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PFI2018-00099 � CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT 14 COMMUNITY DEVELOPMENT Permit#: PF12018-00099 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 05/01/2018 Parcel: SEG3604 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: PGE Project Description: SEG 3604/Adjacent to 11300 SW 81 st Ave. Provide 1 P 120/240V 200A underground service to shop. Owner: FEES Description Date Amount PHONE: Contractor: EXTREME EXCAVATING INC 24580 SOUTH CHINA STREET CANBY, OR 97013 PHONE: 503-263-8088 FAX: Applicant: TOD SHATTUCK 10800 SW AVERY STREET TIGARD, OR 97223 PHONE: 503-612-2935 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: Issued By: Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12018-00099 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 3 0 2018 PUBLIC WORKS — ENGINEERING C;TY OF-i IGARD NIN,G/E=NGINEERING Public FacestY ImP rovement PFI)P tVermit TYPE OF WORK DESCRIPTION OF WORK(in the right-of-way) TYPE 1—Franchise Utility Work Check one: N�Utilities ❑Sidewalk/driveway approach ❑Street improvements performed by NV/N, PGE Detailed description: PROVIDE 1 P 120/240V 200A and/or utility agency. UNDERGROUND SERVICE TO SHOP ❑ TYPE 2-Sidewalk/Driveway/Sewer PGE Job M2346401 Work performed for the purpose of: • Sidewalk installation or repair. • Driveway approach installation 11300 SW 81 st Avenue Property address/location(s): and/or repair S Tigard, OR 97223 • Sanitary sewer lateral installation and/or main line tap Applicant: Portland General Electric [Submitted by Amy Sweany] ❑ TYPE 3—Full scale Development Work performed with Land use Address: 10800 SW Avery Street approval which includes any of City/state: Tigard, OR Zip: 97062 the following: Phone: 503-612-2935 Email: preregcoord@pgn.com • Subdivisions or Partitions Contact name: SDPM Tod Shattuck Phone: 503-672-5466 • Street widening • Mainline installation for Sanitary Contractor: Extreme Excavating, Inc sewer, Storm sewer, Tigard water and/or Tigard Water Service Area CCB#: 149829 Expiration: 12/12/19 Address: 24580 South China Road SUBMIT COMPLETED APPLICATION TO: City/state: Canby, OR Zip: 149829 City of Tigard 503-263-8088 Planning/Engineering Phone: Email: 13125 SW Hall Blvd. Contact name: Shawn Duntley Phone: 503-969-6488 Tigard,OR 97223 Applications for"minor work in right-of-way" only may be emailed to: Engineer: N//4 royMermitsktigard-or.gov Address: City/state: Zip: r,, Phone: Email: Case No.:?Fl 2,0M - WO 01v 1 Contact name: Application submittal fee(.007%of Engineer's Estimate) $ Estimated value of work is required(if over$5,000):$ N/A Additional fees: $ '0'f (within the public right-of-way) Application accepted: By: Date:q �� E5 Is work related to a LAND-USE DECISION? ❑ Yes E(No If so,please specify (MLP,SDR,SUB, etc.) case #: Applica 'on reviewed: By: Date: Is work related to a BUILDING PERMIT? ❑ Yes L7 No Applicant notified: If so,please specify(BUILDING PERMIT)case#: By: Date: I:\ENG\PermitApplications\pfi_application Rev.10/16/2017 City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-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 city pursuant to TTMC 15.041.140. * 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 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 owners signature on the application BY SIGNING BELOW,THE APPLICANT(S) SHALL CERTIFY THAT: • The above request does not violate any recorded deed restrictions that may be attached to or imposed upon the subject property. • 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. /N� Gohar Shafiq 04-27-2018 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 of4 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 Engineer's estimate X 2%Plan Review (including information below) ❑ 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: Design Plans • Sidewalk repair(less than 20 lineal feet) (6 sets,24x36 or 2204) • 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 maybe ❑ 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 Of applicable) ❑ Water Department Approval ❑ Engineers Construction Estimate PUBLIC FACILITY IMPROVEMENT PERMIT City of Tigard 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page.3 of4 SAMPLE SKETCH: I Edge of Pavemeru .,4._ Titch ".■"�"' Streetlight I •�►• •�■ •arr•s•�•ir�• I • �' itia�►77saa�► r Q I I • ' T��ropoel r-I"F" Ld 1 I a� 1 ' 1 iExisting House I a1 1 Existing 1 r IW ca I D ri�vewa y . I r Iall01 1 . � 1 CL 0I d X, Existing Shop 1 � J r Powerpole • � o . 3 ■ I �`3- 95' 1 I I I I Dire Hydrant(FH) I i Scale- '1"=34' 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 pavement Existing utility locations D/W apron (sewer,water)storm) PUBLIC FACILITY IMPROVEMENT PERMIT City ofTigard - 13125 SW Hall Blvd. - Tigard,Oregon 97223 - wwwtigard-or.gov - 503-718-2421 - Page 4 of4 COMMERCIAL LEGEND Road Side 24" Spoil dd—Typical NEW PGE FACILITIES TO BE INSTALLED LEGEND (UNLESS OTHERWISE SPECIFIED) 30" O PGE Primary/ ---_--_ INSTALL 1-41)AL-TX IN 1-3"PVC CONDUIT Mi 3 n Cover Inside Duct Min Secondary Cable PROVIDED & INSTALLED BY CUSTOMER Trench 0 Telco/CATV 1 10„ ®Backfill 0 Select Backfill CONSTRUCTION NOTES: CMDEV 12„Min Undisturbed Earth 1. CUSTOMER IS RESPONSIBLE FOR ALL TRENCH,CONDUIT,VAULTS,PADS AND ROAD CROSSINGS. joint Use Trench W/O Gas 2. ALL CONDUIT TO BE INSTALLED WITH 30 INCHES(MIN)COVER AT TOP OF CONDUIT FROM FINAL GRADE. 3. ALL PGE CONDUCTORS TO BE INSTALLED IN GRAY,SCHEDULE 40,ELECTRICAL GRADE, PVC CONDUIT WITH NYLON PULL STRINGS(MIN.500 LBS.TEST).PGE TO DETERMINE THE SIZE AND NUMBER OF CONDUITS REQUIRED.MAINTAIN 12 VERTICAL INCHES AND 24 HORIZONTAL INCHES CLEARANCE BETWEEN GAS AND OTHER UTILITIES.ALL ELBOWS 4 INCH&SMALLER TO BE 36 INCH RADIUS.ALL BENDS MUST BE FACTORY MADE. C 50 21734 ALL ELBOWS LARGER THAN 4 INCH TO BE 60 INCH RADIUS.RIGID STEEL OR PGF APPROVED,FIBERGLASS BENDS ARE REQUIRED FOR RUNS OF 157 FEET OR LONGER, OR FOR ANY LENGTH RUN WITH MORE THAN 780 DEGREES IN BENDS.PVC SCHEDULE ryPv PO-i5 ii 40 BENDS ARE ACCEPTABLE FOR RUNS OF 150 FEET OR LESS.THE MAXIMUM TOTAL BENDS IN ANY CONDUIT RUN IS 270 DEGREES. / 4. DIRECTIONAL BORING REQUIREMENTS:BLACK HDPE(HIGH DENSITY POLYETHYLENE)DUCT 1201240V CONNECTION SCHEDULE 40 PVC WITH A MECHANICAL CONNECTION (CERTA-LOK OR LIKE MECHANICAL CONNECTION PRODUCT)AS AN ALTERNATIVE TO HDPE DUCT.HDPE SHALL MEET THE 200,6,/y�P REQUIREMENTS OF PGE SPECIFICATION LC20575(AVAILABLE ON REQUEST FROM PGE PROJECT MANAGER),FOR SAFETY REASONS THE DUCT SHALL BE BLACK WITH THREE EQUALLY SPACE >2%VD EXTRUDED RED STRIPES(WHICH IS A SPECIFICATION REQUIREMEN MANDREL TEST OF 120 / 1.5%FLKR HDPE PIPE IS REQUIRED AFTER INSTALLATION WITH PGE INSPECTOR PRESENT. GJ �7 5,069A AFC 5. ALL PGE TRANSFORMERS TO BE INSTALLED 8 FEET(MIN)FROM ANY COMBUSTIBLE SAFETY SOCKET THINK BUILDING,WALL OR OVERHANG AND 4 FEET(MIN)FROM ANY FIRE HYDRANT. PGE TRANSFORMERS MUST BE WITHIN 15 FEET OF A DRIVEABLE AREA. ______ ----- - .- ALWAYS MAINTAIN 70 FEET CLEARANCE IN FRONT OF ALL TRANSFORMERS. SAFETY 6. TRANSFORMER PADS ARE TO BE SET SO THAT THE TOP IS 2 INCHES ABOVE NEW C1 1-36C FINAL CONDUIT IS TO BE INCH ABOVE INSTALLED NSTP�D IN PAD AS INDICATED IN DETAIL SHOP FIRSTITHE 7. STEEL BARRIER POSTS ARE REQUIRED AROUND TRANSFORMERS THAT ARE EXPOSED TO VEHICLES. 8. ALL SWITCH VAULTS TO BE SET AT FINAL GRADE WITH 6 INCH GRAVEL BASE AND CONDUITS ALIGNED TO ENTER THE VAULT END LOWER KNOCKOUTS(TERM-A-DUCTS). (SEE DETAILS ON SKETCH) 9. PGE TO BE N077FIED AND INSPECT ALL CONDUIT,VAULT AND PAD INSTALLATIONS EXISTING BEFOREWITH AKFI N EW VAULT&R REPRESENT D LOCATIONS TO BE FIELD VERIFIEC HOME 70. REFER TO PGE ELECTRICAL SERVICE REQUIREMENTS BOOK FOR FURTHER DETAILS &SPECIFIC REQUIREMENTS.LINK TO WWWvnRT1enlnr:FNFReI rnuvFQRnnr 11300 11. DESIGN IS BASED ON STANDARD UNDERGROUND EQUIPMENT.NON-STANDARD SW BIST UNDERGROUND EQUIPMENT MAY BE AN OPTION AT AN ADDITIONAL COST TO THE CUSTOMER 2. THE POINT OF DELIVERY AND DIVISION OF OWNERSHIP BETWEEN THE CUSTOMER 1 PGE WILL BE AT THE LINE SIDE OF THE NEW CUSTOMER PROVIDED SWITCH GEAR PGE H TRU 1 D WIN 5944 AS—BUILT VERIFICATION & NESC VIOLATIONS CORRECTED 45'-3 This document accurately represents FIELD Construction 1978 Foreman: Date: CONTACT SERVICE COORDINATOR 143 25 T FOR TRENCH AND CONDUIT INSPECTION PRIOR General Foreman: Date: TO BACKFILL.PGE WILL NOT INSTALL WIRE 11NTlt TRFNCH IS 100"o BACKFILLED (Signature only required for field construction changes.) AC a CU SERVICE COORDINATOR SDPM/ENG REVIEW: ASBUILT BY DESIGNER: 8 2 ACSR 503-323 6700 OR 800-342-8818(SALEM) OArl: IPIWO17 SCALE: NTS ACCOUNT: 1070001 AWO: 1000004599 JOB NO.M2346401 3-142 25 T ANY DEVIATION FROM THIS DESIGN MUST TITLE CHONG WO(YJOHN SUTTON SW PFA BE APPROVED BY PGE PROJECT MANAGER CIRCUIT SIZE WEST PORTLAND-NORTH 11X17 ATTENTION: CALL 811 BEFORE YOU DIG PGE LOCATION L, ABC 2 AL RIGHT-OF-WAY PERMIT NOTICE: I OREGON LAW REQUIRES YOU TO FOLLOW RULES ADOPTED ' BY THE OREGON UTILITY NOTIFICATION CENTER. DESCRIPTION 11300 SW 81ST AVE,TIGARD VT 48 A PERMIT FROM THE LOCAL JURISDICTION IS REQUIRED BEFORE ANY THOSE RULES ARE SET FORTH IN OAR 952-007-0010 ' PROVIDE TP 12C 240V 200A UG SERVICE TO SHOP WORK IN THE RIGHT-OF-WAY MAY BE PERFORMED. ONLY PGE APPROVED THROUGH 952-001-0090.YOU MAY OBTAIN COPIES OF COUNTY ECT10N(S) WORK WITH SHEET CONTRACTORS AND CONTRACTORS WHO HAVE MADE OTHER SPECIAL THE RULES BY CALLING THE OREGON UTILITY WASHINGTON CI136C AGREEMENTS WITH PGE WILL BE ALLOWED TO WORK UNDER PGE'S PERMIT. NOTIFICATION CENTER ADMINISTRATION @ (503-232-1987) BEAVERTON IS I OF 1 THE CONTRACTOR MUST NOTIFY THE LOCAL JURISDICTION 48 HOURS LINE CREW CENTER DESIGN BY PHONE(503) DRAWN BY TO REQUEST UTILITY LOCATES CALL THE OREGON lcrlow,,bays below. 2213 SW 153RD DR Tod Shattuck 672-5466 LANE WHITNEY BEFORE WORK IS TO BEGIN.A COPY OF THE PERMIT MUST BE ON SITE. UTILITY NOTIFICATION CENTER,811 AT LEAST BEAVERTON,OR 97006 2 BUSINESS DAYS PRIOR TO EXCAVATION. Call before you dig.I 0 PORTLAND GENERAL ELECTRIC CO.-ALL RIGHTS RESERVED Page 54 2011 Edition Pedestrian Accommodation Diagrams See Diagrams 5-7 and 5-8, below, for pedestrian accommodations in work zones. Pedestrian Accommodation Principles: 1. If the work impacts the sidewalk or pedestrian facility, provide a safe, accessible path, where practical, in accordance with the requirements of the ADA. 2. If not practical to match the width of the existing pedestrian facilities, maintain a 4-ft minimum width. 3. Unless a reasonably safe route can be provided through the work space, pedestrians should be appropriately directed with advance signing to cross the road. Do not divert pedestrians into travel lanes. 4. Install pedestrian closure or detour signing on Type II barricades. Make every practical effort to satisfy the following: • If work closes a sidewalk or sidewalk ramp, close sidewalks at a point where an alternate crossing point or route can be provided. Minimize the amount of out-of-direction travel for pedestrians. • Use a combination of"SIDEWALK CLOSED" (R9-9), "SIDEWALK CLOSED USE OTHER SIDE" (R9-10), "SIDEWALK CLOSED AHEAD CROSS HERE" (R9-11), and "SIDEWALK CLOSED CROSS HERE" (R9-11a) signing to direct pedestrians to an alternate facility. • Where there are business destinations between the nearest crosswalk and the work area, close the sidewalk at the business access nearest the work area, where practical using the SIDEWALK CLOSED sign. Include the SIDEWALK CLOSED AHEAD CROSS HERE sign at the nearest crosswalk prior to the closure. Chapter 5 September 2016 2011 Edition Page 55 Pedestrian Accommodation, Mid-Block Diagram 5-7 The sidewalk should be closed at the nearest intersection on each side of the work area when a safe, ADA-compliant path through the work area is not available. J SIDMA"LK �♦ or AHEAD CRO68 HERE -� CPAM HERE 24x12 Type"w1' 24x18 (Mount on B(II)L) Type'V111' SIDEWALK CLOSED 24x12 Type'wi' (Mount on B(II)LR) (2 Reo.) 81DEWALK CLCBED SIDEWALK cLosED or AHEAD CtOW HERE ~- --- -- CR033 HERE 24x12 24x18 Type Owl (Mount on B(II)R) Type Owl September 2016 Chapter 5 Page 84 2011 Edition , Stationary Lane Closure with Flagging Diagram 320 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. & 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 September 2016 _C) p A W W N N `^ Single Flagger Operation ,, ' 1 " $ ID "' "' `n a a for Low Volumes E (optional) o Q (ADT<4D0) 0 `^ 3 \ BE o 8 8 0 8 FLAOOEA PREPARED ONE E LANE Tt I 9 W T• H H o H NNTO STOP \AHEAD r m m — — —• •— — — • ` ROAD o ♦ Ito ♦ WORK 8 8 0 8 ^ K c K e o e K n I--J i AHEAD O Rchulm VNrd. co 4 I Qt N M Ln N M o N 8 v. O a�IR In n cn O O O O o V ~ ROM I ♦V <,> A B ---- -- -- ----- -------ITt 3 1 mile _� '1'I max. K K K � • • • Lfl B B A Buffer / \ Protection Vehicle ROAD • w/TMA(both Optional) WORK See Chapter 4 _❑ AHEAD BE � ONE LANE ROADAHEAD To oPD Two Flagger Operation w 0 �, (Optional) p CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT s COMMUNITY DEVELOPMENT Permit#: PF12018-00099 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 05/01/2018 Parcel: SEG3604 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: PGE Project Description: SEG 3604/Adjacent to 11300 SW 81st Ave. Provide 1 P 120/240V 200A underground service to shop. REPRINTED ON 3/20/19 WITH UPDATED CONTRACTOR INFO. Owner: FEES Description Date Amount PHONE: Contractor: HOLLENBACH& HURD INC 5291 NE ELAM YOUNG PARKWAY SUITE 180 HILLSBORO, OR 97124 PHONE. 503-591-5987 FAX: 503-848-6832 Applicant: TOD SHATTUCK 10800 SW AVERY STREET TIGARD, OR 97223 PHONE: 503-612-2935 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: �: te Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12018-00099 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