PFI2018-00196 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
COMMUNITY DEVELOPMENT Permit#: PF12018-00196
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 08/13/2018
Parcel: SEG405
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: Comcast
Project Description: SEG405 and SEG406, associated with 10775 SW Greenburg Rd. Comcast proposes to overlash
between existing utility poles in City of Tigard ROW for a total of 397'.
Owner: FEES
Description Date Amount
PFI Permit Fee 08/13/2018 $300.00
PHONE:
Contractor:
PHONE:
FAX:
Applicant:
DANIEL GRAHAM
11308 SW 68TH PARKWAY
TIGARD, OR 97223
PHONE: 503-522-1017
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:
Issued By:
Special Conditions(See Attached)
Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY
Conditions for PF12018-00196
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.
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
RECEF .—
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City �of Tigard J U L 2 4 2018
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Public FacIty Improvement (PFI) Permit
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TYPE OF WORK
DESCRIPTION OF WORK(in the right-of-way)
❑ TYPE 1–Franchise Utility\Fork
Check one: ❑D Utilities ❑Sidewalk/drivewav approach ❑Street improvements performed by N\X N, PGE
Comcast proposes to overlash between existing utility poles and/or utility agency.
Detailed description:
in City of Tigard ROW for a total of 397'. ❑ TYPE 2-Sidewalk/Dri-,-etira}'/Sewer
\\'ork performed for the purpose of:
• Sidewalk installation or repair.
10775 SW Greenburg Rd,Tigard,OR 97223 • Drivex-a`-approach ulstallation
Property address location/(s): and/or repair
� � �`✓ by �i _ • Satutary serer lateral installation
and/or main line tap
Comcast ❑ TYPE 3–Full scale Development
AppLcant: Work performed with Land use
Address: 11308 SW 68th Parkway, approval which includes an}•of
Cite/state: Tigard/Oregon Zip. 97223 the following:
Phone: (503)522-1017 Email: Daniel_Graham@comcast.com • Subdivisions or Partitions
Daniel Graham (503)522-1017 • Street«-ideniiig
Contact name: Phone:
• Mainline installation for Sanitan-
Contractor:
Texstar Enterprises sewer, Storm sewer, Tigard water
and/or Tigard Water Service Area
CCB#: 178798 Expiration: 10/10/2019
Address: 14122 Arndt Rd SUBMITCOMPLETEDAPPLICATION TO:
Cite/state: Aurora,OR Zip: 97002 City of Tigard
503 793-3109 im.miner texstarenter rises.com 3125Plannr/En��inBlid.
Phone: ( ) Email: @ p 13125 SW Hall Blvd.
Contact name: Jim Miner Phone: (503)793-3109 Tigard,OR 97223
Applications for"nunor Rork Li right-of--,vay"
K&B Technical Solutions only may be emailed to:
Engineer: row$ermits&tiga� rd-or.gov
Address: 6566 SE Lake RD FOR STAFFUSI'l- ONLY
Cite/state: Milwaukie OR Zip: 97222
Phone: 503-650-6041 ext 212 Email: Shane_Langley@kbmail.net Case No.: FFIU19- 0 o 1 1 j_V
Contact name: Shane Langley Application submittal fee(.007%of
Engineer's Estimate) S
Estimated value of work is required(if over$5,000): Additional fees: $
(«ritlun the public right-of-wai_) Application accepted:
LAND-USE DECISION? Yes ® No By: `�C Date: �Zy
Is work gelated to a ❑
If so,please specifj,(MLP,SDR,SUB,etc.) case #: Application re,iened:
B Date:
Is work-related to a BUILDING PERMIT? ❑ ''es 0 No Applicant notified:
If so,please specifST(BUILDING PERIM)case#: By: Dare:
t:\ENG\PermitApplications\pFi_application Rev.10/16/2017
City ofTigard 13125 SW Hall Blvd. Tigard,Oregon 97223 \t-tv1�:tigard-or.gov • 503-718-2421 • Page 1 of4
APPLICANTS
NOTE: Person specified as"Applicant"shall be designated"Pernhittee"and shall provide financial assurance for work,if
required by the city pursuant to TAiC 15.041.140.
' With the exception of a utility operating pursuant to a valid franchise with the Cit%-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 owtner 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 as recorded deed restrictions that mai-be attached to or imposed upon the subject
property.
• 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 approvin r denying the application.
Zct---�k-K
Applicant/Audiorized Agent's signature Print name Date
SIGNATURES of each owner of the subject property,if required.
Owners 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 Bled. • Tigard,Oregon 97223 • urmm,.tigard-or.gov 503-718-2421 P2ge2of4
Page 78 2011 Edition
Work on Shoulder Diagram 210
Diagram 210 covers stationary work with work or parked equipment on the
shoulder. This diagram does not cover work on a freeway shoulder. See
Diagram 710 for Freeway Shoulder work.
1. Vehicles should be parked as far off the roadway as practical.
2. Use truck-mounted flashing warning lights on work and protection
vehicles. See Section 4.3—Lights and Lighted Signs for exceptions.
3. For added visibility, truck-mounted arrow boards or PCMS in caution
mode may be used.
4. Arrow panels in caution mode are recommended for work on roads
with posted speeds of 45 mph or greater and high traffic volumes,
greater than 2000 average daily traffic(ADT).
5. Requirements for signing and devices are shown in Table 5-2, below.
Table 5-2: Device and Signage Guidelines
Proximity to Edge of Traveled Way
More than 15 feet
or behind Barrier or Less than 15 feet
Guardrail
One advance warning sign is
Advance warning required and two signs are
Work in Place signs, devices, and recommended.
More than 1 Hour flashing warning Cone taper is required. Cones
lights are optional. along the edge of traveled way
are optional.
Work in Place Advance warning signs and devices are optional.
Less than 1 Hour
Sign Spacing and Buffer Lengths(feet)
Posted Spacing Between Signs "Buffer"
Speed A 8 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 2S0
60 285
65 700 700 700 325
70 365
Chapter 5 September 2016
2011 Edition Page 79
Work on Shoulder Diagram 210
s t
•
•
•
•
(Optional)
•
• Protection Vehicle
w/TMA(both Optional)
See Chapter 4
•
Buffer
•
•
•
• U3
•
•
A
ROAD SHOULDER
WORK> <OR WORK
AHEAD AHEAD
Initial Warning Sign
I t
*Use as appropriate-see Table 5-2
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 Sigm "Buffer"
Speed A 8 C Space
20 50
25 100 100 100 75
30 100
35 350 350 350 125
40 150
45 180
50 S00 S00 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
>C
ONE LAE 1• 1
(09don4 ROAD
AHEAD
B
BE
PREPARED
TO STOP
B
A (Optk—D
•
• ONE LANE
ROAD
• BE AHEAD
10o n.Max PREPAREDROAD
•
TO STOP- WORK
• AHEAD
A B B C
Buffer-.--
4-
100
uffer_.- 4100 R Max
C B B A
ROAD •
eE
WORK PREPARED •
AHEAD TO ST 0 0 100 R Max.
E LANE
ROAD •
AHEAD
(optlow A
Tf,
—A
B
BE
PREPARED
TO STOP
B (Opaonen
ONE UNE
1 1
ROAD
AHEAD
C
ROAD
WORK
/HEAD
September 2016 Chapter 5
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 PCMS 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)
Pasted Sparing Between Signs "Suffer"
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 109
Right Lane Closure, Multi-Lane Non-Freeway Diag. 500
1 1 t t
• Protection Vehicle
• w/TMA(both Optional)
' See Chapter 4
•I
T
---------
I
Buffer
I •
I � I
I I •
•
t t�--
I Buffer
A
I �
B •
I <&—
I
I �
I L 1— � cot �n
FlagLayout
•,
VDetail
A
* I i■
B
*See Note 4 R,aHr LANE
* CLOSED
1 1 1 It ""�°
-- ROAD
* WORK
AHEAD
September 2016 Chapter 5
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STRUCTURES.
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