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ROW2013-00058 CITY OF TIGARD RIGHT OF WAY PERMIT ' 1111 ■ , COMMUNITY DEVELOPMENT Permit #: ROW2013 -00058 T E GA RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Date Issued: 07/02/2013 Parcel: SEG877 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: Portland General Electric Project Description: Adjacent to SW Pacific Hwy, Main St & Scoffins St. Provide 120/240, 1 P, 3W, 100A UG SVC to new reader board sign. SEG 877, 984. Owner: FEES Description Date Amount PHONE: Contractor: PHONE: FAX: Applicant: RALPH REISBECK 9480 SW BOECKMAN RD WILSONVILLE, OR 97070 • PHONE: 503 - 570 -4409 Total $0.00 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: fl6 Y( fl+ Issued By: 41147 Special Conditions (See Attached) Note: THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY • Conditions for ROW2013 -00058 Type: Condition Name: Status: Severity: ROW 01- CUSTOM CONDITION Applied Notice No obstuction of traffic on Main St. 6:30 - 9:00 am and 3:30 - 6:00 pm. 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. APPLICATION FOR RECEIVE I fki WORK IN RIGHT -OF -WAY (ROW) PERMIT26 2013 CITY OF TIGARD T IGARD Development Engineering 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FA (503) 624-0752 PLANNING /ENGINEER FOR STAFF USE ONLY General Information: WR 674596 Property Address /Location(s): ABT SW PACIFIC HWY, 99W & MAIN ST Right -of -Way. Case No.: 1--.L.:44_ TIGARD SEC,EM i `T/34- Receipt No.: n I oL, *Applicant's Name: Portland General Electric Date: (-026413 — AIL Address: 9480 SW Boeckman Rd REQUIRED SUBMITTAL INFORMATION City /State: Wilsonville OR Zip: 97070 �ee� Primary Contact: RALPH REISBECK ?, Phone: (503) 570 -4409 Fax: (503) 570 -4420 Submit a scaled sketch of the proposed work to be done Contractor's Name: N/A CCB# Expiration: Professional Engineered Plans are Address: required for: City /State: Zip: • Street Widening Phone: Fax: • Subdivision Infrastructure • Main utility line extension: Plans By: Address: City /State: Zip: Phone: Fax: Description of work: PROVIDE 120/240, 1P, 3W, 100A UG SVC TO NEW READER BOARD SIGN Estimated value of work (within the public right -of -way): $ Is work related to a LAND -USE DECISION? YES NO If so, please specify (MLP, SDR, SUB, etc.) case #: Is the work related to a BUILDING PERMIT? YES NO If so, please specify (BUILDING PERMIT) case #: *NOTE: Person specified as "Applicant" shall be designated "Permitee" and shall provide financial assurance for the work. y ? 44. ° " � covatd. irr pn ^�- .,-n.4 z c . .Thy cw,,La" "` £ 14; c►.,Z , - %tt2vt i Cevmi , users \agnesk,apvtlata locaiVnicroson \w i ndows \temporary internet files \conte nt. outlook \k5xvnbtz \wr 674596 city of tgard permit.docx COMMERCIAL LEGEND 115 BC -7 ACSR` NOTE PROGRESS —W T RTLAND \ ODOT CONTRACTOR NEW PGE FACILITIES TO BE INSTALLED 50 7264 TO REPLACE 3' X 5' SECTION B 50 7265 OF SIDEWALK TO (UNLESS OTHERWISE SPECIFIED) e, G ET 3" PVC TO VT 00234 PROVIDED r 8 �IN57 TX IN BY CUSTOMER UIT C 50 7266 01656 \\>/'' 2010 -70 Q. q q� CONSTRUCTION NOTES: CMDEV \ ` L CUSTOMER IS RESPONSIBLE FOR ALL TRENCH, CONDUIT, VAULTS, PADS AND \./ / N \C ARK MTR #27504641 ROAD CROSSINGS. P P C TIGARD B 2. ALL CONDUIT TO BE INSTALLED 36 INCHES (MIN) BELOW FINAL GRADE. / �� O 01454 1967 -40 C t2o2aov � 100AMP 0.85 /oVD 100A PARK WR CHECKLIST YES COMMENT 3. ALL PGE CONDUCTORS TO BE INSTALLED IN GRAY, SCHEDULE 40, ELECTRICAL 5 �9 �. u 00250 ITEM GRADE, PVC CONDUIT WITH NYLON PULL STRINGS (MIN. 500 LBS. TEST). T } _ �,� o ! 2010 16 HOLEDIGGER PGE TO DETERMINE THE SIZE AND NUMBER OF CONDUITS REQUIRED / N b P KR / MAINTAIN 12 VERTICAL INCHES AND 24 HORIZONTAL INCHES CLEARANCE BETWEEN r 1� 4 4, , 724A 724A AFC '1� — 0 GAS AND OTHER UTILITIES. ALL ELBOWS 4 INCH 8 SMALLER TO BE 36 INCH RADIUS. ■ 1 - - AL-TX-Q, �� P ,,• BOOM 1 ALL BENDS MUST BE FACTORY MADE. ALL ELBOWS LARGER THAN 4 INCH TO BE X Y `, BACKHOE 60 INCH RADIUS. RIGID STEEL OR PGE APPROVED. FIBERGLASS BENDS ARE REQUIRED O I FOR RUNS OF 151 FEET OR LONGER, OR FOR ANY LENGTH RUN WITH MORE THAN 01657 VT 00234 A DD PGE TRENCH 180 DEGREES IN BENDS. WC SCHEDULE 40 BENDS ARE ACCEPTABLE FOR RUNS OF 2010 -75 0 10 1_ 0024 9 110 AL— 150 FEET OR LESS. THE MAXIMUM TOTAL BENDS IN ANY CONDUIT RUN IS 270 DEGREES r B 15 55684 1-4N AL — TX D 2010 -16 p LOCATES 4. ALL PGE TRANSFORMERS TO BE INSTALLED 8 FEET (MIN) FROM ANY COMBUSTIBLE L 00248 fX�D STAKING BUILDING, WALL OR OVERHANG AND 4 FEET (MIN) FROM ANY FIRE HYDRANT / 02010 -16 �'� AL / FLAGGING ALWAYS S 10 FEET CLEARANCE IN FRONT OF ALL E TRANSFORMERS. L S AKIN M de■ r _ 5. TRANSFORMER PADS ARE TO BE SET SO THAT THE TOP IS 2 INCHES ABOVE � � P �� LANDSCAPE FINAL GRADE. CONDUIT IS TO BE INSTALLED IN PAD AS INDICATED IN DETAIL 1 05557 Q � ' Z. EASEMENT AND TO EXTEND 1 INCH ABOVE THE PAD. 2 p 1967 -50 '00255 PERMITS X TIGARD 6. STEEL BARRIER POSTS ARE REQUIRED AROUND TRANSFORMERS THAT ARE EXPOSED PgG ` , 00256 201, -16 TRAFFIC PLAN TO VEHICLES. ‘3 1 ISO 0024 7 2010 -16 CUTSHEET 7. ALL SWITCH VAULTS TO BE SET AT FINAL GRADE WITH 6 INCH GRAVEL BASE AND 11 C1 � CONDUITS ALIGNED TO ENTER THE VAULT END LOWER KNOCKOUTS (TERM - DUCTS). � C ,v / /�� 2010 -16 UG OR. VER. (SEE DETAIL ON SKETCH) V T 0023 TRANSMISSION . 8. PGE TO BE NOTIFIED AND INSPECT ALL CONDUIT, VAULT AND PAD INSTALLATIONS A 10 23292 -4/0 AL XLP �H1/T BEFORE BACKFILL. ALL NEW VAULT & PAD LOCATIONS TO BE FIELD VERIFIED 00257 G I3, ABC 225 301 1 - CU 13SD S TOMER HU1'6�OWN WITH PGE AND CUSTOMER REPRESENTATIVE 06145 :; 2010 -16 DOOR HANGER 9 . REFER TO PGE ELECTRICAL SERVICE REQUIREMENTS BOOK FOR FURTHER DETAILS aghnn4 1967 - 25 � � .. % / CONTACT COMPANY ID DESIGN IS BASED ON STANDARD UNDERGROUND EQUIPMENT. NON - STANDARD �, J UNDERGROUND EQUIPMENT MAY BE AN OPTION AT AN ADDITIONAL COST TO PH# C# A SPECIFIC REQUIREMENTS. LINK TO arrow pn flnnrlgonornI rn THE CUSTOMER. II. DATE TIME THE POINT OF DELIVERY AND DIVISION OF OWNERSHIP BETWEEN THE CUSTOMER AND 01003 O ���� `, PGE WILL BE AT THE LINE SIDE OF THE NEW CUSTOMER PROVIDED SWITCH GEAR. 2004 -45 p+ 'D 07716 C2 1 - 02A .!. ABC -2 AL —DB PGE CONSTRUCTION DRAWING O -Id) '`�� , / AS —BUILT VERIFICATION & NESC VIOLATIONS CORRECTED ANY DEVIATION FROM THIS DESIGN MUST Th' documen+ ac urotely represents FIELD Construction B O G i ' s , \ BE APPROVED BY PGE PROJECT MANAGER Foreman: Date: THOMAS GUI-. f-cli I ij Q 655 —F4 General Foreman: Dote: ° QNTACT GENERAL FOREMAN (Signature only required for field construction changes.) C,pFF, . sw — „\ ,, �` ANIR CONDUIT INSPECTOR 7 TO 10 WORKING DAYS PRIOR TO EXCAVATION. CONDUIT INSPECTION REQUIRED PRIOR TO BACKFILL SDPM'ENG REVIEW: I ASBUILT BY DESIGNER: PGE WILL NOT INSTALL WIRE UNTIL TRENCH IS 100% BACKFILLED '�% t” = 60' ACCOUNT: 1070001 : . ti 1 JIM KACALEK KEN GUTIERREZ _ SCALE: GENERAL FOREMAN CONDUIT INSPECTOR DATE: 4/42013 TITLE l \ ,� �iZ PHONE: 503 672 -5502 CELL: 503 - 969 -6103 PHONE: 503 - 969 -3964 ODOT READER BOARD - SITE #13 I AwO 7000001931 IJOB NO 674596 •'` STREETLIGHT PROJECT MANAGER: JEFF STEIGLEDER N. CIRCUIT SIZE ./____,, �' � � PHONE: 503-570 404 CELL: 503 -849 -5648 / TIGARD - 13336 131W 11x17 � •B S —J CALL 811 BEFORE YOU DIG PGE LocAnoN �� ATTENTION: ABT SW PACIFIC HWY, 99W & MAIN ST, TIGARD ST . :f Q \ OREGON LAW REQUIRES YOU TO FOLLOW RULES ADOPTED DESCRIPTION � c '.� THINK BY THE OREGON UTILITY NOTIFICATION CENTER. N. DESCRIPTION 120240V IP 3W 100A UG SVC TO NEW READER BOARD SIGN THOSE RULES ARE SET FORTH IN OAR 952 -001 -0010 O ��/ SAFETY THROUGH 952- 001 -0090. YOU MAY OBTAIN COPIES OF �' �✓ v I THE RULES BY CALLING THE OREGON UTILITY WASHINGTON SECTION(S) C21 -02A WORK WITH SHEET e0 �tF ! NOTIFICATION CENTER ADMINISTRATION @ (503 232 - 1987) WILSONVILLE i OF 1 FIRST! LINE CREW CENTER DESIGN BY PHONE (503) DRAWN BY TO REQUEST UTILITY LOCATES CALL THE OREGON Know what's below. 9480 SW 80ECKMAN RD RALPH REISBECK 570 -4409 S.HOLTAN // UTILITY NOTIFICATION CENTER, 811 AT LEAST WILSONVILLE, OR 97070 VICINITY MAP 2 BUSINESS DAYS PRIOR TO EXCAVATION. CQII before you dig. 0 PORTLAND GENERAL ELECTRIC CO. - ALL RIGHTS RESERVED