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PFI2022-00164 q CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT COMMUNITY DEVELOPMENT Permit#: PF12022-00164 Date Issued: 05/04/2022 • 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: SEG599 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: PGE Job#M3169286 Project Description: SEG 599/PGE to replace pole#5813 Class of Work: FEES Type 1 - Utilities(gas, electric, data) Description Date Amount PFI Permit Fee 05/03/2022 $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: LAURINDA DUNN 10800 SW AVERY ST TUALATIN, OR 97062 PHONE: 5036122932 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 Jeu 4 fer McGi,vun.iy Issued By: Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12022-00164 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 maybe 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 City of Tigard PH #: PF12022-00164 ■ ENGINEERING DEPARTMENT . Public Facilities Improvement (PFI) Permit PROJECT INFORMATION PGE Job M3169286 TYPE OF WORK Project name: 9 TYPE 1—Franchise Utility Work Brief description of project: Replace pole #5813 performed by NWN,PGE, or utility icy ❑ TYPE 2—ROW Sidewalk/Driveway/Sewer SEG599 Work performed for the purpose of. • Sidewalk installation or repair • Driveway approach installation and repair SITE INFORMATION • Sanitary sewer lateral installation and Location (address if available): 11351 SW 97th Ct, Tigard main line tap ❑ TYPE 3—Full Scale Development Work performed with land use approval which includes any of the following. • Subdivisions or Partitions APPLICANT INFORMATION • Street widening Name: PGE Submitted by Laurinda Dunn • Mainline installation for sanitary sewer, storm sewer, Tigard water, and Tigard Mailing address: 10800 SW Avery St. water service area City/State: Tualatin/OR Zip: 97062 ❑ TYPE 4—Small Cell Technology Phone: 503-612-2932 ❑ TYPE S—Tigard Triangle Email: HVA.preregcoord@pgn.com Phone: 503-612-2932 NOTE: Type 1 and 2 applications may be g Contact name: Tea en Wise cmadcd to rowpcnnitc(a`tipard-or.�. Phone: 503-457-8639 Email: twise@blackandmcdonald.com CONTRACTOR INFORMATION ❑ Same as applicant Name: Custom Lighting Services, LLC dba Black & McDonald CCB Number: 155359 Mailing address: 2102 E McLoughlin Blvd City/State: Vancouver Zip: WA Phone: 503-457-8639 Email: twise@blackandmcdonaid.com ENGINEER INFORMATION Name: Mailing address: City/State: Zip: Phone: Email: 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? OYes 0 No Case number: City of Tigard • 13125 SW I Iall Blvd. • Tigard,Oregon 9%223 • ,%,w-%vtigard-or.gav • 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'1'igard,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. Z-a�� ZZ41-OP Laurinda Dunn 4/22/22 Applicant's or authorized agent's signature Print name Date Property owner's signature (if required) Print name Date STAFF USE ONLY Case No: PF12022-00164 Permit fee:4 .300 Received by: NT Date: 4/22/22 Approved by: Bra dV S Date: -5' -.Z - �ZNotified by: _�Date:5 Z ZQU- City of Tigard • 13125 5W Hall Blvd Tigard,Oregon 97223 0 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 101/6 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 PFT Pertnit Fee). WATER LINE CONSTRUCTION FEE Part 3: All public water system improvements engineer's estimate X 12%. FOR ONLY • ' STAFF USE ONLY TYPE 4: SMALL WIRELESS FACILITY TYPE 1-3:DETAILED SUBMITTAL REQUIREMENTS CHECKLIST 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: ❑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,Otegon 97223 www.figard-or.gov 6 503-718-2421 • Page 3 of 4 Edge of Pavement I -R91 FJL— I— Ditch Streetlight •---•— ----r—` -- . RtirDraffi 1�1 �•— • I 1 N I jI � Existing House Existing 1 ,I N 1 Driveway or 1 of I v .^1 CI « • Lo a IW 'fExisting ShopPower` p v[ne------=--• I 1 Fire Lant(FH) � � I I scala: 1"=30' I 1 � TYPE 1 AND TYPE 2: MINIUM SKETCH I I 1 I 1 I • • not 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/fix'apron Slope of property Trees Cityof Tigard • 13125 SW Hall Blvd. Tigard,Oregon 97223 • www.6gard-or.gov • 503-718-2421 • Puge 4 of 4 a725T WRCHECKLIST OVERHEAD LEGEND / INSTALL FACLfTE6 EN2-ggBR {001520 REM YES COMMENT _MODFYFACILRFS NL 1 Pi 5813: ZIP OWNED 142101 HOlFDN3GER % �REMOVE FAOLRIES install: ] 2'ACSR Z-AL BOOM % PCIES Pi - 0 M23 41542419 2 BACKHOE r POLE cuts;(2,2,3.4.H1.H2.5) 40-4 ) 311-6(� HLCL 1'$ 959 1959 1989 PGETRENCM E-POLEHEIGHT AM CONTRACT BORE FMARNG 1AANSAMSSIONB DISIRIB(/lION(SFECOOES BELOWJ FRAME C848RACKEf FOR 2-C/05 �D J vACTRucK x 08 —LC1D]10,WM5W"R(1PH%LUE,PMY) 1-142 C/O F65T W/LA 'M LOCATES x 1-RUN OF 2A JKT k $TAKING x DIRECT BURIED PRI SPLICE @ BASE OF POLE 3 / FLAGGING x TPEE IPIMMHG: �, TPR aMNCNFS ATPOlE51TE 1-2"PVC UNIT W/]2"BRKTS � p122 THEE TRIM x Transfer: 134 133 VT G2 PD 131 LANDSCAPE C-15-43089 Lv A SO]0856 EASEMENT OIfw NOTE 3 CUSTOMERS 30 unll( wL2IR-ueLLrwTEDLNEaawaRo SECONDARY _ zD1 sw EVERETT TE PERMITS x ncaaD TRAFFICPIAM x OTTC Remove: W L 1-2 PL 5813-PL 118: CUTSHEET PL45'-4(1952) - Install: uG CLRvta D8 LNLl __.. 1-142 C/0 F65T W LA ^ OH PRI-2008# TRAxsMLssloH / 5813 _ OHG FROM PRI @PL 5813 TO PRI CdPL1113 SHUTI)i 1-4"PVC UNIT 'NRR. GI-SEC-3307# PGE TO PULL POLE C1543089 CUSTOMER x 110 70-a p 57.143657 f..- __. OHG FROM SEC @PL 5813 TO SEC @PL 118 _ sHUTnowN 91 R6 scoM 1991) TEMP TRANSFER COMM(S), laissr Remove: DOOR HANGER PGE PULLET) CONTACT B TOPPED TOCOMM(5). Po 54 2 s COMPANY is -WL 2PL-118: ZIP OWN ED PHa cK gal/ iD PL-5813 2"Pi 2"COMNt 3p < Install: DATE WADE 2"COM K 199 A5-L2T-5(EKISTING)-131704 G16-PRI-4222# A 2552 �L � '^� 2030 30 G16-SEC-4222# 1899191 RE VT 14 616 643. 3 4' VT162 3p_q� 75 30-4 B50 19 1962 1B8 30610 1991 1991 :;�I n N, NRNKEY PROIfR-RNITRPL30R PROVIptD MAlFRI0.L A2-AL ABC 2kigL ANCHORS Y GG_NIPO51 O O O o G j x z (LOS) ` N alLEaD/ z W '" N m C m m 21 A`i ' (LB51 N w g 1GW Gl GO G]Gl Gl GI G22 25 4 6 6 2 GU45 G2 GS G8 GI GI G2 G23 D 683 '991 AL ANCHORCODE AI A3 AS A]AB 3GUS5 G31G6IG9IG22IG18IG21jG24 VT 86 82 PGECTLRSMLKISI 1101 TII A 25 53825ON AS-81/M1TVERIMA110N 8 NFSCVIQATIONSCORRE[1£D ...�.....u.,�....,..,.........�.....�a THINK SAFETY GENERAL FOREWN' GATE: FIRST IMMATURE ONLY RMUOND FOR F6 CONS11IRW7`0N GNN r2022 SCALE. ACCOUNT: AWO: 1CB NO. LIN=T3 FT 1070001 1000010525 M3I69266 =THE FROM THIS DESIGN MIDST BETITLE PGETO REPLACE PL-5813 W 4S'-3 APPROVED BYTHE PGE PROJECT MANAGERCIRCUITs2ETLGA RD-13361 11 x 17 TTENION: CALL#11 BEFORE YOU M LOCAnONOREGON LAWS REQUIRES YOU TO FOLLOW RULES ADOPTED B(THE11351509>1HCT TIGARD OR DESCRIPTION C-15-43089 OREGONUTILITYNOTRKATAINC£ADM.}NOSERW6ARESETFORMW UAMTURNKEYPROGRAM SHEET OAR 952-001.010 THROVGH952-001-0090 MU WYOSTAWCOPIFSCUSTOMERNAME RES/COM ADDRESS PHONE4 NOTES: COUNTY SECTIONS WORKWIMWASHINGTON C1135CWAOLEIGH,TAMEMK RES+COM 11330509]thR (503)SBR-36]2 AOAIWfSTMTK)N81(SOI-33Z-1987) IIEIK�. DESIGNEDBY PHONE ORAWNBY lof3 WINDSOR,ELENAT RES 113555W 97th CT (503)]504541 TO REQUEST UDLRY LOCATES CALL THE OREGON UTILITY NOTINCATION KLERESM�LLAME BELL 503A83-3411 HANWWKIENLE LAMOTHLNOELR RES 11344SW97thR (503)2]8-12]5 CE 81f ATLMST26WEAESSMI3PRORME.GVATION JOINTUSETRACKINGR: NA C 50 22811 C 5027654 4 WILl V VY I r I y „ C 15 19243 Nom^q�R r C 100 1524 SN-27A&SR C f.' a ACSR w 1542419 is A +T4 r k t 7- iy C 15 43089 A 25 63768 �'q� B 25'81535 PERMff MAP �._ WL2 VJL2 E A ti Lr:�c Ie' �)PL$813 PGE CONS MUCnONDMWING I� A6-BUILIv IIIn HONS CORRECTED MM E. I GENERAL EA DATE. J9 WRE WLY REgLMED Fp flfl CCW.STRUC)IPVCIMMSESf _ DATE: SCAIE: ACCOUNT AWO /OB NO w 01/19/2022 10)0001 1000010525 M3169296 D)LE PGETOREPIACEPL-5813WW-3 CIRMIT SIZE OGMD 13361 11 1) PGC. LOCATION I13515W 97TH LY TIGARO OR _ QRF( / DESCRIPHON "'NGf ` UAMTURNNEYPRWMM SHEET i" COUNTY SECTIONS WOflR WITH WASHINGTON CSI35C $W CI�eN6111 DESIGNED BY PHONE DRAWNBY 2UE3 R�RPIR�I I_,E BELL 503-983-34 11 HANNAH MENLE DATE:04/19/2022 DESCRIPTION:POLE REPLACEMENT =_Q. a NT usE IRACILING p: NIA C-15-62419 x100-1524 C-50-22811 CUSTOMERNAME IRIESICOMIADDRESS 1PHONER N01F5: CUSTOMERNAME RES/COM ADDRESS PHONER NOTES: CUSTOMERNAME RES/COM ADDRESS PHONEK NOTES: HERZBERG,DAVID I RES 111345 SW 97th CT GREENBURGTERRACEAPTS COM 114105WGREENBURGRDUTL (503)310-3765 FIRTERRACEAPTS COM 990USW N Dakota St RC 15031624-0689 CARDENAS DE LA CRUZ,KIEL RES 11410 SW Greenburg Rd Apt 16 (503)573.1682 FIRTERRACEAPTS COM 9900 SW N Do kola St R B (5031624-%89 C-]5-19243 SNYDER,MIC HELLE D RES 97ZU SW N Do kota St e l (973)226-9013 COLUMBIACARE SERVICES INC COM 113805W Green tau rg Rd (541)858-8170 CUSTOMER NAME I RES/COM I ADDRESS IPHONFR NOTES: RAMIREZ GAROA,ADE" RES 11410 SW Greenburg Rd Apt 4 (503)9604116 MOORE,AMYJ RES 113805W Green Ed M Rd Apt 6 (9]1)246-9212 DAVIS,STEVENL IRES 1(503163947521 CARDENAS,IUANI RES 11410SWGreenburg Rd Apt 12 (911)5704214 CIARK,BROOKLYNNC RES 9920 SW N Da kota St Apt 32 (201)923-%17 C-50.27654 SAN IVAN CERVANTES.ALMA YII RIDIA RES 9720 SW N Dakota St R 2 (5031954-7177 HAZLITT,DONNAJ RES 113805W Greenburg Rd Apt 7 (505)231-%75 CUSTOMER NAME RES/COM ADDRESS PHONER NOTES: FINUF,NATHANIEL H RES 9740 SW N Dakota 51,42 (503)724-1366 MENDEZ ESPINDOVy OCTAVIAN) RES 99105W N Do kora St Apt 15 (503)6813134 BISMARKAPT COM 97145W N DAKOTASTHSE (503)249-1706 BISCHEL,DEBORAH E RES 114105W Greenburg Rd Apt 2 (503)620-1596 FIRTERR4CEAPTS RES 99205W N Da Rota St Apt 28 (503)6244689 CANO,OSWALDOI RES 9718 SW N Do koro S[Apto 71276-6906 BERISTINE MATRINTFZ,ALEJANDRO RES 114105W Green bur,RdApt l 503)758-0925 FLORES,XAVIER I5Ll5 RES 113505W Gree nbu N Rd Apt 1 (503)530-0624 MULLIN,DEI RUNT D us 97045W N Do kola St Apt0 32004626 BUCKNUM,DAVID RES 111410 SW Greenburg Rd Apt 17 1971)3544318 SILVA GARCIA,FRANCISCO JAVIER RES 9910SW N Dakota St Apt23 (805)9]94881 MILLER,WILLIAM 5 RFS 97045W N Da kola St Apt C 15031431-22]] LMA DELGADO,WENDY RES 114105W Green burg Rd Apt 15 (503)3304391 WELDON-PINEOA,"RONC RES 113505W Greenbu Rd Apt (503931-8520 HALL,GERALD RES 9700 SW N Da kola St Apt O 1503)7054388 LATOCKI,YASMIN RES 970 SW N Dakota St 83 (971)732.2531 RODRIGUEZ,ABRAHAM RES 9910 SW N De tots St Apt 19 (5031449-7617 BURTON.DOMw10UE M RES 9710 SW N Da kota St Apt 5036169546 D'AgU I NO,MICAELA I RFS 9740 SW N Dakota St K 4 1831)3324611 FLORES MONTERO,MARIA M RES 99205W N Do kola St Apt 33 (971)226-1925 ROlANI)TESSICAM RES 9700 SW N Da kota St Apt A (360)]87-5385 CAREENAS,JUAN RES 11410 SW Greenburg Rd Apt 5 1503)410-2861 NWUS,JONA RES 9910 SW N Da Rota St Apt 21 (50315754393 GOSHAW,GERALD RES 97205W N Da Rota St Apt B (SC3)639b05] MARXXEZORDONLZ,GABRIELLA RES 114105W Greenburg Rd Apt 10 (971)294.1215 RAMIREZ,FRANCISCO RES 9910 SW N Da kota St Apt 16 (5031863-6783 SMIIN,AMERICA RFS 9718 SW N Da Rota St Apt B d5032 307 BERNAL GARCIA,ELIEL RES 114105W Greenburg Rd Apt a (9]1)22]4325 HUERD,DALEJ RES 9920 SW N Da Rota St Apt 30 (5031860-35 30 NO ARE,SAIALP af5 12:12!LV NDakota St PpcC 20 RIGS I R,I OSEE RES 91410 SW Greenburg Rd Apt 14 1503)984-]955 COLUMBIACARE SERVICES I NC RES 113805W Gree nburg Rd Apt 2 (5411858.8170 VALOEE ORTEGA ERIKA RES 97183.N Dakota St Aptf 31 SOUS,GENAM PE5 114105.Greenbug Rd Apt3 503)619-5073 2URIAGA NEMCl10 RES 99305.NDa kla St Apt Z2 (9]11338-8931 VALDEZLIULIAE RE5 9]145.NOa kolaStAptC 63 CARDENAS,CRISTOBAL RES 114205W Greenburg Rd Apt 9 (503)SO9485E STEFFEN,JOSH RES 9920 SW N Dakota St Apt 26 (5031899-8693 MITCH SPARKS,KERHA RFS 9ri43W N Dakota St Ap[A FAULKNER,AUNAM RES 970 SW N Dakota$191 15031]65.2333 WHITEMAN,D E BRIE E. RE5 11310 SW Greenburg Rd (5.3746-1602SPAR",KEITHV RFS 9)O145W N De keta St Apt A 70 DELAO CATALAN,ROBERTO RES 11410 SW Greenburg Rd Apt 11 VWS)7394633 COLUMBIACARE SE RVIC LS I NC RE5 113805W Greenburg Rd AMM (54118584170BERNARD,OEX6EA RE5 97165.NOetote S[AptB 37 PIMLLO,PAUL At RES 9Z205W N Daknta5t pd (503)975-9786 GOSHAW.CAROL, RET 99205.NDaRota St Apt 31 (50313304292 GREGORY,BRANDON CHARLES RFS 114305W Greenburg Rd Apt6 (541)531-3066 MORRIS,TERRA IRES 19920SW N Dakota 51 Apt 29 1(9711717 TIl8 C-50-22811 ROSAS,ERNESTINA IRES 1114105WGreenburg Rd Apt 7 (503)268-3997 CUSTOMERNAMF RES/COM ADDRESS FPH�EPNOTES:NOTES: STOCKWELL,JONATHAN It RE5 9]20 SW N Do kota St R 3 (208)608-12]9 DAKOTAKNOLLSAPTS COM 9780 SW N Dakota St 34082DAIOTAKNO1l5APT5 RE5 9260 SW N Dakota St 34082DUCITAKNOLLSAPTS RE5 9800 SW N Dakota St 34082GARCG,GUSTAVO RFS 9800 SW N Do kola St 43 34446WATT,AUBRFYH RE5 9780 SW N Do koM St 83 83245H ERNANDEZ ZAV MARIAD RE5 9780 SW N Do kora St R 2 0-9667GARRISON,MITCHELL RE5 97505W N Dakota 51,03 0;806MANSUR KEITHG RES 9760 SW N Dakota St#1 1-1723COX RHYSL RES 9800 SW N Da kola S,N1 84162 CASTILLO RUEDAS,DALI LA RES 98005.N Dakota St 42 712224939 LENAHAN,MONICA L RES 9780 SW N Dakota St a l (5031419-7340 ARFCHIGA,PAU LA RES 117N5.PIN ota5t K4 (9]173304741 GUTIERREZ RODRIGU LUISARGEL RES 98[p SW NDa kola St P4 (404)%0-1850 SHIRLEY,ASPENN RES 197WSWN Dakota St Apt C4 75815-1809 CUESTAGONZALEZ,ENRlCKETA RES 197WSWN Dakota Stet (503)8474468 PGFCONSTRURETION DRAWING A5-9u1tTVERIFIEATION 4 NESCVIOIATIONS CORRECTED FOREMAUVDATE. GENERAL FOREMAN: DATE: eHWANRE ONLY REWIRED FQP FSS CMS UCT1gI CIH NC£ FATE SC44E ACCOUNT. All /OB NO. 041190022 107o001 1.00010525 III1 12211 TIRE PGETOREPLACEPL-S8I3W45'-3 CIRCUIT I33fi1 SIZX 37 113515.97TH CT TIGARD OR DESCRI DESCRIPTIP ON UAMNPNKEY PROGRAM SHEET COUNTY SECTbNS WORK WITH WASHINGTON C1135C - 06IGNFF BY PHONE DRAWNSY 3of3 4YYYR�1 JAMIEBELL 503,83-3411 HANNAHKIENLE - JdNTUSETRACKINGM N/A 2019 Edition Conditions: 1)This plan requires Traffic Engineer approval. 2)This plan can be used to close streets which require traffic to turn left at the street closure by using corresponding warning and regulatory signs. 3)A detour plan,with additional signing, may be required. vwaruc ROAD a ® CLOSED ONLY i IA ■ ONLY ONLY ONLY ONLY ROAD CLOSED ED AHEAD Hu, , S 7 i} TA-04 Street Closure