PFI2018-00276 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
COMMUNITY DEVELOPMENT Permit#: PF12018-00276
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 10/16/2018
Parcel: SEG1583
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: Comcast
Project Description: SEG1583, associated with 7190 SW Sandburg St, Unit G. Comcast proposes to overlash 269'of(1)
-48ct fiber optic cable to existing strand and pull 5'of(1)-48ct fiber through existing conduit on SW 72nd
Ave near SW Sandburg St in City of Tigard ROW.
Owner: FEES
Description Date Amount
PHONE:
Contractor:
PHONE:
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 RJ, CA StT4
Signature: l V V�
Issued By: I� 0
Special Conditions(See Attached)
Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY
Conditions for PF12018-00276
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.
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
riECEIVED
City ofTigard OCT 11 2018
s« PUBLIC WORKS —ENGINEERING
Public Facie Improvement (FIFI) Permit
TYPE OF WORK
DESCRIPTION OF WORK(in the right-of-way) J TYPE I-Franchise Utility Work
Check one: 0 Utilities ®Sidewalk/driveway approach ❑Streetimprovements performed by NWN, PGE
Comcast proposes to overlash 269'of 1 48et fiber and/or utility agency.
Detailed description: p p � )-
optic cable to existing strand and pull 5'of(1)-48ct fiber through existing conduit ❑ TYPE 2-Sidewalk/Driveway/Sewer
on SW 72nd Ave near SW Sandburg St in City of Tigard ROW. Work performed for the purpose of:
• Sidewalk installation or repair.
Property address/location(s): ,��!g3 ° Driveway approach installation
and/or repair
7190 SW Sandburg St. Unit G, Portland,OR 97223 • Sanitary sewer lateral installation
and/or main line tap
Applicant: Comcast Cable Communications Management,LLC ❑ TYPE 3-Full scale Development
hP Work performed with Land use
Address: 11308 SW 68th Parkway approval which includes any of
City/state: Tigard, OR Zip: 97223 the following:
Phone: Email: Daniel_Graham@comcast.com - Subdivisions or Partitions
Contact name: Daniel Graham Phone: (503)522-1017
• Street widening
- Mainline installation for Sanitary
Contractor: Texstar Enterprises sewer, Storm sewer, Tigard water
and/or Tigard Water Service Area
CCB#: 178798 Expiration: 10/10/2019
Address: 14122 Arndt Rd SUBMIT COMPLETED APPLICATION TO:
City/state: Aurora,OR Zip; 97002 City of Tigard
503 776-5049 im.miner texstarenter rises.com Planning/Engineering
Phone: ( ) Email:J @ p 13125 SW Hall Blvd.
Contact name: Jim Miner Phone: (503)793-3109 Tigard,OR 97223
Applications for"minor work in right-of-way"
Engineer: K&B Technical Solutions only may be emailed to:
rowpermitsjk jjgard-or.gov
Address: PO BOX 2529
City/state: Clackamas, OR Zip: 97015
17 f
Phone: (971)282-6759 Email: lan_Reed@kbmail.net Case No.: 1�lobb Zn
Contact name: Ian Reed Application submittal fee(.007%of
Engineer's Estimate)
Estimated value of work is required(if over$5,000):$ Additional fees:$ j
(within the public right-of-way) Application accepted:
By: -- Date:
Is work related to a LAND-USE DECISION? ❑ Yes ❑ No
If so,please specify(MLP,SDR,SUB,etc.) case#: Application reviewed:
By: Date: 10- 1Lam.-18
Is work related to a BUILDING PERMIT? ❑ -es ❑ No Applicant notified: l
If so,please specify(BUILDING PERMIT)case#: By:
1 r t Date:
I:\ENG\PerrnitApplications\pfi_application Rev.10/36/2017
EoAu
City of"Tigard ° 13125 SW Hall Blvd. Tigard,Oregon 97223 s-,,w%vtigard-or.gov ° 503-718-2421 - Page 1 of 4
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 this application iii 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 opposed upon the subject_
12K012
• 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,attaclnnents,and exhibits transmitted herewith,are true;and
the applicants so acknowledge that any permit issued,based on this application,may be revolved if it is found that any such
statements are false.
• The applicant has the entire contents of the application,including the policies and criteria,and understands the
re is f ap Dying or denying the application.
Ian Reed For Daniel Graham 01// ZA l
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 Pant name Date
PUBLIC FACILITY IMPROVEMENT PERMIT
City of"Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • arwwtigard-otgov • 503-718-2421 • Page 2 of4
123FENTELOPMENT ENGINEERING FEES
Public Facility Improvement(PFI)hermit: FOR STAFJ- LSE' ONLY
DETAILED SUBMITTAL
1E IREMENTS
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 sgstetm 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 following types of work: Design Plans
• Sidewalk repair(less than 20 lineal feet) (6 sets,24x36 or 22::34)
• Rclocate 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 TMC 15.04.140. ❑ 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.)
Addidonal 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 Constiuction Estimate
i
- - - - - -
PUBLIC FACILITY IMPROVEMENT PERMIT
CityofTigard 13125 SW Hall Blvd. - Tigard,Oregon 97223 • wwwtigard-or.gov 503-718-2421 Page.3of4
SAIAPLE SKETCH:
Edge of Pavement
I
I -'Q— Ditch OP
Streetlight I -------- •- - -----r -
• Rf&L rillin
g
� O
I I � - •
!' T"moiWp'os crS9WeF ine"
I ► „ II Existing House
I I -tl I Existing 1
Driveway ,
3� I 01
_ !
CL
I
CFA
I � •
a
b !
a� I 1
6I Existing Shop
Powerpole 1
G •
I n- • !
'--------7-r oP9ne--—-—-=--—-
� I .
Fire Hydrant(FH)
I
Scale: 'I"=30'
� I �
� I I
I I
� I .
MINIMUM SKETCH REQUIREMENTS(Put"N/A"if Not Applicable):
North arrow Property lines&dimension Slope of property
Street &street name(s) Existing building,strictures Utility&street light poles
Proposed work Existing curb or edge Trees
Existing S/W or of pavement Existing utility locations
D/W apron (sewer,water,storm)
PUBLIC FACILITY IMPROVEMENT PERMIT
City ofTigard - 13125 SViW HallBlvd. ° Tigard,Oregon 97223 - www.tigard-or.gov - 503-718-2421 - Page 4 of4
2011 Edition Page 81
Shoulder Work w/ Minor Road Encroachment Diag. 300
ROAD
WORK t•
\ AHEAD
•
Initial
Waming A •
Sign
•
•
(Optional) •
•
I
Protection Vehicle
w/TMA(both Optional)
See Chapter 4 • Buffer
10'
minimum • U3
•
A ROAD
NARROWS
(Optional)
B
ROAD
I � ---- --- -- WORK
AHEAD>
Initial
Warning
Sign
December 2011 Chapter 5
Page 80 2011 Edition
5.3 Two-Lane, Two-Way Roads
Shoulder Work w/ Minor Road Encroachment Diag. 300
Use this detail for non-freeway work which extends into a travel lane and
maintains a minimum 10 foot travel lane. If a minimum 10 foot travel lane
can not be maintained, or when traffic can not safely pass by in both lanes
simultaneously, use the appropriate lane closure diagrams—for example,
Diagrams 310 through 350.
A lane closure may be appropriate for conditions such as high traffic
volumes, high speeds, and inadequate approach sight distance to the work
space, or heavy equipment adjacent to the travel 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. Cones shall be placed along the entire length of the work space. If a
protection vehicle is used and work is in place one hour or less, the
taper and tangent devices may be omitted.
4. If the speed is 45 mph or higher, volumes exceed 2000 ADT, or there
is limited sight distance, consider placing cones or tubular markers on
centerline.
5. An arrow board in caution mode or truck-mounted PCMS with
"SHOULDER WORK" or other appropriate message may be used for
higher visibility.
Sign Spacing and Buffer Lengths(feet)
Posted Spacin Between Signs Buffer
Speed A B C Space
20 50 ERRATA:
25 100 100 100 75
30 100 5upplementTable
35
125
40 350 350 350 150 Updated:February 12,
2016
45 180 By:OOM Traffic ftadway
50 500 500 500 210 Section
55 250
Si n S acinR and Buffer Lengths feet Su lement
Posted -Spacing Between Signs "Buffer"
Speed A B C Space
60 285
Chapter 5 700 700 700 325 December 2011
fl
365
2011 Edition Page 107
Diversion into a Continuous Left Turn Lane Diagram 430
ROAD
WORK - -
AHEAD
Ihl
B lyt
< CENTERLAWCLOS
EDD
- �
AHEAD
A
II
L/2 I ;
Buffer
Protection Vehicle
w/TMA(both Optional)
See Chapter 4
Buffer
•
• L/2
•
•
L/2 i• I A
II
lht B
4 I ROAD
WORK
AHEAD
December 2011 Chapter 5
Page 106 2011 Edition
Diversion into a Continuous Left Turn Lane Diagram 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(L/2) 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 Spacing Between Signs Buffer
Speed A B C Space
20 50 ERRATA:
25 100 100 100 75
30 100 Supplement Table
35
125
40 350 350 350 150 updatod:Febnwry 12,
45 180 2016
50 500 500 500 210 sod r.�ric roadway
55 1 250
Si in S acin e and Buffer Lengths feet Supplernent
Posted Spacing Between Signs I "Buffer"
Speed A B C Space
60 2$5
65 700 700 700 325
70 3fi5
Chapter 5 December 2011
2011 Edition Page 53
Bicycle Accommodation Diagram 5-6
I I I
I I
I I
I I NOTES:
I I • Bicycles on Roadway(CW11-1)sign should not
interrupt standard sequences. For example-.
o BE PREPARED TO STOP/Flagger Symbol
o LANE CLOSED AHEAD/Lane Ends
S mbol
Work • Bicycles on Roadway sign typically follows ROAD
Area WORK AHEAD sign and used as general warning.
I
I
I
I I A
I I
I I
I �
I ( �
I I
I I
I I
A
I I I
I I
I I
I I�
I •
� I
I I I
B
I I �
I I
I I
tI� ON
I ROADWAY
I I
I I
I I C
I I I
I I
I I ROAD
I I� WORK
I I AHEAD
December 2011 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 S acin Between Signs Buffer
Speed A B C Space
20 50 ERRATA:
25 100 100 100 75
30 100 5upplementTable
35
40 350 350 350 150 updated:f ebrwry 12,
2016
45 180 by:oorn TrafRaknadwey
50 500 500 500 1 210 Sett ion
55 1 1 250
Si zn S acin R and Buffer Lengths feet Su lenient
Posted Spacing Between Signs "Buffer"
Chapter 5 Speed A R C ace December 2011
60 285
65 700 700 325
70 365
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A 1.ALL WORK AREAS TO BE RESTORED TO LIKE OR BETTER SHEET NO
CONDITION.
a. 2.ALL OTHER UTILITIES ARE BASED OFF EXISTING LOCATES RPI
..�.M�.o.+...- �*�- OR UTILITY STRUCTURES.
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RESPONSIBILITY TO CALL FOR LOCATES BEFORE DIGGING. CMME
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