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PFI2017-00054 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT COMMUNITY DEVELOPMENT Permit#: PF12017-00054 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 04/04/2017 Parcel: SEG1177 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: Comcast Project Description: Adjacent to 12540 SW 68th Ave Comcast proposed to install coax cable through existing conduit and trench for 3'at a min of 36"below grade along SW 68th Ave in City of Tigard ROW. SEG 1177 Owner: FEES Description Date Amount PFI Permit Fee 04/04/2017 $300.00 PHONE Contractor: TENNESSEE CABLE SERVICES INC. 17035 SE EVERGREEN HWY. VANCOUVER, WA 98683 PHONE: 800-896-8111 FAX: Applicant: ALEX SILANTIEV 11308 SW 68TH PARKWAY TIGARD, OR 97223 PHONE: 503-928-1293 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: See application Issued By: Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12017-00054 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 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(3 EIV . City of Tigard APR 0 3 2017 PUBLIC FORKS — ENGINEERING C11Y Of:TIGARD ANNINC-fN�Git�lEERINC Public Facility Improvement (PFI) Periffit TYPE OF WORK DESCRIPTION OF WORK(in the right-of-way) ® TYPE 1-Franchise Utility Work- Check orkCheck one: R Utilities ❑Sidewalk/driveway approach ❑Streetimprovements performed by NT%VN, PGE Detailed description: Comcast proposes to install coax cable through and/or utility agency. existing conduit and trench for 3'at a min.of 36"below grade along ❑ TYPE 2-Sidewalk/Driveway/Sewer SW 68th Ave in City of Tigard ROW. Work performed for the purpose of • Sidewalk installation or repair. Property address/location(s): 12540 SW 68th Ave,Tigard, OR 97223 Driveway approach installation and/or repair Near intersection of SW 68th Ave and SW Beveland St Sanitary sewer lateral installation and/or main line tap Applicant: Comcast Cable Communications Management, LLC ❑ TYPE 3-Full scale Development PP Work performed with Land use Address: 11308 SW 68th Parkway approval which includes any of City/state: Tigard/OR Zip: 97223 the following. Phone: 503.928.1293 Email:-Alex Silantiev@comcast.com • Subdivisions or Partitions Contact name: Alex Silantiev Phone: 503.928.1293 • Street widening • Mainline installation for Sanitary Contractor: Tennessee Cable Service sewer, Storm sewer,Tigard water Ex CCB#: piratio 77450 10/25/2017 and/or Tigard Water Service Area n: Address: 17035 SE Evergreen Hwy SUBMIT COMPLETED APPLICATION TO: City/state: Vancouver/OR Zip: 98683 City of Tigard 503.969.6792 beavrebuild@aol.com/tenncs@aol.com Planning/Engineering Phone: Email: @ @ 13125 SW Hall Blvd. Contact name: Terry Richmond Phone: 503.969.6792 Tigard,OR 97223 Applications for"minor work in right-of-way" Engineer: K&B Technical Solutions only may be emailed to: Address: 6566 SE Lake Rd,Suite F gn=rmitsnaga d-or.vov City/state: Milwaukie,OR Zip: 97222 ;;� l� Phone: 503-650-6041 ext.217 Email: KJ_Sprecher@kbmail.net Case No.:?Ft2oii'�� 1 Contact name: KJ Sprecher Application submittal fee: $ '303.20 Additional fees: $ Estimated value of work is required(if over$5,000):$200 Application accepted: (within the public right-of-way) By:_J�IZ-_Date: Is work related to a LAND-USE DECISION? ❑ Yes © No Application reviewed: By. ' �3 L- 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#: '`\E"G\P`"""' P1kv"°nsW-oD°4""°" Rev.12/16/2016 Cityof 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 ,vork,if required by the city pursuant to TMC 15.041.140. With die exception of a utility operating pursuant to a valid franchise with die(:ity of Tigard,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. Franchised Utilities are not required to obtain the 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 may be attached to or imposed upon the subject ro • 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 any 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. ti KJ Sprecher 03/31/2017 Applicant/Authorized 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 City of Tigard • 13125 SIX/Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov 503-718-2421 • Page 2 of 4 - 2'FROM ROW I -- -- 47'FROM FAR FOC 11585 - } I 32'FROM SEWER - 14'FROM WATER -7'FROM FOC I � 112, 3.1� � ,, END CONSTRUCTION IN AND EXIT CITY OF TIGARD ROW. TRENCH 1'(N)AND 2'(E)TO PLACE(1)-2" i CONDUIT AT A MIN.OF 36"BELOW GRADE. I 11'-I- --- 40'- 60, 0'- g' f-1 Lu I Q I ( I 12581 � L I 00 I ( I N I i I I I I . 1 ) II i ' INSTALL(1)-COAX CABLE THROUGH EXISTING CONDUIT. I I I i I I I ' I � I j j BEGIN CONSTRUCTION IN ' CITY OF TIGARD ROW. N 1.ALL WORK ARES RESTORED TO LIN CONDITION. w E 7 Al 1 nTL =Q I ITII Page 82 2011 Edition Two-Lane Traffic Diversion Using Shoulder Diagram 310 Diagram 310 covers shifting traffic lanes on a two-lane, two-way roadway around the work site with one lane partially or fully on the shoulder. 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 PCIVIS in caution mode may be used. 3. All travel lanes should have a minimum 10 foot lane width. 4. Shoulder shall be adequate in width and surfacing to carry traffic. 5. Two advance warning signs are required. 6. Place cones as shown. Cones along the far edge of travel lane, farthest from the work space, are optional and may be added to clearly mark the travel path. Sign Spacing and Buffer Lengths(feet) Posted Spacing Between Signs Buffer ERRATA: A B C Space 20 50 25 100 100 100 75 SupplementTable 30 100 35 125 Updated:February 12, 40 350 350 350 150 2016 45 180 By:OVOT Traffic-Roadway 50 500 500 500 210 Sectio" 55 250 Si zn Spacine and Buffer Len the feet Supple-me t Posted Spacing Between Si ns "Buffer" Speed A B C Space 60 285 65 700 700 700 325 70 365 Chapter 5 December 2011 2011 Edition Page 83 Two-Lane Traffic Diversion Using Shoulder Diagram 310 ROAD 6 WORK AHEAD 1' A 1 . 1 *Optional for speeds 40 mph or fess M min. • . • Protection Vehicle Con= • • w/TMA(ne] See rOpt�onel) Buller • • • • I • • LM min. A 1 T e ROAD WORK 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. i ----- - &oEwwc a.osEo SIDEWALK C10.4E0 -♦ or AHEAD ORO85 HERE --, CR085 MERE 24x12 Type"W1' 24x18 L- -- - - (Mount on B(II)L) Type W" SIDEWALK CLOSED 24x12 Type'W1' (Mount on B(II)LR) (2 Regd.) &DEWALKCLoeED sioEw.wc cx.oem �� or AHFAD CROSS HERE ~ CROSS HERE 24x12 24x18 TYpe'W1' (Mount on B(II)R) Type"W1" December 2011 Chapter 5