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PFI2020-00199 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT 1,1 s COMMUNITY DEVELOPMENT Permit#: PFI2020-00199 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 06/11/2020 Parcel: SEG2023 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: 35222 Oregon Bolt Project Description: SEG2023 and SEG2024//14965 SW 72nd Ave. Installing a new conduit from existing vault on SW Sequoia parkway down to Cardinal Lane and setting a vault on Cardinal and continue to west side of 72nd. Class of Work: FEES Type 1 -Utilities(gas, electric, data) Description Date Amount PFI Permit Fee 06/10/2020 $300.00 Owner: Total $300.00 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: PHILLIP FAGIN 669 SW GLATT CIRCLE WOODBURN, OR 97224 PHONE: 5033105340 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: ,cer (� (��\-- Issued By: 'k7VVV1ty /20 Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PFI2020-00199 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, Trent Brickey at 971-228-9269, 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 RECEIVED City of Tigard JUN 0 9 2020 PFI #: 2020-00199 C ~ ENGINEERING DEPARTMENT IN OF TIGARD TIGARD Public Facilitic �9e'ment (PFI) Permit PROJECT INFORMATION TYPE OF WORK Project name: 35222 Oregon Bolt ❑ TYPE 1—Franchise Utility Work Brief description of project: We will be installing a new conduit performed by NWN,pGE, or utility agency from our existing vault on sequoia Pkwy down to cardinal lane ❑ TYPE 2—ROW Sidewalk/Driveway/Sewer Work performed for the purpose of: and setting a vault on cardinal and continue to the west side of 72nd ave • Sidewalk installation or repair • Driveway approach installation and repair SITE INFORMATION • Sanitary sewer lateral installation and 14965 SW 72nd Ave Tigard OR 97224 main line tap Location (address if available): 9 SEG2023 and SEG2024 Cl TYPE 3—Full cale Devel Work l performed with land use approval which includes any of the following: • Subdivisions or Partitions APPLICANT INFORMATION • Street widening Name:Phillip Fagin • Mainline installation for sanitary sewer, storm sewer, Tigard water, and Tigard Mailing address: 669 Glatt Circle water service area El City/State: Woodburn,OR Zip: 97224 TYPE4—SmaI1CvIlTechnology Phone: 503 310 5340 ❑ TYPE 5-Tigard Triangle Email: pfagin@wavebroadband.com Phone: NOTE: Type t and 2 applications may be cmailed to rowpermits@,tigard-or.gov. Contact name: Phillip Fagin Phone: 503 310 5340 Email: pfagin(a)wavebroadband.com CONTRACTOR INFORMATION ❑ Same as applicant Name: Professional Underground CCB Number: 47820 Mailing address: P.O. Box 2641 City/State: Eudene,OR Zip: 97402 Phone: 541 343 2238 Email: tlusk@professionalunderground.com ENGINEER INFORMATION Name: Phillip Fagin Mailing address: City/State: Zip: Phone: Email: ADDITIONAL INFORMATION Estimated value of work is required(if over$5,000):$ 6,000 (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 • wwwtigard-or.gov • 503-718-2421 • Page 1 of 4 APPLICANTS NOTE: Person specified as"Applicant"shall be designated"Permittee"and shall provide financial assurance for work,if required by the city pursuant to TMC 15.04.140. * 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. Phillip Fagin 6/8/2020 plicant's authorized agent's signature Print name Date Property owner's signature (if required) Print name Date STAFF i sI: ONIX Case No: PF12020-00199 Permit fee: ib0e00 Received by: SC Date: 06/09/2020 Approved by: 7 &.v'/ - Date: (g filZcw Notified by:_�Dater 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 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 PFI Permit Fee). WATER LINE CONSTRUCTION FEE Part 3: All public water system improvements engineer's estimate X 12%. FOR STAFF USE ONLY FOR STAFF USE ONLY TYPE 4: SMALL WIRELESS FACILITY TYPE 1—3:DETAILED SUBMITTAL CHECKLIST REQUIREMENTS Does applicant have a right-of-way license? ❑Yes ❑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 ❑ 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 ❑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 0 Pathway Design ❑ Water Provider Approval City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 3 of 4 Oregon Bolt wave 14965 SW 72nd Ave (tan' Tigard, OR 97224 CONSTRUCTION NOTES: 1-ALL WORK AREAS TO BE RESTORED TO LIKE OR BETTER CONDITION. General Location Scope of Work 2-ALL OTHER UTILITIES ARE BASED P OFF EXISTING LOCATES OR 1 d111t! UTILITY STRUCTURES *' - { q�' -BORE FOOTAGE=815 3IT IS THE CONSTRUCTION 61� dot -VAULT 17"x 3D°=1 CONTRACTORS RESPONSIBILITY e , s - _._ TO CALL FOR LOCATES PRIOR 811 i; I le TO DIGGING il i CONTACTS: I' 0 Construction Manager- _ Jesse Martin c I >o, .� ID1� 1 jemertin@wevebroadbend.com - ltl'.1 (971)281d069 t - Permit Tech-Phillip Facial " plagingwavelsroadhand corn (503)310 5340 ADDRESS/SECTION: ___- -- rl SITE Vicinity Map �S ® Legend/Symbology 14965 SA/72nd Ave o _ .. _ gard,C 97224 - Packet Description _ ) BORE PATH SEWER ASSETS ® Cover page - Underground bore , SANITATION 4 Vault Diagram - I` WATER ASSETS VAULT �--� - 0 POLE Imo. 1 35222 PAGE 1 OF 4 Mu, N SEQ IN SEQ OUT W /i fi\ E Wave existing vault \2•� Bore a new 2 inch conduit . 6 I, 4 • Ii • 65'-0.--e. R.O.W width 1 • R.O W width to curb—pi 4— i 1 248'bore,route 94 i a f 567'continued a. a bore 1-oc4.8. C Sim Cwm j __... ... ._____i___ 111-2.....................!4........�......................... i ���..,. CARDINAL LN Stone T 65'00' i — P0Wwidth sanitation PAGE NUMBER CONTACTS: SITE ADDRES PROJECT NUMBER Construction broad Permit Tech wane Jesse Martin Phillip Fagin 2 jemanin�wavebroatlbantl wm piagin310-5340oatlbantl.com 14965 SW 72nd Ave (971l281-4 9 (5031310-5340 Tigard,OR 97224 35222 PAGE 20FI Broadband I I %. • RO.W.Wdth ---sv-a ..T...' -_.. y Wave wdl place a xu�r.a`ae new 17"x30"vault in < I 567'continued s... G the planter stop. Cwnt If , . wi Wave intercept the { customers conduit ___ — and enter the i' ...1 _ .,, building through here / { .- - 65'-a CARDINALLN Storm o / -,, i m y y I r F.F I i PAGE NUMBER CONTACTS: SITE ADDRESS PROJECT NUMBER Construction manager Permit Tech Jesse Martin Phillip Fagin 3 jemannawavebroadband corn(971)281-4069 pfagin@wavebroadband corn uu a v e j503I 310-5340 14965 SW 72nd Ave Tigard,OR 97224 35222 PAGE 3 OF 4 Broadband FCA173024T-000061 P FIBERGLASS I PCX POLYMER CONCRETE mgio LY_..._,.-..1 l r a 30-i 24 Ice mom Mrnuem.ee 4ureet Fiberglass J Polymer Concrete Asseetle 17 1 Tapered Bides.WUC 31.ANBUSCTE / O 77•"T1 J1201(."3r6"Hes Bolls,Standard Kr (Speedy al lane et ordert / Inslaeed i 41:1440 r LOAD RATINGS Ina:N I Conforms Treble•Parking la.Stlmwan '�� II •ANS45CTE777 (` ,f FEATURES: 1111.1* ` •Drop•In nameplate R W i •Shipped assembled•Skd resalanl oriel I „a our •Stainless steel Dons 'iir Itopip!,.. __■� •Cast.in l drain nut box 74, -Integral drain hots Additional product information i ---- a, �' continued on the reverse nev&ass Composites for Infrastructure Je c onv4 a>e.for m ape Inside Dimensions NU 7117011310.,, Le.," 1'4911 UcpH, i •McBns.eav 2$le' +s 3 4- •newbo r. 37 1 n' 241 a zr u..c . n PAGE NUMBER CONTACTS: SITE ADDRESS PROJECT NUMBER , Co9stJesse Martinn Phillip Permit Tech uuaue Jesse Martin Phillip Fagin 4 jemartinawavebroadband.com pfeginfgwavebroadband.com 14965 SW 72nd Ave (971)281-4069 j5031 3105340 Tigard,OR 97224 35222 PAGE 4 OF 4 • A 41 IIlyT nano i -a 1 Use truck-mounted flashing warning fights on work and protection vehicles See Section 4 3-Lights and Lighted Signs for exceptions. A 2 For added visibility,a truck-rnounled arrow board or PCMS as caohon 1 mode may be used. 3 When two or more travel lanes are reduced toe single lane before the • diversion,each lane shall be dosed separately. Layout traffic control • according to ODOT Standard Drawing TM 852 for 5-lane sections �`-- ' 4 A shifting taper(U in may be added the diverted traffic direction �� across the continuous two-way left turn lane(as shown) This option rs r recommended when the speed is 45 mph or greater FBrt•ilwatl116 Sign Sparing and Buller Lengths(feet) r 11•Bagb r B•f•a So. B•ew••nfro `SUNK r / I Sowed • s C Spas I f ! 1 20 SD - 2S 100 100 100 T5 Mr se 100 rIS • g b 350 350 1So I50 U2 _as _ ISO • _30_ SOD 500 SOO 2l0 - 1 - I Ss 250 • • se IB5 lR • A O 0 Tea ]oo TOO 175 7 g .• 0 l65 l4ItY B 1. 401111P. PAGE NUMBER CONTACTS: _ -1 "r- - PROJECT NUMBER Construction manager Permit Tech Jesse MartinPhillip ' jemartin@wavebroatlbard.com 1971128I-4069 pfaginewavebroadbantl.com wave (503)310-5340 14965 SW 72nd Ave ,.1 ,.r Tigard,OR 97224 35222 PAGE 1 OF 2 o a d b a ii d st © RIOt7I0[p_Y 4 t �©r,� .m.. *T tr.&....I dice hemone eeawr,Ninon b be Mien m caMuNn9 wort,el M9M 0 2 A pill car ep•rNbn should be imbed le 35 miles depend g on volume end roadway IllelE worsen ®.. 1 IMME © 1 Operation M iNe pier cer shell be coadnaad Mg,Ragging operalbes at each end el 0� IO©©©�' me nine lane enhao �gWEI ©©©© d Reber or other'etude communication.shell be used babnen Raggin the pea car d��r s ache the were superintendent a EeaipnN<O weber at at Ito., Ib ygP 1e•1 re 5 Introit el baggers me WAIT F Cale PILOT CAR'(CPA 201 sign may be pumps en who � reeds er,crewed inxaxtgn dare highways when prim ran ere being used le control tip,r,oeae • % smith.on the rapier..though the work lone brooded • a II..easee or mad eager rs en S supped br no mote hen 20 minxes %Slant Sector 00220 ef theOre on T en StandardgTub&Conhol n lob ComHandbook) upon. 1 A � � ° and cnaner l pane Oregon Tempaers Tnr6r coned rv,rweek7 • Is Access or Nee road b a dead end Smarts or has no immediate alternate est ss les an 40I of 100 seMrme per day or Fees and does nal access palls re tartan. 9 perk+rest pops sea*mars mincers.. • ♦ lanaisais hurt,hubs he le admen!plants NC) For plus,.residents di unlade eve sign CRP 20e MO Intersections or access.using the WAIT FOR PILOT CAR sign Mauldin checked Y/ regaled)to smarmy sale end ellerv:a traffic c epera Yore larady wan an Au greaser Tar 100.yd pie In exceeding an v id ensign may be cried only d Myth.,monirmpd anti neutrally checked For Palk compLentra epN,eon end safely I'eperallnal ieeusa are abexved al these or any other ewarbn esirg the V:AIT rep PILOT CAR sign the sign Should be regent,by nagging or other het, control measures es quickly as medical • 7 ROT CM 6 Mound to'PILO]CAR pO1l OW ME'(120J)sign In a conspicuous location en P.O rear lir • IOLLOw i1E of Mepiol ex Alrurkmounled PCMSmay betub,Saad ter She POOT CAR I e I EGILOW MF sign Ca T Theless Angi rebirth in the pill car queue can be identifiedby ccnmunic.Wn betweenIceY101 Wrvgers. Ra nal*the Ind reticle may be identified by handing off a Rag between the ggers 1 A I No vehicles cn0uld b,allowed to pus the got cat a ® 9 Cornea Wong err wnM1 spar are optional le The ONE LANE ROAD AHEAD' sign a optional and should ct w mberea o Nigh volume a high eve.d meth es what extended eevms.ra selected I 6 °�`� tI fa°erg end shy marlcpereRon deal.see Oiapen]d5 4'tI IC, PAGE NUMBER CONTACTS: SITE ADDRESS PROJECT NUMBER Construction manager Permit Tech 2 Jesse Martin Phillip Faqirs wan e jemeninQwevebroadband.can ptagin(Bvv2avebroadbend,com 14965 SW 72nd Ave 19711281-4 9 J5031310.5340 Tigard,OR 97224 35222 PAGE 2 OF 2 Broadband