Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
PFI2018-00324
CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT • COMMUNITY DEVELOPMENT Permit#: PF12018-00324 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 12/03/2018 Parcel: SEG530 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: NW Natural Project Description: SEG530, intersection of SW North Dakota and SW 92nd Ave. Abandoning 5'of 2"(W)gas main and lowering in same position, adding 9' of 2"(W) main. Owner: FEES Description Date Amount PFI Permit Fee 12/03/2018 $300.00 PHONE: Contractor: PHONE: FAX: Applicant: JAMISON FORGE 220 NW 2ND AVE PORTLAND, OR 97209 PHONE: 503-226-4211 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 PF12018-00324 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 Brady Bullinger 503-718-2611 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 RECEIVED City of Tigard NOV 2 9 2018 71-1 7 r. PUBLIC WCR.KS , T"N G I N t",f-'R IN G PL/-",1N1rlt 7"r-L I N G Pubhc FAacility Improvement (PH) Permit 'I'YPE OF WORK DESCRIPTION OF WORK(in the right-of-way) ❑ TYPE 1-Francl-tisc Utility Work I perfornled by NWN, PGE Check one: E) Utilities ❑Sidewalk/drivewai approach Strect till provenlen I Detailed description: Abandoning 5'of 2"(W)gas main and lowering in and/or litilityagency. same position,adding 9'of 2"(W)main. El TYPE 2-Sidewalk/Driveway/Sewer kX.'c)rk perfurnied for the purpose ot: - Sidewalk installation or repair. Property address/location(s): SW North Dakota and 92nd Ave e Driveway approach installation Mid/or repair 0 - +anitai-N, sewer lateral installation Mid/or main line tap Applicant: NW Natural 0 TYPE 3-- Full scale Development Work perl'Ortned with Land use Address: 220 NW 2nd Ave mm- approv,flwhich includes any of City/state: Portland OR 97209 The following: Phone: 503-226-4211 x4344 1,'niall: Jamison.Forge@NWNatural.com - Subdivisions or Partitions - Sireet Widening Contact name: Jamison ForPhone: 503-226-4211 x4542 - Mainline installation for Sanitary. Contractor: Same as above sewer, Storm sower, Tigard water and/orTigard Water Setvice Area CCB#: xpirat.ion: Address: simmrr comptx,rED APPLICKIIONTO: City/state: I p: City of Tigard Phone: L",M a il: 13125 SW Hall Blvd. Contact name: Tigard,OR 97223 \pplicarlim,for"minor work in right-of-way" Engineer: (10i� may he C111:1i1cd to: rowLie rill i tsCa.�tigard-or.goy Address: City/state: zip: ------ Phone: Case No.: 00 3 Z Contact name: Application submittal fee(.007%of - $ l,tigin c e r's 1 11stitnate) VIP Estimated N,alue of work is required(if o-,rcr$5,000): Additional fees: S 30©. (within the public right-of-way) Application accepted: N I I-Z41 Is work related to a LAND-USE DECISIONr C1 Yet, El No By:- SL —Date- If so,please specify (MLI), SDR,SUB, ctc.) case 1 #: Application reviewed: By- 1K "") —Date: 12� 3 /, 1 -b Is work related to a BUILDING PFIRMIT0 N-es D tit) Applicant 6fied: If so,please specify(BUILDING case#: By:- Date: L\F.MG\Pe rmitA ppticat lom%ph—appka tion Rev.10/16/2017 City ofTigard 13125 SW Hall 13hd. Tigard,Oregon 97223 - wwwtIF,i ard-or.gov - 503-718-2421 - Page I of 4 APPLICANTS NOTE: Person specified as`Applicant"shill be desilmated"l'erinittec"incl.11.111 provide f1t1.111Cial assurance: for work,if required by the city pursuant to TRIC 15.041.1=1.11. With the exception of a utility operating pursuant t(i a vaiid franchise with the 01�•(if' 1p.lyd,wizen tite and the applicant are different people,the applicant mua be the purchaser of rcc•ord ora lessee•in possession with m.-ritmi actthorixation from the owner or:ut agent of the owner. The owncr(s) must sign this application u1 the space provided a•submit:t written auth,irization with this application. Franchised Utilities are not required to obtain the ownees signaturc on tile appiicatiun BY SIGNING BELOW,THE APPLICANT(S) SHALL CERTIFY THAT: • The above request<<i()t, 111)1,v iolate in, �t�rclt:(]decd restrictiedtn ,tliat 111.1;•be attachM.1 1.0 or imposed i oil the sttbiect prover • 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 abate statements and the statenients iI1 any plot l�lan,att:lel"lI11L'Iits,incl exhibits transmitted herewith,are true;and the applicants so acknowledge that an%•permit issued,based on this application,may be revoked if it IS te)Ut,d that ails'such statements are false. • The applicant has read the entire contents of the application,incltiding the policies.incl criteria,and under`tand the requirements for approving or denying the applicaticin. Jamison Forge 11/29/2018 Applicant/Authorized gent's gilarure Print 11:!1111' l).tie. SIGNATURES of each owner of the subject property, if required. __._._......... _ Owners signature. P61111 11:talc° lure Owner's signature Print natne Owner's signature Print n;lu;lcD"Itc PUB11C FACILITY IMPROVEMENT PERMIT City afTigard • 131?5 tibV 1 l all f i lv 1. • •f•igard,Oregon 97?23 • www lgard-or.gov 503-718-2421 • Page 2 of4 c v 00 tJi o Paving R W _ L Symbols a. O C. O E-Eitb E-Earth W/S Roadway Roadway J E/S C-Concrete E C E � -' AJC A/C V E CE G-Gravel r; r� � r" o 0 NIS Roadway I Roadway S/S v E AIC ( "VC E �3 � o I TO I Ieasured B- K Q .ecommended Equipment ermit required City Ocounty[]State []Easement Railroad -Iain Extension under Ft. of Sod -Iain extension under Ft. of Dir ilain Extension under Fr. of Hard Surface ; rc - Pavingo v RJW ►. o Symbols n- O �- o E-Bith E-Earth W/S Roadway Roadway E/S C-Concrete C E -? r AJC I A/C - G-Gravel E r= u E C E o - �--- o /S Roadway I Roadway S/S v E AJC ( A1C E oo I 13 Ieau;ed Bti r .ecommended Equipment ermit required City Mcounq Msmte 7Easement [3 R.zilroad -Iain Esceusion under Ft. of Sod Iain extension under Ft. of Dir /lain Extension under F-t. of Bard Surface C I 300-T411100 FSI F- 77' Z fff V 011130 16' (80) aPARCEL3 W 788' 188' , B3' r� 411160 m� Q Q N 180' 166' F20 ��— � " M " O PARCEL 2 " R'180 �'- m b ct (PUT) n 30' TIED 1'(wr80 z(w)efi TIED SW NORTH DAKOTA ST r 'I 0+0 of Ila ;1 P ❑LOWER 5- x 2-(M MAIN � ., 411285 ,�-' $ 13' — 75' I P 9) 7 W � 411270 Q 146' 411260 W Q 411285 172' _' (P) Z (w) N 0) ?+s' fn 1F11�5 1�1 ryys ,,11R\Qje �A � X77 3 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 December 2011 M No o Mcnoc�i�occ'nocNiio m � d a a Single Flagger Operation r« cy NI for Low Volumes ro� (Optional) 3' a o (ADT 400) 0 0 o D d BE o FLAMER PREPARED ONE LANE W e !• H a H c 3 TO STOP ROAD r AHEAD 0 0 0 — — — — ! • ROAD <1 . ® ••' ♦ WORK cn w u� ? I o 1 e K e K A - \\ AHEAD, 0 0 0 o n H c° aw.. � I Q y wri►panopa.q I N � aM C1�r� 44�> [1T OD C,TI N O O yi 0000cno � � � � A B B Tt- =r 1 mile �1 - max. - - d cc cc B B A Buffer \ Protection Vehicle ROAD w/TMA(both Optional) WORK See Chapter 4 _0 AHEAD BE ONE LANE �,,° TO STOAD P Two Flogger Operation 3 w � i (Optional) N O vi 2 51- ON ' f L k ^LY a v S 4 7 � s" _. R-4.5 ti a.' y a Feet 42