISTING SEWER i l I _15 LnUTY VAt+ET PRE-GST 2—OLOOASTLE-15A 1— EXISTING WATER VALVE Da 47'TO WATER I i�� Ii 6'SW I I 1 I ' /�GRANIIIAR i l OR I,i � 95S COu'AC ON ZL AS 9 i i�SPF�CIFl Di2� T5 to SEWER `SS I I \ nwMuaAr�wa�m" I'1. C .irew NwRn ON bTYOM 032• Mt20f00'+agn 031L0 4Ax3.YPPnuY a4aN 11\4S NYLpael�wel�b �\ \ \ Net9umCaurbI3W12]bi93Y D�O'A PIPE ZONE Inr=6"ra DIRECTIONAL DRILL/BORE A� MINIMUM OF 36"BELOW GRADE. TContact:David itle:Sr.OSP ngineer ph:(360)558-4213 cell:(503)710-6296 email:David.MinerCaTinteoratelecom.com 0' 120' ClacPo BcX"" 97015 e a Design By;K E B(503)860L041 SCALE:E: 1"=60' $ y TECHNICAL SOLUTIONS Email.Justan_Phlllipa@kbmad.net REV. D47DESCRIPSIg1 RANK DEs- 10 ODOT PERMIT DRAWING DRAS J.P. PROPOSED 2'X5'VAULT. 6 Sw DIRECTIONAL DRILL/BORE A z� END OF FIBER MINIMUM OF 36"BELOW GRADE. ` \ENHANCEMENT PROJECT ` / sCAIE: PRS TNDMBE OOSTl INTECRA 1"=60' ES015-23R:15 2'x5'vwlT(Vf-5)\ \ SHEET NUMBER T HH-2320 �., Fiber Enhancement Project SW Durham Rd Tigard, Tigard,OR 97224 2 IL N-E: �� °F 2 INT-5575-3847 ,r Page 104 2011 Edition Work in a Continuous Left Turn Lane Diagram 420 Diagram 420 shows work in the continuous two-way left turn lane of a two- way road with three or more lanes. 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. For operations of more than one hour, cones and signs are required as shown. Protection vehicles are optional. 4. For operations between 15 minutes and one hour, including work that will relocate intermittently, cones are required and signs may be replaced by protection vehicles with flashing lights. 5. For operations of 15 minutes or less, signs and cones may be replaced by one or more protection vehicles with flashing lights. 6. When only one protection vehicle is used, the use of a spotter(s) is recommended to warn workers of approaching traffic. 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 40 350 350 350 125 150 45 180 50 500 500 500 210 55 250 Chapter 5 December 2011 2011 Edition Page 105 Work in a Continuous Left Turn Lane Diagram 420, II ROAD WORK AHEAD B 1 1411 CENTER LANE CLOSED A. AHEAD A U2 I• Buffer Protection Vehicles wlTMA(both Optional) See Chapter 4 Buffer s • • U2 . I I A DEAN UWE CLOSED L I AHEAD 4 1 B ROAD I 1 � WORK AHEAD December 2011 Chapter 5