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ROW2011-00082 r.I.ECE OCT 1/4 2011 . ,-.-4. City of i igaicl Irt . CITY OF TIGARD PLANNIN,C:',:lf--7-NriINFERING , AA ' . .- R ,11, Application for work in the Right-of-Way ROW Petrait Genera 'Information: FOR STAFF USE ONLY Property Address/Location(s): I 1 000 Sos,:N (202' Av IT:— Right-of-Way ft) a0 If 'a:.-C" (_•t" CAZ... q ?. 1 D 2--,3 Case No,: Receipt No,: (8(.4 31a3 *Applicant's Name: '-\ - V‘. = -A-V(''...04•■.. c-,13 (,)C...0):00,... Date: /0 i )j I / _ ....r , i . cr) A.:. s-kihci) Application Accepted By: 5 1 0C-13AT--- i City/Slate; <:. \N. (...!•)Ve_. Zip: C I 1 6.0 (--'t Revised 7/1/11 Primary Colthul: 1"---(---0:0-.:s (5 (C—Civ?...A.:21'..41„.. flax: REQ.UIREI) SUBMITTAL INFORMATION Contractor's Name: MOR-' SIK:q COANAA;Lit Submit a scaled sketch of the mo_posed CCBJ/ ILI t I 7/ .... .Expfration:...ZI I tl t to be done Address: /02,(...00 CI......1/4.51r ER_ . . City/State: SkA EADA-SOOta _,,_cciz... Zip: 9 MO Phone: 503. O Traffic Control Plan GL-1 c l1R1 Fax: . O Filing Bee $300,00 ; • : Plails By: * E-:%( - ,..):0,, , ,v -- 13v,:tv....c, Acxx--)Cc-tAN"‘7...C:•:. ' I xurplAil lafterAlAnd ofe applicotions \ cuw apimluis ; Address: /e/,(- ,s'e,...) ci—LYi'VEZ.R..... V.:A') ; • City/State: ;1.\C-.i.,R.),',1>05Cki ()cr._ Zip: I( ' /) __ /.00 V7-ii •--, 3 ca 6-9 Phone: `', , .`7> f3' 0 • 'S ._-`• .k 6 ( pas; _ Description or wofIc: -- g c .. a-s il TS 7 t • if is] 'tit' K. .... V.W._.A. \ COI. : - 1`.--Y-AN \\ 3,-K.-) 'cicikkl sl.i- LC) .//- (2 1 6 1-- ‘ K - -1-::1- -cc> ;:--,s-cvA --, k ■...._ 1-"SIV,i-..,-) e _-_-:-.:, : ,-01 k) ,,,,,,,- c-:„zcz... % ,',::-../.,)‘...'s .S 0 i''- ,<•,-,7, t.., Et.O. \ t tvaztv t- 1 (IA .1 t.:a 1— 6 C.-AM'S.-0 Estimated value of work (within the public right-of-way): $ Is work related to a LAND-USE DECISION? YES n NO I I • ' If so please specify (NILP,S1/12, SUB, etc) case . is the work related to a BUILDING PEAUNII`I'? YES rl NO ,...._ If so please specify (BUILDING PERMIT) case II: ! . City otTigard I 13125 SWI Tall Blvd., Tigard, OR 97223 I 503-718-2463 I www.tigatri-ot,gov I Pagel of 2 I ( 2 CZ • cr.' rs (1.4j71-t --" TY I./D, APPLICANTS: To consider on applicat complete, you will need to submit ALL of the 1 EQi )IRP 7 Si)► hi l'fTA I LTMI J S as described on the front of this application in the "Required Submittal Elements" box. *NOTE: Person specified as "Applicant" shall be designated "1'etntittce" and shall provide financial assurance for the work. *When the owner and the applicant are different people, the applicant must be the purchaser of record or a lessee in possession with written,ittttwrization Twin the owner or an agent of the owner. The owners) must sign this application hr the space provided or submit a written arnhorisation with this application. BY STONING ,BELOW, THE APPLICANT(S) SHALL CERTLFY THAT: 4 . The aboye_tet oust t_ does not yiolnte any deed restrictions that may be nttnched to or- im)josed tipon the subtect prosuei lv. o If the application is granted, the applicant will exercise the rights granted in accordance with the terms and subject to all the conditions and limitations of the approval. i 4 All of the above statements in the plot plan, attachments, and exhibits trnnsiu tied herewith, are true; and the applicants so acknowledge that any permit issued based on this application, luny be revoked if it is found that any such statements ore false. 4 The applicant has read the entire contents of the application, including the policies and criteria, and understands the requirements for approving or denying the application. / . . /4)., t' � 1. A )p (c utt Sign 3tur ate i /` /14. 10 ( / Zil.q.)/// . Owu . 's, tgnaititre Date Owner's Signature Date __ Authorized Agent's Signature Date Print Name Title Phone Number Signatures of each owner of the subject property are rcrpuh cd Cit y of Tigard I � 131 2.5 SW Hall I3bth,'I'rgard, OR 97223 __ � 503-718-2468 ��� t.tgard- or.gov ���I Page 2 of 22 ' I c,)1- ., CONSTRUCTION LOCATES s, 71GARD C ul ITY 7Y PERMIT REQUIRED REQUIRED 43 , t" POTHOLE ALL U TILITY BORE PERMIT r CROSSINGS PARKING LOT .Z I I 1 •D' \ n A PARKING LOT ? `vim z 1 _ _ PARKING LOT PARKING LOT l C T " . C& 1 x T 17 3,n 1 t .-„,,,,,.) f--1 < p.1 - '',,i j i ; � � � x Ix Y U N DERGROUND PLAN �}� �,1G�_�I rtc> �U/ ' < rte, 72000 SW 66TH AVE �� � � ' I w \ _ W _/ w SCALE: 7" = 40' 6.0 ,A1:' $ W 'NS i (,>- 3 - SAfv'— SAN— -SAN SAN O ‘....___4 I � _- —w _ 5 W 4' 91 A L � 4,_,,,, ,,D PARKING LOT I I 'il� : I ' I : a 19' 7 WM p y �, , w I u ✓ 3 n �. 3 � I _ I q- c • �� CONDUIT DETAIL N a 1 PL - ttt� �„ } �- I - 0 I \Nx /� 0,- HDP E SD R11 I p J\ e� iiy " iiii PL NEW 21F 4 w I =o f \ 1 � ARMORED / v FIBER CAB, E �� / O \x / O� IN NEW C - -7-- m 1- 1.25" m ■ CONDUIT I i i ro ( 1S7 PARKING LOT c / ' ,. > / CONSTRU NOTES I� r7 CONDUIT DETAIL -c u s I .1- �� -.)/ \ 07 B0RE ,, 72000 SW 66TH AVE / 2� � > L o SCALE: NTS 60 a PL NEW 3 -t25'" HDPE SDR 11 CONDUIT � � ®PL SEPT 25,3TA VAULT \ \\ LEAVE I00' COIL IN NEW 24F ARMORED FIBER L'ABLE �, CONDUIT DETAII _ >r 1 II 3 / ✓ � / � ✓ U�� I "I (( 1 (�l I t C .Z �3 PL NEW 253TA VAULT OVER EXISTING FRONTIER 7 -4" PL ' -1 , " 2t;,I aU CONDUIT HOPE SDR71 C� w � C UT AND INTERCEPT EXISTING 1 -4" CONDUIT OWNED BY It! / OTHERS PL NEW 24F S I -�- 0 PL NEW 24F ARMORED FIBER CABLE IN NEW 7 -1" HOPE , -4" ARMORED T(?� / �� S I I- 05577 INNERDUCT IN EXISTING 1 -4" CONDUIT OWNED BY CONDUIT FIBER CABLE ��Lll w - - �/.OH// / /// / / / / / / " A OTHERS OWNED BY IN NEW 1-1" / I / 4 PL N EW , -I" INNERDUCT EXISTING 1 -4" CONDUIT OWNED OTHERS INNERDUC7 n _ _ 3 ti' / 1, BY OTHERS 1 0 c 7 .2 ,- -I I 4 /// PL NEW 24F ARMORED FIBER CABLE IN NEW 1 -1" HOPE CONDUIT DETAIL / dj .'�I g SORII INNERDUCT 12000 SW 66TH AVE L� �� � � s�BORE PIT LOCATION / SCALE: NTS 60 iZ„ J o f II � / I / « ' ( o � l ' 12000 SW 66th AVE > I C / PARTS AND SERVICE BUILDING MATCH LINE -SEE SHEET 7.0 /te r_ y /44,0 ',!/ � y ' 4 ENGINEERING ASSOCIATES, INC. DESIGNED BPKn APPROVED REP uunn,Fs L LANDMARK FORD LINCOLN Cam f Engineers CHECKED BY: P Hum' FSTINJ DRAWN BY: R RYKFRK A0UANTo SERVICES COMPANY REVISIONS �� A / telecom 12000 SW 66TH AVE 1220 OW Alpharetta Rd 10860 5W Clutter Rd REV DESCRIPTION DATE BY APP \�� V - V ' I ' \' D F I-� I _ I-{ 0 I I I \' D P a I \' Suite 390 Sherwood, OR 971,0 1 COMPLETE ROUTE DESIGN CHANGE 10/12/11 GB BH l/ 1 V L I \ lJ I \ lJ / V I / , I V Alpharetta, GA 30005 (360) 772 -2143 - - - - CITY: TIGARD, OR COUNTY: WASHINGTON (678) 455 -7226 - ; ; ; = CONSTRUCTION SET DATE: 10/12/11 SCALE: SEE PRINT PROJECT j OROIOF29 LNDMARKNFORD.DWG 6. 0 OF 9.0 ,0 K_ y 3N / , f TIGARD CITY PERMIT REQUIRED # CONSTRUCTION LOCATES REQUIRED t ' _ e D ' � PARKING LOT , 0 } \ \` POTHOLE ALL UTILITY BORE /// 7 m �.� r �L f C. � CROSSINGS \ �� � !S �� � 5 , . f f . " iiai/ /ia� L 7 1 / // /i /i % .zl I ; R .ate / /w GA- ' , it I )- - - R /' dr _ � P -W 365 1 } n 7 A _' iC7 1 l r = i a • C1 _ z 1„? � � �� . m \ � � �.J �.r' -O 3.;N SAN SW ELMHURST sr sqr�' snN - -sAN- —snN O- rroc -- (� ` , (/ , \ ��1 - F/ riiJ;',N /W / - �, , : rJ � jJ( �/ 60 t -3 —I I —i�' a HS —NJS �2._ 1, 1, to 3 I 0% ` C — W — — — w w— — , 3 - w — — w - — — w — sir — �t 3 ]' rn — \- NV5 NVS N S / ,, = alEMMI r ' ' / S ....... ( - - W =340 -- 66,-/V/ r _ Rt 1 rC- .� JR m M— — — —M f: / W - - /'�,, f w . '. � `�'� %� } /v, n''I to /:a M/:{ , „ \ �_ /Ja � - F'� /�/ r' �� t , hV. 1 k '1N- ® m SW ELMHURST S r % T d il te r' > `) t ^ o ,/ sin �(Zi�\ £ r ,,_ „,,:i L SD >�� ) �-I I '.l� J \ l \i_/ ,/ � -' I N PARKING LOT P, �'.� ` —`✓ PARKING LOT �/ p/ ;.,. r K am; N. � t L � , , / a /a as //a y / a // / / / / / / /aa/ % 9 3 y /, z 4 3' } 4/, . 1t7lZs.,aii /iai as 60 ' ` , e T ( / / i 70 a//.� p oi a cS !` / CONDUIT DE TAU CONSTRUCTION NOTES PL 3-1.25 UNDERGROUND PLAN HOPE SDP/I 21 +50 OBORE SW ELMHURST ST 0. PL NEW 24E POLE g PGE 99 -- PL NEW 3 -1.25” HOPE SDP,O CONDUIT SCALE: I = 40' \,, O- ARMORED MAP # C2101A POLE CLASS 35/4/7999 OPL NEW 253TA VAULT FIBER CABLE ATTACHMENTS HOA POSITION MISC LEAVE 100' COIL IN NEW 24F ARMORED FIBER CABLE IN NEW 1-1.25 SECONDARY 27' -8" RS - 0 BORE PIT LOCATION CONDUIT EWE 27' -6" DE - FTR DROP 20' -6" RS - TWT TO PL NEW 6.5M DC TO NEW 1" TRIPLE CONDUIT DETAIL EYE ANCHOR SW ELMHURST SI Z 12' LEAD EAST SCALE: NTS 7‘...__27 PL NEW 1 -4" CONDUIT SLEEVE W/ 3- 1.25" HOPE SORE CONDUITS ENGINEERING ASSOCIATES, INC. DESIGNED BYKn APPROVED BY:R HIIOOIFSTON LANDMARK FORD LINCOLN Com icaiions Engineers CHECKED BY:R HIIMIFSTON DRAWN BY n RYKFRK < na a „.a=ee ,Ce,COMPANY REVISIONS � � /► / telecom e co r� 12000 SW 66TH AVE 1220 Old Alpharetta Rd 10860 SW Clutter Rd REV DESCRIPTION DATE BY APP ` ` V Y l �i V 1 1 ' U I\ D E 4 r _ROUND PLAN A N Suite 790 Shewood, OR 97140 1 COMPLETE ROUTE DESIGN CHANGE 10/12/11 DB BH �, V I \ lJ I I V Alphore Ito, GA 30005 (360) 772 -2143 - - - - - CITY: PGARD, OR COUNTY: - WASHINGTON (678) 455 -7226 - _ _ _ _ CONSTRUCTION SET DATE: 10/12/11 SCALE SEE PRINT PROJECT A OR010F29 LNDMARK 5.0 OF WASHINGTON O ROAD I t ONSTRUTION; \ AHEAD D i ((420 -1) 30' SEE OTE 1 // ONE LAN 4' ROAD AHEAD / \ (u20 -4) SEE OTE 1 30. nn • , El ,, ') ____i_ . 7 �w20 -7 A) SEE NOTE 1 30' (` TABLE A 0 O TAPER LENGTH d SPEED (FT) CONE SPACING IK WORK AREA (MPH) ALONG TAPER '�''0' OFFSET WIDTH (FT) • A ... . 10' 12' ' L + 25 100 120 25 9 �. 30 150 180 30 O TRUCK WITH ' � 35 200 240 35 + FLASHING OR WITH 40 270 320 40 1 EMI BEACON 45 450 540 45 ✓ ❑o jO' 30' iii Q NOTE: O 1. DISTANCE BETWEEN SIGNS SHALL 2 . . BE 100' FOR RESIDENTIAL © TAPER LENGTH STREETS (25 MPHY, AND 1 /A J O , (TABLE A) 200' FOR ARTERIAL ROADWAYS �/ 2. FLASHING BEACON SHALL BE 01 INSTALLED AT EACH SIGN FOR NIGHT -TIME USE. `i ± . SEE NOTE 1 3. DISTANCES MAY VARY AS APPROVED BY THE ENGINEER. ' 0 5 ± 1 4. FLAGGERS REQUIRED TO CONTROL \ 6420 Al TRAFFIC WHENEVER THE CONTRACTOR SEE NOTE 1 MUST INTERRUPT TRAFFIC FLOW TO ACCESS THE WORK SITE WITH , ONE LANE ---1--- , MATERIALS OR EQUIPMENT. AHEAD ROA LEGEND: SEE NOTE 1 - , (('20-4( 30` CI CONE OR CHANNELIZING DEVICE ROAD (SEE STD 702) , ,CONSTRUCTION) -� AHEAD i ,' ((420 -1) TX Shirley Treat From: Bykerk, David <DBykerk @eatechnical.com> Sent: Thursday, October 13, 2011 11:01 AM To: ROW Permits Cc: Backman, Phillip; Huddleston, Brian; Barnette, Dave Subject: Permit Submittal for 12000 SW 66th Ave Attachments: OR010F29_PERMIT APPLICATION_DATE_10_13_11.pdf Permit Submittal for 12000 SW 66th Ave Please accept this permit submittal for City of Tigard approval. If you have any questions or concerns please contact me. Thank you and have a very pleasant day. EA Technical I Cad Drafter E: dbykerk@eatechnical.com P: 503.550.3249 1 -` " •` CITY OF TIGARD RECEIPT IN 14 ; g $ 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 T ; ! C ARD' Receipt Number: 184363 - 10/25/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID R0W2011 -00082 ROW Permit Fee 100 - 0000 -43114 $300.00 Total: $300.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 093789 STREAT 10/25/2011 $300.00 Payor: Joe Kuenzi TW Telecom Total Payments: $300.00 Balance Due: $0.00 ic[ 0 rai Sq/4--- 001-01 ICATIDQ- IL0 1 !r v d piE d ILL g H Page 1 of 1