PFI2016-00124 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
COMMUNITY DEVELOPMENT Permit#: PF12016-00124
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 06/08/2016Parcel: SEG2363
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: Comcast
Project Description: Comcast proposes to bore a minimum of 36"below grade 859'and trench 53'to place new(2)-2"
conduits containing(1)-48ct fiber within City of Tigard ROW.
Owner: FEES
Description Date Amount
PFI Permit Fee 06/08/2016 $300.00
PHONE:
Contractor:
PHONE:
FAX:
Applicant:
SCOTT SARBER
11308 SW 68TH PKWY
TIGARD, OR 97223
PHONE: 503-596-3819
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 Not Present
Signature:
Issued By:
Special Conditions(See Attached)
Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY
Conditions for PF12016-00124
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[OTTCH].
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 twenty-four(24)hours prior to commencing work, prior to any staged
inspection, and after completing work covered by the permit. Kenny 503-816-6146 or Kenny@tigard-or.gov.
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
saw— on% IiiiiiiiiiiVIll #M_ a
REUtiv
JUN 08 2016
City of Tigard CITY OF TIGARD
■
PUBLIC WORKS—ENGINEERING PLANNING/ENGINEERING
Public Facility Improvement (PFI) Permit
DESCRIPTION OF WORK(in the right-of-way) TYPE OF WORK
Check one: B Utility Connection
8 TYPE 1—Franchise Utility Work
❑ Sidewalk/drive-way approach Work performed by N\VN,PGE
❑ Street improvements and/or utility agency.
Detailed description: Comcast proposes to bore a minimum of 36"below ❑ TYPE 2—Sidewalk/Driveway/Sewer
grade 859'and trench 53'to place new(2)-2"conduits containing(1)-48ct fiber Work performed for the purpose of:
within City of Tigard ROW • Sidewalk installation or repair.
• Driveway approach installation
Property address/location(s):
�P and/or repair
• Sanitary sewer lateral installation
SW 72nd Ave and SW Kable Ln and/or main line tap
❑ TYPE 3—Full scale Development
Applicant: Comcast Work performed with Land use
Address: 11308 SW 68th Parkway approval which includes any of
the following:
City/state: Tigard, OR Zip: 97223 • Subdivisions or Partitions
Phone: (503)596-3819 Email: Scott_Sarber@cable.comcast.com • Street widening
Contact name: Scott Sarber Phone: (503)596-3819 • Mainline installation for Sanitary
sewer,Storm sewer,Tigard water
Contractor: Tennessee Cable Service and/or Tigard Water Service Area
CCBM 77450 Expiration: 2/24/2017 SUBMIT COMPLETED APPLICATION TO:
Address: 2705 NE 65th Ave. City of Tigard
City/state: Vancouver,WA Zip: 98661 Planning/Engineering
503 969-6792 beavrebuild aol.com,tenncs@aol.com 13125 SW Hall Blvd.
Phone: ( ) Email: °G} @ Tigard,OR 97223
Contact name: Terry Richmond Phone: (503)969-6792 Applications for"minor work in right-of-way"
only may be emailed to:
Engineer: K&B Technical Solutions rowpermits cipa� rd-or.gov
Address: PO BOX 2529
City/state: Clackamas,OR Zip: 97015 ) �J
Phone: (503)650-6041x217 Email: KJ_Sprecher@kbmail.net Case No.: /-Q
Contact name: KJ Sprecher Application submittal fee: •od /
Additional fees:
Estimated value of work is required(if over$5,000):$ Application accepted: AM
(within the public right-of-way) By: �S Date: 6 I
Is work related to a LAND-USE DECISION? El des 8 Application reviewed:No
By: W Date:
If so,please specify (MLP,SDR,SUB,etc.) case #: Bpplicatt notified: /A
Is work related to a BUILDING PERIVIIT? ❑ les 8 No By: � Date:
If so,please specify(BUILDING PERMIT)case#: L\CURPLN\Masleis\L&nd Use Applications Rev.0//09/2015
City of Tigard
• 13125 S\V Hall Blvd. • Tigard,Oregon 97223 ww�tigard-or.gov • 503-718-2121 • Page I of 4
;V7 A� • ISI 0 TiP.�hf Ft L ( STtitc��v+v5
APPLICAN'T'S
NOTE: Person specified as"Applicant" shall be designated"Permittee"and shall provide financial assurance for work.
*
When the owner and the applicant arc different people,the applicant must be the purchaser of record or it 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 APPLICANT(S) SHALL CERTIFY THAT:
• The above request does not violate any deed restrictions that may be attached to or un op sed 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 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,inchtding the policies and criteria,and understands the
requirements for approving or denying the application.
SIGNATURES of each owner of the subject property required.
3' `"N't,"`) '� Scott Sarber 6/7/16
Applicant/AgAo/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
a--::cam-— ------ ---- - ----- - - --- - --------------=---__---�_. _. ---.__-_-._— _-=---- . _._,
PUBLIC FACILITY IMPROVEMENT PERMIT
City of Tigard 13'125 S\\/Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov 503-718-2421 Page 2 of 4
DEVELOPMENT ENGINEERING FEES FOR STAFF USE ONLY
Public Facility Improvement(PFI) Permit: DETAILED SUBMITTAL
APPLICATION FEE REQUIREMENTS
Part 1: Required submittal fee$300.00 FRANCHISE UTILITY AND SIDEWALK/
PERMIT FEE DRIVEWAY AND UTILITY
Part 2: All non-water system improvements CONNECTIONS,ETC.
Engineer's estimate X 5% (less$300.00 submittal fee) (work in the right of way)
Engineer's estimate X 2%Plan Review Sketch
(including information below)
WATER SYSTEM FEE
❑ Dimensions
Part 3: All public water system improvements ❑ Street Name
Engineer's estimate X 12%
❑ Site Address
PFI Permit Fee Exemptions:
There will be no permit fee charged,or assurance required FULL SCALE DEVELOPMENT
for the following types of work: (Subdivisions/Partitions and Street Improvements)
• Sidewalk repair(less than 20 lineal feet)
• Relocate or replace mailbox Design Plans
• Ditch cleaning that does not involve regrading. (6 sets,24x36 or 22x34)
• Weephole repair ❑ Cover—Site,Vicinity,Abbreviation,Legend
• Curb repair or replacement(less than 20 lineal feet) ❑ General Notes(City,Water,Sewer,etc.)
• Lawn sprinkler system installation or repair ❑ Street(Plan,Profile)
• Street tree pruning or planting ❑ Water,Storm and Sanitary(Plan Profile)
• Planter strip landscape maintenance ❑ Water Quality Facilities
• Test wells ❑ Grading
❑ Landscaping/Tree Plan
❑ Composite Utility Plan(Electrical,Phone,Gas,
Note: A cash assurance may be requiredper Storm,Sanitary,Water,Signage,Street Lights,etc)
TMC 15.04.140.(customer deposit) ❑ Details
❑ Traffic Sight Distance
❑ Signing and Striping
❑ Street Light Plan and Photometric
❑ Engineers seal/signature
❑ Sheet label(project land use name,revision and
plan log block,dates and sheet numbers.)
Additional Submittals
(per Land Use conditions)
❑ Traffic Report
❑ Storm water Drainage Calculations
❑ Geotechnical Report
❑ Preliminary Access Report(Sight Distance)
❑ Proposed Plat
❑ Pathway Design(if applicable)
❑ Water Department Approval
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:
S j1- „1' " S t
Edge of Pavement
I Ditch
Streetlight I -—-—-—-—-—-—-— —C---
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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.figard-or.gov • 503-718-2421 • Page 4 of 4
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IiIokb dr - CITY OF TIGARD ROW PERMIT DRAWING
Page 78 2011 Edition
Work on Shoulder Diagram 210
Diagram 210 covers stationary work with work or parked equipment on the
shoulder. This diagram does not cover work on a freeway shoulder. See
Diagram 710 for Freeway Shoulder work.
1. Vehicles should be parked as far off the roadway as practical.
2. Use truck-mounted flashing warning lights on work and protection
vehicles. See Section 4.3—Lights and Lighted Signs for exceptions.
3. For added visibility, truck-mounted arrow boards or PCMS in caution
mode may be used.
4. Arrow panels in caution mode are recommended for work on roads
with posted speeds of 45 mph or greater and high traffic volumes,
greater than 2000 average daily traffic (ADT).
5. Requirements for signing and devices are shown in Table 5-2, below.
Table 5-2: Device and Signage Guidelines
Proximity to Edge of Traveled Way
More than 15 feet
or behind Barrier or Less than 15 feet
Guardrail
One advance warning sign is
Advance warning required and two signs are
Work in Place signs, devices, and recommended.
More than 1 Hour flashing warning Cone taper is required. Cones
lights are optional. along the edge of traveled way
are optional.
Work in Place Advance warning signs and devices are optional.
Less than 1 Hour
Sign Spacing and Buffer Lengths (feet)
Posted Spacing Between Signs Buffer
Speed A B C Space ERRATA:
20 50
25 100 100 100 75 Supplement Table
30 100
40 350 350 350 12 0 Updated:February 12,
2016
45 180 9y:oDdl Traffic Road"
50 500 500 500 210 Section
55 1 1 1 250
Chapter 5 Si in Spacine and Buffer Len the feet SupDlement December 2011
Posted Spacing Between Signs "Buffer"
Speed A B C Space
60 285
65 1 700 700 700 325
70 1 1 365
2011 Edition Page 79
Work on Shoulder Diagram 210
I t
(Optional)
` Protection Vehicle
w/f MA(both Optional)
See Chapter 4
•
• Buffer
•
•
•
• U3*
•
•
A
ROAD SHOULDER
WORK OR WORK
AHEAD AHEAD
Initial Warning Sign
It *Use as appropriate-see Table 5-2
December 2011 Chapter 5
Page 106 2011 Edition
Diversion into a Continuous Left Turn Lane Diagram 430
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 ERRATA:
25 100 100 100 75
30 100 Supplement Table
35
125
40 350 350 350 150 updated:February 12,
45 180 2016
50 500 500 500 210 Section 1� c Brad y
55 1 1 250
Si tri SpaclnR and Buffer Len the feet Supplernent
Posted Spacing Between Signs "Buffer"
Speed A B C Space
60 285
65 700 700 700 325
70 365
Chapter 5 December 2011
2011 Edition Page 107
(Diversion into a Continuous Left Turn Lane Diagram 430
ROAD
WORK
AHEAD
B
llylt
L
LANAMAD
E
A
II
U2 I . I
Buffer
Protection Vehicle
wf MA(both Optional)
See Chapter 4
1
Buffer
•
• L,/2
I �
•
•
U2 I• I A
II
lyt B
I I WOR
AHEAD
December 2011 Chapter 5
Page 52 2011 Edition
Bicycle and Pedestrian Accommodation Diagrams
The following practices and details address the accommodation of bicycles
and pedestrians within work zones. The following detail drawings should be
incorporated, where appropriate, into the traffic control plan for any short
term work.
1. See Section 1.6—Bicycle and Pedestrian Considerations for additional
guidance.
2. Stay alert for pedestrians and bicycle traffic and accommodate safe
passage for them, as needed.
3. The work space should be protected from bicycle and pedestrian
intrusion by using barricades or closely-spaced channelizing devices.
4. Maintain access to transit stops or clearly close a transit stop using
barricades or channelizing devices.
Bicycle Accommodation Diagram 5-6
Bicycle Accommodation Principles:
1. If a significant volume of bicycles can be expected and work closes a
marked bicycle facility, or requires bicycles to share a travel lane,
install a"(Bicycle) ON ROADWAY" sign (CW11-1) or the Bicycle
symbol (W11-1) sign with an "ON ROADWAY" (OBW1-5) rider, in
advance of the work area.
2. Install temporary signing off the paved shoulder, within the planter
(buffer) strip, or share the width needed between the shoulder and the
sidewalk, as available.
3. Signs are to remain in place until the surface is restored and the width
made available for bicycle use. See Diagram 5-6 for typical bicycle
signing placement.
Sign Spacing and Buffer Lengths(feet)
Posted Spacing Between Signs Buffer
Speed A B C Space
20 50 ERRATA:
25 100 100 100 75
30 100 Supplement Table
35
40 350 350 350 150 Updated:febx q12,
45 180 ams
,IV:OM IFaffioNoadvary
50 500 500 500 210 Wdi_
55 1 1 1 250
Si n Spacing and Buffer Len the feet Supplernent
Posted Spacing Between Signs "Buffer"
Chapter 5 Speed A B C Space December 2011
60 285
65 700 700 700 325
70 1 365
2011 Edition Page 53
[Bicycle Accommodation Diagram 5-6
I I I
I I
I I NOTES:
I I
I I • Bicycles on Roadway(CW11-1)sign should not
interrupt standard sequences. For example:
o BE PREPARED TO STOP/Flagger Symbol
o _LANE CLOSED AHEAD/Lane Ends
S mbol
Work • Bicycles on Roadway sign typically follows ROAD
Area WORK AHEAD sign and used as general warning.
I
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A
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I I
I I
I I
I I
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l l A
I I
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I I
I I
ON
I I� ROADWAY
I I
I I
C
I I
I I
ROAD
I� WORK
AHEAD
December 2011 Chapter 5
Page 54 2011 Edition
[Pedestrian Accommodation Diagrams_
See Diagrams 5-7 and 5-8, below, for pedestrian accommodations in work
zones.
Pedestrian Accommodation Principles:
1. If the work impacts the sidewalk or pedestrian facility, provide a safe,
accessible path, where practical, in accordance with the requirements
of the ADA.
2. If not practical to match the width of the existing pedestrian facilities,
maintain a 4-ft minimum width.
3. Unless a reasonably safe route can be provided through the work
space, pedestrians should be appropriately directed with advance
signing to cross the road. Do not divert pedestrians into travel lanes.
4. Install pedestrian closure or detour signing on Type II barricades.
Make every practical effort to satisfy the following:
• If work closes a sidewalk or sidewalk ramp, close sidewalks at a point
where an alternate crossing point or route can be provided. Minimize
the amount of out-of-direction travel for pedestrians.
• Use a combination of"SIDEWALK CLOSED" (R9-9), "SIDEWALK
CLOSED USE OTHER SIDE" (R9-10), "SIDEWALK CLOSED AHEAD
CROSS HERE" (R9-11), and "SIDEWALK CLOSED CROSS HERE"
(R9-11a) signing to direct pedestrians to an alternate facility.
• Where there are business destinations between the nearest crosswalk
and the work area, close the sidewalk at the business access nearest
the work area, where practical using the SIDEWALK CLOSED sign.
Include the SIDEWALK CLOSED AHEAD CROSS HERE sign at the
nearest crosswalk prior to the closure.
Chapter 5 December 2011
2011 Edition Page 55
LPedestrian Accommodation, Mid-Block Diagram 5-7
The sidewalk should be closed at the nearest intersection on each side of the
work area when a safe, ADA-compliant path through the work area of is not
available.
or
cRose�
24x12
Type'W1• 24x18
Type"W1"
(Mount on B(II)L) yp
SIDEWALK
CLOSED
24x12
Type°W1'
(Mount on B(II)LR)
(2 Reqd.)
80EwN.0 aasEn
am�vux aoseo
f� or
arose HERE arose
24X12 24X18
Type'W1'
(Mount on B(II)R) Type°Wi°
December 2011 Chapter 5