ST1002-CS110909 MEMORANDUM
FREESE Innovative approaches
Practical results
Z 1 , I Outstanding service
1701 N Market St., #500, LB51 • Dallas, Texas 75202 • 214- 217 -2200 • fax 214 - 217 -2201 www.freese.com
TO: Keith Marvin, P.E.
CC:
FROM: Tricia Hat ley, P.E.
SUBJECT: Old Town Coppell and Bethel Rd Infrastructure Improvements — TDLR Registration
DATE: September 2, 2011
I've included in this package one (1) set of signed and sealed plans, one (1) set of construction
specifications and one (1) "Architectural Barriers Project Registration Form ". Please review the form
and see if you have any questions.
The estimated construction cost related to pedestrian movements is $262,265.59 which includes; 6" &
8" Reinforced Concrete Stamped Roadway — Crosswalks, 4" Reinforced Concrete Sidewalks, Barrier Free
Ramps, Pedestrian Signal Sections and Pedestrian Push Button and Sign Assemblies. The construction
costs are from JRJ Paving, LP's bid tab.
You'll need to submit the form, plans and specs along with a TDLR fee of $490 to address shown atop
the form. The fee is for plan review ($315) and TDLR project filing ($175) for an estimated construction
costs $200,001 - $500,000.
There will be an additional fee of $375 for inspection by TDLR once construction is complete. That will
not be needed at this time.
If you have any questions or concerns, feel free to contact me at 214 - 217 -2282.
CITY OF COPPELL
Post Office Box 9478, Coppell, Texas 75019 (972) 304 -3687
INVOICE DATE INVOICE NO. REMARKS ACCOUNT AMOUNT
09/06/2011 TDLR REG REGISTRATION 490.00
G N T ∎5,FEP]f�, HECK�2U 6A F'13$C -f E :� _.. WHEN WARMED I' •
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R P.O. Box 9478 CHECK NO 2 0 2 1 4 2
COPPELL Coppell Texas 75019 202142
(972) 304-3687 FROST NATIONAL BANK
4 °Y � CHECK DATE
d :: , s 0 9/09/2011
P
PAY Four Hundred Ninety and 00/100 Dollars r
TO THE ORDER OF PAY THIS AMOUNT L
1
$490.00
VOID AFTER 30 DAYS
TEXAS DEPARTMENT OF LICENSING
& REGULATION I
PO BOX 12157
AUSTIN, TX 78711 -2157 °`
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A THE
TEXAS DEPARTMENT OF LICENSING AND REGULATION For Department Use Only
P.O. Box 12157, Austin, Texas 78711
:;� (512) 463 -6599 • (800) 803 -9202 • FAX (512) 475 -2871
'' ' @ .ii p t*' cu stomer .service(a)license.state.tx.us • www.license.state.tx.us
- IMPORTANT INSTRUCTIONS - PLEASE READ BEFORE BEGINNING
This is only the REGISTRATION of the construction project. The building /facility
owner is responsible for ensuring that the Project Registration Form, construction
documents, and applicable fees are mailed, shipped, or hand delivered to TDLR or a
Registered Accessibility Specialist (RAS) for the required review and inspection of EABPRJ
the project. Please print or type.
ARCHITECTURAL BARRIERS PROJECT REGISTRATION FORM
The required plan review will be performed by: (Check One) �DLR ❑ RAS (Name /Lic #):
PERSON REGISTERING PROJECT
1.Name � � c Za #47-/- tr y RAS # (if applicable)
2.Address City State Zip
I 7 0 f At M-4teke7 ST / 971 Sv 134z t-A 1 7 S
3. Phone * *Email
(2' `( ) 2 17 la f 7 Pkg .() ¢ . 6>...,
PROJECT
4. Project Name
04 /) 7 C&E,Pfi C. 14,va BfrtY F_ L /Z /) TA f //-4, le-� ?�/2 r ?,•-, /'ircx...t- •,-,, -s
5. Building or Facility Name
01-0 T ° uA d (1°PefiL-
6.Address City Zip County
ziCd Ti" 5-a> ti). at-7w a ( Lo 75 e 0,411.45
TENANT (if other than owner) .
7. Tenant Contact Name / Phone
O _. -
BUILDING OR FACILITY OWNER (person or entity that holds title toproperty)
8. Name Phone
61 of C�G,"4 << - k Ey g M.A2 ✓1 (9 7 2) 3' f- 3eEr(
9. Address City State Zip
2 .5 c be a* 4 v Sz fro Lop'/'FG ` TX 750i,
10. Owner Contact Name
k e T 71 iv► AZ t /f i=
11. Address City State Zip
2 5 / Ae4-wg gc Lr> CoP✓'e T)C " /
12. Phone * *Email
(`I72 ) 3 01- 3E r 1 ktlapv 4 CoPP_ /(fx. f6+.--
DESIGN FIRM
13. Name Phone
f l ee t -v /f/ C 6fc f, -I..vl . (2/ 4 ) 2 t7 - 2 2 / 7
14. Address City State Zip
17 4) /4g " sT 5v1TE 5 0.4 «.yi.s TIC 7s ...2._
15. Designer Name * *Email
7.12 e r/4 1e,4Tt C y 'r . 1d 1 f r {tse. «,
16. Type of License: (Check One) b Architect ET-Engineer License Number (if applicable)
❑ Interior Designer ❑ Landscape Architect ❑ Other (includes not licensed) &32 g 2
PROJECT DESCRIPTION
17. Start Date (MM/YY): Jo/ I ( 18. Completion Date (MM/YY): /0/1 2 19. Estimated Cost $ .6z, 26 y-_ c 9
20. Type of Work: (Check One) ['New Construction Etenovation /Alterations ❑ Additions to Existing Building ❑Historic Preservation
21. Type of Funds: (Check One) Jublic Funds, public land, or is a state lease 22. State Lease No. (if applicable)
❑Privately funded, on private land for private use
23. Does this building(s) have more than one level? (Check One) ❑ Yes o
24. Are there any elevators, escalators, or platform lifts in this building? (Check One) ❑ Yes
,�,,�
25. Does this building(s) have any boilers? (Check One) II Yes J3 No
26. Scope of Work: cO..o5 o - 2 7,W p V sY of g " Co.ve Pv.,T y,. .ly of y'" - , .0 -44,c -
J 4 11 /2Y f,,! /e/A-.:(- /74e v / �[ 471-47-g-- 1 O44. vf, AG t AA (!'VEST, Tel-1, 6 i /L G Cv,tJJ?,Ix ?.t
Of e -s rit/ Qo1/'Q Alb..., N 6 c ,ws774-, ,7--.- < >6 7 120 5
TDLR FORM ABO5 10 -08 NOTE: An individual who completes and files this form with the Texas Department of Licensing and Regulation (the Dept.) is entitled to the following:
1) to be informed about the information that the Dept. collects about the individual, upon their request and subject to a few exceptions;
2) to receive and review the information, under Sections 552.021 and 552.023 of the Texas Govt. Code; and
3) to have the Dept. correct information about the individual that is incorrect, under Section 559.004 of the Texas Govt. Code.
"'The Department will add your address to the Architectural Barriers email notification list, which automatically provides Department information on matters affecting Architectural Barriers. Your email address is
confidential pursuant to the Texas Public Information Act; the Department will not share it with the public. For additional information link to: http: / /www.license. state. tx. us / newsletters /TDLRnotificationLists.asp
INSTRUCTIONS FOR COMPLETING A PROJECT REGISTRATION FORM - AB 005
1. Person Registering Project Name - Enter the name of the person completing the form
2. Address - Enter the mailing address and suite number (if applicable) of the person named in #1
3. Phone - Enter the phone number and email address (optional) of the person named in #1
4. Project Name - Enter the name of the project (examples: CLASSROOM ADDITION, TENANT FINISH OUT FOR DR. SMITH)
5. Building / Facility Name - If this project is located in a building or facility with a name, enter the name (examples: the "CLASSROOM ADDITION"
is located in the building or facility named "WASHINGTON HIGH SCHOOL "; the "TENANT FINISH OUT FOR DR. SMITH" is located in the office
building named "MEDICAL PLAZA II ")
6. Project Address - Enter the physical address (if available) and the suite number (if applicable) of the project. Post Office Box numbers are not
acceptable.
7. Tenant Contact Name - Enter the name and phone number for the contact person or persons, company, corporation, authority, commission,
board, governmental entity, institution or any other unit that will occupy the project space.
8. Building or Facility Owner - Enter the name and phone number of the person or entity (company, corporation, authority, commission, board,
governmental entity, institution or any other unit) that holds title to the property.
9. Owner Address - Enter the mailing address and the suite number (if applicable) of the facility owner named in #9.
10. Contact Name - If there is a contact person other than the facility owner (as listed in #9), enter the name and phone number of the person
representing the owner
11. Contact Address - Enter the mailing address and the suite number (if applicable) of the person named in #11 if other than the owner.
12. Contact Phone - Enter the phone number and email address (optional) of the person named in #11 if other than the owner
13. Design Firm - Enter the name and phone number of the design firm or company responsible for the design of the project.
14. Firm Address - Enter the mailing address and the suite number (if applicable) of the firm named in #14.
15. Designer Name - Enter the name of the architect, engineer, interior designer, or landscape architect with overall responsibility for the design of the
project and whose seal is affixed to the drawings and enter their e-mail address.
16. Type of License - Check the box for the applicable license type of the designer and enter the license number (if applicable). If no design
professional, check the box for "other".
17. Start Date - Enter the date construction is scheduled to begin (month and year).
18. Completion Date - Enter the date construction is scheduled to be completed (month and year).
19. Estimated Cost - Enter the estimated cost of construction. Cost should not include site acquisition, furnishings, or equipment that is not part of the
building mechanical systems.
20. Type of Work - Check the box for the applicable type of work.
21. Type of Funds - Check the box for the applicable method of funding.
22. State Lease No. (if applicable) - Enter the state lease number if the construction project is for purposes of a state agency lease contract and /or
occupancy by a state agency.
23. Does this building(s) have more than one level? - Check yes or no
24. Are there any elevators, escalators, or platform lifts in this building? - Check yes or no
25. Does this building(s) have any boilers? - Check yes or no
26. Scope of Work - Enter a detailed description of the construction activities. WHAT TO SUBMIT
1. One complete set of construction documents (plans and
TDLR FEE SCHEDULE specifications) for all disciplines. All documents applicable to the
The following fees are applicable only to services performed by TDLR. project should be submitted as one package.
(Note: If services will be performed by a RAS, please contact the RAS for fee
information as they set and collect their own fees.) 2. A completed Architectural Barriers Project Registration Form or
AB Project Registration Confirmation page for each site /address
Estimated Construction Cost Plan Review Fee TDLR Project Inspection Fee or State Lease Registration Form (if applicable).
Filing Fee
3. If the review and /or inspection will be performed by TDLR,
50,000 - 200,000 5250 $175 $350 submit a check or money order payable to "Texas Department
of Licensing and Regulation" at P.O. Box 12157, Austin, Texas
200,001 - 500,000 $315 $175 $375 78711.
500,001 - 1,000,000 $380 $175 $400 4. When construction documents are submitted after completion of
1,000,001 - 5,000,000 $445 $175 $445 construction, the late submittal Project Filing fee shall apply.
5. An architect, interior designer, landscape architect, or engineer
5,000,001 - 10,000,000 $575 $175 5575 with overall responsibility for the design of a building or facility
subject to §469.101 of the Act, shall mail, ship, or hand - deliver
10,000,001 - 15,000,000 $620 $175 $620 the construction documents along with a Proof of Submission
115,000,001 - 25 000,000 1$785 $175 $785 form to the department, a registered accessibility specialist, or a
contract provider not later than the fifth day after the plans and
25,000,001- 50,000,000 $955 $175 $955 specifications are issued. In computing time under this
subsection, a Saturday, Sunday or legal holiday is not included.
50,000,001 - 75,000,000 $1175 $175 $1175
6. In instances when there is not a design professional with overall
>75,000,000 Contact TDLR $175 Contact TDLR responsibility, the owner of a building or facility subject to
§469.101 of the Act, shall mail, ship, or hand - deliver
Late Project Filing Fee $300 construction documents to the department, a registered
Preliminary Review Fee $145 each accessibility specialist, or a contract provider prior to filing an
application for building construction permit or commencement of
State Lease Inspection (no construction) $225 per lease construction.
7. An Elimination of Architectural Barriers Project Registration form
Special Inspection Fee $215 per hour, one hour minimum or Architectural Barriers Project Registration Confirmation Page
Variance Application Fee $175 each must be completed for each subject building or facility and
I - submitted along with the applicable fees when the design
Variance Appeal Fee $200 each professional or owner submits the construction documents. (One
complete set of construction documents (plans and
Example: Estimated construction cost is $250,000; submit the project filing fee of $175.00 and specifications) for all disciplines). All documents applicable to
the review fee of $315.00 for a total of $490.00. The inspection fee would be $375.00. the project should be submitted as one package.
NOTE: All fees are non - refundable.