The URL can be used to link to this page

PFI2020-00104 ,r CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT Permit#: 03/2020-00104 COMMUNITY DEVELOPMENT Date Issued: 03/2012020 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: SEG1507 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: Comcast Project Description: Adjacent to 14176 SW Mistletoe Dr.Comcast proposes to upgrade existing pedestal to accommodate new equipment. Class of Work: FEES Description Date Amount Type 1 -Utilities(gas, electric,data) PFI Permit Fee 03/1912020 $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!Atiaard-or.aov to schedule inspections online. Contractor: PHONE: Applicant: MITCH BURGHELEA PHONE: 5037985785 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 PF12020-00104 Type: Condition Name: Status: Severity: 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 503-718-2686, 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[sj 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 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 RECEIVE® City of Tigard MAR 18 2020 PFi#: 2020-00104 _ ENGINEERING DEPARTMENT CITY OF T!GARD P NNINGIENGINEERING Public Facilities mprovement (PFI) Permit PROJECT INFORMATION TYPE OF WORK Project name: New 2X2 Hot node off of TG1BD ® TYPE t-Franchise Utility WcA Comcast proposes to upgrade perfumed by N",PGE, orutility Brief description of project: agency existing pedestal to accommodate new equipment. ❑ TYPE 2-ROW Sidewalk/Driveway/Sewer Work performed for the purpose of • Sidewalk installation or repair -- • Driveway approach installation and repair SITE INFORMATION • Sanitaryscwerlateralinstallation and 14176 SW Mistletoe Dr main line tap Location (address if available): ❑ TYPE 3-hull Scale Development Wink SEG 1507 perfumed with land use approval which includes any of the following. • Subdivisions or Partitions APPLICANT INFORMATION • Street widening Comcast • Mainline installation for sanitary sewer, Name: storm sewer, Tigard water, and Tigard Mailing address: 11308 SW 68th Pkwy water service area City/State:-TigardZip 97223 ❑ TYPE 4-.Small Cell Technology : Phone: (503) 798-5785 ❑ TYPE 5-ligardTriangle Email: Mircea_Burghelea@comcast.com Phone: (503) 798-5785 NOTE: Type 1 and 2 applications may be Contact name: Mitch Burghelea `maaedtor(m=rmi`"ntigud 'rga. Phone: (503) 798-5785 Email: Mircea_Burghelea@comcast.com CONTRACTOR INFORMATION ❑ Same as applicant Name: Texstar Enterprises Attn: Scott Boyles CCB Number: 228361 Mailing address: 14122 Arndt Rd City/State: Aurora 7.ip: 97002 Phone: (503) 793-3140 Email: scottboyles@texstarenterprises.com ENGINEER INFORMATION Name: K&B Technical Solutions Attn: Chad Harbeck Mailing address: 6566 SE Lake Rd Ste F City/State: Milwaukie zip: 97222 Phone: (503) 650-6041 X.220 Email: Chad_Harbeck@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 ®No Case number: City of Tigard • 13125 SW Hall Blvd. • "ligard,Oregon 97223 %xAvwtigerd-or.gov • 503 -182421 0 Page 1 of 4 APPLICANTS NOTE: Person specified as"Applicant"shall be designated"Permittee"and shall provide financial assurance for work,if required by die city pursuant to TMC 15.04.140. s With the exception of a utility operating pursuant to a valid franchise or license with the(:try of Turd,when the owner and the applicant are different people,the applicant must be the purchaser of record ora 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. Chad Harbeck (For Mitch Burghelea) 03/18/20 Applicant's or authorized agent's signature Print name Date Property owner's signature(if required) Print name Date STAFF USE ONLY Case No: PF 2 - 2� Permit fee: D. DD Received by:1•S _Date: 3/18120 Approved by: Date: .311912,02a Notified by:—AL, Date: 31 (i V City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www igard-oegov • 503-718-2421 • Page 2 of 4 SW ESSEX DR I � I I m o a I m II I A _-------I— —�rA I � R I _ �I t1IIII I I II (C I y t tr ii N IP n 5z y 1 ^ 1\ \ N - oesiwereeemrw^xsnrnvw �� 741 SW MISTLETOE OR TI°~~°° a COMCAST 71GARD,OR 97223 EPe'0'"u °"8 2647e0 Q6 COnfar.1:Min»aMICh•BOf9hee9 p,eOK 1%=E0 18,CIebenuu.OB 97016 -- v Phone:(503)7985785 amce-lwalameoet EKc ala CABLE/FIBER PLANT EXTENSION J 'Miraee Burgheleagwble.comcast com Email:Chw_ .ce®wmniW - CITY OFTIGARDROW PERMIT DRAWING i � VI W os QN p 0~Z y0 r iL o DESCRIPTION: pfAMPE: pEBCRAIIDIk ENNARE: 2 K X Zd WLL BOREADRu —___—__— ,ONN USE POLE ^F TRENCH JOINT USEPOLEWfTRANSFORMER EXISTING CUMDUR ____________ POWER POLE WU TRANSFORMER z STRAND POWER POLE RIGHT OF WAY - o.w CABLE POLE PROPERTY LINE - TELEPHONE POLE . PUBLIC LfXJTY EASEMENT PEDESTAL.VAULT CENTERLINE MANHOLE ® ]]{{ FACE OF CURB ter. GTCN BASIN EDGE OF PAVEMENT VALVE(WATER GAe,ETC( pd U[ SES EDGE OF GRAYEL �c METER(WATER,OAS.ETC( ® r EDGE OF SIDEWALK sn FIRE N/DNAMF r- EDGE OF DRIVEWAY on REMOVE t REFACE LIMBS, 5 BORE PR SEWER p g 58 STORM -- sv— s y 3 WATER ---. W GAB POWER TELECOLRIINMATON � --. w 8 E cary EE TRAFFIC Cm T STEAM --- (Jr) FEMCELRE C,iO 8, Qua GUPADRAL o -o c 0 um RAILROAD TRACKS .. �� O n � s � RP-L2 DMNSJ„TIFIIBTf 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" (R9-11 a)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. sioEwxx uosEo sioE CLoseD Or AHEAD / CROSS HERE CRO 24x12 Type"will 24x18 - (Mount on B(II)L) Type"W1" SIDEWALK CLOSED 24x12 Type"W1" (Mount on B(II)LR) (2 Regd.) SIDEWALK CLOSED SIDEWALK CLOSED GROSS HERE Or AHFRO G.095 HERE 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 wl 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 35 350 350 350 125 40 150 45 180 50 500 500 500 210 55 1 250 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 D ROA WORK '� � �• AHEAD • Initial Warning A • Sign • (Optional) • • • Protection Vehicle w/TMA(both Optional) See Chapter 4 -— • BuMer i 10' minimumit • • A ROAD NARROWS (Optional) B 1 I t - ROAD WORK AHEAD Initial Warning Sign September 2016 Chapter 5