HomeMy WebLinkAboutCO2021-2891UNDER CONSTRUCTION V
CORRECTION LETTER _
PW OR LD NEEDED _
TO NO LETTER _
WAITING FIRE _
HOLD _
CODE
C/O CHECK LIST
C/O PERMIT # P21 - o-P-R k
ADDRESS: N u5he'�
BUSINESS NAME: RSC. Z(vSu
BUSINESS PROPERTY
v�NHANGE NAME / OWNER
NEW TENANT / OCCUPANT
t�
7
'
NEW CONST / ADDITION PERMIT #
REMODEL/AL�TERATION PERMIT#
ISSUE DAJ (`�' 2 4 202AINAL DATE
APPLICATION FORM COMPLETED
ZONING MAP COPIED & WORKORDER FORM COMPLETED
HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATE
(SCAN TO C/O IN MYGOV - IF LARGE SET, ALSO SCAN TO LF 8 FORWARD SET TO FIRE)
FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE
ZONING CHECKED & COMPLETED ON APPLICATION
BUILDING INSPECTION SCHEDULED DATE TIME
FIRE DEPT, INSPECTION SCHEDULED DATE TIME
FIRE INSPECTOR:
CITY SECRETARY (ALCOHOL) NOTIFICATION DATE:
HEALTH INSPECTION NOTIFICATION DATE:
PUBLIC WORKS INSPECTION E-MAIL DATE
LOT DRAINAGE INSPECTION E-MAIL DATE
CORRECTION LETTER SENT DATE
BUILDING INSPECTORS SIGN OFF LETTER: YES / NO
FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO
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?
/ ELECTRIC RELEASED: O C T 12 2021
SCAN CERTIFICATE TO MYGOV:
NO MAILED.
O IFORMSIOSCOINFORMATIONICKLIST
121301041 Rev 11111, 11M,5118
'BUG 18 2021
DATE OF ISSUANCE: C T 122021
PERMIT#: � �
CERTIFICATE OF OCCUPANCY REOUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATLnDD WITH AN ACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: / V-5 Z H-dw L S Kod r� SUITE # .35 v
LOT: , BLOCK: , SUBDIVISION: �pM ! A DC1-iCe- AzU iA� 0(1
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION****
NAME OF BUSINESS: �� l�S C Ins ,rand l�ro%eraG Tne_
NEW OCCUPANT: YES NO NEW BUILDING/PROPERTY OWNER: YES D NO
NEW BUILDING: YES _ NO NEW BUSINESS NAME CHANGE: YES _ NO v
NUMBER OF EMPLOYEES: 2-en FREIGHT FORWARDING: YES NO v
NEW BUSINESS OWNER: YES NO [--
TYPE OF BUSINESS: 044z C., SQUARE FOOTAGE: 7Q i i
(Exuanple: Retail Clothing / Attorneys Office / Office -Warehouse / It"tac rani)
.it NAME OF TENANT [PERSON'S NAME1: C A r ol4 �Avrn
CURRENT MAILING � ADDRESS: I LOO F- Aer41 Sr.
CITY/STATE/ZIP: bbSton d?A- b2_ 1 I0 PHONE NUMBER: (1-7 -_1i 87- 7891
PROPERTY OWNER: tL4\ 1 a-ifAsTnt,i_srn rern- LLL
MAILINGADDRESS: IQZO fi1tlC.nnm5 AL),L, %' 1)o
CITY/STATE/ZIP: D4I1a� T� �ISZt�f PHONENUMBER:
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - YE.S _ NO '
♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) -YES —NO v
♦ PERMITS ARE REQUIRED FOR SIGNS- WILL ANY SIGNS BE INSTALLED?------------------- YES NO
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? - - - - - - YES _ NO ✓
♦ WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY?
(if yes,screeningisrequired)----------------------------------------- ---- YES NO
♦ WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/Beet vehicles), DISPLAY,
USE OR DINING?------------------------------------------------------------------ YES _ NO I!�
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES 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 1/
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-insnection fee will be charged)
FOR QUESTIONS PLE, E CALL (817) .3165.
SIGNATURE: _ --� PRINT NAME: J Fltlt �/iJ•
PHONE #: 7ol - 8 y (6 - 972S 00 � In ( EMAIL:
Development Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165
Fax (817) 410-3012 * www.aranevinetexas.eov
O:FORWI)SAPPLICATION&FEES
=00141m 51062107A10t1,2118,Ntl5,10.06,8118.t0p0
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 5.25%.
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 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: /PIETED
Signature:: HERE DO YOU WANT YOUR COCERTIFICATE Or OCCUPANCY MAILED?,
ADDRESS: {q2'O Mc-V-,nrc, Hue. *,-{ IL)
CITY, STATE, ZIP: D4114 , "1^A %5 2 � 1
OFFICE USE
TYPE OF CONSTRUCTION: 04 OCCUPANCY:
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ZONING DISTRICT: f CQ
PERMITTED USE: %AE5
BUILDING DEPARTMENT:
BUILDING INSPECTOR:
ZONING APPROVAL: _ I•
FIRE DEPARTMENT: lit^7'Y(A
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
CITY SECRETARY:
LANDSCAPING APPROVAL: /Y
APPROVAL FOR ISSUANCE: ]j
or I 11 5500
13 DIVISION:
CONDITIONAL USE: 14-!0
OCCUPANT LOAD: %
DATE:
DATE:
DATE:
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DATE:
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DATE: /0 ' 12. 21
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City of Grapevine
P.O. Box 95104
Grapevine, TX 76099
(817) 410-3165 Voice
(817)410-3012 Fax
CONTRACTOR
Steve Smith
1452 Hughes Road #350
Grapevine, TX 76051
(903)848-9725 Phone
OWNER
Loh Texas Inv LC
5343 Spring Valley Rd
Dallas, TX 75254
CERTIFICATE OF OCCUPANCY
Issue Date: October 12, 2021
PROJECT DESCRIPTION: C/O (Insurance Brokerage Office) "RSC Insurance Brokerage, Inc."
(BLDG21-2807) [CODE]
PROJECT #
CO-21-2891
LOCATION
1452 Hughes Rd.
Suite # 350
Grapevine, TX 76051
AVAILABLE INSPECTIONS
i, Final Building C/O Inspection (required)
Final Fire Dept Inspection (required)
r Landscaping (required)
P C/O APPROVED FOR ISSUANCE
(required)
(817)410-3010
Inspections
TENANT
RSC Insurance Brokerage,
Inc.
W W W.mygov.us
Permits
LEGAL
CM PA Office Addition Bilk 1
Lot 1
INFORMATION
' CONDITIONAL USE
REQUIRED?
NO
' CONSTRUCTION TYPE
VA - Sprinklered
` OCCUPANCY GROUP
B
`OCCUPANCY LOAD
71
' PERMITTED USE
YES
' ZONING DISTRICT
PCD
" NAME OF BUSINESS
RSC Insurance Brokerage, Inc.
"TYPE OF BUSINESS
Office
-APPLICANT NAME
�-
Steve Smith
"APPLICANT PHONE NUMBER903-848-9725x101
"TENANT NAME
Carole Horn
"TENANT PHONE NUMBER
617-587-7899
'Sales Tax
NO
'Sales Tax Number
Alcoholic Beverage Sales
NO
Alterations
YES
Change of Business Name
NO
Change of Business Owner
NO
OFFICE ONLY; CALL CENTER NOT
Condition(s)
PERMITTED WITHOUT AN APPROVED
CONDITIONAL USE.
County
Tarrant
Fire Sprinkler System?
YES
Freight Forwarding Business
NO
Hazardous Material
NO
Industrial Waste
NO
New Building / Addition
NO
New Building or Property Owner
NO
New Occupant/Tenant
YES
Number of Employees
20
Outside Refuse/Recycling
NO
Outside Storage
NO
Signs
NO
Square Footage
7091
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-21-2891 I Printed 10/12/21 at 6,45 p.m. Page 1 of 3
CERTIFICATE OF OCCUPANCY
ADDRESS OF INSPECTION:
DATE OF INSPECTION:
WORKORDER.
PERMIT # 21
1 '-� s -,�- �N u3 h es tad. -*- 3 ?� o
TIME OF INSPECTION:
NAME OF BUSINESS: R S 0- ,-(-\SL) F-EL a �'Gke,caac e, �,nC .
TYPE OF BUSINESS: Ts�SU -oL-vac J
USE OF BUILDING AND/OR PREMISES: (")� p c c e
REASON FOR APPLYING: � ��_, k
CONTACT PERSON: on -co k E uc n
TELEPHONE NUMBER: S R-;-1 1 i
COMMENTS/VIOLATIONS:
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: PC t7 OCCUPANT LOAD:
TYPE OF BUILDING: VA- GROUP AND DIVISION: (e,
ZONING RESTRICTIONS:
31E OFFIC.F_ O-U& ; CALL C.F- /TE' .Vo'r ALLOWED Wjrj4oVr
APPr OVW CavDjrio-vac. Usr . •'
?(
O FORMS D'COMFOR! NDON WOMOROER
12111 4 R. 11? 211.6
City of Grapevine
CERTIFICATE OF OCCUPANCY
City of Grapevine
This Certificate Of Occupancy is hereby issued pursuant to Section 109 of the 2006 International Building Code And Chapter 64 of the
City Of Grapevine Comprehensive Zoning Ordinance. At the time of inspection, this building or space was found to be in compliance
with the applicable Building and Zoning Ordinances of the City of Grapevine. Any change in use, tenant and/or owner of this
building/space shall first require a new Certificate of Occupancy.
Tenant / Business
r RSC Insurance Brokerage, Inc.
1452 Hughes Rd.
r. Suite # 350
r Grapevine TX 76051
Use Classification
Occupancy Group
Construction Type
Occupancy Load
Zoning District
Office
B
VA - Sprinklered
71
PCD - Planned Commerce
Development
PERMIT ID # CO-21-2891
Issued
Don DixsonBuilding Offictal
Conditions: 1) OFFICE ONLY; CALL CENTER NOT ALLOWED WITHOUT APPROVED CONDITIONAL USE
Property Owner
Loh Texas Inv Llc
5343 Spring Valley Rd
Dallas TX 75254
0
/ V •�
Date