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FOR ALL LICENSED CONTRACTORS WHO WORK WITHIN THE (City of La Grande, Oregon)

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FOR ALL LICENSED CONTRACTORS WHO WORK WITHIN THE CITY RIGHT-OF-WAY
Per City Ordinance, if you do any type of work within the City right-of-way, you need to obtain a
Right-at-Way Permit.
The following information needs to be on file and current at the Public Works Department,
Engineering Division for a Contractor and/or Excavator prior to any work being done within the
City of La Grande right-of-ways.
(1) A current copy of your Contractors License.
(2) A current copy of your Contractors Bond.
(3) A current copy of your Certificate of Insurance, (naming the City of La Grande as
additional insured).
(4) An initial Right-of-Way Permit form, (one time form obtained from the Engineering
Division at the Public Works Department)
Once the above paper work is on file and current, each job constructed within the City's Right-
of-Way, may be called into the Public Works Department, Engineering Division, at (541) 962-
1333.
Consequences for not obtaining a Right-of-Way Permit for each job will be followed as per City
of La Grande Ordinance Number 2807, Series 1991.
City of La Grande Standards may change as Federal and State Regulations change. A packet
of current City of La Grande Standard Drawings may be obtained at the Public Works
Department, Engineering Division.
Please contract the Public Works Department, Engineering Division at (541) 962-1333 if you
have any questions.
Norman J. Paullus, Jr.
Public Works Director
INITIAL RIGHT-OF-WAY PERMIT
AND
CONTRACTORS DATA SHEET
Contractors Initial ROW Permit Form
Page 1 of 2
COMPANY NAME:
APPLICANTS NAME:
EXCAVATION
Prior to any work being done within a City right-of-way, a permit must be secured through the
Engineering Department. When a RIGHT-OF-WAY PERMIT is requested, the applicant will be asked
to provide forty-eight (48) hours notice prior to beginning work. This is to allow time for location of
utilities and to provide notice to other City Departments. Repairs within the right-of-way shall be made
within a reasonable time. Permittee shall be responsible for all work done in the right-of-way for a
period of one (1) year.
All repairs to streets, sidewalks, planting strips, or alleys shall be done in accordance with City
standards, and to the satisfaction of the City. Permittee shall place temporary surfacing on all cuts
within the right-of-way until permanent repairs are made by the Permittee. Depending on weather
conditions, cuts made in any street after September 15th may require temporary surfacing and
maintenance until weather allows for permanent replacement of the surface.
NOTIFICATION
It is the responsibility of the Permittee to notify all utilities prior to any excavation. Many utilities may be
reached at the ONE CALL UTILITY NOTIFICATION 1-800-332-2344; however, this One Call
Notification does not relieve the Permittee from assuring that all utilities have received notification.
Additionally, the following should be notified when applicable: UNION COUNTY ROAD DEPT. (541)
963-1016, ODOT (541) 963-3177, and GRANDE RONDE TRANSPORTATION (541) 963-6119.
It shall also be the responsibility of the Permittee to notify ALL emergency service agencies (Police,
(541) 963-1017, ask for dispatch), Fire/ Ambulance (541) 963-3123) prior to closing and immediately
after opening any street or alley.
In case of street or alley closures, additional notification shall be provided to the US Postal Service,
United Parcel Service, and City Garbage Service.
STREET CLOSURES
In the event that the work within the public right-of-way requires the closure of any part of the right-of-
way or detouring of pedestrians or motorists, the City will require the Permittee to provide approved
signs and barricades or any other traffic control as recommended. This is to provide protection for
workers, pedestrians, and motorists. Permittee shall maintain required safety devices during all hours of
closures or detours. Flagmen will be used whenever two opposing lanes of traffic use less than the
normal lanes of travel without barricades to delineate travel paths or when required by the City.
ISSUANCE OF A PERMIT
If, in the opinion of the City, by reason of weather conditions or the season of the year, or for any other
reason, the proposed activity will unusually damage the City right-of-way or seriously inconvenience the
public in the use of the right-of-way, the City has the right to delay approval of the permit activities until
the probability of such damage or inconvenience has passed.
Any Permittee with current information on file with the City may request authorization by phone no less
than forty-eight (48) hours prior to beginning excavation activities, giving the necessary information
concerning the type of activity, location, estimated duration of activity, etc. Authorization may be
revoked at any time by the City for cause.
INITIAL RIGHT-OF-WAY PERMIT
AND
CONTRACTORS DATA SHEET
Contractors Initial ROW Permit Form
Page 2 of 2
CONTRACTORS DATA SHEET
COMPANY NAME
MAILING ADDRESS
PHONE NO's:
Home/Shop:
Cellular
GENERAL
SPECIALTY
(check one)
EXEMPT
NON-EXEMPT
LICENSE NO.
#
TYPE
(check one)
Notes:
CERTIFICATE OF INSURANCE PROVIDED:
YES
NO
AMOUNT
$
BOND AMOUNT
$
BONDING COMPANY
AGREEMENT
The Permittee agrees to protect and save harmless the City of La Grande and each of
the officers and employees of said City, against any injury or damage that may result from the
acts of said Permittee on or in said right-of-way, and against any damage or liability of any
character whatsoever arising or growing out of any act of said Permittee due to the issuance of
this permit. The applicant further agrees to perform work in accordance with all of the
provisions of Ordinances, Policies and Resolutions of the City of La Grande Pertaining to such
work. Upon completion of activities within the right-of-way, the Permittee shall notify the
Engineering Division for Final Inspection.
I, the applicant do hereby declare that I have read and agree to the terms of this permit
and that all information provided in the data sheet is correct and true.
CONTRACTOR SIGNATURE
APPROVED
DATE
STAFF
COMMENTS:
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FOR ALL LICENSED CONTRACTORS WHO WORK WITHIN THE (City of La Grande, Oregon)

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Completed 2 June 2021

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