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ROW2014-00070 'i a CITY OF TIGARD RIGHT OF WAY PERMIT = COMMUNITY DEVELOPMENT Permit#: ROW2014-00070 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 07/08/2014 Parcel: SEG1128 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: PGE Project Description: Adjacent to Pacific Highway between SW McKenzie Street and SW Johnson Street. Replace three existing wood poles due to age.Work will require the closure of the north most lane of SW Pacific Highway. The ODOT permit requires night work,as such we'd like the city to allow for night work as well. SEG 1128, 1129. Owner: FEES Description Date Amount ROW Permit Fee 07/07/2014 $300.00 PHONE: Contractor: PHONE: FAX: Applicant: MATT GORDANIER 3700 SE 17TH AVENUE PORTLAND, OR 97202 PHONE: 503-736-5724 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: a Si Ol y I ..I' 1 Issued By: 1 ill Mir" y Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for ROW2014-00070 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<name>, at<phone#>or email at<email address>, 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. RECE!V ED City of Tigard JUN 2 3 2014 Ili . _ . A lication For Work In The Righh r ''�'f, Ro pP ul:vEERfNG TIGARD ROW Permit Property Address/Location(s):SW Pacific Hwy to from the intersection FOR STAFF USE ONLY with SW Johnson St to the Intersection with SW McKenzie St Right-of--Way„ �f�l4-cool O ��11�9i 1 I Z D Case No.: Portland General Electric Application Accepted: I23 By:PCK- * *Applicant's Name: Address:3700 SE 17th Ave Application Reviewed:6'41 By:.l g City/State:Portland, OR Zip:97202 Application Fee Due: /30 Primary Contact: �' ��� Matt Gordanier Applicant Notified-P fsii��la�. I v)V / 2.H u Phone:503-736-5724 Fax: Receipt No.: 14 6 Email:Matt.Gordanier @pgn.com REQUIRED SUBMITTAL 1 INFORMATION ~ ..- ° ` • Application form,completed and signed o Trator's Name: CCB# Expiration: • Submit one (1) copy of scaled sketch of the proposed work to be done Address: • Submit one (1) copy of traffic control City/State: Zip: plan Phone: Fax: - Professional Engineered Plans are required for: • Street Widening Portland General Electric • Subdivision Infrastructure Plans By: • Main utility line extension Address: Deliver application to rowpermitc rtgArd-or.gov or to City/State: Zip: City of Tigard Planning/Engineering,13125 SW Hall Phone: Fax: Blvd.Tigard,OR 97223. Ree.12/10/2013 Email: I:\CURI'I.N\Masters\land Use AppIcannnARigl,c-of-wav l'e,mit Applscation.docs Description of work:Replace three(3)existing wood poles due to age. Work will require the closure of the North most lane of SW Pacific Hwy. The ODOT permit requires night work, as such we'd like the city to allow for night work as well. Estimated value of work(within the public right-of-way): $ Is work related to a LAND-USE DECISION? YES NO El If so, please specify(MLP,SDR,SUB,etc.)case#: Is the work related to a BUILDING PERMIT? YES NO C If so, please specify(BUILDING PERMIT)case#: Signature of Applicant/Petmittee: Aga_ s•�..%�0J/ Date: to 71,et/i L Print Name:Matthew Gordanier Title:Civil Engineer City of Tigard I 13125 SW Hall Blvd.,Tigard,OR 97223 I 503-718-2464 I www.tigard-or.gov A�;ft eiL - )w. I, 01710 r U !III CITY OF TIGARD RECEIPT � . 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 196724 - 07/07/2014 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID R0W2014-00070 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 021746 PUBLICUSERO 07/07/2014 $300.00 Payer: Kathryn Vanderzanden Total Payments: $300.00 Balance Due: $0.00 Page 1 of 1 OVERHEAD LEGEND -KEMUV3^4LJ111I5 IMF INSTALL rACIUTIES OM AVS TALL 40GRIOFNL FAMIES/MODIFY MOMMIES cam 1 we•As p pi.-00038 CONDUCTORS WIACE RO FOIE fzw., ®oo�� x111 f? i1 090 RI IE INSTALL :2T, A,.1%Gr SKGnDARY `. rI. RuaL T.I .RRC-7'j MC s Sa" ©t� iRM4FQ D651M6 on CiUK _ CLASS n a- 4,NL Ma.s) MJ 33 # R 4900 .. 14-44 : ILA'' 0 . IfE1GM fFE 9566 .4-TO 7914E �,. 11007 INSTALL 3-147 W FIODT FRAMING rw•N¢woN I dinw/r..w GO cans move mil) IIS RY/3-795 COI MC 12645 p�1i�EN ,:' OO I SE1000-TEST POLTLMQ RiR1 �i F1001 TRAIISFEF ON SERVICE iffr PL000b TRAPN/G STREET OW it �-)EAMI 71Ar44T.f3TCM AC/0734.w••.RI an / 90R O.9[D FIX! ITS.won Farr.044•0; 1. 1w IY3 KV POI COAUL TO TRANSFER PRAM re4NS..SwaN 1Cg11..rT.Tf•.M q17 t. y FOE 10 IOIYRE 1 MAUL !rM IIfFV.IWV7 00 T60/ABC 75 30599 A • m %MC 41.4334, I(/! - _ __ __. —_, Q frPR UMOE TANi.O it SGLs.WrK POST? 0070 ' + A IS J 090 FMME dsnMUTIOM -LOOM wt•MM 0040 �+ 1. ' (MI O0.DE DM.r WY.POLO ,• 11HI.q: ppe9 �� µ STUB POLE me (•STRIOm D 14rl.PO TMI 0104:it 7 IT: me SLACK Om DE.oM Y l}.PIXY) a5. D10B NNW OHTML ON.aOOm-wa tw 0700 ` f - ' F/ UPI.SIKR SPAN OE OK rl7.IOLTI ROi00a ..E'e _ RE-usE Ar• �� ON GUY �� 1 1 5 y CIS . "'`°/7`* 'SO hum pl.'00038 /^ \ I ln)) S C2*i3 !e eEFMCE b POLE + 141 CO P6T I S : S % s j MGNIT-C3-WAY FEEMrr NOTW.S i ��t. , INSTAOH LL a 720040 — k}r�1 it �ro IDO7 A PTpWT tsar f11C for AraoRTrw a,Ya1.eMD etlatE 4NV 'm�mliW�11�• ',woo EMr�//EE�iE EK3V COMPACTORS A.COM•4L Op WHO AMOY OMt FTCYI 1 OUR 1.. `I•• # V 4GI(A.MS WITH PC!ml.FT A4CrED 140 wdm UMW TOM MM. 3 Cln. ��mi�SLrL. .. • R••. 1 TRANSFER STREET Lp1/i • T.CONTS L O•.W7 LWiOT THE LOCAL NtlaClgN u LIMY 1 OWN =E N. EtroM WONT•TO YaFT•COPT ON rte n1rwT AIM r OM m. F POE OWNED FOLf __.. . T0?FOP COMM 10 MIUN713A Ga . Or 1'GE 10 LOWTFR 1 rwA �1m •--T-�a , f 7L-D004[ glimmo- gi ll,SI I•E.ARE 00 POLE �e 04 ) ,0‘.... = 7 �. Jr ai nar. Ca�7=� aIr i` 1-111LANSFEO EXISTING OM GUY •=111=1- '4t' QY 4,tF,�- -.4 L0501O— J*y 6` _ 'IMSTALL 2-442 GO Fl007(BUM FfP- r TRANSFER STREET SEMCE := i_ �� \ `IE'/ TRANSRR STREET UOIfT T4GE OWNED PIXF e_ ` COP FOR COMM t0 T•Jwif/H PGE LS55-FIB VICINITY MAP_ TOP 30 SOWER R 1 1111MEMMI AS-BUILT VERIFICATION& NESC VIOLATIONS CORRECTED 141.4.r.,..4444A•4.0.94.44 MD C..4464. Far•m•P: 01n. Oro&Footmen: CONTACT GENERAL PORpAME Dats' 4004 COTATFT e.NCTOS 7 TO M WTaoD DM MOO Nortek.eM7 required ler Reif RTTsSMmon Marlon.) ro ErrAv no..Lon.*IenCe0 S 000IINIMP INTO•TO Moo, sDPrENG REVIEW: JASMMU M DESIGNER NNT 4.741 w.e u•a r••epe.MN•NT.OIIIIISd . I.34.200 ac.E [MO P.n..:11770001 1....0000021337 r nO 0.3007E O•••IMAM COMMIT rw_I 1170500 Y101•••01■11•404110 •g4O.31.30.•N \ V0SNSMSOON MPW4WCT-Sf1ENMODD-w 3003ANO 11SM ElAIII MARE/001!MI A•NTDY ShNMVOD-w PORTLAND•7334 MOO 44M OM50141•ear 1K.AEO 11130 10[w 177022 CALL an WON Lou Ore .,PG M•WD OsroOr Law IMO 105 ro TOIaON ORB 400Fw MT MRS SW PACIK SF01 n De DamF earn MOMIA004I CBT171 `. mono. THROWN 0 4 LIE AI SR TOEN Y DAR Ylaaaae '• Pat EBLACEMI0 19 4NAIF1.row.UT CYA•T oafs or i • MM, TTE TYM•T GWNTD M OTeocr Mr/ i' wI«crw �.ar... , PTOMIG 7IOM MILS.uM1sAMnM i 0109 su-le.n a,, ,a, IN•O uausl ur„,.Ora■u CALL in 00. °i' slaT ....Pox r UT CAIOA<OUR F.A: Rw 104 YRI•er. 4r•.•r.i MATT OMOIpMRE• 4EFEWP f DSS ORM 7 KILN!SS 044T MOP TO TfG44VOTT Ca R.T.n A••F 0 Malmo own.SICK to.-ALL•HO WM I4be1t'_vteeeLQ r-z.3--2"4 1-23-2ctu PERMIT NUMBER Orcwon Oaparlmsnl of Transportation APPLICATION AND PERMIT TO OCCUPY OR 7r. PERFORM OPERATIONS UPON A STATE HIGHWAY � '� See Oregon Administrative Rule, Chapter 734, Division 55 CLASS: KEYS GENERAL LOCATION PURPOSE OF APPLICATION (TO CONSTRUCT/OPERATE/MAINTAIN) HIGHWAY NAME AND ROUTE NUMBER POLE TYPE MIN.VERT.CLEARANCE OR-99W/1W(91)/Pacific Highway West LX1 LINE Electrical HIGHWAY NUMBER COUNTY BURIED TYPE 1W(91) Washington i I CABLE BETWEEN OR NEAR LANDMARKS PIPE TYPE From OR-99W& SW McKenzie east to OR-99W&SW Johnson L1 LINE HWY. REFERENCE MAP DESIGNATED FREEWAY IN U.S. FOREST FEE AMOUNT Straight Line T1 YES X NO I YES X NO I NO COMMERCIAL APPLICANT NAME AND ADDRESS —1 MISCELLANEOUS OPERATIONS AND/OR FACILITIES AS DESCRIBED BELOW PGE -Attn: Jennifer Eaquinto FOR ODOT USE ONLY 121 SW Salmon Street, 1 WTC0401 BOND REQUIRED REFERENCE: AMOUNT OF B ND 0u Portland, OR 97204 (><I YES I I I NO 035121 OAR 734-55 100 WMS#: 650078- Engineer: Matt Gordanier- Map#: C21-02B INSURANCE REQUIRED REFERENCE: SPECIFIED COMP. DATE OAR 734-55 i�roync,�o YES NO 03511) .., '-1L'1 DETAIL LOCATION OF FACILITY(For more space attach additional sheets) MILE MILE ENGINEERS ENGINEERS SIDE OF HWY OR DISTANCE FROM BURIED CABLE OR PIPE SPAN POINT TO POINT STATION TO STATION ANGLE OFCROSSING CENTER OF PVMT R/W LINE DEPTH/VERT. SIZE AND KIND LENGTH 9.56 9.46 L(wb lane) Poles are in sidewalk DESCRIPTION AND LOCATION OF NON-COMMERCIAL SIGNS OR MISCELLANEOUS OPERATIONS FACILITIES NIGHT L./O,/( PGE to replace 3 transmission poles with distribution under build, per attached job sketch. r f t, of — S�� in SPECIAL PROVISIONS(FOR MORE SPACE ATTACH ADDITIONAL SHEETS) TRAFFIC CONTROL REQUIRED -OPEN CUTTING OF PAVED OR SURFACED AREAS ALLOWED? • [XI YES[OAR 734-55-025(611 NO • YES[OAR 734-55-100(2] Ix] NO (OAR 734-55-100(1) • AT LEAST 48 HOURS BEFORE BEGINNING WORK,THE APPLICANT OR IS ONTRACJOR SHALL NOTIFY THE DISTRICT REPRESENTATIVE AT TELEPHONE NUMBER: rl I( (0 3 (D 00 OR FAX A COPY OF THIS PAGE TO THE DISTRIC OFFICE AT: S0) 5'3 S(c 5 J SPECIFY TIME AND DATE IN THE SPACE BELOW. o A COPY OF THIS PERMIT AND ALL ATTACHMENTS SHALL BE AVAILABLE AT THE WORK AREA DURING CONSTRUCTION. O ATTENTION: Oregon Law requires you to follow rules adopted by the Oregon Utility Notification Center.Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090.You may obtain copies of the rules by calling the center at 15031 232.1987. CALL BEFORE YOU DIG 1-800-332-2344 COMMENTS - ODOT USE ONLY 1.Work will comply with permit,attached provisions(5pg.),and approved plans to satisfaction of District Manager cr representative. 2.Work not in compliance shell be removed,repaired to meet ODOT standards,approval by District Manager or representative. 3.Applicant shall call 503-969-1035 for any electrical locates within ODOTs right of way prior to starting any work. 4.A preconstruction conference is required before starting work.Please call 503-229-5002 to arrange for a meeting. IF THE PROPOSED APPLICATION WILL AFFECT THE LOCAL GOVERNMENT,THE APPLICANT SHALL ACQUIRE THE LOCAL GOVERNMENT OFFICIAL'S SIGNATURE BEFORE ACQUIRING THE DISTRICT MANAGER'S SIGNATURE. LOCAL GOVERNMENT OFFICIAL SIGNATURE TITLE DATE X APP N •F,RE APPLICATION DATE TITLE TELEPHONE NO. � 1/4/2013 Supervisor, Property Services 503.464.8125 he is applicati.n 1-'approvedby-the Department,the applicant is subject to,accepts and DISTRIC MANAGER OR R PRE ENTATIVE APPROVAL DATE —Rules,Chapter the terms Division provisions contained hiby and attached:and the terms of this er Administrative '�`'a� Rules,Chapter 731,Division 55,which is by this reference made a part of this permit. X %//i�.'v]//tom — 7-/3 734-3457(2-06) J CA1y 7reparfnment GENERAL PROVISIONS FOR POLELINE, PIPELINE, BURIED CABLE, ansportation AND MISCELLANEOUS PERMITS Revised May 2010 APPLICANT: PORTLAND GENERAL ELECTRIC HIGHWAY: OR-99W(91) MP: 9.56-9.46 All checked(CI) provisions apply. WORKSITE ❑ 1. Permittee must call for utility locates before digging ("Call Before You Dig!" 1-800-332-2344) per Oregon Administrative Rules(Chapter 952, Division 1). You may be held liable for damages. Premarking of excavation areas is required. El 2. Permittee shall have a copy of this permit and all attachments at the work site. They shall be available to the District Manager or representative at their request. ❑ 3. Permittee shall acknowledge, in writing, receipt and review of Oregon Administrative Rules(Chapter 734, Division 55) governing miscellaneous facilities and operations on the highway right of way as the governing provisions of permit or agreement. Copies of this ruie may be obtained from any district maintenance office. ❑ 4. Permittee shall review the Oregon Administrative Rules (Chapter 734 Division 55) governing miscellaneous facilities and operations on the highway right of way as the governing provisions of this permit or agreement. Web site: http://arcweb.sos.state.or.us/rules/OARS 700/OAR 734/734 055.html. ❑ 5. Access control fence must be maintained during construction and restored to its original or better condition after construction is complete. El 6. The permittee shall not use state highway right of way to display advertising signs or merchandise of any kind. ❑ 7. The stopping and parking of vehicles upon state highway right of way for the maintenance of adjoining property or in furtherance of any business transaction or commercial establishment is strictly prohibited. ❑ 8. All grass and small brush within the work area shall be rotary or flail mowed to ground level prior to the beginning of work to facilitate clean up. ❑ 9 Disturbed areas shall be reseeded with grass native to the area in an appropriate seeding time. ❑ 10. The spreading of mud or debris upon any state highway is strictly prohibited and violation shall be cause for immediate cancellation of the permit. Clean up shall be at the applicant's expense. The highway shall be cleaned of all dirt and debris at the end of each work day, or more frequently if so determined by the District Manager or representative. ❑ 11. Permittee shall replace any landscape vegetation or fences that are destroyed.Any damage that is not fully recovered within 30 days(weather permitting) shall be replaced by ODOT at the expense of the permittee. A "plant establishment"shall be understood to be part of the planting work to assure satisfactory growth of planted materials. The plant establishment period will begin when the original planting and all landscape construction has been completed and approved. The length of the establishment period will be one calendar year or as defined in the permit Special Provisions. El 12: Permittee shall install and maintain landscaped area as shown on the attached drawings. Planting shall be limited to low-growing shrubs, grass or flowers that do not attain sufficient height to obstruct clear vision in .any direction. The Oregon Department of Transportation (ODOT)shall have the right to remove said landscaping at any time such removal may appear to be in the public interest, without liability or loss, injury, of damage or any nature whatsoever. 734-3457(5/10) General Provisions Page 1 of 4 TRAFFIC ❑ 13. During construction or maintenance,the work area shall be protected in accordance with the current Manual on Uniform Traffic Control Devices, (MUTCD), Federal Highway Administration, U.S. Department of Transportation, and the Oregon Department of Transportation supplements thereto. Flaggers must have a card or certificate indicating their completion of an approved work zone traffic control course. All traffic control devices shall be maintained according to the American Traffic Safety Services Association (ATSSA), Quality Standards for Work Zone Traffic Control Devices handbook. ❑ 14. Permittee shall provide a detailed traffic control plan for each phase of the work, showing signs and cones. Plans shall be reviewed by Oregon Department of Transportation in advance of construction or maintenance. ❑ 15. All damaged or removed highway signs shall be replaced by the permittee. Installation shall be according to MUTCD standards or ODOT specifications, and shall be completed as soon as possible but no later than the end of the work shift. ❑ 16. No lane restrictions are permitted on the roadway during the hours of darkness, on weekends, or between 6:00 AM and 9:00 AM, or 3:00 PM and 6:00 PM (Monday through Friday)without prior approval by ODOT. ❑ 17, Hours of work shall be DRAINAGE ❑ 18. On-site storm drainage shall be controlled within the permitted property. No blind connections to existing state facilities are allowed. ❑ 19. Excavation shall not be done on ditch slopes. Trench excavation shall either be at ditch bottom or outside ditch area. (Minimum depth at bottom of ditch shall be 36 inches; minimum depth outside of ditch shall be 42 inches). ❑ 20. Only earth or rock shall be used as fill material and shall slope so as not to change or adversely affect existing drainage. Fine grade and seed the finished fill with native grasses to prevent erosion. ❑ 21. A storm drainage study stamped by an Oregon Registered Professional Engineer(PE) is required. The study must meet standards of the National Pollution Discharge Elimination Systems(NPDES)when any of the following conditions apply: • Whenever a four inch pipe is inadequate to serve the developed area, • development site is one acre or larger in size and directly or indirectly affects state facilities, • or as directed by the District Manager or representative. ❑ 22. Perrnittee shall provide on-site retention for storm water runoff that exceeds that of the undeveloped site. '❑ 23. All water discharged to an ODOT drainage system must be treated prior to discharge. All requests for connection to an ODOT storm system must meet any requirements of the National Pollutant Discharge Elimination System (NPDES). This may include local jurisdiction approval of on-site water quality treatment facilities and/or development of an operation and maintenance plan for any on-site water quality treatment facility, as determined by local jurisdiction. EXCAVATION /CONSTRUCTION ❑ 24. The following ODOT documents and any supplements and subsequent revisions thereto, where applicable and not otherwise superseded by the permit language herein, but only to the extent that they provide standards and performance requirements for work to be performed under the permit, shall be incorporated for use in the permit: "Oregon Standard Specifications for Construction(2008)". ODOT shall have authority over acceptance of all materials and workmanship performed under this permit as stated in Section 00150.00 of the"Oregon Standard Specifications for Construction (2008)." For additional Supplemental and Special Provisions please refer to: http://www.oreoon.gov/ODOT/HWY/SPECS/standard soecifications.shtml Standard Specification books are available on this site. ❑ 25. Open cutting of pavement is allowed in areas specifically approved by District Manager or representative. ❑ 26. Trench backfill shall be according to the attached typical drawing, marked as Exhibit A. 734-3457(5/10) General Provisions Page 2 of 4 ❑ 27. Open cutting of the highway is allowed with construction in accordance with OAR 734-55-0100.All excavation in paved areas shall be backfilied and the roadway surface patched before the end of each shift. In special cases where steel plates are allowed, said plates shall be pinned and a temporary cold patch applied to the edges.The permittee shall be fully responsible for monitoring and maintenance of temporary patching and steel plating. ❑ 28. Compaction tests shall be required for each open cut per Oregon Standard Specification for Construction. Compaction tests shall be conducted once for every 300 lineal feet per lift of continuous trench according to the Manual of Field Test Procedures(MFTP), published by ODOT. Percent Compaction shall be 95%.At the discretion of the District Manager or representative, results of compaction test shall be provided to District. Manager or representative at applicants'expense. ❑ 29. Control Density Fill (CDF)shall be used as surface backfill material in place of crushed rock in open trenches that impact the travel portions of the highway. A'/."-0, or 1"-0 rock will be used for the aggregate. The amount of cement used shall not exceed 3.0%of the total mixture's weight. Maximum compressed strengths must not exceed 250 pounds per square inch (psi). ❑ 30. Surface restoration shall_be a minimum of eight inches of hot asphalt-concrete(AC), compacted in two inch lifts, or match existing pavement depth, whichever is greater. Sand-seal all edges and joints. ❑ 31. All aggregate shalt conform to Oregon Standard Specification for Construction, Section 02630- Base Aggregate. ❑ 32. Any area of cut or damaged asphalt shall be restored in accordance with the included attachment"T-Cut Typical Section"drawing. For a period of two years following the patching of paved surface, permittee shall be responsible for the condition of permittee's pavement patches, and during that two year period shall repair to District Manager or representative satisfaction any of the patches which become settled, cracked, broken, or otherwise faulty. ❑ 33. An overlay to seal an open-cut area shall be completed prior to the end of the construction season, or when minimum temperature allows per"Oregon Standard Specification for Construction (2008)"and any subsequent revisions thereto. Typical overlay shall be 1.5 inches deep and cover the affected area from edge of pavement to edge of pavement, and taper longitudinally at a fifty feet to one inch(50' : 1") ratio. Taper may be adjusted by.the District Manager as required. For a period of two years following this patching of the surface, the permittee shall be responsible for the condition of said pavement patches, and during that time shall repair to the District Manager or representative's satisfaction any of the patches which become settled, cracked, broken or otherwise faulty. ❑ 34. Highway crossings shall be bored or jacked. Bore pits shall be located behind ditch line or in areas satisfactory to the District Manager or representative. Unattended pits shall either be protected by a six-foot fence, backfilled, or steel plated and pinned. . FA 35. Permittee shall install a"tracer wire"or other similar conductive marking tape or device, if installing any non- . conductive, unlocatable underground facility, in order to comply with Oregon Utilities Coordination Council (OUCC), per OAR 952-01-0070 (6). ❑ 36. Trench backfill outside of ditch line or in approved areas can be native soil compacted at optimum moisture in twelve inch layers to 90%or greater of the maximum density. ❑ 37. Native material that is found to be unsatisfactory for compaction shall be disposed of off the project and granular backfill used. ❑ 38. Trench backfill in rock slope or shoulder shall be crushed 1"-0 or'/."-0 size rock compacted at optimum moisture in eight-inch layers. Compaction tests shall be conducted according to the Manual of Field Test Procedures(MFTP), published by ODOT. Percent compaction shall be 95%. At the discretion of the District Manager or representative, results of compaction tests shall be provided to District Manager or representative at applicant's expense. ❑ 39. Where excavation is on fill slope steeper than a two to one (2:1) ratio, slope protection shall be provided using four-inch size rock laid evenly to a minimum depth of twelve inches. . ❑ 40. No more than 300 feet of trench longitudinally along the highway shall be left open at any one time and no trench shall be left in an open condition overnight. ❑ 41. Areas of disturbed cut and fill slopes shall be restored to a condition suitable to the District Manager or representative. Areas of erosion to be inlaid with an acceptable riprap material. • 734-3457(5/10) General Provisions Page 3 of 4 ❑.: 42. All underground utilities shall be installed with three-foot or more of horizontal clearance from existing or contract plans guardrail posts and attachments. All non-metallic water, sanitary and storm sewer pipe shall have an electrically conductive insulated Number 12-gauge copper tracer wire the full length of the installed pipe using blue wire for water and green for storm and sanitary sewer piping. ❑ 43. Any area of cut or damaged concrete shall be restored in accordance with the attached Typical Section-Pipe Section under sidewalk. ❑ 44. Utility markers and pedestals shall be placed as near the highway right-of-way line as practical. In no case shall pedestals and line markers be located within the highway maintenance area. ❑ 45. No cable plowing is allowed within the lateral support of the highway asphalt(i.e. at six feet lower than the edge of the asphalt, no plowing within nine feet of the edge of the asphalt). ❑ 46. Review by ODOT Bridge Engineers is required for all proposed bridge and structure attachments and for utility or any facilities to be installed within sixteen feet of bridge foundations, supports, walls or related, or within the influence zone of bridge facilities. MISCELLANEOUS ❑ 47. Permittee shall be responsible and liable for(1) investigating presence/absence of any legally protected or regulated environmental resource(s)in the action area; (2) determining any and all restrictions or requirements that relate to the proposed actions, and complying with such, including but not limited to those relating to hazardous material(s), water quality constraints, wetlands, archeological or historic resources(s) state and federal threatened or endangered species, etc., (3)complying with all federal, state, and local laws, and obtaining all required and necessary permits and approvals. ❑ 48. If the permittee impacts a legally protected/regulated resource, permittee shall be responsible for all costs associated with such impact, including, but not limited to all costs of mitigation and rehabilitation, and shall indemnify, and hold ODOT harmless for such impacts and be responsible and liable to ODOT for any associated costs or claims that ODOT may have. ❑ 49. Plans are approved by ODOT in general only and do not relieve the permittee from completing construction improvements in a manner satisfactory to ODOT. The District Manager or representative may require field changes. When revisions are made in the field, permittee is responsible to provide"as built"drawings, within 60 days from completion of highway improvements, and shall submit them to the District Office issuing the permit. ❑ 50. Permittee shall be responsible for locating and preserving all existing survey monumentation within the work area in accordance with ORS 209.150 and/or 209.155. If monumentation or its accessories are inadvertently or otherwise disturbed or destroyed, applicant shall be responsible for all costs and coordination associated with it's reestablishment by a professional licensed surveyor. By this signature applicant accepts all checked(e1) provisions (4 pages). ri6Applicant signat ; J119 Date: On � /h Pr • 734-3457(5/10) General Provisions Page 4 of 4