HomeMy WebLinkAboutCO2013-0339CONSTRUCTI
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER _
C/O CHECK LIST
C/O PERMIT # P13 -:'
ADDRESS: " L ' 5'.
BUSINESS NAME: `�{
BUSINESS /PROPERTY
�jHANGE NAME /OWNER _ NEW CONST /ADDITION PERMIT #
EW TENANT /OCCUPANT REMODEL /ALTERATION PERMIT # C
ISSUE DATE a /7�/
APPLICATION FORM COMPLETED FINAL DATE
t)2. ZONING MAP COPIED & WORKORDER FORM COMPLETED
✓ / 3. ZONING CHECKED & COMPLETED ON APPLICATION
—74. BUILDING INSPECTION SCHEDULED: DATE TIME 4.1t)
V 5. FIRE DEPT. INSPECTION SCHEDULED: DATE TIME q-'-56
INSPECTOR ,Ao_ e�
6. HEALTH INSPECTION: DATE TIME
7. PUBLIC WORKS INSPECTION: E -MAIL DATE
8. LOT DRAINAGE INSPECTION: E -MAIL DATE
/f 9.
CORRECTION LETTER SENT:
�0.
3 BUILDING INSPECTORS SIGN OFF
V'11.
FIRE DEPARTMENTS SIGN OFF
12.
HEALTH DEPARTMENT SIGN OFF
' 13.
PUBLIC WORKS SIGN OFF
- -'�14.
LOT DRAINAGE SIGN OFF
V/ 15.
LANDSCAPING SIGN OFF
✓
16.
BUILDING OFFICIALS SIGNATURE
--tz, 7.
C/O ISSUED
*CONDITIONS TO BE TYPED ON C /O: YES / NO
OAFORMS\OSCOINFORMATIONV IST
12/30/04 \ Rev.11 \11
DATE
LETTER: YES / NO
LETTER: YES / NO
ELECTRIC RELEASE: arf,'v
COPY: t T r. t
MAILED:
DATE OF ISSUANCE:
r l; x n s PERMIT #-
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH ANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: _,ZS40 S &j and[, PAnK * SUITE # l __
LOT: IRl -$ BLOCK: r SUBDIVISION: Su! 6a*x✓ane. 6orwrnwctl w jWg/cr
* ** *CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION * * **
NAME OF BUSINESS:
NEW OCCUPANT: YES ✓ NO NEW BUILDING/PROPERTY OWNER: YES NO ✓ _
NEW BUILDING: YES NO L - NAME CHANGE: BUSINESS YES NO too,
NUMBER OF EMPLOYEES: 13 FREIGHT FORWARDING: YES NO ✓
NEW BUSINESS OWNER: YES NO
TYPE OF BUSINESS: SQUARE FOOTAGE: p
(Example: Retail, Office, Warehouse)
NAME OF TENANT: .L �vr�gn� L,hle
CURRENT MAILING ADDRESS:
a 6441 Pr✓ 16•i C
CITY /STATE /ZIP: . 'Fit 7&&.,n ll PHONE NUMBER: X /7- 3,(D li fZ4
PROPERTY OWNER: 6*1fle re- rejjSD..�
MAILING ADDRESS: p �2 O ,4C J'�,1 PA,
CITY /STATE /ZIP: AA *V Aire- a,I-y , /4 y' 7y6 PHONE NUMBER: 1�lL 712 — 7 I
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LA ? (if yes, provide copy of Sales Tax Certificate) - - - - YES NO ✓
♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) -YES NO I/
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? - - - - - - - - - - - - - - - - - - - YES NO
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? ----- YES NO V
♦ 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 ✓
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? - hh W - 1 "-� �" s - ?At -es_ -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 $42.00 re- inspection fee will be charged)
FOR QUESTIONS PLEASE CALL (817) 410 -3165.
PRINT NAME: 1#064 µ/F E SIGNATURE: /2$";f/ 21a*z�
PHONE #: 5,17 - 310 " `���� -C4
(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: FORMSIDSAPPLICATTONS\C /OApplk.ti-
3122120011Revlred:5/okSID6, 2/07,4109 Contact:
Leigh Anne Neese (Director of Tenant Dev.)
817 - 710 -1100 Office, 682 -552 -0181 Mobile
www.idgroupft worth.com
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 malting 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:. aS�' SfiJ
1 1P A*P W In e. 64AXWki
CITY, STATE, ZIP: 6,4AVC j , ,; @- ' 7 k '7 (a OS 1
Af,r.J. 94-j 40 44ry
OFFICE USE
TYPE OF CONSTRUCTION: V 1-3 AAlo Syewc.1y OCCUPANCY: 13 DIVISION:
ZONING DISTRICT: < <—
PERMITTED USE:
BUILDING DEPAR
ZONING APPROV)
FIRE DEPARTMEP
LOT DRAINAGE INSPECTION:
CONDITIONAL USE:
DATE: 2 • -v- 13
DATE
DATE: ,- /Z'
DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTMENT: �/ DATE:
LANDSCAPING APPROVAL: Aff1WdtX DATE:
APPROVAL FOR ISSUANCE: DATE: , 9!y ��.3
lUa ' nk jer sus _k o\ p er r w i np, -4f 4
OXORWIMSA"UCAMNSTMApplkxfle
31222001MM.&S106, 5106, 2/07,4109
City of Grapevine,
TX
P.O. Box 95104
Grapevine, TX 76099
(817) 410 -3165 Voice
(817) 410 -3012 Fax
CERTIFICATE OF OCCUPANCY
Issue Date: April 2, 2013
PROJECT DESCRIPTION: C/O (Home Health Care Office) "IntegraCare" (BLDG 13 -0223)
PROJECT # (817) 410 -3010 WWW.mygovxs
CO -13 -0333 Inspections Permits
LOCATION TENANT
2560 Southwest Grapevine IntegraCare
Pkwy.
Suite # 130
Grapevine, TX 76051
CONTRACTOR
CERTIFICATE OF OCCUPANCY
200 S. Main Street
Grapevine, TX 76051
(817) 410 -3158 Phone
OWNER
Dennis & Gayle Peterson
6210 Macduff Dr
Granite Bay, CA 95746 -9684
AVAILABLE INSPECTIONS
Final Fire Dept Inspection (required)
Final Building C/O Inspection (required)
► Landscaping (required)
• C/O APPROVED FOR ISSUANCE
(required)
LEGAL
Southwest Grapevine Comm
Pk Ad Bilk 1 Lot 1 R1 B
INFORMATION
• APPLICATION STATUS
Approved
• CONSTRUCTION TYPE
VB
• OCCUPANCY GROUP
B
OCCUPANCY LOAD
ZONING DISTRICT
CC
NAME OF BUSINESS
IntegraCare
* TYPE OF BUSINESS
Office
— APPLICANT / TENANT'S NAME
David Hagey
— APPLICANT / TENANT'S PHONE NUMBER
817 - 310 -4926
*'Sales Tax
NO
"`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
13
Outside Refuse /Recycling
NO
Outside Storage
NO
Signs
NO
Square Footage
1728
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO -13 -0339 I Printed 04/02/13 at 8:50 a.m. Page 1 of 3
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 13- 03.--3
ADDRESS OF INSPECTION: a ,- j (� 0 -5',
DATE OF INSPECTION: �oZ�L� TIME OF INSPECTION: �. • c4 • m •
NAME OF BUSINESS:_
TYPE OF BUSINESS:
USE OF BUILDING AND /OR PREMISES:
REASON FOR APPLYING:
CONTACT PERSON:
TELEPHONE NUMBER: �- % 1� - � l �-, °- (c
COMMENTS/VIOLATIONS: KE wyE rAAS. - A vo 0u•Yh P5iii.2 Fleo e j 5 3
P:tda��f.n
* *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION: C G
TYPE OF BUILDING: V 6 GROUP AND DIVISION: f3
ZONING RESTRICTIONS:
O.'FORMS!DSCOINFORMATION , WORKORDER
1230/04 R- 1/1712006