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PFI2019-00312 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT II i. COMMUNITY DEVELOPMENT Permit#: PFI2019-00312 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 11/04/2019 TIGAR.D Parcel: SEG2075 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: Frontier 51351-5237872 Project Description: SEG2075//SW 79th Ave. Frontier Communications Fiber Cable addition to Frontier service to Elderberry Ridge Subdivision. Class of Work: FEES Description Date Amount Type 1 -Utilities(gas, electric, data) PFI Permit Fee 10/31/2019 $300.00 Total $300.00 Owner: REQUIRED INSPECTIONS Call 503-639-4175 for the IVR inspection request line or visit the City of PHONE: Tigard website at www.tigard-or.gov to schedule inspections online. Contractor: PHONE: Applicant: RUSSELL WELLS 4155 SW CEDAR HILLS BLVD. BEAVERTON, OR 97005 PHONE: 5036431001 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: <Se& L O,I C./Z.ti Issued By: Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PFI2019-00312 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, etcshall 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. 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 RECEIVED SEP 1 7 2019 City of Tigard CITY OF TIGARO PFI #: N-Z 1q`6 G)12 : . I. ENGINEERING DEPARTMENIPLANNING/ENGINEERING i�:t GAR D' Public Facilities Improvement (PFI) Permit PROJECT INFORMATION Project name: 1!35! 5Z3 7f3 1L- ELAEJL Z ! /Z11)f1E TYPE OF WORK3 SURD atTYPE 1—Franchise Utility Work Brief description of project (f n'J performed by\VN.PGE and/or pmenaL- L1 i1 L2.4T1ALI C PiRE CARL E ❑ tTY1 E 2 n ROW' n Sidewalk/Driveway/Sewer Work ADDITI11LI 7Z) �Ut� Ti) f 7)J/� / perlomred for the purpose of !�� Jlv11r'1L7) � ' • Sidewalk installation or repair. SITE INFORMATION • Driveway approach installation S)AI 79T14 �V LIE and repair Location (address if available): • sewer lateral installation and main V ' lute tap .++�� 0 TYPE 3—Full scale Development Wolk performed with Land use APPLICANT INFORMATION approval which includes any of Name: 11 17EIL llir11111 �/ I the following: 1 • Subdivisions or partitions Mailing address: 4/' SiN I-E/. IZ IIILL� hU'd • Street widening ptJI1./�!'I'171� j z. '32�A T • Masewer, installation for Sanitary City/State: /�GfTf TJL1LIl.J [�1�. zip: 2?) sewer,Storm sewer,Tigard water and �-n3- jl^ Tigard Water Service Area Phone: .Y!_J /LLI ❑ TYPE 3—Small Cell Teclutolugv Email: 0 SSr/I. 111k11Sf ly, t Phone: 51)3-/4.4- 'r ) n f 1� ��� 0 TYPE S—Tigard Triangle /L Contact name: !J Phone: 5b3., 3/2-7 Email: rV ii ((, LWT)/`-i "i- Err. :bt CONTRACTOR INFORMATIONane as applicant Name: CCB Number. 49357) Mailing address: City/State: Zip: Phone: Email: ENGINEER INFORMATION Name: Mailing address: NJ City/State: Zip: Phone: Email: ADDITIONAL INFORMATION Estimated value of work is required(if over$5,000):$ /231W-1 (within the public right-of-way) Is work related to a LAND USE DECISION? 0 Yes No Case number City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • w w.tigard-or.gov • 503-718-3421 • 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 15.04.140. • With the exception of a utility operating pursuant to a valid franchise or license 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 must sign this application in the space provided or submit a written authorization with this application. Franchised or licensed Utilities are not required to obtain the owner's signature on the application. 1, the applicant, certify that: • To the best of my knowledge, all the information provided within this application package is complete and accurate. • 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. I will exercise the rights granted in accordance with the terms and subject to all the conditions and limitations of the approval. IZIJ��t?L LGLJaL " -11-1`�Appltcaytgewykikbp,_ r authorized agent's signature Print name Date Property owner's signature (if required) Print name llatc STAFF USE ONLY Case No: 13.014-0031Z_ Permit fee: 300- 00 Received by: S C Date: (i- Approved by: 7 if0, Date: 9//ef*-4`' Notified by: Date: City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwv,.:tigard-or.gov • 503-718-2421 • Page 2 of 4 DEVELOPMENT ENGINEERING FEES Public Facility Improvement(PFI)Permit: INITIAL PFI PERMIT FEE Part 1: Required submittal fee is 10°( of the Net PFI Permit Fee.See below for calculations.t'linimum of S300. NET PFI PERMIT FEE Part 2: All non-water system improvements engineer's estimate X 70'0(less the initial PR Permit Fee). WATER LINE CONSTRUCTION FEE Part 3: All public water system improvements engineer's estimate X 12°o. FOR STAFF USE ONLY FOR STAFF USE ONLY TYPE 4: SMALL WIRELESS FACILITY TYPE 1—3:DETAILED SUBMITTAL CHECKLIST REQUIREMENTS Does applicant have a tight-of-way license? 0 Yes 0 No TYPE 1 AND TYPE 2-Must include a sketch showing: Under the wireless facilities standards,is the proposal ❑ Dimensions considered?(check all that apply): ❑Small Cell ❑Macro ❑ Street Name How many install sites are proposed as part of this permit 0 Site Address application? TYPE 3-Must provide 4 sets of plans(sized 24 x 36 or 22 x 34)and an electronic version of all submittal The proposed equipment is located on which of the following items. The plans must that include: 0 Public Right-of-Way 0 Private Property ❑ Cover—Site,Vicinity,Abbreviation,Legend If equipment is to be located on private property,describe the • General Notes(City,Water,Sewer,etc.) type&use: 0 Street(Plan,Profile) • ❑ Water,Storm and Sanitary(Plan Profile) ❑ Water Quality Facilities O Grading • ❑ Landscaping/Tree Plan ❑ Composite Utility Plan(Electrical,Phone,Gas, Storm, Sanitary,Water,Signage;Street Lights,etc.) ❑ Details ❑ Traffic Sight Distance O Signing and Striping ❑ 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,if applicable) ❑ Traffic Report O Storm water Drainage Calculations ❑ Geotechnical Report ❑ Preliminary Access Report(Sight Distance) ❑ Proposed Plat ❑ Pathway Design ❑ Water Provider Approval City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www:tigard-orgov • 503-718-2421 • Page3 of4 SE-- S-ILETZP1 ATTAfJ ) (.I S \1 •• y •- s 1 Edge c,fPs•�ement -411— Ditch —410- 7.e>1\1 SheJetlrght —•---•—•—•—•— —r—•— 1 i Ill } j• -• -0 -:''... I __ 1 -, j I T–•-tsioTWil rSewe rine I 1 if.' Existing House I Q' 1 E:siGtinv 1 • ".•1 (.1 to ;;.�+ ' Tr! fI 1 1 1--1 • a'I i 0 1 E::rltrnq Shop 1 •1 • F'o,derp0le i I Cm I 1 i77---,,,..;-----•7.rop95rne------- �-—- r . N II Fire Hydrant(FH) i I I I Scale. 1-1--30' I I i I I I I TYPE 1 AND TYPE 2: MINIUM SKETCH REQUIREMENTS (Put N/A if not applicable) North arrow _. _Property lines&dimensions Existing utilities locations (sewer,storm,water) Street&street names All existing structures /Proposed work Existing curb or edge of pavement ` Utility&street light poles Existing S/Wor D/W apron ____ Slope of property Trees City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • w w:tigard-orgov • 503-718-2421 • Page 4 of 4 711AFFIL LA4JT12N_ PLAID FIIJTIBL COP gal 1c1TI41J SI 351- .523107Z. airimmy /2)I)1 lJJ5OnUi S A,/ Page 84 2011 Edition 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. Chapter 5 December 2011 SW LEIEL. LAVE i 2011 Edition I Page 85 Stationary Lane Closure with Flagging Diagram 320 i Q 0i ( Si�• c: wIaz _� ave._ QO�0 - aa� Ito m CO t LL � w < � wi, 4 * i m . (1) miz: 3 LLJ� o • a V" ", / < L\.. M g j N 'V r .. ( C� g7•1 '—", 2 ....4 M ...s'. Ill I. • S MA 0/2, O c L E r„j <� E h i a u) sof /'1/ ll sBJAJL • ...... 0 2 RT 1... . • aE • if •. C 400, R o) CoQ J _ < Y • / /¢od „..A$ I .1 mac 4 t vu M a s s N )-. 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A DIG 1-THIS WO IS DEVELOPER ID res 11 NO GI memo DRIVEN-DEVELOPER TO PROVIDE/PLACE Km"42.° Q CONTRACTING 2"PVC-DB-SCH 40 CONDUIT EXCLUSIVELY o YES raNO RED'D WITHIN SUBDIVISION.DEVELOPER TO PLACE PERMITS FRONTIER PROVIDED HANDHOLES AND FLOWERPOTS FRONTIER SUPPLIED MUNICIPALITY CITY/TIGARD WITHIN SUBDIVISION MATERIAL REQUIREMENTS/ MUNICIPALITY + 0 BLANKET DEVELOPER PLACED o TCP/TRAFFIC IC2-SEE 51351-W0652536 IN VARASSET - 24 HANDHOLE=5 o DETAILED (N OT BLANKET)FRONTIER CONDUIT PLANo NO PERMIT RMXOIAED -FLOWER POT=20 51351-5225559-DEVELOPER-CIAC -5"X8'GROUND ROD=5 i UNDERGROUNDING OF FRONTIER JOINT POLE FACILITIES FRONTIER JFN/NJUNS P ®No JPN EMI/RFD MATERIAL REQUIREMENTS POLE JPN JPN LABOR HOURS OWNER TO FROM CONSTRUCTION CONTACTS SHEET 1 OF 5 o o o POWER CA SPLICE-C-25/M-2/X-0 2-TERMINAL FIBER 6 PORT NORTH o o o FEOONNTIER DAVID CARNLEY-971-940-9000 CREW-C-59/M-0/X-0 -1-1000'-TAIL/1-2000'TAIL JAMES STAATS-503-758-3119 FLAGGERS-60 HOURS MOB-O644FDAOOFW POINT OF CONTACT RUSS WELLS W INSPECTOR-0 HOURS MOB-0644FDLOOF ` 503.643.1001 SCHEDULING CONTACT ACCT CODE— 1-TERMINAL FIBER 8 PORT SCHEDULING RYAN ROBERTS -3713 RYAN ROBERTS-503-643-3713 2422.201-ALL FIBER MOB-0844FDLOOFW PHONE RUSS WEL S PLACE/SPLICE 2-TERMINAL FIBER 12 PORT PRONE NO 507.641/4001 TECH. , MOB-1244FD500FWP-500'TAIL PHONE NC FACILITIES CONTACT FIELDED By Russ WELLSMOB-1244FDFOOFW-1500'TAIL �, MICHELE CRISMAN 503-643-0180 1 '•�Tili er CABLE FIBER RIBBON NA INSPECTION CONTACT 48 CT/ITEM 048EC4-14100053 Communications RON HAYHURST 503-292-3345 1000' 51354-5237872 TGRD/FTTP-ELDERBERRY SUBD- 40 SFU-SW 79TH AVE ENGINEERING CONTACT N�uEBFR 5237872 EXON L51351 DRAWN DATE: ENGR RUSS WE.LS CN Y:WASH RUSS WELLS 503-312-7330 SCALE 1s TAX DISTRICT 5ICT: 001 FILE 1=100 TAX DISTRICT: DWG 1 OF 5 ... - TWNSNP: RUG: SEC: SEE SHEET 2 / i \ r / 281 271 26 25 24,�� 2 TGRDORXA 22 H5172S$�, F-• �� 21 TGRDORXA ,,� V TGRDORXA HH5-----i72 3g� --"'".. .-----.7— •�� O' i0 20 HH 5172 Zo ef ri- �__��-=___= " / tis, f t.,..- ..-0„:,..__— —l.f 0 SW HANSEN LN �� ©X \TGR.IRXA SOME CABLES OMITTED J1 TGRDORXP✓ *✓HH 5/72S4 FOR CLARITY �i HFI 5/ 11 12 1314 1516 1718 19 TGRDORXA HH 6/72 I( 10 9 /' 611- i 5 O e4' 22 2O1 500' 03.2019 / 12 o FTTP PIGTAIL 500FT 12 TGRDORXA H2010,325-336 II �o - 4 /� — O O es22.2rn— 3 500' 03.2019 ' FTTP PIGTAIL 500F7 8 \\!.......L...: TGRDORXA H2010,313-320 TGRDORXA / 2,,,/HH 6/72S1 I TGRDORXA HH 6/72 S2 ,e 0 41116.6422201 1500' 03.2019 FTTP PIGTAIL 1000FT 12 817 1 nip, TGRDORXA H2010,301-312 t O /a� 500' 03.2019 OD e422101 48-FIBER 48 4e o XD0,1-12+ TGRDORXA H2010,313-320+ XDD,21-24+ TGRDORXA H2010,325-336+ XDD,37-48 SHEET 3 OF 5 NORTH I oirrher Communications TGRD/FTTP-ELDERBERRY SUBD- 40 SFU-SW 79TH AVE PROJEC O.AR HUNGER 5237872 EXCH.co E 51351 51354-5237872 DRAWN DATE ENGR RUSS WELLSCNTY:WASH 08.108)2019 PHONE 503E13-1001 FLE: SCALE 1.100 TAX DISTRICT: DWG 3 OF 5 TWNSHP. REG. SEC 500' 03.2019 48—FIBER 48 0 500' 03.2019 TGRDORXA H2010,301-330+ FTTP PIGTAIL 500FT 8 0 BBFTP FT 403105 XDD,31-48 TGRDORXA H2010,313-320 TGRDORXA H2010,337-342 (ai 2000' 03.2019 ® 0 BBFTP FT 403104 FTTP PIGTAIL 1500FT 6 1500' 03.2019 TGRDORXA 112010,343-348 TGRDORXA H2010,337-342 FTTP PIGTAIL 1000FT 12 TGRDORXA H2O10,301-312 0 BBFTP FT 403102 1000' 03.2019 TGRDORXA H2010,313-320 FTTP PIGTAIL 1000FT 6 TGRDORXA 112010,343-348 BBFTP FT 403103 TGRDORXA 1-42010,325-336 f) 500' 03.2019 48—FIBER 48 TGRDORXA H2O10,313-320+ 88FTP FT 403106 XDD,27-24+ TGRDORXA H2O10,301-312 TGRDORXA H2010,325-336+ XDD,37-48 e) 500' 03.2019 FTTP PIGTAIL 500FT 12 TGRDORXA H2010,325-336 IoTlfier� Communications SHEET 4 OF 5 TGRD/FTTP-ELDERBERRYSUBD- 40 SFU-SW 79TH AVE PROJECT C .MA NUI, ER:5237872 I EXOCH.CEOBE:51351 51351-5237872 0&X6!$019 DATE PRONE: 503-64x3-1001 EFEE Y.WASN SCALE 1=100 TAX DISTRICT: DWG -1 OF 5 TWNSHP. RNG: SEC. SAGERT FARM ADDRESSES WITH LOT#/FDT ASSIGNMENT LOT1-14974 SW BELVOIR CT/BBFTP FT403106 LOT2-14964 SW BELVOIR CT/BBFTP FT 403106 LOT3-14954 SW BELVOIR CT/BBFTP FT 403106 LOT4-14944 SW BELVOIR CT/BBFTP FT 403106 LOT5-14934 SW BELVOIR CTBBFTP FT 403106 LOT6-14924 SW BELVOIR CT/BBFTP FT 403106 LOT7-14984 SW BELVOIR CT/BBFTP FT 403106 LOT8-14994 SW BELVOIR CT/BBFTP FT 403106 LOT9-14914 SW BELVOIR CT/BBFTP FT 403106 LOT10-14904 SW BELVOIR CT/BBFTP FT 403106 LOT11-7754 SW HANSEN LN/BBFTP FT 403103 LOT12-7730 SW HANSEN LN/BBFTP FT 403103 LOT13-7702 SW HANSEN LN/BBFTP FT 403103 LOT14-7674 SW HANSEN LNBBFTP FT 403103 LOT15-7644 SW HANSEN LN/BBFTP FT 403103 LOT16-7620 SW HANSEN LN/BBFTP FT 403103 LOT17-7594 SW HANSEN LNBBFTP FT 403103 LOT18-7572 SW HANSEN LNBBFTP FT 403103 LOT19-7540 SW HANSEN LN/BBFTP FT 403103 LOT20-14844 SW 76TH AVE/BBFTP FT 403103 LOT21-14814 SW 76TH AVEBBFTP FT 403103 LOT22-14833 SW 76TH AVE/BBFTP FT 403102 LOT23-14811 SW 76TH AVE/BBFTP FT B403102 LOT24-7659 SW HANSEN LN/BBFTP FT 403102 LOT25-7691 SW HANSEN LNBBFTP FT 403102 LOT26-7713 SW HANSEN LN/BBFTP FT 403102 LOT27-7731 SW HANSEN LN/BBFTP FT 403102 LOT28-7749 SW HANSEN LN/BBFTP FT 403102 LOT29-7744 SW CORNUTT LN/BBFTP FT 403104 LOT30-7722 SW CORNUTT LN/BBFTP FT 403104 LOT31-7694 SW CORNUTT LN/BBFTP FT 403104 LOT32-7674 SW CORNUTT LN/BBFTP FT 403104 LOT33-14797 SW 76TH AVEBBFTP FT 403104 L0T34-14779 SW 76TH AVE/BBFTP FT 403104 LOT35-7611 SW CORNUTT LN/BBFTP FT 403105 SHEET 5 OF 5 LOT36-7643 SW CORNUTT LN/BBFTP FT 403105 L0T37-7679 SW CORNUTT LNBBFTP FT 403105 1 OTI err LOT38-7703 SW CORNUTT LNBBFTP FT 403105 51351-5237872 Communications LOT39-7727 SW CORNUTT LN/BBFTP FT 403105 TGRD/FTTP-ELDERBERRY SUBD- LOT40-7749 SW CORNUTT LN/BBFTP FT 403105 40 SFU-SW 79TH AVE PROJECT C.O.AREA, NUMBER:5237872 EXCH.CODE 51351 DRAWN DATE: ENGR RUSS WELLSCNTY:WASH MOS/2019 PHONE: 503A43-1001 FILE: SCALE 1=100 TAX DISTRICT: DWG 5 OF 5 TWNSHP RNG: SEC: li CITY OF TIGARD RECEIPT 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Project Name: Frontier 51351-5237872 Site Address: Receipt Number: 426760 - 10/31/2019 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID PF12019-00312 PFI Permit Fee 640-0000-43114 $300.00 Total: $300.00 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Journal Entry 510-04-2020 DHOWSE 10/31/2019 $300.00 Payor: Frontier Total Payments: $300.00 Balance Due: $0.00 Page 1 of 1 General Ledger Journal Entry Proof List User: angelaw Printed: 10/31/2019- 1:42 PM Batch: 10017.10.2019 TIGARD Account Number Account Description Debit Amount Credit Amount Line Description Project Management Journal Entry:510-04-2020 Journal Entry Date: 10/31/2019 100-0000-41003 ROW Fees-Telecommunications 300.00 0.00 Transfer Frontier pymt from Phone FF to PFI 2019-00312 Elderberry 100-0000-10100 Cash 0.00 300.00 Transfer Frontier pymt from Phone FF to PFI 2019-00312 Elderberry 640-0000-10100 Cash 300.00 0.00 Transfer Frontier pymt from Phone FF to PFI 2019-00312 Elderberry 640-0000-43114 Engineering Public Improvement 0.00 300.00 Transfer Frontier pymt from Phone FF to PFI 2019-00312 Elderberry Journal Entry Totals 600.00 600.00 Journal Entry Balance 0.00 Report Totals: 600.00 600.00 0.00 GL-Journal Entry Proof List(10/31/2019- 1:42 PM) Page 1