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Home My WebLink AboutCO2021-1717UNDER CONSTRUCTION _ CORRECTION LETTER _ PW OR LID NEEDED _ TD NO LETTER ,,-WWAI I ING FIRE - - 1-COL--D--- CODE _ C/O CHECK LIST C/O PERMIT # P21 - ] ' V% ADDRESS: l 11 o- 6'1_ 6w Si 5rrr- iQ S n BUSINESS NAME: WO(n BUSINESS / PROPERTY CHANGE NAME / OWNER _ NEW CONST / ADDITION PERMIT # ✓NEW TENANT / OCCUPANT _ REMODEL / ALTERATION PERMIT # ISSUE DATE FINAL DATE 1. APPLICATION FORM COMPLETED f 2. ZONING MAP COPIED & WORKORDER FORM COMPLETED 3. 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) 4. 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) 9. HEALTH INSPECTION 10. PUBLIC WORKS INSPECTION '^ 11. LOT DRAINAGE INSPECTION 12. CORRECTION LETTER SENT �1f3. BUILDING INSPECTORS SIGN OFF 14. FIRE DEPARTMENTS SIGN OFF -j—(J 15. HEALTH DEPARTMENT SIGN OFF 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 NOTIFICATION DATE: NOTIFICATION DATE- E-MAIL DATE E-MAIL DATE DATE LETTER: YES / NO LETTER: YES / NO 40 �21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: 4 I-1 13 2021 SCAN CERTIFICATE TO MYGOV: CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED: O 1FORMS\OSCOINFORMFTIOMCKLIST 12n0104 A Rev] 1N 1, M15,5118 05/18/2021 10:19 FAX 18177226159 N,i DATE OF ISSUANCE: PERMIT #: CERTIFICATE OF OCCUPANCY REQUEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT ADDRESS OF OCCUPANCY: 1125 Ball St. SUITE # 105 LOT: 4R BLOCK: 2 SUBDIVISION: Bellaire Addition - Grapevine ****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION"" NAME OF BUSINESS: Washburn Audiology LLC (d/b/a Love To Hear Again Audiology) NEW OCCUPANT: YES V NO _ NEW BUILDING/PROPERTY OWNER: YES NO NEW BUILDING: YES — NO NEW BUSINESS NAME CHANGE: YES NO NUMBER OF EMPLOYEES: 4 FREIGHT FORWARDING: YES NO _y NEW BUSINESS OWNER. YES NO / TYPE OF BUSINESS: Medical Retail (Audioloriv 8 Hearin Aid dispensing) SQUARE FOOTAGE: 1.376 (Eumoe: Retell Clothing I Atte noy's Onkel Oltic-wsreho / ReefWa 1) NAME OF TENANT [PERSON'S NAMED: Dr. Elvssa Washburn CURRENT MAILING ADDRESS: 732 Bentwood Dr. clTYrsTATF": Lewisville. TX 75067 PHONE NUMBER: 501-305-9358 PROPERTY OWNER: Severiv Condominiums Ltd. MAILING ADDRESS; W 5 Preston Crest Ln. CITY/STATEtzIP: Dallas. TX 75230 �HoNE NUMBER: 956-334-3719 ♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yea, provide copy of Sales Tax Certificate) - . - - YES NO ♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES? (M yes, provide copy of Alcoholic Beverage Permit) - YES _ NO • 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(RECYCLWG/COMPACTING CONTAINERS BE NECESSARY? (if yes, screening is required)----------------------------------------------------------- YES —NO ♦ WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/Beet vehicles), DISPLAY, USE OR DINING?------------------------------------------------------------------ YES NO ♦ WELL ANY ALTERATIONS BE MADE TO THE SITE ORBUI,DING?-------------------- --- YES _NO ♦ IS BUILDINGSPRINKLEIRED?------------------------------------------------------- YES —NO ✓ ♦ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS? (K yes, provide list of types & quantities, along with material safety data sheets) - - - - - - - - - - - - - - - - - - - - - - YES , NO 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-Insoectlogbt wl l be charged) FOR QUESTIONS PLEASE CALL. (S17) 410-3165. SIGNATURE: 12"j✓6t1VJLA.. 4W,1_1_ PRINT NAME: Elvssa Washburn Au.D. PHONE#: 501-305-9358 EMAIL. (OVER) Development Services Department The City of Grapevine )l( P.O. Box 95104 * Grapevine, Texas 76099 * (917) 410-3165 Fax (817) 410-3012 * www.eraocvinetcxas.cov o:FORR MAPPMATIOW05a 3/A01aMv: 698�1elpAY,9/18�f tn5,1 Wt♦pHa,lQi2C 05/18/2021 10:20 FAX 18177226159 Texas Saks 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 servke& If you are in a business that will be selling °'taxable items" within the City of Grapevine, Texas you wall be required to collect State and Local Sales Tax in the amount of 9.25%. A "Seller or Retailer" means a person engaged in the busness of making sales of `taxable items", the receipts from which are included in the measure of sales or use tax. The tetut, "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 Sala Tax Number: 3-20639-9284-9 WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED? ADDRESS: 732 Bentwood Dr. CITY, STATE, ZIP: Lewisville. TX 75067 ****s**************s*x **FOR OFFICE USE TYPE OF CONSTRUCTION: ZONING DISTRICT: PERMITTED USE: BUILDING DEPARTMENT: BUILDING INSPECTOR: ZONING APPROVAL: FIRE DEPARTMENT: LOT DRAINAGE INSPECTION: PUBLIC WORKS DEPARTMENT: HEALTH DEPARTMENT: CITY SECRETARY: LANDSCAPING APPR VA / APPROVAL FORISSUAN : V6 pa qE 5 OCCUPANCY: -- DIVISION: i CONDITIONAL USE: --//,4 OCCUPANT LOAD: I DATE: SIJ 9I�1 DATE: All ^— DATE: DATE: DATE: DATE: DATE: / DATE: DATE:/ DATE: orosasos,iv ATPWAWe &=Gin .r W=7AWX1a.Nns.1a10A1%8 Lazo City of Grapevine P.O. Box 95104 Grapevine, TX 76099 (817) 410-3165 Voice (817)410-3012 Fax CONTRACTOR Elyssa Washburn, Au.D. 732 Bentwood Drive Lewisville, TX 75067 (501)305-9358 Phone OWNER Beverly Condominiums Ltd 6215 Preston CrestLn Dallas, TX 75220-1827 CERTIFICATE OF OCCUPANCY Issue Date: June 14, 2021 PROJECT DESCRIPTION: C/O (Medical Office) "Washburn Audiology LLC dba Love to Hear Again Audiology' PROJECT # (817) 410-3010 www.mygov.us CO-21-1717 Inspections Permits LOCATION TENANT LEGAL Beverly Condominiums, Ltd Washburn Audiology / Love 1 bellaire Addition Elk 2 Lot 4r 1125 Ball St. to Hear Again Audiology Suite # 105 Grapevine, TX 76051 AVAILABLE INSPECTIONS . Final Building C/O Inspection (required) • Final Fire Dept Inspection (required) . Landscaping (required) • C/O APPROVED FOR ISSUANCE (required) INFORMATION * CONDITIONAL USE REQUIRED? N/A * CONSTRUCTION TYPE VB * OCCUPANCY GROUP B * OCCUPANCY LOAD 14 *PERMITTED USE YES ZONING DISTRICT PO NAME OF BUSINESS Washburn Audiology LLC dba Love to Hear Again Audiology ** TYPE OF BUSINESS Medical Office **APPLICANT NAME Elyssa Washburn Au.D. **APPLICANT PHONE NUMBER 501-305-9358 **TENANT NAME Dr. Elyssa Washburn **TENANT PHONE NUMBER 501-305-9358 *Sales Tax YES *Sales Tax Number 32063992849 Alcoholic Beverage Sales NO Alterations NO Change of Business Name NO Change of Business Owner NO County Tarrant Fire Sprinkler System? NO Freight Forwarding Business NO Hazardous Material NO Industrial Waste NO New Building / Addition NO New Building or Property Owner NO New Occupant / Tenant YES Number of Employees 4 Outside Refuse/Recycling NO Outside Storage NO Signs NO Square Footage 1376 Zoning PO - Professional Office - ,,,> ,v",s4 C'NYgSHJ �5 x. :. 201 x, m 1 sa; v �� i n ONC N06 Y� O DANIELS e�iPa ex® r a ,o x, " SO CN ..,e gON<� Pao ,p GU 1` A x e y[— mN3y5Le y 1 SDWSEp 'vne .w• �CO� S� p�I n _ ,z 1 ,e s 4 1A Vqp& VINEST .,a e�iv,m SSp .ova VINESi—�,.35 Q III tEXPK � ,v z x m x u x x. : xµPN'Qp x ,: ■ : �� 'H"m PA,SBµgam4 N ■ 4190t6 m jONt�L 1 ,r o e m ma¢ a 42 � z 15 r u 96 GU PpBSP �E x �. s „ ° s ° HANGFR� ,e o"e� 'A z � �� v. "i® - SSW —R=7.5'"r, "LTA, �'� HCO o i MilT f BLH 1 12 rs x x m ' II III hmm TERWCE'DR 14 " n A° �y? �4i�Qyd�69 Sg aam �.QuY,� nmo µPBt+N 1 a a . 4 4 n o .° y2PM1 '2 j589 B6v, a e „ m _ lI �tFQp94VC o/�Wti�� ,a;no 1 --�'� `�. ° > , ,° ° ,ta.c BµPPEVME 1 , 1 HC ssu4 n.c BELIAIREDR z—\ I w µGP Go ko0 /\ \ ,�figµ irp�;p195 L�s4 110V s sNt ,�m4 NP�� pN PPµ1GNt � �.3� � S 7 Wfg ��'® pp058�1 W3,lyg5 r °Fe 4V �� °ko ap I 1R A, 4 J / :o e �N��50N i "+ o+' Itv <EAPITDL ST-3_ A Ap d°M tRIN B i pcRpZ•:E0 N1SNif1' /y y aj1B5E aims Nop5loaE \ vJa✓La, shyl l seu.IA 4 H12 TER ENTER Q` 3y 1 u >a 451 v i ioW �e''p,N �kL MAIN MAAN GyST ew.c mrem A.�,"® ESH114WW8 W-SH-114 V03 /y1 - m Ce �F Y3Hi14 _ <+ a �® E w. WILLIAM.D-LATE fa$�121 SB I\ \ESX 1''' 14 55H 121 Nato � EN,EN TE%AN TRL W ra®DNOQBOOW® HI7q ESH114EB SH114e'ESHT11 P5B90 W.SH-y,• 1 \( 1 m WSH-11 5SH 121 NBto STT flWv ssa ees® W-SH31; ! X ° - 5H'119 ESH_114 EB ,.on.. L •.. _.[_ //\/ \fix\ E-SH•149/ _ .. _ C ` f 1E1 H.li6t� ,....aPLA W u,� E3Hk14 / 1125 S Ball St, Grapevine, TX 76051 A ROOM 17' 1 " x 15' 3" B ROOM 13' x 15' 10' HAS I D r' � 12,8,. x'4,9„ ROOM 1T1" x 16' E ROOM 17'2" x 10'8" 928.02 sq ft 1375.93 sq ft C ROOM 12' 7' x 15' 10' 12'6"x 15'6" ENTRANCE F TOTAL SQ ft 2303.95 �l H I ROOM ROOM 17'1" x 1510 14'2" x 14'5" HALL / ROOM L 14'2"x 6'8" K 17'1"x 10' J ROOM 17'1" x 11' 13x14 17x14 16x13 •-0 +w� MENS mumm.,e t WOMEN r UTILITY ROOM top H A L L W A 4L Y /C)'T cep 100 1125 S. Sall St. Grapevine TX 76051 Suite No 105 CERTIFICATE OF OCCUPANCY WORKORDER PERMIT # 21- I1 11 ADDRESS OF INSPECTION: I I a ,5 ?-oil DATE OF INSPECTION: 5la f 4 r ' ( NAME OF BUSINESS: Lk vcs} u f LlI, TYPE OF BUSINESS: A114LJ TIME OF INSPECTION: �00 USE OF BUILDING AND/OR PREMISES: l ) REASON FOR APPLYING: G �b��CCJ e lQ�1�Gtn� CONTACT PERSON: <�(a <r" TELEPHONE NUMBER: j SDI-3b5-ol,:�rjpi COMMENTS/VIOLATIONS: **TO BE FILLED OUT BY BUILDING OFFICIAL** ZONING DISTRICT OF INSPECTION LOCATION: PO OCCUPANT LOAD: TYPE OF BUILDING: V 6 ZONING RESTRICTIONS: GROUP AND DIVISION: 3 /4 O PoRMSOSMNFORMAIYON\1'0R 01RIIER 12 ]0 114 R. 1 192006 City of Grapevine CERTIFICATE OF OCCUPANCY City of Grapevine This Certificate Of Occupancy is hereby issued pursuant to Section 109 of the 2006 International Building Code And Chapter 64 of the City Of Grapevine Comprehensive Zoning Ordinance. At the time of inspection, this building or space was found to be in compliance with the applicable Building and Zoning Ordinances of the City of Grapevine. Any change in use, tenant and/or owner of this building/space shall first require a new Certificate of Occupancy. Tenant / Business Washburn Audiology / Love to Hear Again Audiology 1125 Ball St. Suite # 105 Grapevine TX 76051 Use Classification Occupancy Group Construction Type Occupancy Load Zoning District Medical Office B VB 14 PO - Professional Office PERMIT ID # CO-21-1717 Property Owner Beverly Condominiums Ltd 6215 Preston Crest Ln Dallas TX 75220-1827 Issu Don Dixson, Building Official V Date