PFI2016-00194 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
COMMUNITY DEVELOPMENT Permit#: PF12016-00194
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 04/17/2017
Parcel: SEG1868
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: Comcast
Project Description: Adjacent to 14140 SW 72nd Ave. Comcast proposes to overlash 661'of new fiber and coax to existing
aerial facilities, bore 139', and trench 5'to install (1)-2"conduit a min. of 36"below grade within City of
Tigard ROW. SEG 1868/1706
Owner: FEES
Description Date Amount
PFI Permit Fee 04/14/2017 $300.00
PHONE:
Contractor:
TEXSTAR ENTERPRISES INC
17090 JORDAN RD
SELMA,TX 78154
PHONE: 210-656-8775
FAX
Applicant:
LINDA MCCLAIN
11308 SW 68TH PARKWAY
TIGARD, OR 97223
PHONE: 503-596-3965
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
Signature: �2� �J�.Lrlwt
Issued By:
Special Conditions(See Attached)
Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY
Conditions for PF12016-00194
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. Ken Fisher 503+-816-6146 or Kenny@Tigard-or.gov.
Traffic Restrictions for 72nd Ave: No work before 9am and after 3pm
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 AUG 2 4 2016
PUBLIC WORKS —ENGINEERING
L CITY 01 TIGARD
Public ublic Facility
ty Improvement (PFI) P(�ZO/ENGINEERING
DESCRIPTION OF WORK(in the right-of-way) TYPE OF WORK
Check one: ® Utility Connection
8 TYPE 1—Franchise Utility Work
❑ Sidewalk/driveway approach Work performed by NWN,PGE
❑ Street improvements and/or utility agency.
Detailed description: Overlash 661'of new fiber and coax to existing ❑ TYPE 2-Sidewalk/Driveway/Sewer
aerial facilities, bore 139',and trench Flo install(1)-2"conduit a min. Work performed for the purpose of:
of 36"below grade within City of Tigard ROW. - Sidewalk installation or repair.
- Driveway approach installation
Property address/location(s): 14140 SW 72nd AveS> R / and/or repair
Tigard, OR 97224 n oIO - Sanitary sewer lateral installation
and/or main line tap
❑ TYPE 3—Full scale Development
1
Applicant:
Comcast Project:49569 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)596-3965 Email: Linda_McClain@comcast.com - Street widening
Contact name: Linda McClain Phone: - Mairibne installation for Sanitary
sewer,Storm sewer,Tigard water
Contractor: Texstar Enterprises and/or Tigard Water Service Area
CCB#: 178798 Expiration: 10/10/2017 SUBMIT COMPLETED APPLICATION TO:
Address: 14122 Arndt Rd City of Tigard
City/state: Aurora,OR Zip: 97002 Planning/Engineering
Phone: (503)776-5049 Email:limminer@texstarenterprises.com
13125 SW Hall Blvd.
Tigard,OR 97223
Contact name: Jim Miner Phone: (503)793-3109
Applications for"minor work in right-of-way"
only may be emailed to:
Engineer: K&B Technical Solutions La=ermits6 jjgard-or.c+ov
Address: 6566 SE Lake Rd.Ste.F
City/state: Milwaukie, OR Zip: 97222
Phone: (503)650-6041 Ext.217 Email: KJ_Sprecher@kbmail.net Case No.: PFI201w- co ICI L4
Contact name: KJ Sprecher Application submittal fee: 40r_
Additional fees: 3;aDO
Estimated value of work is required(if over$5,000):$ Application accepted:
(within the public right-of-way) By: >)V-- Date:
Is work related to a LAND-USE DECISION? ❑ Yes 8 No Application reviewed: /
By: J G X I`- Date:
If so,please specify(MLP,SDR, SUB,etc.) case#:
Applicant notified:
Is work related to a BUILDING PERMIT? ❑ Yes B No By: Date:
If so,please specify(BUILDING PERMIT)case#: \CURPLN\Masters\Land Use Applications Rev.07/09/201
City of Tigard - 13125 SW Hall Blvd. - Tigard,Oregon 97223 - 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 work.
*When the owner and the applicant are different people,the applicant must be the purchaser of record ora 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 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 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.
SIGNAT RES of,each owner of the subject property required.
L KJ Sprecher 08/23/2016
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 SW Hall Blvd. • Tigard,Oregon 97223 • w\tnvtigard-or.go\• 503-718-2421 • Page 2 of 4
N
R E
D 'A�
SOME:1+Se
END AERIAL OVERLASH.
BEGIN UNDERGROUND CONSTRUCTION.
SEE SHEET RP3 FOR DETAIL
23&NT
®'25'
bi
SW LANDMARK LN
959/51169
79/501258
C�
C
N
Z BEGIN UNDERGROUND CONSTRUCTION.
/ SEE SHEET RP2 FOR DETAIL
rn
m
9sasotzsT
®•25•
BEGIN AERIAL OVERLASH
IN CITY OF TIGARD ROW
1.ALL WORK AREAS TO BE
RESTORED TO LIKE OR BETTER
CONDITION.
2.ALL OTHER UTILITIES ARE BASED
OFF EXISTING LOCATES OR UTILITY
STRUCTURES.
3.IT IS THE CONSTRUCTION
CONTRACTORS RESPONSIBILITY TO
CALL FOR LOCATES BEFORE
DIGGING.
4.OVERLASH-
0 /— t �aaaans oEsrcr.er Ase rE<re+au mu7raa
2ND AVE
comca 7` d 14140 D,7897224
J (y/ ` TIGARD,OR 97224
rEGHN10M 50.UnoNS a - -
12 Contact:Linda McClain 49W9
V Phone:(503)596-3965 PD sox ft.-(M)2529. 650,6041 Tsts FIBER/COAX ENHANCEMENT
Dolt..(M)650,6041
�+ Linda McClain@comcast.wm Fina9:corey_w,si«i@Lema4—t - - CITY OF TIGARD ROW PERMR DRAWING
N
ft E
3
-210'FROM SW LANDMARK LN ROW SCALE:1-10'
T FROM FOC
2'FROM ROW
3 BEGIN UNDERGROUND CONSTRUCTION
- 860/501257 IN CITY OF TIGARD ROW
®'25'
8'%4'RECENING PIT
i
I(VARIES) - 16(VARIES) --
C/) BORE AND INSTALL(1).7 CONDUIT
C A MIN.OF 36'BELOW GRADE
V
N
Z
m
v
D
3
- 14'FROM WATER
T7 N o
R 8 �
50'
40
e'xe'BORE PIT
EXIT CITY OF TIGARD ROW.
CONTINUE ON PRIVATE PROPERTY
I
Ft- 7 Z-
3 1.ALL WORK AREAS TO BE
RESTORED TO LIKE OR BETTER
CONDITION.
2.ALL OTHER UTILITIES ARE BASED
OFF EXISTING LOCATES OR UTILITY
STRUCTURES.
3,IT IS THE CONSTRUCTION
CONTRACTORS RESPONSIBILITY TO
CALL FOR LOCATES BEFORE
DIGGING.
4.BOREIDRILL-
3
S.TRENCH-
6.BORE PIT-
IN 72ND AVE
Ccomcast
Pevm+nx4sr[C1IPCALsnunaa s 14140 D,OR9224 TIGARD,OR 97224
TFOHNGIL SOLUTIONS 2
aunw49569
Contact: ma
Linda McClain Po eox 25n.a. .at i7ote
1 V Phone:(503)596-3965 O .50�„OD41 FIBER/COAX ENHANCEMENT
Linda McClain@comaast.com Emelt Corey_DansIw§hom,4—I CITY OF TIGARD ROW PERMIT DRAWING
` 2
W
W e
Qn K
� W
N O qQ a
V
\ PRIVATE DRIVEWAY o� w c
REMOVE d REPLACE-87(6' t d
SECTION OF ASPHALT ~ W
- BEGIN UMNDERGROUND CONSTRUCTION in
N
IN CITY OF TIGD ROW
~ TRENCH AND INSTALL(1)-2'CONDUIT `IOACCESS EASEMENT it
\ A MIN.OF 36'BELOW GRADE ■
/BORE AND INSTALL(1)-2-CONDUIT A .
�\ ✓ MIN.OF 36'BELOW GRADE
\ 5'FROM ROW(VARIES) $
1T FROM SEWER(VARIES)
EXIT CRY OF TIGARD ROW. 5
-'/CONTINUE ON PRIVATE PROPERTY $ +
Q \ 63'(VARIES) N
'9L 6'X6'BORE PIT
M
116 UP
� S �
40' y
109(VARIES)
SCALE:1+40' }/
,AA E
- 29'(VARIES) 1.ALL WORK AREAS TO BE v 7
/ RESTORED TO LIKE OR BETTER t7 iY
CONDITION. \ $
2.ALL OTHER UTILITIES ARE BASED st
OFF EXISTING LOCATES OR UTILITY
STRUCTURES. n v
s\ 1 �
3.IT IS THE CONSTRUCTION O U a aI
CONTRACTORS RESPONSIBILITY TO V
CALL FOR LOCATES BEFORE
DIGGING.
4.BORE/DRILL-� RP3
5.TRENCH-
6.BORE PIT- r-,
OMPA-7537-5043
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
CO Lu -
�� W CL
o 0
0 `
o �
v�
wa
� l t LL
m�
3
a
Q
m c
----------------- • moa
I
'•• >0 m
I I • opt
I I I ® $v
I r R 111 /a2/3
I I •
I.® � i •
o '
I •
I onE
I -O �.� i •
o sv
I �0 5. I I I •
uj
I c'� I Y mWo
i-n 1 1 Y„
Sign Spacing and Buffer Lengths(feet) j I 1 w
ERRATA: Posted S acin Between Si ns Buffer W S
Speed A B C Space zz =d O
20 50
SupplementTable 25 100 100 100 75
30 100
125 cc
m616��a�1= 40 350 350 350 150 O
ef:000rrrd6ceo.dw.y 45 180
Section 50 500 500 500 210
55 250
Si n S acin g and Buffer len the feet SuDDIement
December 2011 posted Spaciniz Between Signs "Buffer" Chapter 5
Speed A B C Space
60 285
65 700 700 700 325
70 365
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
40 350 350 350 150 updated:February 12,
2016
45 180
By:0001 traffic Road"
50 500 500 500 210 Section
55 1 1 1 250
Si n S acin P.and Buffer Len the feet Supplement
Posted S acin 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
CENTER I
CLOSED
I I
A
II
U2 I • I
Buffer
Protection Vehicle
w/TMA(both Optional)
/See Chapter 4
Buffer
•
• L/2
I �
•
•
U2 I• I A
r
I
lyt B
ROAD
WORK
--1: AHEAD
December 2011 Chapter 5
Kenny Fisher
From: McClain, Linda <Linda McClain@comcast.com>
ent: Thursday, March 23, 2017 2:34 PM
To: Kenny Fisher
Subject: RE: Permit# PF12016-00194 --Job#49569 -- 14140 SW 72nd Ave.
Oh no problem, Kenny!
We've moved around a bit so that's going to happen. No worries.
Linda McClain I Construction Specialist 2
Comcast Cable I OR/SW WA
11308 SW 68th Parkway I Tigard, OR 97223
Tel: 503-596-3965 1 Cell: 503-278-0269
linda mcclain@comcast.com
Veterans
Network
From: Kenny Fisher [mailto:Kenny@tigard-or.gov]
Sent:Thursday, March 23, 2017 2:33 PM
To: McClain, Linda <Linda McClain@cable.comcast.com>
Subject: RE: Permit#PF12016-00194--Job#49569 -- 14140 SW 72nd Ave.
Sorry, was just going by your name being on the permit as the applicant.
WFrom: McClain, Linda [mailto:Linda McClain@comcast.com]
ent: Thursday, March 23, 2017 1:12 PM
To: Kenny Fisher
Subject: RE: Permit # PFI2016-00194 -- Job #49569 -- 14140 SW 72nd Ave.
Hello Kenny—this job belongs to Scott Sarber, he has Tigard.
I will forward to him.
Thank you,
Linda McClain I Construction Specialist 2
Comcast Cable I OR/SW WA
11308 SW 681h Parkway I Tigard, OR 97223
Tel: 503-596-3965 1 Cell: 503-278-0269
linda mcclain@comcast.com
Veterans
Network
From: Kenny Fisher [mailto:Kenny@tigard-or.gov]
Sent:Thursday, March 23, 2017 10:50 AM
To: McClain, Linda <Linda McClain@cable.comcast.com>
Subject: Permit# PF12016-00194 --Job#49569 -- 14140 SW 72nd Ave.
Hello Linda,
*My permit department is asking if this permit is still needed. It was applied for on 8-24-2016. If this job is still
on the books can someone pick up this permit? If not just send an email requesting to cancel it and I will get it
to the permit department. Thank You.
1
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, a-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retaine
by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule."
•
2