HomeMy WebLinkAboutCO2019-5047 UNDER CONSTRUCTION Y*
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
WAITING FIRE
HOLD
CODE
C/O CHECK LIST
C/O PERMIT# PA7 - 6D -/7
ADDRESS:
BUSINESS NAME:
BUSINESS PROPERTY
CHANGE NAME /OWNER NEW CONST/ADDITION PERMIT#
NEW TENANT/ OCCUPANT -W'REMODEL/ALTERATION PERMIT# `{ 1`i",A" ''
ISSUE D 2(�. INAL DATE
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
P, 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:
10. PUBLIC WORKS INSPECTION E-MAIL DATE
11. LOT DRAINAGE INSPECTION E-MAIL DATE
12. CORRECTION LETTER SENT DATE
13. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO
�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
1�. LOT DRAINAGE SIGN OFF
19 LANDSCAPING SIGN OFF
20. BUILDING OFFICIALS SIGNATURE �}
21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: N- 1`
SCAN CERTIFICATE TO MYGOV:
CONDITIONS TO BE TYPED ON C/O? YES/NO MAILED:
09FORMSIDSCOINFORMATIONICKLIST
12130I041 R-11111,11115,5H S
DEC S 0 7 019 * DATE OF ISSUANCE: "h{
!; s �' PERMIT#: J y-7
CERTIFICATE OF OCCUPANCY RE VEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITH ANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: 3 30dN '944" s�• SUITE#
LOT: BLOCK: SUBDIVISION: C-] � �{ nn y/n.-L-)
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITIHOUT G L DESCRIPTION""
NAME OF BUSINESS:�1 tISC- 01= -S�.►kL NEW OCCUPANT: YES_AZNO NEW BUILDING/PROPERTY OWNER: YES NO
NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE: YES NO�—
NUMBER OF EMPLOYEES: S� FREIGHT FORWARDING: YES NO
r- NEW BUSINESS OWNER: YES NO t�
TYPE OF BUSINESS: K t 't" o L SQUARE FOOTAGE: 34G
(Example:Retail Clothing/Attorney's Office/Office-NI'arehouse/Restaurant)
NAME OF TENANT ]PERSON'S NAME]: Clavdra 3 P .1>
CURRENT MAILING ADDRESS: 02 S-
CITYISTATE/ZIP: OtJ N GG I PHONE NUMBER: I�'� �� 2
PROPERTY OWNER: Cluj C.,LC
MAILING ADDRESS: Nd S S
CITY/STATE/ZIP: .50d 64- Y-19 :R6 Of Z, PHONE NUMBER:
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW?(if yes,provide copy of Sales Tax Certificate)---- YES NO I'
♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES?(if yes,provide copy of Alcoholic Beverage Permit)-YES NO
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED?------------------- YES�rNO
WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM?------YES NO
♦ WILL OUTSIDE REFUSEIRECYCLING/COMPACTING CONTAINERS BE NECESSARY?
(if yes,screening is required)----------------------------------------------------------- YES NO
♦ WILL THERE BE ANY OUTSIDE STORAGE(including storage of company/fleet vehicles),DISPLAY, �-
USEOR DINING?------------------------------------------------------------------ YES— O
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES NO
♦ IS BUILDING SPRINKLERED?------------------------------------------------------- YES NO�r
♦ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
(if yes,provide list of types&quantities,along with material safety data sheets)----------------------YES NO
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 building/space is not provided at the time of the scheduled inspection,a$42.00 re-inspection fee will be charged)
FOR QUESTIONS EASE CALL(817)410-3165.
SIGNATURE: _ `V V49f- _ PRINT NAME: AN4
PHONE#: { ^ z. __ EMAIL:
Development Services Department
The City of Grapevine*P.O.Box 95104*Grapevine,Texas 76099 *(817)410-3165
Fax(817)410-3012*www.v- vinetexas.gov
0:FORMSID SAPPLICATIO NSICI
3=2001/Rev:5I06,2107,4109,2f 13,11115,10116,8116
TEXAS SALES TAX
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 be selling"taxable items"
within the City of Grapevine,Texas you`mill 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: / S Yd-&S 144Kt-
CITY, STATE,ZIP: C V 14t TX -;�60f 2 ®�
OFI+ICE USE ONLY � x � � x
TYPE OF CONSTRUCTION: �' OCCUPANCY: -O&Pl Ge- DIVISION:
ZONING DISTRICT:_ �'�� CONDITIONAL USE:_ N_//;�-
PERMITTED USE:
BUILDING DEPARTMENT: DATE:
BUILDING INSPECTOR: DATE: 1--
ZONING APPROVAL: ( DATE:
FIRE DEPARTMENT: Aunn., f I DATE:
LOT DRAINAGE INSPECTION.: DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTMENT: DATE:
CITY SECRETARY: DATE:
LANDSCAPING APPROVAL. �J'f, , DATE: —LA
APPROVAL FOR ISSUANCE: DATE:
O:FOR MU)SAPPLICAT ION S1C7
312 2120 0 11Rev:5106,2/07,4109,2113,11115,10116,8118
.1�' CERTIFICATE OF OCCUPANCY
.GRA P 0 1 1.'E Issue Date:November 4,2020
r t I PROJECT DESCRIPTION:C/O[Non-Profit Guidance Center]"House of Shine"[BLDG 19-5034]
PROJECT# (817)410-3010 WWW.mygov.us
CO-19-5047 Inspections Permits
City of Grapevine
LOCATION TENANT LEGAL
P.O.Box 95104 Firefly Complex, LLC House of Shine City Of Blk 2 Lot 9r
Grapevine,TX 76099
334 S Barton St. ph.(817)909-4326 3660
(817)410-3165 Voice Grapevine,TX 76051
(817)410-3012 Fax
CONTRACTOR INFORMATION
Claudia Beeny *CONSTRUCTION TYPE VB
334 S.Barton St. *OCCUPANCY GROUP B
Grapevine,TX 76051-0000 *OCCUPANCY LOAD 109
(817)584-2444 Phone
*PERMITTED USE YES
OWNER *ZONING DISTRICT CBD
Ckb Group Llc **NAME OF BUSINESS House of Shine
1525 Moss Ln **TYPE OF BUSINESS Non-Profit Guidance Center
Southlake,TX 76092 **APPLICANT NAME Claudia Beeny
AVAILABLE INSPECTIONS **APPLICANT PHONE NUMBER 817-584-2444
Final Building C/O Inspection(required) **TENANT NAME Claudia Beeny,Ph.D.
► Final Fire Dept Inspection(required) **TENANT PHONE NUMBER 817-5084-2444
w Landscaping(required)
► C/O APPROVED FOR ISSUANCE *Sales Tax NO
(required) *Sales Tax Number
Alcoholic Beverage Sales NO
Alterations YES
Change of Business Name NO
Change of Business Owner NO
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 YES
Number of Employees 5
Outside Refuse/Recycling NO
Outside Storage NO
Signs YES
Square Footage 3660
Zoning CBD-Central Business District
READ AND SIGN
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # -6-6 417
ADDRESS OF INSPECTION: -5-37 J - St-
DATE OF INSPECTION: /1"'3~-2O TIME OF INSPECTION:
NAME OF BUSINESS: -X" ez Z2,�
TYPE OF BUSINESS: c�
USE OF BUILDING AND/OR PREMISES:
REASON FOR APPLYING:
CONTACT PERSON:
TELEPHONE NUMBER: y-
COMMENTS/VIOLATIONS: /
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION:F/
TYPE OF BUILDING: Y GROUP AND DIVISION: 15051 7Gk�2—
ZONING RESTRICTIONS:
I
0:FORMS DSCOINFORMATION WORKORDER
12 30 04 Rw 1 17 2006
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