NL Cypress-PT111222 (2) T H E• C 1 T Y • O F
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CONSTRUCTION DEVELOPMENT PERMIT APPLICATION
Name of Applicant: Tor►\ 44oLLAnyn Date Submitted: t2 -- 2- 2.D (t
Address of Applicant: ri (Lour/4 S7REE- , svr-rF 1313 DAck4SS -r r 75 ao (
Phone Number: 1 270- oq FAX NUMBER: (47 2 $20 - 224
Location of Construction (address, if available): ESEer LZuE (2c & f SA;,r av &y sT
c�c ESQ w AAaT ol•- - >Uo 1 A / Sy 65
Subdivision Section # Block # Lot #
OR 6-1A1. LA-(A) s Rv 68.S142 A c7 n Sk -
Survey /Abstract # Acreage
Location description (attach vicinity map):
1. Type of proposed construction or development:
( ) Residential ( ) Alteration of a natural waterway drainage course
( ) Non - residential (4 Other (describe & attach drawing or sketch) e Ic...
( ) Placement of Fill (in right -of -way or on private property)
2. Description of Construction Permit requested:
(-j Paving ( ) Median or Landscaping ( ) Box Culvert
( ) Sidewalk (vrWater Main ( ) Rip Rap
( ) Drive Approach (vrR.C.P. ( ) Fill Area
( ) Excavation (.Sanitary Sewer Main ( ) Drainage Channel Excavation
( ) Fire Lane ( ) Flume ( ) Slope Protection /Retaining Wall
( ) Bridge (,i)'Inlet ( ) Parking Lot
Provide an attachment containing the name and 24 -hr. contact phone number
of supervisor(s) for every contractor working under this general permit.
3. All construction shall be in compliance with, but not limited to, the City of Coppell
Subdivision Ordinance, Standard Construction Details, Streetscape Plan and approved plans.
The contractors shall adhere to the City's Erosion Control & Sedimentation Ordinance.
4. Applicant shall provide a copy of approved plans, specifications and related cost estimate or
contract for the purpose of permit fee calculation verification.
CONSTRUCTION DEVELOPMENT PERMIT APPLICATION Page 2
5. A Construction Inspection Permit Fee shall be paid prior to beginning work, in accordance
with the City of Coppell Fee Ordinance. See Page 3 for calculation formula.
Amount Due: $ L1 , 6 4 2 . s 6 Date Paid: a 121-1 -C 1; / 2/
NOTE: A separate excavation permit is required anytime pavement is cut or when there is work in the
right -of -way not approved by the City Engineer.
➢ Any work requiring closure of a lane of traffic, street, or alley must be approved
in advance by the Engineering Dept., with notification to the following prior to
closure:
Police Department @ 972- 304 -3600 Street Department @ 972- 462 -5150
Fire Department CO 972 - 304 -3500 Engineering Dept. @ 972 - 304 -3679
➢ Attach barricade plan / trench safety plan of a lane or street closure. (Required)
➢ It is a requirement of this permit that As -Built Drawings be turned in at the end of
this project. As- Builts consist of 1 set full size paper copy, 1 set full size mylar and
CD with Autocad.dwg files.
NOTE: Street closures are allowed from 9:00 a.m. until 4:00 p.m. ONLY unless otherwise approved
by City Engineer.
➢ A pre- construction meeting is required prior to beginning work related to this permit.
Contact the inspector assigned to your project to schedule the meeting.
—1-5- 2 - -6 o
Signature of Applicant Printed Name Contact Number
City Inspector Contact Number(s)
FOR CITY USE ONLY
Is the fill area located in an identified flood hazard area? ( ) YES (X) NO
If YES, a Floodplain Development Permit is required before any construction can begin.
Is additional information required? ( ) YES (.<) NO
Are other federal, state, or local permits required? /1/O7 ('YES ( ) NO
(0 A PLICA ION : ' PROVED () PERMIT APPLICATION DENIED
1/
City Approval Date
Applicant shall indemnify and forever hold harmless against the City of Coppell each and every claim, demand
or cause of action that may be made or come against it by reason of or if any way arising out of the closure,
blocking, excavating, cutting, tunneling, or other work by the applicant under permit from the City, if such
permit is granted.
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Description Quantity Unit Cost Total
6x6 Water Meter Vault with Meter 1 ea $ 46,300.00 $ 46,300.00
12" Bore 96 If $ 350.00 $ 33,600.00
Connection to 12" Water Line 1 ea $ 12,000.00 $ 12,000.00
12" Gate Valve 2 ea $ 3,500.00 $ 7,000.00
Concrete Encase 12" Sewer 20 If $ 100.00 $ 2,000.00
Paving 28 sy $ 90.00 $ 2,520.00
12" Water Main 180 If $ 67.00 $ 12,060.00
12" Force Main 7 If $ 31.00 $ 217.00
Trench Safety Water Main 180 If $ 2.00 $ 360.00
Trench Safety Force Main 7 If $ 1.00 $ 7.00
$ 116,064.00
Coppell Inspection Fee (4 %) $ 4,642.56
PROJECT: Cypress Waters Phase I TIE OWNER: Billingsley Company
CONTRACTOR: GRACON CONSTRUCTION, INC. DATE: 11/3/2011
ENGINEER: Kimley -Horn and Associates PAY REQUEST NO.: Pretimina
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•0. DESCRIPTION UNITS UNIT PRICE TOTAL CJ w O w . a. ¢ g > O
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Water Main
Mobilization 1 LS $ 63,000.00 $ 63,000.00 0% $ - 0% $ -
20 -inch Bar Wrapped Concrete Cylinder Water Pipe A 444 LF $ 105.00 $ 46,620.00 0% $ - 0% $ -
16-inch Bar Wrapped Concrete Cylinder Water Pipe A 5148 LF $ 91.00 $ 468,468.00 0% $ - 0% $ -
12 -inch PVC Water Pipe AWWA C900 /ASTM FM477 2303 LF $ 67.00 $ 154,301.00 0% $ - 0% $
- 8 -inch PVC Water Pipe AWWA C900 /ASTM FM477 400 LF $ 45.00 $ 18,000.00 0% $ - 0% $
6 -inch PVC Water Pipe AWWA C900 /ASTM FM477 118 LF $ 57.00 $ 6,726.00 0% $ 0% $ -
16 -inch Water Main BOTOC 20 LF 5 720.00 $ 14,400.00 0% $ - 0% $ -
12 -inch Water Main BOTOC 96 LF $ 350.00 $ 33,600.00 0% $ - 0% 5 -
20-inch Gate Valves 1 EA 5 16,000,00 $ 16,000.00 0% $ - 0% 5 -
16- inch Gate Valves 14 EA $ 8,000.00 $ 112,000.00 0% $ - 0% $ -
12 -inch Gate Valves 2jEA $ 3,500.00 $ 91,000.00 0% $ - 0% $ -
8-inch Gate Valves 11 EA, $ 2,300.00 $ 25,300.00 0% $ - 0% $ -
6 -inch Gate Valves 11 ,. $ 2,000.00 $ 22,000.00 0% $ - 0% $ - _
Fire Hydrants 10 El $ 3,200.00 $ 32,000.00 0% $ - 0% $ -
6-inch Fire Service 3 $ 1,750.00 $ 5,250.00 0% $ - 0% $ -
2-inch Domestic Water Service 3 $ 1,400.00 $ 4,200.00 0% $ 0% $ -
jConcrete Encasement for 12 -inch Wastewater Pipe 20 LFt $ 100.00 $ 2,000.00 0% $ - 0% $ -
i 2" Type II Air Valve Installation 3 E. $ 4,800.00 $ 14,400.00 0% $ 0% $ -
Biow Off Valve 2 E $ 21,600.00 $ 43,200.00 0% $ 0% $ -
6'x6' Water Meter Vault with Transient Time Meter 1 LS $ 46,300.00 $ 46,300.00 0% $ - 0% $ -
30"x20" Tapping Sleeve 1 E $ 18,000.00 $ 18,000.00 0% $ - 0% $ -
Connect to Existing 12 -inch Water 1 $ 12,000.00 $ 12,000.00 0% $ - 0% $ -
Reinforced Concrete Paving 28 S $ 90.00 $ 2,520.00 0% $ - 0% $ -
Temporary Erosion, Sedimentation and SWPP 1 LS $ 7,000.00 $ 7,000.00 0% $ - 0% $ -
Trench Safety 8297 LF $ 2.00 $ 16,594.00 0% $ - 0% $
2" Pitot Outlet and Manhole per DWU Standard Drawl 2 E $ 6,000.00 ' $ 12,000.00 0% $ 0% $ -
Total Water Main $ 1,286,879.00 $ - $ -
1 Totat Pumps Station and Water Main 1111 $ 4,895,129.00_
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Page 3 of 7
PROJECT: Cypress Waters Phase 1 TIF OWNER: Billingsley Company
CONTRACTOR: GRACON CONSTRUCTION, INC. DATE: 110/2011
ENGINEER: Kimley -Hom and Associates PAY REQUEST NO.: Preliminary
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NO. DESCRIPTION UNITS UNIT PRICE , TOTAL CS w O w c. a O F > O
! Lift Station Facility
Mobilization 1 LS $ 36,600.00 $ 36,600.00 0% $ - NM 0% $ -
Lift Station Facility 1 LS 5 624,000.00 5 624,000.00 0% $ - I' $ -
Controls and Instrumentation 1 LS $ 13,000.00 $ 13.000.0.0 0% $ - IMI 0% 5
Concrete Pavement 1 LS $ 11,500.00 $ 11,500.00 0% $ - 0% $ -
Site Work 1 LS $ 47,000,00 $ 47,000.00 0% $ - 0% $ -
Temporary Erosion, Sedimentation and Water Pollutic 1 LS 5 1,000.00 $ 1,000.00 0% $ - 0% $ -
Trench Safety 150 LF $ 2.00 $ 300.00 0% $ - 0% $ -
Total Lift Station 1 $ 733,400.00 $ - $ -
Force Main
Mobilization 1 Is $ 14,200.00 $ 14,200.00 0% $ - 0% $ -
8-inch PVC WastewaterASTM D3034 (SDR35) 15 If $ 100.00 $ 1,500.00 0% $ - 0% $ -
10-inch PVC Wastewater ASTM C -900 (DR14) 3565 If $ 47.00 $ 167,555.00 0% $ - 0% $
— 712-inch PVC Wastewater ASTM D3034 (SDR35) 117 If $ 31.00 $ 3,627,00 0% 6 - 0% $ -
15 -inch PVC WastewaterASTM D3034 (SDR35) 40 If $ 78.00 $ 3,120.00 0% $ - 0% $ -
48-inch Wastewater Manhole 1 ea $ 9,005.00 $ 9,005.00 0% $ - 0% $ -
72-inch Wastewater Manhole 1 ea $ 27,000.00 $ 27,000.00 0% 5 - 0% $ -
2-inch Combination Air Release Valve and Vault 3 ea $ 16,000.00 $ 48,000.00 0% S - 0% $ -
10 -inch Plug Valve 1 Is $ 3,000.00 $ 3,000.00 0% S - 0% $ -
Temporary Erosion, Sedimentation and SWPP 1 Is $ 3,000.00 $ 3,000.00 0% S - 0% $ -
Trench Safety 3737 If $ 1.00 $ 3,737.00 0% $ - 0% $
Total Force Main $ 283,744.00 $ - $ -
Contract for Lift Station and Force Main $ 1,017,144.00 •
Page 1 of 1
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Billingsley Property Services, Inc. Bank of America 33810
6800 Windhaven Pkwy 900 West Trade St
Suite 133 Charlotte, NC 28255
The Colony, TX 75056 12/20/2011
32- 2/1110 TX fi
* * * * FOUR THOUSAND SIX HUNDRED FORTY TWO AND 56/100 DOLLARS 1.
TO THE 0
ORDER OF $4,642.56 * **
J-,
City of Coppell _1,,,,c, 471, 1., s.
iA
Void after 180 days from issue
DATE. 12 /20/2011 CK #:33810 TOTAL $4,642.56 * ** BANK:BPS BofA Single Fund Acct(2bpspool)
PAYEE:City of Coppell(citcop)
Job(Prop) Categ(Acct) Invoice - Date Description Amount
1400- ph1 w(14501) 1637 - 4500(1410 -0000) 12/20/11 - 12/20/2011 Eng. Inspection fees 4,642.56
4,642.56
CASH
RECEIPT Date 12±P= .1__._______----- - - -.- 0 8 2 5 2 4
Received From ___._.TO /IA ..:10 LL. -AN D ✓. ,
_ ">6 1 Address C4 .. RE S S Wirrek5 A i E±T I SO _T/ /NS
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