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PFI2015-00168 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT ff S) COMMUNITY DEVELOPMENT Permit#: PF12015-00168 13125 SW Hall Blvd,Tigard OR 97223 503 718.2421 Date Issued: 11/17/2015so Parcel: SEG 3035 Jurisdiction: Tigard Site address: 16101 72 Subdivision: Lot: Project: Comcast PFI on Upper Boones Ferry Project Description: Overlash to existing aerial facilities and push/pull through existing underground facilities in the City of Tigard ROW Owner: FEES Description Date Amount PHONE Contractor: TEXAS ENTERPRISE 14122 ARNDT RD AURORA, OR 97002 PHONE 503-793-3109 FAX Applicant: SCOTT SARBER 11308 SW 68TH PARKWAY TIGARD,OR 97223 PHONE: 503-596-3819 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: Issued By: Special Conditions(See Attached) Note-THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12015-00168 Type: Condition Name: Status: Severity: PFI_Utilities 01 -WORK SITE REQUIREMENTS Applied Notice Applicant must comply with all applicable provisions of federal and state law, the Tigard Municipal Code, and the terms of any agreement with the City of Tigard regarding work to be done pursuant to this permit PFI_Utilities 02-WORK SITE AREA Applied Notice The work area and approach roads shall be maintained in a clean condition,free from obstructions and hazards. 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 clean-up and suspension of work to accomplish clean-up PFI_Utilities 03-WORK SITE EROSION CONTROL Applied Notice Prior to starting work, effective and approved erosion control devices must be installed and maintained meeting the Clean Water Services and DEQ requirements. The City may at any time order corrective action and suspension of work to accomplish effective erosion control. PFI_Utilities 04-WORK SITE REPAIRS Applied Notice Disturbed landscaped areas shall be restored or replaced Existing signs, pavement markings, mailboxes, etc shall be reinstalled or replaced,with like kind of material Obtain City approval of restoration work. PFI_Utilities 05-TRAFFIC CONTROL SPECIFICATIONS Applied Notice Applicant shall provide traffic control according to the current edition of the"Manual on Uniform Traffic Control Devices [MUTCD]for Streets and Highways", U S. Dept. of Transportation, FHWA, current edition,American Traffic Safety Services Association[ATSSA], and Oregon Temporary Traffic Control Handbook[OTT'CH]. PFI_Utilities 06-TRAFFIC CONTROL PLAN Applied Notice Submit a job specific traffic control plan. A copy of the approved traffic control plan shall be readily available at the work area.Traffic control devices, flag persons,etc, shall be in place prior to initiation of construction work and shall be effectively maintained PFI_Utilities 07-TRAFFIC CONTROL ROAD CLOSURE Applied Notice Public roadway shall not be closed to traffic, at any time,without obtaining written approval from the City Engineer The applicant is responsible to provide 48 hour advance notice of traffic flow disruptions to affected businesses, residents and area wide Emergency Services. 503-629-0111 (Tigard Police Dept.,Tualatin Fire&Rescue)and to 503-962-8140(Tri-Met) and 503-431-2345(Tigard School District)and other service providers impacted by such closure PFI_Utilities 08-TRAFFIC CONTROL PROPERTY ACCESS Applied Notice Access to existing properties shall be maintained at all times, including normal delivery service and mail service. Obtain City approval of any access closures PFI_Utilities 09-TRAFFIC CONTROL WORK HOURS Applied Notice Work is permitted in daylight between the hours of 7.00 a m to 7:00 p m Mon-Fri unless otherwise authorized by the City PFI_Utilities 10-TRAFFIC CONTROL LIMITED WORK HOURS Applied Notice Hours of construction work on collector and arterial roads will be limited to 9 00 a m to 3:00 p m unless authorized by the City Engineer. Work will not be permitted on collector and arterial roads between 3 00 p.m to 9-00 a m unless authorized by the City Engineer PFI_Utilities 11 -TRAFFIC CONTROL MODIFICATION Applied Notice The City reserves the right to add to or modify traffic control requirements as necessary to effectively control traffic and to assure public safety PFI_Utilities 12-UTILITY NOTIFICATION Applied Notice Oregon law requires following the rules adopted by the Oregon Utility Notification Center Said rules are set forth in OAR 952-001-0100 through OAR 952-001-0080 Copies of said rules may be obtained from the Center by calling 503-246-1987 If you have any question about the rules, contact the Center. NOTE: Damage to utilities shall be corrected at the permit holder's expense. PFI_Utilities 13-UTILITY LOCATION CONFLICT Applied Notice Applicant 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 applicant's expense Changes must be approved by the City in advance of work Applicant shall coordinate the work with affected utility agencies. PFI Utilities 14-TEMPORARY PATCH Applied Notice A temporary hard-surface patch shall be placed on trenches within roadways at the end of each work shift Obtain advance approval of patching method No trench shall be left at any time in an un-safe condition Applicant is responsible for and is liable for hazards or damage resulting from the prosecution of the work PFI—Utilities 15-REPAIR OF EXISTING FACILITIES Applied Notice Work under this permit shall include repair of existing facilities(roads,ditches,etc.)as may be necessary, as determined by the Inspector,to overcome deterioration or damage which occurred in conjunction with the work authorized by the permit. Corrective work shall be done at the applicant's expense PFI—Utilities 16-PRECONSTRUCTION MEETING Applied Notice Before initiating any construction activity,the applicant shall coordinate with the City's inspector, <Insert Name>at<Insert Phone#>,to establish a preconstruction meeting PFI—Utilities 17-NOTICE TO COMMENCE WORK Applied Notice The applicant 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, prior to any staged inspection, and after completing work covered by the permit PFI—Utilities 18-PERMIT/PLAN ON SITE Applied Notice A copy of the permit including a Certificate of Insurance, and all attachments, and a copy of the approved construction plan and all amendments shall be readily 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 these must be approved by the City, in advance of work performance PFI—Utilities 19-MONUMENT PROTECTION Applied Notice Existing monuments, property corners, and survey markers shall be protected Replacement shall be at the permit holder's expense PFI—Utilities 20-EMERGENCY CONTACTS Applied Notice 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 any emergency The applicant shall notify the City Inspector, in writing, of any/all assignment changes PFI—Utilities 21 -OTHER Applied Notice Construction Work Restrictions: -No traffic lane closures between 6.30 AM and 9 00 AM and between 3 30 PM and 6 00 PM RECEIVED City of Tigard NOV 0 5 2015 PUBLIC WORKS —ENGINEERING 1' .1, 7pa11 CITY�OF TIGARD Public Fachty Improvement (PFI) 1 f IIGINEERING 0 DESCRIPTION OF WORK (in the right-of-way) REQUIRED SUBMITTAL Check one: ® Utilities ❑ Sidewalk/driveway approach El Street improvements ELEMENTS Detailed description: Overlash to existing aerial facilities and JJ -Minor work in right-of-way (sidewalk repair,curb cut,street push/pull through existing underground facilities in the City of opening,etc.)requires: •Application form,completed Tigard ROW. and signed •Subrrat one(1)copy of scaled sketch Property address/location(s): 16101 SW 72nd Ave of the proposed work to be done Portland, OR 97224 •Submit one(1)copy of traffic control plan EC-1 3035 , �4�1 —OR— Comcast ATTN: Scott Sarber ❑ Substantial project work requires Applicant's name: above items and professional Address: 11308 SW 68th Parkway engineered plans for: TI and OR 97223 • Street widening City/state: g Zip: •Subdivision infrastructure Phone: (503) 596-3819 Email: Scott_Sarber@cable.comcast.eom •Main utility line extension: - Storm Drain,Sanitary—Tigard - Water—Tigard Water Service Contractor's name: Texstar Enterprises ATTN: Jim Miner Area(includes Durham,Ding Cary 178798 Expiration: 10/10/2017 and a portion of unincorporated CCB#: Expiration: Address: 14122 Arndt Rd Washington County) City/state: , Zip: AuroraOR97002 DELIVER APPLICATION TO: - imminer exsarener rises.com city of Tigard Phone: �503) 7933109 Email: ttt l @ P Plartniug/Engineering 13125 SW Hall Blvd. K&B Technical Solutions ATTN: Shane Langley Tigard,OR 97223 Engineer's name: 9 Y 6566 SE Lake Rd Applications for"minor work vi right-of-way" Address: only may be emailed to: City/state: Mllwaukle, OR Zip. 97222 rowpermits@tigard-or.gov Phone: (503) 650-6041 Email: Shane_Langley@kbmail.net •R STAFF USE • Case No: ` PL'Z 0 1 S —G 0 t(oQ V Estimated value of work (within the public right-of-way): $1200 Application submittal 0— —o — Is work related to a LAND-USE DECISION? ❑ Yes A No Application accepted: / If so, please specify (MLP, SDR, SUIS, etc.) case #: By: Date: I1 / S IS Application re ewed: Is work related to a BUILDING PERMIT? ❑ Yes XNo Date: If so,please specify(BUILDING PERMI'1) case#: B}.tom_ Applicant notified: — WO evrS PROPOSED (9EE72) By: Date: -/ 1\CURPLN\Masters\Land Use Apphutions Rev 07/16/2014 NO &W4C C_L_0rVRC15 &:30- 1:00 .44& i 3:80-&-'00 10,#K City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • vvww.tigard-or.gov • 503-718-2421 • Page 1 of 4 APPLICANTS NOTE: Person specified as`Applicant"shall be designated"Permittee"and shall provide financial assurance for work. r When the owner and the applicant are different people,the-apphcant must be-the purchaser of record-or a lessee in possession with written antlionzation from the owner or an agent of the owner. The ownet(s)must sign this apphcauon in the space provided or submit a written authorization with this application. BY SIGNING BELOW,THE APPLICANTS) SHALL CERTIFY THAT: • The above request does not violate am,deed restrictions that may be attached to or imposed upon the subject property • If the application is granted,the applicant will exercise the rights granted in accordance with the terms and subject to all the conditions and limitations of the approval. • All of the above statements and the statements in the plot plan,attachments,and exlubits transtrutted herewith,are true;and the applicants so acknowledge that any permit issued,based on this application,may be revoked if it is found that any such statements are false. • The applicant has read the entire contents of the applicauon,including the policies and criteria,and understands the requirements for approving or denying the application. SIGNATURES of each owner of the subj ct property required. Scott Sarber 11/5/15 plicari mouth rized Agent's signature Print name Date Owner's signature Print name Date Owner's signature Print name Date Owner's signature Print name Date PUBLIC FACILITY IMPROVEMENT PERMIT City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-ongov 503-718-2421 • Page 2 of 4 >s o m \� 05. \ x � sGA /\ F \ o,�� i \ Ny 0. \ zm \ e � on ti CS =i \ C 7 $ N O u x C r > o O O N � P vOOw NON OAS X X 6)�Z'� '' cz,' N 'q'm� vI N N Z m 71 O x =iO Z Z O A n 2 C N O� O T O � � �m �-+= zvm O m Dm2 Nuc OA Z 71 C N m--N OF m-T - m o mw N Oz o SW 72ND AVE m Z N m -� -- ONO Op mm H y O �o T16101 SW, ND AVE ;n N Comcast. tt PORTLAND,OR 97224 ' T TEGHNIUL SOLUT10N9 - �/ 6453 Contact,Scott Sarber 4HAN PO BO%W@-(503)650 6,OR 97015 FIBER ENHANCEMENT �a Phone:(503)596-3819 om�e-(sort ssoaoai ScottSarber@cable.comcast-com Emau _ra.9l�y@rnmae gar - CITY OF TIGARD ROW PERMIT DRAWING aZ SPEE❑ 3 W N Z-1 C �\ IIMIT : • NOT TO SCALE Q N W d 35 �; 0° wO / Z z U 0 \, 'o �ZZ r Z 1° O 5 pZ0 OW O F m W O�1 RygM�o w R B / ' • \ l" P EPAREp 315 PEED \� `` \ '• i O p// LIMIT 55 3\ 3't qIKES ON u DADwAr . � 350'i / BE PROEPAREO s oP ( LEGEND: 3saa • WORK ZONE- \l / CONES- SIGNS- <8> FLAGGER- o'g� i :�� *Tt NOTES: � � ALL TRAFFIC CONTROL SHALL ADHERE TO N • '�, �^ CURRENT MUTCD GUIDELINES. m o a BE ADJUST TO FIELD CONDITIONS. E WHEN A THROUGH ROAD INTERSECTS THE u BARE � WORK ZONE,PLACE A"ROAD WORK AHEAD" so= SIGN IN ADVANCE OF THE INTERSECTION g PLACE CHANNELIZING DEVICES AROUND ° 35Ds \\ OADIA1 INTERSECTION RADII AND CONSTRUCTION -2 A \\ �\ AREAS AT 10'SPACING f , 0,L 0 �.E EOJ50'a o�-,P ROAD /y / SaNQ2� \\ \\\O\ SPEED O p \ \ LIMIT U"'.0, i O 35 TCP1 CMME-5591-3925 � N W E , *�� 3 W N Z NOT TO SCALE Q'NW R33(1x / m Z F Z ,o=O aZU�� 6� TS°•x .Y ,�� w LL y s _ AI,EE o L SPEEO j� /`w� � t (•� � LIMIT / • -Y •l V // V• 35 LL to :ty, $ \ LEGEND: \ d � U WORK ZONE q° /EM CONES- / I . • . •\ aox \ / SIGNS- O \ .�� o �\ FLAGGER- `Z' • 10 ib NOTES' fls U n m ALL TRAFFIC CC • m C?J a m SPEED CURRENT MUTC `o • ADJUST TO FIELI O Q a 0, 350 • WHEN A THROW U o WORK ZONE,PL, n ,L s,•' • SIGN IN ADVANC PLACE CHANNEL, /'� ' INTERSECTION R Tl/P2 / AREAS AT 10'SPS CMME-5591-3925 Page 106 2011 Edition Diversion,into a Continuous Left Turn Lane Diagram 4301 Diagram 430 shows work in the travel lane(s) next to a continuous two-way left turn lane with one direction of traffic diverted into the continuous two-way left turn lane. 1. Use truck-mounted flashing warning lights on work and protection vehicles. See Section 4.3—Lights and Lighted Signs for exceptions. 2. For added visibility, a truck-mounted arrow board or PCMS in caution mode may be used. 3. When two or more travel lanes are reduced to a single lane before the diversion, each lane shall be closed separately. Layout traffic control according to ODOT Standard Drawing TM 852 for 5-lane sections. 4. A shifting taper(L/2)may be added in the diverted traffic direction across the continuous two-way left turn lane (as shown). This option is recommended when the speed is 45 mph or greater. Sign Spacing and Buffer Lengths(feet) Posted Spacing Between Signs 'Buffer Speed A B __`C _ Space 20 50 25 100 100 100 75 30 100 35 40 350 350 350 125 150 45 180 50 500 500 500 210 55 250 Chapter 5 December 2011 2011 Edition Page 107 Diversion into a Continuous Left Turn Lane Diagram 430 ROAD WORK A. AHEAD llyl B t �R I LANE CLOSED AHEAD A II U2 I . I Buffer Protection Vehicle w/TMA(both Optional) See Chapter 4 l Buffer • • U2 I ' U2 I • I A II l41 B /9\ WORK AHEAD December 2011 Chapter 5 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, and within the Tigard Triangle shall be limited o� between Thanksgiving and New Year, o�`�� TAYLS FERRY RD as shown on the map. The City Engineer would have the authority to , wave this provision for emergency situations or when the work does not impact traffic flow. Hwy 99w Scholls Ferry Rd Cascade Ave 1 L •.,..1 Greenburg Rd Hall Blvd Ro � Locust St -,N DAKO ST Tigard St {{ P�' F�LE S Commercial St Burnham St w Ash Ave = 'a Main St �n a Scoffins St pLNUT N Dartmouth St '� { 72nd Ave sr. �N SikF _ li 68th Ave Q � � o J �\ J _ GAARDB ST QP = MOON- M,FAD. BO `m RD w