HomeMy WebLinkAboutCOMA2020-4139JOB ADDRESS:
LOT:
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/\ Ll DATE OF ISSUANCE: E" 2 1
4 PERMIT #: ej
BUILDING PERMIT APPLICATION
(PLEASE PRINT LEGIBLY -COMPLETE ENTIRE FORM)
lot -T- 6r WaoD S SUITE #
BLOCK: SUBDIVISION:
BUILDING CONTRACTOR (company name): // - I � Jt✓
CURRENT MAILING ADDRESS: cc rr 1"' Lo- 1 gn�-b
CITY/STATE/ZIP: LUVfS / 9 7 Z D qO PH: # 9-0 — 267-17TOJ Fax # 911 — 24-�" 5W
PROPERTY OWNER: 61/ e At s,ta, ,;c
CURRENT MAILING ADDRESS: gl Q �.4 6, 1.lao0S
CITY/STATE/ZIP: Ur> PA' -N `760,SI PHONE NUMBER:
PROJECT VALUE: $ IK OJv FIRE SPRINKLERED? YES �� NO
WHAT TRADES WILL BE NEEDED? (Check ones that apply) ELECTRIC_ PLUMBING MECHANICAL —
DESCRIPTION
/
DESCRIPTION OF WORK TO BE DONE: 5�12t?fJAt�K ► Af�41YS
USE OF BUILDING OR STRUCTURE: fc ell Ti + 1
NAME OF BUSINESS: Eu2 s4SSt�lsFT'r S
Total Square Footage under roof: I Square Footage of alteration/addition: 7
❑ I hereby certify that plans have been reviewed and the building will be inspected by a certified energy code inspector in accordance with
State Law. Plan review and inspection documentation shall be made available to the Building Department (required for new buildings,
alterations and additions)
❑ 1 hereby certify that plans have been submitted to the Texas Department of Licensing and Regulation for Accessibility Review.
Control Number: (Not required for 1 & 2 family dwellings)
❑ I hereby certify that an asbestos survey has been conducted for this structure in accordance with the regulatory requirements of the Texas
Department of Health.
(REQUIRED FOR DEMOLITIONS, ADDITIONS AND OR ALTERATION TO COMMERCIAL AND PUBLIC BUILDINGS)
I hereby certify that the foregoing is correct to the best of my knowledge and all work will be performed according to the documents approved by
the Building Department and in compliance with the City Of Grapevine Ordinance regulating construction. It is understood that the issuance of
this permit does not grant or authorize any violation of any code or ordinance of the City Of Grapevine. I FURTHERMORE UNDERSTAND
THAT PLANS AND SPECIFICATIONS ARE NOT REVIEWED FOR HANDICAPPED ACCESSIBILITY BY THE CITY, AND THAT THE
DESIGN PROFESSIONAL/OWNER IS RESPONSIBLE FOR OBTAINING SUCH APPROVAL FROM THE PPROPRIATE STATE AND
OR FEDERAL AGENCY(S�). jy 6 r'y
PRINT NAME: �,/ �J\!/�.e1,•0 SIGNATURE // C
PHONE#: ?I7— 70T 96V3 EMAIL: �Ti-,!�
BOX IF PREFERRED TO BE CONTACTED BY E-MAIL
THE FOLLOWIrG IS TO BE COMPLETED PY THE BUILDING INSPECTION DEPARTMENT iI
Construction Type: j j -F'j Permit Valuation: $ cep — Setbacks Approval to Issue
Occupancy Group: 'Allr - I Fire Sprinkler: YES_ NO ,%/4 Front: Electrical 1kc
Division: Building Depth: Left: Plumbing A/_
Zoning: Building Width: Rear: Mechanical p /
Occupancy Load: Af 1p, Grease Trap Right: I Hood
Plan Review Approval: Date �� Y
%-2, - 2 e Building Permit Fee: 5/ 1 7�-) 1
Site Plan Approval: C��� Date: Plan Review Fee�A ; G,l
Fire Department: ��� Date: Lot Drainage Fee:
Public Works Depadulerft: Date: 1 Sewer Availability Rate:
1 Health Department: Date: I Water Availability Rate:
Approved for Permit: Date:/T-20 _ Zd I Total Fees: Iv- 4-(-
Lot Drainage Submitted: Approved: Total Amount Due: \ �.
`P060X 95104. GRRPEVINE, TX ]6099 (BP)9103166
O FORMS\DSPERMITFPPLICATION51/OLRev 11N0,908210],11)09.1/11f
�emSfYu.ei'i a.
ity of Grapevine
P.O. Box 95104
Grapevine, TX 76099
(817) 410-3165 Voice
(817) 410-3012 Fax
CONTRACTOR
Ziegler Construction
P.O. Box 1850
Euless, TX 76039
(817)267-5500 Phone
(817) 819-2447 Mobile
dan@zieglerpaving.com
OWNER
GI Enterprises Ltd
2600 Harwood Rd
Bedford, TX 76021-3700
BUILDING --- COMMERCIAL ALTERATION
Issue Date: December 21, 2020
PROJECT DESCRIPTION: Sidewalk Repairs "Eye Associates of Grapevine"
PROJECT # (817) 410-3010 www.mygov.us
COMA-20-4139 Inspections Permits
LOCATION TENANT LEGAL
819 Ira E Woods Ave. Eye Associates of Grapevine Grapevine Office Park Condo
Grapevine, TX 76051 Lot 2
AVAILABLE INSPECTIONS
� Paving Inspection (required)
� Building Final (required)
INFORMATION
* CONDITIONAL USE REQUIRED?
* CONSTRUCTION TYPE
* OCCUPANCY GROUP
* OCCUPANCY LOAD
" ZONING DISTRICT
** NAME OF BUSINESS
NO
II-B
N/A
N/A
CC
Eye Associates of Grapevine
**APPLICANT NAME
Graham Shaw
**APPLICANT PHONE NUMBER
817-994-9643
*SITE PLAN / SPECIAL USE / CU?
N/A
1) Certified Energy Code Inspected
NIA
2) Accessibility Review
N/A
3) Control Number
4) Asbestos Survey
N/A
Acreage
APPROVED TO ISSUE ELECTRIC
NO
APPROVED TO ISSUE HOOD
##
APPROVED TO ISSUE MECHANICAL
NO
APPROVED TO ISSUE PLUMBING
NO
County
Tarrant
Fire Sprinkler System?
N/A
Square Footage
417
VALUATION
8000
What is use of Building/Structure?
Office
Zoning
CC - Community Commercial
FEES
TOTAL = $ 226.46
*Building Permit Fee (Value)
$137.25
Building Permit, Plan Review
$ 89.21
PAYMENTS
TOTAL = $ 226.46
Ziegler Construction (Dan Ziegler)
Other on 1111812020 ($226.46)
Note: CC2155
Ziegler Construction (Dan Ziegler)
Otheron 1111812020 ($89.21)
Note: CC2155
Ziegler Construction (Dan Ziegler)
Payment Voided Other on 11/1812020 $226.46
Note: wrong amouint
Ziegler Construction (Dan Ziegler)
Other on 1212112020 ($137.25)
Note: CC2155
NOTICES
1) ALL work must be done in compliance with the 2006 INTERNATIONAL
BUILDING CODE.
2) A copy of the signed permit and approved plans must be on site at all times.
3) The project address must be clearly posted at the job site.
READ AND SIGN
I hereby certify that the foregoing is correct to the best of my knowledge and all
work will be performed according to the documents approved by the Building
Department and in compliance with the City of Grapevine Ordinance regulating
construction. It is understood that the issuance of this permit does not grant or
authorize any violation of any code or ordinance of the City of Grapevine.
FURTHERMORE UNDERSTAND THAT PLANS AND SPECIFICATIONS ARE
NOT REVIEWED FOR HANDICAPPED ACCESSIBILITY BY THE CITY, AND
THAT THE DESIGN PROFESSIONAL / OWNER IS RESPONSIBLE FOR
OBTAINING SUCH APPROVAL FROM THE APPROPRIATE STATE AND OR
FEDERAL AG CY(S).
/Z tz,170
Signature Date
ZIEGLER CONSTRUCTION, INC. #20146
TO: Eye Associates
819 Ira E. Woods
Grapevine, Texas
ATTN. Debbie Robinson
"Excellence By Experience"
P.O. Box 1850, Euless, TX, 76039
(817)267-5500(o) (817)267-5501(f)
Proposal and Contract
DATE: September1,2020
TELE: 8171488-4893
EMAIL:
ZIEGLER CONSTRUCTION, INC. hereinafter called the Company, offers to furnish all labor, equipment and materials
necessary to complete the following described work and/or improvements at the following location:
Some as above.
item 1: Concrete Sidewalk Repairs. 1 Area 252 Soft with 64 Lf Curb.
Saw cut defined areas per attached drawing. Excavate to a depth of 4" and remove debris from site. Compact
existing sub grade by mechanical compactor and fine grade to produce uniform thickness. Drill and dowel into
surrounding edges and reinforce with # f rebar at 18 on centers each way. All reinforcement shall be held
securely above the sub grade. Fill cavity with 4" of 4,000 P.S.I. concrete and trowel to a broom finish.
Item 2: Random Crack Sealina. 1 Area.
Remove redwood, clean cracks, as necessary, replace redwood with backer rod per attached site map. Seal
with cold pour, one -part gray sealant,
OPTION:
Item 1: Concrete Sidewalk Repairs. 1 Area (Front Sidewalk) 165 Soft with 26 Lf Curb.
Saw cut defined areas per attached drawing. Excavate to a depth of 4" and remove debris from site. Compact
existing sub grade by mechanical compactor and fine grade to produce uniform thickness. Drill and dowel into
surrounding edges and reinforce with #+ebar at 18" on centers each way. All reinforcement shall be held
securely above the sub grade. Fill cavity with 4" of 4,000 P.S.I. concrete and trowel to a hrnnm fPnich
GGT`'` F�j� UNPi /t�oT�on�(
CITY OF GRAPEVINE
RELEASED FOR CONSTRUCTION
SHEET: OF: 2
RELEASE DOES NOT AUTHORRE ANY WORK IN
CONFLICT WITH THE BUILDING CODE OR ZONING ORDINANCE.
CITY APPROVED PLANS TO BE KEPT QN
THE JOB SITE AT ALL TIME
DATE: BY:
BUILDING INSPECTION:
REI EASE DOES NOT APPLY TO_ NSTRUCTION IN
EASEMENTS OR PUBLIC RIGHT-OF-WAY
ALL CHANGES MUST BE APPROVED
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ALL CHANGES REQUIRE. CONTRACTOR SHALL CALL FOR THESE PLANS ARE NOT REVIEWED
APPROVAL INSPECTIONS: FOR HANDICAPPED ACCESSIBILITY
OF REVISED FLANS (817) 410-3010 IT IS THE RESPONSIBILITY OF THE
DESIGN PROFESSIONAL /BUILDINGOFFICE COPY
APPROVED PLANS SHALL BE CONTRACTOR REGISTRATION OWNER TO OBTAIN THE NECESSARY
KEPT ON JOBSITE ATALL TIMES WILL BE REVOKED UPON APPROVALS OM
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