HomeMy WebLinkAboutCO2013-1216UNDER CONSTRUCTION
CORRECTION LETTER _
PW OR LD NEEDED _
TD NO LETTER
C/O CHECK LIST
C/O PERMIT # P13-
i
ADDRESS: (= S c?,jLr:�� I✓L� ` =1�
BUSINESS NAME: EC%c
BUSINESS / PROPERTY
CHANGE NAME /OWNER NEW CONST /ADDITION PERMIT #
NEW TENANT /OCCUPANT 7 REMODEL /ALTERATION PERMIT #
16. BUILDING OFFICIALS SIGNATURE /
17. C/O ISSUED ELECTRIC RELEASE: y /3c) ! r 3
COPY:
MAILED:
* CONDITIONS TO BE TYPED ON C /O: YES / NO
0AFORMSIOSCOIN FORMATIONICKUIST
12/30/041 Rev.11 \11
ISSUE DATE
z/ 1.
-.
APPLICATION FORM COMPLETED FINAL DATE
ZONING MAP COPIED & WORKORDER FORM COMPLETED
✓ 3.
ZONING CHECKED & COMPLETED ON APPLICATION
4.
BUILDING INSPECTION SCHEDULED:
DATE
TIME
V--'5.
FIRE DEPT. INSPECTION SCHEDULED:
DATE
TIME
INSPECTOR
6.
HEALTH INSPECTION:
DATE
TIME
.�- 7.
PUBLIC WORKS INSPECTION:
E -MAIL DATE
L 8.
LOT DRAINAGE INSPECTION:
E -MAIL DATE
`-' 9.
CORRECTION LETTER SENT:
DATE
10.
BUILDING INSPECTORS SIGN OFF
LETTER:
YES / NO
1.
FIRE DEPARTMENTS SIGN OFF
LETTER:
YES / NO
12.
HEALTH DEPARTMENT SIGN OFF
z�13.
PUBLIC WORKS SIGN OFF
14.
15.
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
16. BUILDING OFFICIALS SIGNATURE /
17. C/O ISSUED ELECTRIC RELEASE: y /3c) ! r 3
COPY:
MAILED:
* CONDITIONS TO BE TYPED ON C /O: YES / NO
0AFORMSIOSCOIN FORMATIONICKUIST
12/30/041 Rev.11 \11
DATE OF ISSUANCE:
PERMIT
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCU,P/ANCYIS ASSOCIATED WITHANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: _ /�xcz� l� / SUITE #0 a
LOT:
c— BLOCK: 1 SUBDIVISION: C CC- L
* ** *CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOtJT LEGAL DESCRIPTION * * **
NAME OF BUSINESS:
NEW OCCUPANT: YES ,X NO
NEW BUILDING: YES NO X
NUMBER OF EMPLOYEES: ZS
TYPE OF BUSINESS: _
(Example: Retail, Office, Warehouse)
NAME OF TENANT:
CURRENT MAILING ADDRESS:
CITY /STATE /ZIP:
PROPERTY OWNER:
MAILING ADDRESS
NEW BUILDING/PROPERTY OWNER: YES
NAME CHANGE: YES
FREIGHT FORWARDING: YES
NO X
NO
NO
CITY /STATE /ZIP: ( S PHONE NUMBER: 1L
♦ IS YOUR BUSINESS StJBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate)
♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit)
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED?
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM?
♦ WILL OUTSIDE REFUSE/RECYCLING /COMPACTING CONTAINERS BE NECESSARY?
(if yes, screening is required)
♦ WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING.
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?
♦ IS BUILDING SPRINKLERED?
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
♦ 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 insp lion, . M.nsp c tion fee will be charged)
FOR QUESTIONS PLEASE CALL (817) 410 -3165.
PRINT NAME: �} �� c JL'VV(( SIGNATURE:
PHONE #: (• )� SCE l J EMAIL:
G!4�
(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
OAFORWOOAppkadon
3 /22 /2001/RrAsed :5/06, 5106,2/07,4109
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 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:
* * * * * * * * * * * * * * * * * * * * * * * * ** *FOR OFFICE USE ONLY * * * * * * * **
TYPE OF CONSTRUCTION: :,,DA OCCUPANCY: DIVISION:
ZONING DISTRICT: (P1�
PERMITTED USE:
BUILDING DEPARTMENT:
ZONING APPROVAL:
CONDITIONAL USE:
DATE: 05"L tchl3 34')%3>e
') %3>tJ
DATE:
FIRE DEPARTMENT: �ad � Lu Ru DATE: I
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:
0:T0RNI\C/0App1icadon
3 122 /2001/Revised:5 106, 5106, 2/07,4109
DATE:
DATE:
DATE:
DATE: j-- f - 13
DATE:
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CERTIFICATE OF OCCUPANCY
PERMIT # 13- l iv
ADDRESS OF INSPECTION: 10-54 -ThxQo -f j�� *300
DATE OF INSPECTION:
TIME OF INSPECTION:
NAME OF BUSINESS: �1 --tl-= /V '= iV S
TYPE OF BUSINESS: Cam,
USE OF BUILDING AND /OR PREMISES: �%Si LIccN �� eru7�il,�n�"
REASON FOR APPLYING: k)f-.0 )
CONTACT PERSON: ] �� Sc.Jn,(,c rrvo,_ n n
TELEPHONE NUMBER: $ 107 25 D5- �T s'
COMMENTS/VIOLATIONS:
l J tf
1l
* *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION:
TYPE OF BUILDING: GROUP AND DIVISION:
ZONING RESTRICTIONS: t 1�
O. FORMS `DSCOINFORMATION•NVORKORDER
12 %304M Rev. 1/17/2006