The URL can be used to link to this page

PFI2017-00063 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT • COMMUNITY DEVELOPMENT Permit#: PF12017-00063 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 04/26/2017 Parcel: SEG818 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: Barrows Rd PFI Project Description: Sidewalk and curb modification the match centerline alignment Owner: FEES Description Date Amount PFI Permit Fee 04/12/2017 $300.00 PHONE: Contractor: PHONE: FAX: Applicant: H MCNEISH 2240 BLAKE ST DENVER, CO 80205 PHONE: 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: Issued By: Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12017-00063 Type: Condition Name: Status: Severity: PFI—Street Imp 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—Street Imp 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—Street Imp 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—Street Imp 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—Street Imp 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—Street Imp 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_Street Imp 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—Street Imp 08-TRAFFIC CONTROL ADVANCE WARNING Applied Notice Advance warning of traffic disruption shall be provided to the public by placement of an approved advance notification sign at each end of the construction area 72 hours(min.)before initiation of construction work. PFI—Street Imp 11 -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—Street Imp 12-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—Street Imp 13- DRAINAGE CONTROL Applied Notice Drainage shall be controlled within the work site and shall not adversely affect adjacent private property, public property and the receiving system. The City may at any time order corrective action and suspension of work to accomplish effective drainage control. PFI—Street Imp 14-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—Street Imp 15-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—Street Imp 16-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—Street Imp 17-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—Street Imp 18-SEWER SYSTEM TEST Applied Notice A sewer system air-test and/or DVD T.V. test report and one set of"As-Builts" shall be provided for review and approval. PFI—Street Imp 19-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—Street Imp 20-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—Street Imp 21 - 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—Street Imp 22-DAILY INSPECTION REPORTS Applied Notice Applicant shall submit daily inspection reports, on a weekly basis,to the City's Inspector. PFI—Street Imp 23-MONUMENT PROTECTION Applied Notice Existing monuments, property corners, and survey markers shall be protected. Replacement shall be at the permit holder's expense. PFI—Street Imp 24-VALIDATION OF MATERIAL/CONSTRUCTION Applied Notice The City's Inspector may, at his discretion, require tests and or reports from the applicant to validate claims of material or construction adequacy/compliance. Such tests/reports shall be provided at the applicant's expense. PFI—Street Imp 25-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—Street Imp 26-RIGHT OF ENTRY/EASEMENTS Applied Notice Applicant to obtain proper right-of-entry and/or easements prior to starting work. Proof of right-of-entry or properly executed easements, shall be provided to the City. The City shall in no way be construed to be liable for the applicant's failure to obtain or provide for proof of right-of-entry or easements. PFI—Street Imp 27-PRIVATE PROPERTY AGREEMENTS Applied Notice Provide the City a copy of an executed agreement[s]from the owner for each private property disturbed by construction activity. PFI—Street Imp 28-AS-BUILT DRAWING Applied Notice One as-built drawing showing all new public improvements, including any revision made to the previously approved construction plans and, also, any improvement which may impact an existing public system or facility, shall be provided to the City by a registered civil engineer along with an engineer's certification of installation compliance(Certificate of Compliance). PFI—Street Imp 29-PRIVATE WATER QUALITY FACILITY Applied Notice The Developer shall maintain the water quality facility and correct any defective work, and shall perform all scheduled maintenance to assure proper functioning of the facility. PFI Street Imp 30-PUBLIC WATER QUALITY FACILITY Applied Notice The Developer shall create and provide to the City a schedule for periodic(quarterly)maintenance of the water quality facility. The Developer shall maintain said facility for a period of three(3)years from the date of City Conditional Acceptance of the public improvements. On October 1 st of each year during this three(3)years period, the Developer shall report, in writing, maintenance activities to the Director of Public Works. City crews should monitor proper removal and disposal of silt and debris. Prior to City final acceptance of the facility, the Developer shall provide a written evaluation of the operation and maintenance needs of the facility and correct any deficiencies identified in the evaluation. PFI—Street Imp 31 -OTHER Applied Notice RECEIVE® City of Tigard APR 12 2017 PUBLIC WORKS ENGINEERING � IT`GA RD Public Facility� Im rovement (PFI) P tNGINEE RING TYPE OF WORK DESCRIPTION OF WORK(in the right-of-way) ❑ 'TYPE 1—Franchise Utility Work Check one: EJ Utilities L4"��Sidewalk/driveway approach ❑ Street improvements performed by NWN, PGE Detailed description: Sidewalk & curb modification to match and/or utility agency. road centerline alignment and achieve car/bike lane widths. ❑ TYPE 2—Sidewalk/Driveway/Sewer Work performed for the purpose of- Sidewalk fSidewalk installation or repair. • Property address/location(s): 14475 SW Barrows, Rd Driveway approach installationand/or repair Beaverton, OR Sanitary sewer lateral installation 97007 and/or main line tap Applicant: Confluent Development, LLC El TYPE 3—Full scale Development pP Work performed with Land use Address: 2240 Blake St., Suite 200 approval which includes any of City/state: Denver, CO Zip: 80205 the following. Phone:(720) 257-6060 Email: hmcneish@confluentdev.com • Subdivisions or Partitions Contactname: H McNeish Phone: (720) 257-6060 • Street widening • Mainline installation for Sanitary Contractor: LCG Pence Construction sewer, Storm sewer, Tigard water CCB#: 153167 Expiration: and/or Tigard Water Service Area Address: 2720 SW Corbett Ave SUBMIT COMPLETED APPLICATION TO: City/state: Portland, OR Zip: 97201 City of Tigard Phone:(503) 252-3802 Email: Banc@lcgpenee.eom Planning/Engineering 13125 SW Hall Blvd. Contact name: Daniel Cowley Phone: (503) 252-3802 Tigard,OR 97223 Applications for"minor work in right-of-way" Engineer: 3J Consulting, Inc. only may be emailed to: Address: 5075 SW Griffith Dr., Suite 150 rowpennit8kdgard-or.FOR STAFF USE ONLY gov City/state: Beaverton, OR "Zip: 97005 Phone: (503) 946-9365 Email: brian.feeney@3j-consulting.com Case No.: -� 17 + 000 63 Contact name: Brian Feeney Application submittal fee: $ -300 Additional fees: $ Estimated value of work is required(if over$5,000):$25,525.00 Application accepted: / (within the public right-of-way) By: fi Date: — Is work related to a LAND-USE DECISION? ❑ Yes [2/No Applica on re 'ewed: By: Date: � If so,please specify (1NELP,SDR,SUB, etc.) case #: Applicant no 'fled: Is work related to a BUILDING PERMIT? ❑ Yes W No By Date: If so,please specify(BUILDING PERMIT)case#: I:\ENG\PermitApplications\pfi_application Rev.12/16/2016 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,if required by the city pursuant to TMC 15.041.140. * With the exception of a utility operating pursuant to a valid franchise with the City 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 owners signature on the application BY SIGNING BELOW,THE APPLICANT(S)SHALL.CERTIFY THAT: • The above request does not violate any recorded deed restrictions that may be attached to or imposed upon the subject propeM. • 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. Y l Applicant/Au` ori d A e ' signat�te Print name � Pae � 'D t - o� �g SIGNATURES of each owner of the subject property,if required. 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 Ilall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov 503-718-2421 • Page 2 of 4 BARROWS SENIOR HOUSING ENGINEER'S COST OPINION-BARROWS ROAD WIDENING Jurisdiction: City of Tigard Date. 4/11/2017 Estimator: Jake Johnston ITEM DESCRIPTION QTY UNIT UNIT PRICE TOTAL SITE WORK(S*7 Existing Site Demolition SW-1 AC Sawcutting 171 LF $2.00 $342 $342 Site Earthwork&Stabilization SW-2 General Excavation 55 CY F $20.00 $1,100 $1,100 Site Hardscape and Paving SW-3 Aggregate Base 30 CY $30.00 $900 SW-4 HMAC Wearing Course 528 SY $20.00 $10,560 SW-5 Curb and Gutter&Aggregate Base 171 LF $20.00 $3,420 SW-6 Concrete Walks&Aggregate Base(Public) 855 SF $5.50 $4,703 $19,583 Site Management SW-7 Temporary Construction Work Zone Fence(Orange) 200 LF $5.00 $1,000 SW-8 Inlet Protection,Type 4 3 EA $100.00 $300 SW-9 Inlet Protection,Type 5 1 EA $100.00 $100 $1,400 SUBTOTAL SITE WORK $22,425 GENERAL CONDITIONS G-1 Mobilization 8.0% of $22,425 $1,800 SUB-TOTAL GENERAL CONDITIONS $1,800 CONTINGENCY 5.0% of $24,225 $1,300 TOTAL CONSTRUCTION ESTIMATE $25,525 General Notes and Assumptions: a. Quantities are based on electronic design files dated 04/11/2017 by 3J Consulting(Available Upon Request) b. Contractor to furnish all materials,labor,and equipment to complete the above construction schedule items. c. All unit costs assume in-place construction including all ancillary items required(ie. Backfill,fittings,sharing,etc) d. This estimate does not include costs associtated with architectural amenities,landscaping,site furnishings or franchised utility service construction e. This estimate does not include permitting,consulting,construction staking,system development charges,fees in lieu or testing fees that may be associatted with this project. 3J Consulting,Inc ��.. (503)946-9365 Page 1 of 1