HomeMy WebLinkAboutPermit Encroachment 2019-05-21
CITY OF SPRINGFIELD, OREGON
DEVELOPMENT AND PUBLIC WORKS
ENCROACHMENT PERMIT
APPLICANT: NWN
LOCATION: Jasper Rd. at S. 42nd St.
PERMIT: 811-19-000116-PW
DATE: 5-21-19
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 Notification Center is (800)332-2344.
CONDITIONS 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
701.026. 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 righ t to require
additional work not shown/described here in but necessary for the restoration of the City’s 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.
Traffic Control
During construction or maintenance or performing utility work in the ROW, the work area shall be protected in accordance
with the current MANUAL ON UNFORM TRAFFIC CONTROL DEVICES (MUTCD).
Flaggers must have a current card or current certificate indicating their completion of an approved work zone traffic
control course.
All traffic control devices shall be maintained according to the American Traffic Safety Services Association (ATSSA),
Quality Standards for Work Zone Traffic control Devices handbook.
“As a condition to receive and retain this permit all temporary traffic control shall conform to the Oregon Temporary Traffic
Control Handbook with Errata, dated September 2016. The permit holder is solely responsible to provide and maintain
appropriate temporary traffic control for the duration of the work. Failure to provide and maintain temporary traffic control
is grounds for revocation of this permit. The handbook is available for download at
https://www.oregon.gov/ODOT/Engineering/Docs_TrafficEng/OTTCH -v2011.pdf. Printed copies of this manual can be
ordered from Chemeketa Community College Center for Business & Industry, 503 -399-5181.”
General Requirements
Coordinate work with developer.
Restoration work shall conform to City of Springfield Standard Specifications. All planted areas disturbed within right -of-way
shall be fully restored.
Backfill shall consist of a minimum 2’ (two feet) of CDF and asphalt paving shall be a Lane County approved mix design
applied to match existing thickness (4-inch minimum).
A 6” (six inch) minimum “T” cut is required around the excavated area, additional clean up cuts may be necessary and will be
determined by city staff.
If excavated area extends past the bike lane and into the lane of travel, a full lane width 2” mill/fill will be required. C ity staff
will determine the limits of restoration.
Seams shall be sealed with a polymerized crack sealant.
Permanent paving shall be applied within five working days of completing utility repair. City staff shall determine the limits
of restoration. Cold mix asphalt shall be applied to all temporary patches within roadways and the contractor shall be
responsible for the monitoring and maintenance of the patch until permanent restoration is achieved.
Temporary stabilization of any excavation during the CDF cure period shall be steel plates or any other method approved by
the City of Springfield. Plates shall be properly sized and secured in a manner that does not present a hazard to public travel
and proper advanced warning signs shall be utilized.
Impacts to sidewalks shall require removal and replacement of full panels.
By signature, I state I have carefully examined the approved permit and do hereby agree to comply with
the requirements of the permit and I certify any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield, applicable City Standard Sp ecification and Drawings, and the
laws of the State of Oregon pertaining to the work described herein. I further certify only contractors and
employees who are in compliance with ORS 701.055 will be used for this project.
I agree for myself, my contractors, and employees, that the approval of the right of way permit in no manner
presumes or implies the approval or terms of approval of any other future permit required by the City for
the site and indemnifies and holds harmless the City regarding any future approval of a future site plan,
partition, subdivision, or any other required permit that may cause any work completed in compliance with
the right of way permit to be altered to conform to the final permit approval.
I understand and agree the City may inspect the work site described in this permit at any time during a one-
year period following the receipt by the City of notice of completion of the described work and specify, at
the City’s sole discretion, any additional restoration work required to return the site to a standard acceptable
to the City. I will be notified in writing of any work required and will have 30 days from the date of the
notice to complete the work. Work not completed at the end of the 30 days will be performed by the City
and the costs will be billed to me.
I further agree to ensure all required inspections are requested at the proper time and the approved
permit and set of plans will remain on the site at all times during construction and until removed by the
City.
I shall defend, indemnify and hold harmless the City from and against all liability or loss and against all
claims or actions based upon or arising out of damage or injury to persons or property caused by or sustained
in connection with performance if this Contract by the permittee except, pursuant to ORS 30.140, for losses,
claims, or actions resulting from the sole negligence of the City.
I shall assume all responsibilities for the work, and bear all losses and damages directly or indirectly resulting
to the permittee, the City, or to others on account of the character or performance of the work, unforeseen
difficulties, accidents, or any other causes whatsoever. I shall assume defense of, indemnify and save
harmless the City, its officials, agents, and employees from all claims, liability, loss, damage, and injury of
every kind, nature and description, directly or indirectly resulting from activities in the performance of the
Contract, the ownership, maintenance or use of motor vehicles in connection therewith, or the acts, omissions,
operations, or conduct of the permittee or any Subcontractor under the Contract or any way arising out of
the Contract, irrespective of whether an act, omission or conduct of the City connected with the Contract is a
condition or contributory cause of the claim, liability loss, damage or injury and irrespective of whether act,
omission, or conduct of the permittee or Subcontractor is merely a condition rather than a cause of a claim,
liability, loss damage or injury. I shall not be liable for, nor be required to defend or indemnify, the City
relative to claims for damage or damages resulting solely from acts or omissions of the City, its officials,
agents, or employees. The permittee's absence of or inadequacy of the liability insurance required by the
City of Springfield shall not negate permittee's obligations in this agreement.
PERMITTEE:
Printed Name:
Signature:
Date:
&&&&&&&&=============
;
;
;
;;;;
;
;;;;;;
;
;;;!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!¬*¬*¬*¬*¬*¬*¬*")"
¬*
¬*¬*")"¬*¬*¬*¬*¬*¬*¬*¬*¬*¬*¬*¬*¬*¬*¬*¬*¬*¬*¬*¬*¬*¬*¬*¬*¬*¬*¬*¬*¬*¬*¬*¬*
¬*
1 11111
1111
1
1¤¿¤¿~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~4
4 444¬]¬]¬]#
¬]###444
#
#
4
4
4«5«5¬]¬]4##
#
#
6
######
4
44#
ª.
¨!¨!ª.ª.ª.¨!ª.ª.
ª.¨!ª.ª.ª.¨!¨!ª.ª.ª.ª.ª.ª.ª.ª.ª.¨!¨!ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.
ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.ª.
ª.ª.ª.
ª.ª.¨!¨!¨!8-5/8"(W)'65 .188WT GrB 8-5/8"(W)'656-5/8"(W)'66 .188WT GrB251' (05)6-5/8"(W)'666-5/8"(W)'668-5/8"(W)'65 .188WT GrB
(P)(P)R(P)'97(P)(P )1"(P) 181'
(P)(P)(P)R(P)'05136'
(P)
(P)
1"(P)1"(P)2"(P)
MT. VERNON SCHOOL
(W)155' #829(W)(P)(P)(P)(W)(P)(P)(P)(W)(P)(P)(P)(P)(P)(P)(P)(P)(P) 25'
2"(P)'95
(P)(P)(P)
(CPUT)
(P)
(P)
(P)
(P)
(P)
(P)
(P)
(P)
(P )
(P)
(P)
(P)(P)(P)
(P )
(P)(P)(P )(P)(P)
(P)
(P)(P)(P)(P)(P)
(P)
(P)(P)(P)(P)
(P)
(P)
(P )
(P)(P)(P)(P )
(P)(P)(P)(P)
(P )
(P)1"(P)(P)(P)(P)(P )9 6 '(P)(P)1 2 8 '
(P)
(
P
)
(P )(P)(P)(P)(P)(P)
(
P
)(P )(P )(P)(P)(P)
(P)(P)(P)(P)(P)(P)(P)(P)
(P)(P)(P)(P)
#984
#979
(97)
(99)#4229#4289(00)#4241(00)#4044#1020#1020#4265(00)(00)#4253(00)#4277(00)#4300(00)#972(03)#4324(06)#1086
#1071
#870
#4120#4142#4108#885
#4196#4188#935 #875
#4318(96)#820
(95)#940 #853
#1027(00)
#1051
#1181 #4161#4164#1005
#1197
#1042
#1008
#1161
#1195
#1123
#4155#1186
#1 1 5 4
#1194
#1104 #4094#4202(00)#4203#4076#4312#4343(95)(00)S1
(08)#1189
(08)#871
(08)#1151
#1102
#1019
#4111#1177#1037#1045
#1045#1027#1064 #1033#1039
#1011
#
1
0
1
9
#11 3 8 #4156#1 0 5 9
#1 1 4 8
#1147
#1 1 5 7
#1146
#1002
#1 1 6 4
#1182
#1170
#1 1 2 6
#1198
#1 1 7 5
#1125
#1 1 8 7
#1115
#1 1 7 3
#1199
#1133
#4148
#4168
#4161
#4156
#4155
#4199
#4187#4182
#4175
#4140
#4143
#4194#4172#4180(#1063)34'524'49'83'14'104'143'162'95'1 7 3 '
4'4'0'
6'
3'460'364'4'4'2'54'64'129'536'528'123'544'574'1'1029'189'7'10'166'0'
278'6'2 3 3 '
23'
55'
2 1 5 '
370'6'68'
86'
6'6'
307'
1 8 5 '6'5 8 '254'6'4'4 '
3 2 3 '4'275'
1 7 2 '54'- M.BALLON MAIN VLV348'8-5/8"(W)'05165'6-5/8"(W)'056-5/8"(W)'05.280WT
BURIED -NOT MAINTAINED
8' 6"BV#32"BV 192'6"FBV
8"FPBV#41'(05) 189'165'161'
503'204'1 2 1 '143'54'561'1 6 '
148'139'
675'154'135'54'
176'169'79'570'78'70'89'147'288'
58'
84'220'1 9 9 '
532'2'194'325'92'212'121'495'137'457'281'384'400'74'232'171'57'33'156'464'1'0'140'534'132'37'95'178'2 4 7 '
2
1
1'
63'57'170'
88'
201'
9 2 '
1 4 1 '10'6'66'
226 '60'6'73'
2 1 8 '74'352'143'82'128'
5 8 '8
7'
5
8'
191'98'38'59'0'361'488'439'
296'
149'79'222 '366'263'
279'22'21'76'
141'
394 '75'17'2"(P)'052"(P)'072"(P)'07
2"(P)'07
2"(P)'9712'OFFSET2"(P)'072"(P)'964"(P)'96 4"(P)'974"(P)'96
2"(P)'99
1 "(P )'0 72"(P)'072"(P)'16/JT
2"(P)'16/JT2"(P)'05
2"(P)'972"(P)'07
2"(P)'072"(P)'962"(P)'971"(W)'702"(P)'994"(P)'97
2"(P)'992"(P)'972"(P)/JT2"(P)'991"(P)'16/JT 2"(P)'16/JT1"(P)'16/JT
1"(P)'16/JT 2"(P)'05/JT2"(P)'072"(P)'07
1"(P)'07
1 "(P )'0 7
1 "(P )'0 72"(P)'072"(P)'071"(P)'071"(P)'07
1 "(P )'0 7
2"(P)'072"(P)'07 2"(P)'07
1"(P)'07
1"(P)'071"(P)'074'16'6'11'8'6'5'16'8'3'4'2'
3'7'7'16'4'7'
5'16'6'6'
6'
4'4'5'9'
29'6'23'16'4'6 '
6'
12'6'3'
3'6'6'3'
9'
6'6'8-5/8"(W)'05/ABN2"(W)'05/ABN 2532"(W)'05/ABN2"(W)/ABN58'20'6-5/8"(W)'05/ABNABAN. 4"-'981
2
3
7' P.U.E. ALONG ALL FRONT LOT LINES.HWY. PERMIT#5M3587813
1415
16
9
18
12
17
1921
1516
17
89
10 12
35
37
60
33
34
58
62
92 4
11
13
97
98
59
61
COLE WAY
JASPER RD.40TH PL.NORTH ST.FILBERT43RDCOLEWAYLANE42ND AVE.STELLAR40TH PL.ST.WAY
FILBERT
14
7 6
S. 42ND ST.HWY. PERMIT #05M367461 2 3
5
6
ST
ST FILBERT MEADOWS FIRST ADDITION7' PUE IN FRONT OF ALL LOT LINESSTELLAR W Y
RICHLAND
8
9
107
110
11
10
4 5 6 7 8
(SPRINGFIELD - CRESWELL HWY. NO.222)2
11
20
JASPER
1 3 S.11
12ST.OLD R/WRICHLAND PLACE1
2
18
38
3
5
19
2130
32
39
40
41
55
56
57
67
94
96
63
64
65
66
99
100
20
31
36
54
93
95
41ST41STHWY. PERMIT #5M384174
119118
1716
1514 RICHLANDSTPERMIT #10048
PERMIT #10957THE RESERVE AT BRIDLEWOOD
1 2 3 4 5
678910TRACT AHORACE ST
H O R A C E S THORACE ST
(COUNTY RD.)GEORGE EARL WAYJASPER S 42ND STNOT TIED>5 SVCsTIED 0+000+07
2+55
3+11
4"CAS.NOTE:GAS MAIN TO BE INSTALLED IN OPENTRENCH IN PUE AND MAINTAIN AMINIMUM OF 3' SEPARATION FROMTHE WATER MAIN
INSTALL:LW1# ANODE
INSTALL:2" PE VALVE
FUSE3+77LW
CROSS SECTIONS
VARIANCE (S)
Variance (s) made :
Reason (s):
Mitigation taken (if any ):
Approval Name :Signature :Date :
GENERAL NOTES /
Engineering Department
PLAT TWN RNG SEC
PROJECT/REVISION#
JOB TYPE:
PM #:
0 10050Feet1 in = 100 ft
CITY
BETWEEN
NAME
ADDRESS COUNTY STATE
AND
PLATTED DATE
DATE
DATE
DATE
DATE
CREW LDR.
APPROVED
DRAWN
DESIGNED
PIPELINE ID -
C lass “B ”PRESSURE TEST INFOR MATION (circle & label test area on as -built drawing )Test by NN G –Other ____________________________________
Test Area PipeSize Steel -Poly PipeFootage TestPressure Gauge #
AB
DC
PassY/NONOFFDateTimeDateTime
E
F
Print Name and Initial
1.Call the following Utilities Notification Center 48 hours prior to any excavation : Oregon: 811 or 1-800-332-2344Washington: 811 or 1-800-424-55552.ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center . Those rules are set forth in OAR 952-001-0090. You may obtain copies of the rules by calling the center . (Note: the telephone number for the Oregon Utility Notification Center is (503) 232-1987 or 811).3.Fill out construction sketch as -built supplied with job packet and return with work order . Only one as -built is required .4.All distribution mains must have a minimum depth of 24" and services must have a minimum depth of 18" unless there is an approved variance .5.All transmission lines must have a minimum depth of 30" in Class '1' locations and 36 " in Class '2, 3, & 4' locations , unless there is an approved variance .6.Written dimensions on this construction sketch have precedence over scaled dimensions .7.Pressure test shall be tested in accordance with standards in CFM and Engineering Standard Practice .8.Test medium for class "B" main shall be air , unless otherwise noted. Test medium for class "C-F" main shall be water , unless otherwise noted .9.For Class C or higher tests, see Design Document and Hydrostatic Report .10.All work to comply with NW Natural Erosion and Sediment Control Plan unless specific plan provided . NW Natural Erosion and Sediment Control Plan to be available on each job site . Protect all Catch Basin Inlets.11.Protect City Trees according to identified Critical Root Zones “CRZ”. Roots larger than1-1/2” may be cut only with city approval . Hole-hog or directional drill through tree Critical Root Zone at 36’ minimum depth . Excavation to be by Vac -X in tree Critical Root Zone unless accepted by city .
George Earl Way Springfield Lane OR
Jasper Rd Horace St
Alliance Self Storage
New Construction - Mains
03576195 000239391-235-001 T18S R02W NW 5
FOOTAGE SIZE M P GRADE W.T.
WELDS% X-RAYED CERT.MAOP OPER.MAOP NOP PMACTIVITY #PMORDER #INSTALL 377'2"P B P24 .216 60 60 50 710 03576195
INSTALL 7'2"P B P24 .216 60 60 50 710 03576196
BMKSVA 05/01/201905/06/2019
JOINT TR ENCH-OREGO N
MEAS URED FROMTHE PROP OS EDFINAL GRADE
ROAD SI DE
TRE NCH REQUIREMENTS FOR JOINT UTILITY USEMAIN EXTENSION
CONTROLL ED BA CKFIL L
NATIVE MATERIA L)
(SA ND OR ROCK-FREE
12 " REC.(6" MIN.)
24" MIN.
PRI/SEC
30"
FIE LD SI DE
12 " MIN.
12 "
GA S
PHONECATV PO WER
ALL DE PTHS MEAS URE D FRO M FI NA L G RA DE