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PFI2017-00137
CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT COMMUNITY DEVELOPMENT Permit#: PF12017-00137 t 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 08/03/2017 Parcel: SEG1026 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: PGE Project Description: Adjacent to 8610 SW Scoffins Street. Install new archor. M2311514/SEG 1026 Owner: FEES Description Date Amount PHONE: Contractor: PHONE: FAX: Applicant: MICHAEL STAGG 10800 SW AVERY STREET TUALATIN, PR 97062 PHONE: 503-718-6322 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 See application Signature: Issued By: Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12017-00137 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 Ken Fisher at 5030816-6146 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 JUL 31 2017 City of Tigard CITY OF TIGARD PUBLIC WORIhS — ENGINEEKING PLANNING/ENGINEERING Public Facility Improvement (PFI) Permit TYPE OF WORK DESCRIPTION OF WORK(in the right-of-way) TYPE 1-Franchise Utility\Fork Check one: R Utilities ❑Sidewalk/driveway approach ❑Street improvements performed by NWN, PGE Detailed description: M2311514 Install New Anchor and/or utility agency. ❑ TYPE 2-Sidewalk/Driveway/Sewer Work performed for the purpose of: • Sidewalk installation or repair. - 8610 SW Scoffins St • Driveway approach installation Property address/location(s) and/or repair lCaw w • 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 Citv/state: Tualatin, OR Zip: 97062 the following: 503-718-6322 rere coord n.com • Subdivisions or Partitions Phone: Email: P q @p9 Contact name: Michael Stagg Phone: 503-718-6322 • Street widening • Mainline installation for Sanitary Contractor: sewer, Storm sewer,Tigard water and/or Tigard Water Sen-ice Area CCB#: Expiration: Address: SUBMIT COMPLETED APPLICATION TO: City/state: Zip: City of Tigard Phone: Email: Planning/Engineering 13125 SW Hall Blvd. Contact name: Phone: Tigard,OR 97223 Applications for"minor work in right-of-way" Engineer: only may be emailed to: roM= e nits@tigard-or.gov Address: City/state: Zip: r Phone: Email: Case No.:F7 I� I-Do l�j Contact name: Application submittal fee: ; Additional fees:$ Estimated value of work is required(if over$5,000):$ Application accepted. - (within the public right-of-way) B,: L Date: 3l Application reviewed: Is work related to a LAND-USE DECISION? ❑ Yes No 19'L-11 If so,please specify(h1LP,SDR,SUB,etc.) case#: By'!( Ir'�s�Date: Applicant notified: Is work related to a BUILDING PERMIT? ❑ Yes �;No By: Date: OlzWo— If so,please specify(BUILDING PERMIT)case#: e\tW\ftrn*4awtw"rb6-.avuatkm n•v.12/16/1016 City of Tigard 13125 SW Hall Blvd. • Tigard,Oregon 97223 wwwtigard-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 TI\1C 1.5.041.140. With the exception of a utility operating Pursuant to a valid franchise with the Cit' of Tigard,when the owner and the applicant are different people,the applicant must be the purchaser of record ora lcssee in possession with written authorization from the owner or an agent of the owner. "17ne owner(s)must sitm this application in the space provided or submit a written authorization with this application. franchised Utilities are not required to obtain the owner's signantre on the 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 imposed upon the subject r e • 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. 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 Datc PUBLIC FACILITY IMPROVEMENT PERMIT City of Tigard • 13125 Sir'Hall Blvd. • Tigard,Oregon 97223 • w-*ivtigard-or.gov 503-718-2421 Page 2 of 4 8635 open OVERHEAD LEGEND 8 1 REMOVEIABANDON FACILITIES_INSTALL FACILITIES 4 -4 1291 INSTALL ADDITIONAL FACILITIES/MODIFY FACILITIES + 996 1 P 12430 G6 " ABC 300 33220 POLES .y��',? r POLE CLASS (1, 2, 3, 4, H1, H2, S) G,tiP �6 PD-39 1cs�c 8465 WL 1 PL-1524: v� POLE HEIGHT Install: N S A5 - L=18' (S) - 29,646# v� 12437 �y ANCHORS GUYING GJ G 16 -SEC 8 646# GN� FR w W t o w G_ ° o ° o o o Remove: p cpoi R� ?ip 14, (LEAD) a g (POS.-LBS.) - 2) G16All w A_ (LBS) a - a = = 1 GUY G1 G4 G7 G1 G1 G1 GX G23 FRONTIER OWNED POLE n Anchor Code AlA3 A5 N 2 GUYS G2 G5 G8 G11 G1 A7 A8 6un 268 0 �0 3 GUYS G3 G6 G9 G1 G1 G21 C2 C 167 9941524 i C2 1-01 B B 50 73 3 J c 1951 SIN C ROW= 50' Q 8610 1 OF/ryNS ST C2 1-02A A 25 98864 3 B 25 1 ABCN 2ACSR 7 4 40' 3 4303 19 8 mEOP =5' 45-4 ( 8430 54 P CJTI 1996 • 30'-6 2002 L C\r'� 3- 142 10 55 A25 8 30'-4 8600 C7 4 2002 12527 Q 56 G� 4 MTRS 30'-6 8602 �� 2002 11 V 4 MTRS 620 8604 12530 9� 12625 0 25 50 41gyFf;eet �y 12555 N ZTPGE CONSTRUCTIONDRAWING AS-BUILT VERIFICATION&NESC VIOLATIONS CORRECTED This Aowment accurately represents FIELD Construction Foreman. Date: General Foreman: Date. (Signature only required for field construction changes.) SDPM/ENG REVIEW ASBUILT BY DESIGNER: NY DEVIATION FROM THE DESIGN MUST DATE LE A UNT AW JOB N 6/6/2017 1 in = 50 ft 1 5930001 1000001400 M2311514 BE APPROVED BY THE PGE PROJECT MANAGER TITLE 2016 OH FITNES- INSTALL NEW ANCHOR CALL 811 BEFORE YOU DIGCIRCUIT SIZE ATTENTION: TIGARD-13336 11 x 17 OREGON LAW REQUIRES YOU TO FOLLOW RULES ADOPTED PGE LOCATION BY THE OREGON UTILITY NOTIFICATION CENTER. / 8610 SW SCOFFINS ST,TIGARD, OR, 97223 THOSE RULES ARE SET FORTH IN OAR 952-001-0010 / DESCRIPTION THROUGH 952-001-0090 YOU MAY OBTAIN COPIES OF REPLACE BIO ANCHOR IN ROW SHEET THE RULES BY CALLING THE OREGON UTILITY 43COUNTY SECTIONS WORK WITH NOTIFICATION CENTER ADMINISTRATION @(502-232-1987) WASHINGTON I C2102A 1 OF 1 TO REQUEST UTILITY LOCATES CALL THE OREGON Know what's below. IWISONVILLE DESIGN BY PHONE DRAWN BY UTILITY NOTIFICATION CENTER, 811 AT LEAST Call bOoreyoudlg. LINE CREW CENTER MICHAEL STAGG 971.804.4205 Sara McCaughan 9480SBOECKMAN RD 2 BUSINESS DAYS PRIOR TO EXCAVATION WILSOW ILSONVILLE,OR 97070 ©PORTLAND GENERAL ELECTRIC CO.-ALL RIGHTS RESERVED 2011 Edition Page 85 Stationary Lane Closure with Flagging Diagram 320 it ¢3� 0 Ea. �fl W � O d rn 1 1 LL W �LUo IL Q� • >01 I � I • IA e lit I I h ZAP 3 I • o I•• m :® � • m �� IrCIS �. 0.2 S I tt< 1 tCO cJ Sign Spacing and Buffer Lengths(feet) I 1 w Posted S acina Between Signs Buffer Speed A B C Space o 20 50 25 100 100 100 75 30 100 125 Y 40 350 350 350 150 R 45 180 50 500 500 500 210 55 1250 December 2011 Chapter 5