PFI2019-00452 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
COMMUNITY DEVELOPMENT Permit#: PF12019-00452
T I G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 12/23/2019
Parcel: SEG591
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: Comcast
Project Description: Adjacent to 11665 SW Pfaffle St. Overlash (1)48 ct fiber for 122'in City of Tigard ROW.
Class of Work: FEES
Type 1 -Utilities(gas, electric,data) Description Date Amount
PFI Permit Fee 12/20/2019 $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:
VAN MESPLAY
PHONE: 9718015787
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:
Special Conditions(See Attached)
Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY
Conditions for PFI2019-00452
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.
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
RECEIVE
• City of Tigard DEC 18 2019 PFI#:o�('f f g- DD yS•2
si ENGINEERING DEPARTMENT CITY OF1"IGF�RD '`
TIGARD Public Facilities I ' * _i - t (PFI) Permit
PROJECT INFORMATION
101832-11160 TYPE OF WORK
Project name: ❑ TYPE 1—Franchise Utility Work
Brief description of project: Comcast proposes to overlash (1)_48CT performed by NWN,PGE, or utility
agency
fiber for 122' in City of Tigard ROW. ❑ TYPE 2—ROW Sidewalk/Driveway/Sewer
Work performed for the purpose of:
• Sidewalk installation or repair
• Driveway approach installation and repair
SITE INFORMATION • Sanitary sewer lateral installation and
11665 SW Pfaffle St, Tigard, OR 97223 main line tap
Location (address if available): ❑ TYPE 3—Full Scale Development Work
-ge- / performed with land use approval which
includes any of the following.
• Subdivisions or Partitions
APPLICANT INFORMATION • Street widening
Comcast Cable Communications Management, LLC • Mainline installation for sanitary sewer,
Name: storm sewer, Tigard water, and Tigard
Mailing address: 11308 SW 68th Parkway water service area
City/State: Tigard, OR /lp: 97223 0 TYPE 4—Small Cell Technology
Phone:
(503) 596-3772
ID TYPE 5—Tigard Triangle
Email: Van_Mesplay@comcast.com Phone: NOTE: Type I and 2 applications may be
Van Mesplay emailed to rowpermits(a,tigard-or.gov.
Contact name:
Phone: 971-801-5787 Email: Van_Mesplay@comcast.com
CONTRACTOR INFORMATION 0 Same as applicant
Name: Texstar Enterprises Attn: Jim Miner CCB Number: 178798
Mailing address: 14122 Arndt Rd City/State: Aurora, OR Zip. 97002
Phone: (503) 793-3109 Email: Jim.miner@texstarenterprises.com
ENGINEER INFORMATION
Name: K&B Technical Solutions
Mailing address: PO Box 2529 City/state: Clackamas, OR zip: 97015
Phone: (971) 678-3079 Email: lan_Reed@kbmail.net
ADDITIONAL INFORMATION
Estimated value of work is required(if over$5,000):$ (within the public right-of-way)
Is work related to a LAND USE DECISION? 0 Yes 0 No Case number:
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-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 15.04.140.
* 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.
I, 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.
Ian Reed Digitally signed by Ian Reed
Date:2019.12.18 08:28:26-08'00'
Applicant's or authorized agent's signature Print name Date
Property owner's signature (if required) Print name Date
STAFF USE ONLY
Case No: ,pI2/q— s2 Permit fee: 3' 'Dd Received by: Date: Z
Approved by: /rel>L1 Date: /2�/9/Zoe
9 Notified by: Date: /2
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-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.Minimum of$300.
NET PFI PERMIT FEE
Part 2: All non-water system improvements engineer's estimate X 7%(less the initial PFI Permit Fee).
WATER LINE CONSTRUCTION FEE
Part 3: All public water system improvements engineer's estimate X 12%.
FOR \I I I ()NI.1 FOR STAFF USE ONLY
TYPE 4: SMALL WIRELESS FACILITY TYPE 1—3: DETAILED SUBMITTAL
CHECKLIST REQUIREMENTS
Does applicant have a right-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): 0 Small Cell 0 Macro
❑ Street Name
How many install sites are proposed as part of this permit ❑ 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: ❑ Street(Plan,Profile)
❑ Water,Storm and Sanitary(Plan Profile)
❑ Water Quality Facilities
❑ Grading
❑ Landscaping/Tree Plan
❑ Composite Utility Plan(Electrical,Phone,Gas, Storm,
Sanitary,Water,Signage,Street Lights,etc.)
❑ Details
❑ Traffic Sight Distance
❑ 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
❑ 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-or.gov • 503-718-2421 • Page 3 of 4
9 S %\T "Y " St
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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/W or D/W apron Slope of property Trees
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 4 of 4
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3.IT IS THE CONSTRUCTION CONTRACTORS PERMIT
✓`;▪ '"�1 11...y RESPONSIBILITY TO CALL FOR LOCATES BEFORE DIGGING. CMNS-30448-11160
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PROPERTY LINE TELEPHONE POLE 0 f
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CENTER LINE CA - MANHOLE . 1y
FACE OF CURB —roc CATCH BASIN ® 4
EDGE OF PAVEMENT cor VALVE(WATER,GAS,ETC) IX € ,
EDGE OF GRAVEL Ew--
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Page 54 2011 Edition
Pedestrian Accommodation Diagrams
See Diagrams 5-7 and 5-8, below, for pedestrian accommodations in work
zones.
Pedestrian Accommodation Principles:
1. If the work impacts the sidewalk or pedestrian facility, provide a safe,
accessible path, where practical, in accordance with the requirements
of the ADA.
2. If not practical to match the width of the existing pedestrian facilities,
maintain a 4-ft minimum width.
3. Unless a reasonably safe route can be provided through the work
space, pedestrians should be appropriately directed with advance
signing to cross the road. Do not divert pedestrians into travel lanes.
4. Install pedestrian closure or detour signing on Type II barricades.
Make every practical effort to satisfy the following:
• If work closes a sidewalk or sidewalk ramp, close sidewalks at a point
where an alternate crossing point or route can be provided. Minimize
the amount of out-of-direction travel for pedestrians.
• Use a combination of"SIDEWALK CLOSED" (R9-9), "SIDEWALK
CLOSED USE OTHER SIDE" (R9-10), "SIDEWALK CLOSED AHEAD
CROSS HERE" (R9-11), and "SIDEWALK CLOSED CROSS HERE"
(R9-11a) signing to direct pedestrians to an alternate facility.
• Where there are business destinations between the nearest crosswalk
and the work area, close the sidewalk at the business access nearest
the work area, where practical using the SIDEWALK CLOSED sign.
o Include the SIDEWALK CLOSED AHEAD CROSS HERE sign at the
Q nearest crosswalk prior to the closure.
0
U
T
H
Chapter 5 September 2016
2011 Edition Page 55
Pedestrian Accommodation, Mid-Block Diagram 5-7
The sidewalk should be closed at the nearest intersection on each side of the
work area when a safe, ADA-compliant path through the work area is not
available.
- - - SIDEWALK CLOSED
SIDEWALK CLOSED
m-1. or AHEAD
CROSS HERE --►
CROSS HERE
24x12
N. , Type"W1" 24x18
Type"Wi
%� —
SIDEWALK
ei,/ ,/ CLOSED
24x12
Type"W1'•
(Mount on B(II)LR)
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SIDEWALK CLOSED D)
SIDEWALK CLOSED -
�- Or AHEAD N.
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CROSS HERE
--- CROSS HERE
24x12
Type"W1" 24x18
(Mount on B(II)R) Type"W1"
September 2016 Chapter 5
Page 80 2011 Edition
T
5.3 Two-Lane, Two-Way Roads
Shoulder Work w/ Minor Road Encroachment Diag. 300
N 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
35 125
350 350 350
40 150
45 180
50 500 500 500 210
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 1•
AHEAD 74".
•
Initial
Warning A •
Sign
•
•
•
(Optional) •
• •
• t7 it
• • U.
• '1
ProtectionA Optional)
w/TMA(both Optional)
See Chapter 4 - • Buffer
•
10' •
minimum •
•
1
A
/ROAD��
NARROW
(Optional)
B
IF
f ROAD
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
0 signing placement.
a
Sign Spacing and Buffer Lengths(feet)
a Posted Spad ng Between Signs "Buffer"
~ Speed A B C Space
20 50
25 100 100 100 75
30 100
35 125
40 350 350 350 150
45 180
50 500 500 500 210
55 250
60 285
65 700 700 700 325
70 365
Chapter 5 September 2016
2011 Edition Page 53
Bicycle Accommodation Diagram 5-6
NOTES:
. Bicycles on Roadway(CW11-1)sign should not
interrupt standard sequences. For example:
o BE PREPARED TO STOP/Flagger Symbol
c LANE CLOSED AHEAD/Lane Ends
Symbol
. Bicycles on Roadway sign typically follows ROAD
WORK AHEAD sign and used as general warning.
Tir
A
A
D
B
CD
sv
ON
N.
ROADWAY
ROAD
WORK
AHEAD ;
September 2016 Chapter 5
TIGARD
City of Tigard
April 3,2020
K&B Technical Solutions
6566 SE Lake Rd
Milwaukie, OR 97222
Re: Permit No. PFI2019-00452
Dear Applicant:
The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the
following:
Site Address: 11665 SW Pfaffle St
Project Name: Comcast
Job No.: N/A
Refund Method: ® Check#235137 in the amount of$240.00..
❑ Credit card"return"receipt in the amount of$ .
Note: Please allow 2-5 days for this refund transaction to be
credited to your account by the company that issued your card.
❑ Trust account"deposit"receipt in the amount of$
Comment(s): Per applicant's request as job was cancelled. Refund 80% of application
fee.
If you have any questions please contact me at 503.718.2430.
Sincerely,
). 1-lam
Dianna Ornelas
Building Division Services Supervisor
Enc.
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard-or.gov
EtIP
City of Tigard
TIGARD Accela Refund Request
This form is used for refund requests of land use, development engineering and building permit
application fees. Receipts,documentation and the Request forPermit Action form (if applicable) must
be attached to this request form. Refund requests are due to Accela System Administrator by
each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts
Payable will route refund checks to Accela System Administrator for distribution to applicant.
PAYABLE TO: K&B Technical Solutions DATE: 3/19/2020
6566 SE Lake Rd
Milwaukie, OR 97222 REQUESTED BY: Dianna Ornelas
TRANSACTION INFORMATION:
Receipt#: 427484 Case#: PF12019-00452
Date: 12/20/2019 Address/Parcel: 11665 SW Pfaffle St
Pay Method: CreditCard Project Name: Comcast
EXPLANATION: Per applicant's request as job was cancelled;refund 80%of application fee.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund
Example: Building Permit Fee Example: 2300000-43104 $Amount
PFI Permit Fee 640-0000-43114 $240.00
TOTAL REFUND: $240.00
APPROVALS: SIGNATS/DAT E:
If under$5,000 Professional Staff
If under$12,500 Division Manager
If under$25,000 Department Manager
If under$100,000 City Manager
If over$50,000 Local Contract Review Board
FOR ACCELA SYSTEM ADMINISTRATION USE ONLY
Case Refund Processed: Date: q/3 A7-1 By: eV 0
1:\Rwlding\Refunds\RcfundRequestdoc x 09/01/2010
CITY OF TIGARD RECEIPT
, 11 , 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Project Name: Comcast /�//
Site Address: /'�/ A1 6
Receipt Number: 436233 - 09/03/2021
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
PF12019-00452 $-240.00
Total: $-240.00
PAYMENT METHOD CHECK# AUTH CODE ACCT j12 CASHIER ID RECEIPT DATE RECEIPT AMT
Check 235137 DHOWSE 09/03/2021 $-240.00
Payor: K&B Technical Solutions
Total Payments: $-240.00
Balance Due: $240.00
Page 1 of 1
CITY OF TIGARD RECEIPT
111111 $ 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
T[GA R.0
Project Name: Comcast
Site Address: 446 /A./
Receipt Number: 427484 - 12/20/2019
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
PF12019-00452 PFI Permit Fee 640-0000-43114 $300.00
Total: $300.00
PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 5873978 PUBLICUSERO 12/20/2019 $300.00
Payor:
Total Payments: $300.00
Balance Due: $0.00
Page 1 of 1
RECEIVED
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT JAN 2 2 2020
=. r Request for Permit Action CITY OF TIGARD
PLANNING/ENGINEERING
T I CI A R D 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503-718-2439 •www.tigard-or.gov
TO: CITY OF TIGARD Li
Building Division 3/f9/2o —
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov
FROM: ❑ Owner Q Applicant ❑ Contractor ❑ City Staff
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business or Individual) K&B Technical Solutions-Attn:Shelley Koopman
Mailing Address: 6566 SE Lake Rd Suite F
City/State/Zip: Milwaukie, OR 97222
Phone No.: 503-650-6041
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
❑ CANCEL/VOID PERMIT APPLICATION.
❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
Permit#: PFI2019-00452
Site Address or Parcel#: 11665 SW Pfaffle St,Tigard,OR 97223
Project Name: 101832-11160
Subdivision Name: Lot#:
EXPLANATION: Comcast is canceling this project.
Signature: Ian Reed Digitally signed
try
Ian
Reed D Date: 1l21/2020
Date 2020.01.21 13. W:03-08 00
Print Name: Ian Reed
Refund Policy
1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of
• Any fee which was erroneously paid or collected.
• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
• Not more than 80%of the application or permit fee for issued permits prior to any inspection requests.
2. All refunds will be returned to the original payer in the form of a check via US postal service.
3. Please allow 3-4 weeks for processing refund requests.
2-
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date ?/3 r� By I
Refund Processed: Date3// /7� By Invoice Processed: Date By
Permit Canceled: Date 3 qt zd By parcel Tag Added: Date By
I:\Building\Fonns\RegPemritAction_120518.doc
CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
COMMUNITY DEVELOPMENT Permit It: PFI201900452
T 1(..,A H 0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 12/23/2019
Parcel: SEG591
Jurisdiction: Tigard
''
Site address:
Subdivision: Lot: '-j7'9/zv 4*
Project: Comcast
Project Description: Adjacent to 11665 SW Pfeifle St.Overlash(1)48 ct fiber for 122'in City of Tigard ROW.
Class of Work: FEES
Type 1 -Utilities(gas,electric,data) Description Date Amount
PFI Permit Fee 12/20/2019 S300.00
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:
VAN MESPLAY
PHONE:9718015787
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: ,C4,p91,,,�,(�ra—ii-.
VVVV
Issued By: OeL-
Special Conditions(See Attached)
Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY
Conditions for PFI2019.00452
Type: Condition Name: Status: Sever :
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 DEO requirements. The City may at any lime 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 safely.
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 applicants 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 MATERIALICONSTRUCTION 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 engineers certification of installation compliance(Certificate of
Compliance).
PFI_Utilities 31 -OTHER Applied Notice
Other
RECEIVE 3//9/ o Rrr-
City of Tigard DEC 1 S 2019 PFI#:COI�� oloys�
i = •. ENGINEERING DEPARTMENT
mil. r nG' ��.:
IliP
TIGARD Public Facilities Itriproverrient (PFI) Permit
PROJECT INFORMATION
101832-11160 TYPE OF WORK
project name: ❑ TYPE 1-Franchise Utility Work
Brief description of project: Comcast proposes to overlash (1)_48CT performed by NWN,PG, or utility
a).ienq
fiber for 122' in City of Tigard ROW. ❑ TYPE 2-K(0Vf'Sidtwalk/Driveway/Sewer
Work performed for the purpose of:
• Sidewalk installatiom or repair
• Driveway appr<nrh installation and repair
SITE INFORMATION • Sanitary sewer lateral installation and
location (address if available):
11665 SW Pfaffle St, Tigard, OR 97223 Main line tar
^/ 0 TYPE 3i d with Sand use approval Work
-ge8_ h
J�'(�,( reKformeri with land use approval which
includes any of the following;
• Subdivisions or Partitions
APPLICANT INFORMATION • Street widening
Name: Comcast Cable Communications Management, LLC • Mainline irrstallatiem for sanitary sewer,
storm sewer, Tigard water, and 'Tigard
Mailing address: 11308 SW 68th Parkway water service area
City/State: Tigard, OR Zip: 97223 ❑ TYPE 4-Small(:ell Technology
Phone:
(503) 596-3772 ❑ TYPE S-Tigard Triangle
Email: Van_Mesplay@comcast.com Phone: NOTE: Type 1 and 2 applications may be
Van Mesplay mailed to rowpctmits a ta}�ard-tt.gov.
Contact name:
phone: 971-801-5787 Email: Van_Mesplay@comcast.com
CONTRACTOR INFORMATION 0 Same as applicant
Name: Texstar Enterprises Attn: Jim Miner CCB Number: 178798
Mailing address: 14122 Arndt Rd City/State: Aurora, OR zip: 97002
phone: (503) 793-3109 Email: Jim.miner@texstarenterprises.com
ENGINEER INFORMATION
Name: K&B Technical Solutions
mailing address: PO Box 2529 City,/state: Clackamas, OR zip: 97015
Phone: (971)678-3079 Email: lan_Reed@kbmail.net
ADDITIONAL INFORMATION
Estimated value of work is required(if over$5,000):$ (within the public right-of-way)
is work related to a LAND USE DECISION? ❑Yes 0 No Case number:
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of 4
APPLI CANTS
NOTE: Person specified as"Applicant"shall be designated"Permitter"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
ur an agent of die owner. The owner must sign this application in the space proridcd or submit a written authorization with this
application. Franchised or Licensed Utilities arc not required to obtain the owner's signature on the application.
I,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.
Ian Reed Digitally Signed by Ian Reed
Date 2018.12.180a282ewe017
-Applicant's or authorized agent's signature Print name Date
Property owner's signature (if required) Print name Date
STAFF USE ONLY
Case No: _i �— ° s2 Permit fee: ,3017�DD Received hy: Date: o
Approved by: /ten 71-,C3 Date: /Z�/9/20/9 Notified by: Date:�.2- I q
City of Tigard • 13125 S\C'!fall Blvd. • Tigard,Oregon 97223 • wv.w.tigard-or.gov • 503-'I R-242I • 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 PH Permit Fee.See below for calculations.Minimum of$300.
NET PFI PERMIT FEE
Part 2: All non-water system improvements engineer's estimate X 7%(less the initial PH Permit Fee).
WATER LINE CONSTRUCTION FEE
Part 3: All public water system improvements engineer's estimate X 12%.
t'Ott STAFF I "I °NIX FOR STAFF 1.SI: ONLY
TYPE 4: SMALL WIRELESS FACILITY TYPE I—3: DETAILED SUBMITTAL
CHECKLIST REQUIREMENTS
Does applicant have a fight-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): 0 Small Cell ❑Macro ❑ Street Name
I low many install sites are proposed as part of this permit
O 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:
❑Public Right-of-Way 0 Private Property
0 Cover—Site,Vicinity,.Abbreviation,Legend
If equipment is to be located on private property,describe the 0 General Notes(City,Water Sewer,etc.)
type&use: 0 Street(Plan,Profile)
O Water,Storm and Sanitary(Plan Profile)
❑ Water Quality Facilities
❑ Grading
❑ Landscaping/Tree Plan
❑ Composite Utility flan(Electrical,Phone,Gas,Storm,
Sanitary,Water,Signage,Street Lights,etc.)
❑ Details
❑ Traffic Sight Distance
O Signing and Striping
❑ Street hght Plan and Photometric
❑ Engineers seal/signature
❑ Sheet label(project land use name,revision and plan
log block,dates and sheet numbers.)
❑ Engineers Consmnction Estimate
Additional Submittals
(per land use conditions,if applicable)
❑ Traffic Report
❑ Storm water Drainage Calculations
❑ Geotechnical Report
❑ Preliminary Access Report(Sight Distance)
❑ Proposed Plat
O Pathway Design
O Water Provider Approval
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-orgov • 503-718-2421 • Page 3 of 4
9 sw "Y " s i
Edge of Pavement
�— Ditch —�
0tStreetlight
•—•—•—•—•—•—•,—r—•—
f of " %re'1
7--Prepararsixtrmffr--I
' a) i:-.
„,i I Existing House 1
Q, z i Existing 1
t,. �� Driveway
YI oi I
o
I 7' I
ai
'AI i
:::
Shop 1
1/4\
Powerpole I 1 = I I
is 1
L.—.
I
6 I Fire Hydrant(FH)
i I
I I Scale- 'I"=30'
I
i I
I
i I
TYPE I AND TYPE 2:
MINILIM SKETCH REQUIREMENTS (Put N/A if nit applic.tldc)
North arrow Property lines&dimensions Existing utilities locations
(sewer,stops,water)
Street&street names All existing structures
Proposed work Existing curb or edge of pavement Utility& street light poles
Existing S/W or D/VZW apron Slope of property Trees
City of Tigard • 13125 SW Hall Blvd. • Tigand,Oregon 97223 • uwwtigard-or.gov • 503 7 18-2421 • Page 4 of 4
IV
'Is
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co11ag1cu lE[�[ IRONGpa1WG"B1 //f
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Page 54 2011 Edition
Pedestrian Accommodation Diagrams
See Diagrams 5-7 and 5-8, below, for pedestrian accommodations in work
zones.
Pedestrian Accommodation Principles:
1. If the work impacts the sidewalk or pedestrian facility, provide a safe,
accessible path, where practical, in accordance with the requirements
of the ADA.
2. If not practical to match the width of the existing pedestrian facilities,
maintain a 4-ft minimum width.
3. Unless a reasonably safe route can be provided through the work
space, pedestrians should be appropriately directed with advance
signing to cross the road. Do not divert pedestrians into travel lanes.
4. Install pedestrian closure or detour signing on Type II barricades.
Make every practical effort to satisfy the following:
• If work closes a sidewalk or sidewalk ramp, close sidewalks at a point
where an alternate crossing point or route can be provided. Minimize
the amount of out-of-direction travel for pedestrians.
• Use a combination of"SIDEWALK CLOSED" (R9-9), "SIDEWALK
CLOSED USE OTHER SIDE" (R9-10), "SIDEWALK CLOSED AHEAD
CROSS HERE" (R9-11),and"SIDEWALK CLOSED CROSS HERE"
(R9-11a)signing to direct pedestrians to an alternate facility.
• Where there are business destinations between the nearest crosswalk
and the work area, close the sidewalk at the business access nearest
the work area, where practical using the SIDEWALK CLOSED sign.
Include the SIDEWALK CLOSED AHEAD CROSS HERE sign at the
nearest crosswalk prior to the closure.
Chapter 5 September 2016
2011 Edition Page 55
Pedestrian Accommodation, Mid-Block Diagram 5-7
The sidewalk should be closed at the nearest intersection on each side of the
work area when a safe.ADA-compliant path through the work area is not
available.
sonvuwunaEo 610Enn RaoE°
� or� AHEAD
GAMS NEM
CMGS NEPE
24x12
--- Type'W1' 24x18
. (Mount on B(II)L) Type'W1'
Or
SIDEWALK
CLOSED
24x12
Type'W1"
(Mount on B(II)LR)
(2 Regd.)
a
n
0
m
.OEWN%ULEEO YlW4.QED Eli
-HOE CROW HOE
24x12 24x18
Type"W1'
(Mount on B(II)R) Type'W1'
September 2016 Chapter 5
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
40 350 350 350 125
45 180
50 500 500 500 210
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
WRORKOAD I t•
AHEAD �•++
•
Initial
Warning A •
Sign 1
•
• 7
• 4,1
(Optional) •
• •
• • • rail
•
Protection Vehicle
w/TMA(both Optional)
See Chapter 4 Btu
re,
10'
minimum •
•
A ROAD
NARROWS
(Optional)
1
t ROAD
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)
Potted Spdng Between Mrs "8utrer"
Sped A a C Space
20 50
25 100 100 100 75 •
30 100
35 125
350 350 350
40 150
45 180
50 500 S00 500 210
55 250
60 285
65 700 700 700 3I5
70 365
Chapter 5 September 2016
2011 Edition Page 53
Bicycle Accommodation 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
Symbol
• Bicycles on Roadway sign typically follows ROAD
WORK AHEAD sign and used as general warning.
14.
A
1
A
IVI
tt V V
B
`/1 ROADWAY
C
•�• 1 ROAD
WORK
AHEAD
September 2016 Chapter 5