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11:44:32 a.m. 04 -02 -2013
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CITY OF GRAPEVINE
MECHANICAL ELECTRICAL PLUMBING FUEL GAS
PERMIT APPLICATION
tPLEASE PRINT!
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PERMIT # # BLDG. PERMIT #
DATE:
JOB ADDRESS: C)
SUITE#
DE5CR1
TION OF WORK:
PROPERTY O NE :
CON ECTING C MPANY:
#�'',j,, i iN
ADD ESS:
ADDRESS:
r
CI jY1STATEIZ P:
1•YtSTATFJZIP:
PHOft UJ� R.
F
PH
E NU
! + a.
.8E O
TYPE OF OCCUPANCY
BUIL SIQN AREA
PERMIT FEES
AMOUNT DUE
EACH TRADE
1, R -3
1 - 749
$ 33.25
�FAMILY. EX
750— 1,199
$ 49.88
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
$ 109.73
$
4,001+
$ 120.37
EACH TRADE
11. A, E, I, R -1
1- 500
$ 37.00
HOTELS, APARTMENTS,
501 - 100,000
$ 17.50 +.035 PER
1
DRINKINGIDINING,
100,001- 500,000
$ 3,500.00 +.03 SQUARE
EDUCATIONAL, ASSEMBLY,
500,001+
$15,000.00 +.02 FOOT
$
INSTITUTIONAL
EACH TRADE
111. B, F, H, M,S,U
1- 500
$ 37.00
OFFICE, RETAIL, WHOLESALE,
501- 50,000
$ 32.00 +.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
IV, ANY OCCUPANCY GROUP
VALUATION OF
WORK
FINISH -OUTS,
SHELL COMPLETIONS,
0- 500
$ 37.00
ALTERATIONS OR
501- 1,500
$ 45.00
STAND ALONE PERMITS
1,501- 3,000
$ 57.00
CONTRACT VALUATION OF WORK:
_190z,. 5 0
- 50 000
00
-1
+
50,001 - 100,000
100,001-540,000
500,001+
r�mm
$ -� ll�t l i
$ 127.00 +.007 PER
$ 327.00 +.005 DOLLAR
$
$ 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
$
WFORMSIDS APPLICATIONS - FEESIMEP APPLICATION 4- 11.doc
9722429579
PLAN SUBMITTAL:
11:44:56 a.m. 04 -02 -2013 213
WHEN PLANS ARE REQUIRED BY CODES, ORDINANCES, OR AS DETERMINED BY THE BUILDING
OFFICIAL, THREE (3) SETS OF PLANS SHALL BE SUBMITTED IN HARD COPY FORMAT. ENGINEER SEALED
PLANS AND CALCULATIONS SHALL BE SUBMITTED AS REQUIRED BY CODES, ORDINANCES OR WHERE
OTHERWISE REQUIRED BY STATE LAW.
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.
I FURTHER CERTIFY THAT ALL WORK THAT IS REQUIRED TO COMPLY WITH ANY FEDERAL, STATE, AND I OR
LOCAL LAW REGARDING ENERGY CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE LAWS,
AND THAT VERIFICATION OF ERGY CO 7 E COMPLIANCE SHIPRIN L BE SUI'M D TLTE CI TY U ON REQUEST.
nA A41-
ATURE OF CONTRACTOR O AU 0
TH RIZED AGENT A
R HOMEOWNER FOR HOMEOWNERS PERMITS)
PHONE M I � t �sk� - EMAIL: -
'OR THE TOTAL HOURLY COST TO THE JURISDICTION WHICHEVER IS GREATER. ` ff)
- ACTUAL COSTS INCLUDE ADMINISTRATIVE ANrl nV;:Pu;:An r'MQT4
8121/01 REVISED: t0101.5MS.2/M 7/0T 8819.11109. All
WFORMSM APPLICATIONS - FEESIMEP APPLICATION 4.1 i.doc
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