PFI2016-00133 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Request for Permit Action
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.dgard-or.gov
TO: CITY OF TIGARD VBuilding Division
0 1
13125 SW Hall Blvd.,Tigard, OR 97223
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov
FROM: ❑ Owner ❑ Applicant ❑ Contractor ® City Staff
Check(✓)one
REFUND OR Name: N/A
INVOICE T O: (Business or Individual)
Mailing Address: N/A
City/State/Zip: N/A
Phone No.: N/A
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
® CANCEL/VOID PERMIT APPLICATION.
❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
❑ REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit).
Permit#: PF12016-00133
Site Address or Parcel#: SEG 2363, 2364, 2434
Project Name: Comcast
Subdivision Name: N/A Lot#: N/A
EXPLANATION: This permit is a duplicate of PFI2016-00132 and was created in error.
Please void. /VD
Signature: Date: 6/22/16
Print Name: Lina Smith
Refund Policy
1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of:
• Any fee which was erroneously paid or collected.
• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
• Not more than 80%of the application or permit fee for issued permits prior to any inspection requests.
2. All refunds will be returned to the original payer in the form of a check via US postal service.
3. Please allow 3-4 weeks for processing refund requests.
FOR OFFICE USE ONLY
Route to Sys Admin: Date 13 Route to Records: I Date / B
Refund Processed: Date By Invoice Processed: Date By
Permit Canceled: Date / B cel Tag Added: Date By
I:\Building\Pomo\RegPermitAction_ 2314. oc
RECEIVED
V J
JUN 21 2016
Ci of Tigard g T CITY OF TIGARD
PUBLIC WORKS —ENGINEERING CITY
Public Facility Improvement (PFI) Permit
4
DESCRIPTION OF WORK(in the right-of-way) TYPE OF WORK
Check one: ❑ Ctiliry Connection
8 TYPE 1—Franchise Utility\C'ork
❑ Sidewalk/driveway approach Work performed by NVsIN,PGE
❑ Street improvements and/or utility agency.
g cY"
Detailed description: Comcast proposes to bore a minimum of 36"below ❑ TYPE 2-Sidewalk/Driveway/Sewer
grade 123'and trench 168'to place new(2)-2"conduits containing(1 Y48ct fiber Work performed for the purpose of:
within City of Tigard ROW • Sidewalk installation or repair.
l • Driveway approach installation
Property address/location(s f��3 ����` _?:! �/ and/or repair
• Sanitary sewer lateral installation
SW Upper Boones Ferry Rd AND SW 72nd Ave and/or main line tap
❑ TYPE 3-Full scale Development
Applicant: Comcast Project#49211-4580 %X"ork performed with Land use
11308 SW 68th Parkwa 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@eable.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 Watcr Service Arca
CCB#: 77450 Expiration: 2/24/2017 SUBMIT COMPLETED APPLICKrION 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: @ @
Tigard,OR 97223
Contact name: Terry Richmond Phone: (503)969-6792 Applications for"minor work in right-of-\vay"
only may be emailed to:
Engineer: K&B Technical Solutions rompermits9tigard-o�r.gov
Address: PO BOX 2529
City/state: Clackamas, OR Zip: 97015 FOR STAFF USE ONLY
Phone: (503)650-6041x217 Email: KJ_Sprecher@kbmail.net Case No.:
Contact name: KJ Sprecher
Application submittal fee:
Additional fees:
Estimated value of work is required(if over$5,000):$6000.00 Application accepted: l
(within the public right-of-way) By: => Date:/Ll,,V
Is work related to a LAND-USE DECISION? El ',es 8 No Application reviewed:
If so,please specify(MLP, SDR,SUB,etc.) case #: By: Date:
Applicant notified:
Is work related to a BUILDING PERMIT? ❑ -es 0 leo By: Date:
If so,please specify(BUILDING PER.'vIIT)case#: \CUR PLN\Masters\land Use Applications R-07/09/2015
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 1 wwwtigard-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 ttrork.
"When the owmer and the applicant arc 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 APPLICANT(S) SHALL CERTIFY THAT:
• The above request does not violate any deed restrictions that may be attached o or imposed tion the subject Froger
• 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,including the policies and criteria,and understands the
requirements for approving or denying the application.
SIGNATURES of each owner of the subject property required.
Applicant/ horized Agent's signature Print name Date
KJ Sprecher 6/20/2016
Owner ignature 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 • aw-w.tigard-or.gov 503-718-2421 • Page 2 of 4
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Page 108 2011 Edition
5.5 Multi-Lane Roads
Right Lane Closure, Multi-Lane Non-Freeway Diag. 500
Diagram 500 covers work which closes the right lane of a multi-lane non-
freeway road.
If closing more than one lane on a multi-lane road, provide a minimum
tangent distance of 2L between the end of the first lane closure taper and the
beginning of the second lane closure taper.
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 the posted speed is 40 mph or less, the RIGHT LANE CLOSED
AHEAD signs may be omitted.
4. Placement of signs in a non traversable median or other median that is
not a two-way left turn lane is required for lane closures any time there
is room for a truck to be parked on the left, out of the travel lane.
When there is no room for a truck to be parked on the left an additional
RIGHT LANE CLOSED AHEAD sign should be placed on the right side
and placement of signs in the median is optional.
5. If flagging is needed for work vehicle ingress/egress, use Flagger
Layout Detail (see Inset).
Sign Spacing and Buffer Lengths(feet)
Posted S acing Between Signs Buffer
Speed A B C Space
20 50 ERRATA:
25 100 100 100 75
30 100 Supplement Table
40 350 350 350 1 50 Updated:February 12,
45 180 12016
By:ODOT Traffic-Roadway
50 500 500 500 210 section
55 1 250
Si n SDacine and Buffer Len the feet Supplement
Posted Spacing Between Signs "Buffer"
Speed A B C Space
60 285
65 700 700 700 325
Chapter 5 70 365 December 2011
2011 Edition Page 109
Right Lane Closure, Multi-Lane Non-Freeway Diag. 500
1 t t t
• Protection Vehicle
• wrrMA(both Optional)
' See Chapter 4
T
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1 BLdlar
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Flag ger Layout •• i
Detail
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ROAD
s 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
125 1
40 350 350 350 150 Updated:February 22,
2016
45 180
50 500 500 500 210 sseeit0il10fhdfficRoadway
55 1 1 250
Sign Spacing and Buffer Lengths feet SUDDlement
Posted S acin 3,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
NOTES:
I I Bicycles on Roadway(CW11-1)sign should not
I interrupt standard sequences. For example:
o BE PREPARED TO STOP/Flagger Symbol
I
o _LANE CLOSED AHEAD/Lane Ends
Work Symbol
I Bicycles on Roadway sign typically follows ROAD
Area WORK AHEAD sign and used as general warning.
I
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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
Pedestrian 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.
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December 2011 Chapter 5