Loading...
Lesley Retail (QT)-PT111222 I A copy of the approved permit must be on the job site at all times. • CC: Applicant T H E` T Y OF Page 1 of 4 Public Works COPPELL Permit File .: -4 r- 7 Rev. 07/2010 4 ,- _ , * , -- 4 T F 1...--°..- < = �""" q p Orig. to Project File x A S B 12 6 . 1 rP : 4 3 R C V D RIGHT -OF -WAY USE PERMIT APPLICATION Permit valid for 90 calendar days from date of approval Submit permit application to the Engineering Dept., Town Center, 255 Parkway Blvd. Date of Submittal: (2/16/ / / Applicant's Job # / Work Order # PERMIT FEE: $10 .00 (No charge to Utility Companies with approved Franchise /ROW Use Agreement) Refer to the City of Coppell Ordinance No. 2001 -944. Certificated Telecom Provider? Y N ❑ Plans provided and approved (Erosion Control /safety fences must be installed prior to beginning work) Project Name / Location: /e-e /o c 4 pate o ` t . e , TL- . T q 1 i 13e/} Line General Contractor: p11 o Contact # f/7 - 7) 3 ) 9 `f 0 Permit issued to Company / Representative: 0 i eor Lg Yr edit Address: /D/,c /{rc- r9 ! /,-. -, r `, 7 O a �6 Telephone #: 9 7 a• 3 3 _ e7/ '7 Emergency Telephone #: ?72?? 0 ' 3 '/7 Utility Company Represented: E Oncor Electric Delivery ❑ Atmos Energy ❑ Verizon ❑ SBC/ AT &T ❑ Time Warner Cable ❑ CoSery Electric /Gas ❑ Other General Description of Work (provide four [4] sets of plans): In accordance with Ord. No. 2001 -944. ,e d — - /c c 4 f , p c, 1-e i +- . e 5c i s i,. ^ j r % *, % h -e et- �- 1 �X t Ail! z; �-P I POLE WILL gE fl RiJ0 .D(,,t Estimated Start Date / - 0 - 2 // Estimated Completion Date* / - 0 7 7- ` / 7-, * Completion requires submittal of Completion Verification Notice (see page 4) ➢ Was contact made with City and /or utility companies to locate existing utilities? if NO, Reason: YES ❑ NO ❑ ➢ Is removal of existing streets, alleys, or sidewalks necessary? YES ❑ NO ❑ if YES, must have City inspection prior to concrete replacement Right -of -Way Use Permit Application Page 2 of 4 Representative(s) of the Contractor must adhere to all construction standards approved by the City of Coppell, which includes but is not limited to: Erosion Control Ordinance, compaction requirements (density tests may be required at the applicants expense) and barricading according to the Texas Manual on Uniform Traffic Control Devices. Area(s) affected must be restored to as good condition as before the commencement of work (grading, drainage, vegetation, and erosion control). To schedule Public Works final inspection (Page 4) call 972 - 462 -5155. ➢ Any excavation requiring closing of a street /alley must be reported prior to closing to the following: Police Department @ 972 - 304 -3600 Fire Department @ 972 - 304 -3500 Street Department @ 972 - 462 -5150 Engineering Department @ 972 - 304 -3679 ➢ Attach barricade plan / trench safety plan if a lane or street closure is required. NOTE: Street closures are allowed from 9:00 a.m. until 4:00 p.m. ONLY unless otherwise approved by City Engineer. ➢ Attach Work Order (franchise only) and /or 4 sets of prints showing proposed work. Contacts must be made to locate existing utilities 48 hours prior to beginning work. I (Application with original signatures should be submitted to the Engineering Department before approval.) ir1 Lst Of g a d(cK / 2 /f (/ Signature Utility Company Representative Printed Name Date Signature of Contractor Representative Printed Name Date S gn City Representative Printed Name ate ➢ Comments: > NOTE: Notify City Inspector at 972 - 304 -3679 prior to beginning work and prior to backfill for concrete, trench, ditch and open pit inspections. Backfill must meet all construction standards approved by the City of Coppell. 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. T H E • C I T Y • o F Page 3 of 4 og===4.. q o X A S 6 UTILITY RELOCATION CHECKLIST FOR WORK WITHIN CITY OF COPPELL RIGHTS-OF-WAY OR EASEMENTS Listed below are minimum requirements for utility relocation projects: 1. A copy of the valid approved City of Coppell permit is required on the project at all times. 2. Notify adjacent property owners (commercial & residential) of project timeline; provide them with contact names and phone numbers. 3. Proper erosion control measures must be taken. 4. Follow Texas MUTCD standards for work in traffic zones. 5. Sod is to be replaced when necessary. 6. Irrigation repairs must be performed in a timely manner. 7. Follow OSHA recommended trench safety at all times. 8. Repair existing utilities that are damaged, including but not limited to clean-outs, water valves, and SS manholes. 9. Densities may be required in trench lines (ASTM). 10. Care and repair of street signage is the responsibility of the contractor. 11.No work is to be done in collector roadways before 9:00 a.m. or after 4:00 p.m. 12. Prior notice of work activity on weekends and holidays must be in writing. 13. Line locates must be performed in advance by contacting -1 800 DIG TESS and/or the following: CITY OF COPPELL UTILITIES DIVISION coppelltx.gov/utility-operations-division 972/462-5155 CITY OF COPPELL ENGINEERING DEPT. 972/ 304-3679 HOMEOWNER ASSOCIATIONS 972/ 304-3678 (Planning Dept.) TIME WARNER CABLE FEDERAL EMERGENCY MGMT. ADMIN. 214/ 320-5455 (Mike Rasmussen) 940/ 898-5138 AT&T LOCAL NETWORK TEXAS COMM. on ENVIRONMENTAL QUALITY 214/ 215-3031 (Rich Millenman) 817/ 588-5800 COSERV Gas & Electric DENTON CO. LEVEE DISTRICT 940/321-7800 x 7624 (Greg Ward) 214/ 352-5118 (Richard Hightower) EXPLORER PIPELINE Atmos Energy 918/493-5100 (Patrick Nwakoby) 972/ 360-4428 Gary Dickinson ONCOR Electric Delivery 1 800 DIG TESS for line locates 972/ 323-8917 (Larry Redick) (344 - 8377) or VERIZON COMMUNICATIONS www.texasonecall.com 972/ 318-5277 14. Contaminants must be removed from work area daily and disposed of properly outside the City. 15. Streets, sidewalks and alleys must be kept clean of construction material and debris. 16. "Clean-up" requires returning work area to pre-project condition or better. 17. Contractor is required to contact Public Works Division for Completion Verification Notice. (see pg. 4) Page 4 of 4 T H E C 1 T Y O F COPPELL F =^ f q A S 18 UTILITY RELOCATION IN RIGHT-OF-WAY OR EASEMENT COMPLETION VERIFICATION NOTICE Contact City of Coppell Public Works Division at 972-462-5155 to schedule an inspection with Utility & Streets personnel to verify that your project has been completed to City of Coppell specifications. Failure to schedule verification inspection may delay future projects. Franchise Utility Name Project Location / Applicant's Work Order # (if applicable) Sub-contractor Company Name 24 hr.Contact Number Date of Verification Appointment Time of Verification Appointment INFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELL PUBLIC WORKS PERSONNEL ❖ Inspected by of UTILITIES Maintenance Division on and found to be acceptable /not acceptable because Follow-up needed? NO/ YES Follow-up scheduled for Inspected by of STREETS Maintenance Division on and found to be acceptable /not acceptable because Follow-up needed? NO/ YES Follow-up scheduled for A copy of this completed notice is to be provided to: City of Coppell Engineering Dept. 255 Parkway Blvd., Coppell TX 75019 Office: 972-304-3679 Fax: 972-304-3570 ELECTRIC CONSTRUCTIO\ PRINT WR N0. 3155299 SHEET 1 OF 1 DATE 12 -01 -2011 WR NAME FBR:CPL:RELOCATE POLE FROM DRWY 1484 S BELT LINE LTR SCALE 100 V N C R CUSTOMER FBR:CPL:RELOCATE POLE FROM DRWY 1484 S B SERVICE CENTER FBR ADDRESS 1484 BELT LINE OFFICE 231 LOCATION 1484 S BELT LINE AT DIVIDEND MAPSCO 11A N DESIGNER REDICK.LARRY THOMAS PROJECT MANAGER REDICK.LARRY THOMAS USERID PHONE NUMBER (972)323 - 8917 PHONE (972)323 -891 M ps . *rigs. Electric Delivery purposes of Dncor Electric Delivery with no implication of swtabdtty or fitneea for the tntended use of the rectpten. Oncor Electric Mops, rre.ill make and good electronic data I t pro are created that the ■ free ourpa y Or quality o or portion of y goo provide products ne y are and the t a t to dupluoate or d,strlbute the products o tiny por Delver erll make d froth efforts to ida ducts that era free from error, but does not warrant the occurac h f such products. The locations s h ee n a approximations and not "� expenses ro dut s t otto i r. Products without to other itton s r Onco of nco OEl Electric for the internal me further the agrees eseto ho r plan gre not r E. hereunder. c tc li hold the products to third part�ea s�thout tha prior srntan parmmemn of O Electric Delivery. Phe recipient e ye e accunt of any defects in the �pr property O ncor Electric Delivery against ell claims, costa, ex s and damages resulting from or predicated upon strict hebility for personal m,luriee. death or e " ° ROL 3920885 ® •15 54 2 6 3 0 4 f-N/----__"1 3653158 12 55 1 55 a Lr�C�T� Pc7� to(- ?fir UTiU rl S1-fnu t�� fJT) o © •N ''t) ! Cr N � p �f (� ] ( p p i L 1 1 1J E OF P ELT 11 N E 2155460 L�- L ' f` -D / D V DLE -4629 2155460 CO 1 5 5222 001 -3926 L� 551 I 1 / RC: POLE , 5 5 •637 2l55 6321 la CP —I _ . . .:1 ., N S:55'/3 WP 0 02 RC: DOWN GUY NIC I Z 0 3921019 I I 1 i• 4°,,E. CBA 60)-36529T8 w k 55'/3 WP ABC i ;: A .0 IC a P ... f` al • 0 • N N 2155460 2155460 -3904 -4609 :; 55 3920665 3920877 -3659 1 /% • mcn 250 250 v N.C. 0 A. 1000 AL - 3652726 -- --- .�. i • • 5249 39P102,o, 2 2155459 * o �.. -529 365277 5. 11 6AESt a ' v �a 1810 E Le a 3IVI3 - \Do DR �/ n u r' i #,n 250 2 1. - O 215545' \ -4689 °* 3920858 (' O to • 4l � • N � Ftl r h 1 V I - 5b7Lbtll 4410 1 r i g 7 F ti J e CBA O. . C 1 I Th ,4;f \II ... I0 T V !. 55 ' ANNoN rAl�1N- _ 1501 oNtt 55 .� 46BNY0 1800 HKII Y/ FDR1 0® N ABC \ 215 5276 1525 STE B 920500 652462 f p �� 00 1 1 N N -- 21554 15. I /� ���ffc ∎or byre AFL J I I ` ' I mo. All Y � i5 4570 55 I