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PFI2018-00031 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT COMMUNITY DEVELOPMENT Permit#: PF12018-00031 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 02/12/2018 Parcel: SEG1706 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: PGE Project Description: SEG1706, associated with address 7298 SW Tech Center Dr. Install new guy Owner: FEES Description Date Amount PHONE. Contractor: PHONE: FAX Applicant: AMY SWEANY 10800 SW AVERY ST TUALATIN, OR 97062 PHONE: 503-612-2935 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 AfrLICA �/? r iq Signature: 1. Issued By: la/vwu " Y Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12018-00031 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. call Jonny Gish @ 971-713-0281 or Jonny@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 RECEIVED FEB 0 7 2018 City of Tigard CITY OF TIGARD " PUBLIC WORKS —ENGINEERING PIANNIiNG ENGNEERING Public Facility Improvement (PFI) Permit TYPE OF WORK DESCRIPTION OF WORK(in the right-of-way) ❑ TYPE 1—Franchise Utility Work Check one: Utilities ❑ Sidewalk/driveway approach ❑ Streetimprovements performed by NWN, PGE 9 Detailed description: Y• new Install U and/or utility agency. ❑ TYPE 2—Sidewalk/Driveway/Se-,ver Work performed for the purpose of: • Sidewalk installation or repair. Property address/locadon(s): 7298 SW Tech Center Dr • Driveway approach installation and/or repair TI and OR 97223 • Sanitary sewer lateral installation ��G I Td and/or main line tap Applicant: Portland General Electric[Submitted by Amy Sweany] ❑ TYPE 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: 503-612-2935 Email: preregcocrd@pgn.com • Subdivisions or Partitions Contact name: Mario Duke Phone: mario.duke@pgn.com • Street widening • Mainline installation for Sanitary sewer, Storm sewer, Tigard water Contractor: Portland General Electric, Inc. and/or Tigard Water Service Area CCB#: 103663 Expiration: Address: SUBMIT COMPLETED APPLICATION TO: City/state: Zip: City of Tigard Phone: Email: Plai inglEngineering 13125 SW Hall Blvd. Contact name: Phone: Tigard,OR 97223 Applications for"minor worts in right-of-way" only may be emailed to: Engineer: NSA roLvpermitsa,tigard-or,gov Address: FOR S'I'At-F USE ONLY City/state: Zip: Phone: Email: Case No.: F 12,01 S-- 00031 Contact name: Application submittal fee(.007%of Engineer's Estimate) $ Estimated value of work is required(if over$5,000):$ NSA Additional fees: $ (within the public right-of-way) Application accepted: a Is work related to a LAND-USE DECISION? ElYes No r By: `�(- Date: If so,please specify (MLP, SDR,SUB,etc.) case#: Application reviewed: a�� By: Date: � �iaf Is work related to a BUILDING PERMIT? ❑ Yes Rf No Applicant notified: n If so,please specify(BUILDING PERMIT)case#: By: K� Date: ` 1�`�3 I:\ENG\PermltAppl(cations\ptf_appllcatlon Rev.10/16/2017 /t)O (,.ZOftl: ON Se,J "72= z 6-FDjze� gfAN'l or �FrL-1C 317 Cityof Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 Page 1 of4 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 owner's 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 1=12 - • 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. 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 CityofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 0 www.tigard-or.gov 503-718-2421 • Page 2 of4 Page 106 2011 Edition Diversion into a Continuous Left Turn Lane Diagram 430 Diagram 430 shows work in the travel lane(s) next to a continuous two-way left turn lane with one direction of traffic diverted into the continuous two-way left turn lane. 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. When two or more travel lanes are reduced to a single lane before the diversion, each lane shall be closed separately. Layout traffic control according to ODOT Standard Drawing TM 852 for 5-lane sections. 4. A shifting taper(L/2) may be added in the diverted traffic direction across the continuous two-way left turn lane (as shown). This option is recommended when the speed is 45 mph or greater. 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 107 Diversion into a Continuous Left Turn Lane Diagram 430 ROAD WORK AHEAD Ihl B lyt CENTER LAPS CLOSED AHEAD A II U2 I ;I Buffer Protectlon Vehlcle w/TMA(both Optlonao See Chapter 4 Buffer • • V2 I • U2 I • A II lht B 4 I ROAD WORK AHEAD September 2016 Chapter 5 OVERHEAD LEGEND 4299 WL 1 PL-5222: TIE 45'-3 1962 Install: }:'EA40VF'/Al?ANI)0N FACI.IJTIf:S_INSTALL FACILITIES 600 A INSTALL ADDITIONAL FACILITIES/MODIFY FACILITIES 1718( C) A5 L14.5' 28,303#(SW) G19-PRI-10,372# 7150 G16-NEU-8,125# Remove: 1 WORK LOCATIONS Al G16 U ......=e SURVEY GRID BOUNDARY o to o 0 M x ¢ POLES Ln POLE CLASS(1,2,3,4,H1,H2,S) a HT-CL Z I y� I�POLE HEIGHT 9� tr a 5221 \ 40'-3; 1982 -4e �16 S6 qq"?.qC 984 45'-4 1985 A 15 435 '3-143 100 T v �`l'P SBC 3-142 65 T N9j�S6 qq 8 5222 CU C 45'-4 40-4 2000 600 kvar 1995 �KVAR BC 2 CU ANCHORS O CREW NOTE:ACCESS FROM PARKING LOT IN 5436 w _ a THE FIELD 1 -9 1979 (LEAD) 8 a N a A. (LBS) p V O N x . Anchor Code Al A3 A5 A7 AB GUYING _ OS-LBS 1 GUY G1 G4 G7 G1 G1 Gt 2 GUYS G2 G5 G8 G11 Gt 3 GUYS G3 G6 G9 G1 G1 G21 G2 i I 13935 I I I i 0 25 50 100 Feet r----........_... I _... N PGE CONSTRUCTION DRAWING AS-BUILT VERIFICATIO NESC VIOLATIONS CORRECTED in,e Cowmen[eccual elyre0 FI DCO 1-11 Foreman: Date: THINK General Foreman: Date: SAFETY (Signature only required/or field consWchon changes) SDPMrENG REVIEW JASBUILTBYDESIGNER: FIRST �NYDEVIATION FROM THIS DESIGN MUST 1/16/2018 1 in=50 ft JACCOUNf 5930001 1000001400 M2310482 IBEAPPROVED BY THE PGE PROJECT MANAGER TITLE OH FITNES-INSTALL NEW GUY CIRCUIT s ATTENTION: CALL 811 BEFORE YOU DIG \ DURHAM-DURHAM 13 17 17 x 11 OREGON LAW REQUIRES YOU TO FOLLOW RULES ADOPTED roPGE LOCATION BY THE OREGON UTILITY NOTIFICATION CENTER, 7298 SW TECH CENTER DR,TIGARD,97223 THOSE RULES ARE SET FORTH IN OAR 952-001-0010 1 DESCRIPTION THROUGH 952-001-0090 YOU MAY OBTAIN COPIES OF 2016 OH FITNES-INSTALL NEW GUY FOR PRI,NEU,&COMM SHEET THE RULES BY CALLING THE OREGON UTILITY COUNTY SECTIONS WORK WITH NOTIFICATION CENTER ADMINISTRATION @(502-231-1987) WASHINGTON C2101 D 1 OF 1 TO REQUEST UTILITY LOCATES CALL THE OREGON Know(�what's be�OW. w¢sa�vl«E DESIGN BY PHONE DRAWN BY UTILITY NOTIFICATION CEN TER,811 AT LEAST Call before you dig. LNFcREWcEN7ER MARIODUKE 503.718.6337 STEPHANIEMCKENZIE GO BO 2 BUSINESS DAYS PRIOR TO EXCAVATION ONVILL CKMANRO O PORTLAND GENERAL ELECTRIC CO-ALL RIGHTS RESERVED