PFI2018-00173 CICITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
9 COMMUNITY DEVELOPMENT Permit#: PF12018-00173
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 07/11/2018
Parcel: SEG952
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: Tigard Street Heritage Trail
Project Description: APS to pothole existing underground utilities to determine the depth and location for design purposes.
Owner: FEES
Description Date Amount
PHONE:
Contractor:
APPLIED PROFESSIONAL SERVICES
43530 SE NORTH BEND WAY
NORTH BEND, WA 98045
PHONE: 425-864-5547
FAX:
Applicant:
JOHN GARDIN
43530 SW NORTH BEND WAY
NORTH BEND, WA 98045
PHONE: 425-864-5547
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 PF12018-00173
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
FIE C E V E D
City of Tigard
JUL, 0 9 201 G�-
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P��NNJNG,E .GINEERING
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TYPE (fit' Wv,,Pn.N
DESCRIPTION OF `FORK (in the right-of-way)
❑ TNTE I —I r:n]el]i<c L`Lill IV \\-url`:
Chcck onc: 19 L t!It es ❑ `�td\�,ilk/dri\iu"n'al l r,):ach ❑ tiucrrintl"7rn\'rrr!el"u pert welted by \1X'': 13( 1,
APS
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llet,�ilecl dcscriPrir�n: APS to ?�ot:nole existit
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underground utilities to determine the depth
Work pert_)rmcd tl>i-the p(1rpelse(?t:
and location for design pur,Doses . °
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C:ontactnartle: John Gardin 1'hc7t�c: 4?5-8 4-5547
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\cltlr ss: 435-30 SE Tjorth Bend Way= sL,RNtrrCOMPLETED APPLICATION TO:
Cir\/statc: NDrth Bend, WA Z4,): 98045 City of Tigard
Plaruailt,�/E.rgirtcerinr;�
fll(_nc:425-388-2590 L'rt,ail: johns, aj2slocates .com 13-123 Sit%Hall Bh-d.
Cr_lnil-aa n In-lc: Gardin. 4 c^O'1
,Jona Gar��in f lout: 925-U69-55 7 Ti�arcl,oR )i..�3
Appllc:lllon-. for 'I;,inor work tt1
r)nh Irrt� f1c�-rnaile�.?r.):
1=n zncer: Ci"t'y of °T"icla d Publ c lA,or.-S -
ro��-l�crn]itsc'ci;tigard-or.z,;c]��
_Vldres. : 13125 SW Hall Blvd
C.- y/ Tigard, OP 7223
97223 e
r.
PI-ionc: 503-713-2 4 65 Email: leff�@tigard-or .gov Case\o.: FI
Contact 11:11110: :7P_f f Peck. Application til:bulirial fee(07/o it[
F:n�il]ecr's Fstin]atc) �+
l:sr.ij�r ttccl\glut
Of Work l51._e+lil_�Cl rif C11'ti S� )l}I ll: 30°®® Addirona.l Fees: S
(Within the I��tblic rh let-of-�t av) Al is ition:lcccptid: _
By- 1560 Darc:
Is work reLired rc_, a I_.,=\N D-USE,19F,C ISION� ❑ s FZ- ti)
Applicaricn] rn-ie«ed:
If so ple"aSe spca cify (MLI?, SLUR, SUB, etc.) cast
Bt-:_ _ Dale:
Is \work :sear(2d to .t B lI.I9ING, PERMI'Pl ❑ ):cs o Apphcant notilled:
[F s•'),plc�:tsc':sprcih (l3(. ILI)ING PFR.\-f['-f'j case 1#:
By- SC DIM.,:
1:\ENG\PetmitHpplications\Pii_application Effective 10/15/2017
�xrttz�'waw~ �: := za�r,�'::..�r.,�< .,� �€.+. �*�:r,. .�:i��.:;t:.rc:-:axa�.`sFr<'�r.+�'� �°•� ^�,z�t�::.�. r�i.aar�+: :�s�:s�r .e&ts,:,:;:�.a� -^-'���-a�-•�°=�rrem.__.�-- �srm�zr�xz :�,;r�
City Of'Tig;ard 1 I?;S\V HAI 131\-d. .T'i�,,Ird,()r"n,on 972 ; \ \-\,cti,narci r.)r.tior _03 18-2-12 1 Page 1 of 1<
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B'Y SIGNING BELO',X/,THE APPLICANTS) SHALL CERTIFY THAT:
• The above requus(d,,)er, nor vilmy any Agaid dued resmilrions Our nm ']-)C',AEF.rich(A ro or'mj)i"'S(:d ur)on [11c,Sub ecr,
• f We ap1)0mimi k gmuecl, dio,.ipplic-Lim will exerke the r"hus ponted in uunrdance with the rerms and subject u)all the
conditions and lintradons Q the appu%Q.
• -iJl (-)F dieabove sracenimcs and rhe smemenu in anypinr plaii,auta(dimen-s,
1- 1 and exhibirs rmnsnttred hewn%,we ran;and
thy:applicants m,ackmowNgu Hot any pen-na Wed,based m this apphcakn may be revoked if it is f("WId that ally such
• The applumt has read rhe entire --)ilttnts oF (he including"the policies and UfiLel-ia,Ind LIMICI-SE311CIS d1C
LcIt::appru\.111�OF d-hvin [he-,IpplicaFion.
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Sig ME 1111111C
SIGNATURES of each owner of the sial_)Ject property, if required.
(Amnees sionature NO mmic Dam
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Ummer's Sinanirc: Print 1-i'mile Dare
Wnees signaame Print nanic Dare
PUBLIC FACILII'N' I INIP ROVE NIENT PFZ.RA;1IT
Ciry ofTigrard 13125 SVC FLA Wvd. - Tigard, ()rcgon 97223 - WMAV 6gMAnWjDV 51.13A 180421 p Pae 2 of 4
9
DEVELOPMENT ENGINEERING FEES
Ptll?laic Facility In-tpr.overilerlt (PFI) Perrri.it: p
17 ® D
a_ • � D
APPLICATION FEE p
Part]: lZequircd tlilnlitt:al Fcu S3(1t1.111)
FRANCHISE UTILITY AND SIDEWALK/
PERtiITT FF_:E
T}RI'VEWAYAlND UTILI'T'Y_
Part?: r1.1.? non-wircr s;-stcnl CONNECTIONS,ETC.
t.1�nt�
(%work to rhe right of\%rite)
l:il,�inecr's estirllai'e X (lecc ',30it, #l1 sLthmiUal feC-)
I.�:.ngioccr'�cstinlate Revicw Mach
WATER SSS STE LM FEE
❑ Dimensions
Part 3: At puhLic systum, injprovct?;cnrs
❑ SC.rLf:i M111
1-.nginecr s esni-nate X. 12"t,
❑ Site \ddrzss
PFI Permit Fee Exemptions:
FULL SCALD DEVELOPMENT
There will he nes pernhr fee charged _�r l se:u'ancc rccluircd
( 'and the tiall�:mitt ct-pcs o vvOrk: Street.I,nhr�_>�e•rZZcnrsl
• Sidewalk repair(less chan 20 linc'a1 Fc(ft)
• Design Plans1�:.•1c�c ttt car rt�pl tce rl1 ttlllr,
• DAch cleanwig th'tt dries not invrshT cegadhg,.
(G scats,2036 or 2204)
• 1\oup llctle.n-'p rir ❑ Gc:mr—Site,1`icinity, lbbre�i;rtic,n, I-cgcncl
• Curb rgxiir or r:niac:enient(.less r.han 0 lineal 520) ❑ General N,_-Fes;t_;in,11omr,Sc«.cr,CM-)
• 1..=1WI1 sprinkle'1'S1'S(Q111 A1StC1ll 1riO11 or lvp?lir- ❑ Street(Pl<ln, Profilu)
"
° Srrec tree pruaing or nl�tndy ❑ \Tater,Smnn and Sr,,irti (Plan Profile)
• T
• 1'larltel,strip landscape naainrcn ncc [D \\ater()ualin,Facilities
° Test ,�e:lls ❑ Grading
❑ 1.atx3scaping/Tree Plan
❑ Cr,mposite Utility Plan(L'.le_ct:rical,Phone,Gns,
Storm,Sanitru:y,Water',Sign,igc�,Street l.ights,ctc)
-ate: Ac�rsh�t�sr.r�-ttnre Maybererfuirerl tree .
T.IIC 15.04.140.(carstvnzer depvsic) ❑ Details
❑ Traf'tic Sl,tirht Distance
❑ Signing-and Striping
❑ Street-Light Plan and Photometric
❑ Ln nncers seal/sign;anu-fU
❑ Sheet label(prnjcct Isu1d use n u11c,rc\lision and
plan log block,elates;and sheer rlumbcrs.)
Additional Srshrnittaxls
(per-I:.and Use conditions)
❑ Traffic Report
❑ Scorrrt water Drainage Cticu.latic,ns
❑ Ge.otc-chnical Rept-ort
❑ Preliminary.Access Report (Sight Distance)
❑ Proposed Plat
❑ Paffiv,ay Design(if applicable:)
❑ \Vater 17eparrnlent Approval
❑ 1i.ngineer s(.:c:mstrt1cri011 1"stinrate
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PUI3LIC FACILIT)` IMPROVENMENT PLR_IMIT
City of Tigard • 1.312.5 S\\ I Jail liivd. • "1"i,yah t)ngun 97223 • wmm;rip hur go 03 18'-2421 • Page 3 of 4
SAMPLE SKETCH:
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✓f tXorth arrow Properry 1111cs & clitzlcrtsio n Xyt-i-itilitv
lope- (-)t property
V -srrcLt & stte;-t n(rne(s) Elistinc; l�ulkhn(T, srructures i. &streer. light-poles
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PUBLIC FACILITY IIIPROVE NIENT PERMIT
City of Tigard 1312-5 S\`.Ha.11 !-)'lvcl. ° 'k,:)t-d'Oregon c,,-?-2-} D-03-71"L 4)1 Page 4 of 4
SIGN SPACING=X FEE 7
FREEyMy3a ERPRESSWAY3 —.MPH 11—k.—PE1 Date:7/2/2018 Author:John Gardin Project:4802 VAC www.invarion.com
MVCD Comments:
RURALMOHWAYS 60f65MPH M.. Commentsxz.
RURALROADS 45155MPH SGO'. '
RURAL ROADS&URBAN ARTERIALS 35140 MPH 350'.
RURAL ROADS,URBAN ARTERIALS 25n.MPH 200'. This plan is for all pothole locations
RESIDENTIAL L BUSINESS DISTRICTS a,
URBAN STREETS 251-MPH 100'. i. N
ALL SIGNS ARE 48"BY""BLACK ON ORANGE UNLESS OLS OL'G. 4
OTHERWISE DESONATED.
Q3tlVd9tld
)1)AN spacing may be d)—d to ac medal.ird.rcbang.ramps, ` 1
at-grad.Inl.rsedbon.,and dflY—ys em - ,`�(.p $`
(2)Tbesp-Mg may b.reduced In urban nreasm fit roadway—dRlons WORK\HOU S 8:OOPM-4:OOAM
MINIMUM TAPER LENGTH(L)IN FEET '
Posted Speed LImR
25 30 35 40 45 SO 55 60 85 70
F10 103 150 1 M51 265 1 450 501 550
11 115 165 1 225 1 295 495 550 605uNiii 660
12 125 180 243 325 540 600 660 720 700 610 - - - -
LIGHT
TOWER 14
SPOTTER TO BE USED
1 OF 1 TO ASSIST PEDESTRIANS
ACCROSSED THE STREET
IQ� 3Y3=450 5 ._ •�' �+..w.�t
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SW TIGARD ST � r
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7c,O" +d" G' 861EYMLR CLOaEO
GROAT HERE
r�
n
n
nn ALL FLAGGERS TO HAVE
BALLOON LIGHTS AT EACH
D ,>� STATION FOR THE DURATION
t9. Zr„
ei OF THE WORK.
tot
►� vvt9'v� PYA..V
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,���a6 +s : '4 1)POTHOLE LOCATION WILL BE IN THE ASPHALT
LEGEND "C ROADICONCRETE SIDEWALKIGRASS STRIP.
SW T{GARD S �. D fi 2ISIDEWALKS WILL BE CLOSED DURING THE
CONE Z CONSTRUCTION.
4' -- r •�! Y v e 3)APS WILL CLOSE THE CROSSWALKS AND
WORKZONE * �'"�` I- R .% "`t I''�F POST WARNING SIGNS
'x 4
4)PEDESTRU\NS WILL BE ASSISTED THROUGH
we
FLAOOER THE WORK ZONES WHEN NEEDED.
cLgSEg?.
5)ALL
e .:. +' + AgGp.
'f� WEWIL FOLLOW
L BE EVENLY SPACED CIN
WE WILL FOLLOW THE MUTCD FOR SPACING
UPO ..1,4; " - -1� �� WORK.> e)STANDAR048"SIGNS AND 28"CONES WILL
61 T �. HEA BE USED.
POTHOLE LOCATION ,
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6 '/ .i' SEWER
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oVACUUM EXCAVATION. WATERLINE
W LOCATION 3
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•TELECOM DUCT RUN VACUUM EXCAVATION
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SCALE: 1" = 30' PUO1"EO°"® DIVISION A TIGARD ST HERITAGE TRAIL FIGURE
PUBIIC WORKS APARTMENT
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13125S.W. BLVD. VACUUM EXCAVATION EXHIBIT
m= 30, 15' 0 30' ®�' 11GARD, OREGONGON 97223
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VOICE. 503-6.39-4171
FAX: 503-62 FOR FUTURE RESTROOM UTILITIES FILE
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