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PFI2017-00241 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT COMMUNITY DEVELOPMENT Permit#: PF12017-00241 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 11/01/2017 Parcel: SEG1418 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: Comcast Project Description: Adjacent to 7165 SW Fir Loop. Comcast proposes to pull (1)-48 ct fiber optic cable through 30' of existing conduit on SW Fir Loop in the City of Tigard ROW. SEG 1418. Owner: FEES Description Date Amount PHONE: Contractor: NX UTILITIES LLC 1150 FIRST AVE SUITE 600 KING OF PRUSSIA, PA 19406 PHONE: 484-804-4500 FAX: Applicant: JASON MCDONALD 11308 SW 68TH PARKWAY TIGARD, OR 97223 PHONE: 503-924-9120 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 See application Issued By: �— Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12017-00241 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 at 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 f I i City of Tigard RECEI n PUBLIC WORKS —ENGINEERING OCT 3 U 2017 w u Public FacilityImprovement, (PFI� ermtPt ...... .. .. . TYPE OF WORK DESCRIPTION OF WORK(in the right-of--way) ® TYPE 1—Franchise Utility Work Check one: 0 Utilities ❑Sidewalk/driveway approach ❑ Street improvements performed by NWN, PGE Detailed description: Comcast proposes to pull(1)-48ct fiber optic cable and/or utility agency. through 30'of existing conduit on SW Fir Lp in City of Tigard ROW. ❑ TYPE 2—SideEvallc/Driveway/Sewer Work performed for the purpose of: • Sidewalk installation or repair. • Driveway approach installation Proer address/location(s). 7165 SW Fir Loop,Tigard, OR 97223 pand/or repair S • Sanitary sewer lateral installation and/or main line tap Comcast Cable Communications Management,LLC ❑ TYPE 3--Full scale Development Applicant: Work-performed Frith Land use Address: 11308 SW 68th Parkway approval which includes any of City/state: Tigard,OR Zip: 97223 the following: Phone: (503)924-912Email: 0 Jason_McDonald3@comcast.com • Subdivisions or Partitions Jason McDonald 503 596-3817 • Street widening Contact name: Phone: { ) • Rlainline installation for Sanitary NX Utilities sewer, Storm sewer,Tigard water Contractor: and/or Tigard Water Service Area CCB#: 200986 Expiration: 9/20/2017 Address: 1947 Claxter Rd NE SUBMIT COMPLETED APPLICATION TO: Zi City/state: Salem,OR p: 97301 City of Tigard 484 804-4570 comcastcamas@nxutilities.com Planning/Engineering Phone: Email: @ 13125 SW Hall Blvd. Contact name: Sergio Medel Phone: (503)910-7396 Tigard,OR 97223 Applications for"minor work in right-of-way" Engineer: K&B Technical Solutions only may be emailed to: g Xo=erermitsa,tigard-or.gov Address: PO BOX 2529 Ism City/state: Clackamas,OR Zip: 97015 Phone. (503)650-6041 Ext.217 Email: KJ_Sprecher@kbmail.net Case No.:2E 1201-1 ` i Contact name: KJ Sprecher Application submittal fee: Additional fees: Estimated value of work is required(if over$5,000):$ Application accepted: (within the public right-of-way) By: Date: Is work related to a LAND-USE DECISION? ❑ Yes ❑ No Application reviewed. J If so,please specify (MLP,SDR,SUB,etc.) case#: By: i L, Date: Applicant notified: Is work related to a BUILDING PERMIT? ❑ Yes ❑ No By: —Date:—/I,b 'h If so,please specify(BUILDING PERMIT)case#: I:\ENG\PermttApplications\pfiapplication Rev.12/16/2016 City of Tigard 13125 SW Hall Blvd. Tigard,Oregon 97223 wunvtigard-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. \5th the exception of a utility operating pursuant to a valid franchise with the City of Tigard,when the owner said the applicant are different people,tate applicant must be the purchaser of record or a lessee in possession with written authorisation 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 silntature 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 proper • 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. f- tL 5 qn r c�� -►- i,� i 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 • 4vw vtigard-or.gov 503-718-2421 Page 2 of 4 n X r W 0 SW FIR LP El mm xm w 47 9z C vo mm O 0 M Gl �z _z zo p V �c F 01 T= IM 00 A C P= 0 f � t�t f,fbf t mxZ vG��0W2�? cAnpIrD.I CO"� F'z: cmv" 9g O �m �n � pm0 47 r O m m 2 v� > Z oA x m mO0, ��-Mm OAO mZm Ocnp Op mm mmZ �m 00 N A m O v 0la��+T DESIGN9rxa6MCNwCALSGcunGNS 7165 SW FIR LOOP c V m�.ra S � TIGARD,OR 97223 T *.- TECHNICAL SOLUTIONS m v Contact:Daniel Graham Z Phone: 503 522-1017 PO BOX 2529,Clackamas,OR 97015 , 56941-FIBER ENHANCEMENT No O%1ce-(503)650-6041 Ext 213 ` CITY OF TIGARD ROW PERMIT DRAWING o Daniel_Graham@comcast.com Ernie Shawn 6lurphyakbmail nel 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 cannot be maintained, or when traffic cannot 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 Spacing Between Signs "Buffer" Speed A B C Space 20 so 25 100 100 100 75 30 100 35 350 350 350 125 40 150 45 180 50 Soo Soo 500 210 55 250 60 285 65 700 700 700 325 70 365 Chapter 5 September 2016 2011 Edition Page 81 Shoulder Work w/ Minor Road Encroachment Diag. 300 ROAD WORK t� AHEAD l Initial Warning A • Sign • • • (Optional) • • Protection Vehicle w/TMA(both Optional) See Chapter 4 — • Buffer 10' • minimum • U3 • A ROAD NARROWS r (Optional) B ROAD 1WORK AHEAD Initial Warning Sign September 2016 Chapter 5