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PFI2016-00121 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT COMMUNITY DEVELOPMENT Permit#: PF12016-00121 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 06/08/2016 Parcel: SEG2123 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: Comcast PFI @ Sequoia Project Description: Comcast proposes to bore 133'and trench 625'to install 2-2"conduits with 1-48ct fiber a min of 36" below grade within ROW Owner: FEES Description Date Amount PFI Permit Fee 06/08/2016 $300.00 PHONE: Contractor: PHONE: FAX: Applicant: SCOTT SARBER 11308 SW 68TH TIGARD, OR 97223 PHONE: 503-596-3819 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: --�- C Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12016-00121 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 twenty-four(24)hours prior to commencing work, prior to any staged inspection, and after completing work covered by the permit. Ken Fisher 503-816-6146 or Kenny@tigard-or.gov. 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 RECEIVED City of Tigard JUN p 7 2016 n PUBLIC WORKS — ENGINEERING CITY OF TIGARD PLANNING/ENGINEERING Public Facility Improvement (PFI) Permit a ' i DESCRIPTION OF WORK(in the right-of-way) TYPE OF WORK Check one: 8 Utility Connection ® TYPE 1—Franchise Utility Work ❑ Sidewalk/driveway approach \`York performed by MVN,PGE ❑ Street improvements and/or utilityagency. Detailed description: Comcast proposes to bore 133'and trench 625'to ❑ TYPE 2—Sidewalk/Driveway/Sewer install(2)-2"conduits with (1)-48ct fiber a min. of 36"below grade within Work performed for the purpose of. City of Tigard ROW. • Sidewalk installation or repair. (' • Driveway approach installation Property address/location(s): v GG 1113 'Z and/or repair SW SEQUOIA PKWY AND SW REDWOOD LN • Sanitary sewer lateral installation and/or main fine tap ❑ TYPE 3—Full scale Development Applicant: Comcast Work performed with Land use Address: 11308 SW 68th Parkway approval which includes any of the following: City/state: Tigard. OR Zip: 97223 • Subdivisions or Partitions 9 Phone: (503)596-3819 Email: Scott_Sarber@cable.comcast.com • Street widening Contact name: Scott Sarber Phone: (503)596-3819 • Mainline installation for Sanitary sewer,Storm sewer,Tigard water Contractor: Tennessee Cable Service and/or Tigard Water Service Area CCB#: 77450 Expiration: 2/24/2017 SUBMIT COMPLETED APPLICATION TO: Address: 2705 NE 65th Ave. City of Tigard City/state: Vancouver,WA Zip: 98661 Planning/Engineering 503 969-6792 beavrebuild aol.com,tenncs@aol.com 13125 SW Hall Blvd. Phone: ( ) Email: @ @ Tigard,OR 97223 Contact name: Terry Richmond Phone: (503)969-6792 Applications for"minor work in right-of-way" only may be emailed to: Engineer: K&B Technical Solutions =Wermits .tigar� d-or. Address: PO BOX 2529 City/state: Clackamas,OR Zip: 97015 Phone: (503)650-6041x217 Email: KJ—Sprecher@kbmail.net Case No.: P` f-2,01 — d u 121 Contact name: KJ Sprecher Application submittal fee: �3�•oa Additional fees: Estimated value of work is required(if over$5,000):$9,500 Application accepted: G /I (within the public right-of-Nvay) By: M r% Date: �7 Application reviewed: Is work related to a LAND-USE DECISION? El Yes 8 No By: _ Date: If so,please specify (MLP,SDR,SUB,etc.) case #: Applicant notified: Is work related to a BUILDING PERMIT? ❑ Yes W No By: /—Z Date: If so,please spccif,(BUILDING PERMIT)case#: i.\CURPU4\M&stersw"dUse APpuc.nons Re.07M/2015 City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-ocgov • 503-718-2421 • Page I of 4 54 q V d l t} l IC t,n� l S A COI hC V-�9, Av, A-" *&a 3 >,%'%4 - 4Pw 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 owner or an agent of the owner. The owners)must sign this application in the space provided or submit a written authorization with this application. I, BY SIGNING BELOW,THE APPLICANT(S) SHALL CERTIFY THAT: • The above request does not violate any deed restrictions that may be attached to or imposed upon the subject ILper • If the application is granted,the applicant will exercise the rights granted in accordance with the terms and subject to all the conditions and lunitations 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 anv 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 owner of the subjectproperty required. �� r�`- ✓'f Scott Sarber 6/7/16 lxplica`nf/-1uiu/zed 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 City of Tigard 13125 S\C1 Hall Blvd. • 'Tigard,Oregon 97223 • w\x wtigard-cingov 503-718-2421 • Page 2 of 4 PUE I 217'FFROM ROW 155, -EASTING PEDESTAL ROW / 7� \35 FROM SEWER/ / 1T FROM FOC/ 13.5' Y FROM ROW FOC ` / \ •� S 1 FOC ,3.s WR�pwOpoLN / -ROW 15' -PtJE- 33'FROM SEWER / - 0.5'FROM ROW 13•FROM FOC \ ti UNIMPROVED HARD SURFACE AREAS (CONCRETEI It CF— .r 1r a 0.5'FROM ROW IY FROM FOC I I 28*FROM SEWER /I 13.V 1 I 65 13.5 , �1 N TRENCH AND PLACE(2)Y CONDUITS p A MIN OF 36-BELOW GRADE (TYPICAL) I 1l 6 NI 15350 I Y A BORE AND PLACE(2)-2-CONDUITS I I A MIN OF 36-BELOW G (TYPICAL)I I I SCALE I-W I BEGIN UNDERGROUND CONSTRUCTION I AT EXISTING PEDESTAL IN CITY OF i I TIGARD ROW 1.ALL WORK AREAS TO BE • RESTORED TO LIKE OR BETTER CONDITION. 2' 1.5'FROM ROW 2.ALL OTHER UTILITIES ARE BASED 1S FROM FOC t-- I OFF EXISTING LOCATES OR UTILITY STRUCTURES. 3.IT IS THE CONSTRUCTION CONTRACTORS RESPONSIBILITY TO u Q CALL FOR LOCATES BEFORE DIGGING. 4.BORE/DRILL-= 5.TRENCH- — n awrne OE910N ereee 7[c+eee¢eaunao Ccomcast. �_ SW SEQUOIA PKWY AND 72 REDWOOD LN TIGARD,OR 97223 rm V TECHNK•x SOLUTKM 49211 V Contact:03)5 Sar6er PO SOX 2529.ClA&� .OR 97015 V Phone:(503)5963819 ON--(503)650.W41E0.317 FIBER ENHANCEMENT Scott Sarber(&cable.coTncastcom Emal�O_Svecnar�dn.,S.�e1 - - CITY OF TIGARD ROW PERMIT DRAWING END UNDERGROUND CONSTRUCTION AT EXISTING PEDESTAL IN CITY OF TIGARD ROW -13.5' 38' i '\ 85' 91 32FROM SEWER 7 1 1r FROM FOC \ 3'FROM ROW '1 1- 11. 1 1 ( 1 ,I BORE AND PLACE(2}2'CONDUITII A MIN OF 38'BELOW GRADE—" II (TYPICAL) 1 Sirs I UNIMPROVED HARD SURFACE 1 AREAS (CONCRETE) 1a.soino Y rwaro..nn1o. 0 � I I I TRENCH AND PLACE(2f2'CONDUITS I I I A MIN OF 38-BELOW GRADE (TYPM.AL)S)I ) ( I I I I llI/ P 21'FROM FOC 7 T FROM ROW EXISTING PEDESTAL ROW i \35'FROM SEWER / 9CALE:1ti'19 y1, 1TOROMFOC , - Foe 13.5' _ �Y FROM ROW / - 1.ALL WORK AREAS TO BE RESTORED TO LIKE OR BETTER CONDRION. FOC sw /'i \ 2.ALL OTHER UTILITIES ARE BASED OFF EXISTING woo ov \ STRUCTURES.LOCATES OR UTILITY ON •U.5' \\ \ 3.IT IS THE CONSTRUCTION CONTRACTORS RESPONSIBILITY TO 15 _ CALL FOR LOCATES BEFORE _PUE- S33'FROM SEWER DIGGING. -8.5'FROM ROW (�) 13'FROM FOC \� y ..� 4.BORE/DRILL- j � ai+n�r 5.TRENCH- a4wrm 9emrpr.rxas rtaerx.aurXXrs .� r T (��'►� SW SEQUOIA PKWY AND SW REDWOOD LN /V \cO m ca St ° - �'p`� TIGARD,OR 97223 m TV `/ recH.acu saunaye A` Contact:Scott Barber PD BOX 2529,Ci. —,OR 97016 _ v Plane:(503)598-3819 O19r..(503)650-8041 Ext 217 FIBER ENHANCEMENT Scott Sarbero t)le.comcast.com E-1 Spr�- a—.– - - CITY OF TIGARD ROW PERMIT DRAWING 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 Spacin Between Signs Buffer Speed A B C Space 20 50 ERRATA: 25 100 100 100 75 30 100 Supplement Table 35 125 40 350 350 350 150 dated:February 12, 2016 45 180 50 500 500 500 210 SeclIon o01 irafFc-Roadway 55 1 1 1 250 Si zn Spacine and Buffer Len the feet Supplernent Posted Spacing Between Signs "Buffer" Speed A B C Space 60 285 65 700 700 700 325 70 1 1 1 365 Chapter 5 December 2011 2011 Edition Page 107 (Diversion into a Continuous Left Turn Lane Diagram 430. ROAD WORK AHEAD B CENTER llylt LAM A CLOSED II A II U2 I . I I Buffer Protection Vehicle w/TMA(bob)Optional) See Chapter 4 Buffer • • U2 I � • • U2 I• I A r II lyt B I IROAD WORK _IiAHEAD December 2011 Chapter 5 Page 118 2011 Edition Lane Closure at Intersection with Flagging Diagram 620 Diagram 620 covers work within an intersection when normal traffic control must be interrupted. Work vehicles may or may not be in the work space. 1. During flagging, traffic signals shall be turned off. Contact the road jurisdiction for approval and assistance (see Chapter 3). 2. For multi-lane facilities, traffic approaching the intersection shall be reduced to a single lane on each approach. See Chapter 3 for information on flagging through intersections. 3. There should be one flagger for each approach. One flagger may control two adjacent approaches if sight distance, low volumes on side roads, and flagger position allows for safe operation and clear direction to motorists. For low traffic volume intersections (fewer than 400 entering vehicles per day), one flagger may be used. 4. 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. Sign Spacing and Buffer Lengths(feet) Posted S acin Between Signs Buffer Speed A B c Space 20 50 ERRATA: 25 100 100 100 75 30 100 Supplement Table 35 125 40 350 350 350 150 Updated:rebr ry 12, 45 180 2016 50 500 500 500 210 @V:0M tr�tc RGAv y Sed ion 55 1 250 Si in Spaciniz and Buffer Len the feet SuDplement Posted Spacing Between Signs "Buffer" Speed A B C Space 60 285 65 700 700 700 325 70 365 Chapter 5 December 2011 2011 Edition Page 119 [Lane closure at Intersection with Flagging Diagram 620 H1onD AHEAD ,�,,, � 1 1 AHEAD �3 B BEPFUF B A (00-0 . � A 1a0 1001.M— � HDw • ,O,1» WORK • AHEAD A B B C Buffer .L 100M Mmc "CB lootMmc•• 1 ppftr4 A Tf B BE PM REP Haar B (OPOOW ROAD 1 1 c AHEAD ROAD WORK AHEAD December 2011 Chapter 5 Page 52 2011 Edition Bicycle and Pedestrian Accommodation Diagrams The following practices and details address the accommodation of bicycles and pedestrians within work zones. The following detail drawings should be incorporated, where appropriate, into the traffic control plan for any short term work. 1. See Section 1.6—Bicycle and Pedestrian Considerations for additional guidance. 2. Stay alert for pedestrians and bicycle traffic and accommodate safe passage for them, as needed. 3. The work space should be protected from bicycle and pedestrian intrusion by using barricades or closely-spaced channelizing devices. 4. Maintain access to transit stops or clearly close a transit stop using barricades or channelizing devices. Bicycle Accommodation Diagram 5-6 Bicycle Accommodation Principles: 1. If a significant volume of bicycles can be expected and work closes a marked bicycle facility, or requires bicycles to share a travel lane, install a"(Bicycle) ON ROADWAY" sign (CW11-1) or the Bicycle symbol (W11-1) sign with an "ON ROADWAY" (OBW1-5) rider, in advance of the work area. 2. Install temporary signing off the paved shoulder, within the planter (buffer) strip, or share the width needed between the shoulder and the sidewalk, as available. 3. Signs are to remain in place until the surface is restored and the width made available for bicycle use. See Diagram 5-6 for typical bicycle signing placement. Sign Spacing and Buffer Lengths(feet) Posted S acin Between Signs Buffer Speed A B C Space 20 50 ERRATA: 25 100 100 100 75 30 100 Supplement Table 35 40 350 350 350 150 updated:rebs ry 12, 2016 45 180 50 500 500 500 210 �1,011 ABY 55 250 Si Yn Spacinp, and Buffer Lengths feet Suipplernent Posted Spacing Between Signs "Buffer" Chapter 5 Speed A B C Space December 2011 60 285 65 700 700 700 325 70 365 2011 Edition Page 53 [Bicycle Accommodation Diagram 5-6 I I I I I I I I NOTES: I Bicycles on Roadway(CW11-1)sign should not I interrupt standard sequences. For example: o BE PREPARED TO STOP/Flagger Symbol 0 _LANE CLOSED AHEAD/Lane Ends Symbol Work • Bicycles on Roadway sign typically follows ROAD Area WORK AHEAD sign and used as general warning. I I I I Tt I I I A I I I I I � I I�I I I I I I I I I A I I I I I I I I I I I� I I I I I I I B I I I I * I� ON I ROADWAY I I I I I C I I I I I ROAD I� WORK I I AHEAD/ December 2011 Chapter 5 Page 54 2011 Edition Pedestrian Accommodation Diagrams See Diagrams 5-7 and 5-8, below, for pedestrian accommodations in work zones. Pedestrian Accommodation Principles: 1. If the work impacts the sidewalk or pedestrian facility, provide a safe, accessible path, where practical, in accordance with the requirements of the ADA. 2. If not practical to match the width of the existing pedestrian facilities, maintain a 4-ft minimum width. 3. Unless a reasonably safe route can be provided through the work space, pedestrians should be appropriately directed with advance signing to cross the road. Do not divert pedestrians into travel lanes. 4. Install pedestrian closure or detour signing on Type II barricades. Make every practical effort to satisfy the following: • If work closes a sidewalk or sidewalk ramp, close sidewalks at a point where an alternate crossing point or route can be provided. Minimize the amount of out-of-direction travel for pedestrians. • Use a combination of"SIDEWALK CLOSED" (R9-9), "SIDEWALK CLOSED USE OTHER SIDE" (R9-10), "SIDEWALK CLOSED AHEAD CROSS HERE" (R9-11), and "SIDEWALK CLOSED CROSS HERE" (R9-11a) signing to direct pedestrians to an alternate facility. • Where there are business destinations between the nearest crosswalk and the work area, close the sidewalk at the business access nearest the work area,where practical using the SIDEWALK CLOSED sign. Include the SIDEWALK CLOSED AHEAD CROSS HERE sign at the nearest crosswalk prior to the closure. Chapter 5 December 2011 2011 Edition Page 55 (Pedestrian Accommodation, Mid-Block Diagram 5-7 The sidewalk should be closed at the nearest intersection on each side of the work area when a safe,ADA-compliant path through the work area of is not available. BIDMNX or cnosa� cAoss� 24x12 Type-wi. 24x18 .'' (Mount on B(II)L) Type°Wi" SIDEWALK CLOSED 24x12 Type°VU1° (Mount on B(II)LR) (2 Reqd.) smEwwc amu orCRM HEM doss nv� 24x12 24x18 Type°VN1' T °W1° (Mount on B(II)R) Type December 2011 Chapter 5