HomeMy WebLinkAbout0007153310/03/01 09:20 $979 764 3496 DEVELOPMENT SVCS Z001
FOR QFF1C~ [ S; Y
CASE No.; ,
DATE SUBMITTED-
SUBMITTAL -
SUBMITTAL CHECKED BY:
PUBLIC IMPROVEMENT PERMIT (PIP) APPLICATION
MINIMUM SUBMITTAL REQUIREMENTS
Attac04 opies of a facility layout plan, which may include the following:
_ Location, identification, and dimensions of ROW and pavement edge/curb)
✓ Location of all proposed improvements
Location of all public utilities (existing) - dimensioned from night-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
~L Drainage and/or erosion control plan
Proposed waterway alterations with supporting drainage report
_,V_4 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/Plumbuig plan (must be sealed)
A Structural plan showing details with anchoring, attachment, and material description (roust be sealed)
Private utilities plan- dimensioned from right-of-way or back of curb, material, size
Attach one copy of the following:
Indemnity agreements from abutting fee owners
APPLICANT/PROJECT MANAGER'S INFORMATION (Party responsible for completion of all work associated with
the project):
Name
Mailing Address --7 • 411/1 City -
State --f', Zip Code E-Mail Address
Phone Number / lic'51 - Z.~ 5 Fax Number
PARTY RESPONSIBLE FOR MAINTENANCF: (if party is a group, please provide information for contact person)
NamcJGroup
Mailing Address
City
5
State_ Zip Code Jj r 5 _ E-Mail Address
Phone Number Fax Number
IDENTIFY TI-M TYPE OF WORK TO BE PERFORMED
Electrical Master Electrician
'Irrigation system Master Irrigator
Demolition Structural Contractor
PIP APPUCATION
PTPAPP-DOC 419/99 1 oft
10/03/01
09:21 $979 764 3496 DEVELOPMENT SVCS
Wood fence
Masonry fence
sign(s)
Facade
Awning
Cafe
Canopy
Benches
Bike racks
0002
*Structural Contractor
*Structural Contractor
*Sign Contractor
Structural Contractor
Structural Contractor
*Structural Contractor
*Structural Contractor
Landscaping *Landscapc Architect/Company oI3
Waterway Alterations Design Engineer
Other (please describe)
_ i-avc E1~ P K1'nt~ szr~ nn/ CAS t~GAt~ D/l'.
Identify party to perform this work:_ _4.✓
*the starred hems may not require that structural contractors, sign contractors, or landscapers perform the work -
contact applicable City Departments for determination
IDENTIFY THE FOLLOWING: ~
The total valuation of the work: S _
The total square footage of the site:
The total linear feet of water lines crossing under paved road:
Estimated cost of future relocation of improvements: $ ~J-
I hereby verify that the information contained in this application is true and complete, to the hest of my knowledgu. i
understand that the City has the authority to inspect the work to be conducted within the public right-of-way at any time. I
also understand that this permit may be revoked at any time at the discretion of the City Officials,
o...~~ of
Applicant's signature Date applied
Conditions of Approval:
Authorization of City Engineer
PIP APPLICATION
PIPAPP.DOC 4/9199
Date approved
20(2
10/03/01 09:20 $979 764 3496 DEVELOPMENT SVCS 2001
FOR UFF`IC ~T Y
CASE Nck;
DATE SUBMITTED-
SUBMMAL CHECKED BY:
PUBLIC IMPROVEMENT PERMIT (PIP) APPLICATION
MINIMUM SUBMITTAL REQUIREMENTS
Attaeh0opies of a facility layout plan, which may include the following:
Location, identification, and dimensions of ROW and pavement edge/curb)
✓ Location of all proposed improvements
✓ Location of all public utilities (existing) - dimensioned from right-0f--way or back of curb, material, size
If applicable, the`facility layout plan must include the following (these ,nay be drawn on separate sheets):
L9 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
_6~14 Landscape plan showing the location and type of plantings (existing and proposed, moth common names and
scientific)
__444 The cost estimate for relocating any public facilities associated with the work
_y1.4 An electrical plant
__4V_4 Irrigstion/Plumbing plan (must be sealed)
✓ A Structural plan showing details with anchoring, attachment, and material description (must be sealed)
_r/ Private utilities plan- dimensioned from right-of-way or back of curb, material, size
Attach one copy of the following:
A Indemnity agreements from abutting fee owners
APPLICANT/PROJECT MANAGER'S INFORMATION (Party responsible for completicm of all work associated with
the project):
Name Z'J ,.S ,.i/ s'T/lu 7,' fln~ C
Mailing Address _19111, city 6
State _zZ Zip Code ZZ11-5 E-Mail Address
Phone Number - 7.? `Fax Dumber eri t2 - 162 V1
PARTY RESPONSIBLE FOR MAINTINANCF: (if party is a group, please provide information for contact person)
NamatGroup
Mailing Address 1/4!`l,~7 City
State- Zip Code 77/_S E-Mail Address
Phone Number Fax Number e< q
IDENTIFY THE TYPE OF WORK TO BE PERFORMED:
Electrical Master Electrician
Irrigation system Master Irrigator
_„_Demolitiou Structural Contractor l
PIP APPLICAITON
PTAPP.WC 419149 1 oft
10/03/01 09:21 '$979 764 3496 DEVELOPMENT SVCS U002
-
Wood fence
Masonry fence
Sign(s)
Facade
Awning
Cafe
_ Canons
Benches
Bike racks
Landscaping
*Structural Contractor 2'~// --5 • f~4.l'trn/ 1 N
*Structural Contractor
*Sip Contractor
Structural Contractor
Structural Contractor
*Structural Contractor
*Structural Contractor
*Landscapc Arehitect/Company 2_aa %
-Waterway Alterations Design Lnginccr -
Other (please describe)
rie
ldcntify party to perform this work:- e / .S Jr
*the starred items may not require that structural contractors, sign contractors, or landscapers perform the work -
contact applicable City Departments-for determination
IDENTIFY THE FOLLOWING: ~
The total valuation of the work: S /
The total square footage of the site:
The total linear feet of water lines crossing under paved road: -
Estimated cost of future relocation of improvements:
I hereby verify that the infonnation contained in this application is true and complete, to the best of my kwwledge. i
understand that the City has the authority to inspect the work to be conducted within the public right-of-way at any time. I
also understand that this permit may be revoked at any time at the discretion of the City Officials. Ole rl
i
Applicant's signature Dale applied
Conditions of Approval:
Authorization of City Engineer
Date approved
2 of 2
PIP A"UCATiON
PIPAPP.DOC 419W