PFI2016-00157 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
a COMMUNITY DEVELOPMENT Permit#: PFI2016700157
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 07/28/2016
Parcel: SEG406
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: Comcast
Project Description: Push 529'of new fiber through existing conduit, overlash 293'of new fiber to existing aerial facilities, and
construct 146'of new strand and fiber to existing utility poles
Owner: FEES
Description Date Amount
PHONE:
Contractor:
PHONE:
FAX:
Applicant:
SCOTT SARBER
11308 SW 68TH PKWY
TIGARD, OR 97223
PHONE: 503-596-3819
Total $0.00
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:
Issued By:
Special Conditions(See Attached)
Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY
Conditions for PF12016-00157
Type: Condition Name: Status: Severity:
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
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.
RECEIVED
City of Tigard JUL 2 7 2016
PUBLIC V'ORKS —ENGINEERING CITY OF TIGARD
Public Facility ImprovementCl
WI) Permit
DESCRIPTION OF WORK(in the right-of-way) TYPE OF WORK
Check one: 8 Utility Connection
8 TYPE 1--Franchise Crilin-Work
❑ Sidewalk/driveway approach A ork performed by N'NX'1V,PGE
❑ Street improvements and/or utility agency.
u cy.
Detailed description: Push 529'of new fiber through existing conduit, ❑ TYPE 2—Sidevkallc/DrivegdP/Suver
overtash 293'of new fiber to existing aerial facilities,and construct 146'of Rork performed for the purpose of:
new strand and fiber to existing utility poles. Sidew:dk installation or repair.
• Drive,,ac approach installation
Property address/location(s): 10380 SW Cascade AvQ. and/or repair
Tigard, OR 97223 Sanitary sewer lateral installarion
and/or main line rap
❑ TYPE 3—Full scale Developmenr
Applicant: Comcast Vork performed-,with land use
11308 SW 68th Parkwayapproval which includes am•of
Address: 11308 the following:
City/state: Tigard, OR Lip. 97223 • Subdivisions or Partitions
Phone: (503)596-3819 Email: Scott_Sarber@cable.comcast.com • Street widening
Contact name: Scott Sarber Phone: • Mainline installation for Sanittre
sewer,Storm sewer,l'igard warcr
Contractor: Texstar Enterprises and/or Tigard Water Service Area
CCB#: 178798 Expiration: 10/10/2017 SUBMIT COMPLETED APPLICATION TO:
Address: 14122 Arndt Rd City of Tigard
City/state: Aurora OR Zip: 97002 Planning/Engineering
503-776 5049 Jimminer texstarenter rises.com 13125 SW Hall Blvd.
Phone: Email: @ p Tigard,OR 97223
Contact name: Jim Miner phone: 503-776-5049 \pplications for"miner work in right-ref--xva"
onlc mac be emailed tu:
Engineer: K&B Technical Solutions rownermits&tigard-or. ov
Address: PO BOX 2529
City/state: Clackamas,OR Gip: 97015
Phone: 15°31650-6041 Ext.212 Email: Shane–Langley@kbmail.net Case \o:
Contact name: Shane Langley
Application submitral Fee•
Additional fees:
Estimated value of work is required(if over$5,1100):$750 _Application accepted: C�
(within the public right-of-way-) By: S Date: C
/
Is work related to a LAND-USE DECISION? [I Y _Application reviewed:
es @ No 62;L Date:
If so, please specify (N-ILP,SDR,SUB,etc.) case #: By:
!Applicant notified:
Is work related to a BLM,DTNG PER'4IIT1 ❑ 1es 8 No By tS'-- mare:
If so,please specih•(BUTI.DING P)✓"11-1)case#: a\aJRPU*\M&rters\laMUse Applatbns w.,,D7M9rpu
City of Tigard • 131_'5 SSC'Hall Blvd. • Tigard,Oregon 97223 www.tikard-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.
\\hen the owner and the applicant are different people,the applicant imtst be the purchaser of record or a lessee in pobscssion with written
authorization fn)m the owner or are agent of the owti . the rnvner(sj must sign this application in the space provided or submit a%-ritten I
authorization with this application.
BY SIGNING BELOW,THE APPLICANT(S) SHALL CERTIFY THAT:
• The above request does ncitvinl2re any deed restritions that m2y he attached to or'mom iced upon the subjeect_paWc
• 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.
• :1ll of the above statements and the statements in the plot plan,attachments,and exhibits transmitted herewith,are true;and
the applicants so acknowledge that ant•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.
SIGNATU Sof canerAf the subject property required.
applicant/Authori r gent's signature Print name Dare
Owner's signature Print name Date
Owner's signature Print name Date
Owner's signature Print name Date
PUBLIC FACILITY IMPROVEMENT PERMIT
Cityof Tigard • 1312 S\x'Hall Blvd. • '11gard,Oregon 97,1, • war u:tigard-or.gov Stl3-?18-2421 Page 2 of 4
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Em�ii an:i.�1 �, CITY OF TIGARD ROW PERMIT DRAWING
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 ERRATA:
20 50
25 100 100 100 75 Supplement Table
30 100
35 40 350 350350 125 � M:Fe�12,
150
45 180 ar000rrr�Noad■ Y
50 500 500 500 210 mak"
55 250
Chapter 5 Si En Spacing and Buffer Len the feet supplement December 2011
Posted 5 acin Between Signs I"Buffer"
Speed A B C Space
60 285
65 700 700 700 325
70 365
2011 Edition Page 79
[Work on Shoulder Diagram 21011
It
(Optional)
* Protection Vehicle
w/TMA(both Optional)
See Chapter 4
•
•
Buffer
•
•
•
U3
•
A
ROAD SHOULDER
WORK ORWORK
AHEAD AHEAD
Initial Warning Sign
1 t *Use as appropriate-see Table 5-2
December 2011 Chapter 5
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 ERRATA:
25 100 100 100 75
30 100 Supplement Table j
35 125
40 350 350 350 150 t4WWMlFeb.—V14
45 180 a�
50 500 500 500 210 ar.00M ��
sedgy
55 250
SI in spacing and Buffer ten the Beet Supplement
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 107
Diversion into a Continuous Left Turn Lane Diagram 436
ROAD
WORK
AHEAD
B
CENTER
11y1t
LANEE
CLOSED
AHEADI
A
II
U2 I . I
I Barter
Protection Vehicle
wfrMA(both Optionaq
See Chapter 4
Buffer
•
• U2
I '
•
•
U2 I• I A
II
lyt B
ROAD
WORK
AHEAD
December 2011 Chapter 5