PFI2018-00255 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
COMMUNITY DEVELOPMENT Permit#: PF12018-00255
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 09/26/2018
Parcel: SEG1869
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: Comcast
Project Description: SEG 1869.Adjacent to 14440 SW Milton Court. Over lash 42'of fiber cable 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 G r 7 '1
Signature: ,u A prc7 A 1 Za ru
Issued By:
Special Conditions(See Attached)
Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY
Conditions for PF12018-00255
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
losures.PFIUtilities 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 @ 971-713-0281 or Jonny@tigard-or.gov
**NO WORK ON SW BONITA PRIOR TO 9AM OR AFTER 3PM**
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
City of Tigard SEP 2 4 2018
o PUBLIC WORhS —ENGINEERING CITY OF TlGARD
s
Public Facility Improvement (PFjYP&ftjtJEERING
TYPE OF WORK
DESCRIPTION OF WORK(in the right-of-way)
d TYPE 1—Franchise UtilityWork
I
Check one: ❑� Utilities ®Sidewalk/diiye-,yay approach ❑Street improvements performed by N\XN, PGE
Detailed description: and/or utility agency.
Overlash 42'of fiber cable in City of Tigard ROW. ❑ TYPE 2-Side«�all:/Driye�t�a)-/Se\rer
Work performed for the purpose of:
• Sidewalk installation or repair.
14440 SW Milton Ct • Drire,,vay approach installation
Property address/location(s): and/or repair
Tigard,OR 97224 • Sanitary-sewer lateral installation
and/or main line tap
Applicant: Comcast Cable Communications Management, LLC ❑ TYPE 3—Full scale Development
PP Work performed with Land use
Address: 11308 SW 68th Parkway approval which includes any of
Cite/state: Tigard/OR Zip: 97223 die following:
Phone: (503)522-1017 Email: Daniel_Graham@comcast.com Subdivisions or Partitions
Daniel Graham 503 522-1017 Street�,1ideiung
Contact name: Phone: ( )
• Mainline installation for Sanitary
p
Contractor:
Texstar Enterprises sewer, Storm sewer,Tigard water
and/or Tigard Water Sen-ice Area
CCB#: 178798 Expiration: 10/10/2019
Address: 14122 Arndt Rd SUBMIT COMPLETED APPLICATION TO:
Cin'/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"minor work iii right-of-trav"
Engineer:
K&B Technical Solutions only
�� inay be eniailed to:
g ro �ermits&tiga� rd-or.gov
Address: 6566 SE Lake Rd
Citi-/state: Milwaukie/OR Zip: 97222
Phone: (503)650-6041 ext.212 Email. Shane-Langley@kbmail.net Case No.:PF 20 LE—00255
Contact name: Shane Langley Application submittal fee(.007%of
Engineer's Estimate) S
Estimated value of \vork is required(if over$5,000):$ Additional fees: $
(Nvithin the public right-of-wai) Application accepted: p�
Bv: Date:- t
Is«-ork related to a LAND-USE DECISION? ❑ Yes O No
Application reviewed:
If so,please specifi�(MLP,SDR,SUB,etc.)case#: /
B3� (� Date:
Is work related to a BUILDING PERMIT? ❑ Yes 0 No Applicant notified:
If so,please specify,(BUILDING PERMIT)case#: By: Date:
I:\ENG\PermitApplications\pfl application Rev.10/16/2017
City ofTigard • 13125 S\X'Hall Bled. • Tigard,Oregon 97223 • www.tigard-or.goy 503-718-2421 • Page 1 of4
APPLICANTS
NOTE: Person specified as`Applicant"shall be designated"Perinittee"and shall provide financial assurance for-work,if
required by the city pursuant to TRIC 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 of an agent of the
ou>ner. The owner(-)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 a"recorded deed restrictions that mU be attached to or imposed sed upon the subject
Fr ' r '•
• If the application is granted,the applicant-vill 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,slid understands the
requirements for approving or denying the application.
Shane Langley 9/21/2018
Applicant/Au gent's signature Print name Date
SIGNATURES of each owner of the subject property,if required.
Owners signature Print name Date
Owners signature Print name Date
Owners signature Print name Date
PUBLIC FACILITY IMPROVEMENT PERMIT
City ofTigard 13125 SNY Hall Blvd. • Tigard,Oregon 97223 • xwwv:tigard-or.gov 503-718-2421 • Page 2 of4
DEVELOPMENT ENGINEERING FEES FOR STAFF USE ONLY
Public Facility Improvement(PFI)Permit:
DETAILED SUBMITTAL
REQUIREMENTS
APPLICATION FEE
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 minimum 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: (Subdivisio,ns/Partitions and Street Improvements)
There will be no peri it fee charged,or assurance required
for the following types of work: Design Plans
• Sidewalk repair(less than?0 lineal feet) (G sets,24x36 or 22x34)
• Relocate or replace mailbox ❑ Cover—Site,Vicinity,Abbreviation,Legend
• Ditch cleaning 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 pruning 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)
❑ Water Department.approval
❑ Engineer's Construction Estimate
PUBLIC FACILITY IMPROVEMENT PERMIT
City ofTigard 13125 SCSI HallBlvd. • Tigard,Oregon 97223 • ,vww tigard-or.gov • 503-718-2421 • Page 3 of4
SAMPLE SKETCH:
Edge of Pavement
I
I '— Ditch ----
Streetlight
Streetlight I .-----•—.—•—�.—.—r---
/ Rain Drain
1 I r 0 6I
I I _ .
' T"'moi oV oscr''Seli�r' l ri n e"
I I IN
WI
i r 0; Existing House •
aI I Existing
�,■ I >I Drivewvay
1
C 1 .t �•
(L
rl
�
I I •
a-I
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a �
>I I 1
QI ■
■ I Existing Shop
1
Powerpo'lee
o • o .
I --------7-ropert�lni e------- -—-
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Fire Hydrant(FH)
I
I I I
Scale: 'I"_30'
I I 1
� � I
I' I I
I
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MINIMUM SKETCH REQUIREMENTS(Put"N/A"if Not Applicable):
X North arrow X Property lines &dimension NIA Slope of property
X Street &street name(s) NIA Existing building,structures X Utility&street light poles
X Proposed work NIA Existing curb or edge NIA Trees
NIA Existing S/W or of pavement NIA Existing utility locations
D/\X,'apron (sewer,water,storm)
PUBLIC FACILITY IMPROVEMENT PERMIT
CityofTigard 13125 SW Hall B1N d. • Tigard,Oregon 97223 • www tigard-or.gov • 503-718-2421 • Page 4 of4
N
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1.ALL WORK AREAS TO BE
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RESTORED TO LIKE OR BETTER '
CONDITION. O c c 0I
O L
2.ALL OTHER UTILITIES ARE BASED U U CL c
OFF EXISTING LOCATES OR UTILITY o
STRUCTURES.
S�EET 40
3.IT IS THE CONSTRUCTION
G CONTRACTORS RESPONSIBILITY TO RPI
m CALL FOR LOCATES BEFORE
`w .�. DIGGING.
tiwWM�
PERMFT N,
���. 4.STRAND- MATT-10993-8598
Page 84 2011 Edition
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 flagger to control
both directions of traffic on low volume roads(less than 400 ADT)with good
sight distance as discussed below.
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. Flaggers at each approach are required if any of the following
conditions exist:
a. Night Operations.
b. Work space is over 200 feet in length.
c. Sight distance is less than 750 feet from each approach
through the lane closure.
d. Traffic volumes are greater than 400 ADT.
4. The length between the Flagger Ahead signs shall not exceed one
mile. Use Diagram 340—Lane Closure with Pilot Car if exceeding one
mile.
5. Cones should be used to outline the work space when curves or other
roadway alignments prevent clear direction for the motorists to pass
the work space safely.
6. Cones along the work space are recommended when posted speeds
are 45 mph or greater, when working under heavy traffic or when travel
lanes are narrower than 11 feet.
7. Extended queue signing (see Diagram 5-4)should be used when
traffic queues extend beyond the initial advance warning sign.
8. When flagging near an intersection, the"Flagger Ahead" (CW23-2)
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).
9. Sign set-up and flagger placement shown may be used for intermittent
full road closures of 20 minutes or less.
10. 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 are expected.
Chapter 5 September 2016
M I 1 Cl) _o
ID Single Fla99er Operation �.
M
cL
a for Low Volumes (Optonal) a
CD (ADT<400)
1 ;-:
O
BE
8 8 0 8 D 3 a B e PREPARED O f-C ROAD LANE
7
2� 2� I� I� TO STOP AHEAD
8 8
M m — — —. . . — — — QRAD
o •• I 0 ^ 1 c K s K e K A i--I I
s asw Q
Proomon V.MCM
\ ./TMA(be#,OPO-4 1 N
Q1 N W V1 F+ OD V1 N Q V1 O f() II BMOW 4 1 /
o w V A ,Y ro
i-- ——————————————— I A B
1 1 mile
r max.
B B
Buffer
�j
Protection Vehicle
<g4
w/TMA(both Optional)
See Chapter 4BE
'PREPARED Two Flagger Operation
TO STOP
=
N co
M
C, (Optional) p Cn
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"
(R9-11 a)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.
B�DEWAI l(�Eo
81DEWALK C�QSEn
or AFIEAD
CROSS HERE -�
CRO68 HERE
24x12
Type"W i" 24x18
-- (Mount on B(II)Q Type'W1'
SIDEWALK
CLOSED
24x12
Type'W1"
(Mount on B(II)LR)
(2 Reqd.)
siDEwax CLOSED
SIDEWALK CLOSED
i Or ��
CROSS HERE
CROSS HERE
24x12
Type'W1' 24x18
(Mount on B(II)R) Type"W1"
L_
September 2016 Chapter 5
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
I NOTES:
• Bicycles on Roadway(CW11-1)sign should not
interrupt standard sequences. For example:
X7
o BE PREPARED TO STOP/Fla99 er Symbol
Y
o LANE CLOSED AHEAD/Lane Ends
I Symbol
• Bicycles on Roadway sign typically follows ROAD
I
WORK AHEAD sign and used as general warning.
I
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September 2016 Chapter 5