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PFI2017-00209 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT COMMUNITY DEVELOPMENT Permit#: PF12017-00209 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 10/02/2017 Parcel: SEG1778 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: PGE Greensward Project Description: Provide service to 2 lot partition Owner: FEES Description Date Amount PHONE: Contractor: PHONE: FAX: Applicant: CHRIS JEWETT 10800 SW AVERY ST TUALATIN, OR 97062 PHONE: 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: See application Issued By: --1— Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12017-00209 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. 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 RECEIVE© City of Tigard SEP 2 6 2017 a PUBLIC WORKS -- ENGINEERING CITY OF TIGARD ° r/ENGINEERING PubliFc acili . 1- Im �rovement (PFI) �'�� TYPE OF WORK DESCRIPTION OF WORK(in the right-of-way) �TYPE 1—Franchise Unlit}'it'ork Check one: [K Utilities ❑ Sidewalk/driveway approach ❑Streetimprovements performed by NWN, PGE Detailed description. M2342226 Provide Service to New 2 lot partition and/or utilih agency. ❑ TYPE 2—Sidewalk/D11Vcway/Sewer Work performed for the purpose of: • Sidewalk installation or repair. • Driveway-approach installation Property address/location(s): SW Greensward Pkwy and/or repair cls SW Greensward Ln • Sanitall,sewer lateral installation and/or main line tap Portland General Electric ❑ TYPE 3 Full scale Development Applicant: Work performed with Land use Address: 10800 SW Avery St approval which includes any of City/state: Tualatin,OR zip. 97062 the following: Phone: 503-672-5481 Email: preregcoord@pgn.com • Subdivisions or Partitions Contact name: Chris Jewett Phone: 503-672-5481 • Street widening • Mainline installation for Sanitary 9 Contractor: Emerio Design, LLC sewer, Storm sewer,Tigard water and/or Tigard Water Service Area CCB#: Expiration: Address. 6445 SW Fallbrook SUBMIT COMPLETED APPLICATION TO: City/state: Beaverton, OR Zip: 97008 City of Tigard Phone: 503-746-8812 Email: Eric@emedodesign.com Planning/Engineering 13125 SW Hall Blvd. Contact name: Eric Evans Phone: 503-746-8812 Tigard,OR 97223 Applications for"minor work in right-of-way" Engineer: only may be emailed to: g rowpermitsntiPard-or.gov Address: City/state: 'Lip: Phone: Email: Case No.: 0 V Contact name: Application submittal fee:$ Additional fees: $ r Estimated value of work is required(if over$5,000):$ Application accepted: ) / (witlun the public right-of-way) y: B m(5—Date: Ct I Application r ewed: Is work related to a LAND-USE DECISION? ❑ Yes El leo D If so,Please specify- (NILP,SDR,SUB,etc.) case#: B}*: ate: 1A --Applicant notified: Is work related to a BUILDING PERK-TIT? ❑ Yes ❑ No By: kS Date: If so,please specify(BUILDING PERIN111)case#: I:\ENG\PermitApplicatlons\pfl—application Rev.12/16/2016 City of Tigard - 13125 SW Hall Blvd. - Tigard,Oregon 97223 • w«,,vtigard-or.gor - 503-718-2421 • Page 1 of 4 APPLICANTS NOTE: Person specified as`:-applicant"shall be designated"Permittee"and shall proxTide financial assurance for work,if required b4 the citi pursuant to THTC 15.041.140. * With the exception of a utility operating;pursuant to it valid franchise xcrith die City-of Tigprd,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 owners)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 signatuue on the application BY SIGNING BELOW,THE APPLICANT(S) SHALL CERTIFY THAT: • The above request does not violate ani-recorded deed restrictions that mai,be attached to or imposed upon the subject property. • If the application is granted,the applicant will exercise the rights granted in accordance with the terms and subject to all the conditions and 1- nations 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. 246 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 City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • tvww.tigard-or.gov 503-718-2421 Page 2 of 4 14145 SINGLE FAMILY LEGEND Bao o NEW PGE FACILITIES TO BE INSTALLED Q (UNLESS OTHERWSE SPECIFIED) A 25 60389 �INSTALL FACILITIES A2AL 1201240V 14KW NEW DEMAND 200AMP L 9.23 %VD 1.62 %FLKR O PROW D1730 SECONDARY NS TALI PROVIDED BYd INSTALLED BY CUSTOMER 8.849 7821 A AFC � 644-PGE PADMOUNT VAULT,WITH 64-332P-2125-PGE TOP PROVIDED d INSTALLED BY CUSTOMER 881- 8545 Fez.- _______ INSTALL 1-R2 AL-EPR JKT PRIMARY IN 2"PVC CONDUIT 8665 PROVIDED d INSTALLED BY CUSTOMER INSTALL 1.0350 AL-TX SECONDARYIN 1-3"PVC CONDUIT PROVIDED d INSTALLED BYCUSTOMER C21-11A CUSTOMER TO INSTALL 3"PVC CONDUIT d STUB-UP ~— FOR FUTURE 1-4M0 AL-TX SERVICE 2"FUTURE PVC CONDUIT PROVIDED � AND INSTALLED BYCUSTOMER H2AL RFiI —10 CONSTRUCTION NOTES: SFEXT 1.CUSTOMER TO PROVIDE ALL TRENCHING AND BACKFILLING.JOINT USE TRENCH WITH GAS,TRENCH TO BE 46 INCHES DEEP AND 30 INCHES WIDE.MEASURED FROM 00 FINAL GRADE. m SW GREENSWARD LN 2 PV°CNCONDUIT WITH NYLON T(W NECESSARY)N ULL STRINGS(MIN.S00 LOSE GRAY.SCHEDULE 40.ETES ELECTRICAL GRADE. A'10 CU DX PGE TO DETERMINE THE SIZE AND NUMBER Of CONDUITS REQUIRED. MAINTAIN 12 VERTICAL INCHES AND 24 HORIZONTAL INCHES CLEARANCE B 10 CU Tx BETWEEN GAS AND OTHER UTILITIES.ALL ELBOWS TO SE 36 INCH(MIN)RADIUS. B 2 AL ALL BENDS MUSTSE FACTORY MADE.RIGID STEEL OR POE APPROVED FIBERGLASS BENDS ARE REOUIRED FOR RUNS OF 151 FEET OR LONGER.OR FOR ANY LENGTH RUN WITH MORE THAN 160 DEGREES IN BENDS.PVC SCHEDULE 40 BENDS ARE A ACCEPTABLE FOR RUNS OF 150 FEET OR LESS,THE MAXIMUM TOTAL BENDS IN ANY CONDUIT RUN IS 270 DEGREES. 3.CUSTOMER RESPONSIBLE FOR ROAD CROSSINGS.USE ONLY GRAY,SCHEDULE 40, ELECTRICAL GRADE.PVC CONDW WITH NYLON PULL STRINGS(ABN.SW LBS.TEST). 4341 1433F, A. DIRECTIONAL BORING REQUIREMENTS:BLACK HDPE(HIGH DENSITY POLYE THELINE)DUCT a6�C OR SCHEDULE 40 PVC WITH A MECHANICAL CONNECTION(CERTA-LOK OR UNE MECHANICAL 8 8640 CONNECTION PRODUCT)AS AN ALTERNITIVE TO HDPE DUCT.HDPE SHALL MEET THE REQUIREMENTS OF PGE SPECIFICATION LC20515(AVAILABLE ON REQUEST FROM PGE PROJEC' EXTRUDED RED STRIPES(NMICH F�A SPECIFICATION REQUIREMENT).MANDREL TEST OF HDPE PIPE IS REQUIRED AFTEP I --ALLATION NTH PGE INSPECTOR PRESENT. S.SINGLE PRIMARY INSTALLATIONS-CONDLRI TO EXTEND AMMONIUM OF IV FROM TRANSFORMER PAD. 143 i, 6.ALL PGE TRANSFORMERS TO BE INSTALLED 6 FEET(MN)FROM ANY COMBUSTIBLE BUILDING.HALL OR OVERHANG AND A FEET(MIM FROM ANY FIRE HYDRANT. PGE TRANSFORMERS MUST BE WITHIN 15 FEET OF A DRNEABLE AREA. sRERA VAULT r �•76FMLL4KH ALWAYS MAINTAIN 10 FEET CLEARANCE IN FRONT OF ALL TRANSFORMERS. �—Trr•� w,PN uo or T.CUSTOMER TRENCH AND ELBOW CONFIGURATIONS MVST SE INSPECTED BY PGE PRIOR TO Laa�Ba �Mu.N PT F.R ANY DEVIATION FROM THIS DESIGN MUST BACKFILLING.WHEN YOU ARE READY FOR PGE TO INSPECT(AFTER INSTALLATION IS COMPLETE) FRIT F.r PLEASE CALL 6003422616 OR 503.3232700IN THE PORTLAND AREA. ALLOW UP TO 2 WORKING DAYS FOR INSPECTION TO OCCUR. THINK REAPPROVED 9Y THE PGE PROJECT MANAGER ' fi1eP.C;� �� AEIOIs Avn 6. DESIGN IS BASED ON STANDARD UNDERGROUND EOUT AN ADDITIONAL NONSTANDARD SAFETYL/NDERGROUND EQUIPMENTMAY BE AN OPTION AT AN ADDITIONAL COST TO THE CUSTOMER. °1; =,.„.. ARO I ,,,,, POE CONSTRUCTION DRAWING FIRST ILVERIFICATION, RINYreP,ew teGIEL Co".,,,ro.. �wA Dw hovel•YRD.„ Foreman: Date: E POE ITM SPLXEROX Asp.« General Foreman Date: _ CALL 811#fFORE TOU dG rRSRr fN1ION. (Skrature Orthl requIred for field constvc°on changes) —� CONTACT SERVICE COORDINATOR OfGOMLAWREOUIRLSTOUIOFO(U—RULESADOPTEO I SDPMiENGREVIEW ASBUILTBYDESIGNER: 8T TNF ORF60N UTIUTr`NOTIFKATION CFNTFR. s I FOR BACKFILL AND CONDUIT T tNECTION PRT WSE RUIE52 R 1 EFORTHr,R,ORT2 COPIES -"• I RTRENCFILl DCON WILL IT(NSP TALLWIRE NRDUGNRSARf SftFOffMMO O6rAIN IWJ or -•, DATE SCALE: ACCOUNT O . \ of P*Es 1rONVAULT UNTIL TRENCH IS10MBACKFILLED RULES 6YCAUINGTNCORMON UTILfry 7/11/2017 1070001 1000004594 M2342226 +'- NORF/CNIONCFN RAOMINISTRAPON!(501-232-IN7! SERVKE COORDINATOR TO REQUEST UTILITY LOCATES TITLE --rte �r�J ATL 503-323-6700 OR1-600-542-9618 UTILITY NOTIFICATION CENTER,811 E�MbnT0041& LWD,LLC ITITTy RnT -- ,JiY Awoi�RrleF 2 BUSINFSS DAYS PRIOR TO fNCAVA rION °""- RL - E- LroRerLnro � 1 CUI SIZE ANN. DURHAM-SATTLER 11 x 17 R*j ' F'�11 .F°UROROR..� RIGHT-OF-WAY PERMIT NOTICE: _ /P�E LOCATION 1_4 ;: r: f Z •? "^'"F" A PERMIT FROM THE LOCAL JURISDICTION IS REQUIRED BEFORE ANY SW GREENSWARD PKWY,TIGARD,97224 J ! .RRALLA.Y WORK IN THE RIGHT-OF-WAY MAYBE PERFORMED. ONLY PGE APPROVED DESCRIPTION • -•.M.:e .„ � ��rp,aL ` PROVIDE SERVICE TO NEW 2 LOT PARTITION .�I��. .•r Y• .L••R ® RRbEIvcSHEET CONTRACTORS AND CONTRACTORS WHO HAVE MADE OTHER SPECIAL UN r SECTIONS WORK IMTH _= AGREEMENTS WITH PGE WILL BE ALLOWED TO WORK UNDER PGE'S PERMIT. WASHINGTON C2111A 1 OF 1 n�K In f0 THE CONTRACTOR MUST NOTIFY THE LOCAL JURISDICTION 48 HOURS DESIGNBY PHONE(503)DRAWN BY "�Ra BEFORE WORK 1S TO BEGIN.A COPY OF THE PERMIT MUST BE ON SITE. Chris Jewett 672-5481 Chris Jewett 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 September 2016 coo I-- ----� Cl) o CD 0 Single Flagger Operation ,,, �. o � o � o � o � o � oM m for Low Volumes I (Optional) o' Q o (ADT<400) ' ro erov I �• S S o S BE o NELAN MF1AO0� e a -� I PREPARED 0 ROAD E 2• I� 2� 2� I \TO STOP AHEAD r 8 S o 8 � � � 4— I — ; . — — ♦— I ROAD CDCD M I I WORK _c K e K e I A I--I' I \ AHEAD 0 BLOW ftbulon wh+a. I �O�/� W W N N N F+ N N N M \ \ wfTMA Oplbrrq I \ �• M NM M r 00 to N O vvi O d M eM G�M v, Ln L, 0 0 0 o v, O .. <11 M erar I \\ I I rpwv,.o I • --------- -i I_ 1 mile � -T1 f max. I U C B B A � Buffer Protection Vehicle ROAD / w/TMA(both Optional) WORK See Chapter 4 AHEAD < BE ORO, E PREPARED TWO Flagger Operation AHEAD TO STOP 3 v m N CD (Optional) O OD