PFI2017-00175 r� CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
s COMMUNITY DEVELOPMENT Permit#: PF12017-00175
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 08/30/2017
Parcel: SEG3548
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: Frontier Communications
Project Description: NESC manhole safety audit maintenance and inspection work only. No excavation.Various locations.
Owner: FEES
Description Date Amount
PHONE:
Contractor:
PHONE:
FAX:
Applicant:
ROBERT PLANT
4155 SW CEDAR HILLS BLVD
BEAVERTON, OR 97005
PHONE: 503-320-7267
Total $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: See application
Issued By: nii�_
Special Conditions(See Attached)
Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY
Conditions for PF12017-00175
Tvye: 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.
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 12017
PUBLIC WORKS — ENGINEERING CITY OF TIGARD
Public Facility Improvement (PFI) Pl vt ffiff GINEERING
TYPE OF WORK
DESCRIPTION OF WORK(in the right-of-way)
(N TYPE 1-Franchise Utility work
Check one: IN Utilities ❑ Sidewalk/driveway approach ❑Street improvements performed by N`WN, PGE
and/or utility•agency.
Detailed description: NESC MANHOLE SAFETY AUDIT
MAINTENANCE AND INSPECTION WORK ONLY ❑ TYPE 2-Sidewalk/Driveway/Sewer
NO EXCAVATION Wo s14 1 0-7 Work performed for the purpose of.
• Sidewalk installation or repair.
• Driveway approach installation
Property address/location(s): VARIOUS LOCATIONS and/or repair
WORK PRINTS WITH LOCATIONS & TCPs ATTACHED • Sanitary seiner lateral installation
and/or main fine tap
FRONTIER COMMUNICATIONS ❑ TYPE 3-Full scale Development
Applicant: Work performed with Land use
Address: 4155 SW CEDAR HILLS BLVD approval which includes any of
City/state: BEAVERTON OR. Zip: 97005 the following:
Phone:5 0 3-3 2 0-72 6 7 Email: robert .j .plant@ftr.com • Subdivisions or Partitions
ROBERT PLANT 503-320-7267 • Street widening
Contact name: Phone: Mainline installation for Sanitary
Contractor: NORTH SKY sewer, Storm sewer, Tigard water
2 0 8 74 7 and/or Tigard Water Service Area
CCB#: Expiration: 3/1/2 018
Address: 11818 SE MILL PLAIN BLVD SUITE 410 SUBMIT COMPLETED APPLICATION TO:
Cite/state: VANCOUVER WA. Zip: 98684 City of Tigard
Phone: 503-20-4550 Email: DMATTON@NORTHS KYCOMM.COM Planning/Engineering
13125 SW Hall Blvd.
Contact name: DEAN MATTON Phone: 503-209-4550 Tigard,OR 97223
Applications for"minor work in right-of-way"
Engineer: only may be emailed to:
�TermitsCaltigard-or.rov
Address:
City/state: Zip: _
Phone: Email: Case No.: .�f�
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) By: Q Date:
alzah--7-
Is work related to a LAND-USE DECISION? ❑ YesRI No Application reviewed:
If so,please specify (N4LP, SDR,SUB,etc.) case #: By:s6sL_ Date:
Applicant notified:
Is work related to a BUILDING PERMIT? ElYes 99 No By: kJ Date: 3
If so,please specify(BUILDING PERFIII�case#: 1:\ENG\PermttAoawtws\pfk_„wicatioIW.12/16/2016
IVO Wct21_ oA) CoL66c"d oil i-e7,4, 1c1,4C.5 /Oeld/z J-b 9A,41 o►Z
AFr�4 I'S PA
Cityof Tigard • 13125 S\Y'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 operating pursuant to a valid franchise With the Cite of Tigard,when the owner and the applicant are 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. franchised
Utilities are not required to obtain the owner's signature on the application
BY SIGNING BELOW,THE APPLICANTS) SHALL CERTIFY THAT:
• The above request does not violate any recorded deed restrictions that maybe attached to or imposed upon the subject
proms•
• 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.
• T1ie applicant has read the entire contents of the application,including the policies and criteria,and understands the
requirements for approving or denying the application.
ROBERT PLANT 8/17/17
.Applicant/A thorized Agents 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
Cite of Tigard 9 13125 SAY'Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov 503-718-2421 0 Page 2 of 4
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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 Spacin Between Signs Buffer
Speed A B c Space
20 50
25 100 100 100 75
30 100
35 40 350 350 350 125
150
45 180
50 500 500 500 210
55 250
Chapter 5 December 2011
2011 Edition Page 53
Bicycle Accommodation Diagram 5-6
I I
I I
I NOTES:
I I
I I Bicycles on Roadway(CW11-1)sign should not
I interrupt standard sequences. For example:
1 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
I
I
Tt I I
I A
I I
I I
I I
I I
I I
I I
I I
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I I
1
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I I
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I I
I I
I I
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ON
I BOA N AY
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I I
C
I I I
I
ROAD '
WORK
AHEAD
December 2011 Chapter 5
Page 80 2011 Edition
5.3 Two-Lane, Two-Way Roads
Shoulder Work w/ Minor Road Encroachment Diag. 300
Use this detail for non-freeway work which extends into a travel lane and
maintains a minimum 10 foot travel lane. If a minimum 10 foot travel lane
can not be maintained, or when traffic can not safely pass by in both lanes
simultaneously, use the appropriate lane closure diagrams—for example,
Diagrams 310 through 350.
A lane closure may be appropriate for conditions such as high traffic
volumes, high speeds, and inadequate approach sight distance to the work
space, or heavy equipment adjacent to the travel 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. Cones shall be placed along the entire length of the work space. If a
protection vehicle is used and work is in place one hour or less, the
taper and tangent devices may be omitted.
4. If the speed is 45 mph or higher, volumes exceed 2000 ADT, or there
is limited sight distance, consider placing cones or tubular markers on
centerline.
5. An arrow board in caution mode or truck-mounted PCMS with
"SHOULDER WORK"or other appropriate message may be used for
higher visibility.
Sign Spacing and Buffer Lengths(feet)
Posted S acin Between Signs Buffer
Speed A B c Space
20 50
25 100 100 100 75
30 100
35
40 350 350 350 150
45 180
50 500 500 500 210
55 250
Chapter 5 December 2011
2011 Edition Page 81
Shoulder Work w/ Minor Road Encroachment Diag. 300
ROAD
WORK — •
AHEAD
Initial
Warning A •
Sign
•
1 •
(Optional) I •
Protection Vehicle
w/TMA(both Optional)
See Chapter a • Buffer
i
10. I
minimum •
I
i
i
A ROAD
NARROWS
(Optional)
l B
ROAD
,► ( M WORK
• I AHEAD
Initial
Warning
Sign
December 2011 Chapter 5
Page 84 2011 Edition
Stationary Lane Closure with Flagging Diagram 324
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
p Y
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Posted S cin Between S ns Buffer W R W z
Speed A B c Space z sd n
20 50 O O
25 100 100 100 75
30 100
125
40 350 350 350 150 <Q 0
45
5o 500 500 500 210
55 250
December 2011 Chapter 5
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(U2) 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 S acin Between Signs Buffer
Speed A B C Space
20 50
25 100 100 100 75
30 100
35 1 40 350 350 350 125
150
45 180
50 500 500 500 210
55 250
Chapter 5 December 2011
2011 Edition Page 107
Diversion into a Continuous Left Turn Lane Diagram 430
ROAD
WORK
AHEAD
B 1 y t
CENTER
u�
CLOSO >
A
.I
U2 •
Buffer
Protection Vehicle
w/TMA(both Optional)
See Chapter 4
Buffer
•
• U2
I �
U2 • I A
I
! 41 B < >
ROAD
WORK
AHEAD
December 2011 Chapter 5
Page 116 2011 Edition
Lane Closure— Far Side of Intersection Diagram 610
Diagram 610 covers work within an area immediately downstream of an
intersection. Work vehicles may or may not be in the work space.
Movement of traffic through the intersection is regulated by existing traffic
control only.
1. When left turns can be prohibited use the No Left Turn Option (see
inset).
2. If left turns can not be prohibited, a left turn lane may be set up after
the lane closure by leaving an opening long enough for vehicles to
enter. There should be a minimum of 75 feet of storage beyond the
opening in the left turn lane. Adjust the length of the lane closure to
accommodate the left turn lane.
3. If providing a left turn lane, place black-on-white, rectangular, "LEFT
LANE MUST TURN LEFT' (R3-7L) signs on the right shoulder and
inside the closed lane in advance of the left turn opening and in place
of the"Left Turn Prohibition" (R3-2) sign(s).
4. When closing an interior lane of a three or more-lane facility, the
merging taper shall direct traffic into only one of the adjacent lanes,
but not both.
Sign Spacing and Buffer Lengths(feet)
Posted Spacing Between Signs Buffer
Speed A B c Space
20 50
25 100 100 100 75
30 100
45 350 350 3500 125
150
45 180
50 500 500 500 210
55 250
Chapter 5 December 2011
2011 Edition Page 117
Lane Closure — Far Side of Intersection Diagram 610
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December 2011 Chapter 5