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PFI2015-00181 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT C COMMUNITY DEVELOPMENT Permit#: PF12015-00181 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 12/09/2015 Parcel: SEG911 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: PGE Project Description: Replace sec vault and install sec CBL to 12250. This will require boring 60 ft. Owner: FEES Description Date Amount PHONE: Contractor: PHONE: FAX: Applicant: TSAHAI ANDERSON 10800 SW AVERY ST TUALATIN, OR 97062 PHONE: 503-612-6106 Tota 1 $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: Not Present Issued By: Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12015-00181 Type: Condition Name: Status: Severity: PFI_Utilities 11 -TRAFFIC CONTROL MODIFICATION Not Met 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 17-NOTICE TO COMMENCE WORK Not Met Notice The applicant shall notify the City's Inspector twenty-four(24)hours prior to commencing work, prior to any staged inspection, and after completing work covered by the permit. PFI_Utilities 19-MONUMENT PROTECTION Not Met Notice Existing monuments, property corners,and survey markers shall be protected. Replacement shall be at the permit holder's expense PFI_Utilities 21 -OTHER Not Met Notice PFI_Utilities 01 -WORK SITE REQUIREMENTS Not Met 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 12-UTILITY NOTIFICATION Not Met 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 Not Met 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 Not Met 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 18-PERMIT/PLAN ON SITE Not Met 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 06-TRAFFIC CONTROL PLAN Not Met 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 09-TRAFFIC CONTROL WORK HOURS Not Met 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 03-WORK SITE EROSION CONTROL Not Met 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 Not Met 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 Not Met 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[OTTCH]. PFI_Utilities 10-TRAFFIC CONTROL LIMITED WORK HOURS Not Met 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 15-REPAIR OF EXISTING FACILITIES Not Met 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 20-EMERGENCY CONTACTS Not Met 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 02-WORK SITE AREA Not Met 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 07-TRAFFIC CONTROL ROAD CLOSURE Not Met 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 Not Met 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. • *REVISED PLANS* City of Tigard PGE WORK ORDER# M1723517 PUBLIC WORKS — ENGINEERING Public Facility Improvement (PFI) Permit DESCRIPTION OF WORK(in the right-of-way) REQUIRED SUBMITTAL Check one: IN Utilities ❑ Sidewalk/driveway approach ❑ Street improvements ELEMENTS Detailed description: Replace Sec Vault and Install Sec CBL to B :Minor work in right-of-way 12250. Bore 60ft (sidewalk repair,curb cut,street opening,etc.)requires: •.-Application form,completed and signed •Submit one(1)copy of scaled sketch Property address/location(s): 12250 SW 106th Drive, Tigard OR of the proposed work to be done •Submit one(1)copy of traffic control plan OR— Applicant's name: Phil Merriman/Tsahai Anderson ❑ Substantial project work requires above items and professional Address: 10800 SW Avery Street engineered plans for: •Street widening City/state: Tualatin OR lip: 97062 •Subdivision infrastructure Phone: 503-612-6106 Email: T&DSupportAvery@pgn.com •Main utility line extension: Storm Drain,Sanitary—Tigard - Water—Tigard Water Service Contractors name: POteICo Inc \rea(includes Durham,King Ciry CCB#: 76668 Expiration: and a portion of unincorporated Address: 3884 Pacific Hwy Washington County) Hubbard, OR 97032 DELIVER APPLICATION TO: City/state: Zip: 5037939918 City of Tigard - - Phone: Email: Planning/Engineering 13125 SW Hall Blvd. Engineer's name: Chris Bolton Tigard,OR 97223 Applications for"minor work in right-of-way" Address: 2213 SW 153rd Drive only may be emailed to: City/state: Beaverton, OR zip. 97006 ro ermits(Atiga�rd-ord-or.gov Phone: 503-672-5469 Email: Chris.Bolton@pgn.eom FOR ONLY Case No.: PF12015-00181 Estimated value of work (within the public right-of-way): $ Application submittal fee: Is work related to a LAND-USE DECISION? ❑ Yes & No Application accepted: If so, please specify (MLP, SDR,SUB,etc.) case #: By: LS Date: 12/4/15 Application re ewed: Is work related to a BUILDING PERMIT? ❑ Yes N No 20fS By: Date: If so,please specify(BUILDING PERMIT)case#: Applicantnoti5ed: LBy: L_S Date:QN I:\CURPLN\Masters\Land Use Applkatfons R".07/16/2014 City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of 4 a - APPLICANTS NOTE: Person specified as `Applicant"shall be designated"Permittee"and shall provide financial assurance for work. *When the owner and the applicant are different people,the applicant must be the purchaser of record or a lessee in possession with written authorization from the owner or an agent of the owner. The owner(s)must sign this application 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 any deed restrictions that may,be attached o 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. • AD of the above statements and the statements in the plot plan,attachments,and exhibits transmitted 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 application,including the policies and criteria, and understands the requirements for approving or denying the application. SIGNATURES of each owner of the subject property required. Permit Coordinator 12/3/15 Applicant/Authorized 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 S\\%Hall Blvd. • Tigard,Oregon 97223 • wv-xv.tigard-or.gov • 503-718-2421 • Page 2 of 4 a DEVELOPMENT ENGINEERING FEES 1. Public Facility Improvement(PFI) Permit: Part 1: Required subtnittal fee$300.00 Part 2: All non-water system improvements Engineer's estimate X 5% (less$300.00 submittal fee) Engineer's estimate X 2%Plan Review Part 3: All public water system improvements Engineer's estimate X 12% Total Permit Fee = Part 2+ Part 3 PFI Permit Fee Exemptions: There will be no permit fee charged,or assurance required for the following tapes of work: • Sidewalk or driveway repair(less than 20 lineal feet) • Relocate or replace mailbox • Ditch cleaning that does not uivolve regrading. • Weepholc repair • Curb repair or replacement(less than 20 lineal feet) • Lawn sprinkler system installation or repair • Street tree pruning or planting • Planter strip landscape maintenance • Test wells PUBLIC FACILITY IMPROVEMENT PERMIT City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov 503-718-2421 Page 3 of 4 SAMPLE SKETCH: SW „Y1, St Edge of Pavement I Ditch Streetlight ----------------Ir—•— A Raaz DT% , a � I T--Pro{�'os cf'SerTiR�" � I I N' I I � Existing House Existing z„i I g �, Driveway aI C. iii a I I 1 3 o� ,UI 1 a Oi I � Existing Shop � J 1 Powerpole I �. C� I 7r F;L I--------7-roP95ne----------- I I II Fire Hydrant(FH) � � I Scale: 1"=30' � I I � I I � I I � � I MINIMUM SKETCH REQUIREMENTS (Put"N/A"if Not Applicable): North arrow Property lines&dimension Slope of property Street& street name(s) Existing building,structures Utility&street light poles Proposed work Existing curb or edge Trees Existing S/W or of pavement Existing utility locations D/W apron (sewer,water,storm) PUBLIC FACILITY IMPROVEMENT PERMIT City of Tigard - 13125 SW Hall Blvd. - Tigard,Oregon 97223 - www.tigard-or.gov - 503-718-2421 - Page 4 of 4 A Page 84 2011 Edition [StationaryLane Closure with. Flagging____ _ _Diagram_320! Diagram 320 covers total closure of one lane of a two-lane, two-way roadway. See the detail inset for the layout if using a single flagger to control both directions of traffic on low volume roads (less than 400 ADT)with good sight distance as discussed below. 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. Flaggers at each approach are required if any of the following conditions exist: a. Night Operations. b. Work space is over 200 feet in length. c. Sight distance is less than 750 feet from each approach through the lane closure. d. Traffic volumes are greater than 400 ADT. 4. The length between the Flagger Ahead signs shall not exceed one mile. Use Diagram 340—Lane Closure with Pilot Car if exceeding one mile. 5. Cones should be used to outline the work space when curves or other roadway alignments prevent clear direction for the motorists to pass the work space safely. 6. Cones along the work space are recommended when posted speeds are 45 mph or greater, when working under heavy traffic or when travel lanes are narrower than 11 feet. 7. Extended queue signing (see Diagram 5-4)should be used when traffic queues extend beyond the initial advance warning sign. 8. When flagging near an intersection, the "Flagger Ahead" (CW23-2) sign should be visible to traffic entering from any side road. Additional advance warning and Flagger Ahead symbol signs may be placed on the side road(s). 9. Sign set-up and flagger placement shown may be used for intermittent full road closures of 20 minutes or less. 10. The"ONE LANE ROAD AHEAD" (W20-4)sign is optional and should be considered on high volume or high speed roads, or when extended queues are expected. Chapter 5 December 2011 t 2011 Edition Page 85 !Stationary Lane Closure with Flagging Diagram 320:M .o w aC Zoe O v� o m CM 1 1 wa O m� 3 Qo Jt I H a Cd Q c ----- --------- I • • 00-1 ---- i ••• ;o m I u I I °® C�v Al t CD ` I I EE I I • 3 O I: ° m ® � I 8L Z I • .._ LL r e I Wa j rn Y I wad c I 00 m¢o I CO �� I a~ ------------------ Sign Spacing and Buffer Lengths(feet) I t W c Posted S acini Between Si ns Buffer C Speed A B c Space z= Q 0 20 50 25 100 100 100 75 30 100 125 Y 40 1 350 350 350 150 O O 45 180 ¢3 50 500 500 500 210 55 250 December 2011 Chapter 5 Page 84 2011 Edition ;Stationary_Lane_Closure with_Flagging Diagram 320' Diagram 320 covers total closure of one lane of a two-lane, two-way roadway. See the detail inset for the layout if using a single flagger to control both directions of traffic on low volume roads (less than 400 ADT)with good sight distance as discussed below. 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. Flaggers at each approach are required if any of the following conditions exist: a. Night Operations. b. Work space is over 200 feet in length. c. Sight distance is less than 750 feet from each approach through the lane closure. d. Traffic volumes are greater than 400 ADT. 4. The length between the Flagger Ahead signs shall not exceed one mile. Use Diagram 340—Lane Closure with Pilot Car if exceeding one mile. 5. Cones should be used to outline the work space when curves or other roadway alignments prevent clear direction for the motorists to pass the work space safely. 6. Cones along the work space are recommended when posted speeds are 45 mph or greater, when working under heavy traffic or when travel lanes are narrower than 11 feet. 7. Extended queue signing (see Diagram 5-4)should be used when traffic queues extend beyond the initial advance warning sign. 8. When flagging near an intersection, the "Flagger Ahead" (CW23-2) sign should be visible to traffic entering from any side road. Additional advance warning and Flagger Ahead symbol signs may be placed on the side road(s). 9. Sign set-up and Flagger placement shown may be used for intermittent full road closures of 20 minutes or less. 10. The"ONE LANE ROAD AHEAD" (W20-4) sign is optional and should be considered on high volume or high speed roads, or when extended queues are expected. Chapter 5 December 2011 2011 Edition Page 85 ,Stationary Lane Closure with Flagging Diagram 320 Q3� o 82CL O ZO g �� � l t �a LL w� mL� Qo I H IL Q • • ii a I I • Do ID •® oo0 8 ¢ m l T I m i 2M`n ® � • • 1v m Z • O �.. I • • LEC I coo o�. I < I I •f— LL. VoI • LU I I t is I 00 m W o ------------— I Sign Spacing and Buffer Lengths(feet) 1 1 20 c Posted S acin ,Between Si ns Buffer 0 Speed A B C Space z a Td 20 50 25 100 100 100 75 30 100 125 C3 Y 40 350 350 350 150 O O 45 180 ¢3 r-5-0-1 500 500 500 210 55 1 250 December 2011 Chapter 5 a WL 1-2 Span: LEGEND Install: WL 2 : (60)494- 1-RUN OF 4/0 AL URD TX Install: REMOVE/ABANDON FACILITIES INSTALLFACIL/TIES (60)CONTRACT BORECREW TO WIRE TO EXISTING METER GROUN 43ONDPER (60) 1 3"CONDUIT � �114� AND GROUND ABANDONED CABLE Abandon: i 971-400-1492 Conductors 1-RUN OF 4/0 AL URD TX SHARON PRICE 503-730-9610 ______ INSTALL 14q AL-TX SECONDARYPROVIDED AND INSTALLED BYPGE 1-3-CONDUIT PROVIDED AND INSTALLED BY PGE APPROVED CONTRACTOR 7128 - / �• WR CHECKLIST 2011 J t ITEM YES COMMENT P 4992 HOLEDIGGER BOOM VT-6822 BACKHOE U- 3 PGE TRENCH 71 B 2 AI- LL w 20'-Unkno BORE x 60 FT 2011X LOCATES STAKING S�7pb,Ty FLAGGING x TREETRIM LANDSCAPE X • EASEMENT WL 1 VT-3: ~ PERMITS X CITY OF TIGARD J Install: TRAFFIC PLA X JUNCTION BOX 1730 /4 \ (3)6 POSITION BUS, SUBMERSIBLE cIT IR.ET VE 7127 UG CIR.VER. 20'Slnk — Pem DVL.: RANSM ISSION 2011 E JUNCTION BOX, 1324 SHUTDOWN U • 3 (3)4 POSITION BUS, SUBMERSIBLE CUSTOMER x CO SHUTDOWN 14 ACCOUNTS 0 20 40 80 F et e"z PL acE DOOR HANGAR CONTACT COMPANY PH# C# ll TIME PGE CONSTRUCTION DRAWING I.- . -°-h NEST VIOLATIONS CORRECTED Foreman Date General Foreman. Date SDPMiENG REVIEW SBUILT BYDES/GNER "E ""' SCAL ACCOUNT ANO LOB NO ^ 11/23/2015 AS SHOW 1070001 0000014628 M1723517 TITLE REPLACE BIO UG SECONDARY-6OFT ATTENTION: CALL 811 BEFORE YOU DIG ` cracu`T TIGARD-13361 SIZE 11x17 OREGON LAW REQUIRES YOU TO FOLLOW RULES ADOPTED THINK BY THE OREGON UTIUTY NOTIFICATION CENTER. , ME/ LOCATION 12250 SW 106TH OR,TIGARD OR THOSE RULES ARE SET FORTH IN OAR 952-001-0010 , DESCRIPTION THROUGH 952.001-0090 YOU MAY OBTAIN COPIES OF ` REPLACE SEC VAULT AND INSTALL SEC CBL TO 12250 $MEET SAFETY THE RULES BY CALLING THE OREGON UTILITY NOTIFICATION CENTER ADMINISTRATION @(502.232.1987) ^OUNTY SECTIONS K H FIRST WASHINGTON C2103A TO REQUEST UTILITY LOCATES CALL THE OREG01. KItoBI1Y11et1 tIC�OW 1-1— HONEI 3 AWN BY tOF1 UTILITY NOTIFICATION CENTER,811 AT LEAST Cali before YOU ft PHIL MERRIMAN %3.6943 PHIL MERRIMAN Vicinity Map 2 BUSINESS DAYS PRIOR TO EXCAVATION 19 RECEIVED City of Tigard DEC 0 3 2015 PUBLIC WORKS—ENGINEERING PGE WORK ORDER# M172 7 �D LF. iGINEERING Public Facility Improvement (PFI) ermlt DESCRIPTION OF WORK(in the right-of-way) REQUIRED SUBMITTAL Check one: IN Utilities ❑ Sidewalk/driveway approach ❑ Street improvements ELEMENTS Detailed description: Replace Sec Vault and Install Sec CBL to M Minor work in right-of-way (sidewalk repair,curb cut,street 12250. Bore 60ft opening,etc.)requires: •Application form,completed and signed •Submit one(1)copy of scaled sketch Property address/location(s): 12250 SW 106th Drive, Tigard OR of the proposed work to be done •Submit one(1)copy of traffic control plan —OR— Phil Merriman /Tsahai Anderson E] Substantial project work requires Applicant's name: above items and professional Address: 10800 SW Avery Street engineered plans for: Tualatin OR 97062 •Street widening City/state: Zip •Subdivision infrastructure Phone: 503-612-6106 Email: T&DSuppoMvery@pgn.com •Main utility line extension: - Storm Drain,Sanitary—Tigard - Water—Tigard Water Service Contractors name: Area(includes Durham,King City CCB#: Expiration: and a portion of unincorporated Washington County) Address: DELIVER APPLICATION TO: City/state: Zip: City of Tigard Phone: Email: Planning/Engineering 13125 SW Hall Blvd. Engineer's name: Chris Bolton Tigard,OR 97223 2213 SW 153rd Drive Applications for"minor work in right-of-way' Address: only may be emailed to: City/state: Beaverton, OR Zip: 97006 ronTermits rigard-o�r.gov Phone: 503-672-5469 Email: Chris.Bolton@pgn.com FOR FF p S • NLY Case No.: ; Estimated value of work (within the public right-of-way): $ Application submittal fee: Is work related to a LAND-USE DECISION? ❑ Yes M No Application accepted: If so,please specify (MLP, SDR,SUB, etc.) case#: By: �P Date: 213 i S Is work related to a BUILDING PERMIT? ❑ Yes M No ApplieWtlewed: :_If so,please specify(BUILDING PERMIT)case#: ByDate: Applicant notified: By: Date: I:\CURPLN\Masten\Land Use Applications R-07/16/2014 City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 www.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. *When the owner and the applicant are different people,the applicant must be the purchaser of record or a lessee in possession with written authorization from the owner or an agent of the owner. The owner(s)must sign this application in the space provided or submit a written authonzation with this application. BY SIGNING BELOW,THE APPLICANTS) SHALL CERTIFY THAT: • The above request does not violate any 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 ui the plot plan,attachments,and exhibits transmitted 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 application,including the policies and criteria,and understands the requirements for approving or denying the application. SIGNATURES of each owner of the subject property required. Dgilally sg.d by TSAHN ANDERSON TSAHAI ANDERSON amal=TSAHAIAANDERSON@PGNLOM,-US D• Permit Coordinator 12/3/15 ` �ezo�s.u.wioorzaoeoo Applicant/Authorized 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 Cityof Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov 503-718-2421 • Page 2 of 4 WL 1-2 Span: LEGEND Install: F (60)494- 1-RUN OF 4/0 AL URD TX ­VE FACILITIES _INSTALL FACILITIES (60)CONTRACT BORECREW TO WIRE TO EXISTING METER GROJN0430M PER [24010.2 (60) CONDUIT DAN-RI-CE AND GROUND ABANDONED CABLE Abandon: : 971-400-140-14 92 Conductors SHARON PRICE 1-RUN OF 4/0 AL URD TX 503-7.30-9610 — - INSTALLI-4AALTXSECONDARY PROVIDED AND INS TALLIED BYPGE --- j 1-1-CONDUIT PROVIDED AND INSTALLED BYPGE APPROVED CONTRACTOR j 7126 - / � � WR CHECKLIST Y G L0-2011J2 �} ITEM YES COMMENT / m 4/ ..,, HOLEDIGGER 666 ,.� VT6822 �\ BOOM � BACKHOE U o 71 PGETRENCH N AL M 20'-UDkn BORE x 60 FT 2011 LOCATES x STAKING - S�7pb,TH FLAGGING x TREETRIM �\ LANDSCAPE X EASEMENT I; WL 1 VT-3: install: TRAFFIC PLA x PERMITS X CITY OF TIGARD a JUNCTION BOX 1730 �,/ ' (3)6 POSITION BUS, SUBMERSIBLE UTSHEET 7127 UG CIR.VER. 20--V 111m0'rIrt Remove: RANSMISSION zD11 .4 JUNCTION BOX, 1324 SHUTDOVM U ♦ 3 (3)4 POSITION BUS, SUBMERSIBLE CUSTOMER x 0 20 40 80 Flet N SHUTDONM 14ACCOUNTS BgAL�;�e DOOR HANGAR CONTACT COMPANY PH# C# F ►. DATE f PGE CONSTRUCTION DRAWING AS-BUILT VERIFICATION&NESC VIOLATIONS CORRECTED Fomm#n: DNB: General Foremen: DNB: SDPMYENG REVIEW SBUILT BYDESIGNER 1ATESCALE ACCOUNT AKO J09776- - 11/23/2015 AS SHOW 070001 0000014628 M1723517 TITLE REPLACE 6/0 UG SECONDARY-60FT AATTENTION, CALL 811 BEFORE YouCALL 811 H�F�R�Y0�011 ` cr ul TIGARD-13361 SIZE 11X17 OREGON LAW REQUIRES YOU TO FOLLOW RULES ADOPTED , /Ar C� C"LOCATION THINK BY THE OREGON UTILITY NOTIFICATION CENTER. r V E 12250 SW 106TH DR.TIGARD OR THOSE RULES ARE SET FORTH IN OAR 952.001-0010 SAFETY THROUGH 952-001-0090 YOU MAY OBTAIN COPIES OF \ REPLACE SEC VAULT AND INSTALL SEC CBL TO 1225 SHEET THE RULES BY CALLING THE OREGON UTILITY COUNTYSECTIONS H FIRST NOTIFICATION CENTER ADMINISTRATION (502.232-19821 WASHINGTON C2103A r 1 OF 1 TO REQUEST UTILITY LOCATES CALL THE OREGO', 81100 wNit1 DESIGNBv H N v UTILITY NOTIFICATION CENTER,811 AT LEAST Call before you dig. PHIL MERRIMAN %3-6943 PHIL MERRIMAN Vicinity Map 2 BUSINESS DAYS PRIOR TO EXCAVATION Page 84 2011 Edition Stationary Lane Closure with Flagging_ Diagram 320 Diagram 320 covers total closure of one lane of a two-lane, two-way roadway. See the detail inset for the layout if using a single flagger to control both directions of traffic on low volume roads (less than 400 ADT)with good sight distance as discussed below. 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. Flaggers at each approach are required if any of the following conditions exist: a. Night Operations. b. Work space is over 200 feet in length. c. Sight distance is less than 750 feet from each approach through the lane closure. d. Traffic volumes are greater than 400 ADT. 4. The length between the Flagger Ahead signs shall not exceed one mile. Use Diagram 340—Lane Closure with Pilot Car if exceeding one mile. 5. Cones should be used to outline the work space when curves or other roadway alignments prevent clear direction for the motorists to pass the work space safely. 6. Cones along the work space are recommended when posted speeds are 45 mph or greater, when working under heavy traffic or when travel lanes are narrower than 11 feet. 7. Extended queue signing (see Diagram 5-4)should be used when traffic queues extend beyond the initial advance warning sign. 8. When flagging near an intersection, the "Flagger Ahead" (CW23-2) sign should be visible to traffic entering from any side road. Additional advance warning and Flagger Ahead symbol signs may be placed on the side road(s). 9. Sign set-up and flagger placement shown may be used for intermittent full road closures of 20 minutes or less. 10. The"ONE LANE ROAD AHEAD" (W20-4)sign is optional and should be considered on high volume or high speed roads, or when extended queues are expected. Chapter 5 December 2011 2011 Edition Page 85 ;Stationary Lane Closure with Flagging Diagram 320 Y C °0 3 o C LU Q L ZOa CL ui O J 117 O O O V ¢ I W U, m " j 1 mawM LUcc3 a Q • m c ------------------ I • Dov •' 0 0 4) I I • c6L I 1 1I m i ti2CO I I EE h e I 02 &� I i LL r If I I o a M LpU�p I C� I Y I • ma0 m w 1 1 I CL ----------------I I In Sign Spacing and Buffer Lengths(feet) 1 1 s c Posted S acin Between Si ns Buffer Speed A B c Space zo 0 20 50 25 100 100 100 75 30 100 35 125 Y 40 350 350 350 150 O O 45 180 ¢3 50 500 500 500 210 55 250 December 2011 Chapter 5 Page 84 2011 Edition 'Stationary Lane Closure with Flagging Diagram 320 Diagram 320 covers total closure of one lane of a two-lane, two-way roadway. See the detail inset for the layout if using a single flagger to control both directions of traffic on low volume roads (less than 400 ADT)with good sight distance as discussed below. 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. Flaggers at each approach are required if any of the following conditions exist: a. Night Operations. b. Work space is over 200 feet in length. c. Sight distance is less than 750 feet from each approach through the lane closure. d. Traffic volumes are greater than 400 ADT. 4. The length between the Flagger Ahead signs shall not exceed one mile. Use Diagram 340— Lane Closure with Pilot Car if exceeding one mile. 5. Cones should be used to outline the work space when curves or other roadway alignments prevent clear direction for the motorists to pass the work space safely. 6. Cones along the work space are recommended when posted speeds are 45 mph or greater, when working under heavy traffic or when travel lanes are narrower than 11 feet. 7. Extended queue signing (see Diagram 5-4)should be used when traffic queues extend beyond the initial advance warning sign. 8. When flagging near an intersection, the"Flagger Ahead" (CW23-2) sign should be visible to traffic entering from any side road. Additional advance warning and Flagger Ahead symbol signs may be placed on the side road(s). 9. Sign set-up and flagger placement shown may be used for intermittent full road closures of 20 minutes or less. 10. The"ONE LANE ROAD AHEAD"(W20-4)sign is optional and should be considered on high volume or high speed roads, or when extended queues are expected. 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