HomeMy WebLinkAboutCO2020-4098 UNDER CONSTRUCTION _
CORRECTION LETTER_
PW OR LD NEEDED_
TD NO LETTER_
WAITING FIRE_
HOLD_
CODE_
C/O CHECK LIST G�d
C/O PERMIT # P20 - i-\-o(� % a ^ �j d ^-ed `
ADDRESS: —t5� t�GC'�r�c�l � l nn C a `�aCE 0 �C�i/
BUSINESS NAME: °mlC1fl 'lc` k+ 1Aazf 1ci , GESS jNL�
BUSINESS/PROPERTY
CHANGE NAME / OWNER _ NEW CONST/ADDITION PERMIT#
NEW TENANT/OCCUPANT — REMODEL/ALTERATION PERMIT#
ISSUE DATE FINAL DATE
1. APPLICATION FORM COMPLETED
L2. ZONING MAP COPIED &WORKORDER FORM COMPLETED
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)
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
12. CORRECTION LETTER SENT DATE
13. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO
L`14. FIRE DEPARTMENTS SIGN OFF LETT/ER: ) YES / NO
�- 15. HEALTH DEPARTMENT SIGN OFF /-RAO)
s` 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 CIO? YES/NO MAILED:
O IFORMS108COINFORMATIOMCKLIST
19]0/041 ReM 1111,11115,5118
GRA
DATE OF ISSUANCE:
V1 E
T E A S PERMIT#:,-0—(4-0gS
110V 16 2020
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITH ANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: _ s ?A� }� CJ SUITE
LOT: I P,)- BLOCK: I k SUBDIVISION: DFu) J NC3 Q�-(-k Pt,CLs-C"TTr-
""CERTIFICATE nOF*OCCUPANCY WILIL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION""
NAME OF BUSINESS:
NEW OCCUPANT: YES NO N UILDING/PR ER Y OWN R: YES NO ;
NEW BUILDING: YES NO-1� NEW BUSINESS NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: _ L FREIGHT FORWARDING: YE -�- NO
NEWBU I SS OW ER: �NOI LQ
TYPE OF BUSINESS: I �� QARE FOOTAGE:
11
(Example:Retail Clothing/Attorney's Office/Offi e-Warehouse/Re urant ----��
NAME OF TENANT [PERSON'S NAME]:
CURRENT MAILING ADDRESS:�d 1
CITY/STATE/ZIP: � 5) _ �/� PHONE NUMBER:
PROPERTY OWNER: LA rl cot ('1
MAILING ADDRESS: Q0, l
CITY/STATE/ZIP: , ) .7 5z=��Ilf)NE 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_NOIR
♦ 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 isrequired)----------------------------------------------------------- YES NO 1✓
♦ WILL THERE BE ANY OUTSIDE STORAGE(including storage of company/fleet vehicles),DISPLAY,
USE OR DINING?------------------------------------------------------------------ YE NO ✓
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- Y-hVjV
♦ IS BUILDING SPRINKLERED?------------------------------------------------------- YES V'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/
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 QUESTIO PLEAS (817)(817)410-3165.
SIGNATURE: l// t��9� 1 PRINT NAME:
PHONE#: LtC a�" /> / EMAIL:
Fax(817)410-3012 * www.argpevinetexas.gov
O:FORMS\DSAPPLICATIONS\C/ � L)
0/22/2001/Rev:6/06,2/0],4/09,2/10,11/15,10/16,0/18 L4-0'.
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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 Sales II ,Num r:
Signature: V
WHERE DO YOU WANTYOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS: LEC) (-,,PXky r�l 1
CITY, STATE, ZIP:
******** tax**** ** * xxx*xFOR OFFICE USE
TYPE OF CONSTRUCTION: —0 S�Q/����_ OCCUPANCY: DIVISION:
ZONING DISTRICT: CONDITIONAL USE:
PERMITTED USE:
BUILDING DEPARTM NT• DATE: //, 7
BUILDING INSPECTQIj�// DATE:
ZONING APPROVAL: DATE:
FIRE DEPARTMENT: DATE:
LOT DRAINAGE INSPECTION: DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTMENT: DATE:
CITY SECRETARY: DATE:
LANDSCAPING APPROVAL: DATE:
APPROVAL FOR ISSUANCE: DATE:
O:FORMSMAPPLICATIO NS\C/
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 20 - 09<�
ADDRESS OF INSPECTION: o Pc)
DATE OF INSPECTION: TIME OF INSPECTION:
NAME OF BUSINESS:
TYPE OF BUSINESS: i+1�
USE OF BUILDING AND/OR PREMISES:,
REASON FOR APPLYING: ��, )
CONTACT PERSON: (t_c-v (� A LL e--
TELEPHONE NUMBER: 7-�c L{ 3
COMMENTSNIOLATIONS:
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: T OCCUPANT LOAD:
TYPE OF BUILDING: I I-a SP4IMV-5 GROUP AND DIVISION:
ZONING RESTRICTIONS:
a FORMS OSCOINFORMATION WORKORDER
12 A1100 Rev,1 17 NOR