FS 3-PT130410 A copy of the approved permit must be on the Job site at all times.
CC: Applicant T ►+ s r r o Page 1 of 4
Public Works C FELL
Permit File Re v, 06/2012
-1_�-1 3 P'; I :4
Orig. to Project File e t „ ° ° "
pp[-nOVIEDRIGHT-OF-WAY USE PERMIT APPLICATION
Permit valid fir 90 calendar days from date of approval
Submit permit application to the Engineering Dept..Town Center,255 Parkway Blvd.or e-mail to engineer @coppeiitx.gov(see button below)
Date of.Submittal: 43/15/2°13 Applicant's Job # / Work Order ##22060
PERMIT FILE: $10O,0O
(No charge to Utility Companies with approved Franchise/ROW Use Agreement)
Refer to the City of Coppell Ordinance No. 2001-944. Certificated Telecom Provider? Yes C No C
Plans provided and approved (Erosion Control/Safety fences must be installed prior to beginning work)
Project Name/Location or address 133 Parkway Blvd
General Contractor TexComrn Contact# Gary Cantwell Zr
E-mail address to return permit b.cas t i 11e9a @t excomm,net
Representative; P11l11 ip Cwin
Franchise Telephone#: 214-.869-9438
Company
Email address;phi llip.gwin@twr able.Qom
(tor contact',needed/if a-mall of approved permit Is desired/permit cannot be e-mailed unless complete)
Utility Company Represented:
C' Oncor Electric Delivery C' . tmos Energy C Verizon C' SBC/AT&T
(I Time Warner Cable C CoSery Electric/Gas C' Other
G neral Description o Work(in+accortkznce wi hOrd N&200 944)r PLEASE ATTACH PLAN OF PROPOSED WORK
Replace damaged underground for Aprox x't04 feet ;;
Estimated Start late 03/20/2013 Estimated Completion Date*0.4/20/2013
* 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: C+. Yes C No
>Is removal of existing streets, alleys, or sidewalks necessary? t* Yes C No
if YES,project must have City inspection prior to concrete replacement
Right-of-Way tile Permit 6knolicatiott. Pace. 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.
Area(s)� ecte& 1. er-d 6 t. I %., I l i P I„ E �ruI� ,:
mm nxs c aas ` . (grading, drainage,
and erosion control). To schedule Public Forks 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 CO 972-304-3600
Fire Department @ 972-304.3512
Street Department @ 972-462-5150
Engineering Department @ 972-304-3679
'Attach barricade plan/trench safety plan if a lane or street closure is required.
CUTE: Street closures are allowed from P.;00 a.m.until 3:30 p.m.ONLY unless otherwise approved by City
Engineer.
>Attach Work Order(franchise only)and/or 1 set of prints showing proposed work.
Loos for exiettiforranctilte utilitie must be done 48 hours prior to beglening work.
oiCIty utility to ates, calf 972462-5155 to$0446l0 48'_hello*prior to beginning work. .
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 e.gineer€acopoe ltx.gov.
Printing your name indicates your acceptance of the terms and conditions of this form:
(if you the approved pe returned via eirtail,provide a valid e-mail address on Page 1.)
you
may*.--;• ��PCV 3,
Signature of Uti try Company Representative Date
Signature of Contractor Representative Date
/
Alit ret '111°113
S`4 n. + ity Representative Date
omrnents
', /p Q Li NI i 4 rt-h� -P • rr.
C [—
)'NOTE: Notify City inspector at 9722-304-3679 prior to_beginning work and prior to
backfill for concrete, trench, ditch and open pit inspections. Ba k ill 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
ais granted.
1)17V- ■N \
1 !
Bonni Castillega
From: RMO_Robot@twcable.corn
Sent: Thursday, March 14, 2013 2:37 PM
To: Sharon Legrande; Bonni Castillega; David.Cheney@twcable.com;
John.Moses@twcable.com; stephen.custer@twcable.com
Subject: RMO - New ticket #22060 - 133 Parkway Blvd., Coppell - 175.13
Attachments: E087773_88329714536666_4414PRINTjpg; E087773_69872683286666_4414.jpg
importance: Low
There has been a ticket assigned to you. Click to view.
RMWO Ticket #: 22060
PRIN: Dallas
Entered By: Kean, Jeff
Authorized By: Capps, Keith
Routed To: Texcomm (Dallas)
Assigned To: Gwin, Phillip
Date of Order: 3/1312013
Date Completed:
Completed By:
Tech ID/Cell phone: 1381 / 9726708587
Node /Amp: 44141 D2D0
TDR Sent: (X)Yes
Location: 133 PARKWAY BLVD COPPELL TX.
Replace cable under intersection of parkway & town center, cable is
Description: currently damaged under concrete. place 875 under intersection and
place splice pits on either side of intersection.
Type of Repair: [MUG
Repair of: [X]Cable
Cable sizes .875 CA [MUG 100 feet
Direct bury? (X)No
Type of soil: [X]Dirt [X]Concrete
Is temp line placed? (X)No
Is temp spliced? (X)No
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