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PFI2016-00211 r CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT COMMUNITY DEVELOPMENT Permit#: PF12016-00211 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 09/26/2016 Parcel: SEG1854 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: PGE Project Description: Adjacent to 7910 SW Fanno Creek Dr. Distribution OH and UG construction, replace B/0 padmount transformer on pad#8587. PGE Job M 1450276. SEG 1854/3319 Owner: FEES Description Date Amount PHONE: Contractor: PHONE: FAX. Applicant: NATHAN GRAVELLE 10800 SW AVERY STREET TUALATIN, OR 97062 PHONE: 503-951-3714 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 r Signature: Issued By: Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12016-00211 Type: Condition Name: Status: SeverityL 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 because for immediate cancellation of the permit. The City may at anytime 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. call Ken Fisher 503-816-6146 of 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 SEP 26 2016 City Of Tigard CITY OF TIGARD PUBLIC WORKS —ENGINEERING PLANNING/ENGINEERING Public Facility Improvement (PFI) Permit REQUIRED SUBMITTAL DESCRIPTION OF WORK(in the right-of-way) ELEMENTS Check one:Vfpublic utilities(gas line,electric,data cable) JN Mirror work un right-o6-way ❑ Sidewalk/driveway approach and utilities only (sidewalk repair,curb cut,street ❑ Street improvements opening,etc.)requires: PGE JOB M1450276 •Application form,completed Detailed description: and signed DISTRIBUTION OH AND UG CONSTRUCTION •Submit two(2)copies of scaled Replace B/O Padmount Transformer on pad 8587 sketch of the proposed work to be done •Submit two(2)copies Property address/location(s): 115H 13 3 19 of traffic control plan 7910 SW FANNO CREEK DR, TIGARD —OR— E] Substantial project work requires above items and professional Applicant's name: Portland General Electric engineered plans for: 10800 SW Ave Street •Street widening Address: Avery •Subdivision infrastructure Tualatin, OR 97062 •?Main utility line extension: City/state: Zip: 503-951-3714 Prere Coord n.com - Storrn Drain,Sanitary—Tigard- Plnone: Email: a @P9 Water—Tigard Nater Service area Contactperson: Nathan Gravelle Phone: 503-951-3714 Contractor's name: CCB#: Expiration: DELIVER APPLICATION TO: Address: City of Tigard City/state: Zip: Planning/Engineering Phone: Email: 13125 SW Hall Blvd. Tigard,OR 97223 Applications for"minor wort:in right-of-way" Engineer's name: otily may be emailed to: Address: tgm=rmits(&igard-or.Qov City/state: Zip: Phone: Email: Case No.. IZD110-002I Application submittal fee: Estimated value of work is required(if over$5,000):$ application accepted: (within the public right-of-way) By: 7110-- Date: 0112YVIRP Is work related to a LAND-USE DECISION? ElYes If application re-viewed: No If so,please specify(MLP,SDR,SUB,etc.) case#: By.-,�L%S�– Date: N( applicant notified: Is work related to a BUILDING PERMIT? El Yes N0 No By. Date: If so,please specify(BUILDING PERMIT)case#: \N%PLrnMaft•Rwnd Use AppbuUom Rev.07/16/2014 City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page I of 4 APPLICANTS NOTE: Person specified as"Applicant"shall be designated"Permittee"and shall provide financial assurance for work,if required by the city pursuant to the TMC 15.041.140. With the exception of a utility operating pursuant to a valid franchise with the City of Tigard,when the owner and the applicant are different people,the applicant must be die 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. Franchised Utilities are not required to obtain the owner's signature on the application. BY SIGNING BELOW,THE APPLICANT(S) SHALL CERTIFY THAT: • The above request does not violate any recorded 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 any 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 rcquircments for approving or denying the application. —72 j6 Applicant/Au horized Agent's signature Print name Date SIGNATURES of each owner of the subject property, if required 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-or.gov 503-718-2421 • Page 2 of 4 DEVELOPMENT ENGINEERING FEES 1. Public Facility Improvement(PFI)Permit: Part 1: Required submittal fee$300.00 Part 2: All non-water system improvements Engineer's estimate X 5%(less$300.00 submittal fee) Engineer's estimate%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 types of work • Sidewalk or driveway repair(less than 20 lineal feet) • Relocate or replace mailbox • Ditch cleaning that does not involve regrading. • Weep hole 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 • www.tigard-or.gov 503-718-2421 Page 3 of 4 SAMPLE SKETCH: Edge of Pavement I ",— Ditch St;Streetlight - etlight I —-—-—-—-—-—-— —r--- eRain Dnin I a 1 T"Propos d''Selw'erTine" � I 1 N Existing House I I I Existing Z • Driveway � ciino I 1 a Io� ��o • Existing Shop � _ PowerpoleI 1 -- o a I I�-------W0P d9Yne-------!--- ' I II Fire Hydrant(FH) � � I � 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 Ball Blvd. - Tigard,Oregon 97223 - wwwtigard-or.gov - 503-718-2421 - Page 4 of 4 Page 12 2011 Edition CHAPTER 2 - SETTING UP THE WORK ZONE This section provides guidelines and procedures for setting up work zone, special event, or incidence response. The use of additional devices, such as PCMS, arrow boards, and TMAs during set up and taking down of the work zone may be used to enhance worker safety. In developing and implementing the TCP, existing devices shall be maintained at an equivalent or better level than existed prior to project implementation. 2.1 Work Zone Components The work zone, as shown in Figure 2-1 below, consists of four parts and extends from the initial advance warning signs to the last temporary traffic control device or the END ROAD WORK sign (optional). Figure ♦2-1:♦Work Zone Components 1 1 I I •• ( Termination Area • suner speog (Opft* • � Work Space r Buffer Space 1 ' Transition Area • A Advance 8 warning MM MM— ; Area •• 7 t ••—{ Inial Warning Sign Chapter 2 December 2011 2011 Edition Page 13 1. Advance Warning Area: An advance warning area is necessary for all work zones. It may vary from a series of signs starting a mile or more in advance of the work space to a single sign or flashing lights on a work vehicle. The Advance Warning Area should give road users enough time to react to any downstream changes occurring within the Transition area. The length of the Advance Warning Area will vary based on the number of advance warning signs and the posted speed. Use Table 2-4 to determine appropriate sign spacing and specific advance warning area lengths. 2. Transition Area: In a transition area, traffic is moved out of normal traffic paths and into a temporary path around the work space. The transition area commonly contains channelization tapers used to shift or close the travel lane(s)or to close a shoulder. 3. Activity Area: The area within a work zone is comprised of the following two sections. a. Buffer Space: A section of closed road in advance of and following the work space which provides an extra margin of safety for both traffic and workers. Keep buffer spaces clear of vehicles, equipment, materials and personnel to provide a clear recovery area for errant vehicles. Buffer spaces should be provided when space is available, but are optional. b. Work Space: The portion of the roadway containing the work activity and includes workers, materials and equipment. It should be sufficiently delineated and protected. 4. Termination Area: The termination area provides a short distance for traffic to clear the work space and return to normal operation. The downstream cone taper is optional. An END ROAD WORK sign is also optional. 2.2 Tapers Taper lengths, calculated from the following tables or shown in Figure 2-2, are minimum taper lengths. Longer tapers may be necessary for drivability or to enhance driver performance (e.g. around vertical or horizontal curves or steep grades). To determine if a taper length is adequate or needs to be adjusted, monitor traffic as it maneuvers through the work zone. TAPER TYPES: Merging Taper: Merges two traffic lanes in the same direction into one lane. Shifting Taper: Moves traffic from one path to another. Shoulder Taper: Used to close a shoulder to traffic. December 2011 Chapter 2 Page 14 2011 Edition Flagger(One-Lane, Two-way) Taper: Used as part of a flagging operation. The taper is placed across the lane beyond the Flagger Station to guide queued vehicles into the open lane and around the Flagger Station during two-way, one-lane operations. Taper length is 50— 100 ft. See Diagrams 320, 325, 340 and 370 for examples. Downstream Taper: Used to guide the motorist back into their normal travel paths after passing the work space. Taper lengths are 50— 100 ft. Figure 2-2: Taper Types 3 � l I (L ♦ m� 5 ci t 1 N X m n~ I V 1 CM • I C m N • • (n • 1 Q . �CO Mo Go l 1 oma J • C .1 tM O C • • C �N o yF- a CL I CL • 2)FLcaJ • F- I 1 111 Chapter 2 December 2011 2011 Edition Page 15 Table 2-1: Taper Length Formulas POSTED or STATUTORY SPEED TAPER LENGTH, L(in feet) 2 40 MPH or Lower L= WS 60 45 MPH or Higher L=W x S Where: L=Taper length in feet W=Width of offset in feet S = Posted Speed in mph Table 2-2: Taper Types and Lengths Taper Type Length (in feet) Merging Taper(minimum) L Shifting Taper(minimum) (1/2)L or L/2 Shoulder Taper(minimum) (1/3)L or L/3 Flagger(one-lane, two-way)Taper 50— 100 feet Downstream Taper 50— 100 feet Table 2-3: Taper Lengths and Device Quantities Lane 10 Feet 11 Feet 12 Feet Shoulder Width Tapers MERGING SHIFTING MERGING SHIFTING MERGING SHIFTING SHOULDER MPH L Cones L/2 Cones L Cones L/2 Cones L Cones L/2 Cones L/3 Cones 20 70 5 35 3 75 5 40 3 80 5 40 3 25 3 25 105 6 55 3 115 6 60 4 125 6 65 4 35 3 30 150 6 75 4 165 7 85 4 180 7 90 4 50 3 35 205 7 105 4 225 8 115 5 245 8 125 5 70 4 40 270 8 135 5 295 9 150 5 320 9 160 5 90 4 45 450 11 225 6 495 12 250 7 540 13 270 7 150 6 50 5001 11 2501 6 550 12 2751 7 16001 13 1300 7 170 6 55 550 11 275 6 605 12 305 7 660 13 330 7 185 6 60 600 11 300 ¢ 660 12 330 7 720 13 360 7 200 6 65 650 11 3251 6 715 12 370 7 780 13 390 7 220 7 70 700 11 350 6 770 12 385 7 840 13 420 7 235 7 "L"for shoulder taper equals Shoulder Width x Speed. Figures shown are for 10'shoulders. December 2011 Chapter 2 �,W KROESE LOOP 601234 7917 7905 7895 7889 7883 7872 786 WR CHECKLIST 30'-4 OVERHEAD L E G E N D 1985 WL 1 PD-8579: 117 ITEM YES COMMENT REMOVE/ABANDON FACILITIES INSTALL FACILITIES '-Unknown A2AL 7930 Install: 2004 HOLEDIGGER INSTALL ADDITIONAL FACILITIES/MODIFYFACILITIES 1 P 7.2 240/120 PM 50KVA NTLB X 7930 '27 KVA 14396 BOOM 13ACCOUNTS ❑ BACKHOE 7930 7930 * 7910-7930 SW FANNO CREEK DR APTS 1-6 D-95 PGE TRENCH 79ao 7930 7930 BARRIER POST, 8" HELIX, 7' LONG 14406 BORE Remove: X 1P 7.2 240/120 PM 50KVA NTLB 14418 LOCATES _ PD-93 STAKING X VT-23 PD-72 Ua C 5&6346 14436 PD 2 119 FLAGGING ❑ PD-76 30'-Unkno n 14442 TREETRIM PD-54 2004 LANDSCAPE X PRE/POST 7920 7908 7898 7890 7886 PD 92 EASEMENT LANDSCAPING NOTES i 14460 14450 PERMITS X TIGARD PRE/POST A 50 22206 1 �Q TRAFFIC PLA X Open U CUTSHEET C2 1-12B A 50 z4g,,0; 50 SW DUNE UG CIR.VER. 14463PD- TRANSMISSION PD-8587 11 75331027 SHUTDOWN PD-77 W 7910 14475 1► CUSTOMER �21 F. 30'- nknown X 13 CUSTOMERS 7910 Q: 2004 SHUTDOWN 7920 7920 7910 14487 El Q DOOR HANGAR 14490 7920 60120 P 82j 7876 7864 7856 THINK 30'-4 Z CONTACT 1985 14491 Q. COMPANY SAFETY PH# C# X yDATE A TIME I FIRST ANY DEVIA77ON FROM THIS DESIGN MUST 43 SW zow[VI JA MU ABC 750 AL 45 BE APPROVED BY THE PGE PROJECT MANAGER 25'-4 911,50 308 9891 100 Feet� 24 1991 ATTENTION: CALL 811 BEFORE YOU DIG I ♦ I I AB 2 AL.1,.-. 1 I I OREGON LAW REQUIRES YOU TO FOLLOW RULES ADOPTED 8:3 995 7947 7929 APGE BY THE OREGON UTILITY NOTIFICATION CENTER. , _ 60123 THOSE RULES ARE SET FORTH IN OAR 952-001-0010 Vicinity Map -LINE DIAGRAM 3085 THROUGH 952-001-0090 YOU MAY OBTAIN COPIES OF THE RULES BY CALLING THE OREGON UTILITY RCFn'_t siy 1118 117 S NOTIFICATION CENTER ADMINISTRATION @(502-232-1987) ''' _ 30'-LYn ow Unkrygwn PD_95 TO REQUEST UTILITY LOCATES CALL THE OREGON Know what�sbelow. l "U 1 200t- I PD-109 2D"4— o` UTILITY NOTIFICATION CENTER, 811 AT LEAST Call before you dig. 2 BUSINESS DAYS PRIOR TO EXCAVATION VT-23' PICKLt vrD flPI-27 PGE CONSTRUCTION DRAWING '- mown PD 5[] `' 120 AS-BUILT VERIFICATION&NESC VIOLATIONS CORRECTED QIPN 30'-Unkn ow This document accurately represents FIELD Construction ope: J U El 20oa C Foreman. Date: PD-7831 P —PD-94 General Foreman: Date: D-858 PD-7 "pp:g{ (Signature only required for field construction changes.) PD-86-- wtsl.sc WORK A Jet, ❑ PD9 SDPM/ENGREVIEW ASBUILTBYDESIGNER: t oot • DATE. AL A UNT W JOB } 30'-4 SPD-82 own Ot� JJ�4 9/6/2016 1 : 50 ft 1070001 0000016567 M1450276 C2 1-12B 1985 TITLE SW BONITA RD ` 2014 UG FITNES- REPLACE BIO PADMOUNT TRANSFORMER SY+RUgt1A Rp A —g CIRCUIT SIZE DURHAM-SATTLER Ill x17 AK,aAf+Ar� ABC 750 AL ABC PGE LOCATION -11,110 Ll �'� ABC ABC ABC-�A-�c� ABC VT-19 7910 SW FANNO CREEK DR, TIGARD nr W PD-20 C T-24 DESCRIPTION a Q DISTRIBUTION OH AND UG CONSTRUCTION SHEET a S'NLEISLRLN o W _�PD-25 COUNTY ISECTIONS WORK WITH WASHINGTON I C21 - 12B 1 OF 1 w = sw m WILSONVILLE DESIGN BY PHONE DRAWN BY N'L86F R LINE CREW CENTER sw 2 LNN PGE NATHAN GRAVELLE 503-951-3714 RYAN WILSON CAROLE 9 N 9680 SW BOECKMAN RD 47 w CORN.t71 PGE WILSONVILLE,OR 97071) :J GENERAL ELECTRIC CO.-ALL RIGHTS RESERVED