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ROW2012-00101 I ii CITY OF TIGARD "`"'orm RIGHT OF WAY PERMIT ' Pi a COMMUNITY DEVELOPMENT Permit #: ROW2012 00101 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Date Issued: 11/19/2012 Parcel: SEG807 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: NW Natural Project Description: Adjacent to 11845 & 11825 SW Greenburg Rd., installing 1"(P) svc, short side, hard surface cut, standard main tie in, main is 2 "(P) on the SW 12' in ROW. Owner: FEES Description Date Amount ROW Permit Fee 11/19/2012 $300.00 PHONE: Contractor: PHONE: FAX: Applicant: COLLEEN O'BRIEN 220 NW 2ND AVE. PORTLAND, OR 97209 PHONE: 503 - 226 -4211 Total $300.00 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: 1 • ' Pf I Issued By: -I� V / Special Conditions (See Attached) Note: THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for ROW2012 -00101 Type: Condition Name: Status: Severity: ROW 01- CUSTOM CONDITION Applied Notice Resolution No. 01-66 prohibits work in the Greenberg Rd. Right of Way from Thanksgiving to NewYear. Applicant has submitted an approved TTC plan to allow work during this time. Provide flagers as required for left turns from Greenberg to 90th Av and residential driveway. ROW 02- PERMIT & PLAN REQ ON SITE Applied Notice A copy of the permit and all attachments, and a copy of the approved construction plan and all amendments shall be 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 the aforesaid must be approved by the City, in advance of work performance. ROW 03 -TRAF CTRL - SPECIF (CITY) Applied Notice The City's standard specification for traffic control is "Manual on Uniform Traffic Control Devices for Streets and Highways ", U.S. Dept. of Transportation, F.H.A., 1988 Ed. ROW 04 -TRAF CTRL -CONTR RESPON FOR Applied Notice Traffic control shall be provided for by the contractor in accordance with the City's standard specification and, also, in accordance with a City (job specific) approved traffic control plan. A copy of the approved traffic control plan shall be available at the work area. ROW 05 -TRAF CTRL -ROAD CLOSURE Applied Notice Public roadway shall not be closed to traffic, at any time, without having first obtained written approval from the City Engineer. The permit holder is responsible for provision of timely notification of traffic flow disruptions to area wide Emergency Services (Tigard Police Dept., Tualatin Fire & Rescue) and to Tri -Met and Tigard School District. ROW 06 -TRAF CTRL - ADVANCE WARNING Applied Notice Advance warning of imminent traffic disruption shall be provided to the general motoring public by placement of an advance notification sign at each end of the construction area 72 hours (min.) before initiation of construction work. ROW 07 -TRAF CTRL -PRIV PROP ACCESS Applied Notice Access to existing properties shall be maintained at all times, including normal delivery service and mail service and if not, shall be cause for work stoppage until effective access is established. ROW 08 -TRAF CTRL - DEVICES IN PLACE Applied Notice Traffic control devices, flagpersons, etc., shall be in place prior to initiation of construction work and shall be effectively maintained. ROW 09 -TRAF /NOISE CTRL -WORK HRS Applied Notice No work will be permitted during the hours of darkness, nor between 9:00 p.m. to 7:00 a.m. Monday through Friday, nor between 9:00 p.m. to 8:00 a.m. Saturday, nor between 9:00 p.m. to 9:00 a.m. Sunday. ROW 10 -TRAF CTRL -MIN LANE WIDTH Applied Notice Minimum travel lane width shall be eleven (11) feet; pedestrian travel shall also be provided for. ROW 11 -TRAF CTRL -CITY CAN MODIFY Applied Notice The City reserves the right to add to or modify traffic control requirements as may be necessary to effectively control traffic and to assure public safety. ROW 12 -INSP 24 HR NOTICE REQUIRED Applied Notice The permit holder or his contractor shall notify the City's inspector Kenny Fisher, at 503 - 816 -6146 or email at kenny @tigard - or.gov, twenty-four (24) hours prior to commencing work, twenty-four (24) hours prior to any staged inspection, and after completing work covered by the permit. ROW 13- HAZARDS -CERT OF INS Applied Notice Maintenance of the work area and approach roads is the responsibility of the permit holder. The work area and approach roads shall be maintained in a clean condition, free from obstructions and hazards. A copy of the permit holders Certificate of Insurance shall be available at the work area. ROW 14- DEBRIS - MATERIALS Applied Notice 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 cleanup and stoppage of work to accomplish cleanup. ROW 15- EROSION CTRL REQ Applied Notice Effective erosion control is required. Erosion control devices must be installed and maintained meeting D.E.Q. requirements. The City may at any time order corrective action and stoppage of work to accomplish effective erosion control. ROW 16- REPAIRS -LIKE MATERIALS REQ Applied Notice Property disturbed by construction activity shall be seeded with a standard grass mix; shrubs, flowers, barkdust, existing signs, pavement markings, mailboxes, etc., shall be reestablished, reinstalled or replaced, with like kind and material. ROW 17- DRAINAGE CONTROL REQ Applied Notice Effective drainage control is required. Drainage shall be controlled within the work site and shall be so routed that adjacent private property, public property and the receiving system is not adversely impacted. The City may, at any time, order corrective action and stoppage of work to accomplish effective drainage control. ROW 18- UTILITIES PRELOCATION REQ Applied Notice Oregon law requires following the rules adopted by the Oregon Utility Notification Center. Said rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. Copies of the rules may be obtained from the Center by calling (503) 232 -1987. If you have questions about the rules, contact the Center. NOTE: Damage to utilities shall be corrected at the permit holders expense. ROW 19- UTILITY LOCATIONAL CONFLICT Applied Notice Contractor 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 permit holders expense. Changes must be approved by the City in advance of work performance. Contractor shall coordinate the work with affected utility agencies. ROW 20- TRENCH - PATCH /SAFETY /LBILITY Applied Notice A temporary hard - surface patch (Cold mix A.C. or Hot mix A.C. base paving) shall be placed on trenches within roadways at the end of each day's work. No trench, on site or off site, shall be left at any time in an unsafe condition. The permit holder is responsible for and is liable for hazards or damage resulting from the work. ROW 21- REPAIRS REQ - INSPTR OPINION Applied Notice Work provided for under the permit shall include repair of existing facilities (roads, ditches, etc.) as may be necessary, in the City Inspectors opinion, to overcome deterioration or damage which occurred in conjunction with the work authorized by the permit. Corrective work shall be done at the permit holders expense. ROW 22 -AS- BUILT /ENGR CERTIF REQ Applied Notice At the end of each year, or an a mutually agreeable yearly date, any entity making changes to its facilities in the public right -of -way shall submit complete "as- built" drawings 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 engineers certification of installation compliance (form attached). ROW 23 -DAILY INSP REPORTS REQ Applied Notice The permit holders Engineer /Inspector shall submit daily inspection reports, on a weekly basis, to the City's Inspector. (see Developer- Engineer Agreement note #5). ROW 24- TESTS /REPTS TO VALIDT CLMS Applied Notice The City's Inspector may, at their discretion, require provision of tests and or reports from the permit holder, permit holder's engineer or contractor to validate claims of material or construction adequacy /compliance. Such tests /reports shall be provided at the permit holder's expense. ROW 25- RELEASE - WAIVER REQ Applied Notice The permit holder shall provide a copy of a properly executed Release & Waiver document to the City for each ownership disturbed by construction activity, as evidence of disturbance resolution and owner satisfaction. ROW 26- MONUMENT PROTECTION REQ Applied Notice Existing monuments, property corners, and survey markers shall be protected. Replacement shall be at the permit holders expense. ROW 27 -PROB SOLVING - RESPON PARTY Applied Notice The permit holder shall 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 an emergency. The permit holder shall notify the City Inspector, in writing, of any /all assignment changes. ROW 28- CONSTR SAFETY - RESPON PARTY Applied Notice The permit holder shall cause his contractor to provide to the City Inspector, in writing, the name and 24 hr emergency telephone number of a designated "Competent Person" responsible for construction safety as per OR -OSHA, Chap. 437, Div. 3 Construction, Subdivision P - Excavations. The contractor shall notify the City Inspector of any /all assignment changes. ROW 29- ESMT /RT OF ENTRY - RESPON Applied Notice It is the sole responsibility of the permit holder to provide for 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 permit holder's failure to obtain or provide for proof of right -of -entry or easements. m " NORTHWEST \ \' a NATURAL 503- 26 -4211 l 9 _ 2.4 :.i e1 �, S�> � • (NOT TO SCALE) LOCATION: 11845 Greenburg g M • • 5 Tigard OR I DATE: 0337 • 12/6/12 03371361 ,•� K & D SERVICES OF OREGON, INC \ PHONE: 503 - 723 -72-72 87 �► 35 FAX: 503- 723 -8750 / 'i\ MPH ;z , DRAWN BY Y � ALAN WARD 8144. I ,��� o D 6[ravio cu \; \ �� 1 6• Notify Fire /EMS, EPD and LTD 48hrs m 1 ►o; before begining work 111M 1 1 � Iua /� � SIGN SPACING MPH SPACING p 30 and under 100' 35 -40 350 irf 45-55 500' -- -- - - - ' LEGEND Match MPH � Bikes i r 48" X 48" Bikes Road on 'a 4toti M .: Bike Lane \ ERR �, LC 48" X 48" Closed Ahead � � ‘` :74 � Lane Closure w ` ' 48" X 48" Shoulder Closed ,. 1 +, Ahead y'�+s�' \t\, 48" X 48" Cenr Lane Closd Ahead 1[40,11. 48" ::: " eft ne 48" " Closed Ahead 48" X 48" Road Work Ahead • / sign direction / �'• � / work zone . / ! Merge /Shift % El ' / / 48" X 48" Transition / Left MI Transition / 48" X 48" Right / • • MI 48" X 48" Lane eft Shift ) • / L 'a, • 48" X 48" Lane Shift j / Right • / / Qa / ' �•%� /// / / / / / 1 / H. , f` • / y , CITY OF TIGARD RIGHT OF WAY PERMIT • COMMUNITY DEVELOPMENT Permit #: ROW2012 -00101 ;TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Date Issued: 11/19/2012 Parcel: SEG807 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: NW Natural Project Description: Adjacent to 11845 & 11825 SW Greenburg Rd , installing 1 "(P) svc, short side, hard surface cut, standard main tie in, main is 2 "(P) on the SW 12' in ROW Owner: FEES Description Date Amount ROW Permit Fee 11/19/2012 $300.00 PHONE Contractor: PHONE FAX• Applicant: COLLEEN O'BRIEN 220 NW 2ND AVE. PORTLAND, OR 97209 PHONE 503 - 226 -4211 Total $300.00 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: (PiS2�(1T Issued By: ��(�(� ///(1r��, Special Conditions (See Attached) Note: THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for ROW2012 -00101 Type: Condition Name: Status: Severity: ROW 01- CUSTOM CONDITION Applied Notice Resolution No 01 -66 prohibits work in the Greenberg Rd. Right of Way from Thanksgiving to NewYear ROW 02- PERMIT & PLAN REQ ON SITE Applied Notice A copy of the permit and all attachments, and a copy of the approved construction plan and all amendments shall be 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 the aforesaid must be approved by the City, in advance of work performance. ROW 03 -TRAF CTRL - SPECIF (CITY) Applied Notice The City's standard specification for traffic control is "Manual on Uniform Traffic Control Devices for Streets and Highways ", U.S. Dept of Transportation, F.H A., 1988 Ed. ROW 04 -TRAF CTRL -CONTR RESPON FOR Applied Notice Traffic control shall be provided for by the contractor in accordance with the City's standard specification and, also, in accordance with a City (job specific) approved traffic control plan. A copy of the approved traffic control plan shall be available at the work area. ROW 05 -TRAF CTRL -ROAD CLOSURE Applied Notice Public roadway shall not be closed to traffic, at any time, without having first obtained written approval from the City Engineer The permit holder is responsible for provision of timely notification of traffic flow disruptions to area wide Emergency Services (Tigard Police Dept., Tualatin Fire & Rescue) and to Tri -Met and Tigard School District. ROW 06 -TRAF CTRL - ADVANCE WARNING Applied Notice Advance warning of imminent traffic disruption shall be provided to the general motoring public by placement of an advance notification sign at each end of the construction area 72 hours (min) before initiation of construction work ROW 07 -TRAF CTRL -PRIV PROP ACCESS Applied Notice Access to existing properties shall be maintained at all times, including normal delivery service and mail service and if not, shall be cause for work stoppage until effective access is established. ROW 08 -TRAF CTRL - DEVICES IN PLACE Applied Notice Traffic control devices, flagpersons, etc., shall be in place prior to initiation of construction work and shall be effectively maintained ROW 09 -TRAF /NOISE CTRL -WORK HRS Applied Notice No work will be permitted during the hours of darkness, nor between 9:00 p.m. to 7:00 a.m. Monday through Friday, nor between 9:00 p.m. to 8:00 a.m. Saturday, nor between 9:00 p.m. to 9:00 a.m. Sunday. ROW 10 -TRAF CTRL -MIN LANE WIDTH Applied Notice Minimum travel lane width shall be eleven (11) feet; pedestrian travel shall also be provided for. ROW 11 -TRAF CTRL -CITY CAN MODIFY Applied Notice The City reserves the right to add to or modify traffic control requirements as may be necessary to effectively control traffic and to assure public safety. ROW 12 -INSP 24 HR NOTICE REQUIRED Applied Notice The permit holder or his contractor shall notify the City's inspector Kenny Fisher, at 503 - 816 -6146 or email at kenny @tigard - or.gov, twenty -four (24) hours prior to commencing work, twenty -four (24) hours prior to any staged inspection, and after completing work covered by the permit. ROW 13- HAZARDS -CERT OF INS Applied Notice Maintenance of the work area and approach roads is the responsibility of the permit holder. The work area and approach roads shall be maintained in a clean condition, free from obstructions and hazards A copy of the permit holders Certificate of Insurance shall be available at the work area ROW 14- DEBRIS - MATERIALS Applied Notice 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 cleanup and stoppage of work to accomplish cleanup. ROW 15- EROSION CTRL REQ Applied Notice Effective erosion control is required Erosion control devices must be installed and maintained meeting D.E.Q. requirements The City may at any time order corrective action and stoppage of work to accomplish effective erosion control. ROW 16- REPAIRS -LIKE MATERIALS REQ Applied Notice Property disturbed by construction activity shall be seeded with a standard grass mix, shrubs, flowers, barkdust, existing signs, pavement markings, mailboxes, etc., shall be reestablished, reinstalled or replaced, with like kind and material ROW 17- DRAINAGE CONTROL REQ Applied Notice Effective drainage control is required. Drainage shall be controlled within the work site and shall be so routed that adjacent private property, public property and the receiving system is not adversely impacted The City may, at any time, order corrective action and stoppage of work to accomplish effective drainage control. ROW 18- UTILITIES PRELOCATION REQ Applied Notice Oregon law requires following the rules adopted by the Oregon Utility Notification Center. Said rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. Copies of the rules may be obtained from the Center by calling (503) 232 -1987. If you have questions about the rules, contact the Center NOTE Damage to utilities shall be corrected at the permit holders expense. ROW 19- UTILITY LOCATIONAL CONFLICT Applied Notice Contractor 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 permit holders expense Changes must be approved by the City in advance of work performance. Contractor shall coordinate the work with affected utility agencies. ROW 20- TRENCH - PATCH /SAFETY /LBILITY Applied Notice A temporary hard - surface patch (Cold mix A.C. or Hot mix A C. base paving) shall be placed on trenches within roadways at the end of each day's work No trench, on site or off site, shall be left at any time in an unsafe condition. The permit holder is responsible for and is liable for hazards or damage resulting from the work. ROW 21- REPAIRS REQ - INSPTR OPINION Applied Notice Work provided for under the permit shall include repair of existing facilities (roads, ditches, etc) as may be necessary, in the City Inspectors opinion, to overcome deterioration or damage which occurred in conjunction with the work authorized by the permit Corrective work shall be done at the permit holders expense. ROW 22- AS- BUILT /ENGR CERTIF REQ Applied Notice At the end of each year, or an a mutually agreeable yearly date, any entity making changes to its facilities in the public right -of -way shall submit complete "as- built" drawings 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 engineers certification of installation compliance (form attached). ROW 23 -DAILY INSP REPORTS REQ Applied Notice The permit holders Engineer /Inspector shall submit daily inspection reports, on a weekly basis, to the City's Inspector. (see Developer- Engineer Agreement note #5). ROW 24- TESTS /REPTS TO VALIDT CLMS Applied Notice The City's Inspector may, at their discretion, require provision of tests and or reports from the permit holder, permit holder's engineer or contractor to validate claims of material or construction adequacy /compliance. Such tests /reports shall be provided at the permit holder's expense. ROW 25- RELEASE - WAIVER REQ Applied Notice The permit holder shall provide a copy of a properly executed Release & Waiver document to the City for each ownership disturbed by construction activity, as evidence of disturbance resolution and owner satisfaction. ROW 26- MONUMENT PROTECTION REQ Applied Notice Existing monuments, property corners, and survey markers shall be protected. Replacement shall be at the permit holders expense ROW 27 -PROB SOLVING - RESPON PARTY Applied Notice The permit holder shall 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 an emergency The permit holder shall notify the City Inspector, in writing, of any /all assignment changes. ROW 28- CONSTR SAFETY - RESPON PARTY Applied Notice The permit holder shall cause his contractor to provide to the City Inspector, in writing, the name and 24 hr emergency telephone number of a designated "Competent Person" responsible for construction safety as per OR -OSHA, Chap. 437, Div 3 Construction, Subdivision P - Excavations The contractor shall notify the City Inspector of any /all assignment changes ROW 29- ESMT /RT OF ENTRY - RESPON Applied Notice It is the sole responsibility of the permit holder to provide for 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 permit holder's failure to obtain or provide for proof of right -of -entry or easements. CITY OF TIGARD Ili RECEIPT ; ; a , ; 13125 SW Hall Blvd., Tigard OR 97223 503 639.4171 TIGARD Receipt Number: 189204 - 11/19/2012 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID R0W2012 -00101 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 Trust Account NWNDEP TLEHRBACH 11/19/2012 $300 00 Payor: NW Natural Total Payments: $300.00 Balance Due: $0.00 Page 1 of 1 APPLICATION FOR al WORK IN RIGHT -OF -WAY (ROW) PERMIT IN o TIGARD Development Engineering 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 624 -0752 FOR STAFF USE ONLY General Information: Right -of -Way Property Address /Location(s):11845 & 11825 SW Greenburg Rd Case No.: 12,0W2412- 00 101 REVISION #00008836 SEGO 1 Receipt No.: $9209 Date: 11(19 12 "Applicant's Name: NW Natural / Colleen M. O'Brien Application Accepted By: 1)(../ Address: NW 2nd Av Revised 3/4/09 VA City/State:Portland OR zip: 97209 7j //./ 9. /2 423 Primary Contact: I REQUIRED SUBMITTAL INFORMATION I Phone:503- 226 -4211 X 4347 Fax: 503- 273 -4822 Contractor's Name: same as above Submit a scaled sketch of the proposed work to be done CCB# Expiration: Address: City/State: Zip: Professional Engineered Plans are required for: Phone: Fax: • Street Widening Richard Patterson • Subdivision Infrastructure Plans By : • Main utility line extension: Address: as above City/State: Zip: Phone: Fax: Description of work: Installing 1"(P) svc, short side, hard surface cut, standard main tie in, main is 2 "(P) on the SW 12' in ROW. See attached Estimated value of work (within the public right -of -way): $ x $2.50 = $25.20 Is work related to a LAND -USE DECISION? YES ❑ NO D If so, please specify (MLP, SDR, SUB, etc.) case #: Is the work related to a BUILDING PERMIT? YES ❑ NO 0 If so, please specify (BUILDING PERMIT) case #: *NOTE: Person specified as "Applicant" shall be designated "Permitee" and shall provide financial assurance for the work. �o �z b � — ' I1o 0/ -66 ..e.v . )14.4 fir ; .... ...... va.va ..... d oy : "}O wee i (Ce - re0 f/�` . 1/40. /) ./i e_e . if NW Natural — Construction Estimate (CE) Form Service Address Service WO# 11845 &11825 SW GREEN BURG RD 3371361/3371360 Plat # City and County Main WO# 1-042 -020 PORT WASH CO LOCATE INSTRUCTIONS: 3 1'2 Gv 7 _4i7-‘. G emtere- S"T White Paint Down? 0 YES 0 NO How many Headers? Delivery Pressure Total Therm Load ftI Single 0 Double 0 Other #: FS Standard 02 PSI 00ther. 4.2 O Residential t8 Commercial 0 Industrial 0 Conversion 0 Riser Relocate 0 New Const 0 Open Pathway (open) 0 Conduit 0 RUSH 0 PRESOLD 0 Bore w /crew 0 Bore- N -Go 0 GNS 0 Double Off 0 Keyhole 0 Job Agreement 0 Easement Required PERMIT REQUIRED 0 NONE 0 City 0 Sticker 0 Verbal 0 Notify Only 0 Blanket 0 Standard 0 County 0 Sticker 0 Verbal 0 Notify Only 0 Blanket 0 Standard D ODOT/WSDOT 0 Railroad 0 Other Traffic Control Plan Needed? El YES 0 NO - - - INSTALLATION REQUIREMENTS - - - - - - - - v,J�� ' , let Service Size & Type Service Footage U a r n 5 1` (/" P 1 POLY ESMT20' 0 1t v) Main Size & Type Main Footage , 2W 11',... Service to Main Location 0 Short 0 Long .� Ol?D Hard surface cuts required? 0 YES 0 NO 2 o ` r _ , Street Moratorium? 0 YES El NO ft Kt Guard Post Required? D YES NO Fiber Optics? 61 Unknown 0 YES 0 NO ..4 Oil Tank? GI Unknown 0 YES 0 NO `- �/ ,1 iNOle7A Septic Systems? Er Unknown OYES 0 NO }� I l roiANC t. Spnniders? Cif Unknown 0 YES ONO (1' i Other'(Ust): GTUnknown 0 YES 0 NO i Houseilne Installed: 0 YES Et NO Meter Lac: L/SIDE #11825/11845 R/SIDE 0 Green Tagged Working within open water area? 0 YES ® NO Erosion Sensitive Area? 0 YES 0 NO Working within proposed or existing planter strip/swale? 0 YES if NO Working in a Tree Critical Root Zone? 0 YES 0 NO CROSS SECTION DETAILS Paving Symbols: AC Asphalt E - Earth Concrete G — Gravel PUE - Public Utility Easement, ROW - Right -of -Way, EOP - Edge of Pavement, C/L - Centerline Co W I; /-=Srn1' too'jeIA) s theae ,SAME PR. CAN INSTALL ONE SERVICE a W G ��� 6 ie � W WITH TWO RISERS � �" E cuRa,',Qr — G n 1R «,rte , N Street cut size & #: one C E CY - - . -..- eG C t+ Street Name: GREENBURG 3. & I 1 1 9 19 r- , _6 - a Direction Fadng 0 North 0 West 4- ' ! ' GAS , NOTES: 7 q ) o �j. Description SERVICE MAIN Estimated Hours Estimated Hours WO # WO#: Labor . DCL MCL ESMT 16 HRS PJ / PF ESMT16 Equipment Crew Truck ESMT16 Poly Trailer Pickup Truck Kubota, 3 Yarder & Trailer John Deere, 3 Yarder & Trailer ESMT16 Mini- Excavator, 3 Yarder & Trailer Mid -Bore / Mini -Bore Hole Hog - . - - - Keyhole Truck • - - - - Contract Hoe & Dump Truck Contract Dump Truck 10 Yarder Other Labor /Equipment Vac-X Truck & Crew Mechanic Welder & Truck Contract Bore Crew Flagger — how many? Plate Truck Backfill & Resurfacing Sand (yd) Gravel (yd) CDF Paving Depth: 4" Concrete Depth: Miscellaneous • . , Contract Sawcut Standard 1 /2" Service Kit + Meter Standard 1" Service Kit + Meter Company Material Other: NOTES: SHOULD BE OK WITH TRAFFIC CONES MIDDLE LANE CAN BE USED FOR TRAFFIC Construction Estimator Date R.PATTERSON Oct 29, 2012 2/13/08 ,�..aiIT k7o /C /u/ I V/ eet o rho9 1 ley v- /020 1 i lir * - W �9in1 IV 57 1' AIS Po 1Ai� } I �6' j $ nun • mr i ntrm I e i nlxv - f • $ I 'Q utr az a /G i F. wne ® S • An to I r ntno • (/ I I n ' trw 8 Pt we I - " _ tit 3 ' r wcm ":61:111 . 1 nine f • OP . ......N. • _ . A tr a uj °� E E - I G. 'r I -7! e• C` 1 i A .'; tv _ : ' 1 » 4 ": \ — a ttao ' nlpe 1 IIneJ I�p nr Q T , � p� r7� ‘ 111, y I _ I es nnm n lms r O14 Qa 'er �L I • 4 4 4 618 -gy I � i � € 8 fn 1 simo —07 I II = n _ ! , 'r c m Q I o—antav PJ I tt w3 37it61 I a >x • fr 141 r stile 4W I S 19m r ! MI ,1� CIO w - 9 • @� is . • t P 4 ) r !• , , `~n 1 i Q ! ..> ` E • ;GI S ii E 1 1 N ,n tQ" IA ' i \ mete i U p ‘S‘ S.W. -- _ o �* `..• I € TC P ��e i c �F 0 ' , � , 1 , , • 44%,,a F d , . he 3 ° .� �r 91..-- t NW Natural PLAT: 1-042-020 COUNTY: WkSHINGTON 10/29/12 15:06 (503)226 -4211 TOWNSHIP: T01S RANGE: R0I W SECTION: 35SE SCALE: 1 IN = 121 FT USER ID: By 11910 11790 \SS350 54 t ,.......... 750 ......„1 i , Ili > 1 i < t > , b 11765 as 11900 c0 . , 00 11838 t t • 11842 11775 S350049 t "Y''. ..,,,,„,,,,, D 050 Tr Iv 31) 11850 cP: / ,,f--__---._ , i SE WE /;Z 11950 11840 ' 11795 c r y I . 11950 f 11825 04 i ; 1182511825j1 I9 fr: 6 ,.... 1 11825 11825 , vi....18 9 45 11870 11825 11845 1184 , J f 1 1 J 11825 11845 11045 cibr • & ' , • fe" , 0 553 0050 11900 11865 o i # /11. 11867 . ,.. V 35D00 3 9 00076 ‹)_. 11863 j .„ C : 119311 118630 / , 11%9 11863 11863 11863,1.- 1 ifi...... 11863118,..OP 5:0: , Feet 11863 0 12E 89 15 , 052 D *zoo 731.03 168,1 3 . 0..- / City of Tigard Resolution No. 01 -66 Construction Activity within the public right -of -way on specific streets in and around the Washington Square Mall, downtown Tigard, ° i and within the Tigard Triangle shall be limited , or' between Thanksgiving and New Year, d . -_ T/<fL• - ---1 -tRRy RD as shown on the map. i J M. of , The City Engineer would have the authority to f4, ` , , .._ wave this provision for emergency situations or .� ' , - when the work does not impact traffic flow. �y _.a H 99w _ it. MI ' ��y - Hwy - Scholls Ferry Rd 7 _, Al Cascade Ave -`•'�� fi ��i)l� -�" `- —{--t' _. Greenburg Rd �� x' I I 4: ) Hall Blvd lo r-'_' j !,•!,„1 (_ Locust St ( / 410. WM E °AK. � !;: igd St v PiAFFI�E ?ST omercia.. '� , � f""- � ti, 72nd Ave _ T R �. / 1:. d■ 111111111 AIL clir i ,,, 68th Ave = _ Tc _..._. „a.. , , ,Ii t o , mor...„ pv , ti r. " • ST 'Alum _ -- 1,x„1 . a me a ll Pr . � , r 1 ...I �■rt IL ' i 3 I i ri' - 11 1 ANFM- -). i----4„ '