HomeMy WebLinkAboutSFRA2004-0004� INE,
T E �A Se
JOB ADDRESS:
LOT:
DA`$F I§'4 "NCF
- PERMIT #:" 00 0
JAN 0 2 2004
BUILDING PERMIT APPLICATION
PLEASE PRINT
BLOCK: I D
BUILDING CONTRACTOR (company name):
CURRENT MAILING ADDRESS: '705
_ SUBDIVISION:
176101 ?fe L-T`
CITY /STATE /ZIP: G rL�-P e. V I o -p- 'T,,'- PHONE NUMBER: e V q- 532" 4i o 0
PROPERTY OWNER:
CURRENT MAILING ADD]
CITY /STATE /ZIP: V1 0j Cam PHONE NUMBER: g 7•7" 9s yh yq 77%
CONSTRUCTION VALUE: ,! DSO FIRE SPRINKLERED? YES NO
DESCRIPTION OF WORK TO BE DONE: �2arn0,
USE OF BUILDING OR STRUCTURE: :51011e- FA& .
NAME OF BUSINESS:
* * Total Square Footage under roof:
Square Footage of alteration /addition:
❑ 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 and
additions)
❑ I 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)
-'FOR DEMOLITIONS, ADDITIONS AND OR ALTERATION TO COMMERCIAL AND PUBLIC BUILDINGS
❑ 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.
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 PROFESSIONAI./OWNER IS RESPONSIBLE FOR OBTAINING SUCH APPROV FR THE PROPRIATE STATE AND
OR FEDERAL AGENCY(S).
PRINT NAME: L "�y� " SIGNATURE:
THE FOLLOWING
IS TO BE COMPLETED BY THE BUILDING
SPECTION DEPARTMENT
Construction Type:
Permit Valuation: $
Setbacks
Approval to Issue
Occupancy Group:
Front:
Electrical
Division:
Building Width:
Left:
Plumbin ro
zoning:
Building :- De t
Right: /
Mechanical
Rear:
Plan Review Approval:
%1 Date:
Water Availability Rate:
Site Plan Approval:
Date:
Sewer Availability Rate:
Fire Department:
Date:
Building Permit Fee:
Public Works Department:
ate:
Plan Review Fee:
Health Department:
ate:
Lot Drainage Fee:
Approved for Permit:
Date Pf
Total Fees:
Lot Drainage Submitted:
—Approved:
Total Amount Due:
P.O. BOX 95104, GRAPEVINE, TX 76099 (817) 410 -3165 O:FORM&BUILDING.APP 1/2/2002
JAN ,� 200i� CITY OF GRAPEVIN
MECHANICAL ELECTRICAL 7PLUMBING
PERMIT FEES
(PI PARP PRIMT)
PERMIT #
BUILDING AREA
PERMIT FEES
BLDG. PERMIT #D O
DATE:
EACH TRADE
I. R -3
JOB ADDRESS:
51
S7 -
1- 749
DESCRIPTION OF
WORK.
SINGLE FAMILY, DUPLEX
750- 1,199
$ ___49
TOWNHOUSE,
1,200- 1,500
-V 63.18
PROPERTY OWNER:
b7
0 fl�S
CONTRACTING COMPANY:
U
�I.
$ 83.13
✓E= �'i�2�r
ADDRESS:
- v
X
ADDRESS:
AA r.
CITY /STATE2IP:
2,251- 3,000
v
CITY /STATE/ZIP:
ROOF
3,001- 3,500
$ 103.08
3,501 - 4,000
PHONE NUMBER:
$
PHONE NUMBER:
$ 120.37
TYPE OF OCCUPANCY
BUILDING AREA
PERMIT FEES
AMOUNT DUE
(SQ FT)
EACH TRADE
I. R -3
1- 749
$ 33.25
SINGLE FAMILY, DUPLEX
750- 1,199
$ ___49
TOWNHOUSE,
1,200- 1,500
-V 63.18
NEW CONSTRUCTION &
1,501- 1,750
$ 76.48
ADDITIONS (PER UNIT)
1,751- 2,000
$ 83.13
2,001 - 2,250
$ 89.78
TOTAL SQ. FOOT UNDER
2,251- 3,000
$ 9643
ROOF
3,001- 3,500
$ 103.08
3,501 - 4,000
$ 109.73
$
4,001 +
$ 120.37
EACH TRADE
II. A, E, I, R -1
1 - 500
$ 37.00
HOTELS, APARTMENTS,
501 - 100,000
$ 17.50 +.035 PER
DRINKING /DINING,
100,001 - 500,000
$ 3,500.00 +.03 SQUARE
EDUCATIONAL, ASSEMBLY,
500,001+
$15,000.00 +.02 FOOT
$
INSTITUTIONAL
EACH TRADE
III. B, F, H, M,S,U
1- 500
$ 37.00
OFFICE, RETAIL, WHOLESALE,
501- 50,000
$ 32.00+.01 PER
GARAGES, FACTORIES,
50,001- 100,000
$ 182.00+ .007 SQUARE
WORKSHOPS, SERVICE
100,001+
$ 582.00+,003 FOOT
$
STATIONS, WAREHOUSE
CONTRACT
EACH TRADE
VALUATION OF
IV.
WORK
ANY OCCUPANCY GROUP
ALTERATIONS, FINISH -OUTS,
0- 500
$ 37.00
SHELL COMPLETIONS
501- 1,500
$ 45.00
1,501- 3,000
$ 57.00
3,001- 5,000
$ 72.00
CONTRACT VALUATION OF WORK:
5,001- 50,000
$ 27.00+.009
50,001- 100,000
$ 127.00+ .007 PER
$sm �
100,001- 500,000
500,000+
$ 327.00+ .005 DOLLAR
$ 1,327.00 +.003 VALUATION
$ �a
EACH TRADE
V. MISCELLANEOUS
IRRIGATION SYSTEMS
$ 37.00
MOBILE HOME SERVICE
$ 37.00
TEMPORARY POLE SERVICE
$ 3700
SWIMMING POOLS
$ 37.00
SIGN ELECTRIC
$ 37.00
$
OTHER INSPECTIONS AND FEES
• INSPECTIONS OUTSIDE NORMAL BUSINESS HOURS (2HR MINIMUM) ......... ...............................
• REINSPECTION FEES ...... ........ .... ............................... ........................... . .................... ...... ... I.
• PERMITS FOR WHICH NO FEE IS SPECIFICALLY INDICATED ...................... ...............................
• INSPECTIONS FOR WHICH NO FEE IS SPECIFICALLY INDICATED (1/2 HOUR MINIMUM) ...............
• ADDITIONAL PLAN REVIEW REQUIRED BY CHANGES, ADDITIONS, OR REVISIONS TO
APPROVED PLANS .............. ......................................................... . ... .. ......... I ........................
.
• BUILDING PERMIT FEES FOR THE GRAPEVINE - COLLEYVILLE INDEPENDENT SCHOOL DISTRICT
SHALL BE 25% OF THE FEES ESTABLISHED IN THIS TABLE
FOR USE OF OUTSIDE CONSULTANTS FOR PLAN CHECKING AND INSPECTIONS, OR BOTH.......
$42.00 /HOUR'
$42.00
$37.00
.$42.00 /HOUR
.$42.00 /HOUR
.ACTUAL COSTS"
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 CODES 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.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT PRINTED NAME
(OR HOMEOWNER FOR HOMEOWNERS PERMITS)
'OR THE TOTAL HOURLY COST TO THE JURISDICTION WHICHEVER IS GREATER.
"ACTUAL COSTS INCLUDE ADMINISTRATIVE AND OVERHEAD COSTS.
—r ry �mr% 10471 A4n iiac
CITY OF GRAPEVINt, bUlLUINU INZWCU 1 iUNa, r. W. laWA V., IVY, ... �—
0AFORMWEPNEWPERMIT2
6/21/01 REVISED. 10/3/01
MAR 0 9 2004 CITY OF GRAPEVINE
MECHANICAL ELECTRICAL
PERMIT FEES
(PLEASE PRINT)
PLUMBING
PERMIT #
BLDG. PERMIT # Aq 1
DATE:
JOB ADDRESS:
u
DESCRIPTION OF WORK: .�
PROPERTY OWNER.
CONT CTING C PANY:
EACH TRADE
cry e' b " S Q
ADDRESS:
ADDRESS:
1 - 749
CITY /STATE2IP:
CI Y /STATE2IP:
750- 1,199
$ 49.88
PHONE NUMBER:
1,200 - 1,500
ONE UMBER:
TYPE OF OCCUPANCY
BUILDING AREA
PERMIT FEES
AMOUNT DUE
(SQ FT)
EACH TRADE
I. R -3
1 - 749
$ 33.25
SINGLE FAMILY, DUPLEX
750- 1,199
$ 49.88
TOWNHOUSE,
1,200 - 1,500
$ 63.18
NEW CONSTRUCTION &
1,501- 1,750
$ 76.48
ADDITIONS (PER UNIT)
1,751- 2,000
$ 83.13
2,001 - 2,250
$ 89.78
TOTAL SQ. FOOT UNDER
2,251- 3,000
$ 96.43
ROOF
3,001 - 3,500
$ 103.08
3,501 - 4,000
$ 10973
$
4,001 +
$ 120.37
EACH TRADE
II. A, E, I, R -1
1 - 500
$ 37.00
HOTELS, APARTMENTS,
501 - 100,000
$ 17.50 +.035 PER
DRINKING /DINING,
100,001 - 500,000
$ 3,500.00 +.03 SQUARE
EDUCATIONAL, ASSEMBLY,
500,001+
$15,000.00 +.02 FOOT
$
INSTITUTIONAL
EACH TRADE
III. B, F, H, M, S, U
1 - 500
$ 37.00
OFFICE, RETAIL, WHOLESALE,
501- 50,000
$ 3200+.01 PER
1
GARAGES, FACTORIES,
50,001- 100,000
$ 182.00+.007 SQUARE
WORKSHOPS, SERVICE
100,001+
$ 582.00+ .003 FOOT
$
STATIONS, WAREHOUSE
CONTRACT
EACH TRADE
VALUATION OF
IV.
WORK
n /1
ANY OCCUPANCY GROUP
U(f
ALTERATIONS, FINISH -OUTS,
0- 500
$ 37.00
"I '
1
SHELL COMPLETIONS
501- 1,500
$ 4500
1,501- 3,000
$ 57.00
3,001- 5,000
$ 72.00
CONTRACT VALUATION OF WORK:
5,001- 50,000
50,001- 100,000
$ 27.00+.009
$ 127.00+ .007 PER
/1
Llj� J U
100,001- 500,000
$ 327.00+ 005 DOLLAR
$ �� �� G' D
500,000+
$ 1,327.00+ .003 VALUATION
$
EACH TRADE
V. MISCELLANEOUS
IRRIGATION SYSTEMS
$ 37.00
MOBILE HOME SERVICE
$ 37.00
TEMPORARY POLE SERVICE
$ 37.00
SWIMMING POOLS
$ 37.00
SIGN ELECTRIC
$ 37.00
$
Ezz
OTHER INSPECTIONS AND FEES
• INSPECTIONS OUTSIDE NORMAL BUSINESS HOURS (2HR MINIMUM ) ............................ ...................$42.00
/HOUR`
• REINSPECTION FEES ................................................................................... ...............................
$42.00
• PERMITS FOR WHICH NO FEE IS SPECIFICALLY INDICATED ............................ ...............................
$37.00
• INSPECTIONS FOR WHICH NO FEE IS SPECIFICALLY INDICATED (1/2 HOUR MINIMUM ) ......................$42.00
/HOUR
• ADDITIONAL PLAN REVIEW REQUIRED BY CHANGES, ADDITIONS, OR REVISIONS TO
APPROVEDPLANS ............ .... ....... ................................................................................................
$42.00 /HOUR
• BUILDING PERMIT FEES FOR THE GRAPEVINE- COLLEYVILLE INDEPENDENT SCHOOL DISTRICT
SHALL BE 25% OF THE FEES ESTABLISHED IN THIS TABLE
• FOR USE OF OUTSIDE CONSULTANTS FOR PLAN CHECKING AND INSPECTIONS, OR BOTH.........
ACTUAL COSTS"
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 CODES 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.
/6; 2ej /Z�-/
SIG URE OF CONTRACTOR OR AUTHORIZED AGENT
(OR HOMEOWNER FOR HOMEOWNERS PERMITS)
PRINT D NAME
'OR THE TOTAL HOURLY COST TO THE JURISDICTION WHICHEVER IS GREATER.
"ACTUAL COSTS INCLUDE ADMINISTRATIVE AND OVERHEAD COSTS.
CITY OF GRAPEVINE, BUILDING INSPECTIONS, P. O. BOX 95104, GRAPEVINE, TX 76099 (817) 410 -3165
0:TORMWEPNEWPERMIT2
6/21/01 REVISED: 10/3/01
CITY OF GRAPEVINE
MECHANICAL ELECTRICAL PLUMBING
PERMIT FEES
(PLEASE PRINT)
PERMIT #
BUILDING AREA
PERMIT FEES
BLDG. PERMI O
DATE; --
i
-
EACH TRADE
JOB ADDRESS:
DESCRIPTION OF WORK:
1- 749
$ 33.25
SINGLE FAMILY, DUPLEX
750- 1,199
$ 49.88
PROPERTY OWNER.
�7
$ 6318
CONTRA TING COMPANY. - f
NEW CONSTRUCTION &
1,501- 1,750
$ 76.48
ADDRESS: S
j ��
s.
ADDRESS:
2,001 - 2,250
$ 89.78
f
CITY /STATEIZIP:
2,251- 3,000
$ 96.43
CITY /STATE/ZIP:
ROOF
3,001 - 3,500
$ 103.08
PHONE NUMBER:
3,501 - 4,000
$ 109.73
PHONE NUMBER:
TYPE OF OCCUPANCY
BUILDING AREA
PERMIT FEES
AMOUNT DUE
(SQ FT)
EACH TRADE
I. R -3
1- 749
$ 33.25
SINGLE FAMILY, DUPLEX
750- 1,199
$ 49.88
TOWNHOUSE,
1,200- 1,500
$ 6318
NEW CONSTRUCTION &
1,501- 1,750
$ 76.48
ADDITIONS (PER UNIT)
1,751- 2,000
$ 83.13
2,001 - 2,250
$ 89.78
TOTAL SQ.FOOT UNDER
2,251- 3,000
$ 96.43
ROOF
3,001 - 3,500
$ 103.08
3,501 - 4,000
$ 109.73
$
4,001 +
$ 120.37
FAr,H TRAnF
II. A, E. 1, R -1
1 - 500
$ 37.00
HOTELS, APARTMENTS,
501 - 100,000
$ 17 50 +.035 PER
DRINKING /DINING,
100,001 - 500,000
$ 3,500.00 +.03 SQUARE
EDUCATIONAL, ASSEMBLY,
500,001+
$15,000.00 +.02 FOOT
$
INSTITUTIONAL
EACH TRADE
III. B, F, H, M, S, U
1- 500
$ 37.00
OFFICE, RETAIL, WHOLESALE,
501- 50,000
$ 32.00+ .01 PER
GARAGES, FACTORIES,
50,001- 100,000
$ 182.00+ 007 SQUARE
WORKSHOPS, SERVICE
100,001+
$ 582.00+ .003 FOOT
$
STATIONS, WAREHOUSE
CONTRACT
EACH TRADE
VALUATION OF
IV,
WORK
ANY OCCUPANCY GROUP
ALTERATIONS, FINISH -OUTS,
0- 500
$ 37.00
SHELL COMPLETIONS
501- 1,500
$ 45.00
1,501- 3,000
$ 57.00
3,001- 5,000
$ 72.00
CONTRACT VALUATION OF WORK:
5,001- 50,000
$ 27.00+.009
50,001- 100,000
$ 127.00+ .007 PER
100,001- 500,000
$ 327.00+ .005 DOLLAR
�� Q
$�ay V
500,000+
$ 1,327 00+ .003 VALUATION
$
EACH TRADE
V. MISCELLANEOUS
IRRIGATION SYSTEMS
$ 37.00
MOBILE HOME SERVICE
$ 37.00
TEMPORARY POLE SERVICE
$ 37.00
SWIMMING POOLS
$ 37.00
SIGN ELECTRIC
$ 37.00
$
OTHER INSPECTIONS AND FEES
• INSPECTIONS OUTSIDE NORMAL BUSINESS HOURS (2HR MINIMUM) ............................................... $42Z0,H0U;,`
• REINSPECTION FEES ................................................................................... ............................... $42.00
• PERMITS FOR WHICH NO FEE IS SPECIFICALLY INDICATED ............................ ............................... $37.00
• INSPECTIONS FOR WHICH NO FEE IS SPECIFICALLY INDICATED (1/2 HOUR MINIMUM ) ......................$42.00 /HOUR
• ADDITIONAL PLAN REVIEW REQUIRED BY CHANGES, ADDITIONS, OR REVISIONS TO
APPROVEDPLANS ........................ .......................................................... ..................................... $42.00 /HOUR
• BUILDING PERMIT FEES FOR THE GRAPEVINE- COLLEYVILLE INDEPENDENT SCHOOL DISTRICT
SHALL BE 25% OF THE FEES ESTABLISHED IN THIS TABLE
• FOR USE OF OUTSIDE CONSULTANTS FOR PLAN CHECKING AND INSPECTIONS, OR BOTH......... ACTUAL COSTS"
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 CODES 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.
l
SIGNATURE OF TRACTOR OR AUTHORIZED AGENT PRINTED NAME
(OR HOMEOWNER FOR HOMEOWNERS PERMITS)
`OR THE TOTAL HOURLY COST TO THE JURISDICTION WHICHEVER IS GREATER.
"ACTUAL COSTS INCLUDE ADMINISTRATIVE AND OVERHEAD COSTS.
CITY OF GRAPEVINE, BUILDING IN5PtG I IUN5, F'. U. UU7, U01U4, Uw - tvnvt, i A iovaa to i f) K iv -.) IOU
0:TORMWEPNEWPERMIT2
6/21/01 REVISED: 10/3/01
CITY OF GRAPEVINE PWS ID# 2200013
WATER CUSTOMER SERVICE INSPECTION CERTIFICATION
DATE: a ( 3L 0`7 BUILDING UE
SWIMMING POOL
ADDRESS:
IRRIGATION
PERMIT #: — `T PLUMBING i ]
I hereby certify that I have inspected the water supply system at the above referenced address. To the best of my
knowledge, the materials and methods used in the installation of this system comply with the plumbing code adopted
by the City of Grapevine. Plumbing code is located in Chapter 7, Article VIII, (Ordinance number 92 -17), and Chapter
7, Article V, (Ordinance number 01 -93).
In additi a bes f y knowledge, no cross connection exists at this address at the time of inspection.
S NATURE OF INSPECTOR LICENSE NUM R
AAeu TIT E I SP CTOR
a2, v
DATE
Wforms4aterservinsp, 0501
08/03
w
CA
0
-j
U
'1000
LU
C.P
it
CIS)
VL
tv
I
............. 1-1 1-U.
60
WOO
�ft
atv -
d:--Iil
-J4
OL
Olt
fq
4)
K
o
-Z
H
t
=>
............. 1-1 1-U.
60
WOO
�ft
atv -
d:--Iil
-J4
OL
Olt
fq
4)
K