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Sandy Lk Cross L3R-PT190104T M [ G I T Y O F C FPELL CONSTRUCTION DEVELOPMENT PERMIT APPLICATION Name of Applicant Evans & Son, Inc. Date Submitted 1/4/2019 Address of Applicant 125812 Springbrook Ave. Santa Clarita, CA 91350 Phone Number 661-254-8787 Fax Number Location of Construction (address, if available): 1105 S. Denton Tap Rd. Subdivision Sandy Lake Crossing Section # Block # Lot # 3R OR Survey/Abstract # Acreage Location description (attach vicinity naap): 1. 2. Corner of Denton Tap Road and Sandy Lake 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 pizvate property) Description of Construction Permit requested: ❑X Paving ©X Sidewalk Drive Approach ❑X Excavation Fire Lane Bridge Median or Landscape ©X Water Main R.C.P. ®X Sanitary Sewer Main Flume Inlet Box Culvert Rip Rap 0 Fill Area Drainage Channel Excavation Slope Protection/Retaining Wall OX Parking Lot Provide an attachment containing the name and 24 -hr. contact of supervisor(s) for every contractor working under this general permit. phone number 3.A11 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: 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 @ 972462-5150 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. unti13:30 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: Michael Grimes Signature of Applicant Signature of Inspector 661-510-9483 Contact Number Contact Number FOR CITY USE ONLY Is the fill area located in an identified flood hazard area? �' Yes C' No If YES, a Floodplain Development Permit is required before any construction can begin. Is additional information required? C Yes (" 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, or cause of action that may be made or come against it by reason of or if any way arising out of the blocking, excavating, cutting, tunneling, or other work by the applicant under permit from the City, permit is granted. demand closrtre, if such T FI I< � 1 'i` Y � 9 F ���� �. .i � y INSPECTION FEE CALCULATION SHEET Project Name Capital One Date 1/11/19 Page 3 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 contracts) and this spreadsheet with completed calculations to the Engineering Dept. The contracts) should indicate the cost to construct the following improvements: Grand Total (total of both colored fields) 8,248.13 Submit by E-mail Print Form PUBLIC IMPROVEMENTS CONTRACT AMOUNT o X 4 /o = PRIVATE IMPROVEMENTS CONTRACT AMOUNT o X 2 /o = Paving 326,310.69 6,526.21 Water 9,138 182.76 Sanitary Sewer 3,525 70.5 Storm Sewer 23,433 468.66 Alleys Sidewalks 25,000 1,000 Other Total 25,000 1,000 362,406.69 7,248.13 Grand Total (total of both colored fields) 8,248.13 Submit by E-mail Print Form