HomeMy WebLinkAboutPermit Encroachment 2019-06-26SPR,INGFIELD
ENCROACHMENT PERMIT
OREGON
I|IIT
CITY OF SPRINGFIELD, OREGON
APPLICANT: Pasquarelli Construction
LOCATION:1812 sth St, 1834 sth St,450 Q St.
PERM lT: 81 1 -1 8-002844-STR
DATE: June 26th, 2019
ATTENTION: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through 952-001-0090. You may obtain copies of the
rules by calling the center. (Note: The administrative telephone
number for the Oregon Utility Notilication Center is (800)332-2344.
GONDITIONS OF APPROVAL
Contact Todd Thompson at (541) 912-1389 a minimum of 24 hours prior to beginning work, for scheduling of all other
inspections, and for all construction related questions.
Refer to City of Springfield Municipal Code 3.208 for information on Encroachment Permit requirements.
Work within public right-of-way shall only be performed only by contractors and employees certified pursuant to ORS
70L.026. All materials and workmanship shall, at a minimum, meet City of Springfield, Department of Public Works
"standard Construction Specifications, 1994" as amended in 1998 (or current edition). The City has the right to require
additional work not shown/described here in but necessary for the restoration of the Citys ROW infrastructure.
A spill kit is to remain on-site for the duration of all construction activities. The spill kit shall, at a minimum, contain
absorbent, spill booms, and spill pads. The spill kit is to be placed in an area where it is easily visible and accessible in case
of a spill emergency.
Applicant shall maintain oversight of all contractors and sub-contractors performing work authorized by this permit and shall
be'responsible for ensuring all work is performed in accordance with City of Springfield Standard Specifications and the
specific conditions of approval contained in this permit.
Trafflc Contro!
During construction or mointenonce or perlorming utitity work in the ROw, the work oreo sholl be proteded in occordonce
with the curent MANTJAL oN IJNFoRM TRAFFIC CONTRoL DEVICES (MUTCD).
Floggers must hove o current cord or cuilent cettificote indicoting their completion ol on opproved work zone troffic
control cou6e-
All trolfic control devices sholl be mointoined occoding to the Americon Trofiic Sdlety SeNices Associotion (ATSSA),
Quolity Stondotds lor Wotk Zone frolfic control Devices hondbook.
"As d condition to receive ond retoin this permit oll tempomry troffic control sholl conlorm to the Oregon femporory fruffic
Control Hondbook with Errotd, doted September 2016. The permit holder is solely rcsponsible to ptovide ond mointoin
oppropriote temporury trofiic contrcl lor the dutdtion ol the work. Foilure to ptovide ond mointoin temporory trofiic control
is grounds for revocotion ol this pemit. The hondbook is avoiloble lor downlood ot
hios,//www.oreoon aov/oDoTlEnoineerino/Docs trofficrno/oItCH-v2ot 7.odf. Printed copics ol this monuol cdn be
iiered from Chemeketo community College Center lor Business & lndustry, 50i'399'5181''
OFFICE COPY
Cityof Springfield . ZZSFifthStreet . Springfield,OR97477 . 54t,726.3753 ' 541.735.1021 Fax
www.sPringfield-or.gov
DEVELOPMENT AND PUBLIC WORKS
By signoture' I slofe t hove corefully exomined the opproved permir ond do hereby ogree fo comply withthe requirements of the permit ona't i.riity ony-ond-'oll work ierformed sholl be done in occordonce withthe ordinonces of the city of Springfieli, opplicoble city sro;dord specificotion ona D.o.ings, ond rhelows of the stote of oregon pertoiing to'the'*rork a.r"ritJ r,erein. t further certify onry controclors qndemployees who qre in complionce wittr-ons 70l.o55 ,nirr i. ,r.a for this proiect.
I ogree for myself, my controctors, ond employees, thot the opprovol of the right of woy permit in nomonner presumes or implies the opprovol or terms of opprovol oi ony ofir, trtr.i'f.irit required by thecity for the site ond indemnifies ond holds hormless the dity .egoraing ony future opprovot of q future siteplon' portition, subdivision, or ony other required permit -thot moy cause ony work completed incomplionce with the right of woy permit to be oliered to conform to the finol permit opprovol.
I understond ond ogree. the city moy inspect the work site described in this permit ot ony time during oone-yeor period following the receipt by the City of notice of completion'or i. lescribed work ondspecify, ot the City's sote discretion, ony odditionol restororion work required to return the site to qstondord occeptoble to the city. I will be notified in writing oi ony work required ond will hove 30 doysfrom the dote of the notice to complete the work. Work noJ completed ot the end of the 30 doys wi1 beperformed by the City ond the costs will be billed to me.
I further ogree lo ensure oll required intpeclions ore requesled ct the proper lime ond the opprovedpermil qnd sel of plons wit! remoin on lhe site ol olt tinres during .onrtrr.tion qnd untit removed bythe City.
I shqll defend, indemnify ond hold hormless the City from ond ogoinst oll liobility or loss ond ogoinst ollcloims or octions bosed upon or orising ou1 of_ domoge or iniury to persons or property coused by orsustoined in conneclion with performonce if this Controctby the permittee except, pursuont to oRS 30.l40,for losses, cloims, or octions resuhing from the sole negligen"" oi the city.
I sholl ossume oll responsibilities for the work, ond beor otl losses ond domoges direcrly or indirecttyresulting to the permittee, the City, or to others on occount of the chorocter or p-erfo.monce of the work,unforeseen difficulties, occidents, or ony other couses whotsoever. I sholt ossume defense of, indemnifyond sove hormless the City, its officiols, ogents, ond employees from oll cloims, liobility, loss, domoge, ondiniury of every kind, noture ond description, directly or indirealy resuiting from octivities in theperformonce of the Controd the ownership, mointenonce or use of moior vehicles in connection therewith,
or the octs, omissions, operotions, or conduct of the permittee or dny Subcontroctor under the Contrqcl or
ony woy orising out of the Controct, irrespective of whether on oct, omission or conduct of the City
connected with the Controct is o condition or contributory couse of the cloim, liobility loss, domoge or iniury
ond irrespective of whether oct, omission, or condua of the permittee or Subcontroctor is merely o
condition rother thon o couse of o cloim, liobility, loss domoge or iniury. I sholl not be lioble for, nor be
required to defend or indemnify, the City relotive to cloims for domoge or domoges resulting solely from
octs or omissions of the City, its officiols, ogents, or employees. The permifiee's obsence of or inodequocy
of the liobility insuronce required by the City of Springfield sholl not negote permittee's obligotions in this
qgreement.
PERMITTEE:
Printed Nome:J €59 c<4 h
Signoture:
Dote:
Cityof Springfietd.225FifthStreet r Springfield,OR97477.541.726.3753 o 541.735.1021 Fax
\irww.springf ield-or'gov
Fifth Streer
Springfield, Oreg on gt47t
Engineering & Transportation Services Division
Phone (541) 726-3t53
Step l-Location of Work
Who is fllling out the application?
IljHt,::'"'' you will need to identifi/ the Applicant, owner of the abutting property, and the Contractor, if appticabte.
John Doe is the owner of the abutting property. You would need to put name, address and contact information.Jane Doe is the Applicant' This is the person fiiling out the application and filing r"ii p*.it. you would put in the contact information.utility Doe is the utility company that is doing wolk in the right of way and wouid be an considered an applicant. you would put in thecontact person's information.
contractor Doe is the contractor who will be doing the work in the right of way. you will need to put this contact and license information.
SiteAddress or Location : 1812 5th sr., 1834sth st., 450 Q st.
Tax Map 17032624Applicant: Pasquarelli Construction Tax Lot 2400,2500,2300
Email Address: jeff@pasquarelliconstruction.com
Phone:(541) 954-3541
Owner:Dan Cates Phone: (541) 881-4181Address: 3993 Scenic Dr,
City:Eugene state: oR zlP: 97,401
Contractor: Pasquarelli Construction Phone: (54'l) 95+3541
Contractors Registration (CCB) #: 187738
Project Supervisor: Jeff Desler
lnsurance
l* Proof of lnsurance, minimum 5500,000 coverage limit
Expiration Date: 8-17-2019
Phone: (541) 954-3541
Utilities
Does your utility compony have a fronchise ogreement or license with the City?
Please identify which type of agreement you currently have with the City. [- Franchise Agreement l- License
Name of other utilities if this is a joint project :
lntent of project for other utility who will
own any facilities placed in right of way:
)$'
Step 2: Description of Project
What tvpe of work do vou need to do?
ln this section you will describe the location, intended use, and what measures you are implementing, such as traffic control
measures, dust control measures, and types of backfill material to be used.
-Provide the start and end dates, start time of day and end time of day, of your project. lt is important that you give
time of day that you are requesting for your project work. There are codes and inspections that are time sensitive.
-ldentify your method of intrusion into the surface of the right of way, such as cut, bore, or drilling.
-Describe the surface area length, width, depth, and height of your project.
-ldentify what type of surface material is currently there, what you will do with this material, what is the replacement type
of surface material you will use, and what type of backfill material you will be using.
-Any required separation from other facilities.
fr Placing new facilities in the right of way
l- Repairing/maintaining existing facilities
3c> ? 5 -Zts<r,* 4 k-<- *fo tv' A Y €' (artlc t;>/J i't
Q sr eeer r) r/ D€.8 T tte N pefit 5f PedqLl<
Project includes closing and constructing new driveways in the public right of way. The project also includes work in the
Project
Description:
of way to provide connections to the stormwater and wastewater system, primarily utilizing existing stubs to the
property There will also be a new ADA ramp installed at the northwest corner of 5th and Q Street.
225
f
"d
Period of use or time of construction: 7am to 6 pm only, unless it's an emergencv.
From Date: February 12,2019 To Date: July 30,2018
DailyStartTime: 7AM Daily End Time: 6 PM
STOP: Answer these questions next
g' Are you working in the right of way or connecting to City facility? lf yes, continue at Step 2a: Work Site Area
- Are you storing material/objects in the right of way other than during hours of work? lf yes, continue at Step
' 3: Submit a Work Plan
Step 2a: Work Site Area
fr Cut l- Bore Other:
Length Depth width Height
Existing Surface Material: concrete and native material in the right of way
Surface replacement material to be utilized concrete will be placed for driveways, ADA ramp and sidewalk. Native material will be
placed in landscape areas
Backfill material to be utilized: Rock backfill will be placed under concrete areas, Clean loam will be placed in landscape areas.
System Connections to city lnfrastructure
Directions: Submitplansthatidentifyindetail thescopeofworktobeperformedintheCityrightofway/easement'Theworkshall be
performed by a licensed contractor that is aware ofwastewater spills/overflow reporting requirements and City design standards. Your
permit shall have specific instructions from the City inspector on how to perform the work. Keep these instructions on site.
X Wastewaterconnection I StormwaterConnection
XTostub|-CatchBasin/Bubbler
[- Main Line [* Stub
l-- other: I Main Line
Description:Wastewater connection to existing stub. Stormwater overflow pipe from rain garden connection to storm mainline under
adjacent sidewalk.
Safety and Environment You are to ne Utilities t]9 Call Number"
Air Oualitv
81 1 or l-800-332-2344
48 hours before digging.
Type of Dust Control to be utilized:
Stormwater Pollution Prevention
Directions: The Chy is required by Federal and State law to monitor the discharge of construction stormwater and site runoff. Applicants
shall develop and iubmit a Stormwater Pollution Prevention Plan (SWPPP) that minimizes to the maximum extent practicable the
discharge oi sediment and other pollutants to the public stormwater system. Call LDAP with questions, 5'11 726-5489.
Listed bilow are some of the most common issues on right of way construction projects. How will you address these items on your
SWppp? please be aware that each project is unique and may present challenges not addressed in this set of examples.
l- Dewatering l- Soil Erosion l- Hazardous material storage/spill prevention
l- Sawcut slurry runoff X Site runoff/sedimentation
Wastewater Spill/Overflow Prevention
Directions: City policy requires that all work performed in the City right of way/easement is in full compliance with DEQ and EPA
regulations. l.io'spillige of raw sewage shali occur during construction, including spillage in an open trench or excavation. The contractor
sh-all take all reasonable precaution to avoid spills and shall immediately notify City of Springfield Maintenance 541 726"161 5 or
':>41 I )(t.)7 b1; A.4rr !)ct-l| s irrreroen<. y ilesporrse Te;ii)1 54 I 95 3 --1428 in the event Of a Spill.
Plan submittal for Wastewater main line work
l* Bypass pumping l- Temporary plugging of sanitary main
Traffic control Plan criteria for city of springfield Traffic control Plan submittals
Directlons: you will need to submit a Traffic Control Plan, which will need to be in compliance with the Manual on Uniform
Traffic Control Devices (MUTCD) and Oregon TemporaryTraffic control Handbook.
Plan 5ubmittal requirements:
submit your Traffic control plan OCp) with the following information on 8.5"x1 '1" or 'l 1"xl7" paper. Fill out and submit this form with
your TCP.
Page 2 of 3
The TCP shall be a legible hand drawing, or a computer aided design with the following information:
Traffic Control Plan form is located at www.springfield-or.gov/menuonlineforms
A vicinity map:
That includes the north arrow, road names, intersection/driveway access points, curb lines, the work zone, and any special features such
as buildings, access points, sight obstructions, that could affect the TCP.
Location:
Where will the TCP be active? This can be a line drawing of the work zone(s) and/or a map that clearly indicates where traffic control
devices will be placed, including spacing and cone tapers.
Attachments of the appropriate traffic control diagram(s) as shown in the current MUTCD and/or the ODOT Oregon Temporary Trafflc
Control Handbook that reflect the work zone may be included as a standard reference. ODOIs Traffic Control Handbook websate: www.
oreoon.oov/ODOT/HWY/TRAF F lC-ROADWAY/d ocs/odIOTTCH 06.odf.roa=t
[- Traffic Control Plan attached in email to Land Development; LDS@springfield-or.gov
No Traffic Control PlanxThere are no traffic issues with this
m a n
What kind of work plan do vou need?
You will need to submit a copy of the work plan, which includes:
- Site location and vicinity map r ldentify extent of excavationsI include North arrow. ' or bore locations.
- Outline limits of disturbance/f ;iffi ;;;. Show location of utilities within right of way. ldentify pipe
- identify staging/material l-- size and type' mainline connection location' and
, storage areas connection tYPe'
Work plans anache<j in an email to Land Development; send to LDS@springfield-or.gov. Reference site location and name in subject line'
*Construction of ADA ramps or other ADA facilities require submittal of detailed topographic survey and design sheets stamped
byaprofessional EngineerlicensedintheStateofOregon. DesignofADAfacilitiesshall ataminimummeetthecurrentfederal
Technical Requirements as described in the United States Access Board's 2011 Proposed Accessibility Guidelines for Pedestrian
Facilities in the Public Right-of-way Notice of Proposed Rulemaking (NPRM).
lnformation
Fee
Encroachrnent/Placement Permit S335.00
Fees that may apply
-A 5%o Technology Fee wall be applied to the total cost of the permit for processing the application.
-A Sl030.OO Asphalt deposit is required when the asphalt will be disturbed.
-Additional financial security may be required.
Deposits and Financial SecuritY
projects involving work within public right of way in the City of Springfield are subject to deposits or other approved forms
of financial security that may include performance bonds, set-aside letters, or irrevocable letters of credit. The type of
financial security is determined by the project's size, scope, and potential impact to public infrastructure. Examples of typical
impacts that will require financial security include asphalt trench cuts and sewer repairs that involve cuts to a main line.
Warranties
Financial security is held by the City during a warranty period that typically lasts one year and begins when the project
passes final construction inspection. The warranty period allows the City to monitor the structural integrity of repairs and
determine their long-term viability. Financial security provides the City with the means to repair infrastructure should
failures that remain uncorrected by the applicant or applicant's representative occur during the warranty period. A final
warrantyinspectionwill beconductedelevenmonthsafterthefinal constructioninspection. Financial securitywill be
released when the warranty period has passed final inspection.
Restoration of City facilities
It will be determined by the Public Works Director at the time of the 1 1 month inspection as required in Municipal
Code 3.222 that the work area in the public right-of-way is in as good a condition or better than it was before the
issuance of the encroachment permit. . Municipal Code 3.210 (2).
When do you need an Encroachment permit?
Municioal code 3.208 Work On or Under Surface-Encroachment Permit Required (http://www.qcode.us/codes/sprinofield/)
defines when you need an encroachment Permit'
When do you need a Placement Permit?
Municioal code 3.224 piacement of Devices or Structures in the Public Wav ( htto://www.ocode'us/codes/sorinofieldl defines
when you need a placement Permit.
Step 5: Signature
Signature Jeffery D Desler Pasquarelli Construction Date:
Check one: l- Owner [-- Applicant X Contractor T Utility Project Manager
ne Utilities Council's "Oneare required to
48 hours before before digging
1 -800-332-2344,
Pasquarelli Construction
5th St and Q St
TCP Contact - Maft at Westates 344-0304 NORTH
Not to Scale
Scope of Work:
Pasquarelli Construction needs to cut curb and sidewalk, and may need to be in the street at the SW comer of the block shown below. They will need to close the sidew
and crosswalk at times, and may need street access at times, although they will attempt to do mostl if not all, without closing the traffic lanes. The plans below show the work
when they perform the work on each sidewalk section, and assume sidewalks, crosswalks and vehicle lanes will be closed simultaneous
Pedestrian Access:
inefective. Both locations do have ramps at the sidewalk closure, and directly across the street from the closures.
RWA O
BOR O
3
LSL O
RWA O
Meyer Entrance Fred Meyer Entrance
i
b 0
105'Shift Taper
RWA
3s0'
RWA
CLCA
RWA
5th st
35MPH
SIGN COUNT
Road Work Ahead (RWA)
Bikes on Roadway (BOR)
Lane Shifl Left (LSL
Center Lane Closed Ahead (CLCA
Bikes Merge (BM)
Sidewalk Closed (SWC)
350'350'
RWA CLCA
SWC
I 0q
5th st
35MPH
SIGN COUNT
Road Work Ahead (RWA)
Bikes on Roadway (BOR)
Lane Shifl l-.eft (LSL
Center Lane Closed Ahead (CLCA
Bikes Merge (BM)
Sidewalk Closed (S\AIC)
Bow
Rack oo
LSL BOR RWA
CWC
1 05',
RWA
4
1
1
I
1
2
4
1
1
,|
1
TCP-Pasquarelli-sth&Q - 051619[1605].xtsx
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