Loading...
PFI2018-00050 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT s COMMUNITY DEVELOPMENT Permit#: PF12018-00050 2 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 03/06/2018 Parcel: SEG2532 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: Comcast PFI Project Description: Bore one, 2" HDPE conduit from ped at 9570 North under ROW rhwn NE uner Sidewalk and Millen Drive. to Power meter on house 9565 at min depth 30". Owner: FEES Description Date Amount PFI Permit Fee 03/06/2018 $300.00 PHONE: Contractor: PHONE: FAX: Applicant: RANDY SHIELDS 11308 SW 68TH PRKWY TIGARD, OR 97223 PHONE: 888-824-8264 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: SCeGj b� Issued By: Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12018-00050 Type: Condition Name: Status: Severi : 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 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 RECEIVED MAR 012018 City of Tigard CITY OF T+CARD g PLANN44G/EK,GINEERING PUBLIC WORKS — ENGINEERING t Public Facility Improvement (PFI) Permit TYPE OF WORK DESCRIPTION OF WORK(in the right-of-way) ® TYPE 1—Franchise Unlit}'Work Check one: N Utilities 9 Sidewalk/driveway approach ❑Street improvements performed by NXVN, PGE Bore one 2" HDPE conduit from ed at 9570 N and/or utility agency. Detailed description: p El TYPE 2—Sidewalk/Driveway/Sewer under BOW. then NE under S/V1l and Millen Dr.. SMa4ain. then W under Mork performed for the purpose of: ROW and D/W and N to power meter on house 9565 at a min. depth of 30". • Sidewalk installation or repair. • Driveway approach installation Property address/location(s): 9565 SW MILLEN DR_ and/or repair TIGARD, OR 97224 • Sanitary sewer lareral installation P S 3 Z and/or main line tap Applicant: COMCAST kf ❑ TYPE 3—Full scale Development l p Work performed with Land use Address: 11308 SW 68TH PRKWY approval which includes any of City/state: TIGARD , OR Zip: 97223 the following: Phone: 888-824-8264 Email: Randy_Shields@cable.comcast.com • Subdivisions or Partitions Contact name: Randy Shields Phone. N/A • Street widening • Mainline installation for Sanitary Contractor: LINESCAPE LLC. sewer, Storm sewer,Tigard water and/or Tigard��i'ater Service Arca CCB#: 140408 Expiration: 01-14-2020 Address: 19100 SW 51 ST AVE. SUBMIT COMPLETED APPLICATION TO: City/state: TUALATIN,OR Zip: 97062 City of Tigard Phone: 503-612-7917 Email: Permits@IinescapelIc.com Planning/Engineering 13125 SW Hall Blvd. Contact name: HEIDI SELLICK Phone: 971-804-1496 Tigard,OR 97223 Applications for"ming work in right-of-way" only may be emailed to: Engineer: rmmermitsaaga�rd_or.gov Address: FOR STAFFUSE ONLY City/state: Zip: (�r n Phone: Email: Case No. r rT!N I S—00foS 0 Contact name: Application submittal fee(.007%of Engineer's Estimate) $ : egw Estimated value of work is required(if over$5,000):$ additional fees:$ (within the public right-of-way) application accepted: 31/ � tb Is work related to a LAND-USE DECISION. El Yes CX No By: �6 Date: If so,please specify (NILP,SDR,SUB,etc.) case #$: Application reviewed: By Date: 3"5146 Is work related to a BUILDING PERMIT? ❑ Yes No Applicant otified: �+ If so lease s peel (BUILDING PERMIT)case#: By: C Date: 3_,4� p I � CB � I:IENGIPermitAPpucationslpfiapplication Rev.10/16/2017 City ofTigard • 13125 SW Hall Blvd. • 'Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 9 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 tlus 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 maybe attached to or imposed upon the§object proper . • 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. fx/� A a f8 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 ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.dprd-or.gov 503-718-2421 • Page 2 of4 DEVELOPMENT ENGINEERING FEES FOR STAFF USE ONLY Public Facility Improvement(PFI)Permit: REQUIREMENTSDETAILED SUBMITTAL APPLICATION FEE Part 1: Required subn>;ttal fee S300.00 (nunimum) FRANCHISE UTILITY AND SIDEWALK/ DRIVEWAY AND UTILITY PERMIT FEE CONNECTIONS,ETC. Part 2: All non-water system improvements (work in the right of way) Engineer's estimate X 5%(less$300.00 minimum Sketch submittal fee) Engineer's estimate X 2%Plan Review (including information below) ❑ Dimensions WATER SYSTEM FEE ❑ Street Name Part 3: All public water system improvements ❑ Site Address Engineer's estimate X 12% FULL SCALE DEVELOPMENT PFI Permit Fee Exemptions: (Subdivisions/Partirions and Street Improvements) There will be no permit fee charged,or assurance required for the followinghrpes of work: Design flans • Sidewalk repair(less than 20 lineal feet) (G sets,2406 or 22x34) • Relocate or replace mailbox ❑ Cover—Site,Vicinity,Abbreviadon,Legend • Ditch cleaning that does not involve regrading. ❑ General Notes(City,Water,Sewer,etc.) • \\,'eep hole repair ❑ Street(Plan,Profile) • Curb repair or replacement(less than 20 lineal feet) ❑ Water,Storm and Sanitary(Plan Profile) • Lawn sprinkler system installation or repair ❑ Water Quality Facilities • Street tree pruning or planting ❑ Grading • Planter strip landscape maintenance ❑ Landscaping/Tree Plan • "fest wells ❑ Composite Utility Plan(Electrical,Phone,Gas, Storm,Sanitary,)XIater,Signage,Street Lights,etc) ❑ Details Note: A cash/bond assurance may be ❑ Traffic Sight Distance required per TA1C 15.04.140. ❑ Signing and Striping (customer deposit) ❑ 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) ❑ Traffic Report ❑ Storm water Drainage Calculations ❑ Geotechnical Report ❑ Preliminary Access Report(Sight Distance) ❑ Proposed Plat ❑ Pathway Design(if applicable) ❑ Water Department Approval ❑ Engineer's Construction Estimate PUBLIC FACILITY IMPROVEMENT PERMIT Cite ofTigard 13125 SW Hall Blvd. • Tigard,Oregon 97223 • Nvww.tigard-or.gov • 503-718-2421 • Page 3 of4 Page 84 2011 Edition 2011 Edition Pr3ga 85 Stationary Lane Closure with Flagging Diagram 320 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(tagger to control both directions of traffic on low volume roads(less than 400 ADT)with good sight distance as discussed below. g I ( o 1. Use truck-mounted flashing warning lights on work and protectionLU \ w vehicles. See Section 4.3–Lights and Lighted Signs for exceptions. Q 4u 4Q A. n 0 6 \�� ♦ O •. I m 2. For added visibility,atruck-mounted arrow board or PCMS in caution cn rn mode may be used, u i S. I o o LL 3. Flaggers at each approach are required if any of the following In r4 o s conditions exist: ,_ —.tom a. Nigh(Operations. b. Work space is over 200 feet in length, i c. Sight distance is less than 750 feel from each approach through the lane closure, r______ . ______ I 0C t I . _aon d. Traffic volumes are greater than 400 ADT. I iso I •• o t t- I I • owl d. The length between the Flogger Ahead signs shalt not exceed one t @ 1 mile. Use Diagram 340–Lane Closure with Pilot Car if exceeding one I ` mile. f` I E /� 5. Cones should be used to outline the work space when curves or other roadway alignments prevent clear direction for the motorists toI � I � pass � m � 't'J !in I • ---- _ - the work spare safely. i CU 6. Cones along the work space are recommended when posted speeds I a-E �� I •• I Off ' are 45 mph or greater,when working under heavy trffic or when travel, I L o I • l lanes are narrower than 11 feet. t 3 F queue si nin 5 ti g_ ' P 7. Extended q g g{see Diagram,�-4)should be used when � / ,, traffic queues extend beyond the initial advance warning sign. I a,� 1r- I �' w C, C In w r 8. When flagging near an intersection,the"Flagger Ahead"(CW7.3-2) I �•__/ r ' 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). slgn spacing and Den onee Length:(feet) \-� T _ ERRATA: POatM 5 1 Qatwaan Sr na Butter 4 0 Speed A B C Space ` 9. Sign set-up and flagger placement shown may be used for intermittent 20 SupplamentTable 25 100 IM 100 �5 I full road closures of 20 minutes or less. Jo 100 uo�w.r:r•etirtif). 35-- 10. q y 10. The"ONE LANE ROAD AHEAD" W20-4 Bei. �n 3'0 350 750 ( )sign is optional and should ar.«,orr...,.,,,., 4' 00 be considered on high volume or high speed roads,or when extended "`"'" 5o 5M SO(1 Soo 210 queues are expected. _ sc 210 �t>� ter 5 SI n 5 acing and Buffer ten the feet Su pl en_t P December 2011 December 2011 Posted S aeln Between SI ns "Boiler" Speed A - B C Space Ch iJ tnr S —60 285 I 65 700 700 700 325 70 A i ��pQ '�, j 9565 SW Mllen Dr 9 s_,sca .nc.ni (/� :,�vicars.•,�. Rf �•- (rh wnr[a Sl,F Sw Mdlen Or • WATER nF _-�y_ri Un^MUNK�7�ON5 4 � a 4 , 1 s 9570 9550 ' Google Earth comcast.