HomeMy WebLinkAboutCO2021-1934UNDER CONSTRUCTION
CORRECTION LETTER _
PW OR LID NEEDED _
TD NO LETTER _
WAITING FIRE _
HOLD _
CODE
C/O CHECK LIST
C/O PERMIT # P21 - / 1-�
ADDRESS: 'Z'� / '�' . )-) '�7 a o � & A}`
BUSINESS NAME:
BUSINESS/PROPERTY
NHANGE NAME /OWNER _ NEW CONST / ADDITION PERMIT #
EW TENANT / OCCUPANT 1/REMODEL / ALTERATION PERMIT #v2/—/GJ3�
ISSUE DATE FINAL DATE
1 1.
APPLICATION FORM COMPLETED
)1-
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.
�7.
12.
d)3.
✓ 14.
— 15.
16.
17
ZONING CHECKED & COMPLETED ON APPLICATION
BUILDING INSPECTION SCHEDULED DATE�f� % TIME
FIRE DEPT. INSPECTION SCHEDULED DATE"//!/% TIME///),
FIRE INSPECTOR:/Jn fr}7/jtj
CITY SECRETARY (ALCOHOL)
HEALTH INSPECTION
PUBLIC WORKS INSPECTION
LOT DRAINAGE INSPECTION
CORRECTION LETTER SENT
BUILDING INSPECTORS SIGN OFF
FIRE DEPARTMENTS SIGN OFF
HEALTH DEPARTMENT SIGN OFF
CITY SECRETARY (Alcohol License Sign Off)
PUBLIC WORKS SIGN OFF
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
BUILDING OFFICIALS SIGNATURE
C/O CERTIFICATE ISSUED
* CONDITIONS TO BE TYPED ON C/O? YES / NO
NOTIFICATION DATE:
NOTIFICATION DATE:
E-MAIL DATE
E-MAIL DATE
DATE
LETTER: YES / NO
LETTER: YES / NO
r' 't ry 1�
ELECTRIC RELEASED: ,1 i1
SCAN CERTIFICATE TOMYGOV: L: s. _L vt I
MAILED:'
O TORMSIDSCOINFORMATIOWI IST
12/001041Rev11A11, 11116,6/18
JUN 8 2021
DATE OF ISSUANCE: 13 E P 2 0 2021
PERMIT #: t�?' /- / % 3 "7
CERTIFICATE OF OCCUPANCY REOUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: 821E NORTHWEST HIGHWAY GRAPEVINE, TX 76051 SUITE#100
LOT: . _<_ BLOCK: % SUBDIVISION: ,r,., J 1no_1j�
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED fviTHdUT LEGAL DESCRIPTION****
NAME OF BUSINESS: CHIRO & ACUPUNCTURE
NEW OCCUPANT: YES _ NO v NEW BUILDING/PROPERTY OWNER: YES NO
NEW BUILDING: YES NO _Vr_— NEW BUSINESS NAME CHANGE: YES—NOV
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO
NEW BUSINESS OWNER: YES NO
TYPE OF BUSINESS: OFFICE -CLINICAL
(Example: Retail Clothing / Attorney's Office / Oflice-Warehouse / Restaurant)
NAME OF TENANT [PERSON'S NAME]: TAEHO LEE
CURRENT MAILING ADDRESS: 1000 TEXAN TRAIL SUITE 120
CITY/STATE/ZIP: GRAPEVINE / TX 76051
PROPERTY OWNER: MUB HOLDINDS LLC.
MAILING ADDRESS: 6534 BARCELONA
CITY/STATE/ZIP: I RV I N G/TX75089
SQUARE FOOTAGE: 3,764
PHONE NUMBER: 817-582-7246
PHONE NUMBER: 817-888-1933
♦ 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 y1
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? - - - - - - - - - - - - - - - - - - -
YES NO
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? - - - - - -
YES
_ NO V
♦ 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 c7 NO
♦ 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 L/
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 -inspection fee will be charged)
FOR QUESTIONS PLEASE CALL (817) 410-3165.
SIGNATURE: -_ — - PRINT NAME: TAEHO LEE
PHONE#: 817-888-1933 EMAIL: taehoo5648@yahoo.
Development Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165
Fax (817) 410-3012 * www.eraoevinetexac nov
0:FORMS05APPLICATIONSFEES
=001/Rev 5/06,907,4/09,VI3,11/15,10/l6.8/18,IMO
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 matting 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: N/A
Signature:
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS: 6534 BARCELONA
CITY, STATE, ZIP: IRVING / TX 75089
OFFICE USE
TYPE OF CONSTRUCTION:
ZONING DISTRICT:
PERMITTED USE:
BUILDING DEPARTMENT:
BUILDING INSPECTOR:
ZONING APPROVAL: FIRE DEPARTMENT_40P.P LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
—_._._.
CITY SECRETARY: ff��
LANDSCAPING APPROVAL: IrI.
APPROVAL FOR ISSUANCE:
°%-
OCCUPANCY: 12> DIVISION:
CONDITIONAL USE: Al O
OCCUPANT LOAD: / e2
DATE: &/30/-1-/
DATE: 7 ! 1 7 / I
DATE: /
DATE:
DATE:
DATE:
DATE:
DATE:
DATE: 3 f} l a f J l
DATE:��
0:F0RMS\DSAPPLICATi0NS-FEES
3/2001/Rev:5/06,2/07,6/09,VI3,11/15,10/16,8/18,10/20
City of Grapevine
P.O. Box 95104
Grapevine, TX 76099
(817) 410-3165 Voice
(817) 410-3012 Fax
CERTIFICATE OF OCCUPANCY
Issue Date: September 20, 2021
PROJECT DESCRIPTION: C/O [Medical Office] "Chiro & Acupuncture" [BLDG 21.19321
PROJECT #
C O-21-1934
LOCATION
Grapevine Station North
821 E Northwest Hwy.
Suite # 100
Grapevine, TX 76051
CONTRACTOR
Joy HVAC & Construction
2633 Nottingham PI.
Grand Prairie, TX 75050-0000
(469) 939-2133 Phone
(
OWNER
Mub Holdings Llc
821 E Northwest Hwy
Grapevine, TX 76051
AVAILABLE INSPECTIONS
� Final Building C/O Inspection (required)
R Final Fire Dept Inspection (required)
� Landscaping (required)
� C/O APPROVED FOR ISSUANCE
(required)
(817) 410-3010
Inspections
TENANT
Chiro & Acupuncture
INFORMATION
* 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
Opryland Second Addition
Blk 1 Lot 5
VB
6
24
YES
CC
Chiro & Acupuncture
Medical Office
David Yoo
469-939-2133
Taeho Lee
817-888-1933
NO
NO
YES
NO
NO
Tarrant
NO
NO
NO
NO
NO
NO
YES
5
NO
NO
YES
3764
CC - Community Commercial
READ AND SIGN
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST
OF MY KNOWLEDGE AND THE SAID OCCUPANCY IS IN CONFORMANCE
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 21-
p
ADDRESS OF INSPECTION: /O ,;z %
DATE OF INSPECTION: I /'/�Q Z / TIME OF INSPECTION:
NAME OF BUSINESS: )
TYPE OF BUSINESS:
U �
USE OF BUILDING AND/OR PREMISES:
REASON FOR APPLYING:
CONTACT PERSON:
TELEPHONE NUMBER:
COMMENTS/VIOLATIONS:
�✓✓�%� �� SS � �l7 �d I
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: CG OCCUPANT LOAD:
TYPE OF BUILDING: GROUP AND DIVISION: rs
ZONING RESTRICTIONS:
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