PFI2016-00180 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
COMMUNITY DEVELOPMENT Permit#: PF12016-00180
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 08/15/2016
Parcel: SEG2314
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: Comcast PFI
Project Description: Comcast proposes to push new fiber optic thru existing conduit in city
Owner: FEES
Description Date Amount
PHONE:
Contractor:
PHONE:
FAX:
Applicant:
LINDA MCCLAIN
11308 SW 68TH
TIGARD, OR
PHONE: 503-596-3965
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: CSN J SAL/(tet ll/y `
Issued By: A AA
Special Conditions(See Attached)
Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY
Conditions for PF12016-00180
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 twenty-four(24)hours prior to commencing work, prior to any staged
inspection, and after completing work covered by the permit. Traffic Restrictions:Work on Sw Sequoia Prky is restricted to
9am to 3:30pm. Please call Ken Fisher at 503-816-6146 or Kenny@tigard-or.gov before work starts.
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 AUG 11 2016
PUBLIC: WORKS— ENGINEERING CITY OF TIGARD
IN NGINEERING
Public Facility Improvement (PFI) Pe'i'
DESCRIPTION OF WORK(in the right-of-way) TYPE OF WORK ti
Check one: ® Utility Connection 8 TYPE 1-Franchise Utility%N%ork i
❑ Sidewalk/driveway approach Work performed by NWN,PGE
❑ Street improvements and/or utility agency.
Detailed description: COMCAST PROPOSES TO PUSH/PULL NEW ❑ TYPE 2-Sidewalk/Driveway/Sewer
FIBER OPTIC CABLE THROUGH EXISTING CONDUIT IN CITY \Work performed for the purpose of:
OF TIGARD ROW • Sidewalk installation or repair.
• Driveivat•approach installation
Property address/location(s): SC-C-1 23I y 2- 2 2 and/or repair
• Sanitary sewer lateral installation
15353 SW SEQUOIA PKWY and/or main line tap
TIGARD,OR 97224
❑ TYPE 3-Full scale Development
Applicant: COMCAST CABLE V"ork performed with Land use
11308 SW 68TH PKWY
approval which includes any of
Address: the following:
City/state: TIGARD,OR Zip. 97223 • Subdivisions or Partitions
Phone: 503-596-3965 Email: LINDA_MCCLAIN@COMCAST.COM • Street widening
Contact name: LINDA MCCLAIN Phone: 503-596-3965 • Mainline installation for Sanitary
sewer,Storm sewer,Tigard water
Contractor: TEXSTAR ENTERPRISES and/or Tigard Water Service Area
CCB#: 178798 Isxpiradon: 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 TEXSTARENTERPRISES.COM 13125 SW Hall Blvd.
Phone: Email: � Tigard,OR 97223
Contact name: JIM MINER Phone: 503-793-3109 Application.,for"minor work in right-of-way"
only may be emailed to:
Engineer: K&B TECHNICAL SOLUTIONS r�ypermits�tigard-4r.aov
Address: 6566 SE LAKE RD
City/state: MILWAUKIE,OR Zip: 97222
Phone: 503-656-6041 EXT 212 Ismail: SHANE_LANG LEY@KBMAIL.NET Case No.: PFr 2,0 k b — 001 g 0
Contact name: SHANE LANGLEY Application submittal fee:
Additional fees:
Estimated value of work is required(if over$5,000):$ Application accepted:
(within the public right-of-way) By: ✓Vi n Date: �<<
Is work related to a LAND-USE DECISION? ❑ Yes I@ No Application reviewed:
15 l G
If so,please specifl- (NfLP,SDR,SUB, etc.) case #: By: TG�51.- Date:
Applicant notified:
Is work related to a BUILDING PF.RNIM ❑ Yes ® No By:— / Date:
If so,please specil -(BUILDING PERMI'l)case#: I:\CURPLN\Mast•rs\Land Use Applications Re,07/09/2015
City of Tigard • 13135 SA"Hall Blvd. • Tigard,Oregon 9 7223 -,i-\vv?.tigard-or.gov • 503-7182=421 • Page 1 of 4
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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 owner(s)must sign this application in the space provided or submit a written
authorization with this application.
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 ion the subject prop erns.
• 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 e=xhibits 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.
SIGNATU ES ofa owner of the subject property required.
Applicant/Auth nzed Agent's signature Print name Date
i
Owner's signature Print name Date
Owner's signature Print name Date
Owner's signature Print name Date
i
PUBLIC FACILITY IMPROVEMENT PERMIT
City of Tigard 13125 S%'Hall Blvd. • Tigard,Oregon 97223 • wW-Nvtigard-or.gov 503-718-2421 • Page 2 of 4
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EXIT CIN OF TIGARD ROW AND `EXISTING PEDESTAL RESTORED TO LIKE OR BETTER m
CONTINUE ON PRIVATE PROPERTY CONDITION. y
ap Q
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2.ALL OTHER UTILITIES ARE BASED OU
OFF EXISTING LOCATES OR UTILITY
STRUCTURES.
3.IT IS THE CONSTRUCTION
CONTRACTORS RESPONSIBILITY TO RPI
CALL FOR LOCATES BEFORE
DIGGING.
4.EXISTING- CMME-77125020
Page 94 2011 Edition
Self-Regulating Lane Closure Diagram 350
Use this detail for closures of one lane of a low-speed, two-lane, two-way
road.
1. Use this diagram only if all of the following are true:
a. Work space is less than 200 feet.
b. The posted speed is 40 mph or less (unless not posted and
speed governed by basic rule).
c. Average Daily Traffic (ADT) is less than 400.
d. Sight distance (in feet) is more than 750 at each end.
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, a truck-mounted arrow panel or PCMS in caution
mode may be used.
4. A"Lane Ends (Right)" (W4-2R) symbol sign, or"RIGHT LANE ENDS"
(W9-1 R) sign, may be placed inside the cone taper for more emphasis.
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 40 350 350 350 125
150
Updated:February 12,
2016
45 1$0 By:ODW ttafflc-Rnadm y
50 500 500 500 210 Se tion
55 250
Sign Spacing and Buffer Lengths (feet)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 95
Self-Regulating Lane Closure Diagram 350
ROAD — �
WORK 9 I to
AHEAD
Initial •
Warning •
Sign •
A •
•
ONE LANE ` rm
ROAD
AHEAD
Protection Vehicle • To LONIN
w/TMA(both Optional) ONCOMING OR
See Chapter a • TRAFFIC
•
�Buffer
501-100,
• T "T
yORV I5'
A
ONE LANE
g ROAD
AHEAD
ROAD
l C WORK
AHEAD
Initial
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Sign
December 2011 Chapter 5
LASERFICHE
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�H�I.32I�SF�'I
CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
• COMMUNITY DEVELOPMENT Permit#: PF12016-00166
Date Issued: 08/09/2016
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421
Parcel: SEG2370
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: NW Natural
Project Description: Install short side 1/2"poly svc, main is on the 2' in ROW. Possible cut for tie-in.
Owner: FEES
Description Date Amount
PFI Permit Fee 08/05/2016 $300.00
PHONE:
Contractor:
PHONE:
FAX:
Applicant:
AISHA PRESTON
220 NW 2ND AVE
PORTLAND, OR 97209
PHONE: 503-226-4211
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 PF12016-00166
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. Jonny Gish 971-713-0281 or jonny@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 AUG 0 3 2016
441 PUBLIC WORKS —ENGINEERING ZM CITY OF TIGARD
Public Facility Improvement (PF rYftFEERI"G
DESCRIPTION OF WORK(in the right-of-way) REQUIRED SUBMITTAL
Check one: W Utilities ❑ Sidewalk/driveway approach ❑ Street improvements ELEMENTS
Detailed description: Install short side 1/2" poly sve; main is on the ❑ Minor work in right-of-way
(sidewalk repair,curb cut,street
2' in ROW. Possible cut for tie-in opening,etc.)requires:
•Application form,completed
and signed
•Submit one(1)copy of scaled sketch
Property address/location(s): 15900 SW Stratford Loop of the proposed work to be done
-� •Submit one(1)copy of traffic
�� ``' � control plan
y -OR-
NW Natural/Aisha Preston E] Substantial project work requires
Applicant's name: above items and professional
Address: 220 NW 2nd Ave engineered plans for:
•Street widening
City/state: Portland, OR Gip: 97209 •Subdivision infrastructure
Phone: 503-226-4211 x4428 Email: nwnpermits@nwnatural.com •blain utility line extension:
Storm Drain,Sanitary—Tigard
- Water—Tigard Water Service
Contractor's name: Loy Clark/Jim Fitzgibbon .Area(includes Durham,King City
CCB#: 52281 Expiration: and a portion of unincorporated
Address:
PO Box 1369 Washington County)
City/state: Tualatin, Or Zip: 97062 DELIVER APPLICATION TO:
503-644-2137 im.fitz ibbon to clark.com City of Tigard
Phone: Email: 9 @ Y Planning/Engineering
13125 SW Hall Blvd.
Engineers name:
Peter Cathcart Tigard,OR 97223
220 NW 2nd Ave \pplications for"minor work in right-of-way"
Address: only may be emailed to:
City/state: Portland, OR Zip: 97209 r�Permitsnri¢ard�or.Qov
Phone: (503) 715-7441 Email: Plc@nwnatural.eom
FOR STAFF ITSE ONLY
/-
Case No.: PE1Q0t'�'� (.��
Estimated value of work (within the public right-of-way): $ .O O
.Application submittal fee: 3vo
Is work related to a LAND-USE DECISION? ❑ les ❑ No Application accepted:
If so,please specify (MLP, SDR, SUB, etc.) case #: By: Z-S Date: E3 Ls h to
Application reviewed:
Is work related to a BUILDING PERMIT? ❑ les ElNo
If so,please specify(BUILDING PERMIT)case#: A li �+;5�• Date:
Ff 3 �G
Applican notified: 2
By:Applicant
T Date: v
I:\CURPLN\Masters\land Use Applications Rev.07/16/2014
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-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 arc 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 owner(s)must sign this application in the space provided or submit a written
authorization with this application.
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 property.
• 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.
Digitally signed by Aisha Preston Y' 1'1
Aisha Preston DN cn=Aisha Preston,o=NWNaturel,ou. AISha Preston 1 8/3/16
email=aap@nwnaWral.com,UUS
Date:2016.08.03 13:44:38-07'00'
Applicant/Authorized Agent's signature Print name I)a c
Owners signature Print name ll,r r
Owner's signature Print name Date
Owner's signature Print name Date
PUBLIC FACILITY IMPROVEMENT PERMIT
Citi-of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov 503-718-2421 • Page 2 of 4
DEVELOPMENT ENGINEERING FEES
1. Public Facility Improvement(PFI)Permit:
Part 1: Required submittal fee$300.00
Part 2: All non-water system improvements
Engineer's estimate X 5% (less$300.00 submittal fee)
Engineer's estimate X 2%Plan Review
Part 3: All public water system improvements
Engineer's estimate X 12%
Total Permit Fee = Part 2 + Part 3
PFI Permit Fee Exemptions:
There will be no permit fee charged,or assurance required for the following types of work:
• Sidewalk or driveway repair(less than 20 lineal feet)
• Relocate or replace mailbox
• Ditch cleaning that does not involve regrading.
• Weephole repair
• Curb repair or replacement(less than 20 lineal feet)
• Lawn sprinkler system installation or repair
• Street tree pruning or planting
• Planter strip landscape maintenance
• Test wells
PUBLIC FACILITY IMPROVEMENT PERMIT
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov 503-718-2421 Page 3 of 4
SAMPLE SKETCH:
SW19y 19 St
Edge of Pavement
Ditch —�
Streetlight I ----------------r---
/ I e Pamnr�
FT
T
ro'pos �
I I , •
T—� d"Se1wer ii'ne
-
"
I I 1
1
Existing House
Existing
Driveway
CI F •
WCL
I 1
� -
y'
t
o Existing Shop j
I � •J � j
Powerpole I o l o
CL- 95"
Nydrant
----76pertyLine-----------
I I
I (FH)
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Scale: I"=30'
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MINIMUM SKETCH REQUIREMENTS (Put"N/A" if Not Applicable):
North arrow Property lines &dimension Slope of property
Street&street name(s) Existing building,structures Utility& street light poles
Proposed work Existing curb or edge Trees
Existing S/W or of pavement Existing utility locations
D/W apron (sewer,water,storm)
PUBLIC FACILITY IMPROVEMENT PERMIT
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 4 of 4
Page 84 2011 Edition
Stationary Lane Closure With Flagging Diagr4M.320
Diagram 320 covers total closure of one lane of a two-lane, two-way
roadway. See the detail inset for the layout if using a single flagger to control
both directions of traffic on low volume roads (less than 400 ADT)with good
sight distance as discussed below.
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. Flaggers at each approach are required if any of the following
conditions exist:
a. Night Operations.
b. Work space is over 200 feet in length.
c. Sight distance is less than 750 feet from each approach
through the lane closure.
d. Traffic volumes are greater than 400 ADT.
4. The length between the Flagger Ahead signs shall not exceed one
mile. Use Diagram 340—Lane Closure with Pilot Car if exceeding one
mile.
5. Cones should be used to outline the work space when curves or other
roadway alignments prevent clear direction for the motorists to pass
the work space safely.
6. Cones along the work space are recommended when posted speeds
are 45 mph or greater, when working under heavy traffic or when travel
lanes are narrower than 11 feet.
7. Extended queue signing (see Diagram 5-4)should be used when
traffic queues extend beyond the initial advance warning sign.
8. When flagging near an intersection,the"Flagger Ahead" (CW23-2)
sign should be visible to traffic entering from any side road. Additional
advance warning and Flagger Ahead symbol signs may be placed on
the side road(s).
9. Sign set-up and flagger placement shown may be used for intermittent
full road closures of 20 minutes or less.
10. 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 are expected.
Chapter 5 December 2011
2011 Edit c- Page 85
Stationary Lane Closure with Flagging Diagram 320
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December 2011 Chapter 5
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NW Natural I PLAT: 1-046-020 COUNTY: WASHINGTON 08/03/16 13:38
(503)226-4211 TOWNSHIP: T02S RANGE: R01 W SECTION: 11 SE SCALE: 1 IN = 100 FT USER lo:aap
IASERFICHE
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CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
COMMUNITY DEVELOPMENT Permit#: PF12016-00156
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 08/09/2016
Parcel: SEG268
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: NW Natural PFI
Project Description: Install short side SVC, main is on the 14" in ROW.. 14 x 5' hard surface cut
Owner: FEES
Description Date Amount
PFI Permit Fee 08/05/2016 $300.00
PHONE:
Contractor:
PHONE:
FAX:
Applicant:
AISHA PRESTON
220 NW 2ND AVE
PORTLAND, OR
PHONE: 503-226-4211
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 PF12016-00156
Type: Condition Name: Status: Severi :
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
Please note that the asphalt is only a month old. 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
503-718-2602 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
City of Tigard RECEIVED
w PUBLIC WORKS — ENGINEERING l_!L 26 2016
Public Facility Improvement (PFI), Pernut=ING
DESCRIPTION OF WORK(in the right-of-way) TYPE OF WORK
Check one: ® Utility Connection ❑ TYPE 1—Franchise Utility Work
❑ Sidewalk/driveway approach Work performed by NWN,PGE
❑ Street improvements and/or utility agency.
Detailed description: Install short side svc; main is ❑ TYPE 2-Sidewalk/Driveway/Sewer
on the 141 in ROW. 1-4 'x5 ' hard surface cut Work performed for the purpose of:
WR#3 4 7 6 9 7 3 • Sidewalk installation or repair.
• Driveway approach installation
Property address/locadon(s): 6 919 SW Oak St and/or repair
se ci 2 r g • Sanitary sewer lateral installation
l0 and/or main line tap
❑ TYPE 3—Full scale Development
Applicant: NW Natural Work performed with Land use
Address: 220 NW 2nd Ave approval which includes any of
the following:
City/state: Portland, OR Zip: 97209 • Subdivisions or Partitions
Phone:503-226-4211 Email:nwnpermits@nwnatural . com • Street widening
Contact name: Ai aha Preston Phone: 5 0 3-2 2 6-4 211 • Mainline installation for Sanitary
sewer,Storm sewer,Tigard water
Contractor: Loy Clark and/or Tigard Water Service Area
CCB#: 5 2 2 81 Expiration: SUBMIT COMPLETED APPLICATION TO:
Address: PO Box 1369 City of Tigard
City/state: Tualatin, OR Zip: 97062 Planning/Engineering
Phone: 503-644-2137 Email: lim.fitzgibbon@loyclark.com 13125 SW Hall Blvd.Tigard,oR97223
Contact name: Jim Fitzgibbon Phone: 503-644-2137 Applications for"minor work in right-of-way"
only may be emailed to:
Engineer: NW Natural rQmWermits tigard-or.Qov
Address: 220 NW 2nd Ave
City/state: Portland, OR Zip: 97209
Phone:503-715-7441 Email:plc@nwnatural .com Case No.: 001-5,fo
Contact name: Peter Cathcart Application submittal fee: ?60•06
Additional fees:
Estimated value of work is required(if over$5,000):$ Application accepted:
(within the public right-of-way) By: Iy1 Q Date: ��Z
Date:
Application reviewed:
Is work related to a LAND-USE DECISION? El Yes El No
If so,please specify (MLP, SDR, SUB, etc.) case #: By: T6�-
Applicant notified:
Is work related to a BUILDING PERMIT? ❑ Yes ❑ No By: Date:
If so,please specify(BUILDING PERMIT)case#: l:\CURPLN\Masten\Land Use Applications Rev.07/09/2015
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-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 owner 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 deed restrictions that may be attached to or imposed upon the subject}roper
• 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.
Aisha Preston =?-- "b"" a y-,y
Aisha Preston 2/26/16
Applicant/Authorized 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 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov 503-718-2421 • Page 2 of 4
2011 Edition Page 85
Stationary Lane Closure with Flagging Diagram 320
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50 500 500 500 210
55 1 250
December 2011 Chapter 5
Page 84 2011 Edition
Stationary Lane Closure with Flagging Diagram 320
Diagram 320 covers total closure of one lane of a two-lane, two-way
roadway. See the detail inset for the layout if using a single flagger to control
both directions of traffic on low volume roads (less than 400 ADT)with good
sight distance as discussed below.
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. Flaggers at each approach are required if any of the following
conditions exist:
a. Night Operations.
b. Work space is over 200 feet in length.
c. Sight distance is less than 750 feet from each approach
through the lane closure.
d. Traffic volumes are greater than 400 ADT.
4. The length between the Flagger Ahead signs shall not exceed one
mile. Use Diagram 340—Lane Closure with Pilot Car if exceeding one
mile.
5. Cones should be used to outline the work space when curves or other
roadway alignments prevent clear direction for the motorists to pass
the work space safely.
6. Cones along the work space are recommended when posted speeds
are 45 mph or greater, when working under heavy traffic or when travel
lanes are narrower than 11 feet.
7. Extended queue signing (see Diagram 5-4)should be used when
traffic queues extend beyond the initial advance warning sign.
8. When flagging near an intersection, the"Flagger Ahead" (CW23-2)
sign should be visible to traffic entering from any side road. Additional
advance warning and Flagger Ahead symbol signs may be placed on
the side road(s).
9. Sign set-up and flagger placement shown may be used for intermittent
full road closures of 20 minutes or less.
10. 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 are expected.
Chapter 5 December 2011
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NW Natural PLAT: 1-041-022 COUNTY: WASHINGTON 07/22/16 09:511
(503)226-4211 TOWNSHIP: T01 S RANGE: R01 W SECTION: 36NE SCALE: 1 IN = 100 FT L�I USER ID:aap
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CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
COMMUNITY DEVELOPMENT Permit#: PF12016-00173
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 08/10/2016
Parcel: SEG1707
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: Comcast
Project Description: Comcast proposes to route(1)-48ct fiber optic cable 373'through existing conduit in City of Tigard ROW
Owner: FEES
Description Date Amount
PHONE:
Contractor:
PHONE:
FAX:
Applicant:
LINDA MCCLAIN
11308 SW 68TH PKWY
TIGARD, OR 97223
PHONE: 503-596-3965
Tota 1 $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: Not Present
Issued By:
Special Conditions(See Attached)
Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY
Conditions for PF12016-00173
Tvce: 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 twenty-four(24) hours prior to commencing work, prior to any staged
inspection, and after completing work covered by the permit. Kenny 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 AUG 0 9 2016
PUBLIC WORKS — ENGINEERING CITY OF TIGARD
Public Facility Improvemeri"tG l` ermit
DESCRIPTION OF WORK in the right-of-way) TYPE OF WORK
C � g Y)
Check one: Q Utility Connection R TYPE I—Franchise Utility Work
❑ Sidewalk/driveway approach Work performed by NWN,PGE
❑ Street improvements and/or utility agency.
Detailed description: Comcast proposes to route(1)-48ct fiber optic cable ❑ TYPE 2—Sidewalk-/Driveway/Sewer
373'through existing conduit in the City of Tigard ROW Work performed for the purpose of
• Sidewalk installation or repair.
• Driveway approach installation
Property address/location(s): 7300 SW Landmark Ln Tigard, OR 97223 and/or repair
• Sanitary sewer lateral installation
and/or main line tap
rl ❑ TYPE 3—Full scale Development
Applicant: Comcast Project:#50316 Work performed with Land use
Address: 11308 SW 68th Parkway approval which includes any of
the following:
City/state: Tigard,OR Zip: 972274 • Subdivisions or Partitions
Phone: 503-596-3965 Email: Linda_McClain@comcast.com • Street widening
Contact name: Linda McClain Phone: 503-596-3965 • Mainline installation for Sanitary
sewer,Storm sewer,Tigard water
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
503-793-3109 Jimminer texstarenter rises.com 13125 SW Hall Blvd.
Phone: Email: @ p Tigard,OR 97223
Contact name: Jim miner Phone: 503-793-3109 Applications for"minor work in right-of-way"
only may be emailed to:
Engineer:
K&B Technical Solutions row ermits .tigard-or.=
Address: 6566 SE Lake Rd Ste F
City/state: Milwaukie,OR Zip: 97222 r�
Phone: 503-650-6041 ext.217 Email: KJ—Sprecher@kbmail.net Case No.: 6,2`06 i 3
Contact name: KJ Sprecher application submittal fee:
Additional fees:
Estimated value of work is required(if over$5,000):$ Application accepted: /�/
(within the public right-of-way) By: Z Date:
Application reviewed:
Is work related to a LAND-USE DECISION? El Yes B No
By: Date:
If so,please specify (MLP,SDR,SUB,etc.) case#: Woh(p
Applicant notified:
Is work related to a BUILDING PERMIT? ❑ Yes ® No By: LS2 Date:
ahoh
I:\CURPLN\Masters\Land Use Applications Rev.07/09/2015
If so,please specify(BUILDING PERMIT)case#:
z4N1)*jAa.g_
CityofTigard 13125SWHallBlvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page1of4
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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 owner(s)must sign this application in the space provided or submit a written
authorization with this application.
BY SIGNING BELOW,THE APPLICANT(S) SHALL CERTIFY THAT:
• The above request does not violate any deed restrictions hat may be attached to or imposed upon the subject nroper4.
• 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.
SIGNA RES of each owner of the subject property required.
KJ Sprecher 08/09/2016
Applicant/Authorized Agent's signature Print name Date
Owner's signature Print name Date
Owner's signature Print name Date
Owner's signature Print name Datc
PUBLIC FACILITY IMPROVEMENT PERMIT
City of Tigard • 13125 S\X'Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov 503-718-2421 • Page 2 of 4
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Phone:(503)596 3809 ofr-.(503)650-8041 E L 217
Linda McCiain@comcastcom r-1:KJ Sprecher®kbmel.nei - - CITY OF TIGARD ROW PERMIT DRAWING
Page 80 2011 Edition
5.3 Two-Lane, Two-Way Roads
Shoulder Work w/ Minor Road Encroachment Diag. 300
Use this detail for non-freeway work which extends into a travel lane and
maintains a minimum 10 foot travel lane. If a minimum 10 foot travel lane
can not be maintained, or when traffic can not safely pass by in both lanes
simultaneously, use the appropriate lane closure diagrams—for example,
Diagrams 310 through 350.
A lane closure may be appropriate for conditions such as high traffic
volumes, high speeds, and inadequate approach sight distance to the work
space, or heavy equipment adjacent to the travel 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. Cones shall be placed along the entire length of the work space. If a
protection vehicle is used and work is in place one hour or less, the
taper and tangent devices may be omitted.
4. If the speed is 45 mph or higher, volumes exceed 2000 ADT, or there
is limited sight distance, consider placing cones or tubular markers on
centerline.
5. An arrow board in caution mode or truck-mounted PCMS with
"SHOULDER WORK" or other appropriate message may be used for
higher visibility.
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 5upplementTable
40 350 350 350 150 updated:February 12,
45 180 2016
sy:Door Traffic Roadway
50 500 500 500 210 Section
55 1 250
Si zn Spacine and Buffer Len the feet Supplement
Posted S acin Between Signs J325
Speed A B C
60
Chapter 5 65 700 700 700 December 2011
70 3 65
2011 Edition Page 81
Shoulder Work w/ Minor Road Encroachment Diag. 300
ROAD
WORK to
AHEAD>
Initial
Warning A •
Sign
•
•
•
(Optional) •
�a •
•
Protection Vehicle •
w/TMA(both Optional)
See Chapter 4 • Buffer
10' •
minimum • L/3
•
A ROAD
M NARROWS
•
(Optional)
B
ROAD
WORK
AHEAD
Initial
Warning
Sign
December 2011 Chapter 5
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HHDIA'dHSV'I
CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
COMMUNITY DEVELOPMENT Permit#: PF12016-00172
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 08/10/2016
Parcel: SEG1586
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: Comcast
Project Description: Comcast proposes to route(1)-48ct fiber optic cable 1'through existing conduit in the City of Tigard
ROW
Owner: FEES
Description Date Amount
PHONE:
Contractor:
PHONE:
FAX.
Applicant:
LINDA MCCLAIN
11308 SW 68TH PKWY
TIGARD, OR 97223
PHONE: 503-596-3965
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 Not Present
Signature:
Issued By: <
Special Conditions(See Attached)
Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY
Conditions for PF12016-00172
Type: Condition Name: Status: Severity:
PFI_Utilities 01 -WORK SITE REQUIREMENTS Applied Notice
Tech Center Dr has a moratorium on asphalt cutting and therefore there is no cutting of the asphalt. No potholing or
brakeage of the road for any reason
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 contrcl 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 AUG 0 9 2016
PUBLIC VIORKS —ENGINEERING CITY OF TIGARD
' I /ENGINEERING
Public Facility Improvement ( emit
DESCRIPTION OF WORK(in the right-of-way) TYPE OF WORK
Check one: ® Utility Connection R TYPE 1-Franchise Utility Work
❑ Sidewalk/driveway approach Work performed by NWN,PGE
❑ Street improvements and/or utility agency.
Detailed description: Comcast proposes to route(1)-48ct fiber optic cable ❑ TYPE 2-Sidewalk/Driveway/Sewer
l'through existing conduit in the City of Tigard ROW. Work performed for the purpose of:
• Sidewalk installation or repair.
• Driveway approach installation
Property address/location(s): 7500 SW Tech Center Dr,Tigard,OR 97224 and/or repair
• Sanitary sewer lateral installation
-� and/or main line tap
❑ TYPE 3-Full scale Development
Applicant: Comcast Work performed with land use
Address: 11308 SW 68th Pkwy approval which includes any of
the following:
City/state: Tigard,OR Zip: 97223 • Subdivisions or Partitions
Phone: (503)596-3965 Email: Linda_McClain@comcast.com • Street widening
Contact name: Linda McClain Phone: (503)596-3965 • Mainline installation for Sanitary
sewer,Storm sewer,Tigard water
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
Phone: (503)793-3109 Email:limminer@texstarenterprises.com 13125 SW Hall Blvd.
Tigard,OR 97223
Contact name: Jim Miner Phone: (503)793-3109
Applications for"minor work in right-of--way"
only may be emailed to:
Engineer: K&B Technical Solutions ra3Wermits tigar�d-or.�
Address: 6566 SE Lake Rd.Ste. F
City/state: Milwaukie,OR Zip.. 97222 t
Phone: (503)650-6041 ext.217 Email: KJ_Sprecher@kbmail.net Case No.: T Contact name: KJ SprecherApplication submittal fee:t2Z7
r'
Additional fees:
Estimated value of work is required(if over$5,000):$ Application accepted:
(within the public right-of-way) By: 1-S Date: e/9&
Application reviewed: ,
Is work related to a LAND-USE DECISION? ❑ Yes R No rS G�S� Date:
If so,please specify (MLP, SDR, SUB,etc.) case#: By:
Applicant notified:
Is work related to a BUILDING PERMIT? ❑ Ycs 9 No By: Date:
If so,please specify(BUILDING PERMIT)case#: i.\cuRPLN\Maft•rs\lend Um Appilutio"f Rev.07/09/2015
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-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 owner 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 deed restrictions tha may be attached to or imposed upon the sub' re=t hpT.
• 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.
SI RES of each owner of the subject property required.
KJ Sprecher 08/09/2016
Applicant/Authorized 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 S\X'Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov 503-718-2421 • Page 2 of 4
2
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EXISTING CONDUIT IN CITY OF TIGARD ROW
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CONTRACTORS RESPONSIBILITY TO RPI
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DIGrANG.
4.EXISTING- CMPC4)8374942
Page 80 2011 Edition
5.3 Two-Lane, Two-Way Roads
Shoulder Work w/ Minor Road Encroachment Diag. 300
Use this detail for non-freeway work which extends into a travel lane and
maintains a minimum 10 foot travel lane. If a minimum 10 foot travel lane
can not be maintained, or when traffic can not safely pass by in both lanes
simultaneously, use the appropriate lane closure diagrams—for example,
Diagrams 310 through 350.
A lane closure may be appropriate for conditions such as high traffic
volumes, high speeds, and inadequate approach sight distance to the work
space, or heavy equipment adjacent to the travel 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. Cones shall be placed along the entire length of the work space. If a
protection vehicle is used and work is in place one hour or less. the
taper and tangent devices may be omitted.
4. If the speed is 45 mph or higher, volumes exceed 2000 ADT, or there
is limited sight distance, consider placing cones or tubular markers on
centerline.
5. An arrow board in caution mode or truck-mounted PCMS with
"SHOULDER WORK" or other appropriate message may be used for
higher visibility.
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
35
40 350 350 350 150 125 updated:February 12,
45 180 2016
Dr. Traffic Roadway
50 500 500 500 210 s•dpn
55 1 1 250
Si zn Spacine and Buffer Len the feet SuDDIement
Posted S acin Between Signs "Buffer"
Speed A B C Space
60 285
Chapter 5 65 700 700 700 325 December 2011
70 36
2011 Edition Page 81
Shoulder Work w/ Minor Road Encroachment Diag. 300
ROAD
WORK> t
•
AHEAD 1r
Initial
Warning A •
Sign
•
•
•
(Optional) •
•
Protection Vehicle
w/TMA(both Optional
See Chapter 4 • Buffer
10'
minimum • LA
•
A ROAD
M NARROWS
(Optional)
B
ROAD
WORK
---<:::::AHEAD
Initial
Warning
Sign
December 2011 Chapter 5
LASERFICHE
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Cri
CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
COMMUNITY DEVELOPMENT Permit#: PF12016-00171
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 08/10/2016
Parcel: SEG1558
Jurisdiction:
Site address:
Subdivision: Lot:
Project: Comcast PFI
Project Description: Comcast proposes to route 1 48ct fiber cable through existing conduit 676' in the City of Tigard
Owner: FEES
Description Date Amount
PHONE:
Contractor:
PHONE:
FAX:
Applicant:
LINDA MCCLAIN
11308 SW 68TH PARKWAY
TIGARD, OR 97223
PHONE: 503-596-3965
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.
PermitteelApplicant Not Present
Signature:
Issued By: --�—
Special Conditions(See Attached)
Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY
Conditions for PF12016-00171
Type: Condition Name: Status: Severity:
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. Kenny 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
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.
RECEIVED
City of Tigard AUG 0 9 2016
C ° PUBLIC WORKS—ENGINEERING CITY OF TIGARD
Public Facility Improvement (PFI) Per""'ENGINEERING
DESCRIPTION OF WORK(in the right-of-way) TYPE OF WORK
Check one: 9 Utility Connection ® TYPE 1—Franchise Utility Work
❑ Sidewalk/driveway approach Work performed by NWN,PGE
❑ Street improvements and/or utility agency.
Detailed description: Comcast proposes to route(1)-48et fiber cable ❑ TYPE 2-Sidewalk/Driveway/Sewer
through existing conduit 676'in the City Of Tigard ROW Work performed for the purpose of:
• Sidewalk installation or repair.
• Driveway approach installation
Property address/location(s): 7180 SW Sandburg St Tigard,OR 97223 and/or repair
C-1 r s • Sanitary sewer lateral installation
J and/or main line 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:
ollowingCity/state: Tigard, OR Zip: 97223 • Subdivisions or Partitions
Phone: 503-596-3965 Email: Linda-McClain@comcast.com • Street widening
Contact name: Linda McClain Phone: 503-596-3965 Mainline installation for Sanitary
sewer,Storm sewer,Tigard water
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
503-793-3109 imminer texstarenter rises.com 13125 SW Hall Blvd.
Phone: Email:1 @ p Tigard,OR 97223
Contact name: Jim Miner Phone: 503-793-3109
Applications for"minor work in right-of-way"
only may be emailed to:
Engineer:
K&B Technical Solutions ro rmitsktigard-or.gov
Address: 6566 SE Lake Rd Ste F
City/state: Milwaukee,OR Zip: 97222 _
Phone: 503-650-6041 Email: Corey_Dunston@kbmail.com Case No.: PFS 20 ib - 00/71
Contact name: Corey Dunston Application submittal fee:
Additional fees:
Estimated value of work is required(if over$5,000):$ Application accepted:
(within the public right-of-way) By: l0 () Date: 1 �^
Application reviewed:
Is work related to a LAND-USE DECISION? ❑ Yes N No ll _ ,
By: k.�"I Sld'E I'�--Date: 10 �
If so,please specify (MLP,SDR,SUB,etc.) case#:
Applicant notified:
By:
Is work related to a BUILDING PERMIT? El Yes p No
Date:
If so,please specify(BUILDING PERMIT)case#: I:\CURPLN\Masters\Land Use Applkatlons Rev.07/09/2015
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 wwwtigard-or.gov 503-718-2421 • Page 1 of 4
J�9N a� Sr
I'S ro-st-t eel 1 jo
APPLICANTS
NOTE: Person specified as`Applicant"shall be designated"Permittee"and shall provide financial assurance for Nvork.
*When the owner and the applicant arc 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 owncr(s)must sign this application in the space provided or submit a written I
authorization with this application.
I
BY SIGNING BELOW,THE APPLICANTS) SHALL CERTIFY THAT:
• The above request does not violate any deed restrictions that may be attached to or imposed ?non thesubject property.
• 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.
SIG RES of each owner of the subject property required.
KJ Sprecher 08/08/16
Applicant/Authorized Agent's signature Print name Date
Owners signature Print name Date
Owner's signature Print name Date
Owner's signature Print name Date
PUBLIC FACILITY IMPROVEMENT PERMIT
City of Tigard • 13125 SVI Hall Blvd. • 'Tigard,Oregon 97223 • 'kWnv.tigard-or.gov 503-718-2421 • Page 2 of 4
2
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EXISTING CONDUIT M THE CRY OF TIGARD ROW
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2.ALL OTHER UTILITIES ARE BASED t3 p c
OFF EXISTING LOCATES OR UT1L(TY J
STRUCTURES.
3.IT IS THE CONSTRUCTION
CAC L OR LOCATES BEFORE ONTCTORS ITY TO RPI
DIGGING.
4.EXISTING- CMPC6634-4952
Page 30 2011 Edition
5.3 Two-Lane, Two-Way Roads
Shoulder Work w/ Minor Road Encroachment Diag. 300
Use this detail for non-freeway work which extends into a travel lane and
maintains a minimum 10 foot travel lane. If a minimum 10 foot travel lane
can not be maintained, or when traffic can not safely pass by in both lanes
simultaneously, use the appropriate lane closure diagrams—for example,
Diagrams 310 through 350.
A lane closure may be appropriate for conditions such as high traffic
volumes, high speeds, and inadequate approach sight distance to the work
space, or heavy equipment adjacent to the travel 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. Cones shall be placed along the entire length of the work space. If a
protection vehicle is used and work is in place one hour or less, the
taper and tangent devices may be omitted.
4. If the speed is 45 mph or higher, volumes exceed 2000 ADT, or there
is limited sight distance, consider placing cones or tubular markers on
centerline.
5. An arrow board in caution mode or truck-mounted PCMS with
"SHOULDER WORK"or other appropriate message may be used for
higher visibility.
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
35 40 350 35C 350 150 upd�d:Febm"12,
Zoic
45 180
sy:000r rriticawadway
50 500 500 500 210 Section
55 250
Si zn Spacine and Buffer Lengths feet SuvDlernent
Posted Spacing Between Signs "Buffer"
Speed A B C Space
60 285
Chapter 5December 2011
65 700 700 700 325
70 1 365
2011 Edition Page 81
Shoulder Work w/ Minor Road Encroachment Diag. 300
ROAD
�. WORK to
AHEAD
•
Initial
Warning A •
Sign
•
•
•
(Optionaq •
•
Protection Vehicle •
w/TMA(both Optional)
See Chapter 4 • Buffer
10' •
minimum •
•
A ROAD
M NARROWS
(Optional)
B
ROAD
t v WORK
AHEAD
Initial
Warning
Sign
December 2011 Chapter 5
LASERFICHE
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n
CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
• COMMUNITY DEVELOPMENT Permit#: PF12016-00170
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 08/10/2016
Parcel: SEG1558
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: Comcast PFI
Project Description: Comcast proposes to bore and trench to place 1, 2"conduit containing 1 48ct fiber optic crossing SW
Sandburg
Owner: FEES
Description Date Amount
PFI Permit Fee 08/10/2016 $300.00
PHONE:
Contractor:
PHONE:
FAX:
Applicant:
LINDA MCCLAIN
11308 SW 68TH
TIGARD, OR
PHONE: 503-596-3965
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 PF12016-00170
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 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 AUG 0 9 2016
CITY OF TIGAWD
00 PUBLIC WORKS—ENGINEERING pLgNNINGfENGINEERING
. 0 , Public Facility Improvement (PFI) Permit
DESCRIPTION OF WORK(in the right-of-way) TYPE OF WORK
Check one: 8 Utility Connection R TYPE 1—Franchise Utility Work
❑ Sidewalk/driveway approach Work performed by NWN,PGE
❑ Street improvements and/or utility agency.
Detailed description: Comcast proposes to bore/trench to place(1)-2" ❑ TYPE 2—Sidewalk/Driveway/Sewer
conduit containing(1)-48ct fiber optic cable crossing SW Sandburg St Work performed for the purpose of:
• Sidewalk installation or repair.
• Driveway approach installation
Property address/location(s): 6825 SW Sandburg St and/or repair
I S S n • Sanitary sewer lateral installation
and/or main line tap
❑ TYPE 3—Full scale Development
Applicant: Comcast Work performed with Land use
Address: 11308 SW 68th Pkwy approval which includes any of
the following.
City/state: Tigard, OR Lip: 97223 • Subdivisions or Partitions
Phone: (503)596-3965 Email: Linda-McClain@comcast.com • Street widening
Contact name: Linda McClain Phone: (503)596-3965 • Mainline installation for Sanitary
sewer,Storm sewer,Tigard water
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 Lip: 97002 Planning/Engineering
Phone: (503)776-5049 Email: limminer@texstarenterprises.com 13125 SW Hall Blvd.
Tigard,OR 97223
Contact name: Jim Miner Phone: (503)793-3109
Applications for"minor work in right-of-way"
only may be emailed to:
Engineer: K&B Technical Solutions r ?ermits .tiQard�or_ ov
Address: 6566 SE Lake Rd Ste F
City/state: Milwaukie,OR Zip: 97222 r•
Phone: (503)650-6041 x218 Email: KJ_Sprecher@kbmail.net Case No.: ?FT u I -00170
Contact name: KJ Sprecher Application submittal fee: i5 3na•��
Additional fees:
Estimated value of work is required(if over$5,000):$ Application accepted: Q
(within the public right-of-way) By: ►V' D Date: V I I
Is work related to a LAND-USE DECISION? ❑ Yes ® No Application reviewed:
By: 4.A!PAta2 Date:
If so,please specify (MI_P, SDR,SUB,etc.) case#:
Applicant notified:
Is work related to a BUILDING PERMIT? ElYes 9 No By: 4-9 Date: ID I
If so,please specify(BUILDING PERMFI)case#: 1.\CURVIN\Masters\Lana Use Applications Rev.07/09/2015
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 vrwrwtigard-or.gov 503-718-2421 • Page 1 of 4
5,44b 1�j/ s r s � +� Ped. t4 w-r s-t-R.t Vwn dao
APPLICANTS
NOTE: Person specified as`Applicant"shall be designated"Permittee"and shall provide financial assurance for work.
*ky,'hen the owner and the applicant arc 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 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 deed restrictions that may attached to or imposed upon the subject groper
• 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.
SI A RES of each owner of the subject property required.
KJ Sprecher 08/08/16
Applicant/Authorized Agent's signature Print name Date
Owners signature Print name Date
Owner's signature Print name Date
Owner's signature Print name Date
PUBLIC FACILITY IMPROVEMENT PERMIT
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov 503-718-2421 • Page 2 of 4
UNIMPROVED HARD SURFACE
AREAS (CONCRETE)
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BORE TO PLACE(1W COMM - / CITY OF TIGARD ROW
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A &M M OF 3r BELOW GRADE 1
(TYPICAL) >
—ROW- _ _ -__- _' _-__. - —ROW_
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1.ALL WORK AREAS TO BE V! is 3
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2.ALL OTHER UTILITIES ARE BASED °'Tc
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4.BORE/DRILL- RPI
5.TRENCH- - —
�� CMPG68291981
Page 80 2011 Edition
5.3 Two-Lane, Two-Way Roads
Shoulder Work w/ Minor Road Encroachment Diag. 300
Use this detail for non-freeway work which extends into a travel lane and
maintains a minimum 10 foot travel lane. If a minimum 10 foot travel lane
can not be maintained, or when traffic can not safely pass by in both lanes
simultaneously, use the appropriate lane closure diagrams—for example,
Diagrams 310 through 350.
A lane closure may be appropriate for conditions such as high traffic
volumes, high speeds, and inadequate approach sight distance to the work
space, or heavy equipment adjacent to the travel 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. Cones shall be placed along the entire length of the work space. If a
protection vehicle is used and work is in place one hour or less, the
taper and tangent devices may be omitted.
4 If the speed is 45 mph or higher, volumes exceed 2000 ADT, or there
is limited sight distance, consider placing cones or tubular markers on
centerline.
5 An arrow board in caution mode or truck-mounted PCMS with
"SHOULDER WORK" or other appropriate message may be used for
higher visibility.
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
35
125
40 350 350 350 150 Waal February 72,
2016
45 180 By:000r Traffic Roadway
50 500 500 500 210 Section
55 1 250
Si n SDacing and Buffer Len the feet supplernent
Poste' S acin Between Signs "Buffer"
Spee A B C Space
60 285
Chapter 5 December 2011
65 700 700 700 325
70 365
2011 Edition Page 81
Shoulder Work w/ Minor Road Encroachment Diag. 300
ROAD
WORK •
AHEAD
Initial
Warning A •
Sign
•
•
•
(Optionaq •
•
Protection Vehicle •
w/TMA(both Optional)
See Chapter 4 • Buffer
10' •
minimum • US
•
A ROAD
NARROWS
(Optional)
B
ROAD
WORK
AHEAD
Initial
Warning
Sign
December 2011 Chapter 5
LASERFICHE
W
x
x
CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
COMMUNITY DEVELOPMENT Permit#: PF12016-00174
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 08/10/2016
Parcel: SEG1707
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: Comcast
Project Description: Bore 300'to install (1)-2"conduit a min. of 36" below grade within City of Tigard ROW
Owner: FEES
LANDMARK LN Description Date Amount
PFI Permit Fee 08/10/2016 $300.00
PHONE:
Contractor:
PHONE:
FAX:
Applicant:
LINDA MCCLAIN
11308 SW 68TH PKWY
TIGARD, OR 97223
PHONE: 503-596-3965
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 PF12016-00174
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 twenty-four(24)hours prior to commencing work, prior to any staged
inspection, and after completing work covered by the permit. Kenny 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 AUG 09 2016
PUBLIC WORKS —ENGINEERING CITY OF TIGARD
PLANNINGIENGINEERING
Public Facility Improvement PFI Permit
A
I
DESCRIPTION OF WORK(in the right-of-way) TYPE OF WORK
Check one: 0 Utility Connection R TYPE 1—Franchise Utility Work
❑ Sidewalk/driveway approach Work performed by NWN,PGE
❑ Street improvements and/or utility agency.
Detailed description: Bore 300'to install(1)-2'r conduit a min. of 36" ❑ TYPE 2—Sidewalk/Driveway/Sewer
below grade within City of Tigard ROW. Work performed for the purpose of:
• Sidewalk installation or repair.
• Driveway approach installation
Property address/location(s): 14101 SW 72nd Ave and/or repair
Tigard, OR 97224 �`� Sanitary sewer lateral installation
T and/or main line tap
❑ TYPE 3—Full scale Development
Applicant: Comcast Project:#50328 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
Phone: (503)596-3965 E-mail: Linda_McClain@comcast.com • Street widening
Contact name: Linda McClain Phone: • 1\1ainline installation for Sanitary
sewer,Storm sewer,Tigard water
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
Phone: 503-793-3109 Finad:jimminer@texstarenterprises.com 13125 SW Hall Blvd.
Tigard,OR 97223
Contact name: Jim Miner Phone: 503-793-3109
Applications for"minor work in right-of-way"
only may be emailed to:
Engineer: K&B Technical Solutions row ermits .tigard-or.gov
Address: 6566 SE Lake Rd.Ste.F
City/state: Milwaukie,OR Zip: 97222
Phone: (sos)sso-soap ext.znEmail: KJ Sprecher@kbmail.net Case No.:/= 6�0/Cr
Contact name: KJ Sprecher Application submittal fee: $ yCJ• o0
Additional fees: If
Estimated value of work is required(if over$5,000):$ Application accepted: l
(within the public right-of-way) By: IS Date:
Application reviewed:
Is work related to a LAND-USE DECISION? ❑ Yes R No
By: .Iii tdL Date:
If so,please specify (MLP,SDR, SUB,etc.) case#:
Applicant notified:
Is work related to a BUILDING PERMIT? ❑ Yes ® No By: Date:
If so,please specify(BUILDING PERMIT)Case#: l:\CURPLN\Masters\LandUst Applications R"..07/09/2015
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of 4
L..�l�t)w•tr1d�. G.J r S �►��sw�Y nl►>ry L0 . vFl I,Iv Uv'r �aS7'" (J+-lTt j vZDoZO
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 owner(s)must sign this application in the space provided or submit a written
authorization with this application.
BY SIGNING BELOW,THE APPLICANT(S) SHALL CERTIFY THAT:
• The above request does not violate any deed restrictions that may be attached o or imposed upon the subject property.
• 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.
SIGNAT RES of each owner of the subject property required.
KJ Sprecher 8/9/2016
Applicant/Authorized Agent's signature Print name Date
Owner's signature Print name Date
Owner's signature Print name Date
Owner's signature Print name Date
I
PUBLIC FACILITY IMPROVEMENT PERMIT
Cityof Tigard • 13125 SW hallBlvd. • Tigard,Oregon 97223 • www.tigard-or.gov 503-718-2421 • Page 2 of 4
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BEGIN UNDERGROUND CONSTRUCTION IL I.-
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AT EXISTING CATV PEDESTAL IN CRY OF LL
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BORE AND INSTALL(1)-2-CONDUIT
A MIN.OF
'BELOW GRADE
(TYPICAL) U
T FROM ROW
12'FROM FOC T FROM SEWER t[-- - — - - - —
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OC SW LANDMARK LN ! ;p SD Sn SU- X
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y V y � Q
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V V 13'
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UNIMPROVED HARD SURFACE
AREAS (CONCRETE) S
lr NATNE laP 8Cl F
,ao eat tbe,®
EXIT Cm OF nGARD ROW.
omoR To to:wvATtoN
Aeate�wre � ��
-�" - 1.ALL WORK AREAS TO BE 3 E
:NATIVE , ryrne RESTORED TO LIKE OR BETTER
BACKELLL, ,BAa�6lL' T) U
AS F CONDITION.
n c
❑rt. p S ,'saEacZ,
tnmi 2.ALL OTHER UTILITIES ARE BASED
OFF EXISTING LOCATES OR UTILITY O E
N STRUCTURES.
S.R IS THE CONSTRUCTION
�yggy IB�� t/ E CONTRACTORS RESPONSIBILITY TO
O S co CALL FOR LOCATES BEFORE
DIGGING. RPI
e, 1u m 4.BOREIDRILL-
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6CALE:t�av 5.BORE PIT- I I
l_J CMPC-0841r4990
Page 80 2011 Edition
5.3 Two-Lane, Two-Way Roads
Shoulder Work w/ Minor Road Encroachment Diag. 300
Use this detail for non-freeway work which extends into a travel lane and
maintains a minimum 10 foot travel lane. If a minimum 10 foot travel lane
can not be maintained, or when traffic can not safely pass by in both lanes
simultaneously, use the appropriate lane closure diagrams—for example,
Diagrams 310 through 350.
A lane closure may be appropriate for conditions such as high traffic
volumes, high speeds, and inadequate approach sight distance to the work
space, or heavy equipment adjacent to the travel 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. Cones shall be placed along the entire length of the work space. If a
protection vehicle is used and work is in place one hour or less, the
taper and tangent devices may be omitted.
4. If the speed is 45 mph or higher, volumes exceed 2000 ADT, or there
is limited sight distance, consider placing cones or tubular markers on
centerline.
5. An arrow board in caution mode or truck-mounted PCMS with
"SHOULDER WORK"or other appropriate message may be used for
higher visibility.
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
35 40 350 350 350 150 weak reb umy 12,
2016
45 180 sr.oppr
50 500 500 500 210 Section
55 1 1 250
Si zn Spacing and Buffer Lengths feet SUDDiernent
Posted Spacing Between Signs "Buffer"
Speed A B C Space
60 285
Chapter 5 65 700 700 700 325 December 2011
70 3 65
2011 Edition Page 81
Shoulder Work w/ Minor Road Encroachment Diag. 300
ROAD
WORK to
AHEAD
•
Initial
Warning A •
Sign
•
•
•
(Optional) •
•
Protection Vehicle •
w/TMA(both Optional)
See Chapter 4 • Buffer
10' •
minimum • U3
•
A ROAD
M NARROWS
(Optional)
B
ROAD
WORK
AHEAD
Initial
Warning
Sign
December 2011 Chapter 5
LASERFICHE
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CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
COMMUNITY DEVELOPMENT Permit#: PF12016-00177
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 2
016 SEG1
Parcel: EG1476
6
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: Comcast
Project Description: Comcast proposes to overlash (1)-48ct fiber optic cable 267'to existing aerial plant and 240'through
existing conduit in the City of Tigard ROW
Owner: FEES
Description Date Amount
PHONE:
Contractor:
PHONE:
FAX:
Applicant:
LINDA MCCLAIN
11308 SW 68TH PKWY
TIGARD, OR 97223
PHONE: 503-596-3965
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: Not Present
Issued By:
Special Conditions(See Attached)
Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY
Conditions for PF12016-00177
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 twenty-four(24)hours prior to commencing work, prior to any staged
inspection, and after completing work covered by the permit. Traffic restrictions: No work on 72nd before 9am and after
3:30pm. Call 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 AUG 10 2016
° PUBLIC WORKS—ENGINEERING CITY OF TIGARD
Public Facility Improvemei�'�" knit
DESCRIPTION OF WORK(in the right-of-way) TYPE OF WORK
Check one: 8 Utility Connection W TYPE 1-Franchise Utility Work
❑ Sidewalk/driveway approach Work performed by NWN,PGE
❑ Street improvements and/or utility agency.
Detailed description: Comcast proposes to overlash(1)-48ct fiber optic cable ❑ TYPE 2-Sidewalk/Driveway/Sewer
267'to existing aerial plant and 240'through existing conduit in the City of Work performed for the purpose of:
Tigard ROW. • Sidewalk installation or repair.
• Driveway approach installation
Property address/location(s): 729 SW Tech Center Dr Tigard,OR 97224 and/or repair
p / • Sanitary sewer lateral installation
and/or main line tap
❑ TYPE 3-Full scale Development
Applicant: Comcast Project:#50313 Work performed with Land use
Address: 11308 SW 68th Pkwy approval which includes any of
the following-
City/state: Tigard, OR Zip: 97223 • Subdivisions or Partitions
Phone: (503)596-3965 Email: Linda_McClain@comcast.com • Street widening
Contact name: Linda McClain Phone: (503)596-3965 • Mainline installation for Sanitary
sewer,Storm sewer,Tigard water
Contractor: Texstar Enterprises and/or Tigard Water Service Area
CCB#: 178789 Expiration: 10/10/2017 SUBMIT COMPLETED APPLICATION TO:
Address: 14122 Arndt Rd City of Tigard
City/state: Aurora,OR Zip: 97002 Planning/Engineering
503 793-3109 imminer texstarenter rises.com 13125 SW Hall Blvd.
Phone: ( ) Email:1 @ p Tigard,OR 97223
Contact name: Jim Miner Phone: (503)793-3109
Applications for"minor work in right-of-way"
only may be emailed to:
Engineer: K&B Technical Solutions m=ermits tigard_�r ga
Address: 6566 SE Lake Rd Ste. F
City/state: Milwaukie,OR Zip: 97222 ,�+y
Phone: 503-650-6041 Ext.217 Email: KJ_Sprecher@kbmail.net Case No.: "201 —
Contact name: KJ Sprecher Application submittal fee:
Additional fees:
Estimated value of work is required(if over$5,000):$ Application accepted:
(within the public right-of-way) By: Date:
Application reviewed:
Is work related to a LAND-USE DECISION? F1Yes ii No
By: _I G i6)'- Date: 1F51 � r
If so, please specify (MLP,SDR,SUB,etc.) case#:
Applicant notified: {�
Is work related to a BUILDING PERMIT? El Yes 9 No By: e--L-��— Date: 11
111,
If so,please specify(BUILDING PERMIT)case#: I:\CURPLN\Masters\Land Use Applications Rev.07/09/2015
i
City of Tigard • (n13125 SW Hall Blvd. Tigard,Oregon 97223 • www.tigarrd-or.gov • 503-718-2421 Page 1 of 4
O v* 'k__ be pdy- - lar'✓► yr a-�
i
I
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 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 deed restrictions that may be attached to or imposed upon the subject property.
• 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.
SIGN URES of each owner of the subject property required.
KJ Sprecher 08/10/2016
Applicant/Authorized 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 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov 503-718-2421 • Page 2 of 4
N
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END AERIAL OVERLASH AND BEGIN
UNDERGROUND PULLOF FIRER V
THROUGH EXISTING CONDUIT IN
THE CITY OF TIGARD ROW
I
BEGIN OVERLASH OF(1)4SCT FIBER OPTIC CABLE ON ¢¢ 3
EXISTING AERIAL PLANT IN CITY OF TIGARD ROW d
19521NT
EXISTING CONDUITJ - H
SW SANDBURG ST E
09!
W On
Z �� E
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1.ALL WORK AREAS TO BE Si
RESTORED TO LIKE OR BETTER ( ' E
CONDITION. u
2.ALL OTHER UTILITIES ARE BASED �j
OFF EXISTING LOCATES OR UTILITY u
EXIT CITY OF TIGARD ROW STRUCTURES. U U d�I
U �
3.IT IS THE CONSTRUCTION
CONTRACTORS RESPONSIBILITY TO
CALL FOR LOCATES BEFORE
DIGGING.
4.AERIAL PLANT- RPI
5.EXISTING CONDUIT-
CMPC$7904980
Company; Attn: Linda McClain N
POSTED SPACING BETWEEN SIGNS BUFFER
SPEED A B C SPACE
Project: 50313 20 50
25 100 100 100 75 WE
Date: 08/10/2016 30 100
35 40 350 350 350 125
150
45 180
50 500 500 500 210 S
55 250
30
ROAD
WORK
AHEAD
C 1 1
BE
PREPARED
TO STOP
B
FLAGGER
AHEAD
A
• I
100'MAX
SW CHERRY DR
L
N
C B A 1ov MAX —
A
BE 7� FLAGGER
PREPARED AHEAD
TO STOP B
ROAD BE
WORK FLAGGER PREPARED
AHEAD AHEAD W TO STOP
a jlt C
ROAD
Z WORK
CV AHEAD
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I
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
35
125
40 350 350 350 150 updated:February 12,
2016
45 180
OM Traffic Roadway
50 500 500 500 210 sea;On
55 1 1 250
Sign Spacing and Buffer Lengths (feet)Supplement
Posted Spacin 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 430
ROAD
WORK
AHEAD
11h1t
B y
CENTER
CLOSED
AHEAD
I I
A
II
U2 I . I
Buffer
7/0
I
Protedion Vehicle
wMAA(both Optional)
/See Chapter 4
Buffer
•
• U2
I .
•
U2 A
II
ROAD
WORK
lyt B
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.
SIDEW4K CLOSED
SIDEWALK ClA3ED AHEAD
—► or
CROSS HERE
CROSS HEflE
24x12
Type-W124x18
--- (Mount on B(II)L) Type,W1,
SIDEWALK
CLOSED
24x12
Type"W1'
(Mount on B(II)LR)
(2 Reqd.)
\ - SIDEWALK CLOSED
SIDEWALK CLOSED
Of �
CROSS HERE
- - CROSS HERE
24x12 24x18
Type-W1'
(Mount on B(II)R) Type"W1"
December 2011 Chapter 5
LASERFICHE
W
171
V
W
x
m
FIHDl-4HaSV'l
CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
s COMMUNITY DEVELOPMENT Permit#: PF12016-00176
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 08/11/2016
Parcel: SEG1558
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: Comcast
Project Description: Comcast proposes to overlash 269' of(1)-48ct fiber optic cable on existing aerial plant and install 177'of
fiber in existing conduit within City of Tigard ROW
Owner: FEES
Description Date Amount
PHONE:
Contractor:
PHONE:
FAX:
Applicant:
LINDA MCCLAIN
11308 SW 68TH PKWY
TIGARD, OR 97223
PHONE: 503-596-3965
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: Not Present
Issued By: —�—
Special Conditions(See Attached)
Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY
Conditions for PF12016-00176
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 twenty-four(24) hours prior to commencing work, prior to any staged
inspection, and after completing work covered by the permit. Traffic Restrictions on 72nd Ave: No work before 9am and
after 3:30pm. Sandburg is a"NO CUT"street until 2020. Call 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
RECEIVE®
City of Tigard AUG 10 2016
° PUBLIC WORKS—ENGINEERING CITY OF TIGARD
Public Facility Improvement (PFI) WFfffiVEERING
DESCRIPTION OF WORK(in the right-of-way) TYPE OF WORK
Check one: W Utility Connection 9 TYPE 1-Franchise Utility Work
❑ Sidewalk/driveway approach Work performed by NWN,PGE
❑ Street improvements and/or utility agency.
Detailed description: Comcast proposes to overlash 269'of(1)-48ct ❑ TYPE 2-Sidewalk/Driveway/Sewer
fiber optic cable on existing aerial plant and install 177'of Work performed for the purpose of
fiber in existing conduit within the City Of Tigard ROW • Sidewalk installation or repair.
• Driveway approach installation
Property address/location(s): 7190 SW Sandburg St and/or repair
Tigard,OR 97223 • Sanitary sewer lateral installation
9 and/or main line tap
❑ TYPE 3-Full scale Development
Applicant: Comcast Project:#50248 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
Phone: 503-596-3965 Email: Linda_McClain@comcast.com • Street widening
Contact name: Linda McClain Phone: 503-596-3965 • Mainline installation for Sanitary
sewer,Storm sewer,Tigard water
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
503-793-3109 imminer texstarenter rises.com 13125 SW Hall Blvd.
Phone: Email:j @ p Tigard,OR 97223
Contact name: Jim Miner Phone: 503-793-3109
Applications for"minor work in right-of--way'
only may be emailed to:
Engineer: K&B Technical Solutions r ermitsQriQa� rd-or.gov
Address: 6566 SE Lake Rd Ste F FOR SlAFF USE ONLY
City/state: Milwaukie,OR Zip: 97222
Phone: 503-650-6041 Ext 217 Email: KJ_Sprecher@kbmail.net Case No.: M T(G
Contact name: KJ Sprecher Application submittal fee: T
Additional fees:
Estimated value of work is required(if over$5,000):$ Application accepted:
(within the public right-of-way) By: L5 Date: 8 Ir /
Application reviewed:
Is work related to a LAND-USE DECISION? ❑ Yes R No
By: � Date:
If so,please specify (MLP,SDR,SUB,etc.) case#:
Applica t notified:
Is work related to a BUILDING PERMIT? ❑ Yes ® No BY Date:
If so,please specify(BUILDING PERMIT)case#: 1aCURPLN\Masters\Land Uw APCikatlom Rev.07/09/2015
City of Tigard �• 13125 SW Hall
LBlvd. Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of 4
-7a�� �.i-t�� b Tr t 1. '•
A)-0 1,30ir k be Vy C--v-% ar ��v-
1 30 pYn , s�►�db��.`1 i% /Vo c ter', 5}M. -
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 owner(s)must sign this application in the space provided or submit a written
authorization with this application.
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 pL=er
• 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 I
requirements for approving or denying the application.
SIGNATU ES of each owner of the subject property required.
KJ Sprecher 08/10/2016
Applicant/Authorized Agent's signature Print name Date
Owner's signature Print name Date
F
1
Owner's signature Print name Date
Owner's signature Print name Date
�f
PUBLIC FACILITY IMPROVEMENT PERMIT
City of Tigard 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-ongov 503-718-2421 Page 2 of 4
0
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CALL FOR LOCATES BEFORE
END AERIAL OVERLASH AND BEGIN UNDERGROUND DIGGING.
PULL OF FIBER IN CITY OF TIGARD ROW
4.AERIAL PLANT- R rfes]I
5.EXISTING CONDUIT-
CMPC-6788-0960
Pace 30 2011 Edition
5.3 Two-Lane, Two-Way Roads
Shoulder Work w/ Minor Road Encroachment Diag. 300
Use this detail for non-freeway work which extends into a travel lane and
maintains a minimum 10 foot travel lane. If a minimum 10 foot travel lane
can not be maintained, or when traffic can not safely pass by in both lanes
simultaneously, use the appropriate lane closure diagrams—for example,
Diagrams 310 through 350.
A lane closure may be appropriate for conditions such as high traffic
volumes, high speeds, and inadequate approach sight distance to the work
space, or heavy equipment adjacent to the travel 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. Cones shall be placed along the entire length of the work space. If a
protection vehicle is used and work is in place one hour or less, the
taper and tangent devices may be omitted.
4. If the speed is 45 mph or higher, volumes exceed 2000 ADT, or`.here
is limited sight distance, consider placing cones or tubular markers on
centerline.
5. An arrow board in caution mode or truck-mounted PCMS with
"SHOULDER WORK" or other appropriate message may be used for
higher visibility.
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
35
40 350 350 350 150 updated:February 12,
2016
45 180 By:O
By:000T 7rafficitoadvay
50 500 500 500 210 Section
55 250
Sign Spacing and Buffer Lengths(feet)Supplement
Posted Spacin Between Signs "Buffer"
Speed A B C Space
60 285
Chapter 5 December 2011
65 700 700 700 325
70 365
2011 Ed,licn Page 81
Shoulder Work w/ Minor Road Encroachment Diag. 300
ROAD
WORK to
AHEAD
•
Initial
Warning A •
Sign
•
•
•
(Optional) •
•
Protection Vehicle
w/TMA(both Optional)
See Chapter 4 • Buffer
10'
minimum • L/3
•
A ROAD
M NARROWS
(Optional)
B
l _ ROAD
WORK
AHEAD
Initial
Warning
Sign
December 2011 Chapter 5
Page IME 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
35
125
40 350 350 350 150 Updated:Febnw y12,
2016
45 180
sy_000r Traffic Roadway
50 500 500 500 210 Section
55 1 250
Sign Spacing and Buffer Lengths (feet)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 Cor xwm LefTura L aye
ROAD
WORK
AHEAD
B
llylt
CENTER
Lam
AHEM
I I
A
II
U2 I • I
Buffer
Protection Vehicle
w/TMA(both Optional)
See Chapter 4
1
Buffer
•
• U2
I �
•
U2 • I A
II
lyt B
ROAD
I WORK
r
AHEAD
December 2011 Chapter 5
Page 52 201` 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 Spacing 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:February 12,
2016
45 180
ey:0001 Traf,Roadw y
50 500 500 500 210 sett o
55 1 250
Sign Spacing and Buffer Lengths (feet)Supplement
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
NOTES:
I Bicycles on Roadway(CW11-1)sign should not
l interrupt standard sequences. For example:
BE PREPARED TO STOP/Flagger Symbol
o _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
It
I I A
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
B
I I
I I
I I
ON
1 IA ROADWAY
I I
I I
I I C
I I
I I
I ROAD
I� WORK
I AHEAD
December 2011 Chapter 5
LASERFICHE
W
x
V
C7
m
HHDIAU'ASV'I
CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
s COMMUNITY DEVELOPMENT Permit#: PF12016-00175
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 08/11/2016
Parcel: SEG1706
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: Comcast
Project Description: Adjacent to 13950 SW 72nd Ave. Comcast proposes to trench to place(1)-2"conduit on SW 72nd Ave
and overlash (2)-48ct fiber optic cable to existing strand along SW 72nd Ave in ROW. SEG1706
Owner: FEES
Description Date Amount
PFI Permit Fee 08/11/2016 $300.00
PHONE:
Contractor:
TEXSTAR ENTERPRISES INC
17090 JORDAN RD
SELMA, TX 78154
PHONE: 210-656-8775
FAX:
Applicant:
LINDA MCCLAIN
11308 SW 68TH PARKWAY
TIGARD, OR 9722
PHONE: 503-596-3965
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 PF12016-00175
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 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
RE -EVVEED
AUG 10 2016
City of Tigard
,� CITY OF TIGARD
PUBLIC WORKS—ENGINEERING PLANNING/ENGINEERING
Public Facility Improvement (PFI) Permit
DESCRIPTION OF WORK(in the right-of-way) TYPE OF WORK
Check one: W Utility Connection
® TYPE 1—Franchise Utility Work
❑ Sidewalk/driveway approach Work performed by NWN,PGE
❑ Street improvements and/or utility agency.
Detailed description: Comcast proposes to trench to place(1)-2"conduit ❑ TYPE 2-Sidewalk/Driveway/Sewer
on SW 72nd Ave and overlash(2)-48ct fiber optic cables Work performed for the purpose of:
to existing strand along SW 72nd Ave in City of Tigard ROW • Sidewalk installation or repair.
• Driveway approach installation
Property address/location(s): 13950 SW 72nd Ave and/or repair
S:T.bl ul� 11 D' ^ Sanitary sewer lateral installation
and/or main line tap
❑ TYPE 3—Full scale Development
Applicant: Comcast Project:#50246 Work performed with Land use
Address: 11308 SW 68th Pkwy approval which includes any of
the following-
City/state:
ollowingCity/state: Tigard,OR Lip: 97223 • Subdivisions or Partitions
Phone: (503)596-3965 Email: Linda_MeClain@comcast.com • Street widening
Contact name: Linda McClain Phone: (503)596-3965 • Mainline installation for Sanitary
sewer,Storm sewer,Tigard water
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 Lip: 97002 Planning/Engineering
Phone: (503)793-3109 Email:jimminer@texstarenterprises.com 13125 SW Hall Blvd.
Tigard,OR 97223
Contact name: Jim Miner Phone: (503)793-3109 Applications for"minor work in right-of-way"
only may be emailed to:
Engineer:
K&B Technical Solutions rowpertnits&igard-or.My
Address: 6566 SE Lake Rd Ste F
City/state: Milwaukie, OR Zip: 97222
Phone: 503-650-6041 Ext.217 Email: KJ_Sprecher@kbmail.net Case No.: ;>4n2_D(b "eves
Contact name: KJ Sprecher Application submittal fee: 30o•e0
Additional fees:
Estimated value of work is required(if over$5,000):$ application accepted:
(within the public right-of-way) By:-&= Date:
Application reviewed:
Is work related to a LAND-USE DECISION? ElYes R No ioSNt(� Date:
If so,please specify (MLP,SDR, SUB,etc.) case #: By: 1�•r,
Applicant notified: /
Is work related to a BUILDING PERMIT? El Yes IRB Date: 8 No }
ch
If so,please specify(BUILDING PERMIT)case#: I:\CURPIN\Masters\land Use Appllotluns Rev.07/09/2015
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov 503-718-2421 • Page I of 4
7.;2"'00 .4" A-r:Me4A L l0 4..e �<< n STn•t�T1 O�3 (0 3�--�� � '� � •"n �j or
��,,,�
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 owncr(s)must sign this application in the space provided or submit a written
authorization with this application.
BY SIGNING BELOW,THE APPLICANT(S) SHALL CERTIFY THAT:
• The above request does not violate any deed restrictions that may he attached to or imposed upon the subject propertr.
• 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.
SIGNAT S of each owner of the subject property required.
KJ Sprecher 08/10/2016
Applicant/Authorized Agent's signature Print name Date
Owners signature Print name Date
Owner's signature Print name Date
Owner's signature Print name Date
PUBLIC FACILITY IMPROVEMENT PERMIT
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 2 of 4
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Page 106 201" 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 SupplementTeble
35 350 350 350 125
40 150 Updated:February 12,
45 180 2016
50 500 500 500 210 sroorn FrafRc Roadway
Section
55 250
Si in Spacine and Buffer Len the feet SuDpiernent
Posted Spacing Between Signs "Buffer"
Speed A B C Space
60 285
65 700 700 700 325
70 365
Chapter 5 Decernber 2011
2011 Edition Page 107
Diversion into a Continuous Left Turn Lane Diagram 430
ROAD
WORK
AHEAD
B
11411
CeTMR CIOSI
Mm
A
II
U2 I . I
I Buffer
Protection Vehicle
w!f MA(both Optional)
See Chapter 4
1
Buffer
•
• U2
I �
•
U2 I • I A
II
lyt B
ROAD
WORK
4AHEAD
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 Spacing Between Signs Buffer
Speed A B c Space
20 50 ERRATA:
25 100 100 100 75
30 100 SupplementTable
35
125 1
40 350 350 350 150 Updated:February 12,
45 180 2016
By.0001,Yaffic-Roadway
50 500 500 500 210 section
55 250
Si zn Spaciniz and Buffer Len the feet SUDDlement
Posted Spacing Between Signs L28
Chapter 5 Speed A B C December 2011
60 700 700 700
70
365
2011 Edition Page 53
Bicycle Accommodation Diagram 5-6
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
I
v _LANE CLOSED AHEAD/Lane Ends
Work Symbol
Bicycles on Roadway sign typically follows ROAD
I Area WORK AHEAD sign and used as general warning.
I
I
I
I
Tt
I I
I I A
I I
I I
I I
I I
I I
I I
I I A
I I
I I
I I�
I I
B
I I
I I
1 ON
I ROADWAY
I I
I C
I I I
I I
ROAD
I� WORK
AHEAD
December 2011 Chapter 5
Page 54 201 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.
- slDtwax cxDSED
'M.CLO6EDorRO66 HERE -'•
CR066 HERE
24x12
Type"w1' 24x18
(MO, On B(II)L) Type"W1"
SIDEWALK
CLOSED
24x12
Type"W 1"
(Mount on B(II)LR)
(2 Reqd.)
slDEwux cLDSEv
smEwux caDSED
4- Or aaEnD
CROW HERE �-
- cRoss HERE
24x12
Type"W124x18
(Mount on B(II)R) Type"W1°
December 2011 Chapter 5