HomeMy WebLinkAboutCO2021-1896UNDER CONSTRUCTION _
CORRECTION LETTER _
PW OR LD NEEDED _
TO NO LETTER
WAITINT RE -�
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"� C/O CHECK LIST i
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C/0 PERMIT # P21 - ()�9 to
ADDRESS: KO Lu fp eSw-v ' Lucy
BUSINESS NAME:—UISI Dn��OJtC �t �fl5U2Qr1Ce
BUSINESS/PROPERTY
CHANGE NAME / OWNER —NEW CONST / ADDITION PERMIT #
X NEW TENA OCCUPANT _ REMODEL / ALTERATION PERMIT #
ISSUE DATE FINAL DATE
1. APPLICATION FORM COMPLETED
✓ 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
/
i/ 6. BUILDING INSPECTION SCHEDULED DATE (0% ' TIME 1 _PM
7. FIRE DEPT. INSPECTION SCHEDULED DATE ((Z-9 �_TIME__�_�/l�
FIRE INSPECTOR:
8. CITY SECRETARY (ALCOHOL) NOTIFICATION DATE:
9. HEALTH INSPECTION NOTIFICATION DATE:
10. PUBLIC WORKS INSPECTION E-MAIL DATE
11. LOT DRAINAGE INSPECTION E-MAIL DATE
12. CORRECTION LETTER SENT DATE
!� 13. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO
1,14. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO
15. HEALTH DEPARTMENT SIGN OFF
16. CITY SECRETARY (Alcohol License Sign Off)
17. PUBLIC WORKS SIGN OFF
LOT DRAINAGE SIGN OFF
19. LANDSCAPING SIGN OFF
v" 20. BUILDING OFFICIALS SIGNATURE (� (� qq
VJ
21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: UN 3 0 !QLI
SCAN CERTIFICATE TO MYGOV:
CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED:
O TORMSOSCOINFORMATIONICKLIST
12130/04/ Rey 11111; 11115,5118
DATE OF ISSUANCE: �a
PERMIT #: C-2)--icl3w, 1
,JUN 0 4 2021
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: '�1,�0 til . I�lr,,khwes� Uwv SUITE# 1,40
LOT: ?7 BLOCK: SUBDIVISION:
""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION""
NAME OF BUSINESS: A - \J,s'o,n T/AX ri,nri Tns, ,ran 4i
NEW OCCUPANT: YES ./ NO NEW BUILDING/PROPERTY OWNER: YES NO
NEW BUILDING: YES _ NO NEW BUSINESS NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO
NEW BUSINESS OWNER: YES ✓ NO
TYPE OF BUSINESS: 1 n5�+an ce SQUARE FOOTAGE: � I O
(Example: Retail Clothing / Attorney's Office / Office -Warehouse / Restaurant) n
NAME OF TENANT [PERSONS NAME]: V;,»brr I w I - l,.,ry e ra
CURRENT MAILING ADDRESS: 31 S W . J A lsr%. )
CITY/STATE/ZIP: J r n q _ TX , 4SL` (o PHONE NUMBER: q'1 :� Z - 3 4 4 - `7 3 8
PROPERTY OWNER:
MAILING ADDRESS: 3 1 0 D , I"(a0 K. A j E. -f�7 SOO S
CITY/STATE/ZIP: <. I 1 n S . i e )(rA �, . 'IS ?-c) ( PHONE NUMBER: r 7 /'f- 9 SLi
r
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - YES _ NO
♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if 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/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? /
(if yes, screening is required)----------------------------------------------------------- YES No ✓
♦ WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY,
USE OR DINING?------------------------------------------------------------------ YES _ NO
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? - - - - - - - - - - - - - - - - - - - - - - - - - YES —NO J
♦ IS BUILDING SPRINKLERED?------------------------------------------------------- YES —NO _
♦ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
(if 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 build' g/space is not provided at the time of the scheduled inspection, a $42.00 re -inspection fee will be charged)
FOR QUESTIONS PL E E CA (817) 410-3165.
SIGNATURE: /r/ PRINT NAME: LVv vial r'c V-fe-car
PHONE#: q�7iZ 3 }fit EMAIL: �fCA�xu,
of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165
Fax (817) 410-3012 * www.erai)evinetexas.gov
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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 8.25%.
A "Seller or Retailer" means a person engaged in the business of malting sales of "taxable items", the receipts from which are
included in the measure of sales or 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:
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS:
CITY, STATE, ZIP:
TYPE OF CONSTRUCTION:
ZONING DISTRICT:
PERMITTED USE:
BUILDING DEPARTMENT:
BUILDING INSPECTOR:
ZONING APPROVAL:
OFFICE USE
L/C1S
FIRE DEPARTMENT: � .r�� 1/� O OIYJ� P
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
CITY SECRETAR
LANDSCAPING A
APPROVAL FOR
OCCUPANCY: R DIVISION: _
CONDITIONAL USE: A�10
OCCUPANT LOAD: (0
&/4F/2/
DATE:
DATE:
DATE:
DATE:
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DATE:
DATE:
DATE:
DATE:
DATE: AW
DATE: '1zo'Z/
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City of Grapevine
P.O. Box 95104
Grapevine, TX 76099
(817) 410-3165 Voice
(817) 410-3012 Fax
CERTIFICATE OF OCCUPANCY
Issue Date: July 20, 2021
PROJECT DESCRIPTION: C/O (Insurance Office) "A -Vision Tax and Insurance"
PROJECT#
CO-21-1896
LOCATION
2150 W Northwest Hwy.
Suite # 120
Grapevine, TX 76051
CONTRACTOR
Kimberly Correa
2150 W Northwest Hwy #120
Grapevine, TX 76051
(972) 374-8386 Phone
(972) 374-8386 Mobile
OWNER
Park Place Shopping Cntr Ltd
3102 Maple Ave Ste 500
Dallas, TX 75201-1262
ph. (214) 720-6605
AVAILABLE INSPECTIONS
k Final Building C/O Inspection (required)
� Final Fire Dept Inspection (required)
r Landscaping (required)
. C/O APPROVED FOR ISSUANCE
(required)
(817) 410-3010
Inspections
TENANT
A -Vision Tax and Insurance
INFORMATION
* CONDITIONAL USE REQUIRED?
* CONSTRUCTION TYPE
* OCCUPANCY GROUP
* OCCUPANCY LOAD
* 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
Www.mygoV.us
Permits
LEGAL
Grapevine Plaza
Addn-Southlake Lot 3a1
NO
VB
B
6
YES
CC
A -Vision Tax and Insurance
Insurance Office
Kimberly Correa
9723748386
Kimberly Correa
9723748386
NO
NO
NO
NO
NO
Tarrant
NO
NO
NO
NO
NO
NO
NO
1
NO
NO
NO
645
CC - Community Commercial
FEES
TOTAL = $ 50.00
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 21 - e9
ADDRESS OF INSPECTION: Aih ,ws T� �
DATE OF INSPECTION: (s�/:� TINE OF INSPECTION: P Nk,
NAME OF BUSINESS: - I hs / n/v / v,%
TYPE OF BUSINESS: rx!�4 u�
USE OF BUILDING AND/OR PREMISES: (G�d1Ce L e
REASON FOR APPLYING: l) �P/1CXIl�
CONTACT PERSON: }�j mb2�ly l /�p rr e-c" TELEPHONE NUMBER:,% 2 - s%Q-- U ?,&
COMMENTSNIOLATIONS:
p r
_ n Oil
All issuts (esc)(,/¢d
r
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: (' C- OCCUPANT LOAD:
TYPE OF BUILDING: U9 GROUP AND DIVISION: (S
ZONING RESTRICTIONS:
m
O FORNISDSCOMFO
I23006Re, I172006
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.
PERMIT ID # CO-21-1896
Tenant / Business
A -Vision Tax and Insurance
2150 W Northwest Hwy.
Suite # 120
Grapevine TX 76051
Use Classification
Occupancy Group
Construction Type
Occupancy Load
Zoning District
Insurance Office
B
VB
6
CC - Community Commercial
Issue .
Do ixson, Bwlding O"ieial
Property Owner
Park Place Shopping Cntr Ltd
3102 Maple Ave Ste 500
Dallas TX 75201-1262
ph (214) 720-6605
Date