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Freeport Xing-PT121008 dó1½'ui ,,, ,--2,-h. 4 k 0.4-eit, ,,,, E f ,, ,:„N u S CONSTRUCTION DEVELOPMENT PERMIT APPLICATION Name of Applicant: 1" -Pdc Date Submitted: W 13/0_ Address of Applicant: 11S� E.,,,,P, Cr X41-,Sf►TE. iz`I Phone Number: FAX NUMBER: 6e f niyre,&G/ n et- Location of Construction (address, if available): 111 E-CR Pck'--" S,(44-1S M vV c1,y1-o A.p..o,-c' , / 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 7644 on-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 / $arking 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: $ 4 774.447 Date Paid: /1/�0/1/02- 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. r 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 @ 972-304-3500 Engineering Dept. @ 972-304-3679 Attach barricade plan I trench safety plan of a lane or street closure. (Required) 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. Contact the inspector assigned to your project to schedule the meeting. � 2G4.11: : = Georr NC 1 ►'If re 9�z�-ce gR - 31 `f2- S. ture of Applicant Printed Name Contact Number (?Aci 6\ 0 `'`— Li(0"1 s--)G1---13 / City Inspector Contact Number(s) FOR CITY USE ONLY Is the fill area located in an identified flood hazard area? ( ) YES (XNO 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 (ci IO ?(..PERMIT APPLICATION APPROVED ( ) PERMIT APPLICATION DENIED _...•.-1 A 41144 ILA i'L-- 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 conic 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. 01 — .n .5 oa co _o›.., C ts° C. c a� o II U 14 g o 0 R, o .a N Q a C if- >t - 0 a a m •I~ ro a.) a c▪u c V EN g ai i 03 QI > Z w c,.. C. 0 „i o C. v.)• G a+ �" ^ C • fir .,. i...% 4"' E. U c z a `'" °"• u ra4 .0 4 :.Cn W O 5 F �i \•42 vA d 8 E 8 U > 0 .C) \9 U 0 F H � �o 0 0 4,, Fill a c d o c v 6 t ;t .0 ,a v o p 0 } .‘\ i' U >, A II F Q' et Q v c `, ,r z os u J'I , V y '� fl �C V W 1 W g., `' ' o .@ I O` �:i �t o o a 0 v • 15 ,-=;' Q � ; o c w E ' ° v ` h z V g IN a � w � • w a. C W o co m T a CA,..,,, a' 0 a z F 4) A. o = > a o. = c7 A j cd a. � v p 'C — o'r a y .° �a a. E _. 4'•3. y b N ?. c W O U , g W c4 U w .s c 4. d c4 a 1 i � v a F Z 4' ° c V c� o c7 Cl) o a•W V o b 0 4 H zt w w w € H ,--. a, Q w c " — U a. 3 v� Cl) < v� C' II THE REVERSE SIDE OF THIS DOCUMENT INCLUDES MICROPRINTED ENDORSEMENT LINES AND ARTIFICIAL WATERMARK-HOLD AT AN ANGLE TO VIEW 8 TEXAS SECURITY BANK 115568 FAST-TRAK CONSTRUCTION, INC. DALLAS,TEXAS • 1150 EMPIRE CENTRAL PLACE,SUITE 124 32-2587/1110 DALLAS,TX 75247 (214)638-0525 FAX(214)638-0528 DATE 10/5/2012 PAY ORDER OR CITY OF COPPELL $ **6,774.48 Six Thousand Seven Hundred Seventy-Four and 48/100****************************************************************' DOLLARS TWO SIGNATURES REQUIRED OVER$50,000.00 CITY OF COPPELL 500 SOUTHWESTERN BLVD. COPPELL, TX 75019PAL SE�s,, .f.— r�P AUTHORNATURE a9 i MEMO 512024R-Glazier Site Work A�ESw, 5 FAST-TRAK CONSTRUCTION,INC. 115568 CITY OF COPPELL 10/5/2012 Date Type Reference Original Amt. Balance Due Discount Payment 10/5/2012 Bill 100512 6,774.48 6,774.48 6,774.48 Check Amount 6,774.48 Texas Security Bank S12024R -Glazier Site Work 6,774.48 1 CASH Date /%572 082556 RECEIPT T �/ �7 /J�� , Received From F4S T !7W1' C-d N,S712"KC-nE)Af--- -- m . ._�INIW 4bi77OA),FKeE P,0/2-Y C/L6I.C4VG. a Address _ ate ,. / C I$ - g `7i e`Ai 6 �/J S/O N Dollars$41�7 1 U e/ > S tee-T/©Al I/ Sfe r/OAl d Im For ■ — (� N U ACCOUNT HOW PAID �_- m - AMT OF r ASH ■ -- ACCOUNT m — U AM PAiLn6/ �It CHECK ir,7J ♦ / -/ _`F3.4.ANC[ PdDNEIORD[R❑ By ----- -- DUE CREDIT CARD❑ CONSTRUCT/ON, /NC. Management • Design •Construction Exhibit A Date Glazier Site Work 8.20.12 777 Freeport Parkway Coppell, TX Flat work, curb pricing is subject to engineering which should be released to start drawings on approximately 8.15.12. Note: This project subject to approval of city via P&Z and Building Permit Department 2.0 Site work- rework sod and sprinkler at site construction interruption 20,000 3.0 Flat work, curbs, islands, saw, stripe,etc, etc this is subject to engineering a east truck area 249,358 b west future park area 65,439 c cut thrus from main lot 13,682 d area south of single story no work 5.0 Metals Wrought iron black fence, 6'tall as shown on rendering,with the add of 2 single (50') automatic gates,with intercom, keypad, knox pads, safety loops, concrete and electrical 83,193 16.0 Lighting site lighting allowance 20,000 1.1 Gen Requirements 18,763 1.2 Permit 9,250 1.3 Supervision 8,000 17.0 Subtotal 487,685 18.0 Contractor Fee 24,384 19.0 Sales Tax 42,246 20.0 Total 554,315 1150 Empire Central Place, #124 * Dallas, TX *214.638.0525 phone*214.638.0528 fax