PFI2017-00226 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
COMMUNITY DEVELOPMENT Permit#: PF12017-00226
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 10/19/2017
Parcel: SEG3730
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: Hunziker
Project Description: Perform survey work in SW Hunziker St to obtain pipe inverts and verify sizes. SEG3730
Owner: FEES
Description Date Amount
PHONE:
Contractor:
PHONE:
FAX:
Applicant:
ERIC RAMME
808 SW THIRD AVE.
SUITE 300
PORTLAND, OR 97204
PHONE: 503-287-6825
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: 7 UVV
Issued By: 44
Special Conditions(See Attached)
Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY
Conditions for PF12017-00226
Type: Condition Name: Status: Severity:
PFI_Utilities 14-TEMPORARY PATCH Not Met 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 17-NOTICE TO COMMENCE WORK Not Met 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 Jonny Gish 971-713-0281 or jonny@tigard-or.gov
PFI_Utilities 18-PERMIT/PLAN ON SITE Not Met 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 08-TRAFFIC CONTROL PROPERTY ACCESS Not Met 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 12-UTILITY NOTIFICATION Not Met 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 19-MONUMENT PROTECTION Not Met Notice
Existing monuments, property corners, and survey markers shall be protected. Replacement shall be at the permit holder's
expense.
PFI_Utilities 13-UTILITY LOCATION CONFLICT Not Met 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 15-REPAIR OF EXISTING FACILITIES Not Met 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 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 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_Utilities 09-TRAFFIC CONTROL WORK HOURS Not Met 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 20-EMERGENCY CONTACTS Not Met 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 10-TRAFFIC CONTROL LIMITED WORK HOURS Not Met 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 16-PRECONSTRUCTION MEETING Not Met 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.
RECEIVED
OCT 10 2017
City of Tigard CITY OF TIGARD
PLANNING/ENGINEERING
PUBLIC WORDS —ENGINEERING s
Public Facility improvement PFI) Permit �
TYPE OF WORK ;7
DESCRIPTION OF WORK(in the right-of-way)
❑ TYPE 1—Franchise Utility Work ;t
Check one: N Utilities ❑Sidewalk/driveway approach ❑Street improvements performed by NWN, PGE
and/or utility agency.
Detailed description: PoRFoReA S�(�y�Y WORK or►� b
1�-?(l5T IAJCI M,41yt4o[LES IN 5VJ 14VN z4 Keic 5 r T'U ❑ TI'L'E 2-Sidewalk/Driveway/Sewer
Work performed for the purpose of:
05-CAIAJ P!PE 1/V VeAT-5 AN D V eA-1 F Y 517-6-5 • Sidewalk installation or repair. �
r, 73-6 • Driveway approach installation
Properly a ress/location(s): APPWOK . 75 - :5K) and/or repair
5--r . Ti a4,e-P 6R 172 Z,3 • Sanitary sewer lateral installation
and/or main line tap
,� TYPE 3—Full scale Development
applicant: T� 1/UG- Er21 t_ i¢rn>u Work performed with Land use
Address: ID5 5 VJ TN 1 JU AyiC- ,� 5y I T-6 300 approval which includes any of
City/state: r o A-T 1-A-011!b 0 K Zip: 2 O q the following:
Phone: (50340&A1 15 14.C"'1
• Subdivisions or Partitions
• Street widening
Contactname: JE�Atc- 9~6 Phone: 503 Z3&)
• Alainhne installation for Sanitary
Contractor: sewer, Stonn sewer,Tigard water
and/or Tigard Water Service Area
CCB#: Expiration:
Address: SUBMIT COMPLETED APPLICATION TO:
City/state: Zip: City of Tigard
Phone: Email: Planning/Engineering
13125 SW Hall Blvd.
Contact name: Phone: Tigard,OR 97223
Applications for"minor work in right-of--way°
Engineer:_ d 7-4K //�C.. only may be entailed to:
ro=e rmits(&tiga� rd-or.gov
.address: 6019 5W T)419_0 Ove, Sv t TE 30`0
City/state: Pe>9-7�- l�. Det? Zip: 720 y -
Phone: 51)3- 287-619 Email: K Yl-J5 . C HlL DEi?_S fdJ 079K•Cal Case No.: ►�� 1?17'�(�����j
Contact name: ��tn 9- C,F41 L-D ER.5 Application submittal fee: $
Additional fees:$
Estimated value of work is required(if over$5,000):$ :application accepted:
(within the public right-of-way) BT Date: d
Application reviewed:
Is work related to a LAND-USE DECISION? ❑ Yes ❑ No /
By, • jn�= Date- C) y
If so,please specify(MLP,SDR, SUB,etc.) case#: E.
Applicant notified:
Is work related to a BUILDING PERMIT? ❑ Yes ❑ No By: Date:
If so please p (BUILDING PERMIT)case#: 1\ENG\Permitapplications\pfi_application aev.12/16/2016
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City of Tigard 13125 SSV Hall Blvd. Tigard,Oregon 97223 w\vwtigard-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,if
required by the city pursuant to TIAC 15.041.144.
i
* Witli the exception of a utility operating pursuwt to a valid francliise with the City of Tigard,when the owner and the applicant are different t
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
,1
Utilities are not required to obtain the owner's signature on the application {
r
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
„
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a
• If the application is granted,the applicant will exercise the rights granted in accordance with the terms and subject to all the y
conditions and limitations of the approval.
• All of the above statements and the statements in any plot plan,attachtnents,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.
��-^� F, C- 0�� 1 a �
V
Applicant/Authorized Agent's signature Punt name Date
SIGNATURES of each owner of the subject property,if required.
Owner's signature Print name Date
Owner's signature Print naive Date
Owner's signature Print name Date
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PUBLIC FACILITY IMPROVEMENT PERMIT
City of Tigard 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov 503-718-2421 Page 2 of 4
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DEVELOPMENT ENGINEERING FEES FOR STAFF USE
•
Public Facility Improvement(PFI)Permit: #�
DETAILED SUBMITTAL
REQUIREMENTS
APPLICATION FEE
Part 1: Required submittal fee$300.00
FRANCHISE UTILITY AND SIDEWALK/
PERMIT FEE DRIVEWAY AND UTILITY
CONNECTIONS,ETC.
Part 2: All non-Lvater system improvements (wnrlc in the right of way)
Engineer's estimate X 5%(less$300.00 submittal fee)
Engineer's estimate X 2%Plan Review Sketch
(including information below)
WATER SYSTEM FEEEl f'
Dimensions
Part 3: All public water system improvements 0 Street Name '
Engineer's estimate X 12% ❑ Site Address
PFI Permit Fee Exemptions: FULL SCALE DEVELOPMENT;
There will be no permit fee charged,or assurance required
for the following types o£work:
Sub an and Street Improveinents)
• Sidewalk repair(less than 20 lineal feet)
• Relocate or replace mailbox Design Plans
(6 sets,24x36 or 22x34)
• Ditch cleaning that does not involve regrading. -
• Weep hole repair ❑ Coy=er-Site,Vicinim Abbreviation,Legend
• Curb repair or replacement(less than 20 lineal feet) El General Notes(City,Water,Suver,etc)
• Lawn sprinkler system installation or repair ❑: Street(Plan,Profile)
• Street tree pruning or planting ❑ Water,Storm and Sanitary(Plan Profile)
• Planter strip landscape maintenance ❑ Water Quality Facilities
• Test wells ❑ Grading
❑ Landscaping/Tree Plan
❑ Composite Utility Plan(Electrical,Phone,Gas,
Nate: A cash assurance may be required per Storm,Sanitary,Water,Signage,Strect Lights,etc)
TMC 15.04.140.(customer deposit) ❑ Details
El Traffic Sight Distance
❑ Signing and Striping`
❑ Street Light Plan.and.Photometric
❑ Engineers seal/signature
❑ Sheet label:(project land use name,revision and
;plan log block,dates and sheet numbers.)
Additional Submittals
(per Land Use conditions)
El Traffic Report
❑ Storm water Drainage Calculations
❑ Geotechnical Report
❑ Preliminary Access Report(Sight Distance)
❑ Proposed Plat
❑ Pathway Design(if applicable).
❑ dater Department Approval
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Sir"
PUBLIC FACILITY IMPROVEMENT PERMIT
City of Tigard 13125 SW Fall Blvd, Tigard,Oregon 97223 wwwtigard-or.gov 503-718-2421 Page 3 of 4 s
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SAMPLE SKETCH:
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W. S t
I=
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I Edge of Pavement
1 —'— Ditch --1 `
Streetlight
I � Rim nradn 4
o. 4
T"fir oNo`scP elW- rine-"
� r, i '
Co I ii,
I ,� .. -Existing House �.
E istin a
1�j 3i ' DdVeway
ci a I ■ ,
a-
>> ,
0■ I. Existing Skin PJ
. • •
1 C
Powerpol•e
IA. ,
95
----- ------ ---
I -groper Line- .
I I I Fire Hydrant(FH
I I
I
1 Seale:
� I
MINIMUM SKETCH REQUIREMENTS (Put"N/A"if Not Applicable):
North arrow _� Property lines &dimension JSlope of property
X Street &street name(s) /'/'/f Existing building,structures _ CX Utility&street light poles
_' Proposed work Existing curb or edge Trees '.
Existing S/W or of pavement _Existing utility locations
D/W apron (sewer,water,storm)
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PUBLIC FACILITY IMPROVEMENT PERMIT
City of Tigard 13125 SW Hall Blvd. • 'Tigard,Oregon 97223 • wwwtigard-or.gov 503-718-2421 Page 4 of 4
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LEGEND
ss ss SANITARY LINE
So s° STORM LINE S
G GAS LINE W WA(I Sr
__._.__.___....._._.tom:.___....._...___._...._ OVER HEAD UTILITY LINE
COMMUNICATION LINE
MEASURE PIPE
IE'S IN MANHOLE
(THIS PERMIT)
J�
o f
J
r'
5 y
SCALE 1"=100' I
MEASURE PIPE
IE'S IN MANHOLE t� �-
(THIS PERMIT)
771h PLACE
�Q
0
60 119r --•_
�oz
CD
.# CD x o
x
Of U-
a tLu
X
wb* 3 Q
1 W W
ZF
I Cj W?p
MEASURE PIPE N ' Of
( r
IE'S IN MANHOLE
(THIS PERMIT) c:,=` m
ND TIE MONUMENTS IN
ROAD 'i r
r f
STMP
26• I
o
o
I PROPERTY
�s
LINE (TYP.) x I�
r
Field FIELD ' S TOPO SURVEY
Calculated
RER SKETCH FOR MINOR SURVEY
Drawn WORK IN SW HUNZIKER ST 17052
Checked By (INSIDE RIGHT—OF—WAY) Project No.
BOB SW 'Third Ave., ste 800 S 17 0 5 2 819 0.d w g
Portland, Oregon 97204 File No.
Phone: (503) 287-6825 SH T 1 OF 1
FAX: (503) 415-2304
www.otak.com Sheet No.
—NOTES—
Tralrgc control devices(hall not encroach into the adjacent lane_
Maiolahs 10'minimum lane width at all limes.
Cone spacing=20'max(for speed limits less than 45mph).
Adjust to field conditions.
M traffic control shall adhere to current MUTCD and OTTCH
YL AK ypT-to guidelines. .
'Notify Tri-Met at least 49hrs in advance(I(503)962-4949.
Flaggers to maintain high levels of visibility at all time.
ROAD
� Flagging stations to be lit n hen n ork is taking place at night.
1F.wD tl
g
RE
RrPA - i
To ST <A
+ a�7{
0 3
c BE
_ FpwR ROAD
ILII' TO#TOP WORK
• D
+l Bus 350'+
. 50.100'Tau $ J►
to Stud St
Bus • 350'±
to •
G� SW nonxilccrSt to • Wori:Zone --.---,ff•• • •
•
•
K 3W. 35U'± 350'± 35
I ■PN
RDAD RE .•
n'ORI: 7I�1'll.'
.U[raD TO ATOP Q
0
<*>
fl
0
4 O
3 4 BE
D&H Greg LeMieux +1 TO STOP
Flagging Inc.
1621 SE Pardee St
Portland,OR 97202
trDRf;
Off:(503)232-2488 AneAD
Fav(503)234-4572
gre"q -Illagging.conn
Contractor:Otak
Contact Person:Eric Ramme
Phone:(503)187-682S
Entail:ericramme(qlotak.com
Job Location:SW Hunziker St and SW Wall St Eauinment List
Tigard LEGEND
Type of Work:Sun eydng/bfanholes 4 Road Work Ahead
Duration:Pending 4 Be Prepared to Stop
Time.daytime 4 Flagger Ahead Y 4#"x 4#"Signs w1 Flags
Date:Pending
20 28^Cones • 28^Cones
October 6,2017 D&H PLAN#6462-1 3 Flaggers T(1 Flagger
—NOTES—
Traffic control devices shall not encroach into the adjacent lam
Maintain 10'minimum lane width at aD times_
Cone spacing=20'max(Cor speed limits less than 45mph).
Adjust to Cdd conditions.
All tratiic control shall adhere to current MUTCD and OTTCH
O•C.gyp SC p J,F• ideGnes.
ttpNN
Notify Tri-Met at kelt dtihrs in advance(aZ(5113)7624949.
Flaggers to maintain high levels orvisibaity at all limes.
ROAD
WORK
Flagging station to be lit whentra rk is taking place at night
MEAD +t
•o
0
RE
FP
To STOP
o
o .y tta
I!IT{1. TU STOP R"URK
� W PAD
•i'l Bns 350'+
0
Bus • 350'+_ 35D'+ �9 y4gLt°r St
to
4— SW Hunriker St �a �r • • • •
•
�a —0. •• W • t�WL •
K 350'± K 350'± K 350'+ • • • • .�C
� JJ
50-100'Ta r ■v x
• so tou'raper
ROAD aE •• •
R'ORK � '}71R1-� •
jyg{D TD hTOP f
'Flip flagging set-up for
work in the opposite lane.
0
0
+I
D&EI Greg LeMieux $
�•�
Flagging Inc 3 � BE:
-ltn..rn•awned bud•wi /611 SF.Pardee St REPAR
Portland,OR 97201 +1 rDsrDr
0
0
Off(503)232-1488
Fax:(503)234-4572 ROAD
gregn�l-hflaggmg.co-
Contractor.Otak
Contact Person:Eric Ratame
Phone:(S03)287-6825
Email:eric.rammeea`otakcom
Job Location:SW Hunziker St and SW Wall St Equipment List
Tigard LEGEND
Type of Work:Sun,eying/Mankoles 4 Road Work Ahead
Duration:Pending 4 Be Prepared to Stop
Time:daytime 4 Flagger Ahead Y 48"x 48"Signa n1 Flags
Date:Pending
20 28"Comes • Zit"Cones
October 6,2017 D&HPLAN#6462-2 3 Flaggers Tt FlaMer
—NOTES--
*Traffic control devices shall not encroach into the adjacent lane.
Maintain 10'minimum lane width at all times.
y
Cone spacing'20'mu(for speed limits ICSs than JSmph}
Adjust to field conditiODL
All traffic control shall adhere to carrent d1UTCD and DITCH
5C guidetiom
Y41��SOT TO In. Notif}Tri-Met at least 48hn in advance�(503)9624949.
a otu --�
rw
}I Flaggers to maintain high[eVeb of visihiliq at all times.
0
0
Flagging stations to be lit when work is[aldog place at night.
Re
cP
TO ATOP
G Q
J u t
�� 1Y
To sror t
+t l
� ROAD t
350+ � lVOR1 �
S 3SO-+ AHP ID \\
Bus • 350'+_ w S,
SW
St \,
to h \
rp \
G SW Hunrikrr St �� 4r work 7.oae � 35 t�
IPM Bus l
K 3So'± K 350-+ � • 'Adjust tapers and cone set-up as needed for � tt
+350} manholes at SW 77th PI and SW Hunziker St. l
res +I Q t
tl 1
3
BE 11
3 EP
rD M t
+1 l
a �
D&H Greg LeMieux
Flagging Inc Row
tYOR/: t
'{l'm e�wnuM 6u�inm- C'w
161/SE Pardee 5r Bos
Portland,OR 97202 l
t
1
t
Off.(503)232-1488 l
Far:(503)234-4571 l
greg(a�d-hJlaggimg.com
Contractor:Otak
Contact Person:Eric Ramme
Phone:(503)187-6825
Email:ericram"wkolak.cons
Job Location:SWKuntikerStandSWWal1St Equipment List
Tigard
Type of Work:Surveying/Manholes 4 Road Work Ahead LEGEND
Duration:Pending 4 Be Prepared to Stop
Time.daytime 4 Flagger Ahead Y 48'148"Signs n/Flags
Date:Pending 28"Cones
2028"Cones `711��
October 6,2017 D&H PLAN#6462-3 3 Flaggers 1 Flagger
—NOTA
Traffic control devices shall not encroach into the adjacent lane.
Maintain 10'minimum lane width at all times.
Cone spacing=20'max(for speed limits less than 45mph).
Adjust to field conditions.
All traffic control shall adhere to current MUTCD and OTTCH
l TO 5C guidelines.
PL��tri ROAD Notify Tri-Met at least 48hn in advance(a�(503)9624949.
w.RK
}I Flaggcrs to maintain high levet of visibility at aft times.
'e
0
Flagging stations to be lit when work is taking place at night.
9E
TO Si01
+I v, l
A.
= g 1t
0
35o'± aErAR \
3Sp.,f Tosror \\
Bus • SwH°gr'kerSt` \\
10 A ROAD \\
SW Hunker St wo Zorn t,WORK �
4T 35 t
`�. ■rH
350'± 3Sp. Bas t
K 3�•± 4►t � to t o:
t�
N
Ro.�D ae •Adjust tapers and cone set-up as needed for t'o
�voRk Rrr. <*> manholes on SW Hunziker St Nk� tt
AtIF.AII TU 6TUY ROAD
K"ORK -IV t
'Flaggers to set-up where they can maintain t
4 high levels of visibility at all times. tt
3 N t ROAD
3 Y t
WORK
EADt
t
,
t
D&Ht
Creg Letlficux Bus t,
Flagging In,
1621 SE Pardee Si
Portland OR 97202 tt
c, t
Off:(S03)232-1488 q t
Fax:(503)234-4572
greg h lagging.corn
Contractor:Otak
Contact Person:Eric Ramme
Phone (503)187-682S
Email-eric.rammetA'otak.cam Equipment List
Job Location:SW Hunziker St and SW Wall S[
Tigard
5 Road Work Ahead LEGEND
Tvpe of Work:Sun ej,ing/Manholec 3 Be Prepared to Stop
Duration:Pending 3 Flagger Ahead Y 4A"z 48 Signe w/Flag+
Time:daytime • 28"Cones
Date:Pending 15 28^Cones
2 Flaggers �i'7n+ Flagger
October 6,2017 D&fI PLAN#6462-4