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Subaru- PT150713PPELL -Wr A CONSTRUCTION DEVELOPMENT PERMIT APPLICATION Name of Applicant j e aA aA Date Submitted Address of Applicant 1 15-01 L 8,,Y Frew0&- y - r �e Phone Number `� ��Z 7�DD Fax Number �^ Location of Construction (address, if available):fOa Subdivision Section # Block # Lot # OR Survey/Abstract # Acreage Location description (attach vicinity map): m?j n f �rlt a o,rh�uaV 1. Type of proposed construction or development: Residential C._'� Alteration of a natural waterway drainage course Non -Residential n Other (describe & attach drawing or sketch) Placement of bill (in fight -of -way or on private property) 2. Description of Construction Permit requested: dPaving [Sidewalk ❑ Drive Approach ❑ Excavation ❑ Fire Lane ❑ Bridge ❑ Median or Landscape [Water Main GZ�R.C.P. unitary Sewer Main ❑ Flume ❑ Inlet ❑ Box Culvert ❑ Rip Rap ❑ Fill Area ❑ Drainage Channel Excavation ❑ Slope Protection/Retaining Wall ❑ Parking Lot Provide an attachment containing the name and 24 -hr. contact phone number of supervisor(s) for every contractor worldng 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 PIan 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: , Date Paid: - _ - = -- - - 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) )o -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: nature of Applic P`S Signature of Inspector �O'q -67,71 —g8'Z_9 Contact Number q(11 Contact Number FOR CITY USE ONLY Is the fill area located in an identified flood hazard area? O Yes ig�No If YES, a Floodplain Development Permit is required before any constr701 n cart begin. C? Yeso Is additional information regwred. A e other federal, state, or local permits required? O Yes eNo ERMIT APPLICATION APPROVED O PERMIT APPLICATION DENIED (TI Date Applicant shalt 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 front the City, if such permit is granted. wi Iv C 3 T Y o f Page 3 :�' 3�fa INSPECTION FEE CALCULATION SHEET Project Name I Cj0�rQ k✓TS Date r7 t 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 Iots, private utilities, private drainage systems and so forth. Inspection fees arE due on or before the date of the Pre-constiuction 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: Grand Total (total of both colored fields) t PUBLIC IMPROVEMENTS CONTRACT AMOUNT X 4% PRIVATE IMPROVEMENTS CONTRACT AMOUNT X2%= Paving _ ---- ( cIZ-7 t'2(''2— `Zu c;4,S "4 Water —1 LA (32 ?z) 00 E 12— — CO ". (p ` C)2 9 , `3 Sanitary Sewer —31k [ (D G3 , r Storm Sewer () 'qL4 Alleys -- -- — Sidewalks Other -- Total Grand Total (total of both colored fields) t Page 1 of 2 July 13, 2015 CalHar The Conlan Co. Construction, Inc. Public Quantities for Site Utilities at Subaru of America BTS in Coppell, Texas. ITEM DESCRIPTION QTY UNIT UNIT PRICE TOTAL SUBARU WATER - PUBLIC (ST 6+60 - ST 19+68) 1 8" DR 14 1308 LF $ 22.00 $ 28,776.00 2 6" DR 14 Fire Hydrant Lead 103 LF $ 19.00 $ 1,957.00 3 8" Gate Valve 5 EA $ 1,700.00 $ 8,500.00 4 6" Gate Valve 5 EA $ 1,165.00 $ 5,825.00 5 8" Fittings 9 EA $ 650.00 $ 5,850.00 6 12"x10" Tapping Sleeve & Valve 1 EA $ 6,200.00 $ 6,200.00 7 2" Domestic Service with Meter (No Backflow) 1 EA $ 3,500.00 $ 3,500.00 8 Standard Fire Hydrant 5 EA $ 2,730.00 $ 13,650.00 TOTAL $ 74,258.00 SUBARU PUBLIC $ 74,258.00 2138 Ca1Har Drive Melissa, TX 75454 Bus: 972-838-2888 Fax: 972-838-2299 Page 2 of 2 WATER 1 8" DR 14 1457 LF $ 22.00 $ 32,054.00 2 6" DR 14 Fire Hydrant Lead 139 LF $ 19.00 $ 2,641.00 3 10" DBL. Detector Check/Vault 1 EA $ 21,500.00 $ 21,500.00 4 8" Gate Valve 8 EA $ 1,700.00 $ 13,600.00 5 6" Gate Valve 4 EA $ 1,165.00 $ 4,660.00 6 8" Fittings 8 EA $ 650.00 $ 5,200.00 7 2" Irrigation Service with Meter (No Backflow) 1 EA $ 3,500.00 $ 3,500.00 8 Standard Fire Hydrant 6 EA $ 2,730.00 $ 16,380.00 9 Connect to 8" Stubout 2 EA $ 500.00 $ 1,000.00 10 Remove Plug/Install Fire Hydrant 2 EA $ 500.00 $ 1,000.00 11 10" DR 14 Fire Line to within 5' of Building 180 LF $ 35.00 $ 6,300.00 12 10" Fire Line Riser into Building (1' above F.F.) 1 EA $ 4,350.00 $ 4,350.00 13 2" PVC Domestic Line to within 5' of Building 180 LF $ 16.00 $ 2,880.00 TOTAL $ 115,065.00 SANITARY SEWER 1 8" SDR 35 1221 LF $ 30.00 $ 36,630.00 2 6" SDR 35 70 LF $ 28.00 $ 1,960.00 3 Std. 4' Diam. Manhole (5'- 9' Deep) 4 EA $ 4,375.00 $ 17,500.00 4 Connect to Existing Manhole (10' Deep) 1 EA $ 2,500.00 $ 2,500.00 5 6" Dbl. Cleanout 2 EA $ 550.00 $ 1,100.00 TOTAL $ 59,690.00 STORM SEWER - PUBLIC 1 48" RCP CL III 763 LF $ 140.00 $ 106,820.00 2 42" RCP CL III 658 LF $ 115.00 $ 75,670.00 3 36" RCP CL III 652 LF $ 91.00 $ 59,332.00 4 30" RCP CL I11 260 LF $ 69.00 $ 17,940.00 5 24" RCP CL III 681 LF $ 54.00 $ 36,774.00 6 18" RCP CL 111 711 LF $ 45.00 $ 31,995.00 7 42" RCP Plug 1 EA $ 900.00 $ 900.00 8 30" RCP Plug 1 EA $ 800.00 $ 800.00 9 18" RCP Plug 1 EA $ 600.00 $ 600.00 6 48" Sloped Headwall 1 EA $ 2,600.00 $ 2,600.00 7 7'x4' Sloping Headwall 1 EA $ 6,500.00 $ 6,500.00 8 6'x6' Manhole (12' Deep) I EA $ 8,625.00 $ 8,625.00 7 5' Diam. Manhole (9' Deep) 1 EA $ 4,750.00 $ 4,750.00 9 Precast 7'x4' Box Culvert 965 LF $ 275.00 $ 265,375.00 10 Precast 5'x4' Box Culvert 318 LF $ 185.00 $ 58,830.00 11 Precast 5'x5' Y -Inlet (14' Deep) 1 EA $ 7,700.00 $ 7,700.00 8 Precast 6 -Grate Inlet (4' Deep) 19 EA $ 4,950.00 $ 94,050.00 9 Precast 5'x5' Y -Inlet (4' Deep) 1 EA $ 4,300.00 $ 4,300.00 TOTAL $ 783,561.00 SUBARU REMAINING BALANCE $ 958,316.00 ---------------------------------------------------------------------------------------------- 2138 Ca1Har Drive Melissa, TX 75454 Bus: 972-838-2888 Fax: 972-838-2299