PFI2017-00030 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
_ • COMMUNITY DEVELOPMENT Permit#: PF12017-00030
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 03/01/2017
Parcel: SEG3437
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: Comcast
Project Description: Adjacent to 11970 SW Greenburg Road. Push/pull fiber through existing conduit and bore/trench and
place(1)-2"conduit a min. of 36"below grade. SEG 3437
Owner: FEES
Description Date Amount
PFI Permit Fee 03/01/2017 $300.00
PHONE:
Contractor:
NX UTILITIES LLC
1150 FIRST AVE
SUITE 600
KING OF PRUSSIA, PA 19406
PHONE: 484-804-4500
FAX.
Applicant:
SCOTT SABER
11308 SE 68TH PARKWAY
TIGARD, OR 97223
PHONE: 503-596-3819
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
Signature: Not Present
i
Issued By:
Special Conditions(See Attached)
Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY
Conditions for PF12017-00030
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. Call Ken Fisher 503-816-6146 or Kenny@tigard-or.gov
TRAFFIC RESTRICTION: NO WORK ON SW GREENBURG RD BEFORE 9AM OF AFTER 3PM
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
141 City of Tigard
FEB 2 7 2017
PUBLIC WORKS—ENGINEERING
■ GARD
Public Facility Improvement (PFI)199A*W1INEERING
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: Push/pull fiber through existing conduit and ❑ TYPE 2—Sidewalk/Driveway/Sewer
bore/trench and place(1)-2"conduit a minimum of 36"below grade Work performed for the purpose of-
• Sidewalk installation or repair.
• Driveway approach installation
Property address/location(s):
11970 SW Greenburg Rd Portland,OR 97223 and/or repair
J EA 34-5-7 • 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 Parkway approval which includes any of
the following:
Citi/state: Tigard OR zip: • Subdivisions or a
rtitions �
Phone: (503)596-3819 Email: Scott_Sarber@comcast.com • Street widening
Contact name: Scott Sarber Phone: (503)596-3819 • Mainline installation for Sanitary
sewer,Storm sewer,'Tigard water
Contractor: NX Utilities and/or Tigard Water Service Area
CCB#: 200986 Expiration: 9/20/2017 SUBMIT COMPLETED APPLICATION TO:
Address: 1947 Claxter Rd NE City of Tigard
City/state: Salem,OR Zip: 97301 Planning/Engineering
503 910-7396 comcastcamas nxutilities.com 13125 SW Hall Blvd.
Phone: ( ) Email: @ Tigard,OR 97223
Contact name: Sergio Medel Phone: (503)910-7396 Applications for"minor work in aght-of-way"
only may be emailed to:
1;ngineer•
K&B Technical Solutions ro ermite .tir+ar�d-orgov
Address: 6566 SE Lake Rd. Suite F
City/state: Milwaukie,OR Zip: 97222 ., n
Phone: (503)650-6041 Email: chad_harbeek@kbmail.net Case No,: p 11 000 �y
Contact name: Chad Harbeck Application submittal fee: 30c"•rJv
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? ❑ Yes B No By: J 5h Uatc: 21�2kl/7
If so,please spccif, (MLP,SDR,SUB,etc.) case#:
Applicant notified:
Is work related to a BUILDING PERMIT? ❑ Yes, 9 No By: S Date:
If so,please specify(BUILDING PF.RM1'1)case#: :.\CUaPrN\M•st•rs\ln"d use Applotions Xev.07/o9/2015
City of Tigard • 13125 SW Hall Blvd. - 'Tigard,Oregon 97223 wwtigard-or.gov • 503-718-2421 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 die applicant are different people,die applicant must be die 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 appLcation 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 restrictons that may be attached to or imposed upon the subjectrt ham,.
• 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.
• 1111 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 NATURES of each owner of the subject property required.
Chad Harbeck 2/26/17
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
i
PUBLIC FACILITY IMPROVEMENT PERMIT
Cityof Tigard 13125 SW Hall Blvd. • 'Tigard,Oregon 97223 • -,vwivtigard-or.gov 503-718-2421 Page 2 of 4
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.
SIDEWALK CLOSED
SIDEWAIX CIASED
Or AHEAD
CROSS HERE -♦
CRO6&HERE
24X12
Type"W1' 24x18
-- (Mount on B(II)L) Type"W1"
SIDEWALK
CLOSED
24x12
Type"W1
(Mount on B(II)LR)
(2 Regd.)
FJ
SIDEWALK CIASED
SIDEWALK CLOSED
or
_ CROSS HERE CROSS HERE
24x12 24x18
Type"4V1'
(Mount on B(II)R) Type"Wi"
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
2011 Edition Page 85
Stationary Lane Closure with Flagging Diagram 320
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END UNDERGROUND PULL THROUGH EXISTING CONDUIT IN CITY OF TIGARD RIGHT OF WAY
SEE SHEET RP2 FOR CONTINUATION OF NEW CONSTRUCTION
CONTINUE TO PULL FIBER THROUGH -
EXISTING VAULT AND CONDUIT
co
Q- BEGIN UNDERGROUND PULL THROUGH EXISTING
CONDUIT IN CITY OF TIGARD RIGHT OF WAY
1.ALL WORK AREAS TO BE
(FROM ODOT-28 RIGHT OF WAY) m
RESTORED TO LIKE OR BETTER
CONDITION.
2.ALL OTHER UTILITIES ARE BASED th
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