The URL can be used to link to this page

PFI2022-00081 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT i COMMUNITY DEVELOPMENT Permit#: PF12022-00081 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 03/10/2022 Parcel: SEG3584 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: PGE Job#M3045845& M3070101 Project Description: Contractor to trench and install conduit and vaults. PGE to pull wire through contractor installed conduit. PGE to remove facilities. Class of Work: FEES Type 1 -Utilities(gas, electric, data) Description Date Amount Total 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: DEANNA KANESHIRO 2213 SW 153RD BEAVERTON, OR 97003 PHONE: 5036725437 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: See application Issued By: Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12022-00081 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 L Other City of Tigard PFI#: PF12022-00081 i ENGINEERING DEPARTMENT . . Public Facilities Improvement (PFI) Permit PROJECT INFORMATION TYPE of WORK PGE Job # M3045845 & M3070101 Project name: ® TYPE 1—Franchise Utility Work Brief description of project: Contractor to trench and install performed byWN,PGE, ormility agency conduit and vaults. PGE to pull wire through contractor ❑ TWE 2—ROW Sidewalk/Driveway/sewer installed conduit. PGE to remove facilities. Work performed for the purpose°e • Sidewalk installation or repair • Driveway approach installation and repair SITE INFORMATION • Sanitary sewer lateral installation and Location (address if available): 13615 SW 121 st Ave main line tap ❑ TYPE 3—Full Scale Development Work Tigard, OR 97223 performed with land use approval which includes any of the following. • Subdivisions or Partitions APPLICANT INFORMATION • Street widening Name: PGE [Submitted by Jeremy Sprague] • Mainline installation for sanitary sewer, storm sewer, Tigard water, and Tigard Mailing address: 2213 SW 153rd Dr water service area City/State: Beaverton/OR Zip: 97003 ❑ TYPE 4—Small Cell Technology Phone: (503) 672-5446 ❑ TYPE s-Tigard Triangle Email: crewcoordinabon-western@pgn.com phone: (503) 464-7777 NOTE: Type 1 and 2 applications may be Contact name: Deanna Kaneshiro emailed to rowpermitsr)tigard-or.gov. Phone: (503) 672-5437 Email: crewcoordination-western@pgn.com CONTRACTOR INFORMATION ❑ Same as applicant Name: Sawyer& Sons Construction LLC CCB Number: 204836 Mailing address: 36206 NE Washougal River Rd City/State: Washougal/WA Zip: 98671 Phone: (360) 518-8081 Email: jesse@sawyergroupnw.com ENGINEER INFORMATION Name: Mailing address: City/State: Zip: Phone: Email: ADDITIONAL INFORMATION Estimated value of work is required(if over$5,000):$ 30,000 (within the public right-of-wap) Is work related to a LAND USE DECISION? OYes 0 No Case number: Cityof Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 www.t*ard-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 owners 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. Jeremy Sprague 03/07/2022 Applic is ora orized agent's signature Print name Date Property owner's signature (if required) Print name Date STAFF USE ONLY Case No: PF12022-00081 Permit fee: o-*V-- Received by: HPollardDate: 3/7/2022 Approved by: Date: Notified by: Date: d 22 City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 wwwtigard-orgov • 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 ONLY • ONLY SUBMITTALTYPE 4: SMALL WIRELESS FACILITY TYPE 1-3:DETAILED 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 ❑ Sheet 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: ❑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 ❑ Pathway Design ❑ Water Provider Approval Cityof Tigard 13125 SW Hall Blvd. 'Tigard,Oregon 97223 • wwwfigard-or.gov • 503-715-2421 • Page 3 of 4 jEdge of Pavement I f— Ditch Streetlight I —•—•—•�•�•�•� ��•� fI 1Rain Drun i T`�ro gW� me— CD 1 0 1 d Existing House � ; I Existing 1 W1 • Driveway I tlILLJi I j �- • rl I I Q,• 1 0 I � Existing Shop i L Powerpole a I 95, 1 t7 Toper 'Lme------a — I ` / I Firms :..t(FH) � I I Scale: 1"=30' � I I TYPE 1 � � I I I I I I I 1 TYPE 2: MINIUM SKETCH REQUIREMENTS not rpr 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 • 13123 SW Hall Blvd. • Tigard,Oregon 971223 - www.tigard-or.gov • 503-718-2421 • Pdge 4 of 4 SUBDIVISION LEGEND F� T It V�E FM�r LED T WKA� BE A�ROWU BY IMM blED PQE EAQIL[EILS TO BE N7AL M�L A�EUFW US�C7Hr�'P�1111 VY-218 3 LZ 9 Pa— ME— Ella— A N 13� 0 con 7 -C mft. 3 12DI240V 2�P HPIAC 4T 0 49%� F.VAU,�'�Sl CO�A left %FLKR 9.421AAFC PMW CONSTRUCTION NOTES: a F r �= NUM ABB� PRE =�CA PGE FAMLITIER NOT DRAWN TO�GALE RE- Page 106 2011 Edition Diversion into a Continuous Left Turn Lane Diagram 430 Diagram 430 shows work in the travel lane(s) next to a continuous two-way left turn lane with one direction of traffic diverted into the continuous two-way left turn 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. When two or more travel lanes are reduced to a single lane before the diversion, each lane shall be closed separately. Layout traffic control according to ODOT Standard Drawing TM 852 for 5-lane sections. 4. A shifting taper(1-/2) may be added in the diverted traffic direction across the continuous two-way left turn lane(as shown). This option is recommended when the speed is 45 mph or greater. Sien Spacins and Buffer Lengths(feet) Poatod SpedngastweenSigns "8uf er" Speed A B C Spam 20 50 25 100 100 100 75 30 100 35 350 350 350 125 40 150 as 180 so Soo Soo Soo 210 ss 250 60 285 65 700 700 700 325 70 365 Chapter 5 September 2016 2011 Edition Page 107 Diversion into a Continuous Left Turn Lane Diagram 430 ROAD WORK AHEAD B jlyli cErr�a SHE � I I c�oseo nHeno A II U2 I • I if Protection Vehicle w/TMA(both Optional) /See Chapter Buffer • • I • • U2 • I A I lyt B ROAD I rWORK 9AHEAD September 2016 Chapter 5 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. /EOEwux«oeEo siorwtixc� / Or N,EAo XEPE CAOS$XEPE 24x12 Type WIN 24x18 (Mount onB(IQL) Type'WIN SIDEWALK CLOSED 24x12 Type'w1' (Mount on B(II)LR) (2 Regd.) �oEwuxanem eiuEww�ra oem ♦� or wEw cnoes n� �� CHOEB HERE 24x12 Type WIN 24x18 (Mount on B(11)R) Type'W1' September 2016 Chapter 5 PG:3w _ W"" SUBD w •1 , 92,�uA p 3.ra'l61, NEW POE FAISION LEGEND pP ` ttao CILITIES TO BE INSTALLED 0 M MR 9 latx ,xtR / Novi I0331F M.n. - // m — aE 300 a o �,oa.T9-• �itvrtESWEgLM1MVtYC..IE 1 � r ,. � o rr...aa...1....,.,..�.n w »lo.m:uv.'E°WwRx>,e /ECDNo ""+.,.,...� m♦ O sM' RGMvr zlzro PGax�c wTNmirk xRE6reRe .wxmw ' � uraME. r as.la.n � wrw.ror.�.r w'a.. �� a a iN"i"o°rievz v'°ri eroovmw.ar A,WM —,:9ie.EPOwiLuo 1xs. r DEYPCSx E[STNDE �w> `, wiv •rsr. ..n✓n W216 RELATED WO 3 M3045845 . p f PNA191G IL A96+Sft•9 m...r...mr1.1„.N,..Dn..�.r. ..� i y(•r., f6J p �aow SUBDIVISION IN Ny.x. ON M3045845 y 7777 ..A nom I : e 185, a� OKJe15 M 3 1z�,6 + y ruxM�azo ANcialxs y 117 218 „r e«ww NHzvAmi ry fRmwrtv MiO xiaw'rr txssn je WHS wv •n nr / 1 }veuu DEYPJ9F EYLRNE �rvw �10�,;” x«i .I,yQ• I gll9x0 #�31,v;4; Ig. eI ::e^'w p.x1 fl�OAI®RLLI Y Oro w, ,crr1 t •• o A �2EOw�rtOwEnpfErt cowl9 /• znai,anr A�M� •� i• ,vnv I ❑Ts wl9 j n� AW 63030 J 275' rtu TORExocc ggGRWAY CAMA • Alike ( NOMBIMIIEWRRIIIANY VBLE 2 u / u 13617 12451 f// 1:125 13 2055 C"CB Tk Dxet CIO CUr K-Iu0 1�. 120Ei •r� Sµ.WN13i�R,34 3]4 xa6anxmwn - �.;t _ 171.112 9 120' 39W x' .. / DO NOT CLOSE HOT os1 /;' ar6rWaF-wnv PEwi.wart Da N le Hot ~- :f ,C,10 113.7% VTJ3 5r'-IlnkmWn PO-1 19C B9 FD-1 B3 PO. . 1 ., MELONSTAIL>I�.wi1t� i.[ N1 \\\\1i 1213 3666006 13)20 V!-21f,^4 Lnkrwn 30'-uMlnawn / SW WN ISTLEN'S LOOP i3 P R xp•11 E pEVWTION FROM INISOE6IGN MV6T / 6E MPROVEO BY PGE PROJECT MWAGER 'exwm+e wm,e 3M1 v 4j�41 i# AnoW�RAE 6 PO-1M A2AL \/ w�tn N [k' w xe.Na ,xis sw,zmu.toxo A3NIMT%--29M A359AL'Tk 'ro^ ...o-sax..s.x..n.wN..n•o < Po-1 A 60&1062 wu � E 19t5O s MxAwnAa +�-.- 1