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0007155005/01/01 11:30 From: Bridgette George 979-764-3896 Page 2 of 4 FOR OFFICE USE CASE NO.: I DATE SUBMITTED: SUBMITTAL CHECKED BY: PUBLIC IMPROVEMENT PERMIT (PIP) APPLICATION 3310 Goo~m ra ' rlIL Rd MINIMUM SUBMITTAL REQUIREMENTS Attach 4 copies of a facility layout plan, which may include the following: Location, identification, and dimensions of ROW and pavement edge/curb) y Location of all proposed improvements &----Location of all public utilities (existing) - dimensioned from right-of-way or back of curb, material, size If applicable, the facility layout plan must include the following (these may be drawn on separate sheets): JA signage plan - include dimensions of sign (s), location from back of curb, materials, elevation drawing Drainage and/or erosion control plan Proposed waterway alterations with supporting drainage report Landscape plan showing the location and type of plantings (existing and proposed, both common names and scientific) The cost estimate for relocating any public facilities associated with the work An electrical plan IrrigatiowPlumbing plan (must be sealed) A Structural plan showing details with anchoring, attachment, and material description (must be sealed) Private utilities plan- dimensioned from right-of-way or back of curb, material, size Attach one copy of the following: Indemnitti agreements from abutting fee owners _ .PPLICA_ T/PROJECT 1 A.NAGER'S INFORNLkTION (Party responsible for completion of all work associated with the project): Name Mailing, Address 7G07/s.os~rsst~eK & S-re Z5 a8 City ~°'`-•~~`J'~ `s~i°'~~ State />c - - - - Zip Code 77~yU E-Mail Address Phone Number fZf -7C~- DOV _Fax Number PARTY RESPONSIBLE FOR MAINTENANCE: (if party is a group, please provide information for contact person) Name Group - / tota.yr Mailine Address Z'g~ , e 2 ~7c 2~ ZB City State T PIP APPLICATION PIPAPP.:?JC 5 1,'01 Zip Code 7,7,=A00E-fail Address 1 of 2 2 05/01/01 11:30 From: Bridgette George 979-764-3896 Page 3 of 4 Phone Number 46;: -Fax Number y'7S"76/~` - !9S 1DENTIFY'IHE TYPE OF WORK TO BE PERFORMED: l ICan,cal Master Electrician Irrigation system Master Irrigator Demolition ~4'ood fence \4a sonry fence 6<pn(s) Facade A ninQ Cafe -Canopy Benches Bike racks I:andscaping Waterway Alterations Other (please describe) Structural Contractor *Structural Contractor, *Structural Contractor, *Sign Contractor Structural Contractor- Structural Contractor *Structural Contractor *Structural Contractor *Landscape Architect-Company i0~•~ c% v4/leaKy AA'A rJaeAmisr Design Engineer Identify party to perform this *thc starred items muy not require that structural contractors, sign contractors, or landscapers perform the work- - ~ntcr r applicable City Departments )r determination IDENTIFY THE FOLLOWING: The total valuation of the work: $ ~v The total square footage of the site: ~~r~S'4►FT The total linear feet of water lines crossing under paved road: 'Zell Estimated cost of future relocation of improvements: 14~ I hereby verift- that the information contained in this application is true and complete, to the best of my knowledge. I understand t Pat the City has the authority to inspect the work to be conducted within the public right-of-way at any time. I also and tand tha permit may be revoked at any time at the discretion of the City Officials. o,, Cam/ - A14 Applicant's signatu Dat applied Conditions of approval: PIP APPLIC\TIO\ PTPAP?.T)JC 01 of', 3 05/01/01 11:30 From: Bridgette George 979-764-3896 Page Z of 4 FOR OFFICE [SE N~ ' CASE 01 DATE SUBMITTED: SUBMITTAL CHECKED BY PUBLIC IMPROVEMENT PERMIT (PIP) APPLICATION MINIMUM SUBMITTAL REQUIREMENTS Attach 4 copies of a facility layout plan, which may include the following: Location, identification, and dimensions of ROW and pavement edge/curb) y Location of all proposed improvements c/ Location of all public utilities (existing) - dimensioned from right-of-way or back of curb, material, size If applicable, the facility layout plan must include the following (these may be drawn on separate sheets): "--A signage plan - include dimensions of sign (s), location from back of curb, materials, elevation drawing Drainage and' 'or erosion control plan Proposed waterway alterations with supporting drainage report Landscape plan showing the location and type of plantings (existing and proposed, both common names and scientific) The cost estimate for relocating any public facilities associated with the work An electrical plan Irrigation!Plumbing plan (must be sealed) A Structural plan showing details with anchoring, attachment, and material description (must be sealed) Private utilities plan- dimensioned from right-of-way or back of curb, material, size Attach one cope of the following: Indemnit,,agreements from abutting fee owners _ PPLICAN PROJECT 1\.4ANAGER'S INFORNLATION (Party responsible for completion of all work associated with the proiect): Name j~ %IaiIine Address ,G07/-.os»s, q , % rc & ~S-r.= Z52B City State /tee - - - Zip Code 77~~U E-Mail Address Phone Number _'~F7f 00y _Fax Number - 17;_= PAIZ ['l RE'SPONSIBLE FOR MAINTENANCE: (if party is a group, please provide information for contact person) Name Group %falling Address Cite State T Zip Code 77 yU E-Mail Address PIP APPUC 'MON PTPAPP ?_1C S 1:01 I of'- 2 - 0;/01/01 11:30 from: Bridgette George 979-764-3896 Page 3 of 4 Phone dumber y~~.. 7~9= .-Fax Number f7f 76f : ~$"~~S 1DF.NTIFYTHE TYPE OF WORK TO BE PERFORMED: I :Ie : tri: a] Master Electrician ~irTigation system Master Irrigator I C ~ ~Q~ Demolition Structural Contractor 1-~\4'ood fence .\4asonry fence ''den(s) Facade Awning Cate -Canopy Benches Bike racks Landscaping Waterway Alterations -other (please describe) *Structural Contractor- *Structural Contractor- *Sign Contractor Structural Contractor-' Structural Contractor- *Structural Contractor. *Structural Contractor. *Landscape Architect,'Companv, y~ Design Engineer Identilw party to pertorin this work: *thc starred items muy not require that structural contractors, sign contractors, or landscapers perform the work - c.onta~:r applicable City Deparime nts for determination IDENTIFY THE FOLLOWING: ~ s~~ ~ j!✓i ~ The total valuation of the work $ / Ga!x~- ' The total square footage of the site: The total linear feet of mater lines crossing under paved road: Estimated cost of future relocation of improvements: I herebv verify that the information contained in this application is true and complete, to the best of my knowledge. I understand t Pat the City has the authority to inspect the work to be conducted within the public right-of-way at any time. I also llnd tand tha permit may be revoked at any time at the discretion of the City Officials. d., 2VE91 1157 Applicant's signatu Dat applied Conditions of Approval: PIP APPLICATION PTPAP?DOC'A Ul 2 nf'_ 3