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PFI2017-00183 VOIDED PFI2017 - 00183 EGENED MAR 8 "018 Citi- qf Tigard - COMPMINITY I CITY OF fiGARD Request for Permit Action 191.,1111-DING rINVISInN, 1.3125 'Hall Blvd. - Titgard, Oregoi) 97223 - _'503-718-2,139 TO: CITY OFTIGARD V/ Building Division D 13125 SW I1 all Blvd.,Tjgard, OR 1223 18-2439 Fax. '_03 599-1960 T' ardBuddhigPennit Phone: ;(citiprd-or.gov " Al-.)plicant (" FROM: 0 Owiier Colitractor r itY Staff REFUND OR Nanic. INVOICE TO: MlMiIICs1111'hldll-IdLlal) n faiNng,Address: Cit}?/Statc/zip: Phone No.: PLEASE TAKE AC`I FOIA'THE ITEM(S) CHECKED CA NCEL/VOID PERMITAPPLICATION1 . R1-:,Ft`ND PY"RAUT Fl:i+'S (attach copy of origitial receipt and provide explaiiatiota below). [J INVOI(J" FOR 1111'17"S Dt,'J? (attach case fee schedule aad provide explanation below). F1 1Z 1_,A,1()V F,1/R!-,'!)T,A(,]: CONTIZACTOR ON PER:.-NITT(do not cancel perry ir),. pertildL#: Site Address or Parcel 67 aa*1 Ole— Project Name: Subdivisi(,-.)ja Name: Lot#: EXPLANATION: f-61 t_ 5- 6"'eIJ 0�,,tj aeA is Ila Signature: - ---------- Date: Print Name: R,_Jilnd_Pofi(} 1. The city's C.ollimmitry Development Dil-ector,Building,Official of City 1�:nt;ioc cr inayauthoiw rhr Tefund of, Not morc thaw SW,'of the application or Phil review fc,,whC11:111,1pplication i>withdrawn ol,cancelcd before leview(.ffi,)rt has Ixen ® Idiot inure than f39"lu trl The aphlicatum o+perrrnit fcc for issued pernril�1?rxiar ici ink inslierdon ccclucsrs. 2. All refunds will be rctunwd[o flic-origiiud payer in the forin of'a duck via US pox;tal ScE Vl'(-(:. 3. Please allow 3-4 wccl<-s for processiag refund reclucsts. ESIMMENOMM Dat! Route to Sv,,;,,\c: i By Route to Records: 1-)ate B, Refund Proms-ed: Datc -iI14 I Invoice Processed: M By Perimt Caticeled: )A 7� _7 B "Parcel _added: Dmv BV doc City of Tigard @ COMMUNITY lll?�'1?I,OPl1��N"1' DliP;1R"I'MI:N" ■ Request for Permit Action / 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • w\vw.ti and-or. ov TO: CITY OF TIGARD Building Division 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: INVOICE TO: (Business or Indii•idual) Mailing Address: City/State/Zip: Phone No.: PLEASE TAKE ACTION FOR THE ITEMS) 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#: P-F 1201-1 —00 1 8 Site Address or Parcel#: SEG299- Project Name: Subdivision Name: Lot#: EXPLANATION: Signature: Date: It's Print Name: S o r 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 By Route to Records: Date a� Fes? / B Refund Processed: Date A B Invoice Processed: Date B Permit Canceled: Date � / B Parcel Tag Added: Date B I:\Building\Forms\RegPermitAction_09231 .doc Agnes Lindor From: Chad Harbeck <Chad_Harbeck@kbmail.net> Sent: Friday, January 5, 2018 1:05 PM To: Agnes Lindor Subject: FW: 55758_COMCAST FIBER ENHANCEMENT-CITY OF TIGARD_PERMIT REQUEST_ Attachments: SKM_C554e17083108070.pdf Comcast would like to cancel this permit as the project has been cancelled and will not be constructed. Thanks for your help! From:Agnes Lindor [mailto:agnesl@tigard-or.gov] Sent:Thursday, August 31, 2017 8:10 AM To: Chad Harbeck<Chad_Harbeck@kbmail.net>; ROW Permits<rowpermits@tigard-or.gov> Cc: Sorenson, Bambi <Bambi_Sorenson3@comcast.com> Subject: RE: 55758_COMCAST FIBER ENHANCEMENT—CITY OF TIGARD_PERMIT REQUEST_ Please see attached your approved permit. Thanks, Agnes Lindor Associate Planner City of Tigard Community Development 13125 SW Hall Boulevard Tigard, Oregon 97223 Phone: 503.718.2429 Email: Agnes Ltigard-or.gov From: Chad Harbeck [mailto:Chad Harbeck@kbmail.net] Sent: Monday, August 28, 2017 11:29 AM To: ROW Permits<rowpermits@tigard-or.gov> Cc: Sorenson, Bambi <Bambi Sore nson3@comcast.com> Subject: 55758_COMCAST FIBER ENHANCEMENT—CITY OF TIGARD_PERMIT REQUEST_ I've attached a permit, application and applicable traffic control plans for work to be performed in City of Tigard ROW. Please call or email with any questions. Chad Harbeck Metro-E/INET/Cell Backhaul Project Manager 6566 SE Lake Rd, Suite F, Milwaukie, OR 97222 Office: (503)650-6041 EXT: 220 Cel: (503)866-0891 TECHNICAL SOLUTIONS Chad Harbeck(cDkbmail.net Disclaimer The information contained in this communication from the sender is confidential. It is intended solely for use by the recipient and others authorized to receive it. If you are not the recipient, you are hereby notified that any disclosure, copying, distribution or taking action in relation of the contents of this information is strictly prohibited and may be unlawful. 1 DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 2 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT COMMUNITY DEVELOPMENT Permit#: PF12017-00183 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 08/31/2017 Parcel: SEG285 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: Comcast PFI Project Description: Comcast to overlash 48ct fiber optic cable to existing overhead cable bearing strand in City of Tigard ROW Owner: FEES Description Date Amount PHONE: Contractor: PHONE: FAX: Applicant: SCOTT SARBER 11308 SW 68TH PARKWAY TIGARD, OR 97223 PHONE: Tota 1 $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: �� 00W CF y Issued By: MX2A Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12017-00183 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 at 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 i AUG 2 8 2017 i City of Tigard a PUBLIC WORKS—ENGINEERING CITY OF TIGARD MANNING/ENGINEERING Public Facility Improvement (PFI) Permit TYPE OF WORK DESCRIPTION OF WORK(in the right-of-way) 8 TYPE 1—Franchise Utility Work Check one: @ Utilities ❑Sidewalk/driveway approach ❑Sueetunprovements performed by NWN, PGE Detailed description: Comcast proposes to overlash(1)-48ct fiber optic and/or utility agency. cable to existing overhead cable bearing strand in City of Tigard ROW ❑ TYPE 2-Sidewalk/Driveway/Sever Work performed for the purpose of- • Sidewalk installation or repair. 10500 SW Greenbu Rd,Tigard,OR 97223 • Driveway approach installation Property address/location(s): g and/or repair ��� r 1z 8 S • Sanitary sever lateral installation and/or main line tap Applicant: Comcast Cable ❑ TYPE 3—Full scale Development pP Work performed with Land use Address: 11308 SW 68th Parkway approval which includes any of City/state: Tigard,OR Zip: 97223 the followuig: Phone: 503-596-3819 Email: scott_sarber@comcast.com • Subdivisions or Partitions Contact name: Scott Sarber Phone: 971-801-5706 • Streetwidening • Afainline installation for Sanitary Contractor: TEXSTAR ENTERPRISES sewer, Storm sewer,'Tigard water L; CCB#: xpiration: 178798 10/10/17 and/or Tigard Water Service Area I Address: 14122 ARNDT RD SUBMIT COMPLET13DAPPLICATIONTO: City/state: AURORA,OR Zip: 97002 City of Tigard Phone: 503-776-5049 Email:aim.miner@texstarenterprises.com Planning/Engineering 13125 SW Hall Blvd. Contact name: JIM MINER Phone: 503-793-3109 Tigard,OR 97223 Applications for"minor wort in right-of-way" Engineer: K&B TECHNICAL SOLUTIONS curly may be emailed to: Address: 6566 SE LAKE RD roj em3dt 6 tigard-or.gov City/state: MILWAUKIE,OR Zip: 97222 Phone: 503-650-6041 Email: chad_harbeck@kbmail.net Case No.: P 0© 1 g 3 Contact name: CHAD HARBECK Application submittal fee: $ Additional fees:$ j Estimated value of work is required(if over 55,000):$ Application accepted: (within the public right-of-way) By: n, P? Date: / Application rcvicwcd: Is work related to a LAND-USE DECISION? ❑ Yes ® No By: Date: If so,please specify (MLP,SDR,SUB,etc.) case#: Applicant notified: e/ Is work related to a BUILDING PERMIT? ❑ Yes 8 No By: All Date: b 3l I f so,please specify(BUILDING PERMIT)case#: cutrwu�rmnkwik.ua, ►nak,tRev.12/16/2016 Ove4 I3'e-A d VL\4 a"-;- zN G.4s1: of s-rrzt.cr c..-r cQA,�_. s r �t5 A Pu G.L'C 5-rvti:.i--' 7 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,if required by the city pursuant to TMC 15.041.140. * With the exception of a utility operatinrg pursuant to a valid fnuichise with the City of Tigard,when the owner mid the applicmit arc different people,the applicant must be die purchaser of record or a lessee in possession with written authorization from the owner or aii agent of the owuer. The owner(s)must sign this application iu the space provided or submit a written authorization with this application. franchised Utilities are not required to obtain the owner's signature on die application BY SIGNING BELOW,THE APPLICANTS) SHALL CERTIFY THAT: • The above request does not violate any recorded deed restrictions that may be attached to or irmposr'd upon the subject =12er • If the application is granted,the applicant-,vill exercise the rights granted in accordance Avith 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 re uirements for approving or denying the application. i Chad Harbeck 8/28/17 Applicant/Authorized Agent's signature Print name Date SIGNATURES of each owner of the subject property, if required. i Owner's signature Print name Date Owner's signature Print name Date I Owner's signature Print name Date PUBLIC FACILITY IMPROVEMENT PERMIT City of Tigard 13125 SXV Hall Blvd. • Tigard,Oregon 97223 • ww%vtigard-or.gov 503-718-2421 Page 2 of 4 2 1025 ❑ 0�I Z R'A BEGIN AERIAL CONSTRUCTION AT to W W EXISTING UTILITY POLE NTINT z U 1 INSIDE OF CITY OF TIGARD ROW. WZ 1 3 (9J W C J ❑ N W m 80 m W ca LLF C7 � OVERLASN(1"8CT FIBER OPTIC CABLE_ C� TO EXISTING CABLE BEARING STRAND x� A v� PLACE NEW DOWNGUY `-•rTO� 6602/NT 5 OVERLASH(1"BCT FIBER OPTIC ,1 GABLE YO TO EXISTING CABLE BEARING STRAND s8" END AERIAL CONSTRUCTION AT EXISTING Jw UTILITY POLE IN CITY OF TIGARD ROW. �$ 1'A F d SW OAK ST g • 01 u U u 1.ALL WORK AREAS TO BE @) RESTORED TO LIKE OR BETTER E .. CONDITION. O .51-5 2.ALL OTHER UTILITIES ARE BASED °u OFF EXISTING LOCATES OR UTILITY W B STRUCTURES. 9.IT IS THE CONSTRUCTION CONTRACTORS RESPONSIBILITY TO RPI CALL FOR LOCATES BEFORE DIGGING. SCALE:1 i'0°' 5.AERIAL- CMME-97918708 Page 114 2011 Edition Left Turn Refuge Closure Diagram 605 Diagram 605 covers work which closes an exclusive left turn refuge. When working in a left turn refuge, close the entire refuge. 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. For speeds 40 mph or less and for work in place less than 15 minutes, a truck-mounted arrow panel or PCMS in arrow mode may be used in place of signing shown on the shoulder. Turn lane closure taper is required, as shown. 4. For speeds over 40 mph and for work in place more than 15 minutes, a 36" (min.) LEFT TURN LANE CLOSED (CW23-13)sign is required inside the cone taper or mounted on the work vehicle. The sign may be displayed using a truck-mounted PCMS. 5. Left turn movements can be made from the left-most through-lane unless regulatory signs prohibit turns from that lane. Check with the road jurisdiction before placing regulatory"Left Turn Prohibition" (R3-2) symbol signs. 6. The left turn lane closure merging taper shown is required for all speeds and work durations. 7. If median is not a continuous two-way left turn lane and there is adequate space available, place an additional advance warning sign in the median. Sign Spacing and Buffer Lengths(feet) Posted Spadng Between Signs "Buffer" Speed A B C Span 20 s0 25 100 100 100 75 30 100 35 350 350 350 125 40 150 45 180 50 500 500 500 210 55 250 60 285 65 700 700 700 325 70 365 Chapter 5 September 2016 2011 Edition Page 115 Left Turn Refuge Closure Diagram 605 -Iry Work Vehicle w/TMA • (Optional) ' • • • eufferl I (Optional- • See Note 5) • X. LEFT _ TURN LANE CLOSED (Mon e� l l T T T PDAD AWEM *See Note 7 September 2016 Chapter 5 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 Spacing Between Signs "Buffer" Speed A 8 C Space 20 50 25 100 100 100 75 30 100 35 350 350 350 125 40 150 45 180 SO 500 500 500 210 55 250 60 285 65 700 700 700 325 70 365 Chapter 5 September 2016 2011 Edition Page 109 Right Lane Closure, Multi-Lane Non-Freeway Diag. 500 1 1 t t • Protecdon Vehbe • WrW(both opft* ' Sae Chapter 4 • f I I Buftr WW for I A I I r I I B • I • PREPARED I • � .. � To STOP ; I I •. -1- --1---- --� t�e9 Flagger Lrout •• I A * I � i B *See Note 4 FIW LANE * ane® 1 1 1 1 "MEAD ROAD vVDW AHEAD September 2016 Chapter 5