Utility Facilities in the Right-Of-Way: License Application

Utility Facilities

UTILITY FACILITIES IN PUBLIC RIGHT-OF-WAY (ROW) LICENSE APPLICATION AND RENEWAL LICENSE APPLICATION

Contact Nic Westendorf with questions regarding the license application or payments at nwestendorf@tualatin.gov or (503) 691-3673.

Every utility company owning or operating facilities in the ROW must obtain a rights-of-way license from the City prior to conducting any work in the right-of-way or placing any facilities in the right-of-way in accordance with Tualatin Municipal Code (TMC) 3-6

The license year is from January 1 to December 31 and is valid for five years.

This application is for utility providers that are conducting any work in the rights-of-way or placing any utility facilities in the rights-of-way. If you are looking for a permit for ROW Construction work please use our eTRACKiT Portal

Instructions: Provide all information and a nonrefundable application fee. The City will review the application and, if approved, return an executed copy to the applicant which will serve as the license. If the applicant will provide utility service to any customers within the City, the applicant must also obtain a business license with the City. Business licenses are distinct and separate from the ROW license application.

Applicant Information:

Name(s) and Title(s)
Attach documentation or a statement that demonstrates that the applicant has received or is legally qualified to receive authorizations from state and/or federal authorities necessary to conduct the activities that will require use of the ROW.
Files must be less than 2 MB.
Allowed file types: jpg jpeg pdf doc docx.
List all parent and subsidiary businesses, along with all "doing business as" names that will use, own or control any facilities in the ROW. Include a description of the relationship of each entity to applicant.
Files must be less than 2 MB.
Allowed file types: jpg jpeg pdf doc docx xls xlsx.
Insurance *
Applicant possesses insurance required by TMC 3-6-375.
Please attach copy of insurance coverage, showing requirements of TMC 3-6-375.
Files must be less than 2 MB.
Allowed file types: jpg jpeg pdf.

Applicant Facilities Information:

Service(s) provided by applicant via facilities in ROW: *
Check all of the following that apply regarding the services to be provided by the Applicant over the facilities in the ROW (see definitions in Chapter 3-6 and provide a description of the utility services to be provided):
Please Describe Service(s)
Attachment facilities in ROW *
Applicant has existing or proposed attachments as defined in Chapter 3-6-120 TMC.
Location of existing and proposed facilities *
Check all that apply.
Files must be less than 128 MB.
Allowed file types: jpg jpeg pdf docx .shp .kmz .kml .gdb .mdb .lyr.
Feet
A utility operator may lease capacity on or in its systems to third parties, provided the utility operator provides the City with the name and business address of any third party lessee. A utility operator is not required to provide such information if disclosure is prohibited by applicable law.
Once submitted, our office may call you for payment information.

Signature:

The undersigned affirms that he or she is an authorized representative of the applicant with authority to execute this application. 

I hereby certify, on behalf of the applicant, that the information provided in this application is true and correct as of the date below and that the applicant agrees to abide by the obligations in TMC Chapter 3-6

Signature_Affirmation *

Confidential and Proprietary Information: Please read TMC 3-6-395 and the City of Tualatin Privacy Policy
Further questions about the City's privacy policy or the Rights-of-Way License Application, email to nwestendorf@tualatin.gov

Form last updated: July 2017