PFI2016-00241 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
COMMUNITY DEVELOPMENT Permit#: PF12016-00241
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 11/02/2016
Parcel: SEG1796
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: PGE PFI
Project Description: 2014 UG Fitnes-replace BO Padmount XFMR
Owner: FEES
Description Date Amount
PHONE
Contractor:
PHONE:
FAX:
Applicant:
NATHAN GRAVELLE
10800 SW AVERY ST
TUALATIN, OR 97062
PHONE: 503-951-3714
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 PF12016-00241
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
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.
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
NOV 01 2016
City of Tigard CITY OF TIGARD
PUBLIC WORKS —ENGINEERING PLANNING/ENGINEERING
s
Public Facility Improvement (PFI) Permit
TYPE OF WORK
DESCRIPTION OF WORK(in the right-of-way) lI/TYPE 1-Franchise Utility Work
Check one: Atilitics ❑Sidewalk/drivewayapproach ❑Streetimprovements performed by N\CN, PGE
Detailed description: and/or utility agency.
2014 UG FITNES - REPLACE B/O PADMOUNT XFMR ❑ TYPE 2-Sidewalk/Driveway/Sewer
Work performed for the purpose of:
• Sidewalk installation or repair.
Pro
per t address/location( )s : !',�r- 7 (w ' / (� C^ • Driveway approach installation
l" i I _1 J and/or repair
7865 SW Fanno Creek Drive, Tigard, OR 97223 Sanitary'sewer lateral installation
and/or main line tap
El TYPE 3-Full scale Development
Applicant: Portland General Electric AXrorkperformed with Land use
Address: 10800 SW Avery St. approval which includes any of
City/state: Tualatin, OR Zip: 97062 the following:
Phone: 503-951-3714 Email: PreregCoord@pgn.com • Subdivisions or Partitions
Nathan Gravelle • Street widening
Contact name: Phone: • Mainline installation for Sanitary
Contractor:
N/A sewer, Storm sewer,Tigard water
and/or Tigard Water Service Area
CCB#: Expiration:
Address: SUBMIT COMPLETED APPLICATION TO:
City/state: Zip: City of Tigard
Phone: Finail: Planning/Engineering
13125 SW Hall Blvd.
Contact name: Phone: Tigard,OR 97223
Applications for"minor work in right-of-way"
Engineer: N/A only may be emailed to:
rowpennit6 a ti ard-or.gov
Address:
FOR STAFFUSE
City/state: Zip: �
NLY
p .�• �
Phone: Email: Case f�1- (6 DQ 24
Contact name: Application submittal fee:
_Additional fees:
Estimated value of work is required(if over$5,000):$ Application acc ted: J
(widurr the public right-of-way) B}:_1't►/ Date:
Is Nvork related to a LAND-USE DECISION? ❑ Yes WNo Application reviewed:
If so,please specify(MLP,SDR,SUB,etc.) case#: Byj, 6L Date:
Applica nogfied:
Is%vork related to a BUILDING PERMIT? ❑ Yes 'dNo By: Date:
If so,please specify(BUILDING PERMIT)case#: L:\CURPLN\Matters\und Use Applkatlons Rw.09/26/2016
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • w%vw.figard-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,if
required bj,the cite,pursuant to TMC 15.041.140.
I V ith the exception of a utilin•operating pursuant to a valid franchise with the Cite of Tigu-d,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. I'lie owner(s)must sign this application in die space provided or submit a written authorization with this application. Franchised
Utilities are not required to obtaut dhe owner's signature on the application
BY SIGNING BELOW,THE APPLICANTS) SHALL CERTIFY THAT:
• The above request does not violate any recorded deed restrictions that mat•be attached to or imposed upon the subject
r er
• If the application is granted,the applicant will exercise die rights granted in accordance with the terms and subject to all the
conditions and Imitations of the approval.
• All of the above statements and the statements in any plot plan,attachments,and exhibits transmitted herewith,are true;and
die applicants so acknowledge that any pernut issued,based on this application,may be revoked if it is found that an),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.
Applicant/Ruth ized Agent's signature Print name
Date
SIGNATURES of each owner of the subject property,if required.
Owner's signature Print name Date
Owners signature Print name Date
Owner's signature Print name Date
PUBLIC FACILITY IMPROVEMENT PERMIT
Cityof Tigard • 13125 SW HallBlvd. • Tigard,Oregon 97223 • wwwtigard-or.gov 503-718-2421 • Page 2 of 4
DEVELOPMENT ENGINEERING FEES 1:01t STAFF ITSE, ONLY
Public Facility Improvement(PFI)Permit:
DETAILED SUBMITTAL
APPLICATION FEE REQUIREMENTS
Part 1: Required submittal fee$300.00 FRANCHISE UTILITY AND SIDEWALK/
PERMIT FEE DRIVEWAY AND UTILITY
Part 2: x111 non-water system improvements CONNECTIONS,ETC.
Engineer's estimate XS°io(less$300.00 submittal fee) (Nvork in the right of wav)
Engineer's estimate X 2%Plan Review Sketch
(including information below)
WATER SYSTEM FEE
❑ Dimensions
Part 3: All public water sys tem improvements ❑ Street Name
Engineer's estimate X 12% ❑ Site Address
PFI Permit Fee Exemptions: FULL SCALE DEVELOPMENT
There will be no pernut fee charged,or assurance required
(Subdivisions/Partitions and Street improvements)
for the following types of work:
• Sidewalk repair(less than 20 lineal feet)
• Relocate or replace mailbox Design Plans
• Ditch cleaning that does not involve regrading. (6 sets,24x36 or 22x34)
• Weep hole repair ❑ Cover—Site,Vicinirv,Abbreviation,Legend
• Curb repair or replacement(less than 20 lineal feet) ❑ General Notes(City,Water,Sewer,etc)
• Lawn sprinkler system installation or repair ❑ Street(Plan,Profile)
• Street tree pruning or planting ❑ Water,Storm and Sanitary(Plan Profile)
• Planter strip landscape maintenance ❑ Water Quality Facilities
• Test wells ❑ Grading
❑ Landscaping/Tree Plan
❑ Composite Utility Plan(Electrical,Phone,Gas,
Note: A cash assurance may be required per Storm,Sanitary,Water,Signage,Street Lights,etc)
TMC 15.04.140.(customer deposit) ❑ Details
❑ Traffic Sight Distance
❑ Signing and Striping
❑ Street Light Plan and Photometric
❑ Engineers seal/signature
❑ Sheet label(project land use name,revision and
plan log block,dates and sheet numbers)
Additional Submittals
(per Land Use conditions)
❑ Traffic Report
❑ Storm water Drainage Calculations
❑ Geotechnical Report
❑ Preliminary Access Report(Sight Distance)
❑ Proposed Plat
❑ Pathway Design(if applicable)
❑ Water Department Approval
PUBLIC FACILITY IMPROVEMENT PERMIT
Cityof Tigard 13125 SW HallBlvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 3 of 4
SAMPLE SKETCH:
Edge of Pavement
I - --'- Ditch
I, Setlight I ------------- —r---
r�
I =3 1
f'SnExisting HouseExisting2r Drivewayw I ;may•
i
�I
.C� I i
Existing Shop
Power ole I
I0-------rrops5ne ------�----
� I
IFire Hydrant(FH)
I I
Scale: 1`=30'
I � I
I I �
I I �
i � I
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/RC1 or of pavement Existing utility locations
D/W apron (sewer,water,stoma)
PUBLIC FACILITY IMPROVEMENT PERMIT
City of Tigard - 13125 SW lull Blvd. - Tigard,Oregon 97223 0 wwwtigard-or.gov - 503-718-2421 - Page 4 of 4
WR CHECKLIST OVERHEAD LEGEND
ITEM YES COMMENT REMOVL/ABANDON FAMITII.S_INSTALL FACILITIES
PD-105 7857 7843 HOLEDIGGER INSTALL ADDITIONALFACILITIESMODWY FACILITIES
PD-1 BOOM X
WL 1 PD 8588. BACKHOE
v V PGETRENCH
Install: BORE
1 P 7.2 240/120 PM 75KVA NTLB LOCATES
MINIATURE TRANS UNIT(R.R), CONCRETE PAD STAKING
FLAGGING X
ELBOW KIT- JKTD CABLE-#2AL TREETRIM
K e m o v e: LANDSCAPE
1 P 7.2 240/120 PM 75KVA NTLB EASEMENT
PERMITS X TIGARD ROW
7161 7866 '854 TRAFFIC PLA X OTTC TCP
W 7865 CLTTSHEET
1 �
W
C 75 6709 UG CIR.VER.
C 75 3 PCO 02
V TRANSMISSION
7865 SHUTDOWN
60129 2 14 75 31018
1985 ul 0.8588 D-52 CUSTOMER X 19 CUSTOMERS
3 VT-50 q SHUTDOWN
U1 60126 C 2AL X
30'-4 yL - DOOR HANGAR
1985♦ Q CONTACT
3 COMPANY
yPH# CR
DATE TIME
115
SW WEAVER WAY 30'-Unknown
2004
00
a,y40 15 30 60 Feet
I I I I 1 1 1 1
PGE
NY DEVIATION FROM TH5 DESIGN MUST
APPROVED BY THE PGE PROJECT MANAGER
PGE CONSTRUCTION DRAWING
8NE VI LAIrORRECTED
Foreman: Date:
THINK General Foremen: Date
SAFETY S .ft,.- sdb IT`
` DSDPMENGREVIEW dSSUTE
SIGNER
FIRST :
10/3/2016 1:3011 1070001 16567 M10
1450275
TITLE
2014 UG FITNES-REPLACE B/O PADMOUNT TRANSFORMER
CALL 811 BEFORE YOU DIG c I size
ttENTION: DURHAM-BATTLER 11 x 17
OREGON LAW REQUIRES YOU TO FOLLOW RULES ADOPTED ' 'E LOCATION
BY THE OREGON UTILITY NOTIFICATION CENTER. / 7865 SW FANNO CREEK DR,TIGARD
THOSE RULES ARE SET FORTH IN OAR 952-007-0070 1 ` DESCRIPTION
THROUGH 951-001-0090 YOU MAY OBTAIN COPIES OF Distribution OH and UG Construction SHEET
THE RULES BY CALLING THE OREGON UTILITY COUNTY SECTIONS V1 LMTH
NOTIFICATION CENTER ADMINISTRATION!(502-232-1987) WASHINGTON C21-12B 1OF1
TO REQUEST UTILITY LOCATES CALL THE OREGON K-W WhatS be�• wLso@uDESIGN BY PHONE DRANK BY
UTILITY NOTIFICATION CENTER,811 AT LEAST CBllbefore you dlg .Ioe cArw�Hn+' NATHAN GRAVELLE 503-951-3714 Nathan Falk@
N 2 BUSINESS DAYS PRIOR TO EXCAVATION
PORTLAND N RA TR O.-ALL RirHTS RESERVrD
Page 12 2011 Edition
CHAPTER 2 - SETTING UP THE WORK ZONE
This section provides guidelines and procedures for setting up work zone,
special event, or incidence response.
The use of additional devices, such as PCMS, arrow boards, and TMAs
during set up and taking down of the work zone may be used to enhance
worker safety.
In developing and implementing the TCP, existing devices shall be
maintained at an equivalent or better level than existed prior to project
implementation.
2.1 Work Zone Components
The work zone, as shown in Figure 2-1 below, consists of four parts and
extends from the initial advance warning signs to the last temporary traffic
control device or the END ROAD WORK sign (optional).
Figure 2-1: Work Zone Components
1 t
i
•'• ! Terminabon
Area
' Buffer Space
• (optional) 1
• Work Space
r ActivityI
Area rea
• 1
Buffer Space
• (optional)
I
I•
• Trarriflon
• Area
•
I
A
--1 Adwnw
B WZV
I � { Afea
� t 1 �c °
� Initial Warning
Sign
Chapter 2 December 2011
2011 Edition Page 13
1. Advance Warning Area: An advance warning area is necessary for all
work zones. It may vary from a series of signs starting a mile or more in
advance of the work space to a single sign or flashing lights on a work
vehicle.
The Advance Warning Area should give road users enough time to react
to any downstream changes occurring within the Transition area. The
length of the Advance Warning Area will vary based on the number of
advance warning signs and the posted speed. Use Table 2-4 to
determine appropriate sign spacing and specific advance warning area
lengths.
2. Transition Area: In a transition area, traffic is moved out of normal traffic
paths and into a temporary path around the work space. The transition
area commonly contains channelization tapers used to shift or close the
travel lane(s)or to close a shoulder.
3. Activity Area: The area within a work zone is comprised of the following
two sections.
a. Buffer Space: A section of closed road in advance of and
following the work space which provides an extra margin of safety
for both traffic and workers. Keep buffer spaces clear of vehicles,
equipment, materials and personnel to provide a clear recovery
area for errant vehicles. Buffer spaces should be provided when
space is available, but are optional.
b. Work Space: The portion of the roadway containing the work
activity and includes workers, materials and equipment. It should
be sufficiently delineated and protected.
4. Termination Area: The termination area provides a short distance for
traffic to clear the work space and return to normal operation. The
downstream cone taper is optional. An END ROAD WORK sign is also
optional.
2.2 Tapers
Taper lengths, calculated from the following tables or shown in Figure 2-2,
are minimum taper lengths. Longer tapers may be necessary for drivability
or to enhance driver performance (e.g. around vertical or horizontal curves or
steep grades). To determine if a taper length is adequate or needs to be
adjusted, monitor traffic as it maneuvers through the work zone.
TAPER TYPES:
Merging Taper: Merges two traffic lanes in the same direction into one lane.
Shifting Taper: Moves traffic from one path to another.
Shoulder Taper: Used to close a shoulder to traffic.
December 2011 Chapter 2
Page 14 2011 Edition
Flagger (One-Lane, Two-way) Taper: Used as part of a flagging operation.
The taper is placed across the lane beyond the Flagger Station to guide
queued vehicles into the open lane and around the Flagger Station during
two-way, one-lane operations. Taper length is 50— 100 ft. See Diagrams
320, 325, 340 and 370 for examples.
Downstream Taper: Used to guide the motorist back into their normal travel
paths after passing the work space. Taper lengths are 50— 100 ft.
Figure 2-2: Taper Types
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Chapter 2 December 2011
2011 Edition Page 15
Table 2-1: Taper Length Formulas
POSTED or STATUTORY SPEED TAPER LENGTH, L (in feet)
z
40 MPH or Lower L= WS
60
45 MPH or Higher L=W X S
Where: L=Taper length in feet
W=Width of offset in feet
S = Posted Speed in mph
Table 2-2: Taper Types and Lengths
Taper Type Length (in feet)
Merging Taper(minimum) L
Shifting Taper(minimum) (1/2)L or L/2
Shoulder Taper(minimum) (1/3)L or L/3
Flagger(one-lane, two-way)Taper 50— 100 feet
Downstream Taper 50— 100 feet
Table 2-3: Taper Lengths and Device Quantities
Lane 10 Feet 11 Feet 12 Feet Shoulder
Width Tapers
MERGING SHIFTING MERGING SHIFTING MERGING SHIFTING SHOULDER
MPH L Cones L/2 Cones L Cones L2 Cones L Cones L/2 Cones L3 Cones
20 70 5 35 3 75 5 40 3 80 1 5 40 3 25 3
25 105 6 55 3 115 6 60 4 125 6 65 4 35 3
30 150 6 75 4 165 7 85 4 180 7 90 4 50 3
35 205 7 105 4 225 8 115 5 245 8 125 5 70 4
40 270 8 135 5 295 9 150 5 320 9 160 5 90 4
45 450 11 225 6 495 12 250 7 540 13 2701 7 150 6
50 5001 11 12501 6 15501 12 1275, 7 600 13 300 7 170 6
55 550 11 !325
75 6 605 12 305 7 660 13 330 7 185 6
60 600 11 00 6 660 12 330 7 720 13 360 7 200 6
65 650 11 6 715 12 370 7 780 13 390 7 220 7
70 700 11 50 6 770__1_2__F3_85_ 7 840 13 420 7 235 7
"L"for shoulder taper equals Shoulder Width x Speed.
Figures shown are for 10'shoulders.
December 2011 Chapter 2