HomeMy WebLinkAboutCO2020-3773 UNDER CONSTRUCTION _
CORRECTION LETTER_
PW OR LID NEEDED _
TD NO LETTER_
WAITING FIRE_
HOLD_
CODE _
C/O CHECK LIST
C/O PERMIT # P20 - 577 3
ADDRESS: I O1 vi
p "�
BUSINESS NAME: 1�25>°QI((1• L(.�,., F31dg)
BUSINES PROPERTY
✓CHANGE NAME OWNE NEW CONST/ADDITION PERMIT#
NEW TENANT/OC UPANT - REMODEL /ALTERATION PERMIT#
ISSUE DATE FINAL DATE
v 1. APPLICATION FORM COMPLETED
✓2. ZONING MAP COPIED & WORKORDER FORM COMPLETED
3. HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATE
(SCAN TO C/O IN MYGOV-IF LARGE SET,ALSO SCAN TO LF&FORWARD SET TO FIRE)
4. FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE
5. ZONING CHECKED & COMPLETED ON APPLICATION
✓ 6. BUILDING INSPECTION SCHEDULED DATE TIME
✓ 7. FIRE DEPT. INSPECTION SCHEDULED DATE TIME
FIRE INSPECTOR:
8. CITY SECRETARY(ALCOHOL) NOTIFICATION DATE:
9. HEALTH INSPECTION NOTIFICATION DATE:
1 10. PUBLIC WORKS INSPECTION E-MAIL DATE
11. LOT DRAINAGE INSPECTION E-MAIL DATE
12. CORRECTION LETTER SENT DATE
113. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO
1� 14. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO
15. HEALTH DEPARTMENT SIGN OFF
16. CITY SECRETARY(Alcohol License Sign Off)
17. PUBLIC WORKS SIGN OFF
V. LOT DRAINAGE SIGN OFF
/19. LANDSCAPING SIGN OFF
✓ 20. BUILDING OFFICIALS SIGNATURE
21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOV: I
* CONDITIONS TO BE TYPED ON C/O? YES/NO MAILED: T``'
O IFORMSIDSCOINFORMATIONICKLIST
14/30/041 Rev l Ml M15,5110
�G�R AA ggTTTT DATE OF ISSUANCE 1D/a )o—Le�
T E x A s PERMIT#: ���J7��
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: I ]n( ��n2rt/{W Cs T I I w 1 ,RPVFv ' J X Ce�S
SUITE#
LOT: BLOCK: SUBDIVISION:
****CERTIFICATE OF OCCUPANCY WIL�jNOT BE ISSUED WITHOUT LEGAL DESCRIPTION****
� �`
NAME OF BUSINESS: Atcu, ts-ea Cl- TT- LLG
NEW OCCUPANT:_lYQ NEW BUILDING/PROPERTY OWNER- YES
NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE: YES
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: Y S Off_
�! /���� NEW BUSINESS OWNER: YES O
TYPE OF BUSINESS: Y t C� �t'ilA pdw I xnx SQUARE FOOTAGE: 3 Z(0 p
(Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restaurant) W n
NAME OF TENANT [PERSON'SNAMEI: 49, q€-A (-7If
CURRENT MAILING ADDRESS: 1312 An i Ab pZ .
CITY/STATE/ZIP: '�OU-rm <,A f`KC 7 /bd!�' ' PHONENUMBER:
PROPERTY OWNER: H Fh 1 f4n kc S F P R C N { Xi L. Lc-
MAILING
ADDRESS: 5 �I / J b e T`. W Ems' S '-T U31 �7
CITY/STATE/ZIP: Q2 A ?e Q I N C` ) I _I 0 0� f PHONE NUMBER:
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes,provide copy of Sales Tax Certificate)---- YES
♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes,provide copy of Alcoholic Beverage Permit) -YES
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED?------------- ------ YES
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM?------YES
♦ WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY?
(if yes,screening is required)---------------- ----- ------------------------------------- YES_NO_
♦ WILL THERE BE ANY OUTSIDE STORAGE(including storage of company/fleet vehicles),DISPLAY,
USE OR DINING?--------- ------------ --------------------------------------------- YES
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?--- ------------- -------- - YES_N)O__
♦ IS BUILDING SPRINKLERED? ---------------------------------------------- --------- YES
♦ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS? �
(if yes,provide list of types&quantities,along with material safety data sheets)----------------------YES—?v 7—
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THE SAID
OCCUPANCY IS IN CONFORMANCE WITH THE INFORMATION HEREIN SET FORTH.
(If access to the buildi tg/space is not provided at the time of the scheduled inspection,a$42.00 re-inspection fee will be charged)
FOR QUESTIONS PL S1 ♦CALL(817)410-3165. /
SIGNATURE: JJ�\ p / PRINT NAME: �ln t
f F PHONE#: 3 I a c, �} 11 l EMAIL: �
(OVER)
Development Services Department
The City of Grapevine *P.O.Box 95104*Grapevine,Texas 76099 *(817)410-3165
Fax(817)410-3012 *www.grapevinetexas.gov
O:FORMSMSAPPLICATIONS-FEES
312001 Rev:5/06,2107,4M9,Vl3,11115,10116,8/18,10/20
TEXASSALESTAX
Texas Sales Tax is charged and collected on sales within the State and City of Grapevine,Texas of"taxable items."Taxable
items include both tangible personal property,specified services. If you are in a business that will he selling"taxable items"
within the City of Grapevine,Texas you will be required to collect State and Local Sales Tax in the amount of 8.25%.
A"Seller or Retailer"means a person engaged in the business of making sales of"taxable items",the receipts from which are
included in the measure of sales or use tax.
The term,"place of business"includes any location at which three or more orders are received by the"Seller or Retailer
in a calendar year.If an order is received at the place of business of a retailer in Texas,but delivery or shipment is made
from a location within the state other than the retailer's place of business. State and local sales tax is due and is allocated to
the city where the order was received.
I have read the above and I understand that I will be required to provide a copy of the Sales Tax Permit to the City of
Grapevine,Texas if the circumstance applies to my business.
Texas Sales Tax Number:
Signature:
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS:
CITY, STATE, ZIP:
OFFICE USE
TYPE OF CONSTRUCTION OCCUPANCY: DIVISION:
ZONING DISTRICT: CONDITIONAL USE:
PERMITTED USE: ^ O• G OCCUPANT LOAD: Z
BUILDING DEPARTMENT- IL DATE: ��-�9 •ZG
BUILDING INSPECTOR: DATE: �D o21—o
ZONING APPROVAL: DATE: !1
FIRE DEPARTMENT: I1 LIAIJ[� I�IYW�"S DATE:
LOT DRAINAGE INSPECTION: DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTMENT: DATE:
CITY SECRETARY: DATE:
LANDSCAPING APPROVAL: W . DATE: In - l— 20
APPROVAL FOR ISSUANCE: DATE:
O:FORMSMAPPLICATIONS-FEES
3/2001/Rev:5/06,vW,4/09,213,11/15,10/16,8/18,10/20
CERTIFICATE OF OCCUPANCY
Issue Date:October 21,2020
PROJECT DESCRIPTION:C/O(Shell Building)"Health Research TX Li[CHANGE OF SHELL BUILDING
OWNERSHIP]
'S` ! PROJECT# (817)410-3010 Www.mygov.us
CO-20-3773 Inspections Permits
City of Grapevine
P.O.Box 95104 LOCATION TENANT LEGAL
Grapevine,TX 76099 Health Research TX LLC Health Research TX LLC Capili Addition Elk 1 Lot 1
(817)410-3165 Voice 1501 W Northwest Hwy. [SHELL BUILDING]
(817)410-3012 Fax Grapevine,TX 76051
CONTRACTOR INFORMATION
Ahmar Qureshi *CONSTRUCTION TYPE VB
1501 W. Northwest Hwy. *OCCUPANCY GROUP SHELL
Grapevine,TX 76051
'OCCUPANCY LOAD 32
(312)404-3868 Phone
*ZONING DISTRICT HC
OWNER '*NAME OF BUSINESS Health Research TX LLC
Health Research TX LLC **TYPE OF BUSINESS Shell Building
1501 W Northwest Hwy
**APPLICANT NAME Ahmar Qureshi
Grapevine,TX 76051-3143 **APPLICANT PHONE NUMBER 3124043868
ph. (312)404-3868
**TENANT NAME Ahmar Qureshi
AVAILABLE INSPECTIONS **TENANT PHONE NUMBER 3124043868
r Final Building C/O Inspection(required) *Sales Tax NO
Final Fire Dept Inspection (required)
ii� Landscaping(required) *Sales Tax Number
C/O APPROVED FOR ISSUANCE Alcoholic Beverage Sales NO
(required)
Alterations NO
Change of Business Name NO
Change of Business Owner YES
County Tarrant
Fire Sprinkler System? NO
Freight Forwarding Business NO
Hazardous Material NO
Industrial Waste NO
New Building/Addition NO
New Building or Property Owner NO
New Occupant/Tenant NO
Number of Employees
Outside Refuse/Recycling NO
Outside Storage NO
Signs NO
Square Footage 3200
Zoning HC-Highway Commercial
FEES TOTAL=$50.00
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-20-37731 Printed 10/22/20 at 8',53 a.m. Page 1 of 3
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CERTIFICATE OF OCCUPANCY
WORKORDER ��
PERMIT # 20 - 377 3 ,f� nA
ADDRESS OF INSPECTION: ��� ✓V �jw�gwe\z4 T�w�
DATE OF INSPECTION: -a1�-�.� ) TIME OF INSPECTION:
NAME OF BUSINESS: L Rl�!Se rd, '1--7, , L J-(.
TYPE OF BUSINESS: a4l Mlrl�
USE OF BUILDING AND/OR PREMISES: I A \
REASON FOR APPLYING: 1)K.w cy ze! C �rjJ f 6Q 1
CONTACT PERSON:
TELEPHONE NUMBER:
COMMENTS/VIOLATIONS:
a�
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF`INSPECTION LOCATION: OCCUPANT LOAD:
TYPE OF BUILDING: V GROUP AND DIVISION:
ZONING RESTRICTIONS:
O.PORM$OSCOWFORMATIOiN A ORM)ROER
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