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PFI2017-00176 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT = COMMUNITY DEVELOPMENT Permit#: PF12017-00176 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 08/30/2017 Parcel: SEG1396 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: PGE and Frewing Project Description: Provide power to 2 new homes to be built at 9799 and 9795 Sw Frewing Owner: FEES Description Date Amount PFI Permit Fee 08/30/2017 $300.00 PHONE: Contractor: PHONE: FAX: Applicant: CHRIS JEWETT 10800 SW AVERY ST TUALATIN, OR 97062 PHONE: 503-673-5481 Tota 1 $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: ILI 9 1 1 �►7 [ Issued By: Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12017-00176 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. Call Jonny Gish 971-713-0281 or Jonny@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 4 Tigard AUG 22 2017 PUBLIC WORKS — ENGINEERING PLANNING/ENGINEERING ITY TI Public Facilit)T Improvement (PFI) Permit TYPE OF WORK DESCRIPTION OF WORK(in the right-of-way) (� TYPE 1—Franchise Unlit}'Fork Check one: 14 Utilities ❑Sidewalk/driveway approach ❑Street improvements performed by N\K N, PGE Detailed description: Provide Power to 2 New Houses to be Built and/or utility agency. 200A 120/240V 1 Ph UG SVC ❑ TYPE 2-Sidewalk/Driveway/Sewer Work performed for the purpose of. • Sidewalk installation or repair. Property address/location(s): 9799 And 9795 SW Frewing St • Driveway approach installationand/or repair ,,_, • Sanitary sewer lateral installation and/or main line tap Applicant: Portland General Electric El TYPE 3—Full scale Development pp Work performed with Land use Address: 10800 SW Avery St approval which includes any of City/state: Tualatin, OR Zip: 97062 the following: Phone: 503-672-5481 Email: preregcoord@pgn.com • Subdivisions or Partitions Contact name: Chris Jewett Phone: 503-672-5481 • Street widening • Mainline installation for Sanitary Contractor: NIA sewer, Storm sewer, Tigard water and/or Tigard Water Service Area CCB#: Expiration: Address: SUBMIT COMPLETED APPLICATION TO: City/state: Zip: City of Tigard Phone: Email: Planning/Engineeri»g 13125 SW Hall Blvd. Contact name: Phone: Tigard,OR 97223 Applications for"minor work in right-of-way" Engineer: N/A only may be emailed to: Lgn=rmitsQ.tigard-or.goy Address: City/state: Zip: oo DeT Phone: E-mail: Case No.:'f ` u I� — 1 Contact name: Application submittal fee: $ 300•CQ Additional fees:$ Estimated value of work is required(if over$5,000):$ Application accepted: / (-.vitivn the public right-of-way) By: M 6 Date: ` 2 2- Application Application reviewed: Is work related to a LAND-USE DECISION? ❑ Yes 9 No By,-ZG:5�- Date: 81.1,511-7 If so,please specify(NiLP,SDR,SUB,etc.) case#: Applicant notified: Is work related to a BUILDING PERMIT? ❑ 17es J'No By: SW Date: _ If so,please specify(BUILDING PERMIT)case#: a\ENG\Pw kApplimtions\pe&°play°" 6ev.rt/n6rA16 City of Tigard 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov 0 503-718-2421 • 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 TMC t5.041.140. * With the exception of a utility operating pursuant to a valid franchise with the City of Tigard,when die owner and the applicant are different people,the applicant must be the purchaser of record or a lessee in possession with written authorization fiom the owner or an agent of the owner. 'llre 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 owners signature on the application BY SIGNING BELOW,THE APPLICANT(S) SHALL CERTIFY THAT: • The above request does not violate an`-recorded deed restrictions that inay be attached to or imposed upon the subject roe . • 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 requirements for approving or denying the application. c - s4R-e Applicant/Authorized 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 1 Page 2 of 4 SINGLE FAMILY LEGEND NEW PGE FACILITIES TO BE INSTALLED (UNLESS OTHERWISE SPECIFIED) _INSTALL FACILITIES 13245 _._ INSTALL I-0350 AL-TX SECONDARY IN 1.3'PVC CONDUIT M PROVIDED d INSTALLED BY CUSTOMER 1201240V O 1750 SECONDARY VAULT 200AMP PROVIDED 4INSTALLED BY CUSTOMER 9 0.63%VD CUSTOMER TO INSTALL S'PVC CONDUIT 6 STUB-UP FOR FUTURE 1-4,0 AL-TX SERVICE 0.83%FLKR zs� 8112 A AFC 1957 CONSTRUCTION NOTES: SFEXT '10 1. CUSTOMER TO PROVIDE ALL TRENCHING AND BACKFILLING.JOINT USE TRENCH h WITH GAS,TRENCH TO BE 48 INCHES DEEP AND 30 INCHES WADE.MEASURED FROM FINAL GRADE. 2. CONDUIT(IF NECESSARY)WILL BE GRAY,SCHEDULE 40,ELECTRICAL GRADE, C PVC CONDUIT WITH NYLON PULL STRINGS(MIN.500 LBS.TEST). PGE TO DETERMINE THE SIZE AND NUMBER OF CONDUITS REQUIRED. 9783 MAINTAIN 12 VERTICAL INCHES AND 24 HORIZONTAL INCHES CLEARANCE Vi 15 BETWEEN GAS AND OTHER UTILITIES.ALL ELBOWS TO BE 36 INCH(MIN)RADIUS. ALL BENDS MUST BE FACTORY MADE.RIGID STEEL OR PGE APPROVED FIBERGLASS DG`. BENDS ARE REQUIRED FOR RUNS OF 151 FEET OR LONGER.OR FOR ANY LENGTH C 100 4108 qi- RUN WITH MORE THAN 100 DEGREES IN BENDS.PVC SCHEDULE 40 BENDS ARE nuc P� C2 1-O2C ACCEPTABLE FOR RUNS OF 150 FEET OR LESS.THE MAXIMUM TOTAL BENDS INANY CONDUIT RUN IS 270 DEGREES. 3.CUSTOMER RESPONSIBLE FOR ROAD CROSSINGS.USE ONLY GRAY.SCHEDULE 40, ELECTRICAL GRADE,PVC CONDUIT WITH NYLON PULL STRINGS(MIN.500 LBS.TEST} 4. DIRECTIONAL BORING REQUIREMENTS.BLACK HDPE(HIGH DENSITY POLYETHELINE)DUCT OR SCHEDULE 40 PVC WITH A MECHANICAL CONNECTION(CERTA-LOK OR LIKE MECHANICAL CONNECTION PRODUCT)AS AN ALTERNITNE TO HOPE DUCT.HDPE SHALL MEET THE REQUIREMENTS OF PGE SPECIFICATION LC20511(AVAILABLE ON REQUEST FROM PGE PROJECT EXTRUDED RED STRIPES(WHICH IS A SPECIFICATION REQUIREMENT).MANDREL TEST OF HDPE PIPE IS REQUIRED AFTER INSTALLATION WITH PGE INSPECTOR PRESENT �C1 976' 5. SINGLE PRIMARY INSTALLATIONS-CONDUIT TO EXTEND A MINIMUM OF 10'FROM TRANSFORMER PAD. n� 6. ALL PGE TRANSFORMERS TO BE INSTALLED 8 FEET(MIN)FROM ANY COMBUSTIBLE 9'RO BUILDING,WALL OR OVERHANG AND 4 FEET(MIN)FROM ANY FIRE HYDRANT. PGE TRANSFORMERS MUST BE WITHIN 15 FEET OF A DRIVEABLE AREA. ALWAYS MAINTAIN 10 FEET CLEARANCE IN FRONT OF ALL TRANSFORMERS. 7.CUSTOMER TRENCH AND ELBOW CONFIGURATIONS MUST BE INSPECTED BY PGE PRIOR TO BACKFILLING.WHEN YOU ARE READY FOR PGE TO INSPECT(AFTER INSTALLATION IS COMPLETE) PLEASE CALL 800-5422810 OR 503-323-6700IN THE PORTLAND AREA. 9750 ALLOW UP TO 2 WORKING DAYS FOR INSPECTION TO OCCUR, Open 9741 8. DESIGN IS BASED ON STANDARD UNDERGROUND EQUIPMENT.NONSTANDARD UNDERGROUND EQUIPMENT MAY BE AN OPTION AT AN ADDITIONAL COST TO THE CUSTOMER. r.sawv ANYDEVlAT10N FROM 7HLS DESIGN MUST POE CONSTRUCTION DRAWING ANNE - _ n JI BEAPPROVED BY THE PGE PROJECT MANAGER u L v Foremen Dere: THINK - ' CONTACT SERVICE COORDINATOR General ForemenDate. k.4eN SAFETY EOR TRENCH AND CONDUIT INSPECTION PRIOR srnxrwrl CnA ,rte O� FIRST 'O BACKFILL.PGE WILL NOT INSTALL WIRE SOPMiENG REVIEW ASSUILTSYDESMNER: UNTIL TRENCH IS 1009E RACKHLLED SERVICE COORDINATOR 7/25/2017 ii 2911 F0 1070001 1000004594 M2353541 No 503-3Z3-6700 OR 1800-542-8818 PL-9064 —1 — .� = BLACK DIAMOND HOMES,INC 3' 7F 1\ UI SIZE l ATTENTION CALL CALL 81I BEFORE YOU DIG / N, TIGARD-TIGARD 13 11 x 17 CONDUIT `�_j` RIGHT-OF-WAY PERMIT NOTICE: OREGONGWREQUIRf5110UTOFOILOWRVI£SADOITED �E -r A PERMIT FROM THE LOCAL JURISDICTION IS REQUIRED BEFORE ANY BY THE OREGON UTILITY NOTIFICATION CENTER. 9799 and 9795 SW Frewing St.,TIGARD,OR,97223 WORK IN THE RIGHT-OF-WAY MAYBE PERFORMED. ONLY PGE APPROVED THOSE RULES ARE SET FORTH IN OAR 952-001-0010C6 ` 1 THROUGH 9S2-001-0090 YOU MAY OBTAIN COPIES Of SecondaryService to 2 lot sub at SHEET B. CONTRACTORS AND CONTRACTORS WHO HAVE MADE OTHER SPECIAL THE RULES BYCALUNG THE OREGON UTILITY I+o K H1 H AGREEMENTS WITH PGE WILL BE ALLOWED TO WORK UNDER PGE'S PERMIT NOTIFICATION CENTER ADMINISTRATNLN I(SD2.232•]M]J WASHINGTON C2102C 1 OF RnoN _ THE CONTRACTOR MUST NOTIFY THE LOCAL JURISDICTION 48 HOURS TO REQUEST UTILITY LOCATES CALL THE OREGON wIIMY bel0yy. DESIGN BY PPO—NT(503)DILA LAN BY BEFORE WORK IS TO BEGIN. A COPY OF THE PERMIT MUST BE ON SITE UTILITY NOTIFICATION CENTER,111 AT LEAST Call below you dig. Chns Jewett 672-54811 Sem Modand 2 BUSINESS DAYS PRIOR TO EXCAVATION MORTLA.. .NERALELE.T.0 CO.-ALL RIGHTS RESERVED 2011 Edition Page 85 Stationary Lane Closure with Flagging Diagram 320 Y 2 O a A o. W oo O m rn m � W l tLL UA 3 LU o I I•- a Q c • ca I • �O W I t 0. I I • . a o I'. i CO :® g �r �# O?� <e��> I �g I I I t I Lt, Vs a e I • L�a N vo 4 tY -----------"-----! Sign Spacing and Buffer Lengths(feet) 1 ? W PostedS act n BeMreen Signs Buffer R FL Speed A B C Space zz TZ O 20 50 25 100 100 100 75 30 100 35 125 40 350 350 350 150 45 180 50 500 500 500 210 55--I 250 December 2011 Chapter 5