HomeMy WebLinkAbout1986-012 Permit - RV Highway; "~,s~¢ HiG. HWAy.DiViSION
APPLICATION AND PERMIT TO OCCUPY OR
PERFORM OPERATIONS UPON A STATE HIGHWAY
, , See Oregon Admipistrative Rule 734-55 . ,
GENERAL LOCATION
HIG~AY NAME
Rogue Valley Highway
HIGHWAY NUMBER I ~ON'rY
63 I Jackson
I~ETWEEN OR NEAR LA~iDMARKS :
1) Sherman St., 2)Harmony Lane, 3)Mary Jane
DESIGNATED FREEWAY i IN U.S. FORESTAve.
[] YES [] NO lB IVES [] NO
I"IV~Y. REFERENCE MAP NUMBER
7B-28-16
PERMIT NUMBER
., . ..
PURPOSE OF APPLICATION
("TO, CONSTRUCT/OPERATE/MAINTAIN)
TYPE
POLE
BURIED
[] CABLE
[] LINE u? I,?/CT ~,:'~h o%.,.':,7:?0 ~
[] NON-COMMERCIAL SIGN MEO££~,,i~Jrt
~P~ ~ME ~D ADDRE~
~C±cy o£ AshIand
City tIall i
Ashland, OR' 97520
MISCELLANEOUS OPERATIONS AND/OR
FACILITIES AS DESCRIBED BELOW.
ROND REQUIRED
[] YES [] NO
INSURANCE REQUIRED
[] YES [] NO
REFERENCE: I AMOUNT OF BONO
~ (2} I :5 ,,,
REFERENCE: ] SPECJFIED COMP.
OAR 734-55-
o~ (,)[ 10-1-86
DETAIL LOCATION OF FACILITY
(For more space use back of application or attach additional sheets)
MILE MILE ENGINEERS ENGINEERS I SiDEOFHGHWAY.~ DISTANCE FROM ¥ BURIED CABLEOR"~ I. I ~;PAH
OR DPEh
POI~ TO POI~ STATION TO STATION ~GLE OF CROSSI~ ;ENTER LINE PJW LINE DEPTH SIZE ~O KIND C~ LENGTH
19.724 10+56 South 40 10
20.979 33~97 I'~ South 28 22
21.514 62+16 Sout~ 24 26
DESCRIPTION AND LOCATION OF NON-COMMERCIAl SIGNS OR MISCELLANEOUS OPERATIONS/FACILITIES
Place bus stop benches at locations shown on attached maps'.
Each bench will require two 12" diameter x 24" deep holes for bench legs.
SPECba, I. PROVISIONS (For more spac~ use back of application or attach additional sheets)
*l--OPEN CUTTING OF PAVED OR SURFACED AREAS ALLOWED?
[] YES [OAR 734-55040 (10)] ~ NO [OAR 734-55-4340 (9)]
2--TRAFFIC CONTROL REQUIRED?
[] YES [OAR 734-55-025 (6)] [] NO
See reverse side for additional Special Provisions.
This ~oplicatJon, when appro,,~ed b~ the Deperlment. is subject to the terms of OAR 73~55 and the
provision~ contained end attached and the applicant acce~t~ and approve~ the,3e terms aod
provisions.
APPUCATION DATE
Engineering Tech. II
7;34-3457 (8-82) ~
5-7-86
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HIGHWAY DIVISION
APPLICATION AND PERMIT TO OCCUPY OR
PERFORM OPERATIONS UPON A STATE HIGHWAY
'.r See Orecjon Administrative Rule 734-55
GENERAL LOCATION
HIG~AY NA~E
Rogue Valley Highway
HIGHWAY NUMBER ~UNTY
63 I Jackson
PERMIT NUMBER
PURPOSE OF APPLICATION
(TO CONSTRUCT/OPERATEJMAINTAI N)
1) Sherman St., 2) Harmony Lane, 3) Mary Jane
[ OE$iG~ateO FREewaY I IN U.S. FORESt Ave.
~ YES ~ NO ~YES ~ NO
HV~Y. REFERENCE MAP' NUMBER
7B-28-16
~PU~ NME mD ADDRE~
FCity of Ashland
City Hall
Ashland, OR 97520
TYPE
POLE
[] LINE
~ LINE ' ~o/NICT ,~-
~ FACILITIES AS DESCRIBED BELOW.
BOND REQUIRED REFERE~E;
~ YES ~ NO ~(=)1 $ ,
I~U~E REQUIRED REFERE~E:
DETAIL LOCATION OF FACILITY
(For more space use back of application or attach additional sheets)
MILE MILE ENGIHEERs ENGINEERS T .......... SiDE OF H"~-HWYt¢ ~ DISTANCE FF~O,V, T DU~CD c,,B,= ~CRo~'~ .... I * t ~A~I
OR - --- OPEb
POI~ TO POI~ STATION TO STATION ~GLE OF CROSSI~ ~ENTER LINE ~ LINE DE~H ,~IZE ~D KIND C~ LENGTH
19.724 10,56 South 40 10
20.979 33797 South 28 22
21'. 514 62~16 Sout~ 24 26
DESCRI~ON ~O LOCATION OF ~N-COMMERCIAL SIGNS OR MI~EL~NEOUS OPE~TION~FACI~IES
Place bus stop benches at locations shown on attached maps'.
Each bench will require two 12" diameter x 24" deep holes for
bench legs.
SPECIAL PROVISIONS (For more space use Ioack of application or attach addRionel sheets)
*l---OPEN CUTTING OF PAVED OR SURFACED AREAS ALLOWED?
[] YES [OAR 734,-55-040 (10)] [~ NO [OAR 734-55-040 (9)]
2--TRAFFIC CONTROL REQUIRED?
[] YES IOAR 734-55-0:25 (6)] [] NO
See reverse side for additional Special Provisions.
This Application, whe~ epp~o'.,~d by the Department. is subject to the terms of OAR 734-55 and the
provision~ contained and ettacl3ed and the applicant accept~ and ~oprove~ theee terms and
provisions.
' I APPUCATION DATE
Eng±neering Tech. II
PERMI_~ S C00RDINATflR
m
5-7-86
~,/
3. The work area during any construction or maintenance operation
performed under the permit shall be protected in accordance with
current provisions of the "Manual on Uniform Traffic Control
Devices for Streets and Highways, U. S. Department of Transportation''.
If a contractor is to perform this work, prior to commencement of any
work, applicant will provide the contractor an approved copy of this
permit and appropriate General Provisions. The contractor shall have
this material in his possession while work is performed.
o
Ail work will be in accordance with Standard Specifications for
Highway Construction, Oregon - 1984.
In consideration of the safety and convenfience of the travelling
public:
Any mud, rock or other debris deposited on the highway surface by
any means by the permittee, builder, or supplier(s), shall be
immediately removed by sweeping, scraping or flushing with water.
Failure to keep the road surface clean shall be considered a
violation of the permit provisions~ and also ORS 164.785.
Applicant, or his contractor, to contact Curt Yocham, Section
Supervisor~ at 484-4344 at least 3 days prior to commencement of any
work, and 24 hours before all work is completed or equipment is
removed from the work area.
8. No commercial advertising will be permitted on these benches.
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