HomeMy WebLinkAboutCO2021-3048UNDER CONSTRUCTION _
CORRECTION LETTER _
PW OR LID NEEDED _
TD NO LETTER _
WAITING FIRE _
HaQDE
C/O CHECK LIST
C/O PERMIT # P21
ADDRESS:�OC�
BUSINESS NAME: �� �'��n S wkk)
BUSINESS PROPERTY
CHANGE NAME / OWNER NEW CONST / ADDITION PERMIT #
NEW TENANT / 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 �}
_ 6. BUILDING INSPECTION SCHEDULED DATE919 TIME+
7. FIRE DEPT. INSPECTION SCHEDULED DATE TIME
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
V//13. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO
/ 14. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO
15. HEALTH DEPARTMENT SIGN OFF
16. CITY SECRETARY (Alcohol License Sign Off)
i 17. PUBLIC WORKS SIGN OFF
18. LOT DRAINAGE SIGN OFF
19. LANDSCAPING SIGN OFF
✓ 20. BUILDING OFFICIALS SIGNATURE SEP 1 2021
21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOV:
CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED:
01FORMS\OSCOINFORMATIONICKLIST
121301041 Rev 11W 1t115,5118
' 1'1-6
DATE OF ISSUANCE: 1�1(1-A I
PERMIT#:
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CER77FTCATE OF OCCUPANCY IS ASSOCIATED IWITH AN.4 CTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: IM0 W WXY ihygtS' RAhWAj SUITE# ZZt
LOT: _ _BLOCK: / SUBDIVISION6_ (�� Q�� ' }j pn�
....CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED OUT LEGAL DESCRIPY 1 h "" _
NAME OF BUSINESS: _S:'k C; Lal
NEW OCCUPANT: YES _ NO % NEW BUTLDING/PROPERTY OWNER: YES _ NO
NEW BUILDING: YES __..� NO _�_ NAME CHANCE: BusINFSS YES NO y�
NUMBER OF EMPLOYEES: C� FREIGHTFORWARDINC: YES�NO�_
NEW BUSINESS OWNER: YES- —NO-ter
TYPE OF BUSMESS: �A S T,1_6 SQUARE FOOTAGE: E
.7, c� J {[ J
(Eaempie: Retail, Of ec, Warehouse)
NAMEOFTENANT: C1-AQa-fl
CURRENT MAILING ADDRESS:
CITYISTATE/ZIP: PHONE NUMBER:
PROPERTY OWNER: PnrK Ptace_ShQ�QI r �_Culier GL-LN tr' non Manaqef Carp
Ay
Woe, ADDRESS: ��L Mao(. /` Woe, i`SKtK 3SD
CITY/STATEIZIP: I In� /`(�` II p, 15tiJ�_ ._ _ PHONENUMBER: W %VS LeILp2_
• IS YOUR BUSINESS SUBSJECT 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 _,C
• PERMITS ARE REQUIRED FOR SIGNS, WILL ANY SIGNSBEINSTALLED? ---------------- ---YES_NO_,�
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? ..... YES_ NO_�
♦ WILL OUTSIDE REFUSElRECYCLINC/COMPACTING CONTAINERS BE NECESSARY?
(if yes, screening isrequred)----------------------- ---- _--_-•--_-..YES_ NO-,G�
♦ WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING --------- ----------- YES —NO��
• WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? --------------------- - --- YES ! 'fNO
♦ ISBUILDINGSPRINKLERED?-------------------- - ---- 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 „z'
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.
(it access to the buildingfspace is not provided at the time of the scheduled inspection, a $4.1.00 re -Inspection fee sill be charged)
FOR QUESTIONS PLEASE CALL (817) 410-3165.
PRINT NAME: SQ'Mn l l UA Rt\I{lG` SIGNATURE: ✓ &W'tx rI �/ a
PHONE 0: +1 �� J a_ __ _ EMAIL; S�l �
Department ll JJ
The City of Grapevine *P.O. Box 95104 * Grapevine, Texas 76099 g (817) 410-3) 65
Fax (817) 410-3012 4: www.grapevinetexas.gov
ouvuirnsnrrur.,+mna,wsww® 5 t 5ik
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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 &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 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
o 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 1 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:
\NliERE DO YO.=.' ,NET )'O.UR COn1Pt,LTED CERI IF1CAl1, OF OCCUPA' V MAILED?
rt i
ADDRESS: I
CITY, STATE, ZIP:
*** * * t ra r ** +a r tt *a**FOR OFFICE USE O\LY** **** r* *t ** t** t* *x **
TYPE OF CONSTRUCTION:
ZONING DISTRICT:
PERMITTED USE:
BUILDING DEPARTMENT:
�(VILA 7 /�!rve
NING APPRO AL:
FIRE DEPARTMENT:
LOT DRAINAGE INSPECTION:
OCCUPANCY: --U114 DIVISION:: _
( �N CONDITIONAL USE: Al�%
ti O GQCC-UP 4,t c.Y
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
LANDSCAPING APPROVAL: '� �A.'
APPROVAL FOR ISSUANCE:
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
DATE: jq� 1.6 I-si 1.
DATE: / /O r
City of Grapevine
P.O. Box 95104
Grapevine, TX 7609E
(817) 410-3165 Voice
(817) 410-3012 Fax
CERTIFICATE OF OCCUPANCY
Issue Date: September 10, 2021
PROJECT DESCRIPTION: CIO "Clean & Show"
PROJECT #
C O-21-3048
LOCATION
2100 W Northwest Hwy,
Suite # 221
Grapevine, TX 76051
CONTRACTOR
Samantha Rayne
2100 W. Northwest Hwy. #223
Grapevine, TX 76051
(
OWNER
Park Place Shopping Cntr Ltd
3102 Maple Ave Ste 500
Dallas, TX 75201-1262
AVAILABLE INSPECTIONS
i, Final Building C/O Inspection (required)
P Landscaping (required)
C/O APPROVED FOR ISSUANCE
(required)
(817)410-3010
Inspections
TENANT
Clean & Show
www.mygoV.us
Permits
LEGAL
Grapevine Plaza Addition-Gpv
Lot
INFORMATION
* CONDITIONAL USE REQUIRED?
N/A
* CONSTRUCTION TYPE
IIB
' OCCUPANCY GROUP
No Occupancy
* OCCUPANCY LOAD
N/A
* PERMITTED USE
N/A
* 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
CN
Vacant
Clean & Show
Samantha Rayne
817-803-6162
Vacant
817-803-6162
NO
NO
NO
NO
NO
Tarrant
YES
NO
NO
NO
NO
NO
NO
NO
NO
NO
3950
CN - Neighborhood Commercial
TOTAL = $ 50.00
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-21-3048 I Printed 09/13/21 at 1:08 P.M. Page 1 of 3
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 21 - 3 0 +ej
ADDRESS OF INSPECTION: aA o� l) �,A De ",
DATE OF INSPECTION: "I I 12,k
TIME OF INSPECTION: 8t 2C,6
NAME OF BUSINESS: &, lgcx n . sku,,)
TYPE OF BUSINESS: 0A Fa; VA ` (kc) j
USE OF BUILDING AND/OR PREMISES: vo-cch-ra
REASON FOR APPLYING: E `ec_trc C:
CONTACT PERSON
TELEPHONE NUMBER:
COMMENTS/VIOLATIONS:
«
NIZZI —Alb Vwla-tions abscrvc� d Y��t �Tz o EIS � �_4
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: C /C OCCUPANT LOAD: /fJ1/ t
TYPE OF BUILDING: Trl i9
ZONING RESTRICTIONS:
GROUP AND DIVISION: AJQ QCGUP�wL7°
0 FORNS O1CMIOR11A N01 IORAORDER
12 JO IN Rev I I'2006