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PFI2018-00018 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT COMMUNITY DEVELOPMENT Permit#: PF12018-00018 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 02/07/2018 Parcel: SEG1331 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: PGE Project Description: SEG1331, associated with address 13181 SW 72nd Ave. PGE Job M2448678. Install new XFMR to serve signal controllers. Owner: FEES Description Date Amount PFI Permit Fee 02/06/2018 $300.00 PHONE: Contractor: PHONE: FAX: Applicant: CHRIS JEWETT 10800 SW AVERY STREET TUALATIN, OR 97062 PHONE: 503-672-5481 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: &CL Issued By: Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12018-00018 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. CONTACT KEN FISHER AT 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 R'ECE'IVED City of Tigard AN 2 9 20x8 a PUBLIC WORKS —ENGINEERING A19 s . . Public Fac tYImprovement (PFI) Permit' `}—RING IVG TYPE OF WORK DESCRIPTION OF WORK(in the right-of-way) F{ TYPE 1—Franchise Utility Work Check one: Ff Utilities ❑Sidewalk/driveway approach ❑Streetimprovernents performed by MVN, PGE Detailed description: PGE Job M2448678 and/or utility agency. INSTALL NEW XFMR TO SERVE SIGNAL CONTROLLERS ❑ TYPE 2-Sidewalk/Driveway/Sewer Work performed for the purpose of. • Sidewalk installation or repair. • Driveway approach installation 13181 SW 72nd Avenue Property a dress location(s): and/or repair Tigard, OR 97223 • Salutary sewer lateral installation t and/or main line tap Applicant: Portland General Electric[Submitted by Amy Sweany] ElTYPE 3—Full scale Development Work performed with Land use Address: 10800 SW Avery Street 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: SDPM Chris Jewett Phone: 503-672-5481 • Street widening • Mainline installation for Sanitary Portland General Electric Company sewer, Storm sewer, Tigard water Contractor: p y and/or Tigard W'ater Service Area CCB#: 103663 Expiration: 12/21/2018 Address: SUBMIT COMPLETED APPLICATION TO: City/state: Zip: City of Tigard P1annir�,a/E_jgin eering Phone: Email: 13125 SW Hall Blvd. Contact name: Phone: Tigard,OR 97223 Applications for"minor work in right-of-way" only may be emailed to: Engineer: NIA rQmTermitstigard-or.gov Address: City/state: Zip: FOR STAFF USE ONLY (� Photic: Email: Case No.: r rl Z01 000)J Contact name: Application submittal fee(.007%of Engineer's Estimate) S_ '6=D- Estimated value of work is required(if over$5,000):$ 6,101.37 Additional fees: $ (within the public right-of-way) Application accepted: 1' Date: Is work related to a LAND-USE DECISION? El Yes C1�No By: If so,please specify (MLP,SDR,SUB,etc.) case#: Application reviewed: 1 By:14•C t S Vd-A- Date: �s`�.J 9 Is work related to a BUILDING PERMIT? ❑ Yes Cd No Applicant notified: If so,please specify(BUILDING PERN11T)case#: By: Date: 1151106 I:\ENG\PermitApplications\pfi application Rev.10/16/2017 A iJ Aw2T VZ**J� w P--� 3i- .,.nt�c a 3p-- ► d � '1�Nd AT V tR�.15 �S �90 STt2��i. 1f'T�-S-WCAt,4 MtjST gt 2 r�,►%� w�"� C.4W ext 1 AY City ofTigard 13125 SW Hall Blvd. Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of 4 �>uAt( 5W)�:j APPLICANTS NOTE: Person specified as"Applicant"shall be designated"Pernuttee"and shall provide financial assurance for work,if required by the city pursuant to TMC 15.0=11.140. * With the exception of a utility operating pursuant to a valid franchise with the City of Tigard,when the owner and the applicant arc different People,the applicant must be the purchaser of record or a lessee in possession with written authorisation from the owner or an agent of the owner. The owner(-,)must sign this application in the space provided or submit a written authorisation 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 1?17012 • If the application is granted,the applicant will exercise the rights granted in accordance kvith the terms and subject to all the conditions and limitations of the approval. 4 • All of the above statements and the statements in any plot plan,attachments,and exhibits transmitted herexvith,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 die requirements for approving or denying the application. \--kA -S z Applicant/authorized agent's signature Print name Dite SIGNATURES of each owner of the subject property, if required. Owner's signature Print natne Date Owner's signature Print naive Date Owner's signature Print narne Date PUBLIC FACILITY IMPROVEMENT PERMIT City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov 503-718-2421 • Page 2 of4 OVERHEAD LEGEND I34 7300 REMOVE FACILITIES INSTALL FACILITIES CONSTRUCTION NOTES: OH 1. SEE THE PGE ELECTRIC SERVICE REQUIREMENTS(ESR)BOOK FOR THE FULL SET U OF REQUIREMENTS.THE ESR BOOK CAN BE FOUND AT https:/Nvww.porflandgeneral.com U 2. CUSTOMER IS RESPONSIBLE FOR OBTAINING ALL BUILDING AND ELECTRICAL PERMITS FOR Q THE APPROPRIATE MUNICIPALITY.CUSTOMER IS ALSO RESPONSIBLE FOR OBATINING ALL m�z N EASEMENTS AND TREE-TRIMMING PERMITS,AS REQUIRED. °o 7325 MOVING TRAFFIC CONTROLLER 3. ALL TREE TRIMMING IS REQUIRED TO BE COMPLETED PRIOR TO PGE INSTALLING SERVICE. I`SECONDARY OPEN ¢ SOURCE TO MAINLINE. REMOVE 4. CONTACT PGE SERVICE COORDINATOR IN ORDER TO PL-1098 CAP BANK AND INSTALL NEW XFMR RECEIVE AN APPROVED METER SPOT AND CONFIRM THAT THE SERVICE WILL MEET CREATE SECONDARY OPEN AT ALLAPPLICABLE CODE CLEARANCE REQUIREMENTS OVER GOUND,STREETS,PARKING 72 LOTS,ROOFS,DECKS AND BALCONIES,ACROSS OR BESIDE OTHER OVERHEAD PL-1098 UTILITY WIRES,AND ADJACENT TO WINDOWS. O 5. AFTER PASSING THE APPROPRIATE MUNICIPAL ELECTRICAL INSPECTION,CUSTOMER TO 1098 REQUEST AN INSPECTION BY PGE BY CONTACTING SERVICE COORDINATOR AT 50'-2 800-542-8818 OR 503-323-6700 IN THE PORTLAND AREA.PGE WILL NOT ENERGIZE THE 1982 SERVICE UNTIL ALL INSPECTIONS HAVE BEEN PERFORMED. 450 kvar KVAR 143 100 T Q PGS N B 2 ACSR y 2-B210AL-SPUN 62P`�X X C21-01D 7 SW VARNS T WL1 Install: 1P 7.2 120/240 OH 10KVA NT1CB NF TRANSFORMER �m Remove: CAPACITOR BANK 7330 13235 7155 PGE CONSTRUCTION DRAWING USX AS-BUILT VERIFICATION 8 NESC VIOLATIONS CORRECTED This document accurately represents FIELD Construction � Foreman: Date.- in General Foreman: Date.- (Signature ate.(Signature only required for field construction changes) SDPMIENG REVIEW ASBUILT BY DESIGNER: DATE: SCALE: ACCOUNT.' AWO: JOB NO. 12/29/2017 1 in : 33 ft 1070001 1000004545 M2448678 TITLE CALL 811 BEFORE YOU DIG PGE ATTENTION: CIRCUIT SIZE THINK OREGON LAW REQUIRES YOU TO FOLLOW RULES ADOPTED WEST PORTLAND-72ND 11 x 17 BY THE OREGON UTILITY NOTIFICATION CENTER. �� LOCATION ANY DEV147TON FROM THIS DESIGN MUST SAFETY THOSE RULES ARE SET FORTH!N OAR 952-001-0010 13181 SW 72ND AVE„TIGARD, OR,97223 THROUGH 952-001-0090 YOU MAY OBTAIN COPIES OF DESCRIPTION BE APPROVED BY THE PGE PROJECT MANAGER F I RST THE RULES BY CALLING THE OREGON UTILITY INSTALL TRANSFORMER, REROUTE SECONDARYS SHEET NOTIFICATION CENTER ADMINISTRATION @(502-232-1987) COUNTY SECTIONS WORK WITH TO REQUEST UTILITY LOCATES CALL THE OREGON """haft below. WASHINGTON C2101 D 1 1 OF— UTILITY F_UTILITY NOTIFICATION CENTER, 811 AT LEAST Call befom you dig. DESIGN BY PHONE(503)DRAWN BY 2 BUSINESS DAYS PRIOR TO EXCAVATION Chris Jewett I CHRIS JEWETT 0 PORTLAND GENERAL ELECTRIC CO.-ALL RIGHTS RESERVED Page 108 2011 Edition 5.5 Multi-Lane Roads Right Lane Closure, Multi-Lane Non-Freeway Diag. 500 Diagram 500 covers work which closes the right lane of a multi-lane non- freeway road. If closing more than one lane on a multi-lane road, provide a minimum tangent distance of 2L between the end of the first lane closure taper and the beginning of the second lane closure taper. 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. When the posted speed is 40 mph or less, the RIGHT LANE CLOSED AHEAD signs may be omitted. 4. Placement of signs in a non traversable median or other median that is not a two-way left turn lane is required for lane closures any time there is room for a truck to be parked on the left, out of the travel lane. When there is no room for a truck to be parked on the left an additional RIGHT LANE CLOSED AHEAD sign should be placed on the right side and placement of signs in the median is optional. 5. If flagging is needed for work vehicle ingress/egress, use Flagger Layout Detail (see Inset). Sign Spacing and Buffer Lengths(feet) Posted Spacing Between Signs "Buffer" Speed A B C Space 20 50 25 100 100 100 75 30 100 35 125 350 350 350 40 150 45 180 SO S00 500 500 210 55 250 60 285 65 700 700 700 325 70 365 Chapter 5 September 2016 2011 Edition Page 109 Right Lane Closure, Multi-Lane Non-Freeway Diag. 500 1 1 t t • Protection Vehicle • wnW(both Optional) ' See Chapter 4 • fUU ' I � I I t Buffer • A Buffer B I .— IBE I PREPARED L I TO STOP �® 1-6 1 (Optional) Flagger Layout Lia Detail A j I N B *See Note 4 FUaHr uHe * CLOSED 1 1 t t AHEAD C ROAD * _=- WORK AHEAD September 2016 Chapter 5 Page 118 2011 Edition Lane Closure at Intersection with Flagging Diagram 620 Diagram 620 covers work within an intersection when normal traffic control must be interrupted. Work vehicles may or may not be in the work space. 1. During flagging, traffic signals shall be turned off. Contact the road jurisdiction for approval and assistance (see Chapter 3). 2. For multi-lane facilities, traffic approaching the intersection shall be reduced to a single lane on each approach. See Chapter 3 for information on flagging through intersections. 3. There should be one flagger for each approach. One flagger may control two adjacent approaches if sight distance, low volumes on side roads, and flagger position allows for safe operation and clear direction to motorists. For low traffic volume intersections(fewer than 400 entering vehicles per day), one flagger may be used. 4. 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 may be expected. Sign Spacing and Buffer Lengths(feet) Posted Spacing Between Signs "Buffer" Speed A B C Space 20 50 25 100 100 100 75 30 100 35 350 350 350 125 40 150 45 180 50 500 500 500 210 55 250 60 285 65 700 700 700 325 70 365 Chapter 5 September 2016 2011 Edition Page 119 Lane Closure at Intersection with Flagging Diagram 620 ROAD WORK AHEAD LANE (POP"* ROAD AHEAD 1 1 BE B PRS B A y (0vmw 4BB now loon.� naso WORK �A C Buffer Tt loot. C B B A ROAD EE WOW PaEr ' ,ao rt Max A►� Ao�o To sroP �_ • �E I�nr ROAD (01 TA BE PP.ePu� TO STOP B (00 LANE 1 t --- AHEADROAD ROAD WORK AHEAD September 2016 Chapter 5 Machine Mill The Sand And Seal Paving Joints With 12" Area ror A 1-1/2" Hot Paving Grade Exsting12„ Min Blanket Inlay Oil (pg 64-22 Or Asphaltic -- * See Notes Below Concrete Min "`- Equivalent) t jr Road _, ;�f� �r�_,r ,f Bose -r -�`�`--;�- -�� ,• %=` ;=�c.' ��-� , Non-Compressible Backfill-Cement Slurry (for Major Roads Or As • I I - Asphaltic Concrete Pavement ��I I Specified) Ground Undisturbed Patch, 6" Thick Or. Match Ground Existing Pavement (whichever Is Greater) Up To The Level Of Originol Pavement. f :_-TI 3 Crushed Aggregate I IT Or Granular Pipe Zone Backfill I I---} Material I -•- Lo - � I� -I i f ! ! I !_1 III--• i I I � LZ o Trench Width w Per Plan or h4 As Specified * o Notes: Blanket Patches To Be Constructed With Level 2, 1/2 Inch, Dense, Pg-64-22 o Hmoc In Dry Pavement Conditions, Where Existing Pavement Is At Least 60' F And Rising. • Tack All Pavement To Be Inlaid With Emulsified Asphalt. h The City Engineer Shall Determine the final Width and Length of the Inlay Patch ro to Best Fit Travel Patterns. 3� r t0 O� z u�0 CAPITA.CONSTRUCTION AND d TRANSPORTATION DIVISION City of Tigard FIGURE r� �1tJ/IT � 13125 S.W. fW1OREGON BLVD. Blanket I n l a y 1 I. . 77G.4R0, OREGON 97723 z VOICE: 503-639-4171 FAX: 503-624-0757 Detail FILE NO I WWW.T7a4RD-OR.GOv n�a