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PFI2016-00120 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT m COMMUNITY DEVELOPMENT Permit#: PF12016-00120 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 06/08/2016 Parcel: SEG1499 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: Comcast PFI Project Description: Comcast proposes to overlash 144'of new 1 48ct fiber optic cable to existing strand between utilities poles within ROW Owner: FEES Description Date Amount PHONE: Contractor: PHONE: FAX: Applicant: SCOTT SARBER 11308 SW 68TH 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: Not Present Issued By: ---�- � Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12016-00120 Type: Condition Name: Status: Severi : 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. Ken Fisher 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 RECEIVED City of Tigard JUN 0 7 2016 PUBLIC WORKS— ENGINEERING CITY OF TIGARD "IiGI"EERING rmtPublic Facility Improvement (PFI) de DESCRIPTION OF WORK(in the right-of-way) TYPE OF WORK Check one: lim-1 Utility Connection ® TYPE 1—Franchise Utility Work ❑ Sidewalk/driveway approach Work performed by NVRSI,PGE ❑ Sweet improvements and/or utility agency. Detailed description: Comcast proposes to overlash 144'of new ❑ TYPE 2—Sidewalk/Driveway/Sewer (1)-48ct fiber optic cable to existing strand between existing utility poles Work performed for the purpose of: within City of Tigard ROW. • Sidewalk installation or repair. • Driveway approach installation P ( ) C.1 Iq(4 C)1 N710 and/or repair Property- address/locations SW 72nd Ave and SW Sandburg St • Sanitary sewer lateral installation and/or main line tap ❑ TYPE 3—gull scale Development Applicant: Comcast Work performed with Land use 11308 SW 68th Parkway approval which includes any of Address: y the following: City/state: Tigard, OR Zip: 97223 • Subdivisions or Partitions Phone: (503)596-3819 Email: Scott_Sarber@cable.comcast.com • Street widening Contact natne: Scott Sarber Photic: (503)596-3819 • Mainline installation for Sanitary sewer,Storm sewer,Tigard water Contractor: Tennessee Cable Service and/or Tigard Water Service.area CCB#: 77450 EXplratlotl: 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: ( ) Entail: °� @ Tigard,OR 97223 Contact name: Terry Richmond Phone: (503)969-6792 Application,for"minor work in right-of-way" only mat•be emailed to: Engineer: K&B Technical Solutions rownermits&tigard-or.aov Address: PO BOX 2529 Clackamas, OR 97015 FOR STAFP USE ONLY City/state: Zll): Phone: (503)650-6041x217 Email• KJ_Sprecher@kbmail.net Case No.: PFI•2,7/(s —001 2-o Contact name: KJ Sprecher Application submittal fee: Additional fees: Estimated value of work is required(if over$5,000):$ Application cccpted: (within the public right-of-way) By: 61 / Date: Application reviewed: Is work related to a LAND-USE DECISION? El Yes ® No By. i� If so, please specify (MLP, SDR,SUB, etc.) case #: Date: Applican no ed: Is work related to a BUILDING PERMIT? El Yes p No By: Date: If so,please specify(BUILDING PERMIT)case#: L\CURPIN\Mallets\land Use Applications Rev,07/09/7015 City of Tigard • 13125 S\X'Hall Blvd. Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of 4 ��,lt e TK�rf�� (�tisr�12►�t►ows C� . 4 4'A�.n••.. ter, 3,P,.' --L APPLICANTS NOTE: Person specified as `Applicant"shall be designated"Pernuttee"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 Icssee in possession with written authorization from the owner or an agt nt of the owner. The owners)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 to or imposed upon the subject proper • 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,arc true;and the applicants so acknowledge that any permit issued,based on tlus application,maybe revolved 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. sS2�h��r Scott Sarber 6/7/16 Applicant/ urhorized 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\\1 FIall B1vd. Tigard,Oregon 97223 \vwwtigard-or.gov 503-718-2421 Page 2 of 4 DEVELOPMENT ENGINEERING FEES I-Olt 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 required per 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 Cityof Tigard 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 3 of 4 SAMPLE SKETCH: Edge of Pavement I Ditch Streetlight —•---•—•—•—•— —r—•— a• Raat Drat 1 I I a g 6 1 T--�rioj�6; MAL—eiTi1ee" ! I d) I vet Existing House �i Existing I g Driveway ! �I '' IL W� �. 3 / °, a� E 1 I i I Existing Shop I Powerpole 1 I i I--------7opJSine------- - --- 1 I I Fire Hydrant(FH) � I I Scale: 'I"=30' � � 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 13535 N Z L7 lY co uj iz Za Wo rn Y 0 ZZ IZC O U K Q� m� 0 LL Z LL n O N U END AERIAL OVERLASH AT EXISTING �UTILRY POLE IN CITY OF TIGARD ROW 1185MT � b s SW CHERRY DR a 14� BEGIN AERIAL OVERLASH AT EXISTING "' d /�UTRITY POLE IN CITY OF TIGARD ROW f �+ o SW SANDBURG ST O U 0 own 1.ALL WORK AREAS TO BE vN 3 RESTORED TO LIKE OR BETTER E >;--U CONDITION. O 9 c w N 8 = 2.ALL OTHER UTILITIES ARE BASED O a N Q .+ OFF EXISTING LOCATES OR UTILITY e 6 STRUCTURES. in Z ,p. n 3.IT IS THE CONSTRUCTION CONTRACTORS RESPONSIBILITY TO RP i° CALL FOR LOCATES BEFORE DIGGING. 7379 Si.Ai t wo "9^ 4.EXISTING AERIAL- CMPC-8789.4583 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 P150 ffer Speed A B C ace 20 50 rf RATA 25 100 100 1005 30 0035 f•is 125 40 350 350 350 45 180 50 500 500 500 210 55 250 Si in Spacine and Buffer Lenjithe feet supolement Posted S acin Between Signs "Buffer" Speed A B C Space 60 285 65 700 700 700 325 70 36S Chapter 5 December 2011 2011 Edition Page 107 ,,Diversion into a Continuous Left Turn Lane Diagram 430 ROAD WORK AHEAD B 1 ►y► t CEITTER < LME ► ► CASED AHEAD >+A U2 ► • ► ► Buffer Protection Vehicle w/rMA(both Optional) See Chapter 4 1 Buffer • • U2 41 ► • U2 ►• ► A lyt B ► ► r ROAD WORK 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 S acin 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 Rots By:OOOT Traffic-Roadway 50 500 500 500 210 Dior, 55 250 Sim 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 1 1 1 365 2011 Edition Page 53 ;Bicycle Accommodation Diagram 5-6 I I I I I I I I NOTES: I I Bicycles on Roadway(CW11-1)sign should not interrupt standard sequences. For example: o BE PREPARED TO STOP/Flagger Symbol 0 _LANE CLOSED AHEAD/Lane Ends Symbol Work , Bicycles on Roadway sign typically follows ROAD Area WORK AHEAD sign and used as general warning. I I I I Tt I I I I I I A I I I I I I I I�I I I I I I I I I A I I I I I I I I I I I� I I I I I I I B I I I I I I 1 I� ON I ROADWAY I I I I I I C I I I ROAD I� WORK I I AHEAD December 2011 Chapter 5