HomeMy WebLinkAboutCO2013-0338UNDER CONSTRUCTION l
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER~
C/O CHECK LIST
C/O PERMIT # P13-6,
,J
ADDRESS:
BUSINESS NAME:% Gl�
BUSINESS /PROPERTY
CHANGE NAME /OWNER NEW CONST /ADDITION PERMIT #
NEW TENANT /OCCUPANT REMODEL /ALTERATION PERMIT # ff
ISSUE DATE ° /?
FINAL DATE
1. APPLICATION FORM COMPLETED
�..F 2. ZONING MAP COPIED & WORKORDER FORM COMPLETED
.Z3. ZONING CHECKED & COMPLETED ON APPLICATION
4. BUILDING INSPECTION SCHEDULED: DATES TIME �1. U� • r�'L
5. FIRE DEPT. INSPECTION SCHEDULED: DATE o� eZ I TIM
INSPECTOR Zd5tU.0
6. HEALTH INSPECTION: DATE TIME
7. PUBLIC WORKS INSPECTION: E -MAIL DATE
/ 8. LOT DRAINAGE INSPECTION: E -MAIL DATE
9.
s.
�ry11.
j —12.
3.
- -- -'14
:y15
16.
17
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
LETTER: YES / NO
LETTER: YES / NO
C/O ISSUED ELECTRIC RELEASE: �)b-a )13
COPY: n nu d ^nip
MAILED:
APR 0 1 ��t3
* CONDITIONS TO BE TYPED ON C /O: YES / NO
0:1FOR MSO SCON FORMATIMCKLIST
12/30/041 Rev.11\11
DATE OF ISSUANCE:
PERMIT #: 1 3 0.
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCL4TED WITH AN ACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: 2540 SU arw • SUITE # 12-0
ft
LOT: I �. t - J3 BLOCK: SUBDIVISION: .5a nA aGd
a G'.l.4t. mnotnGiI
* ** *CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUIr LEGAL DESCRIPTION * * **
NAME OF BUSINESS: __ Zn+eq
NEW OCCUPANT: YES
WN O -��
NEW BUILDING/PROPERTY OWNER: YES
NO
NEW BUILDING: YES
NO
NAME CHANGE: BUSINESS YES
NO ✓
NUMBER OF EMPLOYEES:
FREIGHT FORWARDING: YES
NO ✓
NEW BUSINESS OWNER; YES
NO -
TYPE OF BUSINESS:
Q Lt
SQUARE FOOTAGE:
,�' l,Sq
(Example: Retail, Office, Warehouse)
/�
ZNTE6aA
NAME OF TENANT:
C.R2E
CURRENT MAILING ADDRESS:
CITY /STATE /ZIP: Gil&AUi.aL Tx 76OSI PHONE NUMBER: S17 ,3(0 - gJ21.
PROPERTY OVA
MAILING ADDRESS:
CITY /STATE /ZIP: lAQftN IfC &+t iffA 90Y% PHONE NUMBER: 91.6 - 7 -32 - 7 /y/
♦ 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 f%
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? ----- YES NO l/
♦ 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: - - - - - - - - - r ----------- YES NO ✓
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? - - p44- JJA-4 6t =rt30 - R&=" -' S - - YES ✓ NO
♦ IS BUILDING SPRINKLERED?------------------------------------------------- - - - - -- YE O 7
S N
♦ 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: DAv *p N'AI CY SIGNATURE: __Iam'a
PHONE #: %11- 3 10 - q'42.6 EMAIL:
(OVER)
Development Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410 -3165
Fay (R17) aln_in17 -k .......>
0:F0RMSMSAPMCA110NS \C/0ApAk.t1.
3232001 /R,d.d:5/06, 5/06, 3/01,4/09 Contact:
Leigh Anne Neese (Director of Tenant Dev.)
817 - 710 -1100 Office, 682 -552 -0181 Mobile 100
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: �.�S�l S W Glut 4 04& 0 A^ e— 10*4 t, t4l+ -y
CITY, STATE, ZIP: S4V60 i4L i X 7&0-1
OFFICE USE
TYPE OF CONSTRUCTION: on OCCUPANCY: f3 DIVISION:
ZONING DISTRICT: G C.
PERMITTED USE: G
BUILDING DEPARTMENT:
ZONING APPROVAL:
FIRE DEPARTMENT: Lu I `1--t L2
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
CONDITIONAL USE:
DATE: A • 'I. 13
DATE: 2 l
DATE: J� !
DATE:
DATE:
DATE:
LANDSCAPING APPROVAL: Nge DATE: —°R 7-13
APPROVAL FOR ISSUANCE: DATE: ?_�,�,�11-f— Z=ngl
NOS �in��er S s km per �er�an� �iiZ� -I�ar► usl` v
O: FOWISMAPPIdCATIONS \C /OApplkatlon
3/ 22/ 2001 /Revi.d:5/06,5/06,2107,4/09
CERTIFICATE OF OCCUPANCY
Issue Date: March 27, 2013
PROJECT DESCRIPTION: C/O (Home Healthcare Office) "IntegraCare" [BLDG 13 -0222]
PROJECT # (817) 410 -3010 WWW.mygov.us
CO -13 -0338 Inspections Permits
City of Grapevine,
TX LOCATION
2560 Southwest G
P.O. Box 95104
Grapevine, TX 76099 Pkwy'
Suite # 120
(817) 410 -3165 Voice Grapevine, TX 760
(817) 410 -3012 Fax
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)
P. Final Building C/O Inspection (required)
P. Landscaping (required)
► C/O APPROVED FOR ISSUANCE
(required)
TENANT
rapevine IntegraCare
51
LEGAL
Southwest Grapevine Comm
Pk Ad Blk 1 Lot 1R1B
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
30
Outside Refuse /Recycling
NO
Outside Storage
NO
Signs
NO
Square Footage
5659
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO -13 -0338 I Printed 03/28/13 at 10:36 a.m. Page 1 of 3
2120 -456
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2120 -448
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 13-60,3 9
ADDRESS OF INSPECTION:
DATE OF INSPECTION: /a7 I ro�0 / TIME OF IN
NAME OF BUSINESS
TYPE OF BUSINESS:
/� (-)
ON: '00 4 . r» •
USE OF BUILDING AND /OR PREMISES:,f.�
REASON FOR APPLYING: C tug / L��y�eyYi
CONTACT PERSON:
TELEPHONE NUMBER: �-/ `/ - .t� /,o
COMMENTSIVIOLATIONS:
* *TO BE FILLED OUT BY BUILDING OFFICIAL"
ZONING DISTRICT OF INSPECTION LOCATION: C C
TYPE OF BUILDING: V 13 GROUP AND DIVISION: )3
ZONING RESTRICTIONS:
O; FORMS `:DSCOINFORMATION,WORKORDER
12,30414 R- 111712006