PFI2018-00034 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
COMMUNITY DEVELOPMENT Permit#: PF12018-00034
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 02/21/2018
Parcel: SEG1706
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: PGE
Project Description: SEG1706, associated with address 14140 SW 72nd Ave. Replace bad order pole. PGE job M2185406
Owner: FEES
Description Date Amount
PFI Permit Fee 02/15/2018 $300.00
PHONE:
Contractor:
PHONE:
FAX:
Applicant:
BRANDON HADLEY
10800 SW AVERY ST.
TUALATIN, OR 97008
PHONE: 503-612-2935
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 SEL--
E� A I�f L I1r AT L O n �
Signature: �`
Issued By: 'L"4 u
Special Conditions(See Attached)
Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY
Conditions for PF12018-00034
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.
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
I
RECEIVED
City of Tigard FEB 13 2018
M PUBLIC WORKS—ENGINEERING CITY OF TiGARD
PLANNING 11GINEERING
Public Fadhty Improvement PFI Permit
TYPE OF WORK
DESCRIPTION OF WORK(in the right-of-way)
C�
,�/ TYPE 1—Franchise Utility Work
Check one: [J Utilities ❑Sidewalk/driveway approach ❑Streetimprovements performed by NWN, PGE
Detailed description: Replace bad order pole and/or utility agency.
PGE Job M2185406 ❑ TYPE 2—Sidewalk/Driveway/Sewer
Work performed for the purpose of-
-
£• Sidewalk installation or repair.
Property address/location(s): 14140 SW 72nd Avenue • Driveway approach installation
and/or repair
Tigard, OR 97224 • Sanitary sever lateral installation
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: preregcoord@pgn.com • Subdivisions or Partitions
Contact name: SDPM Brandon Hadley Phone: 503-844-5412 • Street widening
• Mainline installation for Sanitary
Contractor: NIA 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: PlanninglEngineering
13125 SW Hall Blvd.
Contact name: Phone: Tigard,OR 97223
Applications for"1uiuor work in right-of-way"
Engineer: N/A only may be emailed to:
ro ermits .tigard-or.gov
Address:
City/state: Zip: immmeltacminatmm mmi_
Phone: Email: Case No.:
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:
Is work related to a LAND-USE DECISION? ❑ Yes Ef No By: SC Date: Z-13-19
If so,please specify (MLP,SDR,SUB,etc.) case#: Application reviewed:
By:14. 4-P 6 fill- Date: 1
Is work related to a BUILDING PERMIT? ❑ Yes No Applicant notified: j
If so,please specify(BUILDING PERMIT)case#: By: �C Date: Z�l4✓
110
I:%ENG\Permi[Appllations\pfl_appliption Rev.10/16/2017
/.7 .-F," A-'`T A2'&' C Ij e(L.1L
City ofTigard • 13125 SW Hall Blvd. Tigard,Oregon 97223 • -vwwtigard-or.gov • 503-718-2421 • Page 1 of4
APPLI CANT S
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 APPLICANTS)SHALL CERTIFY THAT:
• The above request does not violate any recorded deed restrictions that may be attached to or unposed upon the subject
ro e
• If the application is granted,the applicant will exercise the rights granted in accordance,vith the terms and subject to all the
conditions and limitations of the approvaL
• All of the above statements and die 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.
2 J2Q1
Applicant/Authorized Agent's signature Print name Date
SIGNATURES of each owner of the subject property, if required.
Owner's signature Print naive Date
Owner's signature Print name Date
Owner's signature Print name Date
PUBLIC FACILITY IMPROVEMENT PERMIT
City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov 503-718-2421 Page 2 of4
Page 52 2011 Edition
Bicycle and Pedestrian Accommodation Diagrams
The following practices and details address the accommodation of bicycles
and pedestrians within work zones. The following detail drawings should be
incorporated, where appropriate, into the traffic control plan for any short
term work.
1. See Section 1.6—Bicycle and Pedestrian Considerations for additional
guidance.
2. Stay alert for pedestrians and bicycle traffic and accommodate safe
passage for them, as needed.
3. The work space should be protected from bicycle and pedestrian
intrusion by using barricades or closely-spaced channelizing devices.
4. Maintain access to transit stops or clearly close a transit stop using
barricades or channelizing devices.
Bicycle Accommodation Diagram 5-6
Bicycle Accommodation Principles:
1. If a significant volume of bicycles can be expected and work closes a
marked bicycle facility, or requires bicycles to share a travel lane,
install a "(Bicycle) ON ROADWAY" sign (CW11-1) or the Bicycle
symbol (W11-1) sign with an "ON ROADWAY" (OBW1-5) rider, in
advance of the work area.
2. Install temporary signing off the paved shoulder, within the planter
(buffer) strip, or share the width needed between the shoulder and the
sidewalk, as available.
3. Signs are to remain in place until the surface is restored and the width
made available for bicycle use. See Diagram 5-6 for typical bicycle
signing placement.
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 53
Bicycle Accommodation Diagram 5-6
I I
I
NOTES:
• Bicycles on Roadway(CW11-1)sign should not
interrupt standard sequences. For example:
I
o BE PREPARED TO STOP/Flagger Symbol
o LANE CLOSED AHEAD/Lane Ends
I Symbol
• Bicycles on Roadway sign typically follows ROAD
I
WORK AHEAD sign and used as general warning.
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I� WORK
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September 2016 Chapter 5
www.invarion.com
Diversion into. a Continuous Left Turn Lane Diagrwn 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 (LI2) 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 acro a sen Sign,s
r
seri A. B G §P weE R RATA:
20 50
25 100 100 100 75 Supplement Table
30 100
35 350 350 350 125 Updated: February 12,
40 150 2016
45 180 By:ODOT Traffic-Raodway
50 500 500 500 210 section
55 250
Signs Spacing and Buffer Lengths (feet) Supplement
Posted specitn9 between Si tis "Buffer".-
SOW.. '-. C - apc
60 285
65 700 700 700 325
70 365
www.invarion.com
Pive' rsion into a Continuous Left Turn Lane Diagram 430.
ROAD
WORK
HEAD l
B `l
l t
CENTER
LANE
CLOSED
HEAD
A
0
L/2 0
U
0
Buffer
Protection Vehicle
w/TMA(both Optional)
See Chapter 4
Buffer
0
0 U2
0
0
U
L/2 o A
0 t
o
lit
ROAD
WORK
AHEAD
WL 1 PL-8702: OVERHEAD LEGEND
Install: REMOVE/ABANDON FACILITIES_INSTALL FACILITIES
P NORTH ° 14020 _INSTALL ADDITIONAL FACILITIESIMODIFYFACILITIES
D
Transfer: a
STREETLIGHT x 1 WORK LOCATIONS
Remove:
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PGE CONSTRUCTION DRAWING
AS-BUILTI N 8 NESC VIOLATIONS CORRECT D
Foreman: Date:
THINK General Foreman. Date:
SAFETY (Signature onIy required for field construction changes?
SDPMIENG REVIEW. ASBUILT BY DESIGNER
FIRST DATE - S= JACCOUNTAWO JOB NO
ANYDEVL47ION FROM 110 DESIGN MUST 11/16/2017 1 in=50 ft 1070001 0000017443 M2185406
BE APPROVED BY THE PGE PROJECT MANAGER TITLE
2016 OH FITNES-REPLACE 810 POLE
CALL 811 BEFORE YOU DIG aR s
ATTENTION: DURHAM-DURHAM 13 117 7 x 11
OREGON LAW REQUIRES YOU TO FOLLOW RULES ADOPTED , PGE LOCATION
BY THE OREGON UTILITY NOTIFICATION CENTER. 14140 SW 72ND AVE,TIGARD,OR,97224
THOSE RULES ARE SET FORTH IN OAR 952.001-00I0 1 DESCRIPTION
THROUGH 952-001-0090 YOU MAY OBTAIN COPIES OF REPLACE B/O POLE SHEET
THE RULES BY CALLING THE OREGON UTILITY COUNTY SECTIONS WORK WITH
NOTIFICATION CENTER ADMINISTRATION@(502-232-1987) WASHINGTON C2101D,C2112A 101`1
10 REQUEST UTILITY LOCATES CALL THE OREGON Know/�w�haY W(VW wrLS__ E DESIGNBY PHONE DRAWNCY
UTILITY NOTIFICATION CENTER,811 AT LEAST Callbetoreyou dig. LINE CREW CENTER BRANDON HADLEY Stephanie McKenzie
2 BUSINESS DAYS PRIOR TO EXCAVATION Wd0514 BOECKMANRD C PORTLAND GENERAL ELECTRIC CO.-ALLRIGHTS RESERVE=D