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PFI2018-00089 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT y COMMUNITY DEVELOPMENT Permit#: PF12018-00089 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 04/19/2018 Parcel: SEG301 Jurisdiction: Site address: Subdivision: Lot: Project: PGE Project Description: SEG301, associated with 8900 SW Oak St. Install 2"conduit on PL 393. Install circuit for 3-70W LED on 35' DB FG Connect @ 240V. PGE Job M2328505 Owner: FEES Description Date Amount PHONE: Contractor: PHONE: FAX: Applicant: JOSE GRAJEDA 10800 SW AVERY ST TUALATIN, OR 97062 PHONE: 503-672-5602 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: Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12018-00089 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 of Tigard APR 18 2018 PUBLIC WORKS —ENGINEERING CITY OF TIGARD ,"ANNING1117�''GI,NEERING Public Facility Improvement (PFI) Permit TYPE OF WORK DESCRIPTION OF WORK(in the right-of-way) TYPE 1—Franchise Utility-Work Check one: d Utilities ❑ Sidewalk/driveway approach ❑ Street improvements performed by NWN, PGE Detailed description: INSTALL 2" CONDUIT ON PL 393 and/or utility agency. Install circuit for 3-70W LED on 35' DB FG PI Connect@ 240V ❑ TYPE 2—Sidewalk/Driveway/Sewer PGE Job M2328505 Work performed for the purpose of: • Sidewalk installation or repair. • Driveway approach installation 8900 SW Oak Street Property address/location(s): and/or repair Tigard, OR 97223 • Sanitary sewer lateral installation SEG 301 and/or main line tap Applicant: Portland General Electric [Submitted by Amy Sweany] El TYPE 3—Full scale Development pp Work performed with Land use Address: 10800 SW Avery Street approval which includes any of City/state: Tualatin, OR Zip: 97062 the following: 503-612-2935 rere coord n.com • Subdivisions or Partitions Phone: Email: P q @ P9 Contact name: SDPM Jose Grajeda Phone: 503-672-5602 • Street widening • Mainline installation for Sanitary Contractor: Portland General Electric sewer, Storm sewer, Tigard water and/or Tigard Water Service Area CCB#: 103663 Expiration: Address: SUBMIT COMPLETED APPLICATION TO: City/state: Zip: City of Tigard Planning/Engineering Phone: Email: 13125 SW Hall Blvd. Contact name: Phone: Tigard,OR 97223 ;Applications for"mucor work in right-of-way" only may be emailed to: Engineer: N/A ro3ypermitsCtigard-or.gov Address: FOR STAFF USE ONLY City/state: Zip: Phone: Email: Case No.: Pei ei zo(b `0 00 Contact name: Application submittal fee(.007'0 of Engineer's Estimate) $ Estimated value of work is required(if over$5,000):$ 10,853.19 additional fees: $ "&' (within the public right-of-way) Application accepted: "1 Is work related to a LAND-USE DECISION? ❑ Yes MI, t, By: S If so, please specify (MLP,SDR,SUB,etc.) case #: Applicati n reviewed: r�Bt-: Date: Is work related to a BUILDING PERMIT? ❑ Yes 9 No Applicant notified: l / If so,please specify(BUILDING PERMIT)case#: By:— Date: 1:\ENG\PerrnitApp1ications\pfi_a opi icat ion Rev.10/16/2017 a- City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 ,vwwt1gard-or.gov • 503-718-2421 • Page 1 of4 APPLICANTS NOTE: Person specified as"Applicant" shall be designated"Permittee"and shall provide financial assurance for work,if required by the cite 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 arc 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 APPLICANT(S) SHALL CERTIFY THAT: • The above request does not violate ani,recorded deed restrictions that maybe 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. L-1-z--- Aroun Xaybanha 04/18/2018 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 ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov 503-718-2421 • Page 2 of 4 DEVELOPMENT ENGINEERING FEES FOR STAFF USE ONLY Public Facility Improvement(PFI)Permit: DETAILED SUBMITTAL APPLICATION FEE REQUIREMENTS Part 1: Required submittal fee$300.00 (minimum) FRANCHISE UTILITY AND SIDEWALK/ DRIVEWAY AND UTILITY PERMIT FEE CONNECTIONS,ETC. Part 2: All non-water system improvements (work in the right of way) Engineer's estimate X 5%(less$300.00 minimum submittal fee) Sketch m (including information below) Engineer's estimate X 2%Plan Review ❑ Dimensions WATER SYSTEM FEE ❑ Street Name Part 3: All public water system improvements ❑ Site address Engineer's estimate X 12% FULL SCALE DEVELOPMENT PFI Permit Fee Exemptions: (Subdivisions/Partitions and Street Improvements) There will be no permit fee charged,or assurance required for the following types of work: Resign Plans • Sidewalk repair(less than 20 lineal feet) (G sets,24x36 or 22x34) • Relocate or replace mailbox ❑ Cover—Site,Vicinity,Abbreviation,Legend • Ditch cleaning that does not involve regrading. ❑ General Notes(City,Water,Sewer,etc.) • Weep hole repair ❑ Street(Plan,Profile) • Curb repair or replacement(less than 20 lineal feet) ❑ Water,Storm and Sanitary(Plan Profile) • Lawn sprinkler system installation or repair ❑ Water Quality Facilities • Street tree pruning or planting ❑ Grading • Planter strip landscape maintenance ❑ Landscaping/Tree Plan • Test wells ❑ Composite Utility Plan(Electrical,Phone,Gas, Storm,Sanitary,Water,Signage,Street Lights,etc) ❑ Details Note. A cash/bond assurance may be ❑ Traffic Sight Distance required per TMC 15.04.140. ❑ Signing and Striping (customer deposit) ❑ Street Light Plan and Photometric ❑ Engineers seal/signature ❑ Sheet label(project land use name,revision and plan log block,dates and sheet numbers.) Additional Submittals (per Land Use conditions) ❑ Traffic Report ❑ Storm water Drainage Calculations ❑ Geotechnical Report ❑ Preliminary Access Report(Sight Distance) ❑ Proposed Plat ❑ Pathway Design(if applicable) ❑ Water Department approval ❑ Engineers Construction Estimate PUBLIC FACILITY IMPROVEMENT PERMIT City ofTigard 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 3 of4 SAMPLE SKETCH: W , , � a t Edge of Pavement I Ditch Streetlight —--. � rx —. .•.—..—r I Rain DX%jh 1 r r Ts I � iota},1 e9d' 1 � a ' T �'r�'p'os cf"''� e rTi rTir'_ 1 Existing House Existing 1 >_i Driveway 1 al I VI , C1 � ;ra`• a_L: W11 I !F ■ d` 1:+�! (10� `I I Ir 1 °' r a� (6' I d► 1 1 1 o Existing Shop r Powerpole I I r �. o • o 95' r I - Pfoperty Line � I . I I Fire Hydrant(FH) 1 . I � I � Scale: 'I"=30' � I I � I I ' I I � I . � I I MINIMUM SKETCH REQUIREMENTS (Put"N/A" if Not Applicable): North arrow Property lines &dimension Slope of property Street &street name(s) Existing building, structures Utility&street light poles Proposed work Existing curb or edge Trees Existing S/W or of pa`Tement Existing utility locations D/W apron (sewer,water,storm) PUBLIC FACILITY IMPROVEMENT PERMIT City ofTigard 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 4 of Page 94 2011 Edition Self-Regulating Lane Closure Diagram 350 Use this detail for closures of one lane of a low-speed, two-lane, two-way road. 1. Use this diagram only if all of the following are true: a. Work space is less than 200 feet. b. The posted speed is 40 mph or less (unless not posted and speed governed by basic rule). c. Average Daily Traffic (ADT) is less than 400. d. Sight distance (in feet) is more than 750 at each end. 2. Use truck-mounted flashing warning lights on work and protection vehicles. See Section 4.3— Lights and Lighted Signs for exceptions. 3. For added visibility, a truck-mounted arrow panel or PCMS in caution mode may be used. 4. A"Lane Ends (Right)" (W4-2R) symbol sign, or"RIGHT LANE ENDS" (W9-1 R) sign, may be placed inside the cone taper for more emphasis. 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 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 95 Self-Regulating Lane Closure Diagram 350 ROAD A WORK B • Initial AHEAD Waming I • Sign • A • • ONE LANE ® ,� ROAD AHEAD • Protection Vehicle • I TO YIELD w/TMA(both Optional ` ONCOMING OR ONCOMING See Chapter 4 _ TRAFFIC TRAFFIC • Buffer • i, 50'-100' �ORV t E A ONE LANE B ROAD AHEAD ROAD C / WORK InitiAHEAD al Waming Sign September 2016 Chapter 5 ' 8914�4 � . - ` „o B394 _ . , J -- _ . .... LIGHTING LEGEND saws-- - --18is L ! `CIIBIIN 4F.2 I �_ -�—61aY— - -----_.B 2 AL-- A2AL _'..___.. 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FOR STREET LIGHT ONLY .' �� I — � INSTALL 30AMP FUSES IN SECONDARY PEDESTALS OR SECONDAR CONTACT PGE FOR APPROVED MANUFACTURERS H H VAULTS(WHICHEVER IS ST LT POINT OF ATTACHMENT)FOR EACH I R STREET LIGHT PER T&D CONSTRUCTION STANDARD LC-11550 eRAOE0:SOFTSURFACEFLUm+I FAYwrL►1MR DEVIAmwR MTi'dSDE9WMUST GRADE IF SOFT BLNEACE /AieYR FArw o+.r► 8,BAOUNDROD a ffula IWO I NOTE. NAovim BYPGE swwhb OAbr + PGE 70 PROVIDE BOTTOM PIECE OF POLE FOR CUSTOMER aT�Hxna�POR r as ABY I tT-t t1.0� s”" r s.wFsFr"goo& TO INSTALL AT THE SAME TIME AS THE CONDUIT. r FQEAPPFIOVW A#4CnON u.»AISe eODC DEIElE9A®erPOE 1 �� CALL tis tEFORf YOU 0/6 x-RAaLra Ha e9!RD- I F : W REQUIRES FOL/TO fOLLOW RULES ADOPTED Lt AN!( Tp EGON VTIUTE NOTIF/CATION CENTER 3PANWSBACIPE,L. ES ARE SET FORTH IN OAR 952.00!-0010 ARouND ARID UTA rPvc SCH 4o ELECTRICAL GRADE 52 001 0080YOU MAY OBTAIN COPES OF THINK ��Box TO OPnONAL STLT POLE a+r-AHAr BI CALLING THE OREGON U17UTl OiVi4ftdSrAlWABDOW NOTIHCATIONCENTER ADMINISTRATION!(S02-232-1987) bdm SAFETY D�Pw41�/wM/M/o+ TO REQUEST UTILITY LOCATES CALL THE OREGON ��� -SCH40GWYPACAwAWFORYBEND6 UTILITY NOTIRCATION CENTER,811 AT LEAST ��� FIRST 2"OR s-Prc 4O Ism-ORPOEAPMVEDFOEMLASS - 2 BUSINESS DAYS PRIOR TO EXCAVATION ELECTW AL GRADE FOR RLLAI80VERISO;OR ISO DEGREES 9*7ERABVED B V PGE) OR QOIE W B®IE)S) BOTTOM PIECE POLE NaTALLATM TOP VEW MeM.' r Co1IpRf ro 1. 1bA♦tl SVaoA AEI+)OIINM=/R+oMYOy srRrrruwY kq�=rMMAabe•IAAIA�A •CUSTOM=R FD M LL opudb- OA�AbA+MWb 7"OR]" OROUIID ROD AMO CORDUIJ W ORTIIE JOUR('-E BNE 2 _aAwfAbblslww -+veIForman: Dab.' IloM+ro++uq'wwl+ tCOIIOIA/ 4AA+ASbPnas R+bSeRe//WbP rOURD A F•OIMIBIl: DEU9: La►MLtooIIIMu�Fn SOPlILEW ItEVEW. N.TBYDES GAER. 2/14/2018 1 In:41 It 1070D01 r 1000004600 rM2826505 THE SPANOS CORPORATION TICARD-13361 17 X 22 / MOURN 8000 SW OAK ST.TGMD,OR,97223 INS 2'CONDUIT ON PL 393-InsW 3-70W LED On 35'D8 FG PL SIFT VASHINGTON I C1136A 1 OF 1 u+E wcwmm JOSE GRA,EDA WArUrW29A NARAYANAN m==w Issas aA AuvbHrac DA FAIW