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NL 635 BP (14)-PT130906 T M t • C I T Y • 0 t COFFE CONSTRUCTION DEVELOPMENT PERMIT APPLICATION Name of Applicant Bob Moore Construction,Inc. Date Submitted 8-30-13 Address of Applicant 1110 N.Watson Road Arlington, Texas 76011 Phone Number 817-640-1200 Fax Number 817-640-1250 Location of Construction (address, if available): 1221 S. Beltline road Subdivision Northlake 635 B.P. Section# Block# D&E Lot# 1 R2R& 1 OR Survey/Abstract# Acreage 9.7 Location description (attach vicinity map): NWC Lakeshore and Belt Line 1. Type of proposed construction or development: C Residential C Alteration of a natural waterway drainage course Non-Residential C Other(describe & attach drawing or sketch) C Placement of Fill (in right-of-way or on private property) 2. Description of Construction Permit requested: &I Paving ❑ Median or Landscape ❑ Box Culvert ❑ Sidewalk p Water Main ❑ Rip Rap ❑ Drive Approach p R.C.P. ❑ Fill Area ❑ Excavation p Sanitary Sewer Main ❑ Drainage Channel Excavation ❑ Fire Lane p Flume ❑ Slope Protection/Retaining Wall ❑ Bridge ❑ Inlet p 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 the 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: $17661.`'22 Date Paid: 'daft f l 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 @ 972-304-3600 Street Department @ 972-462-5150 Fire Department @ 972-304-3512 Engineering Dept. @ 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 a CD with Autocad.dwg files. NOTE:Street closures are allowed from 9:00 a.m.until 3:30 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. Printing your name indicates your acceptance of the terms and conditions of this form: /47 te Gaa 4s-64 F2-2.--4/0 /2-0 Sign re of Applic t Contact Number r Sivnftei 4,6;4 (-{(e 51 ( ICI Si ature of Inspector Contact Number FOR CITY USE ONLY VO Is the fill area located in an identified flood hazard area? C Yes lo If YES, a Floodplain Development Permit is required before any construction can begin. Is additional information required? ( Yes lo Are ther federal, state, or local permits required? C Yes YinNo ERMIT APPLICATION APPROVED C PERMIT APPLICATION DENIED J ((? Ci 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 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. If 14 11r C r r �` ` Page 3 COFFE1L ' � : . 4 g INSPECTION FEE CALCULATION SHEET Project Name Coppell Commerce Center 2 Date 8-30-13 As per the City of Coppell Subdivision Regulations,the Developer shall pay 4%of the cost of the items to be permitted and inspected by the Engineering Department and dedicated to the City. The Developer shall pay 2% of the items to be inspected by the Engineering Department,but not dedicated to the City such as parking lots,private utilities,private drainage systems and so forth. Inspection fees are due on or before the date of the Pre-construction Meeting. In order to verify the inspection fee due, please provide a copy of the development contract(s) and this spreadsheet with completed calculations to the Engineering Dept. The contract(s) should indicate the cost to construct the following improvements: PUBLIC IMPROVEMENTS a PRIVATE IMPROVEMENTS o CONTRACT AMOUNT X 4/o= CONTRACT AMOUNT X 2/o= Paving 4,000 160 495,000 9,900 Water 23,295 931.8 144,710 2,894.2 Sanitary Sewer 25,841 516.82 Storm Sewer 120,920 2,418.4 Alleys Sidewalks 42,000 840 Other Total !11! P1I!I1 Grand Total (total of 17,661.22 both colored fields) Fr I 972-562-2762 • Fax 972-562-2954 POWELL CONSTRUCTION,INC. P.O. Box 2967 • McKinney, TX 75070 Public Facilities Breakdown Date 9/3/2013 I Project Northlake 635 Coppell,Texas I Item Description Quantity Unit Unit Price Total Section A-Potable Water Facilities 1 8"C900,DR-14,Class 200,PVC Fireloop 15 I.f. $ 23.90 $ 358.50 2 12"x 8"TS&TV 1 ea. $ 3,630.00 $ 3,630.00 3 2"Domestic Water Service 2 ea. $ 1,713.00 $ 3,426.00 4 2"Irrigation Water Service 1 ea. $ 1,680.00 $ 1,680.00 5 8"Detector Check Vault 1 ea. $ 14,201.00 $ 14,201.00 Total Section A-Potable Water Facilities $ 23,295.50 Public Facilities Breakdown $ 23,295.50 II PCI Construction, Inc. Page 1 of 1 PC, 972-562-2762 • Fax 972-562-2954 POWELL CONSTRUCTION,INC. P.O. Box 2967 • McKinney,TX 75070 Private Facilities Breakdown Date 9/3/2013 Project Northlake 635 Coppell,Texas (Item Description Quantity Unit Unit Price Total Section A-Potable Water Facilities 1 8"C900,DR-14,CIass 200,PVC Fireloop 2140 I.f. $ 23.90 $ 51,146.00 2 6"C900,DR-14,CIass 200,PVC Fireloop 174 I.f. $ 19.50 $ 3,393.00 3 6"C900,DR-14,Class 200,PVC Fireline 178 I.f. $ 22.00 $ 3,916.00 4 4"C900,DR-14,Ciass 200,PVC FDC Line 189 I.f. $ 19.10 $ 3,609.90 5 2"SCH40 PVC Domestic Service Line 756 I.f. $ 11.00 $ 8,316.00 6 8"Gate Valve&Box 11 ea. $ 1,298.00 $ 14,278.00 7 6"Gate Valve&Box 10 ea. $ 919.00 $ 9,190.00 8 Standard Fire Hydrant 8 ea. $ 2,673.00 $ 21,384.00 9 Connect to Existing 8"Water Stub 1 ea. $ 784.00 $ 784.00 10 8"x8"tee 2 ea. $ 1,073.00 $ 2,146.00 11 8"x6"tee 10 ea. $ 974.00 $ 9,740.00 12 8"bend 8 ea. $ 578.00 $ 4,624.00 13 6"bend 2 ea. $ 468.00 $ 936.00 14 4"bend 1 ea. $ 363.00 $ 363.00 15 4"Remote Fire Department Connection 2 ea. $ 2,307.00 $ 4,614.00 16 6"Fire line riser 1.0'above F.F 2 ea. $ 1,702.00 $ 3,404.00 17 4"Fire line riser 1.0'above F.F 2 ea. $ 1,433.00 $ 2,866.00 Total Section A-Potable Water Facilities $ 144,709.90 Item Description Quantity Unit Unit Price Total Section B- Sanitary Sewer Facilities 1 6"SDR-26,PVC Sewer 611 I.f. $ 23.60 $ 14,419.60 2 4"SDR-26,PVC Sewer 77 I.f. $ 22.10 $ 1,701.70 3 4'Diameter Standard Manhole 2 ea. $ 3,528.00 $ 7,056.00 4 Double Cleanout 2 ea. $ 503.00 $ 1,006.00 5 Connect to Existing 6"Sewer Stub 1 ea. $ 1,128.00 $ 1,128.00 6 Concrete Encasement 10 I.f. $ 53.00 $ 530.00 Total Section B-Sanitary Sewer Facilities $ 25,841.30 PCI Construction, Inc. Page 1 of 2 (Item Description Quantity Unit Unit Price Total Section C- Storm Drain Facilities 1 36"Class III,RCP Storm Drain 200 I.f. $ 69.50 $ 13,900.00 2 30"Class III,RCP Storm Drain 309 I.f. $ 54.50 $ 16,840.50 3 24"Class III,RCP Storm Drain 501 I.f. $ 41.70 $ 20,891.70 4 18"Class III,RCP Storm Drain 716 I.f. $ 32.70 $ 23,413.20 5 18"HDPE Storm Drain 50 l.f. $ 66.40 $ 3,320.00 6 10"SDR-35 PVC Storm Drain 70 I.f. $ 24.50 $ 1,715.00 7 8"SDR-35 PVC Storm Drain 250 I.f. $ 20.20 $ 5,050.00 8 5'Standard Curb Inlet 2 ea. $ 2,310.00 $ 4,620.00 9 6-Grate Inlet 1 ea. $ 4,524.00 $ 4,524.00 10 4-Grate Inlet 1 ea. $ 3,754.00 $ 3,754.00 11 2-Grate Inlet 3 ea. $ 2,764.00 $ 8,292.00 12 18"Nyloplast Drain 1 ea. $ 938.00 $ 938.00 13 4'Storm Manhole 2 ea. $ 2,750.00 $ 5,500.00 14 36"3:1 Sloped Headwall 1 ea. $ 1,650.00 $ 1,650.00 15 24"3:1 Sloped Headwall 1 ea. $ 1,320.00 $ 1,320.00 16 RCP x HDPE Connection 8 ea. $ 275.00 $ 2,200.00 17 8"-12"Dry Rock RipRap 26 s.y. $ 59.00 $ 1,534.00 18 Connect to Existing Storm Inlet 1 ea. $ 1,458.00 $ 1,458.00 Total Section C-Storm Drain Facilities $ 120,920.40 Private Facilities Total $ 291,471.60 it PCI Construction, Inc. Page 2 of 2 OS : URN C 0 N T R`` A T 0 R S Coppell Commerce—Northlake 635 Business Park Lakeshore Dr. &Beltline Road,Coppell , TX City ROW Concrete Paving— 1,400 SF -$4000 - ($2.86/ SF) Private Property Paving—221,477 SF - $495,000 - ($2.24/ SF) Private Property Sidewalks— 12,300 SF- $42,000—($3.42/SF) AeSX1917 Copper • Garland,TX 75042 • 972.205.9086 • Fax 972.205.9438 a.C: n www.osburncontractors.com III 0 1 CASH RECEIPT Date 1- (C - 1 '''' , 096717 . I' -0 Received From if(A 2 1 ,7` ( Address 1 1 in N - liut ( s',(\i• k Ir'( • f. , f , ,-ii ,, „ , --1--,/ (ruii Dollars$ ' ' i " '• 2-: For (61 '=-1-1 I it III ( -tiro f- , '--7" 21elo 6,...,ce_ 4 r/11, Af A t/Ltrf /-(- g 5 _. ,e4 . :4.1k ,..7t- / a , .2 r 8 ACCOUNT HOW PAID }c•2 AMT OF 1— co ACCOUNT CASH cc 2 - 6 AMT PAI ly; / • r CHECK . -..,.. 12/: il . J, 9. • , BALANCE MONEY ORDER D By f ;7 '(- 14,, DUE CREDIT CARD 0 i ii I 1 (•1// J BOB MOORE CONSTRUCTION,INC. • ARLINGTON,TEXAS 76011 • (817)640-1200 City of Coppell 9/3/13 $17,661.22 #70151/1100 Permit BOB MOORE CONSTRUCTION, INC. FORFROST BANK 30-9 T WOR 1-1-1,TEXAS 1140 1110 N.WATSON ROAD ' '••••• ARLINGTON,TEXAS 76011 ----= ____ (817)640-1200 . DATE CHECK NO AMOUNT 9/3/2013 98311 $17,661.22 ****Seventeen Thousand Six Hundred Sixty One Dollars & 22/100**** CITY OF COPPELL PAY 15 TO THE ORDER OF