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:
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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.
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OFFICE COPY
k-1020 S MAIN STREET
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1-1328 "PROCO ROOFING"
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C_ ITY OF GRAPEWN'-
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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
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11/9/2020
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/ '• ® 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