Hunterwood-PT121023 A copy of the approved permit must be on the job site at alt times.
T SS - CITY . P
CC: Applicant Page I of 4
Pablic Worlt.s COP1'ELL
Permit File Rev. 06/2012
I _ _
Orig. to Project File s
on nov, RIGN'T-OF-WAY USE PERMIT APPLICATION
valid for 90 calendar days from daft of approval
Submit permit application to the Engineering Dept,Town Center,255 Parkway Blvd.or e-mail to ensineer@coppeiItx.gov(see button below)
Date of Submittal: 19115/2°12 Applicant's Job#/ Work Order#17797
PERMIT FEE: $100.00
(No charge to Util4 Companies with approved Franchise/ROW Use Agreement)
Refer to the City of Coppell Ordinance No. 2001.944. Certificated Telecom Provider? Yes C No C
0 Plans provided and approved (Erosion Control/Safety fences must be Installed prior to beginning work)
Project Name/Location or address 43 to 448 ar ooXe 141
General Contractor Te;cConitt Contact e (117)822'.:99 63
E-mail address to return permit r.oantw-elDittexccom
Representative: Phillip Gwin
Fran st
Telephone ft: (214)BE 9-90 a
Cornfoi#Iir
E-rrtail address.Phillip.gurinIgtweal)le eon
(For contact if needed/If e-mail of approved permit Is desired/permit cannot be e-mailed unless complete)
Utility Company Represented:
Ottcor Electric Delivery C Atmos Energy C Verizon C SBC/ AT&T
(ii* Time Warner Cable r CoSery Electric/Gas c- Other
General tlescriptia*Of*Ork linf,,,kecOnionce with CiW&-2001.944):PLEASE ArrActi,PLAN OF PROPOSED iORK
• WIZ „
Estimated Start Date le/la/12 Estimated Completion Date*11/1(&/12
* 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: tr, Yes C No
›.1s removal of existing streets, alleys, or sidewalks tlecessary? C Yes Cr' No
if YES,project mast have City Inspection prior to concrete replacement
t i - -Wa Use Permit A I rlicatitm Pa re 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
applicant's expense)and barricading according to the Texas Manual on Uniform Traffic Control Devices.
1,-L. b. . . .. .00 0 1 ..44,4 4 * 4 , (grading, drainage
r ,1
vegetation.„'and erosion control). To schedule Public Works final inspection (Page 4)call 972462:5155,
....
.';',0‘•Any excavation requiring closing of a street/alley must he reported prior to closing to the following:
Police Department el)972-304-3600
Fire Department®972-304-3512
Street Department 6 972-462-5150
Engineering Department 0 972-304-3679
'fr Attach barricade plan/trench safety plan if a lane or street closure is required.
NOTE. Street closures are allowed ..t ..'Ai . u .I 11 :30.an.ONLY unless otherwise approved by City
Engineer.
>Attach Work Order(franchise only)and/or 1 set of prints showing proposed work.
Locates for existing franchise utilities rriust be done itp t*outs Ocitilk,to beginning work/, .3.
, tt.--
For OitYyMtlilW loCateat call 972-4627515$tu_sphscltits 40 tiqurs Ortor tP betilti6ing itiPrk *
The application with signatures of Franchise and Contractor representatives must be submitted to Engineering
Dept.for approval prior to beginning work. Submittals by e-mail should go to . ,, :- , ,,.J.- it..
Printing your name indicates your acceptance of the terms and conditions of this form:
(if you want the approved permit returned via e-mail,provide a valid e-mail address on Page 1.)
t'f" e6-.- 4 - — lei,...t.skutz...
signature of Utility Company Representative Date
AO
Signature of Contractor Representative Date
44,-dill 10/2 /j-L....-
Signa i c Pill Representative Date
Comments
If .
NOTE: 4. 0 i' •i 1 0 , .t.r t972-304-36P 0 It*0 0 0 , , ' 4 ir° and pnor 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.
_±
Bonni Castillega et/iv,* es
From: Sharon Legrande
Sent: Wednesday,October 10, 2012 12:42 PM
To: Bonni Castillega
Subject: RMO-- New ticket#17797 - 436 Brooks Ln.,Coppell - 901.12
Attachments: E087386_82085818052291_436Brooksjpg
Importance: Low
From RMO Robotaltwcable.com[mallto:RMO RobotPingablesan]
Sent:Wednesday, October 10, 2012 7:51 AM
To: Sharon Legrande; david,cheney@twcable.com
Subject: RMO -New ticket #17797 -There is a ticket assigned to you. 901.12
Importance: Low
There has been a ticket assigned to you. Click to view.
RMWO Ticket#: 17797
PRIN: Dallas
Entered By: Dickerson, Jay
Authorized By: Capps, Keith
Routed To: Texcomrn (Dallas)
Assigned To: Gwin, Phillip
Date of Order: 8119/2012
Date Completed:
Completed By:
Tech ID I Cell phone: 2296 / 2148693334
Node/Amp: 4405/ B3B0
Location: 436 BROOKS LN COPPELL. TEXAS
Description: REPLACE CABLE FROM 436 BROOKS TO 448 BROOKS
Type of Repair: [MUG
Repair of: (X1 Cable
Cable sizes .500 CA VIUG 166 feet
Direct bury? (Wes
Type of soil: [X]Dirt
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