HomeMy WebLinkAboutCO2020-4559 UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LID NEEDED
TD NO LETTER
WAITING FIRE
HOLD
CODE
C/O CHECK LIST
C/O PERMIT# P20 -
ADDRESS:
BUSINESS NAME: 3�� [► sr�
BUSINESS/ OPERTY
LH�ALN M OWNER NEW CONST/ADDITION PERMIT#
NEW TENANT/OCCUPANT REMODEL/ALTERATION PERMIT#
ISSUE DATE FINAL 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. F!RE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE
/ 5. ZONING CHECKED &COMPLETED ON APPLICATION
L� 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
18. LOT DRAINAGE SIGN OFF
19. LANDSCAPING SIGN OFF
20. BUILDING OFFICIALS SIGNATURE
21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOV:
CONDITIONS TO BE TYPED ON C/O? YES/NO MAILED:
O:IFORMSIDSCOINFORMATION1CKLIST
12=1041 Rev.11111,11M,5118
` *'VIN DATE OF ISSUANCE:
PERMIT#: ^ -
-1�
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITHANACTIVE CURRENT BUILDING PERMIT
�Wil&?m
ADDRESS OF OCCUPANCY: � / .:Q surrE# a�
LOT: 34 BLOCK: SUBDIVISION: Ao�� V-
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION****
NAME OF BUSINESS: �61- u
NEW OCCUPANT: YES NO NEW B&LDINGIPROPERTY OWNER: YES NO ✓
NEW BUILDING: YES NO Z NEW BUSINESS NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: 11-4 _ FREIGHT FORWARDING: YES NO
,} ,f / NEW BUSINESS OWNER: YES NO
TYPE OF BUSINESS: /+�G e�G 1%4—, _ SQUARE FOOTAGE:
(Example:Retail Clothing/Attorney's Office/Office- arehouse/Restaurant)
NAME OF TENANT [PERSON'S NAME]::
CURRENT MAILING ADDRESS:
/ Gf// ,/ I (�
CITY/STATE/ZIP: C� 4Ii O / PHONE NUMBER: YZ!--
r—
PROPERTY OWNER:
MAILING ADDRESS: 7
CITY/STATE/ZIP: L� l PHONE NUMBER:
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW?(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
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED?------------------- YES t✓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)----------------------------------------------------------- YES NO
♦ WILL THERE BE ANY OUTSIDE STORAGE(including storage of company/fleet vehicles),DISPLAY,
USE OR DINING?------------------------------------------------------------------ YES NO
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES NO t/
♦ 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 l,-"
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 4$ 2.00 re-inspection fee will be charged)
FOR QUESTIO PL ASE CALL(817) 0-3165. —
SIGNATURE: PRINT NAME: 22
PHONE#: r EMAIL: -
Development Services Department
The City of Grapevine*P.O.Box 95104*Grapevine,Texas 76099* (817)410-3165
Fax(817)410-3012* www.granevinetexas.gov
O:FORMSMAPPLICATIONS-FEES
3/2001/Rev:5/06,7J07,4/O9Xl3,11/15,10116,8118,10/20
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 xrNu her:
Signature.
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS: lj` �0
CITY,STATE,ZIP: �Lne
OFFICE USE ONLYx��x �xx��= �x �xa
TYPE OF CONSTRUCTION: OCCUPANCY: DIVISION:
ZONING DISTRICT: U CONDITIONAL USE: LL
41,
PERMITTED USE: OCCUPANT LOAD:
BUILDING DEPARTIII NT: DATE: '
BUILDING INSPECTOR: DATE:
ZONING APPROVAL: DATE:
FIRE DEPARTMENT: DATE:
LOT DRAINAGE INSPECTION: DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTMENT: DATE:
CITY SECRETARY: DATE: v,
LANDSCAPING APPROVAL: - DATE: 1
APPROVAL FOR ISSUANCE: DATE: i 2 d. Z,,p
O:FORMSOSAPPLICATIONS-FEES
3/2001/Rev:5/06,2/07p/09,2/13,11/15,10/16,8/16,10/20
CERTIFICATE OF OCCUPANCY
.F,RAEEVINF Issue Date:December 30,2020
t t PROJECT DESCRIPTION:CIO(Medspa)"Blu Medspa"
PROJECT# (817)410-3010 www.mygov.us
CO-20-4559 Inspections Permits
City of Grapevine
LOCATION TENANT LEGAL
P.O.Box 95104 2800 William D Tate Ave. Blu Medspa Timberline Office Park Blk 1
Grapevine,TX 76099
Suite#300 Lot 3a
(817)410-3165 Voice Grapevine,TX 76051
(817)410-3012 Fax
CONTRACTOR INFORMATION
Brandy Trotter *CONSTRUCTION TYPE VB
2800 William D.Tate Ave#300 *OCCUPANCY GROUP B
Grapevine,TX 76051 *PERMITTED USE YES
(817)885-5025 Phone *ZONING DISTRICT PO
**NAME OF BUSINESS Blu Medspa
OWNER **TYPE OF BUSINESS PUFF-591 �c+a/AL �QyJCES
Parkerson-tate Llc **APPLICANT NAME Brandy Trotter
PO Box 92747 **APPLICANT PHONE NUMBER 8178855026
Southlake,TX 76092
**TENANT NAME Brandy Trotter
ph.(817)424-2321
**TENANT PHONE NUMBER 8178855025
AVAILABLE INSPECTIONS *Sales Tax YES
► C/O APPROVED FOR ISSUANCE *Sales Tax Number 32075821374
(required)
Alcoholic Beverage Sales NO
Alterations NO
Change of Business Name YES
Change of Business Owner NO
County Tarrant
Fire Sprinkler System? YES
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 3
Outside Refuse/Recycling NO
Outside Storage NO
Signs YES
Square Footage 1200
Zoning PO-Professional Office
FEES TOTAL=$21.00
Certificate of Occupancy-NAME CHANGE $21.00
PAYMENTS TOTAL=$21.00
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-20-4559 I Printed 01/04/21 at 12:34 p.m. Page 1 of 3
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 20- LJ J 5 l
ADDRESS OF INSPECTION: c ,boo i k-m kac yy-I -D 6k gt.0-4�o
DATE OF INSPECTION: TIME OF INSPECTION:
NAME OF BUSINESS: t
TYPE OF BUSINESS:
USE OF BUILDING AND/OR PREMISES:
REASON FOR APPLYING: r1�
CONTACT PERSON:_ IC�r-dh, 4 ozieA
TELEPHONE NUMBER:
COMMENTS/VIOLATIONS:
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION:_ ®_
TYPE OF BUILDING: GROUP AND DIVISION:
ZONING RESTRICTIONS:
O:FORMS DSCOINFORMATION WORKORDER
12 30 04 R-1 17 2006
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