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PFI2017-00265 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT COMMUNITY DEVELOPMENT Permit#: PF12017-00265 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 12/05/2017 Parcel: 2S102A1300204 Jurisdiction: Tigard Site address: Subdivision: MARIELL Lot: 4 Project: PGE Project Description: Located near 9430 SW Center St. Tigard, OR 97223. SEG819. RMV hoist around tree holding down guy. Replace down guy anchor and attach guy strands. Owner: FEES Description Date Amount PHONE: Contractor: PHONE.- FAX: HONE:FAX: Applicant: SAMUEL MORLAND 10800 SW AVERY STREET TUALATIN, OR 97062 PHONE: 503-672-5405 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: _t4,k-0 Issued By: Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12017-00265 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. 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 f Tigard N 0 V 2 7 2017 M PUBLIC WORDS—ENGINEERING :9TY OF TIGARD N , Public Facility Improvement (PFI) PelNGINEER'"G TYPE OF WORK DESCRIPTION OF WORK(in the right-of-way) TYPE 1—Franchise Utility Work Check one: V Utilities ❑Sidewalk/driveway approach ❑Streetimprovements performed by NWN, PGE Detailed description: PGE Job M2374092 and/or utility agency. RMV hoist around tree holding down guy. ❑ TYPE 2–Sidewalk/Driveway/sewer Replace down guy anchor and attach guy strands. Work performed for the purpose of- * f• Sidewalk installation or repair. Property address/location(s): 9430 SW Center St. Tigard, OR 97223 • Driveway approach installation _ and/or repair • Sanitary sewer lateral installation and/or main line tap Applicant: Portland General Electric[Submitted by Amy Sweany] ❑ TYPE 3—Full scale Development Address: 10800 SW Avery Street Work performed with Land use approval which includes any of City/state: Tualatin,OR Zip: 97062 the following: Phone: 503-672-5405 Email: preregcoord@pgn.com • Subdivisions or Partitions Contact name: Samuel Morland Phone: 503-672-5405 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 Planning/Engineering Phone: Email: 13125 SW Hall Blvd. Contact name: Phone: Tigard,DR 97223 Applications for"minor work in right-of-way" Engineer: N/A only may be emailed to: rowpermitsna.tigard-or.gov Address: INN mow City/state: Zip: Phone: Email: Case No.: PFZ 2,017- adz 6S Contact name: Application submittal fee: $ Additional fees:$ Estimated value of work is required(if over$5,000):$ N/A Application accepted: (within the public right-of-way) By: L Date: Applica Is work related to a LAND-USE DECISION? ❑ Yes No By: Date: ` If so,please specify (MLP,SDR,SUB,etc.) case#: " Applicant notified: Is work related to a BUILDING PERMIT? ❑ Yes Rf No By: Date: If so,please specify(BUILDING PERMIT)case#: I:\ENG\PemiitApplkations\pfi_appNcation Rev.12/16/2016 City of Tigard 13125 SW Hall Blvd. Tigard,Oregon 97223 • www.tigard-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 TMC 15.041.140. * With the exception of a utility operating pursuant to a valid franchise with the City 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 signatuue 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 vrog�. • 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. CA:: 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 • www.tigard-or.gov 503-718-2421 Page 2 of 4 TDCNT LEGEND 682 11970 _ 12083 NEW PGE FACILITIES TO BE INSTALLED 40'- 196 (UNLESS OTHERWISE SPECIFIED) 9455 INSTALL FACILITIES REMOVE FACILITIES 9425 POLES 1 1-35D 12091 SwCEj�E �ti�,gc ` POLE CLASS (1, 2, 3, 4, H1, H2, S) S SR HT-CL C1 1-35C POLE HEIGHT 12020 12093 CONSTRUCTION NOTES: TDCNT A 25 92582 1. CUSTOMER TO PROVIDE ALL TRENCHING AND BACKFILLING.JOINT USE TRENCH WITH GAS,TRENCH TO BE 48 INCHES DEEP AND 30 INCHES WIDE,MEASURED FROM 824 FINAL GRADE. 946 4 4 2. CONDUIT(IF NECESSARY)WILL BE GRAY,SCHEDULE 40,ELECTRICAL GRADE, 1962 PVC CONDUIT WITH NYLON PULL STRINGS(MIN.500 LBS.TEST). PGE TO DETERMINE THE SIZE AND NUMBER OF CONDUITS REQUIRED. 9405 MAINTAIN 12 VERTICAL INCHES AND 24 HORIZONTAL INCHES CLEARANCE 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 BENDS ARE REQUIRED FOR RUNS OF 151 FEET OR LONGER,OR FOR ANY LENGTH 2 1-02B RUN WITH MORE THAN 180 DEGREES IN BENDS.PVC SCHEDULE 40 BENDS ARE 12099 ACCEPTABLE FOR RUNS OF 150 FEET OR LESS,THE MAXIMUM TOTAL BENDS IN ANY CONDUIT RUN IS 270 DEGREES. REMOVE HOIST AR ND TREE 3. CUSTOMER RESPONSIBLE FOR ROAD CROSSINGS.USE ONLY GRAY,SCHEDULE 40, 9430 HOLDING DOWN GU ELECTRICAL GRADE,PVC CONDUIT WITH NYLON PULL STRINGS(MIN.500 LBS.TEST). 940 4. DIRECTIONAL BORING REQUIREMENTS:BLACK HDPE(HIGH DENSITY POLYETHELINE)DUCT OR SCHEDULE 40 PVC WITH A MECHANICAL CONNECTION(CERTA-LOK OR LIKE MECHANICAL C2 1-02A CONNECTION PRODUCT)AS AN ALTERNITIVE TO HDPE DUCT.HDPE SHALL MEET THE REQUIREMENTS OF PGE SPECIFICATION LC20515(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. 5. SINGLE PRIMARY INSTALLATIONS-CONDUIT TO EXTEND A MINIMUM OF 10,FROM TRANSFORMER PAD. 6. ALL PGE TRANSFORMERS TO BE INSTALLED 8 FEET(MIN)FROM ANY COMBUSTIBLE BUILDING,WALL OR OVERHANG AND 4 FEET(MIN)FROM ANY FIRE HYDRANT. 12115 PGE TRANSFORMERS MUST BE WITHIN 15 FEET OF A DRIVEABLE AREA. 12127 ALWAYS MAINTAIN 10 FEET CLEARANCE IN FRONT OF ALL TRANSFORMERS. 9505 2 30'-3 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) 1989 PLEASE CALL 800-542-8818 OR 503-323-6700 IN THE PORTLAND AREA. (J '9 2 ALLOW UP TO 2 WORKING DAYS FOR INSPECTION TO OCCUR. 9475 �C`r�" 8. DESIGN IS BASED ON STANDARD UNDERGROUND EQUIPMENT.NON-STANDARD UNDERGROUND EQUIPMENT MAY BE AN OPTION AT AN ADDITIONAL COST TO THE CUSTOMER. 9455 PGE CONSTRUCTION DRAWING 12145 AS-BUILT VERIFICATION & NESC VIOLATIONS CORRECTED This document accurately represents FIELD Construction ANY DE VL477ON FROM THIS DESIGN MUST Foreman: Date. GUYING General Foreman: Date.- PL-6824 ate:PL-6824 40'- 4 0 = o BE APPROVED BY THE PGE PROJECT MANAGER (Signature only required for field construction changes.) G_ t o zo o o � o ( g POS.-LBS. ► C CONTACT SERVICE COORDINATOR SDPM/ENG REVIEW. ASBUILT BY DESIGNER: THINK FOR TRENCH AND CONDUIT INSPECTION PRIOR DATE: SCALE: ACCOUNT- AWO: JOB NO. REMOVE DOWN GUYANCHOR 8 1 GUY G1 G4 G7 G1 !GlE MG21 TO BACKFILL.PGE WILL NOT INSTALL WIRE 11/1/2017 1 in : 33 ft 1070001 1000004545 M2374092 318"DOWN GUYS SAFETY TITLE 2GUYS G2 G5 G8 G11 UNTIL TRENCH IS 100%BACKFILLED. PGE-TDCNT FIRST SERVICE COORDINATOR 3 GUYS G3 G6 G9 G1 503-323-6700 OR 1-800-542-8818 CIRCUIT SIZE INSTALL: TIGARD- 13361 111x17 PGE LOCATION ANCHORS z CALL 811 BEFORE YOU DIG 9430 SW CENTER ST,TIGARD, OR, 97223 n 15'L x Z ATTENTION: [AS 20 1!}28# J J OREGON LAW REQUIRES YOU TO FOLLOW RULES ADOPTED DESCRIPTION W W t Z W BYTNEOREGONUTILITYNOTIFICATIONCENTER. i Replace down guy/anchor at PL-6824, guy is being held by a hoist. SHEET _ Z = Q THOSE RULES ARE SET FORTH IN OAR 952-001-0010 G16 PRI 4,600# J Ltl -1 d THROUGH 952-001-0090 YOU MAY OBTAIN COPIES OF COUNTY SECTIONS WORK WITH (LEAD) N U' d THE RULES BY CALLING THE OREGON UTILITY WASHINGTON C2102A 1 OF 1 G19 (LBS) - - - - NOTIFICATION CENTER ADMINISTRATION @(502-232-1987) NEUT 15,843# o -v o 00BEAVERTON DESIGN BY PHONE(503)DRAWN BY N TO REQUEST UTILITY LOCATES CALL THE OREGON Knowwhm below. UNE CREW CENTER Samuel Morland 672-5405 Sam Morland Anchor Code Al A3 A5 A7 A8 UTILITY NOTIFICATION CENTER,811 AT LEAST Call before you dig. 2213 SW 153RD DR 2 BUSINESS DAYS PRIOR TO EXCAVATION I BEAVERTON,OR97006 ©PORTLAND GENERAL ELECTRIC CO.-ALL RIGHTS RESERVED CD 0-0o 3 a Q Single Flagger Operation ,oma `° for Low Volumes P HE I (Optional) o' Q Cn (ADT<400) ro sroP ROW I �• N U1 w N y O n FLAGGER PREPARED ONE LANE I ao H H e HC H I ATO STOP,,' ROAD Lo M 'AHEAD 0 0 CA — — — I • ROAD WORK cn w v� = I K C I a I B I A -- AHEAD 0 0 0 �N I o PrtTMA(bo Vehicle N nr wr,.�,�Oaten C � See Chevler 1 PREP lA W I E ro s oP /}�� CD O O O O U1 O CIl O �i V I '�'�M iD I (Gcn«,eo A B B C LT, i14 ———— — -- -- I R 1 mile J 71 max. ~ fy • C4 B B A Buffer Protection Vehicle ROAD • w/TMA(both Optional) WORKSee Chapter 4 0 AHEAD i ONE LANE BE 3 \' AHE4D PREPARED Two Flagger Operation 3 TO STOP v C4M CD w , (Optional) p