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PFI2019-00010 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT 114 a COMMUNITY DEVELOPMENT Permit#: PFI2019-00010 T I G AIS D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 01/09/2019 Parcel: SEG925 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: City of Tigard Water Department Project Description: SEG925, near 9305 SW Commercial Street to SW Main Street. Installation of 8"waterline stub out of Main Street and into Commercial Street. This project will continue from this stub and construct an 8" waterline north on Commercial Street to end at HWY 99 overpass. Owner: FEES Description Date Amount PHONE: Contractor: PHONE: FAX: Applicant: KYLE ARNHART 8777 SW BURNHAM STREET TIGARD, OR 97223 PHONE: 503-209-4476 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: • Issued By: A A • Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PFI2019-00010 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 JAN 0 9 2019 g " PUBLIC WORKS — ENGINEERINGilh CITY OF TIGARD PLANNING/ENGINEERING • • Public Facili Im PFI Permit TIGARD • TYPE OF WORK DESCRIPTION OF WORK(in the right-of-way) TYPE 1—Franchise Utility Work Check one: Utilities ❑ Sidewalk/driveway approach ❑ Streetimprovements performed by NWN,PGE and/or Detailed description: Installation of 8"waterline stub out of Main St utility agency. and into Commercial St.This project will continue from this stub and ❑ TYPE 2–Sidewalk/Driveway/Sewer construct an 8"waterline north on Commercial St. to end at Hwy 99 overpass. Work performed for the purpose of: • Sidewalk installation or repair. Property address/location(s): Near 9305 SW Commercial St. to Main St. • Driveway approach installation SL-Gl }LS and/or repair • Sanitary sewer lateral installation and/or main line tap Applicant: City of Tigard Water Department,Attn: Kyle Arnhart TYPE 3–Full scale Development Address: 8777 SW Burnham St. Work performed with Land use approval which includes any of City/state: Tigard, Oregon Zip: 97223 the following: Phone: 503-209-4476 Email: kylea(gjtigard-or.gov • Subdivisions or Partitions Contact name: Kyle Arnhart Phone: 503-209-4476 • Street widening • Mainline installation for Sanitary Contractor: sewer, Storm sewer, Tigard water CCB#: Expiration: and/or Tigard Water Service Area Address: SUBMIT COMPLETED APPLICATION TO: City/state: Zip: City of Tigard Phone: Email: Planning/Engineering 13125 SW Hall Blvd. Contact name: Phone: Tigard,OR 97223 Applications for"minor work in right-of-way" Engineer: only may be emailed to: Address: rowpermits(&,tigard-or.gov FOR STAFF USE ONLY City/state: Zip: Phone: Email: Case No.: CF/2.611-00010 Contact name: Application submittal fee(.007%of Engineer's Estimate) $ Estimated value of work is required(if over$5,000):$20,000 Additional fees: $ (within the public right-of-way) Application accepted: By: K.&.L Date: 1/9/2019 Is work related to a LAND-USE DECISION? ❑ Yes ❑ No If so,please specify (MLP, SDR, SUB, etc.) case #: Application reviewed: By: Date: Is work related to a BUILDING PERMIT? ❑ Yes El No Applicant notified: If so,please specify(BUILDING PERMIT)case#: By: Date: I:\ENG\PermitApplications\pfi_application Rev.10/16/2017 City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of 4 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 APPLICANT(S) SHALL CERTIFY THAT: • The above request does not violate any recorded deed restrictions that may be attached to or imposed upon the subject property. • 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. 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 • wwwtigard-or.gov • 503-718-2421 • Page 2 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 owner's signature on the application BY SIGNING BELOW,THE APPLICANT(S) SHALL CERTIFY THAT: • The above request does not violate any recorded deed restrictions that may be attached to or imposed upon the subject property. • 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, burin ( •denying the application. Kyle Amhart 01/07/2019 Applicant/Aut 'zed 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 of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 2 of DEVELOPMENT ENGINEERING FEES volt i,.F L t f: ()NI V- Public Facility Improvement(PFI)Permit: )F:T a l L I;U SUB 11[T? I. APPLICATION FEE RE;Qf [R1=:I�IENTS 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) (4 sets,24x36 or 22x34) • Relocate or replace mailbox ❑ Cover—Site,Vicnuty,Abbreviation,n,Legend • Ditch leaning that does not involve regrading. ❑ General Notes(City,Water,Sewer.etc.) • Weep hole repair 0 Street(Plan,Profile) • Curb repair or replacement(less than 20 lineal feet) 0 Water,Storm and Sanitary(Plan Profile) • Lawn sprinkler system installation or repair 0 Water Quality Facilities • Street tree pruning or planting 0 Grading • Planter strip landscape maintenance ❑ Landscaping/Tree Plan • Test wells 0 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 TMC15.04.140. 0 Signing and Striping (customer deposit) 0 Street Light Plan and Photometric ❑ Engineers seal/signature ❑ Sheet label(project land use name,revision and plan log block,dates and sheet numbers.) ❑ Engineer's Construction Estimate 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 Provider Approval PUBLIC FACILITY IMPROVEMENT PERMIT City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 3 of4 Co M M«itc. L/c.Yts1 GoLN 5"r OE-roa rt_ _c›.1TE I•If'illll Ask\ Paha Welt GreeetSae- *we Street _• .. a ref.• � 1.�. ., Tigard •„ it 41, ~Wald Park Park Commercial eFeet Ymomm NAiN S7 Drou �ov-fC Fauna Cteek Gleenway Tigard Street .0 r Genoa NSiczrG Tigard jJE7ourz S7c 2CA7 SIGN S.— (3) 3 Corhw+ clwL EAST 12.6m0E11-- BO tLt S tHier tq IOW G.b1�G (3 L) Park 7proova R( �644- j comms«iat v ` V)R.ct' c.—cc ) Park � �y Sec. 2,T.2S, R. 1W,W.M. Andy Questions ,- SITE 39 `'� �� (1)Is there Stormwater inlets and laterals s.4 �� that need to be considered? t i� (2)Can you provide survey points(face of L_ Curb,back of sidewalk,etc.)in the QSawcut and remove extg.surfacing September/October time period? 3 (3)What is the expectation for road repair 1' before sidewalk job starts? Before March 2019,Sam and Ops to install new straddle block Z - O Sawcut and remove extg.sidewalk (4)Is there any road repair/paving planned and 8"GV.With new GV off,this will shut off existing FH(need to _(! as part of the sidewalk job? notify TVFR and bag). By shutting off the existing waterline this 3 Remove ext . tree (5)If we Abd in place will help expedite the construction Q O g is this going to cause issuesfor existing the sidewalk 4 Before March 2019,Sam and Ops to install Catchline new FH Assembly O Structure no. TBD 1°b 01 Sta. "C"25+47.54 to Sta. "C"26+65.55,Lt. (6) •' 4/ 00 � Const.soil nail wall 0©r Q �- 0 OO© Is this planned bump out for the FH?If (For details,see sht. 68300) Pr„ ; 11 © moved to new location do we still need it? CO r- +/ Sam Questions =- rr � _ _ /"rs! _ E__ Before March 2019,Sam and Ops to remove O Const.standard curb-316.3 LF _ _ a • r——— (1)Kenny and I walked the site 8/30/2018 and _ 7 o Q existing FH,FH Valve and Plug Existing Tee rr'+ k // tY O / R W `� r don't believe this drawing,the markings on the ID,�� #/ * -c-_ __ ...... -`- - %_ - , • / .�. r ��• •: '�ili O Const.porous conc.sidewalk- 1859.6 SF pavement or the GIS mapping is correct See )j�2�•.!..141' _1-5"111111...,�� $ �h :�r�_ �- '- '3- r.&-------- -- + LlOb.�'� t' C9 ® O Sta. ••C„143 below for comments- • 40.04 Lt. 22" E , -_ ,'�„a r tigil' I� _ � _� � / " From what I can tell this is an inline valve with a blow off.Before Const P.0 conc.dwy., option 'G" •r s --------_ 7-.--/ `"�-�-'' —- �: ma 1:r March 2019,Sam and p to remove BO and install new 8"DIP Const.asph.conc. connection .; i 0 ��.��.tr� _ u T . i --- jv==� ll --SW COMMERCIAL ST- --------------- ---- 7, 0_ (Fordetails,see sht. C S) i -, ,.....-;,,<-4 ` is �F_FQf- --Ccs---' -' • if aF"F/ a Sta. "C"27107.78 Lt. - /W cn .W ._w. R/W `� ---......... -k, Const.P.0 conc. wy., option 'G a -iL _ _ __ Const.asph. conc. connection b 5 - - - 4 (For details,see sht.BC16) :44/NriPO ® Const,parallel sidewalk ramp(Option H Modified) "63"3" LINE "C" LINEll 1 I ., (For details,see sht.BC08) Io Const.combination sidewalk ramp(Option/Modified) < > < > (For details,see sht.BC09) Before March 2019,New 8"DI Waterline to be installed in Existing 8"CI waterline trench,if possible maintain 18"seperation from face of new curb Before March 2019,Sam and Ops to 0 Const.ACP Pathway install 8"DI 24"from face of curb (For details,see sht.BC08) 12 Const.conc.sidewalk- 183.0 SF SITE 3 "G3" LINE 175 175 '� -V--Existing ground under ODOT structure 02532 Construct asph.conc. r /� �, shown thus: �� \\\\ 170 '1170 (unless otherwise noted) rn ZA CA l �, °' c, c��, :111w' �"' bo Ch Construct P.C.conc. w ,� "' bo V' $.11-,1 Cl/ shown thus: 1.71 o ' (unless otherwise noted) ,r o :b. $ I Proposed •rode of"G3" gutter line 165 1 1 165 Construct asph. conc. connection / 1 35 0.70% _ -,7 shown thus: 0 25% J _ 3 (unless otherwise noted) 0.9 / 0.6 3% \ 0.63% -0.89% 1.47% -083% 3'a9% 0 0.62% xis,n• groin, o gu er me , , Harper Houf Peterson ,,°EPAR,,y,2 '% #-‘) PROP 'I'I r Righellis Inc. ° 160 160 G �G 1 N �i� ENGINEERS'PLANNERS'LANDSCAPE ARCHITECTS'SURVEYORS 205 SF Spolane Stmo.Sun.200 Portland.OR 9'202 PHONF:503_':1.1 131"ww.hhpr.e m FAX:503.221.1171 �qR.,(1 P'� 144 A' 69 y + , w Ul 41 4't' 6� 0R99W:SW LANE ST(PORTLAND)-SW NAEVE ST(i1GARD) w 6' .. as \ PACIFIC HIGHWAY WEST + + V 4 Iii (Si 'V (uli .xi • )N MULTNOMAH/WASHINGTON COUNTIES • Op p Ja p CO V \ ' 4' 7,('''' 2OO P Designer.Daniel E.Cicerchl Review:Aaron J.Isenhart 155 O O 155 1 ' f Drafter:HHPR Checker.Peter G.Coffman 5+00 6+00 7+00 8+00 9+00 J. SHEET NO. I I EXPIRES: 06/30/ GENERAL CONSTRUCTION CO4A 18838_CO3.dgn :: CO4A - GEN CONST 1/23/2018 3:09:48 PM DanielCicerchi Rotation: 328.6189° Scale: 1"=50' Cie. �� _ 1 .u. y' bbJ 3 y 4• 4 • A . I. CO '14 .- �, �" :r� �",.. _.„; "� , Plaza z ( w'” ,lw qq , t , <2-). , rtgo I / iw-�. - . a .a _� ea A, d .' 'A _ .'•. C` .. � res/LI \ 6 .."t r> 0 rret ,%, QA ✓'41& . f < / • y A `A ! i o `er' ' V , L., T� „r"� •� ' A, 'J shy �O ..,.-''' 4,4x;34- I iA / A f f r' n ,( • c.�f / J__. . ///' ,'''' ' .'„.. ,e e7- , ''--4'* '-",,,,k,,,,,,,.,, °• 4` „` _. � , , f /"/"' .,„ '11)/1-' 4 A. -e c• t • A ./ // v �L 0 a ' x St Anthony's / / AJ AJ °, Elementary / , !4„ DaAave /,/ r `,5, i^ 1.7 ,/ / r,. .c • ; �, 7f. / / r / r. a., / r t"rrrrl ?\- 0 - Ps iir iMINNEMNI 214 N.\ De-ove It-14 S;iv)