For highway construction oregon department of transportation salem, oregon

The following TriMet agreements and exhibits are included in this project for information and reference only. The actual License for Right-of-Way Access will be provided and executed by TriMet.

For right-of-way-access

In order to assist with the license application, TriMet provides the following guidelines:
Time:

1. 
   License applications should be submitted at least eight weeks in advance of anticipated access. Licenses require review by multiple TriMet departments including Real Property, Maintenance of Way, Right of Way, Engineering and Legal.
   
2. 
   License applications for fiber or cell towers may take up to six months, as they require FTA approval. Typically these are leases (e.g., ATT cell tower).
   

1. 
   To ensure receipt by TriMet, applications should be sent to stewartn@trimet.org along with any supporting documentation such as drawings. Drawings should be sent in PDF format.
   

2. 
   Mailed applications may be sent to:
   

TriMet Real Property

1800 SW First Ave, Suite 300

Portland Oregon 97201

1. 
   Pipelines crossing underneath the light rail tracks carrying water or pressure sanitary storm sewers shall be encased.
   

2. 
   Pipelines and conduits, which contain flammable materials, such as gas lines, do not need to be cased. If casing pipe is installed it shall be vented and approved on a case-by-case basis by TriMet.
   

3. 
   Casing pipes shall be designed to withstand Light Rail Train (“LRT”) loadings and shall be protected against corrosion. The end of casing pipes shall be sealed and the annular space between the carrier pipe and the casing pipe shall be filled with sand. When casings are bored or augured under LRT tracks, provisions shall be made to ensure no voids are created.
   

4. 
   Minimum cover for utilities trenched under proposed LRT tracks is 6’0” below top-of-rail. Trenching is not allowed across existing LRT tracks.
   

5. 
   Minimum cover for utilities augured or pushed under existing LRT tracks is 7’0” below top-of-rail.
   

6. 
   Minimum cover for utilities directionally drilled under existing LRT tracks is 10’0” below top-of-rail.
   

7. 
   Where possible, all utilities shall cross beneath the LRT right-of-way at 90 degrees to the LRT centerline.
   

8. 
   New or replacement utilities that run longitudinally adjacent to the LRT right-of-way, unless other wise approved by TriMet, shall be located a minimum of 10’ from the centerline of track to the near edge of longitudinal pipe.
   

9. 
   All non-metallic LRT utilities pipes or casings shall have tone wires that terminate in a handhole to facilitate locating buried pipes.
   

10. 
    All abandoned pipes beneath the trackbed shall be plugged and filled with sand or controlled density fill (“CDF”) or low-strength concrete slurry, unless otherwise approved by TriMet.
    

11. 
    TriMet does not allow crossings or parallel systems to the Overhead Catenary System (“OCS”) on our right-of-way unless, in TriMet’s sole judgment, it is on a structure or at an elevation that allows TriMet ample room to operate and maintain the system. Clearances for anything parallel to TriMet’s system should be a minimum of 15’ from the centerline of our track. This is dependent upon the specific location that is being considered.
    

12. 
    TriMet does not rent space and/or allow foreign contacts on our exclusive OCS poles.
    

1. 
   TriMet’s standard license application fee is $2,000.
   
2. 
   Additional fees may be charged based on any additional TriMet personnel that may be required on-site during excavation.
   
3. 
   TriMet may charge additional annual fees for fiber optic lines, cell towers, and other private intrusions into the Right of Way. Fees will be determined at the time a License Application is submitted to TriMet.
   

For right-of-way-access

No.: __________

SECTION I

1. 
   Name of proposed licensee:      
   

1. 
   Mailing address:      
   
2. 
   City:       State:       Zip:      
   
3. 
   Name of contact person:      
   
4. 
   Phone number:       E-Mail:      
   
5. 
   Effective date desired:      
   
6. 
   Do you now have an existing license with TriMet at this location?      
   
7. 
   Is the application for a new facility or relocation of existing facility?      
   

1. 
   Describe the proposed facility, including its purpose, location, materials and construction methods. Is this use underground, above ground or a combination? Are you aware of other existing underground facilities?
   NOTE: Conduit shall be bored or jacked under trackage unless otherwise approved by TriMet Engineering.
   

1. 
   Length of underground crossing:      
   
2. 
   Depth of underground crossing:      
   

4. Inner conduit: Dia.:       Length:       Type:      

5. Wire: Size:       Type:       lb.

6. 
   Crossing is located within a (check one): Dedicated street  Private right-of-way 
   

7. 
   Please fill in the blanks corresponding to figures A and B below.
   

Name of street at nearest crossing:      

Distance from proposed facility to nearest street crossing:      

Angle at which proposed facility intersects right-of way:      

In Figure A, north is most closely approximated by: Left  Right  Up  Down 

3. 
   
   
4. 
   List the major components of the proposed work and the applicable ODOT specification section:
   

4. 
   Please note: Licensee will be required to cover any expense involved in restoring the right-of-way, including roadways.
   
5. 
   
   
6. 
   
   

1800 SW First Ave, Suite 300

Portland OR 97201

stewartn@trimet.org


Permit No.:

Date Issued:

MAX right-of-way access request/permit

This section to be completed by requesting party.

Dates of access: From:       To:      

Limits of access

Location: Times:

Eastbound:       To:       From:       To:      

Westbound:       To:       From:       To:      

OR

Northbound:       To:       From:       To:      

Southbound:       To:       From:       To:      
Permit holder:       Number of people:      

Description of work:

     




Equipment required:

     




Requesting party:       FAX#:       Date:      

CAUTION: The overhead catenary electrical system must be considered LIVE and HOT at all times. Electrical power removal must be confirmed in the field with designated power personnel.

MAX right-of-way access request/permit, continued

This section to be completed by TriMet.

Special operating conditions:

1. 
   Permits are good for a maximum of seven days.
   
2. 
   Right-of-Way access request must be submitted by 10 a.m. Tuesday of the week before the scheduled work.
   
3. 
   All personnel must wear orange-reflective safety vests or rainwear.
   
4. 
   Advise Control when entering and leaving the right-of-way (call 503-661-4274).
   
5. 
   FAX permit to 503-661-8142.
   

Required:

Special instruction: Yes No

Train order: Yes No

Call boards: Yes No

Flags: Yes No

Flagger: Yes No

Manual block: Yes No

Power removal: Yes No

OCS: Yes No

Substation: Yes No

General alignment: Yes No

Transportation pilot: Yes No

Test plan/coordinator: Yes No

# Personnel:

Date:
Number:

Limits:

Name:

Other:

Original: Control

Copies: Permit holder

Requesting party

Manager, Maintenance-of-Way

System Safety

File


Request approved:

Manager, Maintenance-of-Way Manager, Transportation

Fee required: Yes No

SP00088_SIG (2015 Specifications: 05-07-15)

OREGON DEPARTMENT OF TRANSPORTATION

SPECIAL PROVISIONS
FOR


(Fill in the blanks with the same information that is on the plan title sheet except do not include the date. Remove underlines, parentheses, and all instructions when finished.)

Structures, Signing, & Signals______(Scope of Work)______

Regional Active Management (ATM)

Project______(Project Name)______

Various Highways______(Highway Name)______

Various Counties______(County)______

(The preparer of these special provisions signs and dates the acknowledgement of compliance below. The preparer may or may not hold a PE stamp. If the preparer does hold a PE stamp and also takes responsibility for all or part of the various Sections, the preparer will also apply the PE stamp and sign under the "PROFESSIONAL OF RECORD CERTIFICATION(S)" on the following page(es).)
CONSOLIDATED SPECIAL PROVISIONS

As the preparer of the consolidated specifications for this Project I acknowledge compliance with the "Modified Exemption from DOJ Legal Sufficiency Review and Approval for ODOT Highway Construction Contracts" dated April 2, 2015.

By: _____________________________ Date: _____________________

Cyndi Twite

OREGON DEPARTMENT OF TRANSPORTATION
SPECIAL PROVISIONS
FOR
(Fill in the blanks with the same information that is on the plan title sheet except do not include the date. Remove underlines, parentheses, and all instructions when finished.)
______(Scope of Work)______

_____ (Project Name)______

______(Highway Name)______

______(County)______

(The POR stamps, signs, dates, and fills in section numbers in the Professional of Record Certification below.)

Professional of Record Certification(s):

Seal w/signature	I certify the Special Provision Section(s) listed below are applicable to the design for the subject project for __(list specific design elements, i.e. "Bridge XYZ" or "Traffic Signals")__ . Modified Special Provisions were prepared by me or under my supervision. Section ____(fill in section number(s) here)_____
Date Signed: __________________

OREGON DEPARTMENT OF TRANSPORTATION

SPECIAL PROVISIONS
FOR

Structures, Signing, & Signals

Regional Active Traffic Management (ATM)

Project

Various Highways

Various Counties

Professional of Record Certification(s):

Seal w/signature (Orlena Chiu)	I certify the Special Provision Section(s) listed below are applicable to the design for the subject project for Temporary Traffic Control. Modified Special Provisions were prepared by me or under my supervision. Section 00210, 00220, 00225, and 00234
Date Signed: __________________

OREGON DEPARTMENT OF TRANSPORTATION

SPECIAL PROVISIONS
FOR

Structures, Signing, & Signals

Regional Active Traffic Management (ATM)

Project

Various Highways

Various Counties

Professional of Record Certification(s):

Seal w/signature (Danny Hori)	I certify the Special Provision Section(s) listed below are applicable to the design for the subject project for Roadway Items. Modified Special Provisions were prepared by me or under my supervision. Section 00210, 00236, 00305, 00310, 00320, 00330, 00440, 00640, 00730, 00744, 00759, 00810, 00820, 00822, 01050, 02010, 02050, 02190 and 02560
Date Signed: __________________

OREGON DEPARTMENT OF TRANSPORTATION
SPECIAL PROVISIONS
FOR

Structures, Signing, & Signals

Regional Active Traffic Management (ATM)

Project

Various Highways

Various Counties

Professional of Record Certification(s):

Seal w/signature (George Feitag)	I certify the Special Provision Section(s) listed below are applicable to the design for the subject project for Contaminated Materials. Modified Special Provisions were prepared by me or under my supervision. Section 00294, 00296, 00297 and 00950
Date Signed: __________________

OREGON DEPARTMENT OF TRANSPORTATION
SPECIAL PROVISIONS
FOR

Structures, Signing, & Signals

Regional Active Traffic Management (ATM)

Project

Various Highways

Various Counties

Professional of Record Certification(s):

Seal w/signature (John Macklin)	I certify the Special Provision Section(s) listed below are applicable to the design for the subject project for Environmental Protection. Modified Special Provisions were prepared by me or under my supervision. Section 00290
Date Signed: __________________

OREGON DEPARTMENT OF TRANSPORTATION

SPECIAL PROVISIONS
FOR

Structures, Signing, & Signals

Regional Active Traffic Management (ATM)

Project

Various Highways

Various Counties

Professional of Record Certification(s):

Seal w/signature (Robert Marshall)	I certify the Special Provision Section(s) listed below are applicable to the design for the subject project for Erosion Control, and Landscape Items. Modified Special Provisions were prepared by me or under my supervision. Section 00280, 01030, 01040, 01120 and 02320
Date Signed: __________________

OREGON DEPARTMENT OF TRANSPORTATION

SPECIAL PROVISIONS
FOR

Structures, Signing, & Signals

Regional Active Traffic Management (ATM)

Project

Various Highways

Various Counties

Professional of Record Certification(s):

Seal w/signature (Doug Johnson)	I certify the Special Provision Section(s) listed below are applicable to the design for the subject project for Structural Items. Modified Special Provisions were prepared by me or under my supervision. Section 00440, 0B596, 00920, 00930, 01050, 02010, 02050, and 02560
Date Signed: __________________

OREGON DEPARTMENT OF TRANSPORTATION

SPECIAL PROVISIONS
FOR

Structures, Signing, & Signals

Regional Active Traffic Management (ATM)

Project

Various Highways

Various Counties

Professional of Record Certification(s):

Seal w/signature (Jim Peters)	I certify the Special Provision Section(s) listed below are applicable to the design for the subject project for Intelligent Transportation Systems. Modified Special Provisions were prepared by me or under my supervision. Section 00440, 00950, 00960, 00995, 00996, 02010, 02050 and 02920
Date Signed: __________________

OREGON DEPARTMENT OF TRANSPORTATION

SPECIAL PROVISIONS
FOR

Structures, Signing, & Signals

Regional Active Traffic Management (ATM)

Project

Various Highways

Various Counties

Professional of Record Certification(s):

Seal w/signature (Steve Boice)	I certify the Special Provision Section(s) listed below are applicable to the design for the subject project for Pavement Markings, Traffic Signals. Modified Special Provisions were prepared by me or under my supervision. Section 00850, 00851, 00865, 00867, 00960, 00990 and 02925
Date Signed: __________________

OREGON DEPARTMENT OF TRANSPORTATION

SPECIAL PROVISIONS
FOR

Structures, Signing, & Signals

Regional Active Traffic Management (ATM)

Project

Various Highways

Various Counties

Professional of Record Certification(s):

Seal w/signature (Nate Schroeder)	I certify the Special Provision Section(s) listed below are applicable to the design for the subject project for Signing, Highway Illumination. Modified Special Provisions were prepared by me or under my supervision. Section 00440, 00905, 00910, 00920, 00930, 00940, 00970, 02190, 02560, and 02910
Date Signed: __________________

(To add more POR signature sheets do the following:

1. Complete the project information above the Professional of Record Certification.

2. Turn off Track Changes and turn on "Show/Hide" by selecting  ¶  from the toolbar above.

3. Highlight the entire text from the page, including the "Section Break" and the  ¶  from the next page then select "copy".

4. Go to the last POR page and place the cursor at the  ¶  line then select "paste".

5. Continue the paste process until you have enough POR signature sheets.

6. Turn Track Changes back on then complete the signature page.)

SP00092_002 (2015 Specifications: 11-13-14)

Directory: Region1 Projects -> 19100 Region1 ATM Project
19100 Region1 ATM Project -> For highway construction oregon department of transportation salem, oregon

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