HomeMy WebLinkAboutCO2013-0804UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LID NEEDED
TD NO LETTER
C/O CHECK LIST
C/O PERMIT # P13 -_ O �)OL
ADDRESS: 5 l 0 p
BUSINESS NAME: 60!0 ` Rells � -j�a.c1 n
BUSINESS /PROPERTY
CHANGE NAME /OWNER
NEW TENANT /OCCUPANT
1 1.
2.
3.
�V�4
V 5.
6
7
8.
--4.,
111�-
Zll 10
12.
93.
14.
15.
V 16.
17.
NEW CONST /ADDITION PERMIT #
REMODEL /ALTERATION PERMIT #
ISSUE DATE
FINAL DATE
APPLICATION FORM COMPLETED
ZONING MAP COPIED & WORKORDER FORM COMPLETED
ZONING CHECKED & COMPLETED ON
BUILDING INSPECTION SCHEDULED:
FIRE DEPT. INSPECTION SCHEDULED:
HEALTH INSPECTION:
PUBLIC WORKS INSPECTION:
4PPLICATION
DATE ,34l3 TIME -?,'3Q
DATE .3 / TIME, 3 0
INSPECTOR 5cdo�,
DATE TIME
E -MAIL DATE
LOT DRAINAGE INSPECTION:
E -MAIL DATE
CORRECTION LETTER SENT:
DATE
BUILDING INSPECTORS SIGN OFF
LETTER: YES / NO
FIRE DEPARTMENTS SIGN OFF
LETTER: YES / NO
HEALTH DEPARTMENT SIGN OFF
PUBLIC WORKS SIGN OFF
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
BUILDING OFFICIALS SIGNATURE
z
C/O ISSUED ELECTRIC RELEASE:
COPY: / SCGr�y� c.tX
MAILED: j
*CONDITIONS TO BE TYPED ON C /O: YES / NO
01FORMSIOSCOINFORMATIOMCKLIST
1 213 0/04 1 Rev.11 \11
op J ®' Zrm
DATE OF ISSUANCE:
PERMIT #:
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITH ANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: 15 k S, _QCXDU c i S ti 2:- SUITE # 1, 1�) 1,,_
LOT: I R P\ BLOCK: SUBDIVISION: A t- Ueo(-\o c3 AAA
" "CERTIFICATE OF OCCUPANC_XAVILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION ""
NAME OF BUSINESS: [�
NEW OCCUPANT: YES �_ NO _
NEW BUILDING: YES NO �C
NUMBER OF EMPLOYEES:
NEW BUILDING /PROPERTY OWNER: YES NO iC
NAME CHANGE: YES NO
FREIGHT FORWARDING: YES NO
TYPE OF BUSINESS: pzc,�rgTw-, c'Cr rcj ' CL CS 1,\(c�i1(c. QUARE FOOTAGE: a OZ)
(Example: Retail, Office, Warehouse)
NAME OF TENANT: KL0A bC,_'C L I
CURRENT MAILING ADDRESS:
4\'
CITY /STATE /ZIP:
+
L5 PHONENUMBER:
PROPERTY OWNER: - 6c__)oc- c,�
MAILING ADDRESS: '3 S k C�_:L L O`_ C
CITY /STATE /ZIP: - C L- ,j G T54- PHONE NUMBER: Rk '-v — -jj-- 1, C
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - YES NO X
♦ 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 _ NO
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? ----- YES NO X
♦ WILL OUTSIDE REFUSE /RECYCLING /COMPACTING CONTAINERS BE NECESSARY?
(if yes, screening is required) ---------------------------------------------------- - - - - -- - YES NO �<
♦ WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING: - - - - - - - - - - - - - - - - - - - - - YES NO V
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? - - - - - - - - - - - - - - - - - - ------- YES NO
♦ IS BUILDING SPRINKLERED?------------------------------------------------- - - - - -- 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 inspection, a $42.00 re -i pection fee will be charged)
FOR QUESTIONS PLEASE CALL (817) 410 -3165.
PRINT NAME: SIGNATURE: - \
PHONE #: a o� ci Q?
OAFORMT /OApplication
3 /22 /2001/Revised:5 /06, 5/06, 2/07,4/09
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
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:
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANY MAILED?
ADDRESS: G t D C;A, —i Yc)(-J C AY-s O L I E
CITY, STATE, ZIP:
FOR OFFICE USE ONLY
TYPE OF CONSTRUCTION: .��frd✓ OCCUPANCY:
ZONING DISTRICT: ct'tC�
PERMITTED USE:
BUILDING DEPARTMENT: i
ZONING APPROVAL:
FIRE DEPARTMENT:
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
LANDSCAPING APPROVAL: Ae
APPROVAL FOR ISSUANCE:
DIVISION:
CONDITIONAL USE:
DATE: ts p r; � !YIPA4 /Z.?
DATE:
DATE: I y �1 ?,
DATE:
DATE:
DATE:
DATE: 3" 22. -/3
DATE: 252 a
qA i
PRO
m
rw-M,
CBD
to i
PPR
EN i3�4
MCX
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 13- 0'6 0 `-{J
ADDRESS OF INSPECTION: k S l S . Dcc) k e Q
DATE OF INSPECTION: 3 as a, TIME OF INSPECTION: a-'3 6
NAME OF BUSINESS: JSS U`e s U c
TYPE OF BUSINESS: e_ 0o R G i +C�
USE OF BUILDING AND /OR PREMISES:
REASON FOR APPLYING: � e- � e i1 aa1-t
CONTACT PERSON:
TELEPHONE NUMBER:
COMMENTS/VIOLATIONS:
* *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION:
TYPE OF BUILDING: GROUP AND DIVISION:
OnFORMS DSCOINFORMATION WORKORDER
12i30i(M Rev. 1/1712N)6