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PFI2018-00300 A CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT COMMUNITY DEVELOPMENT Permit#: PF12018-00300 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 11/07/2018 Parcel: SEG2363 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: P G E Project Description: Adjacent to 15785 SW 72nd Ave. Install new anchor. PGE Job M2451745. Owner: FEES Description Date Amount PFI Permit Fee 11/07/2018 $300.00 PHONE: Contractor: PHONE: FAX: Applicant: JOHN GUERRY 10800 SW AVERY ST TUALATIN, OR 97062 PHONE: 503-464-7777 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: SCE Issued By: r Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12018-00300 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 Jonny Gish 971-713-0281 or Jonny@tigard-or.gov. **NO WORK ON SW 72ND AVE 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 } City of Tigard RECEIVED PUBLIC WORKS — ENGINEERING NOV o 5 2018 �ri liJ Public Facility Improvement (PFI), �� JR� TYPE OF WORK DESCRIPTION OF WORK(in the right-of-way) IV TYPE 1—Franchise Utility, Work Check one:V Utilities ❑ Sidewalk/drivewav approach ❑ Street improvements performed by NWN, PGE Detailed description: Intall new anchor- urgent and/or utility agency. ❑ TYPE 2—Sidewalk/Driveway/Sewer PGE Job M2451745 Work performed for the purpose of: • Sidewalk installation or repair. Driveway approach installation 15785 SW 72ND AVE Property address/location(s): and/or repair Tigard, OR 97224 Sanitary sewer lateral installation and/or main line tap Applicant: Portland General Electric ❑ TYPE 3—Full scale Development. PP � Work performed with Land use Address: 10800 SW Avery St approval which includes any of City/state: Tualatin, OR Zip: 97062 the following: Phone: 503-464-7777 Email: preregcoord@pgn.com Subdi-6sions or Partitions Contact name: John Guerry Phone: 503-844-5411 Street widening • Mainline installation for Sanitary Contractor: Portland General Electric sewer, Storm sewer, Tigard water and/or Tigard Water Service Area CCB#: 103663 Expiration: Address: SUBMIT COMPLETED APPLICATION TO: City/state: Zip: City of Tigard Phone: mall: Planning Engineering 13125 SW Hall Blvd. Contact name: Phone: Tigard,OR 97223 ,applications for"minor work in right-of--way" N/A only may be emailed to: Engineer: rowpermitsotigard-or.gov Address: FOR STAFF ITSE ONLY City/state: Zip: T Phone: Email: Case No.: Contact name: Application submittal fee(.007%of Engineer's Estimate) $ -%0-C" C� Estimated value of work is required(if over$5,000):$ Additional fees: $ (within the public right-of-way) Application accepted: hs Is work related to a LAND-LISE DECISION? 171B,: !^�..S Date: I 1 � Yes No � If so,please specify (MI.,P,SDR, SUB,etc.) case #: Application reviewed: By: t Date: 1 /7 [1k - Is work related to a BUILDING PERMIT? ❑ Yes No Applicant notified: lease s eciUILDING PERINTI" By: S� Date: t v If so � pfp YCB �case#: I:\ENG\PermitApplications\pfi_application Rev.10/16/2017 City ofTigard 13125 SW Hall Blvd. • Tigard,Oregon 97223 vv«rw.tigard-or.gov 50.3-718-2421 • Page 1 of 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 arc 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 in the space provided or submit a written authorization with this application. Franchised Utilities arc 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 or imposed upon the subject 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. V i n h D Digitally signed by Vinh D Nguyen,PE Nguyen, PE -08'00'018.11.05 07:45:42 Applicant/;Vuthorized Agent's 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 SW Hall Blvd. • Tigard,Oregon 97223 • x,,w-,vtigard-or.gov 503-718-2421 Page 2 of DEVELOPMENT ENGINEERING FEES FOR STAFF USE ONLY Public Facility Improvement(PFI)Permit: DETAILED SUBMITTAL REQUIREMENTS APPLICATION FEE Part 1: Required submittal fee$300.00 (ininirnum) 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 submittal fee) Sketch (including information below) Engineer's estimate X 201%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 following types of work: Design Plans • Sidewalk repair (less than 20 lineal feet) (G sets,24x3G 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 asscrrance may he ❑ 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.) Additional Submittals (per Land Use conditions) ❑ Traffic Report Storm water Drainage Calculations ❑ Geotechnical Report ❑ Preliminary Access Report(Sight Distance) El Proposed Plat ❑ Pathway Design(if applicable) ❑ Water Department Approval ❑ Engineer's Construction Estimate PUBLIC FACILITY IMPROVEMENT PERMIT City ofTigard 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwwtigard-or.gov • 503-718-2421 • Page 3 of4 SAMPLE SKETCH: i• 1 Edge of Pavement I Ditch --WP �-; Streetlight Pwn Dr.am I -7r-01)os cPg eI- i'nF-- .0 __.0 Existing House a I Existing >i Driveway 1 01 'h• CL " �! � rl lit� L/ ^ 1 4' 1 > Existing Shop � Powerpole c� • o ------ r ------ -—- � -�apeh}Line. — 1 I I Fire Hydrant(FH) 1 I Scale: 'I"-30' � I I 1 � I I � I I 1 I MINIMUM SKETCH REQUIREMENTS (Put"N/A"if Not Applicable): North arrow PropertNT lines & dimension Slope of property Street &street namc(s) Existing building, structures Utility &street light poles Proposed work Existing curb or edge Trees Existing S/W or of pavement Existing utility locations D �,Xapron (sewer,water,storm) PUBLIC FACILITY IMPROVEMENT PERMIT City ofTigard 13125 SNX, Hall Blx,d. - Tigard,Oregon 97223 - w-,vxvtigard-or.gov 303-718-2421 Page 4 of VT-76 OVERHEAD LEGEND ®INSTALL FACILITIES C.1026 6 INSTALL ADDIPONALFAC.IT.)riF..S;MODIFYFACILITIF..S 3-143 100 T - 41-- - 1 WORK LOCATIONS VT-7948 1695 45'-4 POLES 1982 .1 POLE CLASS(1,2,3,4,H1.H2,S) 9�0 IIT-i L 9� POLE HEIGHT ANCHORS o X x z = Q ILI (LE-AD) a a w a A_ (LES)) o b N Anchor Code JA1 JA31A51A71A81 U GUYING G o o ti d .......... zo "POS-E, CO Z 1GUY G1 G4 G7 G1 G1 dG221 2 GUYS G2 G5 G8 G11 G1 1696 G3 G6 G9 G1 G1 G2 A 50 9845 45'-4 3GUY5 B 25 20324 1951 rSJ x 0 Q 0 N WL 7 Pi-$227: o Q Install: 2 Al-L12'-11,383# r G17-SEC-5,919#/5,919# Al x G16 N J I CID ¢ 8227 Q 1O 35'6 ¢ 1 G' ABC 2 AL VT-9616 1745 42 100 T 30'-4 1695 1988 45'-4 1982 SW U PPER 130ONES FERRY R U �;¢ PgG ZIO PL ¢Z N 0 25 50 100 Feet m L 1 S 1 1 1 S r l ¢ N PGE CONSTRUCTION DRAWING VERIFICATION S NESC VIOLA Foreman: Date: THINK General Foreman Date. SAFETY (Signature only required for field construction changes I SDPMIENG REVIEW JASBUILT BY DESIGNER. FIRST DATE SCALE ANY DEVIATION FROM THIS DESIGN MUST 10/29/2018 1 in=50 ft 5930001 1000001400 M2451745 ,BE APPROVED BY THE PGE PROJECT MANAGER n L 11 2016 OH FITNES - INSTALL NEW ANCHOR-URGENT CALL 811 BEFORE YOU DIG D U/ SIZE rrENrroN: DURHAM-DURHAM 13 17 x 11 OREGON LAW REQUIRES YOU TO FOLLOW RULES ADOPTED G LOCATION BY THE OREGON UTILITY NOTIFICATION CENTER. G� 15785 SW 72ND AVE,TIGARD THOSE RULES ARE SET FORTH IN OAR 952-001-0010 / DESCRIPTION THROUGH 952-001-0090 YOU MAY OBTAIN COPIES OF INSTALL NEW ANCHOR-URGENT SHEET THE RULES BY CALLING THE OREGON UTILITY COUNTY SECTIONS WORK WITH NOTIFICATION CENTER ADMINISTRATION @(502-232-1987) WASHINGTON I C2112D 1 1 OF 1 TO REQUEST UTILITY LOCATES CALL THE OREGON NnowwhaYs below. WILSONVILLE DESIGN BY PHONE DRAWN BY UTILITY NOTIFICATION CENTER,811 AT LEAST Call befomyou dig. LINE CREW CENTER JOHN GUERRY 503-310-2885 TARA LEAKE 2 BUSINESS DAYS PRIOR TO EXCAVATION sae sw ONeviIoELE ori%',AN Ro wn Sv,o'o 0 PORTLAND GENERAL ELECTRIC CO-ALL RIGHTS RESERVED vmminvarion.corn Diversion into, a Continuous Left Tun Lane Diagram 4�0. 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 Lpeed A B C _4ace ERRATA: 20 50 25 100 100 100 75 Supplement Table 30 100 35 350 350 350 125 Updated: February 12, 40 150 2016 45 180 By:ODOT Traffic-Raodway 50 500 500 500 210 Section 55 2150 Signs Spacing and Buffer Lengths (feet) Supplement Posted S acing Between Signs "Buffer : Speed( B . C Space 60 285 65 700 700 700 325 70 365 www.invarion.com jDive' rsion into a Continuous Left Turn Lane y;r Diagram 430 ROAD WORK AHEAD B t CENTER LANE CLOSED AHEAD A O L/2 0 U O Buffer CU Protection Vehicle w/TMA(both Optional) See Chapter 4 0 Buffer 0 0 L/2 0 0 U L/2 o A 0 1 01 t B ROAD WORK AHEAD i