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CIO CHECK LIST
C/O PERMIT # PA-J,'3 L /_ (-)
ADDRESS:
BUSINESS NAME:
BUSINESS /PROPERTY
CHANGE NAME /OWNER NEW CONST /ADDITION PERMIT #
NEW TENANT /OCCUPANT REMODEL /ALTERATION PERMIT #
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ISSUE DATE
FINAL DATE
APPLICATION FORM COMPLETED
ZONING MAP COPIED & WORKORDER FORM COMPLETED
ZONING CHECKED & COMPLETED ON APPLICATION
BUILDING INSPECTION SCHEDULED: DATE TIME
FIRE DEPT. INSPECTION SCHEDULED
HEALTH INSPECTION:
PUBLIC WORKS INSPECTION:
LOT DRAINAGE INSPECTION:
CORRECTION LETTER SENT:
BUILDING INSPECTORS SIGN OFF
FIRE DEPARTMENTS SIGN OFF
HEALTH DEPARTMENT SIGN OFF
PUBLIC WORKS SIGN OFF
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
BUILDING OFFICIALS SIGNATURE
DATE TIME
INSPECTOR
DATE TIME
E -MAIL DATE
E -MAIL DATE
DATE
LETTER: ES /
LETTER: YES /
C/O ISSUED ELECTRIC RELEASE: I l
COPY:
MAILED:
* CONDITIONS TO BE TYPED ON C /O: YES / NO
O AFOR MS\OSCOIN FORMATION\CKL IST
12/30/04 \ Rev. 11 \11
NO 1/It 113 &adRs
NO
DATE OF ISSUANCE:
PERMIT #: 13-613()
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: t�� S SUITE #
LOT: BLOCK: SUBDIVISION:
* ** *CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION * * **
NAME OF BUSINESS: C"l,e-1z
NEW OCCUPANT: YES NO
NEW BUILDING: YES NO x
NUMBER OF EMPLOYEES: 0
NEW BUILDING /PROPERTY OWNER: YES NO
NAME CHANGE: YES NO
FREIGHT FORWARDING: YES NO x
TYPE OF BUSINESS: �'��°�� -� SQUARE FOOTAGE:
(Example: Retail, Office, Warehouse)
NAME OF TENANT: /C) q(C
CURRENT MAILING ADDRESS:
CITY /STATE /ZIP: PHONE NUMBER:
PROPERTY OWNER:
MAILING ADDRESS: &_J')
v (A<
CITY /STATE /ZIP:��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 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, 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
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 $ 00 r - inspect' fe wi be char ed)
FOR QUESTIONS PLEASE CALL (817) 410 -3165.
F
PRINT NAME: SIGNATURE: -�
PHONE #: I _� Jf EMAIL:
—vv\'e ®�_r_ i 1 � C� (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:FOR07S \DSAPPI.1 CATIOII S \C /OApplicadan
3/22 /2001 /Re ised:5 /06, 5/06.2/07,4/09
r
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 Sale;
Signature:
USE ONLY *>ti �>ti
TYPE OF CONSTRUCTION: OCCUPANCY: DIVISION:
ZONING DISTRICT:
PERMITTED USE:
BUILDING DEPARTMENT:
ZONING APPROVAL:
FIRE DEPARTMENT:
CONDITIONAL USE:
DATE:
DATE:
LOT DRAINAGE INSPECTION: // DATE:
PUBLIC WORKS DEPARTMENT: / DATE:
HEALTH DEPARTMENT:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:
O:FORMS\DSAPPLI CATI O N S \C /OApplic.tion
3/ 222001 1R,viwd:5 /06, 5/06,2/07,4/09
DATE:
DATE: t7 —ll ~ .1-3
1 . ., ►
City of Grapevine,
TX
P.O. Box 95104
Grapevine, TX 76099
(817) 410 -3165 Voice
(817) 410 -3012 Fax
CERTIFICATE OF OCCUPANCY
Issue Date: February 11, 2013
PROJECT DESCRIPTION: C/O "Clean & Show"
PROJECT # (817) 410 -3010
CO -13 -0130 Inspections
LOCATION TENANT
1245 S Main St. Vacant
Suite # 100
Grapevine, TX 76051
CONTRACTOR
CERTIFICATE OF OCCUPANCY
200 S. Main Street
Grapevine, TX 76051
(817) 410 -3158 Phone
OWNER
Gcc Project Owner Llc
3544 University Blvd
Dallas, TX 75205 -1836
AVAILABLE INSPECTIONS
► Final Building C/O Inspection (required)
► Landscaping (required)
► C/O APPROVED FOR ISSUANCE
(required)
WWW.mygov.us
Permits
LEGAL
Capital Center Addition Bilk 1
Lot 1 B
INFORMATION
• APPLICATION STATUS
Approved
• CONSTRUCTION TYPE
VB
• ZONING DISTRICT
HCO
** NAME OF BUSINESS
Vacant
** TYPE OF BUSINESS
Clean & Show
* *APPLICANT / TENANT'S NAME
Richard Luczak
—APPLICANT/ TENANT'S PHONE
NUMBER
817- 824 -3912
* *Sales Tax
NO
* *Sales Tax Number
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
1246
Zoning
HCO - Hotel & Corporate Office
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY 1 GO-13-01301 Printed 02/11/13 at 1:48 p.m. Page 1 of 3
FEES TOTAL = $ 50.00
Certificate of Occupancy $ 50.00
PAYMENTS TOTAL = $ 50.00
CERTIFICATE OF OCCUPANCY (City of
Grapevine Applicant)
Other on 01/11/2013 ($50.00)
Note: CC5322
READ AND SIGN
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 scheduled
inspection, a $42.00 re- inspection fee will be charged)
FOR QUESTIONS PLEASE CALL: (817) 410 -3165.
Owner / Agent Signature Date
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO -13 -0130 I Printed 02/11/13 at 1:48 p.m. Page 2 of 3
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 1,�s / 3 - -/) / 3 6)
ADDRESS OF INSPECTION: la S_ S � jj Zt ,j , 9—a / 1,-)
DATE OF INSPECTION: e3h TIME OF INSPECTION: �A
NAME OF BUSINESS: ( 2c�.K1 �� —
TYPE OF BUSINESS: K�w
USE OF BUILDING AND /OR PREMISES: y
REASON FOR APPLYING: i6A&O-C
CONTACT PERSON:
TELEPHONE NUMBER:
COMMENTSNIOLATIONS: Lour 1 5 S
* *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION:
TYPE OF BUILDING: AND DIVISION:
ZONING RESTRICTIONS:
O:'FORMS DSCOINFORMATION VORKORDER
12'31'04 R- U ll2006