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PFI2018-00354 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT s COMMUNITY DEVELOPMENT Permit#: PF12018-00354 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 12/31/2018 Parcel: SEG2468 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: Comcast Project Description: SEG 2468/Adjacent to 14775 SW 74th Ave. Comcast proposes to rod/rope existing conduit in City if Tigard ROW. Owner: FEES Description Date Amount PFI Permit Fee 12/2812018 $300.00 PHONE: Contractor: TEXSTAR ENTERPRISES INC 17090 JORDAN RD SELMA, TX 78154 PHONE: 210-656-8775 FAX: Applicant: DANIEL GRAHAM 11308 SW 68TH PARKWAY TIGARD, OR 97223 PHONE: 503-617-1212 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: L Issued By: Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12018-00354 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 DEC 2 7 2018 City of Tigard CITY OF TIGARD PUBLIC WORKS —ENGINEERING PLANNING/E1`11GINEERING Public Facitity Improvement PFI Permit TYPE OF WORK DESCRIPTION OF WORK(in the right-of-way) TYPE 1—Franchise Utility Work Check one: 0 Utilities Q Sidewalk/driveway approach Q Street ilnprovements performed by NVVN, PGE Detailed description: COMCAST PROPOSES TO ROD/ROPE EXISTING and/or utility agency. CONDUIT IN CITY OF TIGARD ROW. ❑ TYPE 2—Sidewalk/Driveway/Sewer Work performed for the purpose of: - Sidewalk installation or repair. 14775 SW 74th Ave, Tigard, OR 97224 Propert}, address • Driveway approach installation'l/location(s}: 9 and/or repair - Sanitary sewer lateral installation and/or main line tap Applicant: COMCAST CABLE ❑ TYPE 3—Full scale Development Work performed with Land use Address: 11308 SW 68TH PKWY approval which includes any of Cite/state: TIGARD,OR lip: 97223 the following: Phone: 503-617-1212 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 Fater Ser��ice area CCB#: 178798 Expiration: 5129119 Address: 14122 Arndt Rd SUBMIT COMPLETED APPLICATION TO: City/state: Aurora,OR Zip: 97002 City of Tigard Phone: 503-793-3109 Email: Jim.miner@texstarenterprises.com Planning/Engineering13125 SW Hall Blvd. Contact name: Jim Miner Phone: 503-793-3109 Tigard,OR 97223 Applications for"minor work in right-of-way" En 'neer: K&B Technical Solutions only may be emailed to: g rowpermitsntigard-oror.gov Address: 6566 SE Lake Rd Milwaukie, OR . 97222 I-OR STAFF tl-,SE ONLY City/state: Zip. Phone: 503-656-6041 Email: reed kbmail.net Case No: 'Zn,�'Co?E'L4 Contact name: Ian Reed Application submittal fee(.007%of Engineer's Estimate) $ o� Estimated value of work is required(if over$5,000):$ Additional fees: $ 300 /J (vrithin the public right-of-way) Application accepted: By: Date: 12.121 IS Is work related to a LAND-USE DECISION? ❑ Yes ❑ No If so,please specify (MLP,SDR,SUB,etc.) case #: Application reviewed: By: g Date: 12127 I Is work related to a BUILDING PERMIT? O Yes ❑ No Applica t notified: If so,please specify(BUILDING PERMIT)case#: By: S Date: ahb I:\ENG\PermitApplications\pfi application Rev.10/16/2017 City ofTigard - 13125 SW Hall Bhd. - Tigard,Oregon 97223 - -wwtutigard-or.gov - 503-718-2421 - Page 1 of 4 APPLICANTS NOTE: Person specified as`!Applicant"shall be designated"Pernuttee"and shall provide financial assurance for,.vork,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 flus 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 unposed upon the subject ro 0er . • 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,attaclunents,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 a 'cant s read t e entire contents of the application,including the policies and criteria,and understands the requiremen s or app wing or denying the application. Ian Reed 12/27/18 Applicant/Authorized 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 HallBlvd. • Tigard,Oregon 97223 • t«vw tigard-or.gov 503-718-2421 Page 2 of 4 DEVELOPMENT ENGINEERING FEESFOR STAFF USE ONLY Public Facility Improvement(PFI)Permit: DETAILED SUBMITTAL REQUIREMENTS APPLICATION FEE Part 1: Required submittal fee$300.00(minunum) 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 mininum submittal fee) Sketch (including information below) Enguieer's estimate X 2%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) (6 sets,24x36 or 22x34) • Relocate or replace mailbox ❑ Cover—Site,Vicinity,Abbreviation,Legend • Ditch cleaning that does not i evolve 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 prutung 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.) 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 CityofTigatd 13125 SW Hall Blvd. • Tigard,Oregon 97223 • xt,,t utigard-or.gov • 503-718-2421 • Page 3 of4 6206-Z0Z£L•3WW0 '9N199I0 3HO-439 S31VO01 210-4 11VO Ol A1n191SNOdS3d 5bO1OV211N00 N0liom ISN0O 3H1 SI 11£ G cid s3anlonals Alnun ao —••—"•- `�wu. t S31V001 9NIISIX3 330 03SV9 3NV S311nI1n 213H1O liv Z N0I110N00 I Li3LL39 80 3HIl Ol 0321O1S321 39 Ol SV3NV MHOM 11V L 8 m ^ 0' 0 l ' � 11 0 3 N�� 0—d w O 7/n J V/ I "3 0 3 i I v I 0 W CD a x N _ Q Z T l j � l I LOL t0.Z�1 1lInON00 9NIlSIX3 c AJ Ol NMOO N3SR1 M3N O1NI 213913 J l N � NOIlISN (INV 9NI1SIX3 HE)nOUHI dn'8381-4 l N3S12i � (n L9ZL09190ZL 1111 \_A1213dO21d 91VAI21d NO 3nNLLNO0 0NV (f� MO21 021V9LL 30 A110 NI 3dO2i/0021 ON3 T 11nO 100 9NLLSIX3 H9nONH1 3dOWOON f ONV 3_19V0 011d0 2138111090-(L)llV1SNI T50>2 AI213d0Md 31VAIdd NO N0LLOn8ISNO0 N1099 ..i r D T 1 A .Zml W CJn N O�w 0`2 �Zo .ZOIC -0 R7 = 50941 �x tj< 3Y I I T A m pZ U) + D O N �Z I z ` O 1 1 z 0 U) z� UJ f N X Q 2 Z w U J J d Z H W Sao DESCRIPTION: EXAMPLE: DESCRIPTION: EXAMPLE: fr p� W Z mw BOREIDRILL — JOINT USE POLE Q Q t7 J TRENCH - JOINT USE POLE W/TRANSFORMER ® m Q EXISTING CONDUIT POWER POLE W/TRANSFORMER ® U STRAND POWER POLE RIGHT OF WAY CABLE POLE PROPERTY LINE ——— TELEPHONE POLE PUBLIC UTILITY EASEMENT nc PEDESTAL,VAULT p El yy' CENTER LINE CA— MANHOLE 5� N FACE OF CURB —roc CATCH BASIN z K EDGE OF PAVEMENT VALVE(WATER,GAS.ETC) pd d � EDGE OF GRAVEL METER(WATER,GAS,ETC) C x m � m u EDGE OF SIDEWALK FIRE HYDRANT q � w o u EDGE OF DRIVEWAY REMOVE 3 REPLACE LIMITS. 3 ' BORE PIT SEWER rn STORM N paw'F O N 3 WATER E E N 0 GAS c•s < u a POWER v ggg X U '2 O E TELECOMMUNICATION m m w O a CANS TRAFFIC CONDUIT TIC E 0 STEAM sr ~�/'�E" v V/L O N b— U FENCE LINE — — <_U N o N U GUARD RAIL Uch RAILROAD TRACKS -��I�I�I��I� ` S❑ m lb= 0 C 0 U 0 0- m m S.FFT Nn RP-L MME-13202-PERMII ID 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 cannot be maintained, or when traffic cannot 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 Spacing Between Signs "Buffer" Speed A B C Space 20 50 25 100 100 100 75 30 100 35 350 350 350 125 40 150 45 180 50 S00 500 500 210 55 250 60 285 65 700 700 700 325 70 365 Chapter 5 September 2016 2011 Edition Page 81 Shoulder Work w/ Minor Road Encroachment Diag. 300 ROAD WORK to AHEAD 1r Initial Waming A • Sign • • (Optional) • • • Protection Vehicle • w/TMA(Moth Optional) See Chapter 4 • Buffer 10' • minimum • U3 • A ROAD NARROWS (Optional) B ROAD 1 WORK AHEAD Initial Warning Sign September 2016 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 Spacing Between Signs "Buffer" Speed A B C Space 20 50 25 100 100 100 75 30 100 35 350 350 350 125 40 150 45 180 50 S00 500 500 210 55 250 60 285 65 700 700 700 325 70 365 Chapter 5 September 2016 2011 Edition Page 53 Bicycle Accommodation Diagram 5-6 I I I NOTES: • Bicycles on Roadway(CW11-1)sign should not interrupt standard sequences. For example: o BE PREPARED TO STOP/Fla er I gg Symbol �\N\ o LANE CLOSED AHEAD/Lane Ends I Symbol • Bicycles on Roadway sign typically follows ROAD I WORK AHEAD sign and used as general warning. 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 I I A I I I I I� I • B I I I I i I� ON I 1 ROADWAY I I I I I I C I I I I I I ROAD I I� WORK AHEAD September 2016 Chapter 5