HomeMy WebLinkAboutCO2013-2348UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
C/O CHECK LIST
C/O PERMIT # P13- ,;? 3 y i'
ADDRESS: 3U,p2f ✓l�y��J
v
BUSINESS NAME:z
BUSINESS /PROPERTY
CHANGE NAME /OWNER
NEW TENANT /OCCUPANT
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NEW CONST /ADDITION PERMIT #
REMODEL /ALTERATION PERMIT #
ISSUE DATE
FINAL DATE
APPLICATION FORM COMPLETED
ZONING MAP COPIED & WORKORDER FORM COMPLETED
ZONING CHECKED & COMPLETED ON APPLICATION
BUILDING INSPECTION SCHEDULED: DATE '7 a TIME -
FIRE DEPT. INSPECTION SCHEDULED: DATE TIME
INSPECTOR
HEALTH INSPECTION: DATE TIME
PUBLIC WORKS INSPECTION:
LOT DRAINAGE INSPECTION:
CORRECTION LETTER SENT:
BUILDING INSPECTORS SIGN OFF
FIRE DEPARTMENTS SIGN OFF
HEALTH DEPARTMENT SIGN OFF
PUBLIC WORKS SIGN OFF
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
BUILDING OFFICIALS SIGNATURE
C/O ISSUED
*CONDITIONS TO BE TYPED ON C /O: YES / NO
0AFORMSIOSCOINFORMATIOMCKL IST
12/30/041 ReM IN11
E -MAIL DATE
E -MAIL DATE
DATE
LETTER:
LETTER:
YES / NO
YES / NO
ELECTRIC RELEASE: -�
COPY: In
MAILED:
. `1YRAPE MTr
�E ter'? ° i S -"
JUL 201.1
DATE OF ISSUANCE: 1 1 5 1) 3
PERMIT #: 3 0
CERTIFICATE OF OCCUPANCY REOUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITHANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: '�j ODD {j%U,rV'.) Rir `% fkma 5ke. j 1 SUITE # L —4 '3
LOT: BLOCK: % SUBDIVISION �,,&IIIL �„ 414L 1
" "CERTIFICATE OF OCCUPANCY WILL NOT BE ISSU&D WITHOUT LEGAL DESCRIPTION ""
NAME OF BUSINESS: P-5 011 4666, h,, 049ZIL
NEW OCCUPANT: YES NO' NEWdUILDIN ROPERTY OWNER: YES NO
NEW BUILDING: YES N ✓ NAME CHANGE: BUSINESS YES NO
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO ✓
NEW BUSINESS OWNER: YES NO
TYPE OF BUSINESS: Q.�a L 4I SQUARE FOOTAGE:
(Example: Retail, Office, Warehouse)
NAME OF TENANT: IA ,YL M JU CA OlAl d, f V�,J n ✓- 6 k�:4. i., . APn.A C%2-
CURRENT MAILING ADDRESS: ?. 6 Y-49tk AiVi L , �}
CITY /STATE /ZIP:��_�� �;y_��� PHONE NUMBER:
PROPERTY OWNER:
MAILING ADDRESS: _ 6 4 Q 0 N"Yo ft VI '1 uC " A -L lb PkLAM
CITY /STATE /ZIP: PHONE NUMBER:
♦ IS YOUR BUSINESS SUlhJECT TO SALES TAX LAW? jif 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
♦ 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, screening is required) ---------------------------------------------------- - - - - -- - YES NO
♦ WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING: - - - - - - - - - - - - - - - - - - - - - YES NO
♦ 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
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.
PRINTNAME: V'�1 "Jr P "'OtA(.(fit/ SIGNATURE: , 1 ZG�,/,f)�/�3
PHONE #: DIPS q EMAIL: C"
(OVER)
Development Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410 -3165
Fax (817) 410 -3012 * www.grapevinetexas.gov
O:FORMMDSAPPLICATIONS \C; OApplie.ti.n
3 /22/2001 /Revised:5 106, 5/06, 2/07,4/09
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 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: .J V G� `- 1,0 � J
Signature:
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANY MAILED?
ADDRESS:
CITY, STATE, ZIP:
FOR OFFICE USE ONLY * * * * * * * * **
TYPE OF CONSTRUCTION: / SPM.II►ti -- OCCUPANCY: `had DIVISION:
ZONING DISTRICT: GCS CONDITIONAL USE:
PERMITTED USE:
BUILDING DEPARTMENT: DATE: 6Yz-, jL-o-1 at 3 %, Ij,3
ZONING APPROVAL:
FIRE DEPARTMENT:
ter'
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT: —
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:
O:FORMS \DSAPPLIC MONS-.C.OApplkatl-
3.22 /2001 /R,,ised:5 /06, 5/06, 2/07,4/09
DATE:
DATE:
DATE:
DATE:
DATE:
DATE: _ 3 'I
DATE:
AP -215
5X d� (Rev.7 -11p) IS 26 CONFIRMATION NUMBER
17813093126
Texas Online Tax Registration Signature Form
Operating without a valid permit
is a misdemeanor punishable
CRYSTA LENEEN MCDONALD by a fine of not more than
4722 CREEKVIEW LN $500 per day.
BALCH SPRINGS , TX 75180-4342 Texas taxpayer number
32051345695
You have been registered for Texas taxes online and received a confirmation number. A tax account has been set up,
and you are subject to filing requirements; however, a sales and use tax permit will not be issued until we have received
your completed signature form,
F1Blacken this box if you sell prepaid wireless telecommunications services.
WHO MUST SIGN THIS SIGNATURE FORM - The sole owner, all general partners, managing members, officers, directors or an authorized
representative of an entity completing an online registration must sign this signature form attesting to the accuracy of the information submitted
online. A representative must submit a written power of attorney. Applicants must be 18 or older. Parents/legal guardians may apply for a
permit on behalf of a minor.
I (We) declare that the information submitted online and on any attachments is true and correct to the best of my (our) knowledge and belief.
Type or print name and title of sole owner, partner, officer, director or member
n
Driver license
Date
Type or print name and title of partner, officer, director or member Driver license number State
sign
here
Type or print name and title of partner, officer, director or member Driver license number State
sign
here
VIIIIII�II�II IIIIIIIIIIIdVIIIIIIIIII�IIII�IIIIIIIIIIIVNIIi
I U.
Date
Date
WARNING. You may be required to obtain an additional permit or license from the State of Texas or from a local governmental entity to
conduct business. A listing of links relating to acquiring licenses, permits, and registrations from the State of Texas is available online
at http:Ilivww.Texas.gov. You may also want to contact the municipality and county in which you will conduct business to determine
any local governmental requirements.
FOR ASSISTANCE - If you have any questions about this application, contact your nearest Texas Comptroller's office or call us at (800) 252 -5555 or
(512) 463 -4600. The Tax Help email address is: taxhelp@cpa.state.txus. Sign up for email updates on the Comptroller topics of your choice at
www .window.state.txus/subscribe. For more details on Texas taxes, go to www.window.state.tx.us.
Complete and sign this form, and return it to your local Comptroller field office, or mail it to:
TEXAS COMPTROLLER OF PUBLIC ACCOUNTS The form may be faxed to
111 E. 17th St. (877) 882 -8890,
Austin, TX 78774 -0100
You have certain rights under Chapters 552 and 559, Government Code, to review, request and correct information we have on file about you.
To request information for review or to request error correction, contact us at the address or phone number listed on this form
CERTIFICATE OF OCCUPANCY
WORKORDER
L-�- // /
rr N
PERMIT # 13 -J
ADDRESS OF INSPECTION:_
DATE OF INSPECTION:—"? /ol. � 1.3 TIME OF INSPECTION: V,'OO lrn-- -
NAME OF BUSINESS:h�1
TYPE OF BUSINESS:
USE OF BUILDING AND /OR PREMISES:
REASON FOR APPLYING: ,W - -) Q�i Gr p
CONTACT PERSON:,
TELEPHONE NUMBER: ,,2 7.2 � -z) 6
COMMENTS/VIOLATIONS:
0k. -712- OFS
* *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION: C-t,
TYPE OF BUILDING: i1j _t�t�- GROUP AND DIVISION:
ZONING RESTRICTIONS:
ns 11
0' FORMS`DSCOINFORMATION, WORKORDER
12,304W Rev. 1/172006
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