PFI2018-00338 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
COMMUNITY DEVELOPMENT Permit#: PF12018-00338
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 12/17/2018
Parcel: SEG1970
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: NW Natural
Project Description: SEG1970, associated with 9500 SW Murdock. Upgrade existing 1"steel main with new 2"poly main fro
additional load for new school. New main will be approx. 2'from existing main,will require 3 services to
be relined and tied over. See site Infor Form attached for footage details for services and main.
Owner: FEES
Description Date Amount
PHONE:
Contractor:
PHONE:
FAX:
Applicant:
JAMISON FORGE
220 NW 2ND AVE
PORTLAND, OR 97209
PHONE: 503-226-4211
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
Signature: S� 4'11 1Q12L tri G'Y%"'
Issued By:
Special Conditions(See Attached)
Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY
Conditions for PF12018-00338
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 DEC 12 2018
PUBLIC WORKS — ENGINEERING CITY OF TI'GARD
LARWIjINGIC-,NGINEERING
mp
Public FacilityIrovement PFI ermit
TYPE OF WORK
DESCRIPTION OF WORK(in the right-of-way)
0 TYPE 1—Franchise Utility Work
Check one: 0 Utilities ❑ Sidewalk/driveway approach Q Street improvements performed by NWN, PGE
Detailed description: Upgrade existing 1"steel main with new 2"poly main and/or utility agency.
for additional load for new school.New main will be approx 2'from existing main,will require 3 services to be ❑ TYPE 2—Sidewalk/Driveway/Sewer
relined and tied over.See Site Info Form attachment for footage details for services and main. Work performed for the purpose of:
• Sidewalk installation or repair.
9500 SW Murdock St • Driveway approach installation
Property address/location(s). _ and/or repair
• Sanitary sewer lateral installation
and/or main line tap
NW Natural ❑ TYPE 3—Full scale Development
Applicant: Work performed with Land use
Address: 220 NW 2nd Ave approval which includes any of
City/state: Portland, OR Zip: 97209 the following:
Phone: 503-226-4211x4542 Email: Jamison.Forge@NWNatural.com • Subdivisions or Partitions
Contact name:
Jamison Forge Phone: 503-226-4211 • Street widening
• Mainline installation for Sanitary
Contractor: sewer, Storm sewer, Tigard water
and/or Tigard Water Service Area
CCB#: Expiration:
Address: SUBMIT COMPLETED APPLICATION TO:
City/state: Zip: City of Tigard
Planning/Engineering
Phone: Email: 13125 SW Hall Blvd.
Contact name: Phone: Tigard,OR 97223
Applications for"minor work in right-of-way"
only may be emailed to:
Engineer: rowPermits@`rigard-or.gov
Address:
City/state: Zip: L
Phone: Email: Case No.. Q 1 � � 3 fl
Contact name: Application submittal fee(.007%of
Engineer's Estimate) $
Estimated value of work is required(if over$5,000):$ Additional fees: $
(within the public right-of-way) Application accepted:
� Date:
Is work related to a LAND-USE DECISION? ❑ Yes p No By:
If so, please specify (MLP, SDR, SUB, etc.) case #: Application reviewed: 2
By: K LA-3 Date:
I 1
Is work related to a BUILDING PERMIT? ❑ Yes D No Applicant notified:
If so,please specify(BUILDING PERMIT)case#: By: N-1 Date: �Z b
I:\ENG\Perm itApplications\pfi_application Rev.10/16/2017
City ofTigard 13125 SW Hall Blvd. • 'Tigard,Oregon 97223 0 wwwtigard-or.gov • 503-718-2421 • Page 1 of4
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 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
ro er .
• 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.
Digitally signed by Jamison Fore 12/11/2018
Jamison Forge g
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 Print name Date
PUBLIC FACILITY IMPROVEMENT PERMIT
City ofTigard • 13125 SW Hall Blvd. • -Tigard,Oregon 97223 • www.tigard-or.gov 503-718-2421 • Page 2 of4
DEVELOPMENT ENGINEERING FEES FOR STAFF USE ONLY
Public Facility Improvement(PFI)Permit: DETAILED SUBMITTAL
APPLICATION FEE REQUIREMENTS
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
submittal fee) Sketch
Engineer's estimate X 2%Plan Review (including information below)
❑ 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) (6 sets,2406 or 2204)
• 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 TMC 15.04.140. ❑ Signing and Striping
(customer deposit) ❑ Street Light Plan and Photometric
❑ Engineers seal/signature
❑ Sheet label(project 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 of'Tigard 13125 SW Hall Blvd. • 'Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 3 of4
SAMPLE SKETCH:
Edge of Pavement
I �— Ditch �W
Streetlight .—.—.—.—.—.—.—.—r—.—
I T Rain Drain
' T'Pro'p'os d'`Soweir CInF"a 1
a� •
Existing House
Existing
>I I
>i • Driveway751
IV
1
C 1 I , ,,•y
dr,
V�
a_ I .
:
o� ' •
a
1
I
> ■
;� I 1
o I Existing Shop
� •J -
I
Powerpole I = 1
cz) • a
I 95' 1
�-------'Property-Line
-----------
I I
' I
Fire Hydrant(FH)
I
1 � !
! Scale: "I"=30'
� � I
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, structures 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)
F.. ,.,.. ,• .... ...JSE65'.�e ... �F:ai'IV: _.. .7a- -•.... ,'a6;.P"B$ieF :i'APktil¢ .a8"1'Q4.rttYt'M v.2PAv^MFe3"v.2u4th22k a.
PUBLIC FACILITY IMPROVEMENT PERMIT
City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov 503-718-2421 • Page 4 of4
NW Natural— Site Information Form (SIF)
Service Address Service WO#
9500 SW Murdock St #NEW 3548004
Plat# City and County Main WO# Revision#
1-045-019 Portland, Washington 3549960
LOCATE INSTRUCTIONS:
White locate brackets are down.
White Paint Down?`€e YES i❑ NO
How many Headers? Delivery Pressure Total Therm Load
W Single❑ Double ❑Other#: ❑Standard 912 PSI ❑Other: 66.3
❑ Residential 9 Commercial ❑Industrial ❑Conversion ❑ Riser Relocate ❑Cutoff 1Z New Const ❑Open Pathway(open) 91 Conduit
❑ RUSH ❑PRESOLD ❑ Bore w/crew ❑ Bore-N-Go ❑GNS ❑ Double Off ❑Job Agreement ❑ Easement Required
PERMIT REQUIRED ❑ NONE
0 City - ❑Sticker - ❑Verbal - ❑ Notify Only - ❑ Blanket - ❑Standard
❑County
❑ ODOTIWSDOT
❑ Railroad
❑ Other(specialty permits, easements):
❑Traffic Control Plan Needed ❑Standard ODOT template attached 0 Vendor-provided plan ❑ Flagging required
INSTALLATION REQUIREMENTS 0 See Separate Attachment
Service Size&Type Service Footage ( IV }
2" Poly 203'
Main Size&Type Main Footage
2" Poly 266'
Service to Main Location f7 Short OrLong
Hard surface cuts required? _.YES EI NO
Street Moratorium? YES FCI NO
Guard Post Required? ❑YES 1 NO
Fiber Optics? P Unknown jr YES `CI NO
Oil Tank? Fd Unknown FYES FE-1 NO
Septic Systems? P Unknown E YES CI NO
Sprinklers? Unknown IE YES rCI NO
Other(list): Unknown E YES ICI NO
Houseline Installed: E YES PI NO Meter Loc: RIOS
❑Green Tagged
Working within open water area? (❑YES WINO Erosion Sensitive Area? rf YES NO
Working within proposed or existing planter strip/swale? `❑YES FO NO Working in a Tree Critical Root Zone? ]YES FO NO
CROSS SECTION DETAILS Paving Symbols- AC—Asphalt E—Earth C—Concrete G—Gravel
PUE—Public Utility Easement, ROW—Right-of-Way, EOP—Edge of Pavement,C/L—Centerline
Comments
Z) p O O O a
rY
CURB? Y / N CURB? Y / N
Number of cuts: CIL
Size of cut(s).-.-
•
ut(s)::❑Over main
❑Over other utilities
Street Name:
Direction Facing ❑ North r❑West
F-8039(5/17/2017)
REMINDER:ALWAYS COMPLETE PAGE 2 OF THIS FORM
Description Service Estimated Hours Main Estimated Hours
wo#: 3548004 wo#: 3549960
Crew comp
Construction 4
Construction 3 X X
Construction 2 X X
Construction 1 X X
Equi ment/Other Labor
Mini-Excavator, 3 Yarder& Trailer X X
Bore Machine
Contract Dump Truck 10 Yarder
Vac-X Truck & Crew
Mechanic Welder&Truck
Flagger— how many? 4
Plate Truck
Miscellaneous
Contract Sawcut X
Other:
Other:
Other:
NOTES(Construction details,ground conditions,etc.)
City permit needed, 4 flaggers needed, saw cutter needed, white locate brackets are down.
Estimate is to upgrade existing 1" steel main with new 2" poly main for additional load for new
school. New main will be approx 2' from existing main, will require 3 services to be relined and tied
over to new main and existing poly service for current school to be tied over with 3 2600 EFVs
installed, 1 at main connection with new 1" curb valve, 2nd at 127', 3rd at 254', remove existing
curb valve at 88' in. Install 2" tee at end of main 22' in and stub south 45', install 2" curb and cap
to get out of road for service to new school to be installed later. See attachments.
Service: No permit needed, no flaggers needed, all work for service will be on property. Estimate
is to install service from 45' 2" poly stub that was installed with curb valve when main was
replaced, thru installed conduit. See attachments
Name: Date:
Curtis Babcock 10/ 30/18
F-8039(5/17/2017)
ROAD > T
WORK Jr t
AHEAD
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DWHDW DW
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SW Murdock Stmom
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DW
ROAD
WORK 100, I
AHEA
1. Maintain Ped. access to D PREMAINTAIN
PARED DRIVEWAY
BE
and through crosswalks TO STOP
and or sidewalks. (P. ACCESS
2. Maintain Min. 10'lane 3
3. Maintain Local access 100'
N
4. Traffic Control Plan and all R 50'
devices shall comply with the ; Flagger
2009 MUTCD and OTTCH 2011 • ok
Taper
standards. P
5. Device spacing. o�
Flag taper 20' 't
i
All other tapers equal to the DW
posted speed. 20'min. for tangent 100 o� •
6. 28"cones
36"barrels . ..:
48"signs w/Flags
7. Cover stop signs and/or disable I I I I I I I I I Imo'
lights when at a controlled intersection 1.
8. Place No Parking signs 48 hrs in advance.
9.Adjust to field conditions. o
SWITCH CONTROLS
Lane Width 10Legend TO OTHER SIDE OF
9 ROADWAY AS
Posted Speed 25 40 Cones WORK ZONE CHANGES +
Flagger Taper 100' 7" Flagger
Sign S aci n 1001+/_ <$ Flagger Ahead •
Spacing <#>W20-1 road work ahead
o
Devices Taper <@>W20-7b be prepared to stop
Work Area Tangent 40 >
Q 3
s o0
CUSTOMER: NWNG °' L
f%^%11TA/%T. co o
CROSS SECTIONS GENERAL NOTES N
1.Call the following Utilities Notification Center
50, 48 hours prior to any excavation:
Oregon:811 or 1-800-332-2344 W E
Washington:811 or 1-800-424-5555
J 7' 8 1$ 7J 2.ATTENTION:Oregon law requires you to follow
Il 'D (D '0 (D
1CL rules adopted by the Oregon Utility Notification S
14 -
•- N C M 0) Center.Those miles are set forth in OAR 952-001-
E 0 W L B 0 W E 0090.You may obtain copies of the rules by calling
the center.(Note:the telephone number for the Oregon
Utility Notification Center is(503)232-1987 or 811).
EX.MAIN 14'-0'0 E— 3.Fill out construction sketch as-built supplied with
job packet and return with work order.Only one
12'—►O �— as-built is required.
4.All distribution mains must have a minimum depth of
S/S SW MURDOCK ST NIS 24"and services must have a minimum depth of 18"
unless there is an approved variance.
5.All transmission lines must have a minimum depth of r N
VARUWCE S 30"in Class'1'locations and 36"in Class'2,3,&4' O O
locations.unless there is an approved variance.
vanacs(s)n,etle 6.Written dimensions on this construction sketch !r tY
have precedence over scaled dimensions.
Reaw(S): 7.Pressure test shall be tested in accordance with
standards in CFM and Engineering Standard Practice.
W9stIattok n(a") 8.Test medium for class"B"main shall be air,unless 30.
otherwise noted.Test medium for class"C-F"main
_ shall be water,unlessotherwise noted. �) N!Z w Z.„ - INSTALL:
App—d Na— 9.For Class C or higher tests,see Design Document and �� -+t9 W ❑ LW o
Hydrostatic Report. C* --
RECON.
Class"B"PRESSURE TEST INFORMATION(circle&label test area on as-built drawing) 31 3 #9500(SW MURDOCK)
m G
'i I of (TEMPLETON ELEM.SCHOOL)
Test by NNG—Other �Q hl 01 ('96)
Tit Pi" 91.W. Pi" T..t q1 OFT pa O + 0 + v
Arw St ►etr v_t." Pt«.�t. DO. T.m Da. Tim. YM GO,"0 rmt N"n." "w `1� i 2"P � +
. +
IN INSTALL:
A Q�^yti 0+541911 p n ❑ "
B a°�� 4� 1( ) 'ST \� 2600 EFV AT MAIN
C 0+0 z
0� o 0';5 ❑2600 EFV AT 1+27
D ++ i ❑2600 EFV AT 2+54
INSTALL: ❑REMOVE EXISTING
E E3 F ❑ 1#A ode&T� �\ `� W RELINE60VALVE
op _ INSTALL:
Order Street Description Rat number Costing Pipe sae Type ❑ 2"PE VALVE
3548004 9500 SW Murdock St#New Tigard Tualatin Sch Dist#23J(SAS) 1-045-019 2720 P-0200 SM03 14 1+73--
3562135
+73'-3562135 9585 SW Murdock Reline 314"(W)service and reconnect to 1-045-019 2316 S-0075 SMOS
N
3562136 9655 SW Murdock Reline 314"(W)service and reconnect to 1-045-019 2316 S-0075 SMOS (n
3562137 14860 SW 96th Ave Reline 3/4"(W)service and reconnect to 1-045-019 2316 S-0075 SM05
WELDS
X- CERT. OPER. PM PM
FOOTAGE SIZE M P GRADE W.T. RAYED MAOP MAOP NOP ACTIVITY# ORDER#
INSTALL 252' 2" P B P24 .216 60 57 45 710 03549960
'-) NW Natural ° 5° 1°°
�Feet
Engineering Department 1 in=100 ft
ADDRESS CITY COUNTY STATE DESIGNED CFB DATE 1112812018
9500 SW MURDOCK ST#NEW PORTLAND WASHINGTON OR DRAWN KDC DATE 1211212018
BETWEEN AND
SW 96TH AVE END OF STREET APeROVED R2G DATE 11/12/201
NAME CREW LDR. DATE
9500 SW MURDOCK ST TEMPLETON ELEMENTARY SCHOOL PLATTED DATE
PLAT TWN RNG SEC PIPELINE ID- JOB TYPE:
1-045-019 T02S R01W NW 11 NEW CONSTRUCTION MAINS
PM r: PROJECTMEvlslONIF
1-045-020 T02S R01W NE 11 03549960 00022283