HomeMy WebLinkAboutCOMA2018-2627JUL 10 2018
lla . 2 6 2013
DATE OF ISSUA((N;;CE1I:
PERMIT #: X' oC to 7
BUILP'jj ;PERMIT APPLICATION
1 (PL A E INT I:EGIBLN -COMPLETE ENTIRE FORM)
JOBADDRESS: I.O 3 L:�ot1Gd[S?7c12 I/2.
LOT: BLOCK: SUBDIVISION:
SUITE # 2 0
BUILDING CONTRACTOR (company name): P�/�ll L7? IC Zn P } rf+ R L � L
z —t
CURRENT MAILING ADDRESS: I Oo ( I nS ji W 4' I
CITY/STATE/ZIP:iQA P �� t.V� % 6 b 1�� PH: # Q [ v Fax #
PROPERTY OWNER:— n L
t,,.vGArfrc t FVu"'d c, ----Aj- ��J
CURRENT MAILING A�DID•�REE/SS:4[Oti �l 1 & E hQ y�/lv�7 14,b�
CITY/STATE/ZIP: b 1% PHONE NUMBER: tg 17
PROJECT VALUE: $ I S� Ot�7� FIRE SPRINKLERED? YES v NO
WHAT TRADES WILL BE NEEDED? (Check ones that apply) ELECTRIC PLUMBING M CHANICAL
DESCRIPTION OF WORK TO BE DONE: R-cv'c 1b
USE OF BUILDING OR STRUCTURE:
NAME OF BUSINESS:
Total Square Footage under roof:-lD,'7V0 Square Footage of alteration/addition:
�y 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 ansp ave been4�5ylig�{t�1 tA the Texas De artment of Licensing and Regulation for Accessibility Review.
Control Number. MIS(�714 •i5 x6 4 1 O �%_ (Not required for 1 & 2 family dwellings)
1 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. 1 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 AGENCY(S).
PRINTNAME: M U•CL� W AIQ-� SIGNATO i
Construction Type:
{ OccuvancyGroup: _
Division:
Zoning: Cli
Occupancy Load: 3 �o
Plan Review Approval;— f
Site Plan Approval:
�[) { Fire De artment:
Publicorks Department:
Health DeEartment:
Approved for Permit:
Lot Drainage Submitted/
Permit Valuation: $ -75 po
Fire Sprinkler: YES _ O _
Building Depth: _
Building Width: J
- ate: -7-/ f -41
Date_ _
Date:
Date:
Setbacks
Front: _
Left: 1
Rear: J
Right:
Building Lit Fee:
Plan Review Fee:
Lot Drainage Fee:
Sewer Availability Rate:
Date: Water Availability Rate:
Date: 7 Total Fees:
Approved: I Total Amount Due:
T
Approval to Issue
Electrical Y {
Plumbing `(
Mechanical Y
{
P0.90%95t06. GRAPEVINE. TX t6099 (B1Y)910.3tfi3 O.FMIASWP TAP TION3 tN A> IOC,p1 t u,4Rt
C'AP VINE
T 3`9�
MAN
City of Grapevine
P O Box 95104
Grapevine, TX 76099
(817) 410-3165 Voice
(817)410-3012 Fax
CONTRACTOR
Kaker & Ware, Inc.
1001 W. Northwest Hwy.
Grapevine, TX 76051
(817)480-9918 Phone
(
OWNER
Evergreen -fern Ltd
4100 Heritage Ave Ste 105
Grapevine, TX 76051-5716
ph. (000)000-0000
BUILDING --- COMMERCIAL ALTERATION
Issue Date: July 26, 2018
PROJECT DESCRIPTION: Interior Alteration - Creating Suite #205 From Suite #203 For New Tenant "White
Box"
PROJECT # (817) 410-3010 www.mygov.us
COMA-18.2627 Inspections Permits
LOCATION TENANT LEGAL
1643 Lancaster Dr. Season's Hospice & Palliative Clearview Park Addition Blk 2
Suite # 205 Care of TX LLC Lot 1rl
Grapevine, TX 76051 Acres 2.1521
AVAILABLE INSPECTIONS
Building Framing (required)
� Building Energy Code (required)
Final Fire Dept Inspection (required)
. Building Final (required)
INFORMATION
* CONDITIONAL USE REQUIRED?
N/A
* CONSTRUCTION TYPE
II-B
* OCCUPANCY GROUP
B
*OCCUPANCY LOAD
43
* ZONING DISTRICT
CC
** NAME OF BUSINESS
White Box
**APPLICANT NAME
Mike Ware
**APPLICANT PHONE NUMBER
817-480-9918
*SITE PLAN / SPECIAL USE / CU?
N/A
1) Certified Energy Code Inspected
YES
2) Accessibility Review
YES
3) Control Number
4) Asbestos Survey
YES
Acreage
EABPRJB8821077
APPROVED TO ISSUE ELECTRIC
YES
APPROVED TO ISSUE HOOD
NO
APPROVED TO ISSUE MECHANICAL
YES
APPROVED TO ISSUE PLUMBING
YES
County
Tarrant
Fire Sprinkler System?
YES
Square Footage
3600
VALUATION
75000
What is use of Building/Structure?
Medical Office
Zoning
CC - Community Commercial
FEES TOTAL = $ 1,206.15
Building Permit Fee $ 731.00
Building Plan Review $ 475.15
PAYMENTS TOTAL = $1,206.15
Kaker & Ware, Inc. (Mike Ware)
Check on 0711112018 ($475.15)
Note: CK#23178
Kaker & Ware, Inc. (Mike Ware) ($731 00)
Check on 07/26/2018
MYGOV US City of Grapevine I BUILDING--- COMMERCIAL ALTERATION I COMA-18-26271 Printed 07/26/18 at 8.37 a in, Page 1 of 3
Note: CK23180
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. 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 APPROPRIATE STATE AND OR
FEDERAL AGENCY(S).
1A AY
Signature Date
MYGOV US City of Grapevine I BUILDING --- COMMERCIAL ALTERATION I COMA-18-2627I Primed 07/26118 at 8:37 a in Page of 3