HomeMy WebLinkAboutCO2012-4194UNDER CONSTRUCT - N
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
C/O CHECK LIST
C/O PERMIT # P12- y / Ci
ADDRESS: 15? .3b A), mazt -_
BUSINESS NAME: U/L:�3,0
BUSINESS /PROPERTY
CHANGE NAME /OWNER
-`� NEW TENANT /OCCUPANT
v--/1
V2
�3
4
5
NEW CONST /ADDITION PERMIT #
REMODEL /ALTERATION PERMIT #r .2- 4352
ISSUE DATE
FINAL DATE
APPLICATION FORM COMPLETED
ZONING MAP COPIED & WORKORDER FORM COMPLETED
ZONING CHECKED & COMPLETED ON APPLICATION
BUILDING INSPECTION SCHEDULED
FIRE DEPT. INSPECTION SCHEDULED
6.
HEALTH INSPECTION:
�I 7.
PUBLIC WORKS INSPECTION:
8.
LOT DRAINAGE INSPECTION:
9.
CORRECTION LETTER SENT:
10. 3BUILDING INSPECTORS SIGN OFF
11.
FIRE DEPARTMENTS SIGN OFF
--'l 2.
HEALTH DEPARTMENT SIGN OFF
13.
PUBLIC WORKS SIGN OFF
r 14.
LOT DRAINAGE SIGN OFF
7
LANDSCAPING SIGN OFF
DATE TIME
DATE % I �� 3 TIME
INSPECTOR
DATE TIME
E -MAIL DATE
E -MAIL DATE
DATE
LETTER: YES / NO
LETTER: YES / NO
16. BUILDING OFFICIALS SIGNATURE
17, C/O ISSUED ELECTRIC RELEASE: MAR 1. 4 -nib
COPY: MAR 15, -4
MAILED: MAR 15
* CONDITIONS TO BE TYPED ON C /O: YES / NO
WF ORMSIO SCOIN FORMAT IONIC KL IST
12130/04 1 Rev.11111
(� A PINE
V 1, E X A S
DATE OF ISSUANCE:
PERMIT #: /d - q % 7 I
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: 930 N - M A T,w 5 i . SUITE #
LOT: BLOCK: SUBDIVISION: OA1,1 9 !MA-,,,j 5T 5A okNaA 4-02srria",)
" "CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION ""
NAME OF BUSINESS: e Rye, - X G. -C.
NEW OCCUPANT: YES X_ NO 'NEW BUILDING/PROPERTY OWNER: YES NO X
NEW BUILDING: YES NO X NAME CHANGE: BUSINESS YES NO
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO
� I NEW BUSINESS OWNER: YES NO
TYPE OF BUSINESS: hIEALT A 0 L J &U- 0&S% SQUARE FOOTAGE: 1016 542 -
(Example: Retail, Office, Warehouse)
NAME OF TENANT: KENNY WEI Ott
CURRENT MAILING ADDRESS: 106 1 b Nzq POTOIYT c Avc. /
CITY /STATE/ZIP: P!�'(LT W aftrtl fk 7 6 I bb PHONE NUMBER:
PROPERTY OWNER: -- -n V 6 �(22_A PC vim" E LTD
MAILING ADDRESS: L� _6 0 I , lCn�S� �D� J 1 20.�
CITY /STATE/ZIP: I L I /..�. T� / S_ Z3 PHONE NUMBER �2i�) Lf .6 �� - ITS %
♦ IS YOUR BUSINE�UBJECT O SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - YES -X_ 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 X 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 X
♦ WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING: - - - - - - - - - - - - - - - - - - - - - YES NO
♦ 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 A-
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. A'1-
n
PRINT NAME: K�iv�E7N Il'1 • l,14 !94 f� lj'YZ . SIGNATURE: �'
PHONE #: (c .23� -a % .L% 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
O:PORMSDSAPPUCATIO- Appli.W.
N=WVRe i.d:5/06,5/06, zWN09
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 %.
"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: _aZ3(7 fL 9YAsiy 5r.
CITY, STATE, ZIP:
x��x��x�x�xx�x��xx��xFOR OFFICE USE ONLY x�x�x�x�x�x�x�x�xx�x x��xx��x�xx��xx�
TYPE OF CONSTRUCTION: �M t•'�ti l'u t- OCCUPANCY: _A DIVISION:
ZONING DISTRICT: �1,'� CONDITIONAL USE:
PERMITTED USE:
r ?
BUILDING DEPARTMENT: `� I
ZONING APPROVAL
FIRE DEPARTMENT: 1� `�' '►C� l
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT.
DATE: 42 i 6d—
DATE:
DATE:
DATE:
DATE:
HEALTH DEPARTMENT: DATE:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:
O: FORMS\DSAPPLICATIONS\C /OAppliwti-
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2126 -460 213
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 12- q / '� 7
ADDRESS OF INSPECTION: ' -� 0 /V.
DATE OF INSPECTION: 3 / / TIME OF INSPECTION:
NAME OF BUSINESS: & -- 2( L, z-
TYPE OF BUSINESS: lUa ." v Z/C ,Y %,
USE OF BUILDING AND /OR PREMISES:
REASON FOR APPLYING:
CONTACT PERSON:
TELEPHONE NUMBER:
COMMENTSNIOLATIONS:
* *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION: ['
TYPE OF BUILDING: S(- saw( GROUP AND DIVISION:
ZONING RESTRICTIONS:
A&
O. FORMS,DSCOINFORMATIONA\ ORKORDER
12/30'04 R,,. 1117'2006