PFI2018-00253 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
y COMMUNITY DEVELOPMENT Permit#: PF12018-00253
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 09/24/2018
Parcel: SEG977
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: Comcast
Project Description: SEG 977. Adjacent to 12345 SW Main Street. Overlash fiber cable 90'to existing stand in City of Tigard
ROW.
Owner: FEES
Description Date Amount
PHONE:
Contractor:
TEXSTAR ENTERPRISES INC
17090 JORDAN RD
SELMA, TX 78154
PHONE: 210-656-8775
FAX:
Applicant:
DANIEL GRAHAM
11308 SW 68TH PARKWAY
TIGARD, OR 97223
PHONE: 503-522-1017
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
Signature: See application
Issued By:
Special Conditions(See Attached)
Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY
Conditions for PF12018-00253
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 PRZOTECTION 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
City of Tigard
RECEIVED
N PUBLIC WORDS — ENGINEERING SEP 2 4 2018
e � OE TIGARD
Public Facihty rovement (PFI) Per�c� , __ERIiVG
TYPE OF WORK
DESCRIPTION OF WORK(in the right-of-way)
d TYPE 1—Franchise L!tilitI v Work
Check one: El Utilities 11 Sidewalk/driveway approach ❑Street improvements performed by NWN, PGE
Detailed description: and/or utilin'agency'.
Overlash fiber cable 90'to existing strand in City of Tigard ROW. ❑ TYPE 2-Sidewalk/DriN•e«,at'/Se%i-er
Work performed for the purpose of:
• Side«•alk installation or repair.
Dri�•e«•a`•approach installation
Property address/location(s): SW Main St /
and or repair
St �-1, Tigard, OR 97223 • Sanitary sewer lateral installation
and/or main line tap
Applicant: Comcast Cable Communications Management, LLC El TYPE 3—Full scale Development
pP Work performed x�rith I,and use
Address: 11308 SW 68th Parkway approval v-,hich includesany of
Citi'/state: Tigard/OR Zip: 97223 the folloving:
Phone: (503)522-1017 Email: Daniel_Graham@comcast.com • Subdivisions or Partitions
Contact name: Daniel Graham Phone: (503)522-1017 • Street«idening
• Mainline installation for Sanitary
Contractor:
Texstar Enterprises se-,ver, Storm sewer, Tigard xater
and/or Tigard Water Service Area
CCB#: 178798 Expiration: 10/10!2019
Address. 14122 Arndt Rd SUBMIT COMPLETED APPLICATION TO:
Cit}/state: Aurora/OR Zip: 97002 City of Tigard
503 793-3109 Jim.Miner texstarenter rises.com Planning/Engineering
Phone: ( Email: @ p 13125 SW Hall Blvd.
Contact name: Jim Miner Phone: Tigard,OR 97223
Applications for"nuinof\Cork u1 iigllt-of-way"
Enoineer:
K&B Technical Solutions only maybe enlailed to:
� roM:Permits(a%tiga�rd_or.gov
Address: 6566 SE Lake Rd
Citi-/state: Milwaukie/OR Lip: 97222 WEEMMEMMEW
Phone: (503)650-6041 ext.212 Email. Shane.Langley@kbmail.net Case No.: —002.S2-3
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: $ -4;L-
(v ithin the public right-of-wai_) ApphcatioQn�-�accepted:
BDate:C)114 1 k S
Is work related to a LAND-USE DECISION? ❑ Yes 0 No
If so,please specify (1\71,P,SDR,SUB, etc.) case#: Application reviewed: q
B� bf) Date: `` q'1
Is«-ork related to a BUILDING PERI\TIT? ❑ Yes CI No Applicant notified:
If so,please specih,(BUILDING PERA111)case#: By.- S Date:
I:IENGIPermitApplications\pfi_application Rev.10/16/2017
City ofTigard • 13125 S\X'Hall Blvd. • Tigard,Oregon 97223 • «�«tctigard-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 n1C 15.041.140.
* With the exception of a utility operating pursuant to a valid franchise with the City of Tigard,when the ov%ier 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
ov.,ner. The owner(s)must sign dis application in die space provided or submit a written authorization with this application. Franclised
Utilities are not required to obtain the owner's signanre on the application
BY SIGNING BELOW,THE APPLICANTS)SHALL CERTIFY THAT:
• The above request does not violate am recorded deed restrictions that may be attached to or im op sed upon the subject
Rr � '•
• 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 approvor denying the application.
Shane Langley 09/21/2018
Applicant/Aud-ioriz SPOntis signature Print name Date
SIGNATURES of each owner of the subject property,if required.
Owner's signature Print name Date
Owners signature Print name Date
Owner's signature Print name Date
PUBLIC FACILITY IMPROVEMENT PERMIT
City ofTigard 13125 SNCL Hall Blind. • Tigard,Oregon 97223 • wwwtigard-orgov 503-718-2421 • Page 2 of4
DEVELOPMENT ENGINEERING FEES FOR STAFF ITSE ONLY
Public Facility Improvement(PFI)Permit: SUBMITTALDETAILED
APPLICATION FEE REQUIREMENTS
Part 1: Required submittal fee$$300.00(minimum) 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 mininnun Sketch
submittal fee)
(including information below)
Engineer's estimate X 2° Plan Review
❑ 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/Partitions and Street Improvements)
There will be no permit fee charged,or assurance required
for the follov�ring types of work: (6
Plans
• Sidewalk repair(less than 20 lineal feet) (G sets,24Y3G or 22x34)
• Relocate or replace mailbox ❑ Cover—Site, icinity,Abbreviation,Legend
• Ditch cleanuig that does not involve regrading. ❑ General Notes(City,Water,Sewer,etc.)
• Weep 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 prunmi g or planting ❑ Grading
• Planter strip landscape maintenance ❑ Landscaping/Tree Plan
• Test wells ❑ Composite Utility Plan(Electrical,Phone,Gas,
Storm,Sanitary,Water,Signage,Street Lights,etc)
❑ Details
Note: A cash/bond assurance may be ❑ Traffic Sight Distance
required per TMC15,04.140. ❑ Signing and Striping
(customer deposit) ❑ Street Light Plan and Photometric
❑ Engineers seal/signature
❑ Sheet label(pro)ect 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)
❑ muter Department Approval
❑ Engineer's Construction Estimate
PUBLIC FACILITY IMPROVEMENT PERMIT
City ofTigard 13125 SW Hall Blvd. • Tigard,Oregon 97223 • «wwtigard-or.gov • 503-718-2421 • Page 3 of
SAMPLE SKETCH:
Edge of Pavement
I Ditch —1110`
Streetlight ----------•—•---r—.—
4 RAir,Drtin
I I 1
T!'rrojaas d"Sower'ri—ii e"
I d) I
.N Existing House
I
Existing
WE
>i Driveway
C 1R
I I •
�h
�I R
o�
I i
a /
V r
L 1 I ■
a, 1
ll ,
o. Existing Shop
Powerpole I I I 1
� -�opert�r Line-
0
1
I I Fire Hydrant(FH)
I
I
Scale: 'I"=30'
I
I
1
I I
MINIMUM SKETCH REQUIREMENTS(Put"N/A"if Not Applicable):
X North arrow X Property lines &dimension N/A Slope of property
X Street &street names) NSA Existing building,strictures X Utility&street light poles
X Proposed work N/A Existing curb or edge N/A Trees
N/A Existing S/W or of pavement N/A Existing utility locations
D/W apron (sewer,water,storm)
PUBLIC FACILITY IMPROVEMENT PERMIT
City ofTigard - 13125 SW Hall Blvd. - Tigard,Oregon 97223 - wwwtigard-or.gov - 503-718-2421 - Page 4of4
N
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\ \ r— 996C N m Q
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LL
EXIT ODOT ROW AND ENTER
CITY OF TIGARD ROW. Q\ U
OVERLASH FIBER CABLE V_
TO EXISTING STRAND.
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4p
EXIT CITY OF TIGARD ROW +n
l AND ENTER ODOT ROW. o
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1.ALL WORK AREAS TO BE ,
RESTORED TO LIKE OR BETTER m
\ CONDITION. O c U
\ G r I
2,ALL OTHER UTILITIES ARE BASED U U d c
� \ OFF EXISTING LOCATES OR UTILITY o
\ STRUCTURES.
\ 3.IT IS THE CONSTRUCTION
CONTRACTORS RESPONSIBILITY TO RPI
CALL FOR LOCATES BEFORE
DIGGING.
PERMrr NO
4.STRAND- MATT-1099382
Page 54 2011 Edition
Pedestrian Accommodation Diagrams
See Diagrams 5-7 and 5-8, below, for pedestrian accommodations in work
zones.
Pedestrian Accommodation Principles:
1. If the work impacts the sidewalk or pedestrian facility, provide a safe,
accessible path, where practical, in accordance with the requirements
of the ADA.
2. If not practical to match the width of the existing pedestrian facilities,
maintain a 4-ft minimum width.
3. Unless a reasonably safe route can be provided through the work
space, pedestrians should be appropriately directed with advance
signing to cross the road. Do not divert pedestrians into travel lanes.
4. Install pedestrian closure or detour signing on Type II barricades.
Make every practical effort to satisfy the following:
• If work closes a sidewalk or sidewalk ramp, close sidewalks at a point
where an alternate crossing point or route can be provided. Minimize
the amount of out-of-direction travel for pedestrians.
• Use a combination of"SIDEWALK CLOSED" (R9-9), "SIDEWALK
CLOSED USE OTHER SIDE" (R9-10), "SIDEWALK CLOSED AHEAD
CROSS HERE" (R9-11), and "SIDEWALK CLOSED CROSS HERE"
(R9-11a)signing to direct pedestrians to an alternate facility.
• Where there are business destinations between the nearest crosswalk
and the work area, close the sidewalk at the business access nearest
the work area, where practical using the SIDEWALK CLOSED sign.
Include the SIDEWALK CLOSED AHEAD CROSS HERE sign at the
• nearest crosswalk prior to the closure.
Chapter 5 September 2016
2011 Edition Page 55
Pedestrian Accommodation, Mid-Block Diagram 5-7
The sidewalk should be closed at the nearest intersection on each side of the
work area when a safe, ADA-compliant path through the work area is not
available.
SIDEwwcaDST SIDEWALK CLOSED
- or AHEAD
CROSS HERE
CROSS HERE
24x12
Type"W1 24x15
(Mount on B(II)L) Type`W1'
I
SIDEWALK
CLOSED
24x12
Type'wi'
(Mount on B(II)LR)
(2 Reqd.)
-
siDEWALKCLOSED
sIDEwALI(CLOSED
� Or AHED
CROSS HERE ~-
CROSS HERE
24x12 24x1$
Type'w1' Type W1 N
(Mount on B(II)R)
i
September 2016 Chapter 5
Page 56 2011 Edition
Pedestrian Accommodation, Intersection Diagram 5-8
For work near an intersection, close crosswalks and/or sidewalks as
necessary when safe passage cannot be maintained.
SIDEWALK CLOSED
LISE OTHER~�
24x12
Type"W1'
(Mount on B(II)LR)
....
/ ROAD
WORK
AHEAD/
(Optiono
SIDEWALK CLOSED
SIDEWALK CLOSED CROSS HERE
4-
USE OTHER SIDESIDEWALK 24x12
24x12 CLOSED Type"W1'
Type`W1" 24x12 (Mount on B(II)LR)
(Mount on B(II)LR)
Type'W1
(Mount on B(II)LR)
\ - 31DEWALK a.osm
AFEAO
� CROSS HEflE
24x18
Type'W 1"
(Mount on B(II)R)
ROAD
WORK
AHEAD
(Optional)
Chapter 5 September 2016
Page 54 2011 Edition
Pedestrian Accommodation Diagrams
See Diagrams 5-7 and 5-8, below, for pedestrian accommodations in work
zones.
Pedestrian Accommodation Principles:
1. If the work impacts the sidewalk or pedestrian facility, provide a safe,
accessible path, where practical, in accordance with the requirements
of the ADA.
2. If not practical to match the width of the existing pedestrian facilities,
maintain a 4-ft minimum width.
3. Unless a reasonably safe route can be provided through the work
space, pedestrians should be appropriately directed with advance
signing to cross the road. Do not divert pedestrians into travel lanes.
4. Install pedestrian closure or detour signing on Type II barricades.
Make every practical effort to satisfy the following:
• If work closes a sidewalk or sidewalk ramp, close sidewalks at a point
where an alternate crossing point or route can be provided. Minimize
the amount of out-of-direction travel for pedestrians.
• Use a combination of"SIDEWALK CLOSED" (R9-9), "SIDEWALK
CLOSED USE OTHER SIDE" (R9-10), "SIDEWALK CLOSED AHEAD
CROSS HERE" (R9-11), and "SIDEWALK CLOSED CROSS HERE"
(R9-11a)signing to direct pedestrians to an alternate facility.
• Where there are business destinations between the nearest crosswalk
and the work area, close the sidewalk at the business access nearest
the work area, where practical using the SIDEWALK CLOSED sign.
Include the SIDEWALK CLOSED AHEAD CROSS HERE sign at the
nearest crosswalk prior to the closure.
Chapter 5 September 2016
2011 Edition Page 79
Work on Shoulder Diagram 210
1 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 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 B C Spam
20 50
25 100 100 100 75
30 100
35 350 350 350 125
40 150
45 180
50 500 500 500 210
55 1 250
60 285
65 700 700 700 325
• 70 365
Chapter 5 September 2016