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ROW2014-00024 n CITY OF TIGARD RIGHT OF WAY PERMIT COMMUNITY DEVELOPMENT Permit#: ROW2014-00024 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 03/12/2014 Parcel: SEG2391 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: PGE Project Description: Adjacent to 9725 SW Durham Road. Replace B/O primary cab;e from VT 16 to PD 7380-approximately 316'. SEG 2391 Owner: FEES Description Date Amount ROW Permit Fee 03/12/2014 $300.00 PHONE: Contractor: PHONE: FAX: Applicant: HASSAN AMAN 2213 SW 153RD DRIVE BEAVERTON, OR 97006 PHONE: 503-963-6926 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. tt licant Sign Signature:ure: �����/� Issued By: 4"6141' '- Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for ROW2014-00024 Type: Condition Name: Status: Severity: ROW 01-CUSTOM CONDITION Applied Notice <Custom Condition goes here> 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. RECEIVED MAR 10 2014 1111 "77 City of Tigard If CITY OF TIGARD Application For Work In The R i g h t-O f ► vG/ENGINEERI G T'I"431 ROW Permit Property Address/Location(s): 4 7 2 S S iv Pox./9i¢0-r K,U FOR STAFF USE ONLY 2N 1 (�6-.E WR 23 S`3'L7J Right-of-Wayn,�vlsy 4..00 2 i Case No.: IKV111 VC�11 7 *Applicant's Name: p‘f Application Accepted:3 J 1D By: Address: 22J 3 S W /S 34-c) 4 Application Reviewed:3' 0 1•% 1 By: City/State: 0,4 vt4id,/ ,e, T? ' ' o Zip: " Application Fee Due: 9_300— Primary Contact: /7`4 5S.-t«ry ,/1-M.-9--� Applicant Notified: 97)1 2 I Phone: /5-0 2A) 9(r3-l►92 li Fax: (5 j 3) 47 - 5393" 5 Receipt No.: Email: i". /) Sc.wwrt f5LC t. O lei. CO.tit REQUIRED SUBMITTAL Contractor's Name: - 17) / /E J 7a INFORMATION CCB# Expiration f3/4 • Application form,completed and signed Address: • Submit one(1)copy of scaled sketch of City/State: Zip: the proposed work to be done Phone: Fax; • Submit one(1)copy of traffic control plan Email: Professional Engineered Plans are required Plans By: ft96 for: Address: • Street Widening City/State: Zip: • Subdivision Infrastructure Phone: Fax • Main utility line extension Email: Rev.6/24/2013 I:nuplu\memo\land use applications\row app.docx Description of work: /1°4„46 ALG, 6/t fee A.77 y G 4 L f-/L O M P1) 73 BD —,4' ox. .3/G I Estimated value of work(within the public right-of-way): $ Is work related to a LAND-USE DECISION? YES 0 NO If so, please specify(MLP,SDR,SUB,etc.)case#: Is the work related to a BUILDING PERMIT? YES n NO [ l If so, please specify(BUILDING PERMIT)case#: / I Signature of Applicant/Permittee: �• �N' ,/�Y / ✓ 3f/r �/¢ Print Name: 4. fr7)4 4..E2. / 4 /f. �4' . 1A/ Title: J4tl3 %iC04ESs'41/2 City of Tigard I 13125 SW Hall Blvd.,Tigard,OR 97223 I 503-718-2464 I www.tigard-or.gov RED 07380 LEGEND REPLACE WITH A PAD AND WR CHECKLIST CONTRACTOR TO FRONDS 6 INSTALL 1 RELOCATE TO STARED LOCATION ITN _Rik CaMMnR 4'CONDUITS FROM NEW PAD 7380 ® NEW PGE FACILITIES TO BE INSTALLED Do„ 1 r - l: (UNLESS OTHERWISE SPECIFIED) CONTRACTOR TO SPUCE TO 1 EXISTING u 1 4'CONDUITS •I� 85 KVA •EMAND ■ FACRLDES TO IF MTALLED ALE Awl o (! FACILITIES TO RE ABANDONED OR REMOVED IONES NiSM 1 _ / ITbK 1 6 •� � 3-40 u�� � MrovrDE'""•'OSerO.cr n w'srAUEO er wE-,vnlorFD coNruclr. nelsa 1-1 CU 85D L9MAR r INSTALL}•7 AL-147 AT ANNAN IN 4"NC CONDUIT FMOMED 6 INSTALLED BY POE MNROVFD CONTRACTOR Num lir ABC 117,5 MPS E EmoREw 01847- VTN t.") wor..wail.'FOR D«ICA?./ SARK NA 00624/ ___REMOVE OLD' PD 07380 nnaal L06262 I FD 07380 - 50' RNO.ERMAN CONDUCTOR A Li RR PL06262 06262 L aoaA - GROUND En Lcx»1e-T DIANCRIN DEI < 1018470 J65878-76 ""'O"T U^"C`w'R` nREO"' E ^1A IA 07260/ I 0 FAI,�NnirAmF DOLO 111M coma' PL06262 COSTING 2 4'CONDUITS -awn. METER TO SPLICE POINT COMET 0R.RE. CF m RE MANED AI NOM NM ERLOW MAI wR M I C C Aw EA i�rfae SOMME!ESX.EDE 'FLUME ARAPMON, OAK..K MM OAS AND MUM AN MOM CUT a CAP C NI I "EGe N•N TO 0101 WAN R R"OE RC -150 "'E. OR EC.ANY"'°"'LSIDOI:w`MI NON1OA mw FOR MD Os OMEN M HINDS 100006 MA/NC F1007 , IMAM' PLO1589 J65603-00 — ARC-2 AL-DB- . I I. 01847- O 5 F , `I PLL89 225' mm 01847- / a�vecwcNOfrowi w ro 'MmuemAi mucolremi 4/0 01847- . 07255/ R 50 30168 _ — SAN M Sum ON mamma UNDERGROUND MUENENI NONSTAwuu 001 74/ PL 01589 ...wove room LAN N.AN DEM.A.N4 ADMONN COST ro 4 00019 PL00043 a 0 01589 01847- A 01847- CUSTOMER �9DD 3D 1967-40 001P100W4 000 1Y 01847- cur a ca., 1 00174 PL00045 00043 00044 n00017 ANY DEVIATION FROM THIS DESIGN MU" 1-4 CU 8SD '990-25 '..,4 1PPQ15 00044 0 00045 BE APPROVED BY PGE PROJECT MANAGFF 8-2 AL-08 2-4/0 AL XLP 0 m 99050 990.75 O PD 00070 91F O 2.4/CURBS%LP .4I7C_A/C 750•' CA r 0 SW DURHAM RD VT 00016 PD 07380 • -- SW DURHAM RD S-2 NL 70.1 XT-1)/ 00020 • -- —. NORTH 1990-3C __. I / relp p rwI r.ow, 4/0 /50 HERN EDGE OF VAULIj IS 4 I.l MIN • 14'FROM EDGE Of CURB 0044 1 900030 • �,�-s ,, VT 00018 01858% cOml,,, • CONDUIT I-2•SPAR `` Q �• PLB0355 ,oaDIN D,�,,,w, °°` L.r»D N pp , O PD ■'0043 a\, 2009-20 N p �+ 5 6 O A� PD 000420 �� 0 Sgp p I L41( _lull/ L"h RIGHT-0F-WAY PERMIT NOTICE NeAAES.m aASE cO.ONIT f MI ,_ Art T-FROM PERMIT RMIT NOTICr10N 15 REWIND MORE ANr ]_PHASE TRANSFORMER PA0.MAY C WORK IN THE AND CONTDAC OIS BE EF NAVE AN 00 1 I MIMEO I. ' 147. I I CONTRACTORS ow CO WILL BE S OWE HAVE MAD[OMER FOES CONDUIT CONFIGURATION ''`I LJ L� LJ L !!((�'�� .r+wMErrts wow RDE WILL BE ALLOWED ro Won UNDER FOES PERM rw NH .� — { % a I I� .i,, BEE RE WOW IS MI15T NOT O LOCAL A ISILNITIN E HOLIES .7'1_,_:111. 1��1f TIE c WOW o TO I NO. 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I • 46;"1. - --.' 11ff . :... 1 TYPICAL SOTNI , ,..).,.. b1,05.- kiaii! zi=..p../ i II ..: .E=iiipm ..... iimg__,.._oABLE T7viel • 16-4"'2 3. 4-:=-1 IIIIII" (5-2..) l=" li 73- 45LIRFAEr"-..ccripACETAcTE•CLCZNCA.S.90 oCETEpTI-3'.Fx,,-AR'4 -• • . r CRUSHED AGGFEGATE 4111,1..-C4 • - . . .• •, . LEvELrNa COURSE • .- •11.1421I. Es_ .rIC)•••.•'7-".: Ile X 24"SAND . At'-09 A ei, . '"N ".. • 'S< I . 1 / • ••*rs•N 0 . . 3"MN * -20%-• ...------2.0% .• eitiml r nix •: ...:.. -.4'-lb'3'mrN. I c** • ' of4:4%.''''''''',:•••/4/4••••••••••■•„? ..4... ..... • • NOTE, MN.2"SPACING 1 • SAND ENCASEMENT, I ir,-•;•• (G.,TE.4.•, 1 rlimW,...' I- NOTE, rIN.2"SPACING , >./Y• / "N' . : • " DIMB45101•13 AS 50•44XIN •RIN(MOH,. CONDUIT. 1 nrr- --'•-• pr,s• SETUEEN ALL *t'%.* .14001' 1,\ . E 0-4,2-6") CONDWT. T .I rip wm.t :, • • . . le_ 2'C.RUS-ED AGGrw_G-47E CRUSHED ROCK sAse • •• .•• t r r2"miN 0'X 33'COINOTTE I LENSLING CORE (r-cr.) ENCASEI-ENT I C•.4"-Ce 1.TYPGAL NOMINAL.COPP.TAO%-lir #GTE-STA.31-32 c:)STA 52•24 0NLy. I STANDARD UTILITY rT• INC-14 TYPICAL SECTION - FULL • STANDARD UTILITY RUN WITH GTE STANDARD UTILITY RUN UJ/0 GTE SEE DETAIL AT 1_ •T • . NO-TO SCA_E ',o-TO SCA.E STA.20 •00 TO STA STA.26 •50 TO STA . . STA. 51 •15 TO STA STA.55 •55 -0 STA *TYPICAL eo...OPE•2.1 OR AS STAKED • . CONSTRUCTION NOTES . RAU 0 IR-MOVE EXISTING TRESS),Si-ROMA OR IHEDCE(5). - 90' •1 • 0 RP0vE EXISTING LLIATER LINE. , , 4S• 4 , 1 --10v.S OR PLUG ANC ABANDON EXISTING CONCFETE PIPE. 1... I23• •• 5.5' 33: 1' LvARIES CO'AvGJ vARIES 02 Ava.1 4_ vAIRI1 4 REMOVE EXISTING CZNIOITE SIDEWALK AND/OR RAYP.SAWCUT AS FEOUIFED. 1 . ... ... _. ... . . --- I NON-MOANTADL 0 IRT•IDvE EXISTING AC.PAT:RAT/FA ....v.77-ENT, I wASN,.CO.STD.L STANDARD UTILITY TRENCH I (S"EX•1•05,0E)I • 0 RE-IONS Exr5TNG CONCRETE CURS. /5 DETAIL AT LEFT/ ASPNALT CCNO 0 , --10vE EXISTING SIGN AND POST)RETURN TO CT' CF TGARD. • I I ' SURRACE.OAS] 4*COMPACTED I C'...) NEMOvE 9.-xiSTING INLET. 'I'D.' '•K RTE 54.3 C.:7 EDGE I • I '-'•,- TY BOT /C PAvEl--17N-.7 , 0 RELOCATE EXISTING . FEIN . I .'• 4/ P. H A SI ES 1 CONC' TP- , 0 REMOVE EXISTING UTILITY POLE-SY PC-E. 'kg, •'.- ' -2.0%--• CLASS"C"OvERLA1 COOS MIN.-0.17 NO - 0RELOCATE 5Tfl-TT SIGN PROVIDE NEW POST AS INDICATED. COORDINATE 11,11-1 CITY CF TIGARD. ..--40% I T-\ 0 PE...COATE MAILBOX PER um-s. .-INaTow co.Nrr STD.DUG.M-A00. I t‘...60,..11,,-V" ,N7-,•--7,-,,,,,,,17,<-7-*„..._ OS' ;',".• l'',.. -• ••‘‘>. a , ....... . ,...„:.. © RELOCATE Fll HYDRANT-SY TIGARD WATER oisrocr. ).•-• . 0 CONSTRUCT STANDARD FIELD INLET PER WASHINGTON C.O.NTY STD.DU.G.•0-I05. • \••_ \- SASS REMOVE TE/ADAIST EXISTING WATER METER-SY TIGARD 1.:AlYAR DISTIRtoy I 2"CRLS-450 AGGIGATE NOHINAL COIN-P--4). -1 TYPICAL SECTION - OVER. . _ 0 RASE ExISTING mANHOLE TO MATCN NEW GRADE. I LEvELING COARSE ADAST EXISTING INLETrvALVE LID TO MATCH NEW GRADE-45 NECESSARY. STA. 16 •75 TO 5T4 - • STA.24 •15 TO STA ADJUST/VELOCATE EXISTING UTILITY STRUCTURE-CONTRACTOR TO COORDINATE LUITI.UTILITY CO-IPANY. STA.50•50 TO 5' EDPLua ABANDCNis PPE N MANHOLE STA. 53 •15 TO ST 0 LONER EXISTING 71.41440LE TO MAT04 NEW GRADE. STA. 64 •10 TO ST 0 5AwCUT EXISTING CCNCFETE/AC.AND REMOVE AS 5HOLN. • 0,TYPICAL SLOPE•II OR AS STAAB • 0 CONSTRICT STANDARD MANNOLS PER WASHINETON COHNTY STD Dix.•D-10% RIB 0 CONSTRUCT CONCRETE CARE PER WASHINGTON CONY"'STD.DUG.•CS-301. 90' • . . 0 CONSTRUCT CONCRETE-SLIDEuJALK PER WASHINGTON COUNTY STD.DING•08-305. As. . . 8 CONSTRICT CONCRETE DRIVEWAY RAMP PER DETAIL SEE SHEET 20. w•T•ROAT IU10744. 33' • 5.3• 22• pl- . CONTRACTOR TO MATO4 INTO EXISTING DRIVEWAY 5ENUND NEW RAMP WITI-I SIMILAR MATERIAL. r.r VARIES(100 AVG.) VARIES('7 AVG.) ,.. , . • • 0 CONSTRICT CONCRTE.SIDEWALK RAMP PER DETAIL SEE SNI -T 20. • . I I I . .. , 0 CONSTRUCT STANDARD CATCH BASIN PER WASHINGTON COUNTY STD.DU*.•0-100 AND•O-103. STANDARD UTILITY TsNC.4-1 SEE DETAIL Al LEFT . . • . NON-rictstraesz CURIV-ASPWALT COM • • 0 CONSTRICT OvFR_ SIZED CATC14 BASS PER wASNINGTCN COUNTY STD.MG.•DACIO••DAM. • r MASS/CO.wro.pun. apraci,Am . .•• . .4., 1 • \ •co-sou two INTOMIPIEI 4*CCP". -0-.....--... ..---._ ----- CITY OF TIGARD RECEIPT II >< : 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 195200 - 03/12/2014 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID R0W2014-00024 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 014820 AKOWACZ 03/12/2014 $300.00 Payor: Linda Miller Total Payments: $300.00 Balance Due: $0.00 Page 1 of 1