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PFI2017-00125 92 " CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT COMMUNITY DEVELOPMENT Permit#: PF12017-00125 9 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 08/24/2017 Parcel: SEG692 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: PGE Project Description: Adjacent to 11625 SW 91 st Ave. Install 1 P 120/240 2 200A UG Services to detached garage. M 2332141. SEG 692 Owner: FEES Description Date Amount PFI Permit Fee 08/24/2017 $300.00 PHONE: Contractor: PHONE: FAX: Applicant: TIBERIU BEC 10800 SW AVERY STREET TUALATIN, OR 97062 PHONE: 503-672-5415 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 r Signature: Issued By: Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12017-00125 Type: Condition Name: Status: Severity: 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 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. R&C,EIIVED City of Tigard JUL 17 2017C/7'y PUBLIC \VORKS - ENGINEERING PLANNiNGOF N/NEE Public Facility Improvement (PFI) Permit R'N(3 TYPE OF WORK DESCRIPTION OF WORK(in the right-of-way) X TYPE 1—Franchise Utility AX'ork Check one: M Utilities ❑Sidewalk/driveway approach ❑ Street improvements performed by MXT1, PGE Detailed description: M2332141 Install 1 P 120/240 2 200A UG and/or utility agency. Services to Detached Garage ❑ TYPE 2—Sidewalk/Driveway/Sever Work performed for the purpose of. • Sidewalk installation or repair. 11625 SW 91 st Ave Drivewa% approach installation Property address/location(s): and/or repair r. CG .2 Sanitary sewer lateral installation and/or main line tap Applicant: Portland General Electric El TYPE 3—Full scale Development pp Work performed with Land use Address: 10800 SW Avery St approval which includes any of City/state: Tualatin, OR Zip: 97062 the following: Phone: 503-672-5415 Email: preregcoord@pgn.com • Subdivisions or Partitions Tiberiu Bec 503-672-5415 • Street w�idennig 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: Email: 13M 13125 SW Hall Blvd. Contact name: Phone: Tigard,OR 97223 .Applications for"minor work in right-of-way" Engineer: only may be emailed to: rQzVermits@.tigard-or.¢ov Address: City/state: Zip: ���') n Phone: Email: Case No.: f 1 t a^' II—C10 05 Contact name: Application submittal fee:$ D� Additional fees: $ Estimated value of work is required(if over$5,000): Application accepted: (within the public right-of-way) By: A-L-- _Date:I I Application reviewed: Is work related to a LAND-USE DECISION? ❑ Yes Into By: g,6 y*W_Date: If so,please speci6•(1ALP,SDR,SUB,etc.) case#: Applicant notified: Is work related to a BUILDING PERMIT? ❑ Yes JZLNo By: �S Date: If so,please specify(BUILDING PER&1IT)case#: 1:WW\Pe mftAp0ka4oro\pfi*DDYnL101 Mv.lu'6noi6 City of Tigard 13125 SIX Hall Blvd. • Tigard,Oregon 97323 • 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,if required by the city-pursuant to TNIC 15.041.140. With the exception of a utility operating;pnrsuraut to a valid franchise Neith the Cin,oFt igavd,when the owner and the applicant are differcut 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 owlier(s)must sips this application in the space provided or submit a written authorization with this application. Franchised Utilities arc not required to obtauu the owner's signature on the application BY SIGNING BELOW,THE APPLICANT(S)SHALL CERTIFY THAT: • The above request does not violate anr,recorded deed restrictions that may attached to or imposed upon the subject rim. • 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 perrnit 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. 5�t� (S-A-Z -7 14 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 Owner's signature Print name Date Owner's signature Print name Date PUBLIC FACILITY IMPROVEMENT PERMIT Cityof Tigard • 13125 SW Ball Blvd. • Tigard,Oregon 97223 • xc-%-,-u:tigard-or.gov 503-718-2421 • Page 2 of 4 B350A� TX COMMERCIAL LEGEND NEW PGE FACILITIES TO BE INSTALLED 8" 11530 (UNLESS OTHERWISE SPECIFIED) (� REMOVE FACILITIES _ INSTALL FACILITIES / _ INSTALL ADDITIONAL FACILITIES/MODIFY FACILITIES J Q 3"CONDUIT ��� 11595 p PF 300 SECONDARY PEDESTAL ON NEW ���� m PROVIDED BY PGE&INSTALLED BY CUSTOMER 12"BRACKET ���i i y �� INSTALL 1-410AL-QX UG SEC ONDAYIN 1-3"PVC CONDUITS, f 8 PROVIDED&INSTALLED BY CUSTOMER PL- 4517 4� ——————- INSTALL 1-350 AL-QX UG SECONDAY IN 1-3"PVC CONDUITS, PROVIDED&INSTALLED BY CUSTOMER 11600 CONSTRUCTION NOTES: CMDEV 130' 5' S0 585 ./ - - - - - - - -B 4/0 AL-TX- - - - - - - - PD 1 1. CUSTOMER IS RESPONSIBLE FOR ALL TRENCH,CONDUIT,VAULTS,PADS 20f'240V k(3` B 50 AND ROAD CROSSINGS. 4517 454 2. ALL CONDUIT TO BE INSTALLED WITH 30 INCHES(MIN)COVER AT TOP OF CONDUIT 200AMP 1993 FROM FINAL GRADE. .45/OVD 3. ALL PGE CONDUCTORS TO BE INSTALLED IN GRAY,SCHEDULE 40,ELECTRICAL GRADE,PVC CONDUIT WITH NYLON PULL STRINGS(MIN.500 LBS.TEST). 1.78%FLKR PGE TO DETERMINE THE SIZE AND NUMBER OF CONDUITS REQUIRED. MAINTAIN 12 VERTICAL INCHES AND 24 HORIZONTAL INCHES CLEARANCE BETWEEN 4969A AFC GAS AND OTHER UTILITIES.ALL ELBOWS 4 INCH&SMALLER TO BE 36 INCH RADIUS. ALL BENDS MUST BE FACTORY MADE.ALL ELBOWS LARGER THAN 4 INCH TO BE 20 11630 60 INCH RADIUS.RIGID STEEL OR PGE APPROVED.FIBERGLASS BENDS ARE REQUIRED U-4 FOR RUNS OF 151 FEET OR LONGER,OR FOR ANY LENGTH RUN WITH MORE THAN 9O U 180 DEGREES IN BENDS.PVC SCHEDULE 40 BENDS ARE ACCEPTABLE FOR RUNS OF 150 FEET OR LESS.THE MAXIMUM TOTAL BENDS IN ANY CONDUIT RUN IS 270 DEGREES. �7 Z 4, DIRECTIONAL BORING REQUIREMENTS:BLACK HDPE(HIGH DENSITY POLYETHELINE)DUCT C1 1-35D m ; OR SCHEDULE 40 PVC WITH A MECHANICAL CONNECTION(CERTA-LOK OR LIKE MECHANICAL 11675 CONNECTION PRODUCT)AS AN ALTERNITIVE TO HDPE DUCT.HDPE SHALL MEET THE REQUIREMENTS OF PGE SPECIFICATION LC20515(AVAILABLE ON REQUEST FROM PGE PROJECT y MANAGER).FOR SAFETY REASONS THE DUCT SHALL BE BLACK WITH 3 EQUALLY SPACED EXTRUDED RED STRIPES(WHICH IS A SPECIFICATION REQUIREMENT).MANDREL TEST OF HDPE PIPE IS REQUIRED AFTER INSTALLATION WITH PGE INSPECTOR PRESENT. 11660 5. ALL PGE TRANSFORMERS TO BE INSTALLED 8 FEET(MIN)FROM ANY COMBUSTIBLE X BUILDING,WALL OR OVERHANG AND 4 FEET(MIN)FROM ANY FIRE HYDRANT I (/�- PGE TRANSFORMERS MUST BE WITHIN 15 FEET OF A DRIVEABLE AREA. 1 93 ALWAYS MAINTAIN 10 FEET CLEARANCE IN FRONT OF ALL TRANSFORMERS. Q 1 94 0 11640 6. TRANSFORMER PADS ARE TO BE SET SO THAT THE TOP IS 2 INCHES ABOVE FINAL GRADE.CONDUIT IS TO BE INSTALLED IN PAD AS INDICATED IN DETAIL 0 m AND TO EXTEND 1 INCH ABOVE THE PAD. 7. STEEL BARRIER POSTS ARE REQUIRED AROUND TRANSFORMERS THAT ARE EXPOSED TO VEHICLES. 8 ALL SWITCH VAULTS TO BE SET AT FINAL GRADE HATH 6 INCH GRAVEL BASE AND CONUDITS ALIGNED TO ENTER THE VAULT END LOWER KNOCKOUTS(TERM-A-DUCTS). (SEE DETAIL ON SKETCH) 9 PGE TO BE NOTIFIED AND INSPECT ALL CONDUIT,VAULT AND PAD INSTALLATIONS, Road Side 24" Spoil BEFORE BACKFILL ALL NEW VAULT&PAD LOCATIONS TO BE FIELD VERIFIED Typical WITH PGE AND CUSTOMER REPRESENTATIVE 10. REFER TO PGE ELECTRICAL SERVICE REQUIREMENTS BOOK FOR FURTHER DETIALS LEGEND &SPECIFIC REQUIREMENTS.LINK TO WWW.PORTLANDGENERAL.COM s PGE Primary I 11. DESIGN IS BASED ON STANDARD UNDERGROUND EQUIPMENT.NON-STANDARD 11635 81 e2 �C 30" O Secondary Cable UNDERGROUND EQUIPMENT MAY BEAN OPTION ATAN ADDITIONAL COST TO 36.. Q� Min Inside Duct THE CUSTOMER. Min e70 9eC2iG� Trench Cover O Telco/CATV 12 THE PGE WILIL BE AT THE LINE SIDES OF TT OF DELIVERY AND ON OF HE NEW CUSTOMER PROVIDED SWITCH GEAR SHIP BETWEEN THE CUSTOMER AND B 50 30 0 10 ® Backfill PGE CONSTRUCTION DRAWING ° ° AS-BUILT VERIFICATION& NESC VIOLATIONS CORRECTED RIGHT-OF-WAY PERMIT NOTICE: 143 25 T Selected Backfill This document accurately represents FIELD Construction A PERMIT FROM THE LOCAL JURISDICTION IS REQUIRED BEFORE ANY undisturbed Foreman: Date: WORK IN THE RIGHT-OF-WAY MAYBE PERFORMED. ONLY PGE APPROVED v 12" Min D Earth 1. Q General Foreman: Date. 11 CONTRACTORS AND CONTRACTORS WHO HAVE MADE OTHER SPECIAL y ti AGREEMENTS WITH PGE WILL BE ALLOWED TO WORK UNDER PGE'S PERMIT. V. W G (Signature only required for field construction changes.) THE CONTRACTOR MUST NOTIFY THE LOCAL JURISDICTION 48 HOURS �90 _ Joint Use Trench W/O Gas SDPM/ENG REVIEW ASBUILT BY DESIGNER: BEFORE WORK IS TO BEGIN. A COPY OF THE PERMIT MUST BE ON SITE. S� Q DATE: LE A UNT AW JOB NO. 6/9/2017 1 in : 38 ft 1070001 1000004599 M2332141 TITLE ANY DEVIATION FROM THIS DESIGN MUST PACIFIC EVERGREEN HOMES CALL 811 BEFORE YOU DIG CIRCUIT SIZE ATTENTION: BE APPROVED BY THE PGE PROJECT MANAGER j /PGE ' TIGARD-13336 11 x 17 OREGON LAW REQUIRES YOU TO FOLLOW RULES ADOPTED THINKLOCATION BY THE OREGON UTILITY NOTIFICATION CENTER. ` 11625 SW 91 ST AVE, TIGARD, OR, 97223 THOSE RULES ARE SET FORTH IN OAR 952-001-0010 CONTACT SERVICE COORDINATOR SAFETY ` / DESCRIPTION THROUGH 952-001-0090 YOU MAY OBTAIN COPIES OF FOR TRENCH AND CONDUIT INSPECTION PRIOR FIRST NEW 1 P 120/240 200A UG SRVC TO GARAGE SHEET THE RULES BY CALLING THE OREGON UTILITY TO BACKFILL.PGE WILL NOT INSTALL WIRE COUNTY SECTIONS WORK WITH NOTIFICATION CENTER ADMINISTRATION @(502-232-1987) UNTIL TRENCH IS 100%BACKFILLED. WASHINGTON C1135D 1 OF 1 TO REQUEST UTILITY LOCATES CALL THE OREGON """haft below. SERVICE COORDINATOR UTILITY NOTIFICATION CENTER, 811 AT LEAST Call before you dig. DESIGN BY PHONE(503)DRAWN BY 503-323-6700 OR 1-800-542-8818 Tiberiu Bec 672-5415 Tiberiu Bec 2 BUSINESS DAYS PRIOR TO EXCAVATION I ©PORTLAND GENERAL ELECTRIC CO -ALL RIGHTS RESERVED 2011 Edition Page 85 Stationary Lane Closure with Flagging Diagram 320 o 0 Z ° fD m W � 1 T o Cco i Cc a r------------------ I I .• �.g a • �O I I • v � C jA i l t I m ' ' 3 I O I••:. f$ill I • m Fg • • I � m � ��� �j I n.E • 0.2 I pm 0 v �JS I < a i I • I t I N --------� Sign Spacing and Buffer Lengths(feet) 1 I 1 W Posted S acin Between Signs Buffer LU Speed A B C Space zz rd O 20 50 25 100 100 100 75 30 100 35 125 Y 40 350 350 350 150 45 180 50 500 500 500 210 55 250 December 2011 Chapter 5