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PFI2020-00216
City of Tigard • COMMUNITY DEVELOPMENT DEP R E a � h Request for Permit Action q /21o/V TIGARD 13125 SW Hall Blvd. •Tigard, Oregon 97223 . 503-718-2439 •www.tigard-or.gov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor ra,City Staff Check(1)one REFUND OR Name: INVOICE TO: (Business or Individual) Mailing Address: City/State/Zip: Phone No.: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): R. 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#: 2-(21)- (D2it LP Site Address or Parcel#: I COB Project Name: 2-1 r Subdivision Name: 1 Lot #: EXPLANATION: r1li- ncy' r e-tdcect e `.1�� tN,PlmrktD /3oI"� Signature: 2 Date: 7 II/TO Print Name: tV tS LA VOW 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 • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended.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. FOR OFFICE USE ONLY Route to Sys Admin: Date By Route to Records: Date /2 // B ✓/ • Refund Processed: Date /1.114- B (' Invoice Processed: Date By Permit Canceled: Date /zunJze, By /) Parcel Tag Added: Date By I:\Building\Forms\RegPermitAction_7 51 .dot Agnes Lindor From: Joe Wisniewski Sent: Tuesday, June 30, 2020 4:48 PM To: Wells, Russell; Trent Brickey; ROW Permits; Samuel Copelan Cc: Staats, James; Carnley, David;Vandecoevering, Joseph Subject: RE: Ziply Fiber 51351-W0864023.1/Verify-Repair FC2041 to Count H4011 Attachments: Joe Wisniewski_ P_E_.vcf; 51351-W0864023.1.CITY.TIGARD.PERMIT APP.NOISE VARIANCE APP..pdf Categories: Misc. Correspondence Hi Russ, As a follow-up to our phone call today, this e-mail is confirmation that you do not need to obtain a permit from the City of Tigard for the maintenance work you will be completing on Main Street as detailed in the attached document.This is allowed per Tigard Municipal Code 15.06.080.B. If you find that the repair at this location requires additional construction activity that results in excavation then you will need to contact us for a permit. Let me know if you have any additional questions- Joe Wisniewski, P.E. II ., City of Tigard Assistant City Engineer iit,Ai“ (971)271-4772 joewcwtigard-or.go,, 13125 SW Hall Blvd Tigard, OR 97223 From: Wells, Russell <russell.wells@ziply.com> Sent:Tuesday, June 30, 2020 1:58 PM To:Trent Brickey<trentb@tigard-or.gov>; ROW Permits<rowpermits@tigard-or.gov>; Samuel Copelan <samuelc@tigard-or.gov>;Joe Wisniewski <joew@tigard-or.gov> Cc:Staats,James<james.staats@ziply.com>; Carnley, David<david.carnley@ziply.com>;Vandecoevering, Joseph <joseph.vandecoevering@ziply.com> Subject: Re: Ziply Fiber 51351-W0864023.1/Verify-Repair FC2041 to Count H4011 Caution!This message was sent from outside your organization. Allow sender I Block sender City of Tigard- Noise Variance application with PFI application Russ Wells Network Engineer-OSP Ziply Fiber 4155 SW Cedar Hills Blvd Beaverton , OR 97005 1 Russell.Wells @Ziply Fiber.com 503-643-1001/ofc 503-312-7330/cell Ell From:Wells, Russell Sent:Tuesday,June 30, 2020 1:26 PM To:Trent Brickey<trentb@tigard-or.gov>; ROW Permits<rowpermits@tigard-or.gov>; Samuel Copelan <samuelc@tigard-or.gov>;Joe Wisniewski<joew@tigard-or.gov> Cc: Staats,James<james.staats@ziply.com>; Carnley, David<david.carnley@ziply.com>; Vandecoevering,Joseph <jose ph.vandecoevering@ziply.com> Subject: Re: Ziply Fiber 51351-W0864023.1/Verify-Repair FC2041 to Count H4011 City of Tigard- Please see 6/22/2020 email in this email chain-includes -51351-W0864023.1-OSP work print -51351-W0864023.1-City of Tigard PFI application -51351-W0864023.1 -City of Tigard noise variance application Please call me on my cell phone-503-312-7330 Russ Wells Network Engineer-OSP Ziply Fiber 4155 SW Cedar Hills Blvd Beaverton , OR 97005 Russell.Wells @Ziply Fiber.com 503-643-1001/ofc 503-312-7330/cell [ From:Trent < -Brickey trentb@tigard or.gov> Sent: Tuesday, June 30, 2020 12:31 PM To: ROW Permits<rowpermits@tigard-or.gov>; Wells, Russell <russell.wells@ziply.com>;Samuel Copelan <sa m uelc@tiga rd-or.gov> Cc: ROW Permits<rowpermits@tigard-or.gov>; Staats,James<james.staats@ziplv.com>; Carnley, David <david.carnley@ziplv.com>;Vandecoevering, Joseph<joseph.vandecoevering@ziplv.com> Subject: Re: Ziply Fiber 51351-W0864023.1/Verify-Repair FC2041 to Count H4011 Hey Russ, Joe Wisniewski called you yesterday to talk about the permit fees. He is waiting for your call back. In the mean time, I am still waiting for a completed noise variance I sent you last week. Please return ASAP so I can get it signed off by city manager and city engineer. Thanks 2 Trent Get Outlook for IOS From: ROW Permits<rowpermits@tigard-or.gov> Sent: Tuesday,June 30,2020 12:23:06 PM To: Wells, Russell<russell.wells@ziply.com>; Samuel Copelan<samuelc@tigard-or.gov> Cc:Trent Brickey<trentb@tigard-or.gov>; ROW Permits<rowpermits@tigard-or.gov>; Staats,James <james.staats@ziply.com>; Carnley, David <david.carnley@ziply.com>;Vandecoevering, Joseph <joseph.vandecoevering@ziply.com> Subject: RE: Ziply Fiber 51351-W0864023.1/Verify-Repair FC2041 to Count H4011 Hi Trent- Can you please reply to Russ?Thanks, City of Tigard Public Facility Improvement (PF1) Permits Monday-Thursday 8am-5pm Phone: (503) 718-2421 E-mail: rowpermits(tigard-or.gov From: Wells, Russell<russell.wells@ziply.com> Sent:Tuesday,June 30, 2020 11:52 AM To:Samuel Copelan <samuelc@tigard-or.gov> Cc:Trent Brickey<trentb@tigard-or.gov>; ROW Permits<rowpermits@tigard-or.gov>; Staats,James <lames.staats@ziply.com>; Carnley, David <david.carnlev@ziplv.com>;Vandecoevering,Joseph <joseph.vandecoevering@ziplv.com> Subject: Re:Ziply Fiber 51351-W0864023.1/Verify-Repair FC2041 to Count H4011 Samuel- I have emailed, called several people within the City of Tigard Engineering Department requesting an answer to the fee for ziply fiber OSP work order to repair defective fiber cable count . No response . Russ Wells Network Engineer-OSP Ziply Fiber 4155 SW Cedar Hills Blvd Beaverton , OR 97005 Russell.Wells @Ziply Fiber.com 503-643-1001/ofc 503-312-7330/cell 3 From:Samuel Copelan<samuelc@tigard-or.gov> Sent:Thursday,June 25, 2020 4:47 PM To: Wells, Russell<russell.wells@ziply.com> Cc:Trent Brickey<trentb@tigard-or.gov>; ROW Permits<rowpermits@tigard-or.gov> Subject: RE:Ziply Fiber 51351-W0864023.1/Verify-Repair FC2041 to Count H4011 Hi Russ, I've tried calling and I do not see that Trent is in the office. Trent, when you get this message,would you please confirm that PFI2020-00216 requires a $300 fee? Thanks, Sam Copelan Assistant Planner City of Tigard;Community Development 13125 SW Hall Boulevard Phone: (503)-718-2450 Email: Samuelc@tigard-or.gov DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." From:Wells, Russell<russell.wells@ziply.com> Sent:Thursday,June 25, 2020 4:44 PM To: Samuel Copelan<samuelc@tigard-or.gov> Subject: Fw:Ziply Fiber 51351-W0864023.1/Verify-Repair FC2041 to Count H4011 Sam- Found email- Russ Wells Network Engineer-OSP Ziply Fiber 4155 SW Cedar Hills Blvd Beaverton , OR 97005 Russell.Wells @Ziply Fiber.com 503-643-1001/ofc 503-312-7330/cell x 4 From: ROW Permits<rowpermits@tgard-or.gov> Sent:Tuesday,June 23, 2020 4:58 PM To:Wells, Russell<russell.wells@ziply.com>; ROW Permits<rowpermits@tigard-or.gov>; Brady Bullinger <Brady@tgard-or.gov> Cc: Staats,James<james.staats@ziply.com>; Roberts, Ryan <ryan.roberts@ziply.com> Subject: RE: Ziply Fiber 51351-W0864023.1/Verify-Repair FC2041 to Count H4011 WARNING: External email. Please verify sender before opening attachments or clicking on links. Your permit is ready for fee payment. You can pay the fee online by clicking this link: https://aca.accela.com/tigard/, go to the "Engineering" tab, and search for record number PFI2020-00216.Then, go to the "Payments" tab and click "Fees" to submit your online payment. Please note there is a 3%service charge for all debit and credit card payments, but there's also an option to pay by e-check, which has no service charge. Please notify us once you've paid,and we can release the permit. Thank you, City of Tigard Public Facility Improvement (PH) Permits Phone: (503) 718-2421 E-mail: rowpermits@tigard-or.gov From: Wells, Russell<russell.wells@ziplv.com> Sent: Monday,June 22, 2020 12:57 PM To: ROW Permits<rowpermits@tgard-or.gov>; Brady Bullinger<Brady@tgard-or.gov> Cc: Staats,James<james.staats@ziply.com>; Roberts, Ryan <ryan.roberts@ziply.com> Subject: Ziply Fiber 51351-W0864023.1/Verify-Repair FC2041 to Count H4011 City of Tigard- See attached completed- -51351-WO864023.1 OSP work print -utility permit application/noise variance application -51351-WO864023.1-Permit Sketch Note-This Ziply Fiber and associated permits are for verification and repair only to FC2041 fiber count serving fiber Hub 4011 Russ Wells Network Engineer-OSP Ziply Fiber 4155 SW Cedar Hills Blvd Beaverton , OR 97005 Russell.Wells @Ziply Fiber.com 503-643-1001/ofc 503-312-7330/cell 5 RIB rEIVED City of Tigard JUN 2 3 2020 PFI#: 2020-00216 21�� Z?A9 -' 7ENGINEERING DEPARTMENT' OF TIGARD ! / TIGARD Public Facili.tiesF i e it (PFI) Permit PROJECT INFORMATION TYPE OF WORK Project name: 'l/I S 7— W3 g4401c. 10 TYPE•.1-Franchise.t Hwy Wink Brief description of project: Ti)/ jZ ,L. �' PCE and/or CAtW I !4'�IN aYPE 2enR r-Cz Ql -Siv I , , _� ❑ ,YP��_x�n, ILO 1 opp s 1 t51ii i'-owi1L 2 'l-14 sal o l�:dfo the mod performed for the purpose of •Sidewalk installation or repair SITE INFORMATION • Driveway apprtach installation and repair Location (address if available): 5 w ALA) c1rigFr •S•.:•ry sewer lateral instillation and min SEG1008 home tap 0 TYPE 3-I'd scale la.dopmean IX cal:perfomrrd with Land use APPLICANT INFORMATION approval which include,any of Name: ( dw flacewingi •Suhdiririoas or Paatiuwt Mailing address: 4l SIS 1 ( 7- ALL'S ? u;) widening �/ •Mainline instillation for Sanitary City/State: / Zip: IRK" xvcr.Storm acw,et Tigud inner and Phone: c� ' /J / Tigard Water Service Airs Email: 0 TYPE 4-Smog Cell T ology. Bl_ '��i' 31Z'71i�a 0 TYPES-Tread Triwgle Contact name: AV7'1 . Phone: 5-0 -1i2'1;56:% Email: 0154Ihiufli 21M tLi CONTRACTOR INFORMATION 5tSame as applicant Name: CCB Number. Mailing address: City/State: Zip: Phone: Email: ENGINEER INFORMATION Name: N Mailing address: , State: Zip: Phone: Email: ADDITIONAL INFORMATION Estimated value of work is required(if over$5,000):S (within the public right-of-way) Is work related to a I_1ND USE DECISION? ❑yes No Case number City offload • 13135 SC'Hill Blvd. • lipid,Oregon 97223 • wwiwtiga¢I-orgor • 303-718-242 1 • Page 1 of 4 APPLICANTS NOTE: Person specified as"Applicant"shall be desif7tated"Pe mittee"and shall provide financial assurance for work,if required by the city pursuant to TALC 15.04 140. Vi ith de escepuon of a uuliry wattling pinsusir io a valid frmtdtie or Lone with the Lin'of 1 igad,when the owner and the applicant are different peopk,the appheunt must be the purchaser of record or a tester iv possession with wni en authotiraviou Irene the owner in an agent of the owuec The owner norx nisi n this application in the apnea'ptovidrd Or subtni a waiters auction-cation with this application Franchised or Licensed Utilities are ant required to obtain the owner's sianatum on doe applicnrinn. I,the applicant,certify that: • To the best of toy knowledge,all the information provided within this application package is complete and accurate. • The above request dots 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. � �, �� z p tan s or authorized agents signature Print name Dar Property owner's signature(if required) Print name Date STAFF USE ONLY Case No: PFI2020-00216 Permit fee: 30O• 00 Received by: SW�1 Date:6/22/ 0 Approved by: 7real 6 Date: IP/23/2620 Notified by: `. �f .Date: 2--0 City of Tigard • 131"5 SW Hall Blvd. • Tigard,Oregar 97223 • n 'Malgard-or,go• • 503-718-2421 • Page 2 of d DEVELOPMENT ENGINEERING FEES Public Facility Improvement(PH)Permit: INITIAL PFI PERMIT FEE Part 1: Required sulxnitt•.il fie is HP e of the Net PH Pemtit Fee.See below for calculations.Minimum of S3t10. NET PFI PERMIT FEE Part 2: All non-water system improvements engineer's estimate S 7°.(less the initial PH Penmr Fee). WATER LINE CONSTRUCTION FEE Part 3: All public water system improvements engineer's estimate X 12`.. 14)it S FAIT USU..1N1.\ eWt SFM I I •1.IINI.1 TYPE 4:SMALL WIRELESS FACILITY TYPE I—3:DETAILED SUBMITTAL CHECKLIST REQUIREMENTS Does applicant have a right-of-way license? ❑Yes 0 No TYPE I AND TYPE 2-Must include a sketch showing: Under the wireless facilities standards,is the proposal ❑ Dsmenaions considered?(check all that apply): 0 Small Cell O Macro ❑ Street Name Claw many install sites arc proposed as part of this permit ❑ Sire.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: n Public Right-of-Way 0 Private Property ❑ Cover—Site,Vicinity,Abbreviation,Legend If equipment is to be located on private property,describe die 0 General Notes(City,\rater,Sewer.etc.) type&use: ❑ Street(Plan,Profile) ❑ Water,Storm and Sanitary(Plat Profile) ❑ Water Quality Facilities ❑ Grading ❑ landscaping/Tree Plan ❑ Composite Utility Plan(Electrical,Phone,Gas,Storm, Sanitary,\Vater,Signage,Street Lights,etc) ❑ Details ❑ Traffic Sight Distance ❑ Signing and Striping ❑ Street Light Phan.and Photometric ❑ Lingineerssealisigrature ❑ 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 A City Tigard y of131_a SW hall Blvd • Tigard.Oregon 97223 • wwwrigardor.gov • 503-718.2421 • Page 3 of4 5.Arta ) rgl; -I4 9 sly "y .. si P4g.of Payment � i� Ditch—► r6l Sire 14phl — —• •—•—•—• —•— 1 tin n'l° 1I 1 0 1 I i -FrSFS AT'Sr 17T18S—J i i Ei ERisting House I i Q ,.11 EYiaing 1 r1 Driveway ui I 1 I v.-I of vi ♦ i cs 1 b� I 1 i Baiting Shop 1 Powef`` i 1 1a <1/4.k•-• 1 i I O pm�eZiY•Lmi—._._.i._. r...Hydrant�ro I CT) i Seidl!. I"30' 1 1 i TYPE 1 AND TVIE2: I MINIUM SKETCH REQUIREMENTS(Put N/A if not applicable) • _Property lines&dimensions _Existing utilities locations l - - (server,storrn,water) _AD existing structures —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 1-Inll Blvd. • Tigard,Oregon 97223 • a ww•tigsrd-or gov • 503-718-2421 • Page 4 of 4 V� M ,,211Po„:';'•-97223,USA ' \TGRDORXA NMN G 3/ 91 'Pk \ s7:c feu OB.2 A \ \939901722 K2041,313-7'4 ,a ' / '\ 4.0 I / `�4 TGR••- MH s,- . . `,, 53 '� 4.0 6571 01.2001 :06 08.2006 �l �2 / %`.-/ YGD 216 YJD 0 i .0 Jj N. TGRDORXA FT362,1-216 TGRDORXA FC2041,1-312+ � '\ /' 7280 01.1997 XD.313-768+ 212 08.2006 /04. YGD 144 XD,769-864 YJD 864 1 XD,1-4+ DORXA FC2041,1-768+ • / TGRDORXA T226,5-96+ RDORX M AM / TGRDORXA T226.1-96 NFS 48 2606 01.1996 NORTH 7GDORH 699 01.1984 YGD 98 6/113A ...;•,' YGD 20 TGRDORXA T1009,1-48+ SHEET OF TGRDORXA MH �/' TGRDORXA T44,1-21 TGRDORXA T1022,1-48 662/1138 4345 01.1989 600 01.1984 NVAILABDETAIL Gi • YGD 16 YGD 24 \ AVAILABLE ���"ry/ -TGRDORXA T98,1-16 TGRDORXA T35.1-24 tags / I' 13" 4. s*. \ f ziplyfiber @G - TGRDNERIFY-OREPAIR FC2041 CT •_H4011-11200 SW GREENBURG a ESa qC �� PUV.N WIE�EI.G�P 'Russ NAV E WASH `P, 51351-WO864023.1 LLE,.m vxne.ACr vu 9 Of e I rvmwn me fEc. QV WO et A TGRDORXA BBFTP H4011 ILL A FC2041,163-164+186-1874. XD,B-24 IN _-- BBFTP H4011,1-144 OUT -- --- ------ 0 318 01.2007 YJD TGRDORXA F02041,183-192+ 1 I XD,11-24 SW NORTH DAKOTA ST NTS NORTH SHEET 3 OF 6 i ziplyfiber TGRDNERIFY-REPAIR FC2041 CT H4011-SWGREENBURG PROEM' LATE EncRl124 G AEA oR.vm TAR Au„,.,. m.max ACNE w_ TAYUETRRCT N. a OF e MM.,. R 9EC. 1 iR .W / ,211��1ee": . ..,. „�—,, U G`,. tr. - yV J o 'er .Oc§e, od) 8L.,? _ d5 �roP.5. '>u' � , ®gyIc70 A rP v� en � - ..1. s ©®p O .-J W <iiem • R � z ; a e R : PM -E .ai:ate 1;1 � SS IA 7 I 000 :1410 10/ u n ,m PAP a.„ �„ 576 r ' ti.o, IAH113$ GVt�, MH11 TO CO NTS TO CO MH15J 1 VIA MH112 NORTH VA MH111—,2 m-rn SHEET 4 OF 6 I ziplyfiber TGRDNERIFY-REPAIR FC2041 CT H4011 11200 SW GREENBURG PROJECT IIcc APR VLhRR4O 1 k+.� cope., 61351-W0864023' CRAM,xmnr. E HONE AGR "••`u,:•: 1Le wean SCALE ,AL. TEA en TRW0€c- .OF eEc �-- AIR I q IAF u (gl T1009-1-4E+ T1072:1-48 -VGD9O-.M 2:3-ED _ FC 81. I-31t .'G.}I3-3b4 �( FOC B64 - C$O � LI22 2 Nc I f, V Z r O DEAD UGAE9-26 - 4:1-1000 NTS UG5513-"0 - L11 MII2 CD.9U1-1500460000 NORTH 44153 22+49 UG3S12-24 L SHEET 5OFB 5104TA 543-1217E4 N ILIA STUB 9-24 UG2511824 -35G901-1500t MAIN ST¢ TIGARD AV 9G1AF1-244 I I— 05: -1500 RE\'0-3-07 DI r 30070 MH15' ziplyfiber TGRDNERIFY-REPAIR FC2041 CT H4011 11200 SW GREENBURG PPIIECT CC AREA. E`AA'7444 P 51351-W0884023.1 oanvm xc w Ammon EnE.E. SEC C .at S/1E Idµ E DSMIC7. PNa Cf e PMISMP TO MH192 00 FC2041: 1-312+ 3'1'- C4 FC2041: 1-244+.0.245-2S' �0 0 0 0 FC2041: -3 2+60:313-E+%0:313-P.4'rid ^ o O ^ •It m . . Ot ViO NTS +4.''= oe NORTH I1= I ! SHEET 6 OF 6 7. ryIb D o l m V U k 0 L11 M53 445034- NAO 510E44 54F-121734 FOC 634 SM • U0251W24 FC2041. I-264+`0.::65-664 --. MAIN 3.COMMERCIAL SST (1 REV 11/13/09 SEP MH19 :E50-24 TO CO 4:126-150+776+(D.27-26+ TO MH153 73-9+49.30+781-783+10.34+ 785-790+-D.41+772-FOCI 51351•W0664023.1 1 ziplyfiber TGRDNERIFY-REPAIR FC2041 H4011 11200 SW GREENBURG "4"NA�R64(»4 F+u AREAAm P.M DATE EN. WELL r.WASH no9L WALE THICI DEW A C. A IVRISTP PA, WC INTERSECTION WITH FLAGGING PEDESTRIAN/BICYCLE SAFETY ESCORT REQUIRED AT WORK SITE WHILE CONSTRUCTION WORK IN PROGRESS ODOT DIAGRAM 820 SIGN SPACING AND BUFFER LENGTHS REFERENCE POSTED SPACING BETWEEN SIGNS BUFFER �O SPEEDA B C SPACE A =ORANGE SAFETY CONE D 6 ` ,0 1 25 100 100 100 75 1 A`• 30 100 35 350 350 350 125 40 150 50 18110 4�50 500 500 500 0 55 250 B0"" WEBTBWt) FAST f PT° t• -q A sW 111 5RE51 ZIPLY FIBER I ❑ ❑ 1 JEFFREY ALLEN GALER MANHOLES L 12960 SW MAN STREET ZIPLY FIBER SPLICING TO VERIFY A A •7 AHD REPAIR DEFECTIVE FCZD41 .......Al.• COUNT FEEDING N9011 C 0 NTS ZIPLY FIBER CONSTRUCTION TO NOTIFY NORTH �O j BOTH TIGARD POLICE DEPT AND TV FIRE&RESCUE STATION Si OF PRINT OF O� q 11hO% TIME/DATE WORKING IN SW MAN STREET '$ C INTERSECTION-AL TRAFFIC TO BE ALLOWED TO \ 0I 8 1A` It O/ FLOW NO LANE CLOSURE B1 1 S. 222 TIGARD UOUOR STORE L ` @ O FLAGGER AHEAD SIGN 1298D SW MAIN STREET i i y D BICYCLE ��NDD • 4D LANE BE PREPARED TO FLAGGER % X • I STOP SIGN TRAFFICDIR q` SAFETY ON O UTILITYWORK i ziplyfiber SIGN AHEAD SIGN PEDESTRIANBICYCLE O CAUTION SIGN TGRDNERIFY-REPAIR FC2041 CT 51351-WOB81023 �c� ESCORT � �4011 11200 SW GREENBURG PERMIT NK)RR4roR EACH CCC „a, TRAFFIC CONTROL MAWS„„,,, B „east Corr.weer irE SCALE M SrIXCr SAG O , WINES/ w SOS SEC INTERSECTION WITH FLAGGING PEDESTRIAN/BICYCLE SAFETY ESCORT REQUIRED AT WORK SITE WHILE CONSTRUCTION WORK IN PROGRESS ODOT DIAGRAM 820 SIGN SPACING AND BUFFER LENGTHS REFERENCE POSTED SPACING BETWEEN SIGNS BUFFER. A =ORANGE SAFETY CONEOO�O SPEED A B C SPACE D 1 25 100 100 100 75 it 1 A B 15 1 O 30 100 3540 350 350 350 1550 50 500 500 500 210 r 55 250 WEST 1°41) 300 BM"" ...0.41. W woS19EE1 eb ZIPLY BER SPUCING TO VERIFY ZIPLY FIBER AND REPAIR DEFECTIVE FC2041 A MANHOLEA COUNT FEEDING 1N011 • IT NTS r NORTH I • I ZIPLY FIBER CONSTRUCTION TO NOTIFY BOTH TIGARO POUCE DEPT AND PRINT 3OF3 A L J A O 1 TV FIRE B RESCUE STATON 51 OF TIME/DATE WORKING IN SW MAIN STREET ��AP 1. O INTERSECTION-ALL TRAFFIC TO BE ALLOWED TO (p W FLOW NO LANE CLOSURE BICYCLE ,D 1 B\B \A 1 1 \\\\4\ Q O� O FLAGGER AHEAD SIGN 0. LANE \ %I \ OREGON RIFLE WORKS 12250 SW MAIN STREET(iit. I FLAGGER m p*,y® BE STOP SIGNPREPARED TO TRAFFIC DIRECTION SIGNTT' O UTILITY WORK AHEAD SIGN PEDESTRIAN/BICYCLE I ziplyfiber 51351- 23 SAFETY PERMIT G CAUTION SIGN ESCORT TGRDNERIFY-REPAIR FC2041 CT TRAFFIC CONTROL PRwEH4011 11200 SII�W GREENBURG CTCA APE4 IXMBER MAIM IDIOM CODE t E ^i(LE INTERSECTION MATH FLAGGING PEDESTRIAN/BICYCLE SAFETY ESCORT REQUIRED AT WORK SITE WHILE CONSTRUCTION WORK IN PROGRESS SIGN SPACING AND BUFFER LENGTHS ODOT DIAGRAM 820 POSTED SPACING BETWEEN SIGNS BUFFER REFERENCE SPEED A B C SPACE 20 50 `WLy). O 25 100 100 100 75 iO�O Oj O\ 35 350 350 350 100 4). 40 150 :75z> \0\ 45 180 ` 50 500 500 500 i250 \` ,it i 55 I 250 B� A B/ pO A A lb N O-' -' 9 A =ORANGE SAFETY CONE NORTH l PRINT 2OF 3 40. o do BICYCLE ZIPY FIBER .'_s4 LANE \ MANHOLE FT WORK ZON FLOGGER AHEAD SIGN I FLOGGER TRAFFIC DIRECTION J° ,.00 BESTOP PREPAREDSIGN TO SAFETY SIGN �'/ O0\� \P\ O SIGN UTILITY WORK AHEAD < \ PEDESTRIAN/BICYCLE \G TRAFFIC 0 CAUTION SIGN FETY ESCORT ZIPLY FIBER SPLICING TO VERIFY AND REPAIR DEFECTIVE FC2011 51361-W0884023 COUNT FEEDING H4011 PERMIT TRAFFIC CONTROL ZIPLY FIBER CONSTRUCTION TO NOTIFY BOTH TIGARD POLICE DEPT AND zip yf i be' TV FIRE n RESCUE STATION SI OF TIME/DATE WORKING IN SW MAIN STREET INTERSECTION-All TRAFFIC TO BE ALLOWED TO TGRDNERIFY-REPAIR-FC2041 CT FLOW NO LANE CLOSURE H4011 11200 SW GREENBURG --- PROJECT 0 W YR R4m 4 0 0 0=000mao- rzwawT llO=00 PoPIPTP w0 NOISE VARIANCE REQUEST a ," Cits an (Immunsty‘llttrilponmt Shapixt1 Better Cory APPLICATION INFORMATION Applicant /. Project Name: _ Name: _ b•V Mailing '`� +� t ' - prom Address: ' • _ a /State/Zi.: ' •, li �l't�i%it • •tion u 3 T C • Phone Numbers F41 Location 2: M1t Email: ( iAft S 'J . Location 3: j. Date MVP TIGARD MUNICIPAL CODE Article V. Noise Nuisances ----- 6.02.430 Noise Limits It is unlawful for any person to produce,or permit to be produced,sounds which: D. When measured at or within the boundary of or within a property on which no noise-sensitive unit is located,and the noise originates from outside the property,the noise level exceeds: 1. 60 dB at any time between 10 p.m.and 7 a.m.of the following day,or 2. 75 dB at any other time; 6.02.450 Exceptions to Noise Limits The followings shall not be considered violations of this article,even if the sound limit specified in Section 6.02.430 is exceeded. M. Sounds originating from construction projects for public facilities within rights-of-way pursuant to a noise mitigation plan approved by the city manager. The city manager may approve a noise mitigation plan only if the city manager determines that the noise mitigation plan will prevent unreasonable noise impacts. The noise mitigation plan must: 1. Map the project noise impacts and explain how the impacts will be mitigated, 2. Provide special consideration and mitigation efforts for noise sensitivity units, 3. Provide a 24-hour telephone contact number for information and complaints about a project. The city manager may approve a noise mitigation plan only if the city manager determines that the noise mitigation plan will prevent unreasonable noise impacts.(Ord.12-02§1) APPLICANT CHECK LIST Map Attached ! Traffic Control Plan Attached Stare Date: 'r l ----- Finish Date: fly Start Time: Finish Time: ,or' Mir.Noise Level(tIB) - Max.Noise Level(dB) 24i Hour T Measuresphon / `SLL ?A-Haar Telephone � - (� �"( CITY IFIICW Miss Man MOW MOW OWN 404 S yN CONSTRUCTION NOTE G�F�C ---_-<•- 1-THIS WO IS DEFECTIVE PLANT DRIVEN- .11QP 4 TOTAL HOURS Si, S ia" ` •«JOB SITE �..,.CS`�"b:d:94't1'J.... 2-CITY/TIGARD PERMIT REQUIRED r tl1E`''' °GIN +° E°P o LKW 0 0 AG 0rrmME „°°un 3-VERIFICATION/REPAIR OF FC2041 COUNT ., g: ^ IN COUNT TO TGRDORXA BBFTO H 4011 -✓1- o=NNa+*NNI°} "'JOB SITE .J.,,..-no.>rz I.sz__ a..a._.e m o CONSTRucrr CONSTRUCTION CONTACTS cry'. DAVID CARNLEY-971-940-9000 G +0 N ocLw.nGIG c NU n.' aNO af.,«RW JAMES STAATS-503758-3119 0 m.o.. SCHEDULING CONTACT 0. t. 0 me,a.'rzwc RYAN ROBERTS-503-643-3713 PERMITS TIGARDCONARD "" gttR ..1 "o �� FACILITIES CONTACT °f LAUREL KIELTY 425.263-4606 0 SUMf5. 0 xwm+ma O °EMIED I.,1}IIILO 1 INSPECTION CONTACT O xo OEPXRt pmvS50O RON HAYHURST 503-292-3345 — NTS /O Mx PULE NORTH CONTRACT INSPECTION LABOR HOURS JrNiNW - T :� — SHEET 1 OF B aINf JEN uw:Eeo JERRY MOORE 360-513-0337 SPLICE-C-O4A-12X-0 USSDD io fio. CREW-0/M-0IX-0 0 0 0 fRM. ENGINEERINGSVCONTACT \ 0 0 0 f+ BUSS WELLSLS503-312-7330LA SONICOM-FLAGGING-24 MRS O 00 fEa nrs ACCT CODE 8422.020 POINT or[MKT MUSS WELLS •'""'"2020 STATION CONNECTION"' 6111'°'Rm' 51351-5255398-50 "D./IGEN/M,EM,W� VERIFY/REPAIR FC2041 COUNT N A'""10°' FOR TGRDORXA BBFTP H4011 f.r1°`".5.1issf11s MATERIAL REQUIREMENTS "NONE I ziplyfiber TGRDNERIFY-REPAIR FC2041 CT H4011-11200 SW GREENBURG 51351-W0884023.1 46fetT 3 co iw ' + w ' Mue°..e 'la Wow EG4E V, EEC C.