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Vista Point II 6-PT140102 T H [ • C I TV • O r COFFELL 7t- CONSTRUCTION DEVELOPMENT PERMIT APPLICATION Name of Applicant CLA Coppell,LLC Date Submitted 11-25-13 Address of Applicant 3131 E.Camelback Road,Suite 420,Phoenix,AZ 85016 Phone Number 602-707-6995 Fax Number Location of Construction (address, if available): 811 N. MacArthur Blvd. Subdivision Vista Point II Section # Block# A Lot# 6R OR Survey/Abstract It Acreage 2.63 Location description (attach vicinity map): NWC of MacArthur Blvd.and Forest Hill Drive 1. Type of proposed construction or development: C Residential C Alteration of a natural waterway drainage course C: Non-Residential C Other (describe & attach drawing or sketch) C Placement of Fill (in right-of-way or on private properly) 2. Description of Construction Permit requested: ® Paving 0 Median or Landscape 0 Box Culvert Q Sidewalk El Water Main 0 Rip Rap Drive Approach Q R.C.P. © Fill Arca Q Excavation Q Sanitary Sewer Main ❑ Drainage Channel Excavation Q Fire Lane El Flume fl Slope Protection/Retaining Wall EI Bridge Q Inlet Q 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. 1 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 D e: $10,096.92`j 413 Date Paid: /.2h3/43 NOTE: A separate • . , l'•1 r • •, : s 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 0 972-462-5150 Fire Department @ 972-304-3512 Engineering Dept. CO 972-304-3679 rAttach barricade plan I 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 tiles. 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: Carl Frontera 16027076995 Signature of Applicant Contact Number t-A 12 VIN —1 Si Co —1 10 —7 Signature of Inspector Contact Number FOR CITY USE ONLY Is the fill area located in an identified flood hazard area? C Yes (CIo If YES, a Floodplain Development Permit is required before any construction can begin. Is additional information required? C Yes ( No A e other federal, state, or local permits required? C Yes �io ERMIT APPLICATION APPROVED C PERMIT APPLICATION DENIED 4 !fib, City °4; . - ` 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. T ti It - C I T Y . o F Page 3 FELL $ op N. ti INSPECTION FEE CALCULATION SHEET Project Name CLA Coppell Date 11-25-13 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 X 40��_ PRIVATE IMPROVEMENTS X 2%= CONTRACT AMOUNT CONTRACT AMOUNT Paving 142,261 Water 41,604 Sanitary Sewer 76,492 Storm Sewer 95,699 Alleys 0 Sidewalks 18,000 Other 130,790 Total 504,846 10,096 92 Grand Total (total of 10,096.92 both colored fields) Submit by E-mail Print Form I I- 1 CASH f2 /.3 f 1 Dat 096733 RECEIPT e Received From efnn 17>iZO ��5 = 1,e.., jf ,� } ap $ccv Address U i5�� i�C?" j G ft� .�/ / e� 8 8 1 Dollars$2Y l 2 G -1.-v a' Far /e . lit S'FCV!/Q/t• FOO" O�r! �`,C- 16 . ` CM ACCOUNT HOW PAID R AMT,OF .. ACCOUNT CASH O AMT.FAI V.V. CHECK A BALANCE MONE VRDER9 sy t,]` _ DUE::... -.' CREDTTCARD ' i_ .. + i• ', - : . ... ... ) Ent Name Acct No Invoice Date P.O. Num Reference Amount Discount Net 107903 CLA-Coppell TX 1320-00 Permit App. 12/5/2013 16027076995 10,096.92 0.00 10,096.92 107903 CLA-Coppell TX 1320-00 VisaPoint II 12/5/2013 Development Fees 16,415.00 0.00 16,415.00 Payor: EPR Properties Date Check No. Check Amount Payee: City of Coppell 12/5/2013 040968 26,511.92 Retain this statement for your records . an THE FACE OF THIS DOCUMENT HAS MICROPRINTING.DO NOT CASH IF MISSING.THE BACKGROUND WILL EXPOSE A HIDDEN VOID WHEN PHOTOCOPIED. 2 I EPR Properties 909 WALNUT SUITE 200 UMB BANK NA KANSAS CITY, MO 64106 18-69 1010 Date Check No. Check Amount 12/5/2013 040968 $26,511.92 Twenty Six Thousand Five Hundred Eleven AND 92/100 Dollars■ Pay to the order of VOID IF NOT CASHED WITHIN 120 DAYS WITHIN DATE OF ISSUE City of Coppell la • --- ._._-...____.----- -.-_.._._.__._..-.-.__...___.- _ _-