HomeMy WebLinkAboutBANNE2013-1773MAY 16 2 f l
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DATE OF ISSUANCE: MAY 2 2 2
PERMIT #:/-3--/7-/3
BUILDING PERMIT APPLICATION
PLEASE PRINT
JOB ADDRESS: f` ``� SUITE #
9M
BLOCK:
BUILDING CONTRACTOR (company name):
SUBDIVISION:
a
CURRENT MAILING ADDRESS:
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�3 �
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l ' w ° 1
CITY /STATE /ZIP: C ,mUc )
Front: °°
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,;*
/ Z PH: # 911c2° 334' -CY7: - -elFax # 9°7,-2
PROPERTY OWNER: 4
CURRENT MAILING ADDRESS:f
CITY /STATE /ZIP: /- h wi7z Zx � E? f PHONE NUMBER: � �
PROJECT VALUE: $ "Ir. FIRE SPRINKLERED? YES NO
DESCRIPTION OF WORK TO BE DONE: Y%G`,'`�G%
USE OF BUILDING OR STRUCTURE: 1)1/ V
NAME OF BUSINESS:
* *Total Square Footage under roof: Square Footage of alteration /addition:
❑ 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)
❑ I hereby certify that plans have been submitted to the Texas Department of Licensing and Regulation for Accessibility Review.
Control Number: (Not required for I & 2 family dwellings)
❑ I 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. 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). /
PRINT NAME: 1 :2661 ?'l SIGNATURE a
PH #: j ' J ° > el FAX #:9/ `J�3�'c��E EMAIL: ��.�� �'��
❑ CHECK BOX IF PREFERRED TO BE CONTACTED BY E -MAIL
I THE FOLLOWING Iq TO RF COMPT.F.TRn RV TNF RT TIT iVNr`_ TVQPF(`TYAV "rDA DTX4VXT9`
Construction Type: \/ iS
Permit Valuation: $ l ocw «
Setbacks
Approval to Issue
Occupancy Group: U
Fire Sprinkler: YES — NO
Front: °°
Electrical
Division:
Building Depth: 3ol
Left:
Plumbing
Zoning: 1)
Building Width: t-[67'
Rear:
Mechanical
Occupancy Load:
Right:
Plan Review Approval:
Date: 5 • i 1
Building Permit Fee:
Site Plan Approval:
Date:
Plan Review Fee:
Fire Department: � i r� °y' Date: - ��� alt I
Lot Drainage Fee:
Public Works Department:
Date:
Sewer Availability Rate:
Health Department:
Date:
Water Availability Rate:
Approved for Permit: A4
Date: S ' o ' 2 V 13
Total Fees:
Lot Drainage Submitted:
Approved:
Total Amount Due:
P.O. BOX 95104, GRAPEVINE, TX 76099 (817) 410 -3165 O;FORMS \DSPERMITAPPLICATIONS 1/02- Rov.11/04,5/06,2/07,11/09,4111
(Urtifkate of Iftmt Rpm'danct
ApnKAIM IISM ty
CONCUM NCL California Combining Corp Onts kociod or
5607 S. Santa Fe Ave awadadwed
Los Angeles, CA 90058 USA July 30,2010
Thk is to certify that the materlads described oA the mvam side haroal have been &=a-
redardant fraaW (a, are Ihwdry nortftam wbj4
------ ADDRMS TInf t 7 ASOn Ri RA
CM— Delta, B.C. IB5 Canada
CwtMeation is hereby made " (Che& AION or "b") ,
Wfem fil whadablM wtwftkOtwMqwftrdwTt_
dwadcal *pXWW MW 1409-ad by the Skdo F6 MmW and 60 the qokafim of soil
-140" WON d-O In cwf-mawa- with the low. of the Stale of Colfwnla and the Rules and
bOaA— WIL" $k&* Fire Marsha},
Name of d*mw used....____... ....._....._.... »._.._ »... ».... »_...Chinn. Rog. No,.._.
Ma*.od of
nxx (b) The articles described an the mvem side hereof are =do from a f14m#_nMWwt fabric of M'46"
1 1 reqW—d and appwv6d by the State Fire Manhal for such use.
Trade name ofiumo-ro*tmt fabric or material used_ LAM TEX ...... ___JtOM �..F412.. Q1,
The Flame Retardant Process Uses!, k,_y
,,-.Be Removed By WashkV
New of Appkolw -PftddAen
Itt r" ew
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DATE PROCESSED— July 30,2010
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