HomeMy WebLinkAboutCO2020-3926 UNDER CONSTRUCTION _
CORRECTION LETTER_
PW OR LD NEEDED
TD NO LETTER_
WAITING FIRE_
HOLD_
CODE _
C/O CHECK LIST
C/O PERMIT # P20 - 3 q.2 �,
ADDRESS:
BUSINESS NAME: �( C��y_��'re-
CHANGE
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BUSINESS/PROPERTY I 03 re-
CHANGE NAME / OWNER - NEW CONS /ADDITION PERMIT#
NEW TENANT/ OCCUPANT - REMODEL/ALTERATION PERMIT#
ISSUE DATE FINAL DATE
1. APPLICATION FORM COMPLETED
V-__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:
10. PUBLIC WORKS INSPECTION E-MAIL DATE
11. LOT DRAINAGE INSPECTION E-MAIL DATE
X12. 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
�18 LOT DRAINAGE SIGN OFF
19. LANDSCAPING SIGN OFF
20. BUILDING OFFICIALS SIGNATURE
21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: DEC 15 2020
SCAN CERTIFICATE TO MYGOV:
CONDITIONS TO BE TYPED ON C/O? YES/ NO MAILED:
O:IFORMSIOSCOINFORMATIONICKLIST
12/30/04\Re111111.1 M 5,5/18
V I
DATE OF ISSUANCE:
PERMIT#: _O- 350 (p
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATEOFOCCUPANCPISA O TED IVITIIANACTIVECURRENTBUILD1NCnrRAIIT
ADDRESS OF OCCUPANCY: 22D rhea SUITE#�a 0 ,.
LOT: 2S BLOCK:5— SUBDIVISION: � t"QdCSltd
****CERTIFICATE OF OCCUPANCY WILL NOSE ISSUED WITHOUT LEGAL DESCRIPTION""
NAME OF BUSINESS:
NEIYOCCUPANT: YES *,'No NEW BUILDING/PROPERTY OWNER: YES—NO_
NEW BUILDING: YES NO ✓ NEW BUSINESS NAME CHANGE: YES_NO_
NUMBER OF EMPLOYEES: FREIGHT FORWARDING, VES_NO_
NEIL'BUSINESS OWNER: YES_NO
TYPE OF BUSINESS:
SQUAREFOOTAGE:
2
(Example:Mail Clothing/Attorney's Ocoee/Office-Warehouse(Jkx7�uranq
NAME OF TENANT (Physical Name): ■■ � +E �^ {A/„
c.
CURRENT MAILING ADDRESS:
CITY/STATE/ZIP: PHONE NUMBER:
PROPERTY OWNER: rff ( _
MAILING ADDRESS: _
CITY/STATE/ZIP: -I PHONE NUMBER e
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW?(if ves,provide copy of Sales Tax Certificate).... YES NO ✓
o WILL THERE BE ALCOHOLIC BEVERAGE SALES?(if yes,provide copy of Alcoholic Beverage Permit)-YES_NO
♦ PER�MITSARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED?_______............YES_ NO
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM?----- YES NO
♦ WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? /
(if yes,screening is required)-----------------------------------------------------------YESNO V
♦ WILL THERE BE ANY OUTSIDE STORAGE,DISPLAY,USE OR DINING:_____________________ YES_ NO�
♦ WILL ANY ALTERATIONS BEMADETOTHE SITE ORBUILDING?___________________ - YES NO
♦ ISBUILDING 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 00400
1 HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BF,ST 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 542.00 re-inspection fee will be charged)
FOR QUESTIO ' PLEASE CALL(817)4110-3165. I
SIGNATURE: ■1/ PRINTNAME:
PHONE#: — EMAIL:
O:FORM5IDSAOR4CATIDNFax(8171410-3012* www.grapevinctexas.gov
.V1
WPLIIOflllitev:fJOa,]N7,Q09,L10,f 1HS
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 cit•where the order was received.
I have read the above and 1 understand that 1 will be required to provide a copy of the Sales Tax Permit to the Cit_ of
Grapevine,Texas if the circumstance applies to my business.
"Texas Sales Tax Number: WA
Signature: .
WHERE DO YOU WA OUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS: ZOO n, Pcxk �1 Od = ,+
CITY, STATE, ZIP: FLQ@�
xxxxxxxxxxx KK exx txxxx xxxxFOR OFFICE USE ONLYxxxxx/xxxxxx xxxx x�n xxK xx
TYPE OF CONSTRUCTION: V,� OCCUPANCY: ��py � DIVISION:
ZONING DISTRICT:_ "'�® CONDITIONAL USE:
PERMITTED USE: S IN
BUILDING DEPARTMENT-
DATE:
ZONING APPROVAL:
PPROVAL: DATE; 1Z, �r
FIRE DEPARTMENT: DATE:
LOT DRAINAGE INSPECTION: DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTMENT: DATE:
CITY SECRETARY: DATE:
LANDSCAPING APPROVAL: DATE:
APPROVAL FOR ISSUANCE: DATE: l Z'7i I -2.G
OTORM SIDSAPPLICATIONSICI
]R2120011Rav:L06,1f01,4108,Y1],11116
«: 7 CERTIFICATE OF OCCUPANCY
t�� _11, , 11};j Issue Date: December 21,2020
,1 I 1 I NIS PROJECT DESCRIPTION: C/O Clean&Show
PROJECT# (817) 410-3010 www.mygov.us
CO-20-3926 Inspections Permits
City of Grapevine -- — --" — --- -
LOCATION TENANT LEGAL
Grapevine,,TTX 76099
P.O.Box y20 Park Blvd. Clean &Show Brookside Addition Blk 5 Lot 3
X
Suite# 105
(817)410-3165 Voice Grapevine,TX 76051
(8 17)410-3012 Fax
CONTRACTOR INFORMATION
Kim Quillen * CONSTRUCTION TYPE VB
220 N. Park Blvd.#113 *OCCUPANCY GROUP NONE
Grapevine, TX 76051
`OCCUPANCY LOAD N/A
(817) 988-5039 Phone
PERMITTED USE CLEAN AND SHOW
*ZONING DISTRICT PO
OWNER **NAME OF BUSINESS Vacant
Studemont Ltd **TYPE OF BUSINESS Clean &Show
6515 Valleybrook Dr **APPLICANT NAME Kim Quillen
Dallas, TX 75254-1526 **APPLICANT PHONE NUMBER 817-988-5039
ph. (214)642-8928
**TENANT NAME Vacant
AVAILABLE INSPECTIONS **TENANT PHONE NUMBER 000-000-0000
• Final Building C/O Inspection(required) *Sales Tax NO
. Landscaping (required)
. C/O APPROVED FOR ISSUANCE *Sales Tax Number
(required) Alcoholic Beverage Sales NO
Alterations NO
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 NO
Number of Employees
Outside Refuse/Recycling NO
Outside Storage NO
Signs NO
Square Footage 1107
Zoning PO-Professional Office
FEES TOTAL=$ 50.00
Certificate of Occupancy $50.00
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT #20 - �q1�
ADDRESS OF INSPECTION:
DATE OF INSPECTION: ����}}�11/.5�'o�(� TIME OF INSPECTION: /.
NAME OF BUSINESS:
TYPE OF BUSINESS: �Q F
USE OF BUILDING AND/OR PRE ISES: �i�, 3
REASON FOR APPLYING:
CONTACT PERSON:
TELEPHONE NUMBER:
COMMENTS/VIOLATIONS:
1 6 l sins 4/0 C V44 u -a 01
ky
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF`INSPECTION LOCATION: � OCCUPANT LOAD:
TYPE OF BUILDING: V GROUP AND DIVISION:
ZONING RESTRICTIONS:
O.FORMS DSCOI':FORIMAMN\,ORRORDER
123 ARL'I 1I'2006