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E-Care-PT140224
T H B C I T Y O F COFFELL , q � 5 E CONSTRUCTION DEVELOPMENT PERMIT APPLICATION Name of Applicant Hill&Wilkinson Construction Group Date Submitted 2-24-14 Address of Applicant 2703 Telecom Parkway,Suite 120 Richardson,Texas 75082 Phone Number 214-299-4389 Fax Number 214-299-4444 Location of Construction (address, if available): 330 S. Denton Tap Road Subdivision Texas Bank Addition Section # Block# A Lot # 1 R2 OR Survey/Abstract # 301 Acreage 1.320 Location description (attach vicinity map): 330 S.Denton Tap Rd. 1. Type of proposed construction or development: C Residential C Alteration of a natural waterway drainage course G 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: Paving Q Median or Landscape ❑ Box Culvert Q Sidewalk Q Water Main 0 Rip Rap • Drive Approach Q R.C.P. Fill Area Q Excavation Q Sanitary Sewer Main Drainage Channel Excavation Q Fire Lane El Flume Slope Protection/Retaining Wall El 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. 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: $5, 9 5 8. 12 Date Paid: 2-24-14 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: Matthew R.Davis 214-681-0298 Signature of Applicant Contact Number Signature of Inspector Contact Number FOR CITY USE ONLY Is the fill area located in an identified flood hazard area? C Yes C No If YES, a Floodplain Development Permit is required before any construction can begin. Is additional information required? C` Yes C' No Are other federal, state, or local permits required? C Yes C No C PERMIT APPLICATION APPROVED C` PERMIT APPLICATION DENIED City Approval 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 H E C I_ T Y • 0 F Page 3 COFFELL INSPECTION FEE CALCULATION SHEET Project Name E-Care Coppell Date 2-13-14 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 PRIVATE IMPROVEMENTS ° CONTRACT AMOUN X 4%= CONTRACT AMOUNT X 2/o= Paving 4,240 169.6 88,405 1,768.1 Water 46,785 1,871.4 30,994 619.88 Sanitary Sewer 2,040 81.6 5,040 100.8 Storm Sewer 23,671 946.84 8,255 165.1 Alleys Sidewalks 900 36 9,940 198.8 Other Total 77,636 3,105.44 142,634 2,852.68 Grand Total (total of 5,958.12 both colored fields) ISubmit by E-mail 1 Print Form O 0 0 o O O ^ o 0 0 0 O o 0"0 0 0 0 0 0 0 0` 'o 69 EA EA 69 69 69 6A 69 69 69 EA 69 69 69:O 69 69 69 EA 00 00 -O o w ; o 0 0' :4 69 EA. b9 w , n , 3 ' o00000000 © OOOO © 000000 © © ., c 0 0 0 0 0 0 0 0 0 0 0 0 0 o.o 0 0 0 0 0 0 c 0� ,d N r N 00 4 0 0 0 0 0 0 0 0 0 0 O 0 0 0 0 0 0 O '.© > M N r V O OT O O 0 EA EA b9 00 b9 0, EA EA EA b9 EA EA 00 0, • N U H N -- N V 00 U O r 0 ,■A O f� 0. O N 00 00 07 M N '0 o O S a '� V vi s❑ vl 00 b9 tel b9 00 O O 1 y, . 69 6A 6A 6A b9 Mn _ cn, �i Q O a al to N z :p▪ — 0 0 0 0 0 0 0 0 0 0 0 0 _. o' z F i. Z 0 0 0 0 0 0 0 0 0 o © © t u 0 0 0 0 0 0 0 0 0 .o 0 O O U ° ' 0 0 0 0 0 0 0 0 0 '0 0 U • C w O Ca . U F, a o4 . a. 0 0 0 0 0 0 o O o 0 0 0 0 0 0 0 0 0 0 0 0 0 'o .� U o 0 0 0 0 0 0 0 0 0 o O O 0 0 O o 0 0 o O o: O Q n^, F- ❑ ❑ w 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0, O b9 EA by EA EA 69 EA b9 b9 b9 EA EA EA b9 6A 6A EA 69 b9 69 b9 EA EA U O ❑ O 6 W u ¢ a 0 0 0 0 o O o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o O o 0 0 0 0 0 0 0 0 0 0 0 O o O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 > b9 69 b9 69 EA EA EA EA EA EA 69 69 6A EA 00 EA 60 60 EA 00 00 00 00 w a ,, 8 W � o 0 0 0 C. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o © o 5 ti o O o 0 o O o 0 0 0 o O o 0 0 0 o O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 © 0 0 w ❑ EA 69 EA EA b9 b9 EA EA EA EA EA EA b9 EA ,A EA EA EA 0 w w O WE . Q W f- 7 w ti rC o --v O O O O O O O O O O O O O O O 0 0 0 0 0 0 © O H O O O O O O O O O O O O O O O O O O O O O O O O D z O O O O O O O O O O O O O O O O O © O O O O O 3 O O EA 69 EA EA EA 69 b9 b9 EA EA b9 EA EA b9 EA EA b9 b9 EA 6A b9 EA EA W F w ❑ y U Om ¢ LL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O O O O O O O O O O O O O O O O O O 0 O O ✓ 00 ci 1 0 0 0 EO 0 0 0 0 0 0 O o OEA 5 N r , O O` O O O b9 b9 EA EA b9 0, 6A _ 0' ❑ eV N V 00 0'O t w 0 60 • w 0 O N 00 00 0E r N 0D © O ✓ WO J EA t 600 6A b9 6r9 EA EA 00 O OM i 4A b9 tJ ,e K cC o M 3 �a — W m � x o w W — a I b O N •• 3 W cm b v Z o z cd c ° P. g t O V .„c.E. o o ° o c .7 O :r. o U U m N µ F W O v u �e ro `u v U W Z -- ai .`, N N ' c V. g s E-o al d ot U £ F- o v ,a x :ti cn c 2 O Z o = C-) a C., cn a w cn a O C7 cn U F, O ea V, M.^4 w N M d' r 00 U o C ¢ ❑O ° 00000000 0 W en U x CJ U U L, C✓ CJ L, Ca February 19,2014 ICaiHar) PAGE 1 OF 2 Construction, Inc. Site Utilities Breakout E-Care Emergency Center 330 S.Denton Tap Rd. Coppell, Texas 75019 Lots 1R2-R, Block A, Texas Bank Addition, 1.320 Acres CalHar Job #213364C ITEM DESCRIPTION QTY UNIT UNIT PRICE TOTAL PUBLIC WATER 1 10" DR 14 20 LF $ 38.00 $ 760.00 2 10" DBL.Detector Check/Vault 1 EA $ 18,250.00 $ 18,250.00 3 6" DR 18 Domestic Line 20 LF $ 18.00 $ 360.00 4 16"x10" Tapping Sleeve/Valve l EA $ 6,900.00 $ 6,900.00 5 16"x6"Tapping Sleeve/Valve I EA $ 5,600.00 $ 5,600.00 6 6"Thick Flowable Backfill under Street 3 CY $ 155.00 $ 465.00 7 3" Domestic Meter/Vault 1 EA $ 11,350.00 $ 11,350.00 8 1"Irrigation Service with Meter&Backflow 1 EA $ 3,100.00 $ 3,100.00 9 Remove/Replace Denton Tap Road Pavement(4'Width) 60 SF $ 18.00 $ 1,080.00 10 Remove/Replace Sidewalk ` 100 SF $ 6.00 $ 600.00„ TOTAL $ 48,465.00 SANITARY SEWER 1 Cut/Connect to Existing 6" Line(6'Deep) I EA $ 1,815.00 $ 1,815.00 2 Remove/Replace Pavement(5'Width) 80 SF $ 17.00 $ 1,360.00 3 Trench Safety 1 LS $ 225.00 $ 225.00 TOTAL $ 3,400.00 STORM SEWER 1 15" RCP CL III 130 LF $ 38.00 $ 4,940.00 2 12" RCP CL III 324 LF $ 34.00 $ 11,016.00 3 Precast 24" Grate Inlet(3'-5'Deep) 4 EA $ 1,250.00 $ 5,000.00 4 Connect to Existing Grate Inlet 1 EA $ 815.00 $ 815.00 5 Connect to Existing Curb Inlet 1 EA $ 1,100.00 $ 1,100.00 6 Remove/Replace Fire Lane Pavement(4'Width) 100 SF $ 18.00 $ 1,800.00 7 Remove/Replace Sidewalk 50 SF $ 6.00 $ 300.00 8 Trench Safety I LS $ 800.00 $ 800.00 TOTAL $ 25,771.00 TOTAL OF PUBLIC WORK $ 77,636.00 2138 CalHar Drive Melissa,TX 75454 Bus:972-838-2888 Fax:972-838-2299 PAGE 2OF2 CaiHar Construction, Inc. PRIVATE WATER 1 10"DR 14 50 LF $ 38.00 $ 1,900.00 2 6" DR 14 Fire Line to within 5'of Building 55 LF $ 20.00 $ 1,100.00 3 6" DR 14 Fire Hydrant Lead 10 LF $ 20.00 $ 200.00 4 4" DR 14 FDC Line to within 5'of Building 58 LF $ 18.00 $ 1,044.00 5 6" Fire Line Riser into Building(1'above F.F.) 1 EA $ 2,100.00 $ 2,100.00 6 4"FDC Riser into Building(1'above F.F.) 1 EA $ 1,750.00 $ 1,750.00 7 4" Fire Department Connection(FDC) 1 EA $ 2,450.00 $ 2,450.00 8 6"Gate Valve 2 EA $ 1,050.00 $ 2,100.00 9 3"Gate Valve 1 EA $ 650.00 $ 650.00 10 10"Fitting(C110) 4 EA $ 955.00 $ 3,820.00 11 6" Fitting(C110) 3 EA $ 585.00 $ 1,755.00 12 4"Fittings(C110) 2 EA $ 480.00 $ 960.00 13 3" Domestic Backflow/Vault 1 EA $ 7,125.00 $ 7,125.00 14 3" PVC Domestic Line to within 5'of Building 105 LF $ 15.00 $ 1,575.00 15 Fire Hydrant 1 EA $ 2,465.00 $ 2,465.00 TOTAL $ 30,994.00 SANITARY SEWER 1 6" SDR 35 106 LF $ 25.00 $ 2,650.00 2 6" Dbl. Cleanout 2 EA $ 700.00 $ 1,400.00 3 Remove Existing Line 30 LF $ 18.00 $ 540.00 4 Trench Safety 1 LS $ 450.00 $ 450.00 TOTAL $ 5,040.00 STORM SEWER 1 8" PVC 35 LF $ 25.00 $ 875.00 2 6" PVC 95 LF $ 24.00 $ 2,280.00 3 4" Perforated Pipe with Fabric 85 LF $ 29.00 $ 2,465.00 4 PVC Fittings 8 EA $ 55.00 $ 440.00 5 12"Nyloplast Inlet/Dome Grate(3'Deep) 2 EA $ 885.00 $ 1,770.00 6 Trench Safety 1 LS $ 425.00 $ 425.00 TOTAL $ 8,255.00 TOTAL OF PRIVATE WORK $ 44,289.00 Please call me if you have any question about this breakout. David Lippert 2138 CalHar Drive Melissa,TX 75454 Bus:972-838-2888 Fax:972-838-2299