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HomeMy WebLinkAboutTENT2021-1328.SBA E APR 16 2021 T E X A S DATE OF ISSUANCE: PERMIT #: d )— BU RV PERMIT APPLICATION UVt� PE NT;L�-E�GIBLY—COMPLETEENTIREFORM) JOB ADDRESS: t/ s o i ') AM S T 41 SUIT # ULOT: BLOCK: SUBDIVISION: f3 L D C� '3Z 97F7 BUILDING CONTRACTOR (company name): 14A P49T Y M P T� IV T R F NTR 1, 9+ CURRENT MAILING ADDRESS: S 2. D ti D E NTON 14 W)l 241i 11t- CITY/STATE/ZIP: jLAG.'T OCj) CITY, tX 7bl y S Fax#017-577-70o9 PROPERTY OWNER: Pk l) CD R. 00 F-1 N G (ColvrAc r CZ oe,4 R kUE/z 7-770-173) CURRENT MAILING ADDRESS: 10 2- d S. ri l A-1 /U s T CITY/STATE/ZIP: (;RAPE{V1jVF_ M�X 7b , PHONE NUMBER: dI7 i��� S,qq PROJECT VALUE: $ [+'S / S. 0 FIRE SPRINKLERED? YES NO _ WHAT TRADES WILL BE NEEDED? (Check ones that apply) ELECTRIC _ PLUMBING _ MECHANICAL _ DESCRIPTION OF WORK TO BE DONE: SIUS 7,4 11 2 o ' X yQ, reAlr wl fl DE w,+ $ iivs, ,+l USE OF BUILDING OR STRUCTURE: NAME OF BUSINESS: Ppa (l 0 R 00F) AI & Total Square Footage under roof. & D Square Footage of alterationfaddition: ❑ 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, sherations and addifiens) ❑ I hereby certify that plans have been submitted to the Texas Department of Licensing and Regulation for Accessibility Review. Control Number: (Not required for 1 & 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 AGEN (S). PRINT NAME:/ 08,Fk T_ SC �O F SIGNATURE PHONE #: cell R17- 9p /- 3 q q 2 EMAIL: / a CHECK BOX IF PREFERRED TO BE CONTACTED BY E-MAIL L THE FOLLOWING IS TO BE CQMMETED AY THE $UIL rG INSPECTION DEPARTMENT I Construction Type: ( Permit Valuation: $ getbacks—TApproval to issue Occupancy Group: I Fire Sprinkler: YES NO Front: I Electrical Division: I Building Depth: Left: Plumbing Building Width: Rear: Mechanical I I 4. Occupancy Load: t I Crrease Trap Right: hood Zoning: \ Plan Review Approval: _Date: Building Permit Fee: Site Plan Approval: C_—� U Date: Fire Date: Public Works Department: Date: Health Department: Date: Approved for Permit: Date: Lot Drainage Submitted: Approved: Plan Review Fee: i Lot Drainage Fee: Sewer Availability Rate: i Water Availability Rate: Total Fees: 4 ! Total Amount Due: arnwnsosaewsreaxronnoru voxeaw.i�roa,sros,vm,+iroa.am,nne CHANGES REQUIRE APPROVAL REVISED PLANS (ED PLANS SHALL BE JOBSITEATALL TIMES Certificate Of Flame Resistance This certifies that the tent used by: AA Party and Te� T t�CTOR SHALL CALL FOR Tent Size & color: 20' x 40' II4SPECTIONS: (bl >) 410-3010 This tent is constructed of tent fabric which is inherently flame*t�SiTaiif " 1`I1 CGhiresfll****** name of the tent fabric is SNYDER. The Registered Applica�iorNG6'ffcC-FTi-%RI5&,TsTRATION 140.01. This number is on file with the State of California Fire ftil'fthdVFss 6 f WFC[ee)fdFraN trade name is PRV Group 2 collection. This fabric has been appP ItryEtb(e)M(DN. California Fire Marshal for use in the construction of tents, and complies with California Code of Regulations Title 19 Section 1237. This tent meets or exceeds all the requirements of the NFPA 701 International Fire Code requirements concerning tents, and membrane structures. The flame resistant qualities of this tent will not be removed by washing. .pariw r Awsr ISF JttAtoAo 044 clt 804 t a40q/wi OFFICE COPY k-1020 S MAIN STREET _�. 1-1328 "PROCO ROOFING" - ent for company party C_ ITY OF GRAPEWN'- o' RELE=ASLD FOR CONSTRUCTIOr S F ' ET: I OF: F, SE DOES NOT AUTHORIZE ANY WORK CONFIJC f 1NITH -1 ICE BUILDING CODE OR ZONING ORE) PLANS TO BE KEPI 3U!1 DING INSPECTION RELEASE DOES NOT APPLY TO Lel 11/9/2020 PROCO Roofing & Construction - Google Maps Coca gle, Maps CCD�m �n-45 �Cz C Mc)0 � >z UOC-0v_ C z O>� m o � z Fo CD �m mm Cl) O z PROCO Roofing & Construction Q20 S D "air, �J Gr,;pevme, 1 X '6I (b1 C z N Oz z� z� O 0 oA 0 z✓vsTRIl1_ p Re rm o,) ea 71jq/z J 1!+A s1de//S, bArr-eIS . Map data r02020 , Map data 02020 SPG u/' ed /ba i I +steel https:/Avww.googfe.wm/maps/placeAPROCO+Roofing+�/o26+Construction/@32.9305525,-970786208,5gm/data-!3mt!1e3l4m5!3m4!1sOx864c2b189d5055e7:Ox4b5cb571a2caadoOl8m2!3d32.930545... t/t / '• ® I DATE(MMIDDIYYYY) AC Ro CERTIFICATE OF LIABILITY INSURANCE A1I T2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(iss) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endomement(s). PRODUCER ARA Insurance Services, Inc. 102 N.W. Parkway Kansas City MO 64150 INSURED A -A Party & Tent Rental 5204 Denton Hwy Haltom City TX 76148 NAME; Kristen Remillard PHONEE& E 1t: 800-821-6580 MDR SS: AA"00)INSURERISI AFFORDING COVERAGE INSURER A: AXIS Insurance Company AATX00 I INSURERS: I INSURER C : I INSURER D : I INSURER E : INSURER F : (AIC. Not: 816-474-1931 NAIL# 37273 COVERAGES IE OK CNSUE NUMBER: 1312079493 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POL S a If]y RAN E LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH IOLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR mum sun. POLICY EFF PVUVY EXP LTR TYPE OF INSURANCE INSR WVDI POLICY NUMBER (MM/DDNYYYI (MMIDOIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y AIAATX008-02655Tg0 2/16/2021 2/16/2022 EACH OCCURRENCE $1,000,000 CLAIMS -MADE LK OCCUR T — GEN'L AGGREGATE LIMIT APPLIES PER: POLICY EIIPERCT 71 LOC OTHER' AUTOMOBILE LIABILITY ANY AUTO AO SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS UMBRELLA LI46 H OCCUR --{ EXCESS UAB CLAIMS -MADE WdRI(ERS �O fi RETENTION E ENTI N S IENAND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? NIA {Mamlatory in NH) DAMAGE IQ HEN I EU PREMISES (Ea occurrence) $100,0W MED EXP(Any one person) $5,D0o PERSONAL& AOV INJURY $1,000,000 GENERAL AGGREGATE $2,000000 PRODUCTS-COMPIOP AGG $2,000,000 COMBINED SINGLE LIMIT $ Re accident) BODILY INJURY (Per parson) % BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per acc lms) EACH OCCURRENCE AGGREGATE PER STATUTE ERH E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE If DESyyes, dascnbe antler CJ2IPTION OF OPERATIONS E.W. _ E.L DISEASE- POLICY LIMIT $ RantallGaias birniory AIAATXWS&02855]-10 Z16/2021 Z16I2022 Actuai Loss Sustained Special Form/Theft // Deductible $2,5D0 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more epXeli;rdgl rer U mA r'G kELE,ASED FOR CONSTRUCTION S' ''-ET: OF: R; ; Ei- C. GOES <)T AUTHORIZE ANY WORK IN CW Li:l i WITH THE DJiLD1 NG CODE OR ZONING ORDINANCE. CERTIFICATE HOLDER CANCELLATION rcn of AAiQ Tr_l Rri I/FEFIT CM SHOULD ANY OF rfHE1k0VE GES`C 2FIBlF `FC) Y4t1EIS B�ypry��ULED BEFORE THE EXPIRATION DATE —THEREOF,, NOTICE --WILL SE —DELIVERED IN I ACCORDANCE WITH THE POLICY PROVISIONS. City Of Grapevine T-.._: BY: 200 South Main Street Grapevine TX 76051 INSPECTION DIVISION: IAUTHORREDREPRESENTATIVF\G TO M ARI F'J �N" R'N7J�LYIC R GOHT-O CONSTRUCTION IN 'i��g4�a?:#A�PR4F�PRP43�TIP!�%� ., rvea. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD