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CiCi's Addition-PT120531 T H E • C I T Y • O F COFFELL f4 ' a x s, s a CONSTRUCTION DEVELOPMENT PERMIT APPLICATION Name of Applicant: Ps1VECDcl +4 Date Submitted: Address of Applicant: 3 022- et)/ o,2e &v/3 , ge•¢n/6 R144,,,2.r' TX 75650 Phone Number: R 72-- ZCo 3-3 22 3 FAX NUMBER: 97 Z 2(o 3 to SS/ Location of Construction (address, if available): /0 80 A. 7 et- ,q6 Z 2/i. ADDiTt ©lJ Subdivision Section # Block# Lot# OR Survey/Abstract# Acreage Location description (attach vicinity map): 1. Type of proposed construction or development: ( ) Residential ( ) Alteration of a natural waterway drainage course OQ Non-residential ( ) Other (describe & attach drawing or sketch) ( ) Placement of Fill (in right-of-way or on private property) 2. Description of Construction Permit requested: ( ) Paving ( ) Median or Landscaping ( ) Box Culvert ( ) Sidewalk ( ) Water Main ( ) Rip Rap ( ) Drive Approach ( ) R.C.P. ( ) Fill Area ( ) Excavation ( ) Sanitary Sewer Main ( ) Drainage Channel Excavation ( ) Fire Lane ( ) Flume ( ) Slope Protection/Retaining Wall ( ) Bridge ( ) Inlet pQ 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: $ 9-1(0. `a Date Paid: S b, 112_ 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 (03 972-304-3600 Street Department @ 972-462-5150 Fire Department @ 972-304-3500 Engineering Dept. a 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 3:00 p.m. ONLY unless otherwise approved by City Engineer. ➢ A pre-construction meeting is required prior to beginning work related to this permit. Co tact the inspector assigned to your project to schedule the meeting. ,s "Si k t/E- /C V,(N a- 2 I '1 -g Ci °-9 3 ,/ l :ignature of Applicant Printed Name Contact Number Alb: 4 SPell'e") 90`t sic, ND? � City Inspector Contact Number(s) FOR CITY USE ONLY Is the fill area located in an identified flood hazard area? ( ) YES ( ) 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? ( ) YES ( ) NO (PERMIT APPLICA ION APPROVED () PERMIT APPLICATION DENIED AAA Z proval Date Applicant shall indemnify and forever hold harmless a g ainst 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. 4) 0 a) ^p ae .0 o a N 0 U 0 co II a) a) O ` coo . •� W c,. $ C c• d a) a' ° M 4 - -v t �. Q Q a, a) t- E a P w m F ti) o " ° > 0 C.0 `` et a a) a o Q .2 O ct . �, � °° wF (J an . 0 Q p cii bo W p O , � v �, U *.- '^ z � � w c = a 169- .y , O 44t 06 C A o � C ER 4 0 .0 a� C -,, , a c _ cp y o 1�1a �r O ^v ++ NAV >,a, °� cke o II ms CI. to cu Tr d 7. < . a u 4— Id ' Re W $» � � v :Q. "0 fl 0 A r , W. O • H Z O Ga > Q, ° c - L H u ,, j a Z. � w Z F W oF. . v i WO z � > Q 0 ., 0 0 0 a .,-d z > vs = C a) U .2 b ° A a v) -co a co ag O T -co i c T.) 'a iv E W O � .- �. c U E ,, w cC x a z ° av � T= 3 x 2 a E >-,Q o CA w Cl) H u U ono c> o >- LU 4 ---I 0 0 0 c.• .� ° o ° j Q Z O w� EHH a Q W -o a. - u a 3 v) Q' 0 a U PA -- z Proposal and Contract April 27, 2012 JMC Restaurant Distribution, Inc. 1080 West Bethel Road COPY Coppell,Texas 75019 Tele: 817-505-1310 Attn: Mark Kiefer PAVECON, Ltd. will furnish all labor, materials and equipment required for the performance of the following described work in connection with construction or improvements at: 1080 West Bethel Road, Coppell, Texas 75019 The work is to be performed as follows: Item # Bid Item Qty Units Unit Price Total Price 1 Saw cut and demo concrete, clear and grub trees 1 LS $2,428.00 $2,428.00 (2) each inclusive of root ball,remove from site. Excavate to proposed sub-grade, compact to 95% Standard Proctor. 2 Construct new 5"head in parking, #3 @ 18"OC 2,380 SF $6.41 $15,248.00 4,000 PSI. Backfill new curbing. 3 Hot Pour Joint Seal (Crafco 34222). 1 LS $523.00 $523.00 4 New Pavement Markings(2) Coats. White 1 LS $379.00 $379.00 parking stalls& Fire Lane. 5 Add for Erosion Control Fencing. 150 LF $3.64 $546.00 Project Total Inclusive of Material Taxes $19,124.00 INCLUSIONS: a) Tax is on materials. b) PAVECON, Ltd. guarantees this work for materials and workmanship for a period of 1- year from installment, excluding unusual abuse or neglect. EXCLUSIONS: a) Testing. b) Utility relocation/adjustment, irrigation, or landscape repair. P.O. Box 535457,Grand Prairie,TX 75053 • 3022 Roy Orr Blvd.,Grand Prairie,TX 75050 Office: 972.263.3223 • Fax: 972.263.6551 . , 5 31 lz TAvecoNi ct',1 PA-ekif\i6- -r- N 51 Ai -4-1) 6g 0 co 2 9 02% 5772-xe;Tic d 1tf Sf fZ -6 o_ 5 46 cg . . . _ . PAVECON, LTD. 0 0 5 3 7 0 DATE INVOICE NO. DESCRIPTION INVOICE AMOUNT DEDUCTION BALANCE 5 2,31 0_A\ k \C--)0\ 6- HECK CHECK OTA DATE .NUMBER T LS PAVECON, LTD. 005 3 7 0 FROST NATIONAL BANK MISC.ACCOUNT HURST,TX 76054 PD.BOX 535457 GRAND PRAIRIE,TX 75053-5457 972-263-3223 DATE CHECK NO AMOUNT PAY r „— (_ AUTHOEDS;,NATURE TO THE ORDER OF TWO RIGI`IATURE-S REQUIRED IF OVER$1 000 00 yi