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PFI2018-00157 s CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT COMMUNITY DEVELOPMENT Permit#: PF12018-00157 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 06/25/2018 Parcel: SEG1365 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: PGE Project Description: SEG 1365. Overheard work to correct service violation. PGE JOB M2531867 Owner: FEES Description Date Amount PHONE: Contractor: PORTLAND GENERAL ELECTRIC CO 121 SW SALMON ST C/O LEGAL DEPT PORTLAND, OR 97204 PHONE: 503-464-8852 FAX: Applicant: KEVIN CROW 10800 SW AVERY STREET TUALATIN, OR 97062 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: 5�-'�- f/ Issued By: � d Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12018-00157 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 RECENED City of Tigard JUN %1-2018 PUBLIC WORKS —ENGINEERING CITY OF TIGARD 0 Im NNING�IENGINEERING Public Fadhty PFI rernut TYPE OF WORK DESCRIPTION OF WORK(in the right-of-way) TYPE 1—Franchise Utility Work Check one: g Utilities ❑ Sidewalk/driveway approach ❑ Street improvements performed by NWN, PGE Detailed description: Overhead work to correct service violation and/or utility-agency. ❑ TYPE 2—Sidewalk/Driveway/Sewer PGE Job M2531867 Work performed for the purpose of: • Sidewalk installation or repair. • Driveway approach installation 13360 SW 121st Avenue Property address/location(s): and/or repair Tigard, OR 97223 • Sanitary sewer lateral installation and/or main line tap Portland General Electric Submitted b Am Swean ❑ TYPE 3—Full scale Development Applicant: � Y Y y� Work performed with Land use Address: 10800 SW Avery Street approval which includes any of City/state: Tualatin, OR Zip: 97062 the following: Phone: 503-612-2935 Email: preregcoord@pgn.com • Subdivisions or Partitions Contact name: Kevin Crow Phone: 503-718-6326 • 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 503-464-7777 Planning/Engineering Phone: Email: 13125 SW Hall Blvd. Contact name: Phone: Tigard,OR 97223 Applications for"minor work in right-of-way" Engineer: NSA only may be emailed to: romTermits�it,tigard-or.gov Address: R City/state: Zip: FOI STAFF USE ONLY DC Phone: Email: Case No.:' VT 1 V,b-Ot)(5 Contact name: Application aibn.ittal fee(.007%of Engineer's.Estimate) $ Estimated value of work is required(if over$5,000):$ NSA Additional fees: $ (within the public right-of-way) Application accepted: By: Date:.6 12A Is work related to a LAND-USE DECISION? ❑ Yes C�No 1 . Application reviewed: If so,please specify (MLP,SDR, SUB, etc.) case #: By: Date:' Is work related to a BUILDING PERMIT? ❑ Yes Lr 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 NO'T'E: 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 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 an,f 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. ' Digitally signed by Vinh D Vi h ® r,Nguyen,PE :off ao2018.06.20 16:16:37 Nguyen, PE 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 REQUIREMENTS APPLICA'T'ION FEE 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 D 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 T'mp. roveiiients) There will be no permit fee charged,or assurance required for the following types of work: 17esign Plans • Sidewalk repair (less than 20 lineal feet) (6 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 El—Water Quality.Facilities • Street tree pruning or planting Ell.Grading • Planter strip landscape maintenance ❑ Landscaping/Tree Plao . • Test wells Composite Utility Plan(Electrical,Phone,Gas, Storm,Sanifary Water,Signage;Street Eights etc) El 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 submi ttals (per Land Use conditions) El Traffic.Report ❑ Storm water Drainage Calculations ❑ Geotechnical Report. ❑ Preliminary Access Report(Sight Distance) E'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 • wxvwtigard-or.gov • 503-718-2421 Page 3 of4 SAMPLE SKETCH: �e y- S t: Edge.of Pavement Ditch Streetlight I .■�.� . .�. e© . e�r�®� s $ Rain Drain 0 r I , 0S cf ewer rl • S r :Existinyg:Foul I ® I Existing a 1 >e ° Driveway 1- �1 LO I LA i ° • 01 13 O �E�istin Sha r�,: Powerpole e Q e 95 7Fn;OV Line e 1 $¢ Fire Hydrant(FH) , I ■ Scale: 'I"=30' ■ e I S I f ■ I � � ■ a 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 oFrigard 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tlgard-or.gov • 503-718-2421 • Page 4 of4 WL 2 BRIDLE: OVERHEAD LEGEND 143 40 T FTR OWNED POLE REMOVE/ABANDON FACILITIES=INSTALL FACILITIES 21500 .250 16039 .2 NOTE:INSTALL PERPENDICULAR SUPPORT TO INSTALL ADDITIONAL FACIunESmroDIFYFACILITIES q 45'-,4qL-Tx 13360 SW 121 STAVE SERVICE WITH 135' 19921 \'� 1 WORK LOCATIONS 21100 2110SPAN GUY GOING FROM PL 2110 TO PL 29 1952 NOTE:RAISE/ATTACH SERVICE TO NEW CONDUCTORS SUPPORT FOR CLEARANCE ---- TRANSFER 1-#2 AL-TX OH SECONDARY GUYING 12190 0 13270 6o %O Io O D CID G 13305 ;' (POS.-LBS.) a � ^ C C --------12-170 1 GUY G1 G4 G7 G1 G1 G19 G24 2 GUYS G2 I G5 I G8 G11 G1j 29 3GUYS G3 G6 G9 G G7 G21 i TREE TRIMMING P w�'� �� , M00 I CLEAR PATH TO RAISE SERVICE TO 13360 i 13285 2151 45'-4 i 1952 C' 29 13360/ 12163 j PJy� �? 35'-4 Ir` VAP �1.T+20003,, try 'i 3 --., 13400 13305 i 666 0 20 40 80 Feet 13465 13345 N CPGE CONSTRUCTION DRAWING AS-BUILT VERIFICATION 6 NESC VIOLATIONS CORRECTED This d... nt accurately 1epr-1t,FIELD ConstructorForeman: Date: General Foreman: Date: (Signature on required Ior field construction changes.) SDPM/ENG REVIEW.' SBUILTBYDESIGNER: NYDEVIAHON FROM THIS DESIGN MUST 2/20 /2018 1 in=40 ft 1 5930001 1000001400 J M2531867 BE APPROVED BY THE PGE PROJECT MANAGER UTLE 2016 OH FITNES-INSTALL SERVICE MESSENGER CIRCCALL 811 BEFORE YOU DIG TIG s IZE ATTENTION: TIGAR 11D-13362 11 x-17 OREGON LAW REQUIRES YOU TO FOLLOW RULES ADOPTED gj �LLOCATION BY THE OREGON UTILITY NOTIFICATION CENTER. ; `� 13360 SW 121 STAVE,TIGARD,OR,97223 THOSE RULES ARE SET FORTH IN OAR 952-001-0010 c, � ,�,�.. DESCRIPTION THROUGH 952-001-0090 YOU MAY OBTAIN COPIES OF _ INSTALL BRIDLE GUY TO FIX SERVICE VIOLATION 13360 SHEET THE RULES BY CALLING THE OREGON UTILITY - '' COUNTY SECTIONS WORK WITH NOTIFICATION CENTER ADMINISTRATION @(501-232-1987) WASHINGTON C2103C 1 OF 1 TO REQUEST UTILITY LOCATES CALL THE OREGON KnDW w an b.�. L.-, ERMN DESIGN BY PHONE DRAWN BY UTILITY NOTIFICATION CENTER,811 AT LEAST Call before youdlig. WCENrert MARIO DUKE 503 718-fi337 CHRISTIAN CANON 2 BUSINESS DAYS PRIOR TO EXCAVATION .53 vD$ ®PORTLAND GENERAL ELECTRIC CO.-ALL RIGHTS RESERVED &^.is.--s:'kart' .. BSc 'y'< k.r g :{-«n t,,y3.,x�'w?i r�,rr.' •`+may`"'• .� "�' www.invarion.com ROAD WORK EA MUM C 1 t (Optlona@ ROAD AHEAD B BE PREPARED TO STOP IL • B A (op6onel) p ONE ROAD loo fl.Max. ° PREP�AREO AHEAD ROAD ° YYORK TO STOP ° lel B B C I doBOW 0 p poo° p �p7 —► p p Ab O 100 R,Max.-� OC B � A WORK ° T O NE PREPARED • O 100 R M ax. ROAD O D IF {optional) A • B BE PREPARED TO STOP (opi-al) ONE LANE t ROAD ANMD C ROAD WORK HEA �.€'..r \ '+r tr 2q ' t YvvYYII.indarion.com ane �oe:uF654 hufsec0.6 t-M0 -laggtrtg;x Jjfs"rrV i^I"vriS.*7.}F i' �'. < .,.... sr_c..s ' Diagram 620 covers work within an intersection when normal traffic control must be interrupted.Work vehicles may or may not be in the work space. 1. During flagging, traffic signals shall be turned off. Contact the road jurisdiction for approval and assistance(see Chapter 3). 2. For multi-lane facilities, traffic approaching the intersection shall be reduced to a single lane on each approach. See Chapter 3 for information on flagging through intersections. 3.There should be one flagger for each approach. One flagger may control two adjacent approaches If sight distance, low volumes on side roads, and flagger position allows for safe operation and clear direction to motorists. For low traffic volume intersections(fewer than 400 entering vehicles per day), one flagger may be used. 4.The uONE LANE ROAD AHEAD"(W20-4)sign is optional and should be considered on high volume or high speed roads,or when extended queues may be expected. Sign Spacing and Buffer Lengths(feet) eSt.e t :._.. � VButir �` pee�iA H. � � ERRATA: 20 50 25 100 100 100 75 Supplement Table 30 100 35 350 350 350 125 Updated:February 12, 40 150 2016 455 180 By:ODOT TrafficRaodway 50' 500 500 500 210 Section 55 1250 Signs Spacing and Buffer Lengths (feet)Supplement f'tlstet#�� pac �3e�iwee�n� ns� fi { 'a» �i'y��r 60 285 65 700 700 700 325 70 365 B IT-1 I LL�EPSingle Flagger Operation for Low Volumes ma (Optional) Aila ! (ADT<400) , m rj d Fu�c� BE ONE LANE n s : PREPARE, Roan 'a I B. a�e it TO STOP AHEAD OF I _ milem ax �s1 00 Q�u 0 b DOD I • ROAD ` WORK � ' " ILK ! � AFI - fib; a • Pmkecfmn Val en W�A(beN QpponW) .,y Chapter V� +'7 J r)` Ln.'4"�f�i. 1 4-i ipy`rtC: Nhaeo c ovs i"§ Spiry. liM ,.. r L.----__-------------------------------------------------.._.._.�._.rsTt r 1 mile J ma)L o a o 0-0-0 o op00 ® O o �. N-, C B B Buffer ."':A imm.fir Protection Vehicle wfrMA(both Optional) �,_ WORKROAD See Chapter 4 �. E ONE LANE BE PREPARED Roan AHEAD 7`o stop Two Fla gger Operation (Optional) iv o I (1 i G 3 +su ,a-'tr ""t r'y7,: F"'LCCN '_"_r_,n..-„'"lA `"o'- ' ``. S° t{ld a, ,5 7 ♦`.`S F.z+.N^'[w>' www.invarion.com MME; ,t SWI EMB gang yrs a �' ' ukY".r7,yo.#,iL t::. .`3}�.'Y,!'` «3�'✓5,..xy."_ eYn as i[”" < a4 3 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 PCIVIS 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 FlaggerAhead 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 otter 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 54)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 FlaggerAhead 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.