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ROW2014-00031 CITY OF TIGARD RIGHT OF WAY PERMIT I COMMUNITY DEVELOPMENT Permit#: ROW2014-00031 Date Issued: 04/14/2014 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: SEG923 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: Geo Pacific Project Description: Located on SW Street at 135th Ave and between SW 116th Ave and SW Tiedman Ave. SEG 923, 956, 970, 2952, 3048. Owner: FEES Description Date Amount PHONE: Contractor: PHONE: FAX: Applicant: BENJAMIN ANDERSON 14835 SW 72ND AVE PORTLAND, OR 97224 PHONE: 503-598-8445 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: i7 h ap/J Lah u1- Issued By: C,kult, a Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for ROW2014-00031 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 City of Tigard APR 0 9 2014 :lh . " A lication For Work In The RigI r- li Q / ■ � ' pp R ERING A R 1) ROW Permit Property Address/Location(s): SW WNL &Fray* SEq FOR STAFF USE ONLY ovi 5W 136414 41 t$,J 106.4.. S1w (16'i'vviG A.4 Right-of-Way Way C No.: ZO�2�l`i'00031 sw -raw.. , p V *Applicant's Name: C7et ie,iMi h Gi. At ecen t Application Accepted:`�Ir3 By F- Address: 1WB3S SW ,772-"d kvw Application Reviewed:/' '°J By:Akilf City/State: P*r41w.AA/ OR Zip: 9122-4 Application Fee Due: /if Primary Contact: Applicant Notified: Phone: [ 1) S%'l �f_15 Fax: �3) /d Kt' 9Z81t Receipt No.: Email: f vagys ; 4L Own.C.O%% REQUIRED SUBMITTAL ^^ r INFORMATION Contractor's Name: .P4 ,/ t� .,.. 2.le• • Application form,completed and signed • Submit one(1)copy of scaled sketch of CCB# 171 u 35 Expiration: the proposed work to be done Address: 17.0YA OW New R044, • Submit one(1)copy of traffic control City/State: Cesdi6 ("OAK., Olk Zip: 97114 plan Phone: (Senj I Fax:C§Q�397-O23 � 3 �r �a Professional Engineered Plans are required Email: GsYN'i ✓g J•CJl � for: �" III��� • Street Widening 1/v Plans By: A ( C)4L • Subdivision Infrastructure 9 7 SW Qt. • Main utility line extension Address: ✓u.GS stall S 300 Deliver application to or to Ciry/titatc: er•�a.t.���� Zip: 477.7.5 City of Tigard Planning/Engincering,13125 SW Hall Phone: (SDI) —0144 JS' Fax: (503) 624i OM errn Blvd.Tigard,OR 97223. Email: ■ \k.4wk t4L.co..... Rc..12/10/2013 1:\CURPLN\Masters\land Use pplwat om\Right-of-.ray Pcnon ► Q Application docx L Description of worlc O Aiv► / Core Sft.eles ex;si-:t/�.� AS e .1� eVc.wmv\T Estimated value of work(within the public right-of-way): $ 1`I4- Is work related to a LAND-USE DECISION? YES 0 NO IM If so, please specify(MLP,SDR,SUB,etc.)case#: Is the work related to a BUILDING PERMIT? YES n NO rg If so, please specify(BUILDING PERMIT)case#: Q Signature of Applicant/Permit tee: w/I Date: Print Name: kJGvt wt:t., G.Ava` )oi Title: '51i^e e-- City of Tigard I 13125 SW Hall Blvd.,Tigard,OR 97223 I 503-718-2464 I www.tigard-or.gov I - ; r WAS H I N G TON COUNTY, OREGON �ROfff `'hw Rte Jj 1 4 maws DEPARTMENT OF LAND USE AND TRANSPORTATION � ° INDEX OF SHEETS PUNS TOR PROPOSED PROJECT SUSJECT 1122.El Isamu I oeror c,o„ f icy is. 0� 1 1 TRlE9lEf ;�< M412.iKA•51 2 1112160251122112 3sm.raiM _---� E%PARES:12/31/2013 I 1k2 TUYDUf °O/Go MKT GRADING, DRAINAGE, STRUCTURES, PAVING, & SIGNING — ° a . 4u SW WALNUT STREET -' SW 116TH AVENUE TO SW TIEDEMAN AVENUE ' '� �' :i111`6 a= , ,, AND 135TH AVENUE INTERSECTION _ �,x, ;! a " Mtnsto loloWlORS92°4PPahe°°'m'+•roumw WASHINGTON COON IY 1 i Aurak e.Writ an.kdd•sway aevargwbasinAnnaba '°'ika r°r'°"°"`W ON&noakaMlnradkilImam XXXX 2014 • _w Pinot IW Nam mMrO'+rl'/71wrWW�bW '∎ 5 owe UV'aI Niect-MtUM S ., --ATTENTON } thaw n*Its 10p`"""'"'a"""` BEGINNING OF PROJECT BEGINNING OF PROJECT g AOI Ogpon try WolksMw Green. 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"C"26+00 SEE SHEET 6A * H SW Walnut Street SW 1161h Avers a-S W Twden an Avenge end SW 135th Intersection Yd\4•WOTON CdMY CONSTRUCTION PLAN STA."C"20+50 TO STA."C"28+00 PLOT STAMP:C3R4/14 I.SIP CAD:v633-^-0•.m SW; PAT,ro.."n-a1011. .�y NQ P01110141; DEPARTMENT OF I USE} 6 TRANSPORTATION 7 ENGINEER'NG 8 CCNSTRUCTION SER■CES Igor WHP ifi �\ •_`•v ~tip ! ` \ x ,s .\ \, ,,,,t4;4.:',.) 0. 6 3 4.n) I I.4 i , , , .. , \ ,1/4„ ,..„ i I \... , , . \,. 7.4 4. 6.\s::, \ ‘ \ \\ \ .././..\\ \ 1, '1,. \f \ • 4■1• A• \ 1r ..)? -15. \ t ' '..:,,,1 ... \ \ \ .1 , l�� i \ \\r ti• \� t f_-.L I f e • -Tr2. / - , `, `'I' ' if -------------,„1,,,,,,/ i ,.' #1... ..,2_ .p.,...,-. 1:1'..,, / '\ j /.. ^ + .• ' L j / `�<<• ..,,,, / , 1 y z xn' \ / ..,N :; \ 6. E. 441 tO SW Walnut Street -PIM.STAMP:WM.i COP Wa. DEPARTMENT °•O^'c N '1,t^, SW SW 116th Avrnu.SWTIWr,un Awn u• GCoicnc Prof tf q I cn ] 1 TRANSPORTATION 1 : u I,7 fjf ( and SW 135th InOUNTn Mtn �H. C7 aT 7 vaeMwaTOri couNn ENGINEERING 6 '7� —i D q ° NO. .4014/0N3 CONSTRUCTION SERVICES ° • a 1 �Sy R 6 p CONSTRUCTION PLAN - w�r Q C �,k •Vti• p �1 J a it SIN Ashbury Le_ g� a Zit" Or CO I-Inter Vice . Boring Location Map(page 1 of 4) c SW Eeinng;n z'40 ci 3. c R co SW Nominq-tilt U7 d 04 Fa(p� -- gym Ot V SW Katherine St A Tarr nor ro scar g 5W.Katherine Si - SW KsIheine St A 4 4 0 sW.Lynn St c SW Walnut St Q ii ta of ../� ' mom'/_Kane►,^� svrArwc.31 _ -- vbeo �„ - m •• - 4• $1 SW.vlarcia Dr z J•dt NM W y�fi Sw��r4tt►VtSt �mn �. N S P 3W Walnut tan z a t� S Itgard 4 'Si - w - 1M EI Jeff Devi, C - -. _— __ SW Canaan S -- Flagging Inc ''''�- 7617 SE Pardee Sl - iro - — SW-1=mner- , 1 Paniand OR 97202 T %l(583)232-208 '3 - Fax:(303)134-4572 Celt(503)793-6/33 __ SW Alberta-SI left 1-h loggingcom l Contractor:GeoPaeific Engineering _ _ a • Confect Perron:Ben Anderson Phone:(503)5984445 -,ys�tt D <Ya EwrnL ba„Iorew�ogr,c�ice,.g.e n. ��� ..4 S$ .�mES St- ---L----- y !rib S do SW Walnut&A 135th Arr V .�`C Type$Work N.,/gs �' fly . . D AV uration:Pending Tuwc Pending Dos:Pending ` Sr SW hiari3n"St _ - - m o` �� LEGEND SW C) lir A. m Apd 1,1024 D�cBPLrW#4421 e 8 Q • soffit tweadea sY- I SW Hollow ��,Ii-: R h-_ _y N F. yid a�� , 51l o 3 sw QUBil f rm+. .. ' Gj z _ s Z Stationary Lane Closure with Flagging Typical-Page 2 of 4 �.•ek Limit. ,e *Use this plan for Borings B-12 through B-16(see map,page one) •%inab a0 Ade strati per MOiC%. 'no•Jq rr week in eryeaiee Ira • 'MiaY W_Wm..Ire old*.A does 'Car asaeimr 70'nit 'AI}st a hM nea.feu PLAN NOT TO SCALE 'A8 rase eminifW Mine to arrest macs p au. • 4 • i, IM'*— f► 1 S± 3S Hitt M sw%Want St asst �[,� a sw wirer s< eb `• d • y K 100.-± K 190.± K 1141:� 4 1 i 4y, D&H Jeff Davit Flagging Inc. '"'—"""'."' 1621 SE Pardee Sr Ronlald OR 97202 Off(503)232-2488 Far:(503)234-4572 Cell:(503)793-6133 Je'lfa:d'hflaSS'n8.com Contractor:Ge.Fecifsse Engraeering Compel Person:Ben Anderson "owe:(583)598.8445 Email:banlosor eoperefietwj cone LEGEND Jab Location:SW Waime St 8<135th Ave Tigard Type of Work:Borings Y IV s a"Signs re/Flags Duration:Pending ri Cwa Tyre:Amelia: Based on Diagram 320 -- Date:Peeling Stationary Lane Closure trite Wagging ll'*n+ itsaer December 2011 OTTCH,P.8485 April 2,2014 D&H PLAN#4426-2 • taring Location Center Turn Lane Closure-Page 3 of 4 Speed Lir".MEW AllaintWi W..rear trevitr to as tires • • wetter 2Y rm. Adler•W airiWaa I I Are ranktwirl Walt arae astral MMES widener. PTAs NOT TO SCALE 8 3 n .•Tim' sNNti.rt Bt J ,+/ mot. // • d •:ar �. . .1C 1 di tw.Ir roan am i u<uo TLS LaNK p\ n nags 4 1 lir 3W teas St D&H Jeff Dovir Maims Inc. -w•..."''''....'" 1621 SE Pardee St Portkmd,OR 97202 Of:(503)232-2488 Fax:(503)234-4572 Cell(5033)793-6133 1 fi d�-RJlogaing.COa a Contractor:GeoPacJie Engineering ; 1 Arisen Contact Person:Ban 3 Pbowc(583)5984445 ; Enae:bandeerelea repncificoagcyor r Job Lagoa'SW Walnut St E I351b Ave Tiered Type of Work Borings LEGEND Dresden:PewGwa Time:Pending Y te.:IS.Saw./A•p ' Date:fretting Lacati April 2,2014 Dell!PLAN#4426-3 • Bering a • Right Turn Lane Closure-Page 4 of 4 a .r Swag vta•p 3 ALktdaW n imi.w•l.m.iru at dem • t.'ssparit xa'=as i d4 A4j••W IWl e.iflb.a All traffic control AA,Anne to ea•e.at S r CD 01/diae. PLAN NOT TO SCALE P SW Wat St / ` � r 7 </I C di li liells'N'41&:51 w •� 1 It sA \\I b R SW Ikabl.St Hate J.pD.«;e p______: ma=gn hoc. -w..--..r rr: 1671 SE Pardce St lir Portdom(OR 97701 Off.(503)232-2488 Fm:(503)734-4577 Cella(503)793-6133 AB? -k11.88+.8 m C.ntrector:GeeP.cffic Engineering 4 Confect Perron:Ben An6.sen d I Phone:(503)598-8445 Email:b.lde7.n@geep.cificeng.ran• J.8 Leewia•:SW Walnut Si A IBA Are rB LEGEND Type of Wee*Boeings Dnreii.w:Pending linen-Pending D. Pending Y aa Sips wl n.p • 11-t•.e Apri17,2014 DAB PLA #4426-4 • o.lg Leman I