HomeMy WebLinkAboutCO2021-2175UNDER CONSTRUCTION _
CORRECTION LETTER _
PW OR LID NEEDED _
TD NO LETTER _
WAITING FIRE _
HOLD _
CODE
C/O CHECK LIST
C/O PERMIT # P21
ADDRESS: 0-�J(S ai; jv
BUSINESS NAME: t4 S1 ot-_)
BUSINESS PROPERTY
_ CHANGE NAME / OWNER _ NEW CONST / ADDITION PERMIT #
NEW TENANT / OCCUPANT —REMODEL / ALTERATION PERMIT #
ISSUE DATE FINAL DATE
APPLICATION FORM COMPLETED
_Z2.
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
.
ZONING CHECKED & COMPLETED ON APPLICATION
6.
BUILDING INSPECTION SCHEDULED DATE TIME
�7.
FIRE DEPT. INSPECTION SCHEDULED DATE TIME
FIRE INSPECTOR:
5.
18
1 g.
✓ 20.
_,-� 21
CITY SECRETARY (ALCOHOL)
HEALTH INSPECTION
PUBLIC WORKS INSPECTION
LOT DRAINAGE INSPECTION
CORRECTION LETTER SENT
BUILDING INSPECTORS SIGN OFF
FIRE DEPARTMENTS SIGN OFF
HEALTH DEPARTMENT SIGN OFF
CITY SECRETARY (Alcohol License Sign Off)
PUBLIC WORKS SIGN OFF
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
BUILDING OFFICIALS SIGNATURE
C/O CERTIFICATE ISSUED
* CONDITIONS TO BE TYPED ON C/O? YES / NO
c9 A /qk
NOTIFICATION DATE:
NOTIFICATION DATE:
E-MAIL DATE
E-MAIL DATE
DATE
LETTER: YES / NO
LETTER: YES / NO
JILIN 28 2021
ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOV:
MAILED:
121330104\Rev11M 1t U11B
DATE OF ISSUANCE.
PERMIT 4. a � — '�' 1
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTTFICATE OF OCCUPANCYIS ASSOCIATED 97THAN-4CTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: 2355 Grapevine Mills 1 r'eAe-
SUITE 4
LOT: 2 BLOCK: 4 SUBDMSION: Grapevine Mills Addition
****CERTIFICATE OF OCCUPANCY WILL NO BE ISSUED WITHOUT LEGAL DESCRIPTION****
NAME OF BUSINESS: Ct t? cLn St �i11 �l__ _. -. .
NEW OCCUPANT: VES,NO % NEW BUI IN fiROPERTY OWNER: YES NO
NEW BUILDING: YES NO �_ NAME CHANGE: BUSINESS YES NO
NUMBER OF EMPLOYEES: O FREIGHT FORWARDING: YES _ NO
NEW BUSINESS OWNER; YES NO
TYPE OF BUSINESS:
E' CR tii Y1 T iSQUARE FOOTAGE:
(Example: Reten, Omce, W arehouae)
NAME OF TENANT: �Ok )
CURRENT MAILING ADDRESS%
CITY/STATElZIP: l PHONE NUMBER:
PROPERTY OWNER: Fred Roshan/Haven Court LLC.
MAILING ADDRESS:
402 19TH ST
CITY/STATE/ZIP:
Santa Monica, Ca, 90402 PHONE NUMBER: 213 434 7700
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - -- YES_ NO i
♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) -YES _ NO
♦ PERMITS ARE REQUIRED FOR SIGNS, WILL ANY SIGNS BEINSTALLED?----------------- —YES_ NO_C•
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? - - - YES _ NO
♦ WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY?
(ifyes, screening is required)---------------------------------- -------YES_ NO
♦ WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING- --------------------- YES— NO
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?-------------------------YES_No
♦ IS BUILDING SPRINKLERED?---------------------- ------ YES —NOS/
• WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
(if yes, provldc list of types & quantities, along with material safety data sheets) - - - - - - -- - - - - - - • - -- - - —YES YES _ NO
1 HEREBY CERTIFY T14AT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THE SAID
OCCUPANCY IS IN CONFORMANCE WITH THE INFORMATION HEREIN SET FORTH.
(if seems to the buildingispace is not 7provided
at the time of the scheduled Inspection, a S42,00 re -inspection fee will he charged)
FOR QUESTIONS PLEASE CALL {81
PRINT NAME:
FRED ROSHAN SIGNATURE: )
Development Services Department
The City of Grapevine * P.O, Box 95104 * Grapevine, Texas 76099 * (817) 410-3365
Fax (817) 410-3012 * www,gtapevindexab.gov
el)rzWl/Rn,vL VBp. 110.] IC. pplin4®
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 &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 ar 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:
M
wI3ERE DO YOU WANT YOUR COMPLETED CERTIFICATE O1^ OCCUPANY MAILED?,
1
ADDRESS:
CITY, STATE, ZIP:
to t***t t******FOR OFFICE USE
TYPE OF CONSTRUCTION:
V6 OCCUPANCY:
A-)114 DIVISION: —
ZONING DISTRICT:
C C-
CONDITIONAL
USE: /✓IKI '
PERMITTED USE: /A-)Q
OCCUFAVc4
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r�
DATE:
1
BUILDING DEPARTMENT:'
r
Quii.PINt,. ins P>✓CC
a'
DATE:
ZONING APPROVAL:
FIRE DEPARTMENT:
DATE:
LOT DRAINAGE INSPECTION:
DATE:
PUBLIC wORKS DEPARTMENT:
/
DATE:
HEALTH DEPARTMENT: p/ `_}
DATE:
LANDSCAPING APPROVA-`Lj- /�`�
FOR ISSUANCE:: /
`�
DATE:
DATE:
//J " ✓O, %.
APPROVAL
oaoevw<+ensanoexlnu+>m..rte�
, 21R991.9n1[ro:V94VPo.19,.('99
City of Grapevine
P 0 Box 95104
Grapevine, TX 76099
(817)410-3165 Voice
(817) 419-3012 Fax
CERTIFICATE OF OCCUPANCY
Issue Date: June 30, 2021
PROJECT DESCRIPTION: C/O "Clean and Show"
PROJECT#
CO.21-2175
LOCATION
2355 E Grapevine Mills Cir
Grapevine, TX 76051
CONTRACTOR
Fred Foshan
402-19th Street
Santa Monica, CA, TX 90402
(213)434-7700 Phone
OWNER
Haven Court I-C
402 19th St
Santa Monica, CA 90402
AVAILABLE INSPECTIONS
• Final Building C/O Inspection (required)
• Landscaping (required)
. C/O APPROVED FOR ISSUANCE
(required)
(817) 410-3010
Inspections
TENANT
Vacant
INFORMATION
* CONDITIONAL USE REQUIRED?
* CONSTRUCTION TYPE
"OCCUPANCY GROUP
" PERMITTED USE
* ZONING DISTRICT
NAME OF BUSINESS
TYPE OF BUSINESS
**APPLICANT NAME
**APPLICANT PHONE NUMBER
**TENANT NAME
**TENANT PHONE NUMBER
'Sales Tax
*Sales Tax Number
Alcoholic Beverage Sales
Alterations
Change of Business Name
Change of Business Owner
County
Fire Sprinkler System?
Freight Forwarding Business
Hazardous Material
Industrial Waste
New Building / Addition
New Building or Property Owner
New Occupant/Tenant
Number of Employees
Outside Refuse/Recycling
Outside Storage
signs
Square Footage
Zoning
FEES
Certificate of Occupancy
www.mygov.us
Permits
LEGAL
Grapevine Mills Addition Elk 4
Lot
N/A
VB
No Occupancy
N/A
CC
Vacant
Clean & Show
Fred Roshan
Vacant
213-434-7700
NO
NO
NO
NO
NO
Tarrant
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
3850
CC - Community Commercial
TOTAL = $ 50.00
$ 50.00
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY 1 CO-21-21751 Printed 07/01/21 at 8.38 a.m. Page 1 of 3
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 21- X «S
ADDRESS OF INSPECTION:
DATE OF INSPECTION: cc TIME OF INSPECTION: C�, 14 n/�-
NAME OF BUSINESS:
TYPE OF BUSINESS:
USE OF BUILDING AND/OR PREMISSES:"" �QC
REASON FOR APPLYING:
CONTACT PERSON:
TELEPHONE NUMBER:
COMMENTS/VIOLATIONS: _
Z Icy I551>t� ok {o ✓v_I{ d
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: r
TYPE OF BUILDING: VtS GROUP AND DIVISION: /Up LICCCIPfIiI/C?'
ZONING RESTRICTIONS:
0 iORN'S DSCOINPoUTATION NORAORDER
12 41) 04 R, 1 172W6