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PFI2018-00335 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT COMMUNITY DEVELOPMENT Permit#: PF12018-00335 Date Issued: 12/19/2018 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: SEG236 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: Comcast Project Description: SEG 236. Comcast proposes to trench/bore 253' and place(2)-2"conduits and a minimum of 36"below grade within city of Tigard ROW. Owner: FEES Description Date Amount PFI Permit Fee 12/19/2018 $300.00 PHONE: Contractor: TEXSTAR ENTERPRISES INC 17090 JORDAN RD SELMA, TX 78154 PHONE: 210-656-8775 FAX: Applicant: DAN GREEN 11308 SW 68TH PARKWAY TIGARD, OR 97223 PHONE: 971-777-0953 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: See application Issued By: -�— % Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12018-00335 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 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 DEC 10 2018 PUBLIC WORhS —ENGINEERING CITY OF TIGARD t PANNING/ENGINEERING Pubhc FacIty ImPPerrmtrovement (PFI) TYPE OF WORK DESCRIPTION OF WORK(in the right-of-way) ❑ TYPE 1—Francluse Utility Work Check one: El Utilities ®Sidt;walk/driveway approach Q Streetimprovernents performed by NwN, PGE Comcast proposes to trench/bore 253'and lace and/or utility agency. Detailed description: p p p (2)-2"conduits and a minimum of 36"below grade within City of Tigard ROW. ❑ TYPE 2—Sidewalk/Driveway/Sewer %Work performed for the purpose of: • Sidewalk installation or repair. • Driveway approach installation Propertyaddress �/location(s): 10152 SW Scholls Ferry Rd and/or repair • Sanitary sewer lateral installation and/or main line tap Comcast Cable Communications Management, LLC El TWE 3—Full scale Development Applicant: g pp Work performed with Land use Address: 11308 SW 68th Parkway approval which includes any of City/state: Tigard, OR Gip: 97223 the following. Phone: (971)777-0953 Email: Dan_Green@comcast.com • Subdivisions or Partitions Contact name: Dan Green Phone: (503)596-3754 • Street widening • Mainline installation for Sanitary Contractor: Texstar Enterprises, Inc sewer, Storm sewer, Tigard water and/or Tigard Water Service Area CCB#: 178798 Expiration. 10/10/2019 Address. 14122 Arndt Rd SUBMIT COMPLETED APPLICATIONTO. City/state: Aurora, OR Zip: 97002 City of Tigard 503 793-3109 im.miner texstarenter rises.com Planning/Engineering Phone: ( ) Email: 1 @ p 13125 SW Hall Blvd. Contact name: Jim Miner Phone: (503)776-5049 Tigard,OR 97223 Applications for"minor work in right-of-way" Engineer: K&B Technical Solutions only may be emailed to: g rowpermitsktigard-or.gov Address: 6566 SE Lake Rd FOR s,rAFF USE' ONLV Milwaukie, OR 97222 City/state: Zip. Phone: (503)650-6041 ext.212 Email: Shane Langley@kbmail.net Case No.:PF W I�_003Z)6 Contact name: Shane Langley Application submittal fee(.007%of Engineer's Estimate) sr Estimated value of work is required(if over$5,000):$ Additional fees: $ («.,ithin the public right-of-way) Application accepted: Is work related to a LAND-USE DECISION? ❑ Yes ❑ No By: Date: 10 If so,please specify (MLP,SDR,SUB,etc.) case#: Applica' By: Date: L �l ? 'cant notified: Is work related to a BUILDING PERMIT. ❑ 1'es ❑ No App If so,please specify(BUILDING PERMIT)case#: By: Date: I:\ENG\PermitApplications\pfi application Rev.10/16/2017 City ofTigard • 13125 SVC Hall Blvd. Tigard,Oregon 97223 %,.rwxvtigard-or.gov • 503-718-2421 • 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 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 in the space provided or submit a written authorization with this application. Franchised Utilities are not required to obtain the owners 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 ro • 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 appror denying the application. D Applicant/Authorize ent's signature Print name Date SIGNATURES of each owner of the subject property,if required. Owners signature Print name Date Owner's signature Print name Date Owner's signature Print name Date PUBLIC FACILITY IMPROVEMENT PERMIT City ofTigard 13125 SW HallBlvd. • Tigard,Oregon 97223 • xvww tigard-or.gov 503-718-2421 Page 2 of 4 Z� 9957 4 9950 —2U \ >cn Z o \ N W F 1 ~ � F W —ROS ROA ROw ' )'Y w,oa ■aa ■oa :;,a I I :oc�oc .oc�a 5�w i x�w— 0 o a O co —s/r s/r s/r s/r sAr' sAbl LU 0 5'SW , 3> m X W t u m H co u- v0 U SW SCHOLLS FERRY RD CA—CA—CA—CA —CA—CA—CA—CA—CA CA CA CA e/c c/LcAcAcA c/1 c/1 ci,m CA 3 S � FOC—�,cFOC-------------fac k- roc ' sn'—-- s/" s/+ s/w Now ROM' "0 Oq Now BROW—ROM- 5'SAN 1 •L— —�r�L'�g� �i —� c - TRENCH AND PLACE(2}2'CONDUIT A M IN OF 36'BELOW GRADE BE(3M CONSTRUCTION AT EXISTING (TYPICAL) UTILITY POLE IN CITY OF TIGARD ROW E 3 5 R N I O^m 1 S QASSUMED SIDEWALK AND PUBLIC UTILITY EASEMENT 10115 BORE AND PLACE(2}2-CONDUIT a m Z A MIN OF 36'BELOW GRADE 10170 i L W U oN ck o 9 W a = 10152 N �► c':100, s ;off L� <C� v s END CONSTRUCTION AT EXISTING r U ) MANHOLE IN CITY OF TIGARD ROW o i�. ni Yi o 00 SCALE: 1'=30' O U t cl 4' 52' -tea � } d m LJ o 1.ALL WORK AREAS TO BE RESTORED TO LIKE OR BETTER 8 CONDITION. s 2.ALL OTHER UTILITIES ARE BASED OFF EXISTING LOCATES RPI OR UTILITY STRUCTURES. e.� w..+..�.�..: 3.IT IS THE CONSTRUCTION CONTRACTORS RESPONSIBILITY TO CALL FOR LOCATES BEFORE DIGGING. CMATT-17757-9336 i Z 0 ti 1-- J tWi0) wU UNIMPROVED HARD SURFACE O O Z C"Q H AREAS « �. (CONCRETE) =O p- vrww.Oe c VAn DESCRIPTION: EXAMPLE: DESCRIPTION: EXAMPLE tow W Z �> mCW7 BORE/DRILL JOINT USE POLE to Q W W N W J .00,rtw*c �fn J TRENCH JOINT USE POLE W/TRANSFORMERG. 07 wirrve � *rve � U EXISTING CONDUIT POWER POLE W/TRANSFORMER IS f �s 7 STRAND POWER POLE > RIGHT OF WAY CABLE POLE 'ti ti PROPERTY LINE —————— TELEPHONE POLE Q , PUBLIC UTILITY EASEMENT ru PEDESTAL.VAULT p T) CENTER LINE w MANHOLE FACE OF CURB CATCH BASIN EDGE OF PAVEMENT Dov VALVE(WATER,GAS,ETC) pQ Lu u EDGE OF GRAVEL c« METER(WATER.GAS,ETC) © Z w w m z EDGE OF SIDEWALK sh' FIRE HYDRANT EDGE OF DRIVEWAY n/ Lu REMOVE&REPLACE LIMITS, BORE PIT N SEWER o N m �N— rt STORMy O w x WATER 9i m GAS �,s ,6 U m rn POWER o S ry N t N � O TELECOMMUNICATION O w a CAN -n TRAFFIC CONDUIT rrc M O STEAM s* LO c� m� a T 4 m FENCE LINE - 0 n E 0 GUARD RAIL U 01 C RAILROAD TRACKS y aoi O o o U a� 0 RP-L CMATT-11757-9336 Page 108 2011 Edition 5.5 Multi-Lane Roads Right Lane Closure, Multi-Lane Non-Freeway Diag. 500 Diagram 500 covers work which closes the right lane of a multi-lane non- freeway road. If closing more than one lane on a multi-lane road, provide a minimum tangent distance of 2L between the end of the first lane closure taper and the beginning of the second lane closure taper. 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 the posted speed is 40 mph or less, the RIGHT LANE CLOSED AHEAD signs may be omitted. 4. Placement of signs in a non traversable median or other median that is not a two-way left turn lane is required for lane closures any time there is room for a truck to be parked on the left, out of the travel lane. When there is no room for a truck to be parked on the left an additional RIGHT LANE CLOSED AHEAD sign should be placed on the right side and placement of signs in the median is optional. 5. If flagging is needed for work vehicle ingress/egress, use Flagger Layout Detail (see Inset). Sign Spacing and Buffer Lengths(feet) Posted Spadng Between Sigm "Buffer" Speed A 8 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 109 Right Lane Closure, Multi-Lane Non-Freeway Diag. 500 1 1 t t • Protection Vehicle • w/TMA(both Optional) ' See Chapter 4 • I I I � I I I • I '�j'' softer • I Bulfer I FA I I � I I I I BE � PREPARED I • L I L TO STOP I • — —— —_—j • (Optional) Rag ger Layout •• us Detai I A B *See Note 4 M RIGHT LANE * • CLOSED 1 1 1 t AHEAD ROAD * WORK AHEAD September 2016 Chapter 5