Amberpoint/IIT-PT130327 T K t » C I T Y > C P
EARLY GRADING/EXCAVATION PERMIT
IN
RIGHT-OF-WAY/EASEMENT/PRIVATE PROPERTY
City Contractor
Date: 20+3
❑ [ Grading plans provided and approved.
(Erosion Control must be installed prior to beginning work.)
❑ ❑ Tree Removal Permit from Parks&Recreation Dept.required. KVA
❑ [0' Hold Harmless Letter from the Property Owner/Engineer/Developer is attached.
3o5 5,111or hrdinf
Project Name/Location: TZ C rpar t4 („'I"1
General Contractor: CF ,Sorb. Cen -.fit�h
Permit issued to Company/Representative: 7764
Address: 944 31 G reerw ; tit Atie.. 1141/TX 75'a K3
Telephone#: 2(t(- 3Ltq- 7toa Emergency Telephone#: - Cj37- ISr'(K
General Description of work(provide copy of approved plans):
Cit✓'ade 11.1.1 acre, c;4-c- 40 bc prc p4reat
(300,ffoo S F),
Was contact made with City and/or Utility Companies to locate existing utilities?
if NO,Reason: (✓ces (`No 1 u cn+cs 4- be Jort e, or
3/2F.
>Was contact made with Parks&Recreation Dept.concerning Tree Removal Permit?
if NO,Reason: Oa 4-rces �a be rG�.ovc (-Yes (ylco
➢Is removal of existing street,alleys,or sidewalks necessary? C Yes r No
if YES,Attach Bore/Street Cut/Saw Cut Permit
➢Is Floodplain Permit required? (`Yes (7/No
if YES,Permit# or date of City Council variance
Early Grading/Excavation Permit Page 2
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 will be required at the applicant's expense), Tree
Ordinance 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).
Any work requiring closing of a lane of traffic,street,or alley must be approved
by the Engineering Dept. with notification to the following prior to
closing: Police Department @ 972-304-3600
Fire Department @ 972-304-3512
Street Department @ 972-462-5150
Engineering Department @ 972-304-3679
>Attach barricade plan/trench safety plan of a lane or street closure is required.
Note: Street closures are allowed from 9:00 a.m.until 3:30 p.m.ONLY unless
otherwise approved by City
Engineer.
>A 2%inspection fee for grading is required prior to beginning work.
(Attach copy of excavation contract for verification)
Amount Paid $ oe 93S/ /2- Date Paid 3 / 2 7 / 1 3
+City inspector must be notified 24 hours prior to beginning work related to this permit.
Printing your name indicates your acceptance of the terms and conditions of this form:
- -- 27-13 _
Signature of Ap licant/Contractor Rep. Date
is _ 3(L7/1-2
Signitur: o say Engineer Date
1 t ) U(12 S 7G -1 Del
City Inspector for this project Contact Number(s)
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.
Submit by E-mail PnntForm
CF Jordan Construction LLC
7700 CF Jordan Drive
El Paso,TX 79912
Vendor CITOFC03 City of Coppell #: 467057 Date 03/25/2013
No. Invoice Inv Date Description Invoice Amount Deduction Pay
1 030813 03/08/2013 Early Grading Permit Northpoint IIT 2,933.12 0.00 2,933.12
TOTAL: i 2,933.12
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Date Number —
CF;Jordan Construction LLC 03/25/2013 467057
7700 CF Jordan Drive 88-88
El Paso,TX 79912 ■ 1113
JPMorgan Chase Bank,N.A. 1 1$ ******
. PAY
Dallas TX \ � 2,933.12
. TWO THOUSAND;NINE HUNDRED THIRTY-THREE DOLLARS 12/100
F
1 TO THE City of Coppell
i ORDER POst Office Box 9478
OF Coppell, TX 75019 '
USA
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RECEIPT Date 3/2 7( 13 082593
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HOLD HARMLESS AGREEMENT
The owners of 350 S. Norhpoint Drive, Coppell, Texas understand and acknowledge that
filling and grading to the above mentioned property prior to issuance of the building permit by the
City of Coppell do so at their own risk. Furthermore, the owners shall hold the City of Coppell
harmless should any changes be required during the building permit process of the above mentioned
property that would require the owners to remove and/or replace any improvements installed prior
to issuance of the building permit will be at the sole cost of the owners.
March 20,2013
(Date)
IIT Northpoint CC,LP
(Owner)
i
Sincerely,
1114° rff
Peter V., derb rg
Vice esident
Industria InsemeTrust