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PFI2018-00178 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT COMMUNITY DEVELOPMENT Permit#: PF12018-00178 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 07/18/2018 Parcel: SEG604 Jurisdiction: Tigard Site address: Subdivision: Lot: Project: PGE Project Description: SEG 604. Vault repair. PGE Job M2472181 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: SCOTT BENSON 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 ��f Signature: a C ffi 1 Issued By: % Special Conditions(See Attached Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12018-00178 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 JUL 12 2018 o PUBLIC WORKS —ENGINEERING CITY OF TIGARD Public Faces tY Imp rovement (PFI) PeruENGINEERING T; _ TYPE OF WORK DESCRIPTION OF WORK(in the right-of-way) LJ TYPE 1—Franchise Utility Work Check one: Utilities ❑ Sidewalk/driveway approach ❑ Streetimprovements performed by NWN, PGE Detailed description: Vault Repair and/or utility agency. ❑ TYKE 2—Sidewalk/Driveway/Sewer PGE Job M2472181 Work performed for the purpose of: • Sidewalk installation or repair. ° Driveway approach installation 11361 SW 135th Avenue Property address/location(s): and/or repair Portland OR 97223� ° Sanitary sewer lateral installation and/or main line tap Applicant: Portland General Electric [Submitted by Amy Sweany] ElYP TE 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: Phone: 503-612-2935 Email: preregcoord@pgn.com • Subdivisions or Partitions Contact name: Scott Benson Phone: 503-718-6324 • 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" only may be emailed to: Engineer: NSA rowpermitsktigard-or.gov Address: FOR SE ONLY City/state: Zip: Phone: Email: Case No.: Contact name: Application submittal fee(.007%of Engineer's Estimate) $. Estimated value of work is required(if over$5,000):$ 5,351.57 Additional.fees: $ (within the public right-of-way) Application accepted: f Is work related to a LAND-USE DECISION? ElYes No By'— Date: 2 If so,please specify (MLP,SDR, SUB,etc.) case #: Application reviewed: By: Date: _7 Is work related to a BUILDING PERMIT? ❑ Yes EVNo Applicant nIc otified: If so,please specify(BUILDING PERMIT)case#: By: Date: AEN G\PermitAppiications\pfi_appIication Rev.10/16/2017 City ofTigard 13125 SW Hall Blvd. Tigard,Oregon 97223 • www.tlgard-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 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 signature on the application BY SIGNING BELOW,THE APPLICANTS) SHALL CERTIFY THAT: • The above request does not violate any recorded deed restrictions that maybe attached to or imposed upon the sub)ect :proper.. • If the application is granted,the applicant will exercise the rights granted in accordance with the terms and sub)ect 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. Vinh D NguyenDigitally signed by Vinh D , Nguyen,PE PE Date:2018.07.12 11:42:16 -07"001 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 • wwwtigard-or.gov 503-718-2421 • Page 2 of4 DEVELOPMENT ENGINEERING FEESe . Public Facility Improvement(PFI)Permit: DETAILED REQUIREMENTS APPLICATION FEE Part I: Required submittal fee$300.00 (ininimum) FRANCHISE UTILITY ANIS 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 El. 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,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 El 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 ElIaiidscapirig/TreePlan • Test wells ❑ Composite Utility Plan.(Electrical,Phone,Gas, Storm,Sanitary,Water,_Signage,Street Lights;etc) El, Details Note: A cash/bond assurance maybe ❑ Traffic Sight Distance required per TMC15.04.140. ❑ 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) El Traffic Report ❑ Storm water Drainage Calculations ❑ Geotechnical Report ❑ Preliminary Access Report(Sight Distance) ❑ Proposed Plat ❑ Pathway Design(if applicable) El Water Department Approval ❑ Engineers Construction Estimate PUBLIC FACILITY IMPROVEMENT PERMIT City ofTigard 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov 503-718-2421 Page 3 of4 SAMPLE SKETCH: Edge.of Pavement I + I -0- Ditch Streetlight I ■�■�■s■■�■�v■ei■�v��■�e� ps p,aII'1 T}i"3'Rl 4. I 8 ��Tr�re •Gi a � a r 0S owe 17r, at I .® Existing t Driveway GI ■k I ° r or � . dr., I OB ®.. >I I 0 I �Existi n g�,S h�a,p;; °- ■ Powerpole I 0 95 �. ®.®o®e®- ®m®__e®v®o fro p e riy l_ni e� I I e A o I �I Fire Hydrant(F H) I I I Scale. 'I"=30' I r I I 0 ° I I I I a � 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 • www.tigard-or.gov • 503-718-2421 • Page 4 of i LEGEND WL1 VT-18785: L ----; REMOVE/ABANDON FACILITIES INSTALL FACILITIES Install: 11383 INSTALL ADDITIONAL FACILITIES/MODIFY FACILITIES SU100000-CUSTOM 48"x75"x6"660 VAULT LID,DIA-PLT DOORS 1. WORK LOCATIONS LATERAL TAP UNIT-4 POS-3 PHASE _______, (6)ELBOW KIT-JKTD CABLE-#2/OAL suaveYGRrD BOUNDARY FOREST - (2)ELBOW KIT-JKTD CABLE-#2AL HIDEAWAY (4)DUST CAP EQUIPMENT Remove: REPLACE VAULT LID 48"x72"x6"660 VAULT LID ® INSTALL:SU100000-CUSTOM 48"x75"x6"660 VAULT LID, LATERAL TAP UNIT-4 POS-3 PHASE t DIA-PLTDOORS (6)ELBOW KIT-JKTD CABLE-#2/OAL REMOVE:48"x72"x6"sso vaULT LID (2)ELBOW KIT-JKTD CABLE-#2AL O SMALL FAULT INDICATOR(S)VAR TRIP 200A C2AL 11361 Q ° 0 to 1 N i I I Q i 11381 I i I i i i ° I B i i ® LANDSCAPING NOTES C1 1-33C i e PRE-LANDSCAPING- i - - REMOVE TWO TREES&LEVEL C1 1- 33D GROUND 3'TO THE NORTH& VT-18786 q ! SOUTH OF VAULT ® I �? Open e 1 p ° 7&ROW i q i f 11595 I q I 116 I i q i q B i i ° h I ° 1 ! i 11451 q ° 6+ ° 11597 U ° i is 18 ° ----— 254♦ i i 1988 ° i � E 0 15 30 60 Feet I I I I I I I I � 11599 N PGE CONSTRUCTION DRAWING AS-BUILT VERIFICATION&NESC VIOLATIONS CORRECTED Thl,docu111-;1111y'lPI PIs FIELD C11111.cl,u" Foreman: Date: THINK General Foreman: Date: SAFETY (Signature only required/or field construction changes.) SDPMIENG REVIEW. ASBUILT BY DESIGNER: NYDEVL4TIONFROM THIS DESIGN MUST FIRST DATE:4/17/2018 s 1 in=30 ft ACCOUNT.,1070001 A 1000004545 J M2472181 ��8,rAPPROVEDBYTI-I,-PGEPROJECTMANAG,-RI TITLE VAULT REPAIR CALL 811 BEFORE YOU DIG cracurr 6 IZE arr£NrloN; 17 MURRAYHILL-MURRAYHILLI3 17 x 11 OREGON LAW REQUIRES YOU TO FOLLOW RULES ADOPTED ,;r ®rC LOCATION BY THE OREGON UTILITY NOTIFICATION CENTER. rr�GEY 11361 SW 135TH AVE,TIGARD,OR,97223 THOSE RULES ARE SET FORTH IN OAR 951.001-0010 1. DESCRIPTION THROUGH 951-001-0090 YOU MAY OBTAIN COPIES OF ` REPLACE B/O ELBOWS,LATERALS,&VAULT LID IN VT-18785 SHEET THE RULES BY CALLING THE OREGON UTILITY COUNTY SECTIONS WORK WITH NOTIFICATION CENTER ADMINISTRATION @(501.131-1987) WASHINGTON C1133C 1 1 OF 2 TO REQUEST UTILITY LOCATES CALL THE OREGON �e1 BEAVERTON DESIGN BY PHONE DRAWN BY UTILITY NOTIFICATION CENTER,811 AT LEAST Call befomyou dig. LlNECREWCENTER SCOTTBENSON 503-502-8439 HEIDIBOOMER 2 BUSINESS DAYS PRIOR TO EXCAVATION 2213 SW 153RD DR RFAVERTON OR 97006 ©PORTLAND GENERAL ELECTRIC CO.-ALL RIGHTS RESERVED 1-LINE DIAGRAM CJ VT-2277] P, -18 219 1 s C 15 4094 5 I 217W it Prr�T22s {+ I Pa162 r L" Q 7 -1550 � t B 50 3 - a x 1. do } P 9 27711 PD 18446 D 1848 r R ,,VT 230a�'j I ys�� m C 7Sj BPD 27. rc i trzYy gM1VT 187 1 � f a ��. f�IVi147( m 1 rfi�}PO726 if , 50PDLu 11 1 a C 7S 8889PD 18478 z.- i" I Q � 1LI� � I PD 2H •y '� � �� ' �n F Y(':-.9 � �15H �' rj• r.s'�w+5a"�"uts� �a 7573 r 1 i J PD 8 rd m I I a ew q � a I �•'#-ti.1 1*OV 758898 a x NYDEVL477ON FROM THIS DESIGN MUST hIRF APPROVED BY THE PGE PROJECT MANAGER %U, OREGON ATTENTION: r< t� = ;'., :e I. �b .' CALL 811 BEFORE YOU DIG OREGON LAW REQUIRES YOU TO FOLLOW RULES ADOPTED THINK BY THE OREGON UTILITY NOTIFICATION CENTER. a� Open v4 E - r a. THOSE RULES ARE SET FORTH IN OAR 951-001-0010 1 r " 1" r ;3 SAFETY THROUGH 952-001-0090 YOU MAY OBTAIN COPIES OF _ D 87 4 D7184 C 7S 8707 D 18482 _} THE RULES BY CALLING THE OREGON UTILITY q 25x83026 ¢ r i FIRST NOTIFICATION CENTER ADMINISTRATION @(502-232-1987) c` e'15 9 •18798' }ABC ,,I TO REQUEST UTILITY LOCATES CALL THE OREGON rcwl�ar�below UTILITY NOTIFICATION CENTER,811 AT LEAST CBllbefor>cyou dig. 2 BUSINESS DAYS PRIOR TO EXCAVATION am PGE CONSTRUCTION DRAWING 1I 1 A5-BUILT VERIFICATION&NE SC VIOLATIONS CORRECTED • �I { f IQI This tlocement A-1e10y repmsents FIELD Cnnxtn,rl nn 240`Feet 2 ' I PD-17803 �' o12sf6 � N Foreman: Date: �P;GE General Foreman: Date: (Signature only required for field conslructlon changes.) SOPMENG REVIEWASBUILT BYDESIGNER: DATE: SCALEACCOUNT.' AWO: JOB NO. 4/17/2018 1 in=50 ft 1070001 1000004545 M2472181 TITLE VAULT REPAIR CIRCUIT SIZE MURRAY HILL-MURRAY HILL 13 11 x 17 PGEyLOCATION 11361 N '135TH AVE,TIGARD,OR,97223 DESCRIP7fON REPLACE B/O ELBOWS,LATERALS,&VAULT LID IN VT-18785 SHEET COUNTYSECTIONS WORK WITH WASHINGTON C1133C 201`2 8"VERTO04 DESIGN BY PHONE DRAWNBY VNECREWCERTER SCOTT BENSON 503-502-8439 HEIDI BOOMER 2213 SW 153RD DR 9EAVER—OR 87006 0 PORTLAND GENERAL ELECTRIC CO.-ALL RIGHTS RESERVED Page 84 2011 Edition , Sta�oonary` ane C'I®Tsure with F'�aggog q D;iag�arn 320Y 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. 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 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 December 2011 Qra I------------------------� N CD ry>v, o ((D vii o cis o cwr,o cNro°R'^' 3 Qsa Single Flaggger Operation pz y CD 5 I for Low�/olumes I (OptionaQ O _� N cn w N v (ADT<4W) 0 0 0 0 n 2 I I BE V, Z3 s a � ONE LANE A�; IA". I PREPARED � c ROAD W a I � H H H H I TO STOP �� 0 cwi 0 0 0 I — — —. . -. . — — — I • ROAD � vi r I in I WORK _. `° I 1C K e K 8,41A I--I I AHEAD '. 0 0 o n N+ ra amx Y., � I � PlpmCtlOfl VahIe10 I COGD W N O v OOO U70�� QW I I A 1'y r.& . --------------------� Tt F : x . 1 mile _I w max. • Buffer tis Protection Vehicle ROAD • w/TMA(both Optional) See Chapter 4 WORK AHEAD BE ONE LANE n ROAD PREPARED Two Flagger Operation AHEAD TO STOP ' `. W m CD (Optional) co cn ;O cn