PFI2019-00113 III CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
COMMUNITY DEVELOPMENT Permit#: PFI2019-00113
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 04/03/2019
TIGARD Parcel: SEG308
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: PGE Job#M2699685
Project Description: SEG308/266, associated with 11351/11347 SW Springwood Drive. Repair underground cable between
vault 17356 and Vault 14661. PGE Jobs: M2699714/M2699685
PERMIT REVISED TO INCLUDE ADDITIONAL WORK.
Owner: FEES
Description Date Amount
PFI Permit Fee 04/03/2019 $300.00
PHONE:
Contractor:
PHONE:
FAX:
Applicant:
AMY SWEANY
10800 SW AVERY STREET
TUALATIN, OR 97062
PHONE: 503-612-2935
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- 2v(,4`c ePv'- .
Issued By: bjY1j1 liet- '/C -.
Special Conditions(See Attached)
Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY
Conditions for PFI2019-00113
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 ADVANCE WARNING Applied Notice
Advance warning of traffic disruption shall be provided to the public by placement of an approved advance notification sign
at each end of the construction area 72 hours(min.)before initiation of construction work.
PFI_Utilities 09-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 10-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 11 -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 12-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 13-DRAINAGE CONTROL Applied Notice
Drainage shall be controlled within the work site and shall not adversely affect adjacent private property, public property and
the receiving system. The City may at any time order corrective action and suspension of work to accomplish effective
drainage control.
PFI_Utilities 14-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 15-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 16-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 17-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 19-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 20-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.
Contact Ken fisher at 503 816 6146 or Kenny@tigard-or.gov
PFI_Utilities 21 -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 22-DAILY INSPECTION REPORTS Applied Notice
Applicant shall submit daily inspection reports, on a weekly basis,to the City's Inspector.
PFI_Utilities 23-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 24-VALIDATION OF MATERIAUCONSTRUCTION Applied Notice
The City's Inspector may, at his discretion, require tests and or reports from the applicant to validate claims of material or
construction adequacy/compliance. Such tests/reports shall be provided at the applicant's expense.
PFI_Utilities 25-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 26-RIGHT OF ENTRY/EASEMENTS Applied Notice
Applicant to obtain proper right-of-entry and/or easements prior to starting work. Proof of right-of-entry or properly executed
easements, shall be provided to the City. The City shall in no way be construed to be liable for the applicant's failure to
obtain or provide for proof of right-of-entry or easements.
PFI_Utilities 27-PRIVATE PROPERTY AGREEMENTS Applied Notice
Provide the City a copy of an executed agreement[s]from the owner for each private property disturbed by construction
activity.
PFI_Utilities 28-AS-BUILT DRAWING Applied Notice
1,2,3,4,5 28-AS-BUILT DRAWING
One as-built drawing showing all new public improvements, including any revision made to the previously approved
construction plans and, also, any improvement which may impact an existing public system or facility, shall be provided to
the City by a registered civil engineer along with an engineer's certification of installation compliance(Certificate of
Compliance).
1,2,3,4,5 28-AS-BUILT DRAWING
One as-built drawing showing all new public improvements, including any revision made to the previously approved
construction plans and, also, any improvement which may impact an existing public system or facility, shall be provided to
the City by a registered civil engineer along with an engineer's certification of installation compliance(Certificate of
Compliance).
One as-built drawing showing all new public improvements, including any revision made to the previously approved
construction plans and, also, any improvement which may impact an existing public system or facility, shall be provided to
the City by a registered civil engineer along with an engineer's certification of installation compliance(Certificate of
Compliance).
PFI_Utilities 31 -OTHER Applied Notice
Other
Agnes Lindor j_ S ��,�' S�(9► (p
From: Nance Stone <Nance.Stone@pgn.com>
Sent: Monday, April 8, 2019 6:59 AM
To: Kenny Fisher; Agnes Lindor
Subject: RE: M2699714 11347 SW SPRINGWOOD DR (M2699685 - City of Tigard Permit
PFI2019-00113, 7AM-7PM M-F DURING DAYLIGHT, with TCP, VALID UNTIL WORK
COMPLET, 11351 SW SPRINGWOOD)
Attachments: M2699714 permit sketch.pdf; M2699685 320-StationaryLaneClosurewithFlagging.pdf
Hi Kenney,
That is great news. I have attached our permit sketch and TCP. Please advise if you need anything else.
Thank you!
Nance Stone
PGE Senior Administrative Assistant I Ph.: 503-612-2918 110800 SW Avery St., Tualatin, OR 97062
From: Kenny Fisher<Kenny@tigard-or.gov>
Sent: Monday, April 8, 2019 6:41 AM
To: Nance Stone<Nance.Stone@pgn.com>; Agnes Lindor<agnesl@tigard-or.gov>
Subject: RE: M2699714 11347 SW SPRINGWOOD DR (M2699685- City of Tigard Permit PFI2019-00113, 7AM-7PM M-F
DURING DAYLIGHT, with TCP,VALID UNTIL WORK COMPLET, 11351 SW SPRINGWOOD)
***Please take care when opening links,attachments or responding to this email as it originated outside of PGE.***
I am fine with combining this permit as long as I get a map of the address and work at the 2nd address along with traffic
control plan. We can attach this to the permit.
From: Nance Stone<Nance.Stone@pgn.com>
Sent: Monday, April 8, 2019 6:27 AM
To:Agnes Lindor<agnesl@tigard-or.gov>; Kenny Fisher<Kenny@tigard-or.gov>
Subject: RE: M2699714 11347 SW SPRINGWOOD DR (M2699685 -City of Tigard Permit PFI2019-00113, 7AM-7PM M-F
DURING DAYLIGHT, with TCP,VALID UNTIL WORK COMPLET, 11351 SW SPRINGWOOD)
Thank you Agnes! I appreciate you checking.
Nance Stone
PGE Senior Administrative Assistant I Ph.: 503-612-2918 110800 SW Avery St., Tualatin, OR 97062
From: Agnes Lindor<agnesl@tigard-or.gov>
Sent: Monday, April 8, 2019 6:25 AM
To: Kenny Fisher<Kenny@tigard-or.gov>
Cc: Nance Stone <Nance.Stone@pgn.com>
Subject: FW: M2699714 11347 SW SPRINGWOOD DR (M2699685-City of Tigard Permit PFI2019-00113, 7AM-7PM M-F
DURING DAYLIGHT, with TCP,VALID UNTIL WORK COMPLET, 11351 SW SPRINGWOOD)
***Please take care when opening links, attachments or responding to this email as it originated outside of PGE.***
Hi Kenny-
1
Please let me know if you are ok with combining the permit or if this should be a new permit,thanks!
Agnes
From: Nance Stone<Nance.Stone@pgn.com>
Sent:Sunday,April 7, 2019 5:21 PM
To: ROW Permits<rowpermits@tigard-or.gov>
Subject: M2699714 11347 SW SPRINGWOOD DR (M2699685-City of Tigard Permit PFI2019-00113, 7AM-7PM M-F
DURING DAYLIGHT,with TCP,VALID UNTIL WORK COMPLET, 11351 SW SPRINGWOOD)
Hello City of Tigard,
Thank you for issuing the attached permit.
We have another underground fault between the same vaults on the same street that we would like to
repair on the same day (04/26/19) as the one on PGE job M2699685 permit PGI2019-00113. This is for
PGE job M2699714 which is just a block away from the other job and permit that was issued above.
Would it be possible to revise and combine the permit to include both PGE jobs? I have attached a permit
sketch.
Thank you for the consideration.
Nance Stone
PGE Senior Administrative Assistant I Ph.: 503-612-2918 110800 SW Avery St.,Tualatin, OR 97062
From: Linda Saddler
Sent:Wednesday,April 3, 2019 2:28 PM
To: Prereq Coord <PreregCoord@pgn.com>
Subject: M2699685-City of Tigard Permit PFI2019-00113,7AM-7PM M-F DURING DAYLIGHT,with TCP,VALID UNTIL
WORK COMPLET, 11351 SW SPRINGWOOD.
FYI.
L%vudwSaddler
PGE Prerequ Coor '
(503) 612-6103
Celli (9 71) 371-0201
PGE
From: ROW Permits<rowpermits@tigard-or.gov>
Sent:Wednesday,April 03, 2019 12:53 PM
To: Linda Saddler<Linda.Saddler@pgn.com>; Samuel Copelan<samuelc@tigard-or.gov>
Subject: RE: NEW City of Tigard Permit Application, 11351 Springwood, PGE Job M2699685
***Please take care when opening links,attachments or responding to this email as it originated outside of PGE.***
Attached is your permit, thank you.
City of Tigard
Public Facility Improvement (PFI) Permits
2
Phone: (503) 718-2421
E-mail: rowpermits@tigard-or.gov
From: Linda Saddler<Linda.Saddler@pgn.com>
Sent:Wednesday,April 3,2019 11:51 AM
To:Samuel Copelan<samuelc@tigard-or.gov>
Subject: RE: NEW City of Tigard Permit Application, 11351 Springwood, PGE Job M2699685
Hi. I have paid for this permit online. Q
Li ulaSc'4dler
Prerequi4a&CaarcliAtattow
(503) 612-6103
CeU4 (971) 371-0201
PGE
From:Samuel Copelan<samuelc@tigard-or.gov>
Sent:Wednesday,April 3, 2019 9:11 AM
To: Prereq Coord<PreregCoord@pgn.com>; ROW Permits<rowpermits@tigard-or.gov>
Cc: Melissa Griffith<Melissa.Griffith@pgn.com>
Subject: RE: NEW City of Tigard Permit Application, 11351 Springwood, PGE Job M2699685
***Please take care when opening links,attachments or responding to this email as it originated outside of PGE.***
Good morning,
Your permit is ready for $300.00 fee payment. You can pay the fee online by clicking this link:
https://aca.accela.com/tigard/ [aca.accela.com] [us-west-2.protection.sophos.com], go to the
"Engineering" tab, search for record number PFI2019-00113. Then, go to the "Payments" tab and click
"Fees" to submit your online payment.
Once you have paid, please send an email to rowpermits@tigard-or.gov so that the Planner on Duty is
notified to release your permit.
Thank you,
City of Tigard
Public Facility Improvement (PFI) Permits
Phone: (503) 718-2421
E-mail: rowpermits@tigard-or.gov
3
From: Prereq Coord <PreregCoord@pgn.com>
Sent:Tuesday, April 2, 2019 10:02 AM
To: ROW Permits<rowpermits@tigard-or.gov>
Cc: Melissa Griffith<Melissa.Griffith@pgn.com>; Prereq Coord <PrereqCoord@pgn.com>
Subject: NEW City of Tigard Permit Application, 11351 Springwood, PGE Job M2699685
Good morning.
Attached is the City of Tigard Permit Application, Sketch and TCP for PGE Job M2699685.
Thank you for all that you do.
14\ Amy Sweany
PGE Administrative Assistant, PSLD• 503-612-2935 .503-612-6150(f)
\i• / 10800 SW Avery Street Tualatin, OR 97062
PortlandGeneral.com• Follow us on social @PortlandGeneral
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule."
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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.
www.invarion.com
Bicycle Accomodation Diagram 5-6
NOTES:
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interrupt standard sequences. For example:
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Bicycle Accomodation 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
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25 100 100 100 75_
30 100
Supplement Table
35 350 350 350 125
40 150 Updated:February 12,
45 180 2016
50 500 500 500 210 — By:ODOT Traffic-Roadway
Section
55 250
Sign Spacing and Buffer Lengths (feet) Supplement
Posted Spacing Between Signs "Buffer"
Speed A B C Space
60 285
65 700 700 700 325
70 365
CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
1111 COMMUNITY DEVELOPMENT
Permit#: PFI2019-00113
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 04/03/2019
TIC;;�I'I7 g Parcel: SEG308
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: PGE Job#M2699685
(Project Description: SEG308, associated with 11351 SW Springwood Drive. Repair underground cable between vault 17356
..� and Vault 14661
Owner: FEES
Description Date Amount
PFI Permit Fee 04/03/2019 $300.00
PHONE:
Contractor:
PHONE:
FAX:
Applicant:
AMY SWEANY
10800 SW AVERY STREET
TUALATIN, OR 97062
PHONE: 503-612-2935
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 PFI2019-00113
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 ADVANCE WARNING Applied Notice
Advance warning of traffic disruption shall be provided to the public by placement of an approved advance notification sign
at each end of the construction area 72 hours(min.)before initiation of construction work.
PFI_Utilities 09-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 10-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 11 -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 12-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 13-DRAINAGE CONTROL Applied Notice
Drainage shall be controlled within the work site and shall not adversely affect adjacent private property, public property and
the receiving system. The City may at any time order corrective action and suspension of work to accomplish effective
drainage control.
PFI_Utilities 14-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 15-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 16-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 17-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 19-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 20-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.
Contact Ken fisher at 503 816 6146 or Kenny@tigard-or.gov
PFI_Utilities 21 -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 22-DAILY INSPECTION REPORTS Applied Notice
Applicant shall submit daily inspection reports,on a weekly basis, to the City's Inspector.
PFI_Utilities 23-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 24-VALIDATION OF MATERIAL/CONSTRUCTION Applied Notice
The City's Inspector may, at his discretion, require tests and or reports from the applicant to validate claims of material or
construction adequacy/compliance. Such tests/reports shall be provided at the applicant's expense.
PFI_Utilities 25-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 26-RIGHT OF ENTRY/EASEMENTS Applied Notice
Applicant to obtain proper right-of-entry and/or easements prior to starting work. Proof of right-of-entry or properly executed
easements, shall be provided to the City. The City shall in no way be construed to be liable for the applicant's failure to
obtain or provide for proof of right-of-entry or easements.
PFI_Utilities 27-PRIVATE PROPERTY AGREEMENTS Applied Notice
Provide the City a copy of an executed agreement[s]from the owner for each private property disturbed by construction
activity.
PFI_Utilities 28-AS-BUILT DRAWING Applied Notice
1,2,3,4,5 28-AS-BUILT DRAWING
One as-built drawing showing all new public improvements, including any revision made to the previously approved
construction plans and, also, any improvement which may impact an existing public system or facility, shall be provided to
the City by a registered civil engineer along with an engineer's certification of installation compliance(Certificate of
Compliance).
1,2,3,4,5 28-AS-BUILT DRAWING
One as-built drawing showing all new public improvements, including any revision made to the previously approved
construction plans and, also, any improvement which may impact an existing public system or facility, shall be provided to
the City by a registered civil engineer along with an engineer's certification of installation compliance(Certificate of
Compliance).
One as-built drawing showing all new public improvements, including any revision made to the previously approved
construction plans and, also, any improvement which may impact an existing public system or facility, shall be provided to
the City by a registered civil engineer along with an engineer's certification of installation compliance(Certificate of
Compliance).
PFI_Utilities 31 -OTHER Applied Notice
Other
RECEIVED
APR 022019
City ofTigard CITY OF TIGARD
PUBLIC WORKS --ENGINEERING/111
PLANNING/ENGINEERING
- Public Facility Improvement (PFI) Permit
TIGARD
TYPE OF WORK
DESCRIPTION OF WORK(in the right-of-way)
DI
TYPE'TYPE 1—Franchise Utility Work
Check one: 'Utilities ❑Sidewalk/driveway approach ❑Streetimprovements performed by NWN, PGE
Detailed description: Repair underground cable between and/or utility agency.
Vault 17356&Vault 14661 ❑ TYPE 2—Sidewalk/Driveway/Sewer
PGE Job M2699685 Work performed for the purpose of:
• Sidewalk installation or repair.
11351 SW Springwood Dr • Driveway approach installation
Property address/location(s):
and/or repair
Tigard, OR 97223 .cEJ0r • Sanitary sewer lateral installation
and/or main line tap
PGE [Submitted by ❑ TYPE 3—Full scale Development
Applicant: Amy Sweany] Work performed with Land use
Address: 10800 SW Avery Street approval which includes any of
City/state: Tualatin, OR Gip: 97062 the following:
Phone: 503-612-2935 Email: preregcoord@pgn.com • Subdivisions or Partitions
AmySweany503-612-2935 • Street widening
Contact name: Phone: • Mainline installation for Sanitary
Contractor:
Portland General Electric sewer, Storm sewer,Tigard water
and/or Tigard eater Service Area
CCB#: Expiration:
Address: 10800 SW Avery Street SUBMIT COMPLETED APPLICATION TO:
City/state: Tualatin, OR Zip: 97062 City of Tigard
PlanPhone: 503-464-7777 Email: preregcoord@pgn.com ug/Engineering
13125 SW Hall Blvd.
Contact name: Phone: Tigard,OR 97223
Applications for"minor work in tight-of-way"
N/A only may be emailed to:
Engineer: rowpermits@tigard-or.gov
Address:
FOR STAFF USE ONLY
City/state: Zip:
Phone: Email: Case No.: IF10i _- NO3
Contact name: Application submittal fee(.007%of
Engineer's Estimate) $ 3c O• m0
Estimated value of work is required(if over$5,000):$ Additional fees:$
(within the public right-of-way) Application accepted:
By: SC Date: ti~2-'`j
1
Is work related to a LAND-USE DECISION? ❑ Yes CM/No
Application reviewed:
If so,please specify (MLP,SDR,SUB,etc.) case#: /
By:K. AS«Date: (4- 1 - 11
Is work related to a BUILDING PERMIT? ❑ Yes I "No Applicant notified: L1-3-11
� Q
If so,please specify(BUILDING PERMIT)case#: By: cc Date: T`—3�:1 1
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 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 arc 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 arc 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.
w,ritcy
PI g.pk Ci4LA684 €-1- 49
Applicant/Authorized Ag-rt'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
Sketch
submittal fee) (including information below)
Engineer'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 involve regrading. ❑ General Notes(City,Water,Sewer,etc.)
• Weep hole repair ❑ Street(Plan,Profile)
• Curb repair or replacement(less than 20 lineal feet) ❑ \Vater,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 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 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 ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 3 of4
SAMPLE SKETCH:
Edge of Pavement
'- Ditch -"' 4111P"
'.7 .19 StreetlightI
-/ t AP' _ `, y .
r
RDrain } ri.:i. l•i
I CI
I I -I •
T- roop os'Circe v71 51-Tine"
I
1 i Existing House
I ,I1 Existing 1
�,
. II • Driveway
3, 1 1
up ,
IC I ■
21 I
a., '.< Af. 14i
1 r'1
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CI-I vS'61' 1
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i I 1
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%
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Powerpole I I I-
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i
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0 Fire Hydrant(FH)
I I
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I I
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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)
PUBLIC FACILITY IMPROVEMENT PERMIT
City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 4 of
7 Y�' -r s 7Z,.,. may._ 'T�0� -Y,wnr
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11351 Springwood Ito.,,,- ,,, ,t _ �A� ,I,st �01� �0�9
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cable between ATTENTION: CALL 817 BEFORE YOU DIG 81
OREGON LAW REQUIRES YOU TO FOLLOW RULES ADOPTED
Vault 17356 & THINK BY THE OREGON UTILITY NOTIFICATION CENTER.
THOSE RULES ARE SET FORTH IN OAR 952-001-0010
SAFETY THROUGH 952-001-0090.YOU MAY OBTAIN COPIES OFr�
Vault 14661 THE RULES BY CALLING THE OREGON UTILITY �\
FIRST! NOTIFICATION CENTER ADMINISTRATION @ (503-232-1987)
REQUEST UTILITY LOCATES CALL THE OREGON Know what's below.
UTILITY NOTIFICATION CENTER,811 AT LEAST
Call before ou di
Y
11351 Southwest 2 BUSINESS DAYS PRIOR TO EXCAVATION T 9•
Springwood Drive PGE CONSTRUCTION DRAWING
SDPM€ENG REVIEW: I ASBUILT BY DESIGNER:
o /�6nr.,� AS—BUILT VERIFICATION & NESC VIOLATIONS CORRECTED
.: °c/ r,,,,.r'ncument accurately represents FIELD construction.
Qi` Foreman: Date:
��y
GF: Date:
DATE 4/1/19 SCALE: svA!ACCOUNT: 5940001 I AWO:3000000658 !OB NO.M2699685
TITLE Portland General Electric
CIRCUIT PROGRESS-ROBINSON SIZE1 1x17
PGE LOCATION 11351 SW SPRING WOOD DR, TIGARD, OR, 97223
N/ DESCRIPTION
Repair underground cable between Vault 17356&Vault 14661
RIGHT-OF-WAY PERMIT NOTICE: y
A PERMIT FROM INE LOCAL RJRISOICTIOAI IS REQUIRES BEFORE ANY COUNTY SECTION(S)C 1134A WORK WITH SHEET
GE
WORK IN rIE RIGHT-Of-WAY MAY RE PERFORMED.ONLY PAPPROVES BEA VERTON Washington I OF I
co.,TRACTORS AND CONTRACTORS SPECIALO NAVE MADE OTHER UNE CREW CENTER PHONE
AGREEMENTS WITS PGE WILL BE ALLOWED TO WORT UNDER ROE'S PERMIT. DESIGN BY (503) DRAWN BY
THE CONTRACTOR MUST NOT*VINE LOCAL IURiSOK TION IS HOURS 2213 SW 153RD DR Amy Sweany 503-612-2935 Amy Sweany
BEFORE WORK fS TO MTN.A mirror THE PfNMTI MUST BE ON SITE.
BEAVERTON,OR 97006 0 PORTLAND GENERAL ELECTRIC CO.-ALL RIGHTS RESERVED
CD
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www.invarion.com
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.
www.invarion.com
Bicycle Accomodation Diagram 5-6
NOTES:
- Bicycles on Roadway (CW11-1) sign should not
interrupt standard sequences. For example:
- BE PREPARED TO STOP/Flagger Symbol
- LANE CLOSED AHEAD/Lane Ends
Work Symbol
- Bicycles on Roadway sign typically follows ROAD
Area WORK AHEAD sign and used as general warning.
TirA
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www.invarion.com
Bicycle Accomodation 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 ERRATA:
30 100 Supplement Table
35 125
350 350 350
40 150 Updated:February 12,
45 180 2016
50 500 500 500 210 By:ODOT Traffic-Roadway
Section
55 250
Sign Spacing and Buffer Lengths (feet) Supplement
Posted Spacing Between Signs "Buffer"
Speed A B C Space
60 285
65 700 700 700 325
70 365