HomeMy WebLinkAboutCOMA2010-5087JOB ADDRESS: _/6-6
LOT: BLOCK:
DATE OF ISSUANGE:— 8 2010
0C`T05 2010 PERMIT #:
G PERMIT APP CATION
P ASE P T e ,,
SUITE #
SUBDIVISION: _
BUILDING CONTRACTOR (company name): e-r
CURRENT MAILING ADDRESS: /L`S�� � Q
CITY /STATE /ZIP: e W D ���� PH: # %/
PROPERTY OWNER: l AY Ccjr '°
m2m
CURRENT MAILING ADDRESS: ` ®� 6,4 ') 7i�� 1 L-
-7 � �' ®� PHONE NUMBER: g -7 � b,!;;' �
PROJECT VALUE: $ p FIRE SPRINKLERED? YES NO
DESCRIPTION OF WORK TO BE DONE: U'Pf- L MA1� �`� ® T�
USE OF BUILDING OR STRUCTURE: 0 Gt /G�-
NAME OF BUSINESS:
* *Total Square Footage under roof: Square Footage of alteration/addition:
❑ 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,
alterations and additions)
❑ 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 A7XROM TH PROPRIATE STATE AND
OR FEDERAL AGENCY(S). � � )
PRINT NAME: � A � � � � � kd� w SIGNATURE
PH #: S) 7 FAX #: 91 0 y k ` y Ll I EMAIL:
❑ CHECK BOX IF PREFERRED TO BE CONTACTED BY E -MAIL
Construction
Division:
c Zoning:
Plan Review
® Site Plan Aty
THE FOLLOWING IS TO BE COMPLETED BY THE
,e- Permit Valuation: $ 'j_ 060
F— ire Department:
M
Public Works Departmer
Health Department:
Approved for Permit:
Lot Drainage Submitted:
Width:
Date: 1 b 15-110
Date:
Date:
Date:
Date:
Date:
CTION DEP
Setbacks
Front:
Left:
Rear:
Water Availability Rate:
Sewer Availability Rate:
Building Permit Fee:
Plan Review Fee:
Lot Drainage Fee:
Total Fees:
to Issue
Electrical
Mechanical
Approved: Total Amount Due:
nncn6�nv tt no
-^ ITY OF PPLICATION PEVINE MECHANICAL ELECTRIC PLUMBING FUEL GASH'
(PI FASF PRINTI
PERMIT # � 2 "�
BLDG. PERMIT # �o `
DATE:
(p
JOB ADDRESS: �! I r? I UITE #
VC
DESCRIPTION OF WORK:'
vvel
vv CA ``
PROPERTY O
CONS A T )NG COMPANY:
e C C �Lc
ADDRE
ADDRE
�1
CITY /STATElZ
CITY /STATE /ZIP:
PHONE NUMBER:
PHONE NUMBER
TYPE OF OCCUPANCY
BUILDING AREA (SO FT
PERMIT FEES
AMOUNT DUE
EACH TRADE
I. R -3
1- 749
$ 33.25
SINGLE FAMILY, DUPLEX
750- 1,199
$ 49.88
TOWNHOUSE,
1,200- 1,500
$ 63.18
NEW CONSTRUCTION &
1,501- 1,750
$ 76.48
ADDITIONS (PER UNIT)
1,751- 2,000
$ 83.13
2,001- 2,250
$ 89.78
TOTAL SQ.FOOT UNDER
2,251- 3,000
$ 96.43
ROOF
3,001- 3,500
$ 103.08
3,501 - 4,000
$ 109.73
$
4,001+
$ 120.37
EACH TRADE
II. A, E, 1, R-1
1- 500
$ 37.00
HOTELS, APARTMENTS,
501 - 100,000
$ 17.50 +.035 PER
DRINKING /DINING,
100,001 - 500,000
$ 3,500.00 +.03 SQUARE
EDUCATIONAL, ASSEMBLY,
500,001 +
$15,000.00 +.02 FOOT
$
INSTITUTIONAL
EACH TRADE
III. B, F, H, M, S, U
1- 500
$ 37.00
OFFICE, RETAIL, WHOLESALE,
501- 50,000
$ 32.00+.01 PER
1
GARAGES, FACTORIES,
50,001- 100,000
$ 182.00+ .007 SQUARE
WORKSHOPS, SERVICE
100,001+
$ 582.00+.003 FOOT
$
STATIONS, WAREHOUSE
CONTRACT
EACH TRADE
VALUATION OF
IV.
WORK
ANY OCCUPANCY GROUP
ALTERATIONS, FINISH -OUTS,
0- 500
$ 37.00
SHELL COMPLETIONS
501- 1,500
$ 45.00
1,501- 3,000
$ 57.00
3,001- 5,000
$ 72.00
CONTRACT VALUATION OF WORK.
5,001- 50,000
50,001- 100,000
$ 27.00+.009
$ 127.00+ PER
100,001- 500,000
.007
$ 327.00+.005 DOLLAR
500,001+
$ 1,327.00 +.003 VALUATION
$
EACH TRADE
V. MISCELLANEOUS
IRRIGATION SYSTEMS
$ 37.00
MOBILE HOME SERVICE
$ 37.00
TEMPORARY POLE SERVICE
$ 37.00
SWIMMING POOLS
$ 37.00
SIGN ELECTRIC
$ 37.00
$
UA-QKMS\u5 APPLICATIONS - FEES \MEP APPLICATION Mg.doc
PLAN SUBMITTAL:
WHEN PLANS ARE REQUIRED BY CODES, ORDINANCES, OR AS DETERMINED BY THE BUILDING
OFFICIAL, THREE (3) SETS OF PLANS SHALL BE SUBMITTED IN HARD COPY FORMAT. ENGINEER SEALED
PLANS AND CALCULATIONS SHALL BE SUBMITTED AS REQUIRED BY CODES, ORDINANCES OR WHERE
OTHERWISE REQUIRED BY STATE LAW.
OTHER INSPECTIONS AND FEES:
• INSPECTIONS OUTSIDE NORMAL BUSINESS HOURS (2HR MINIMUM ) ............................................... $42.00 /HOUR*
• REINSPECTION FEES ................................................................................... ............................... $42.00
• PERMITS FOR WHICH NO FEE IS SPECIFICALLY INDICATED ............................ ............................... $37.00
• INSPECTIONS FOR WHICH NO FEE IS SPECIFICALLY INDICATED (1/2 HOUR MINIMUM) .. ....................$42.00 /HOUR
• ADDITIONAL PLAN REVIEW REQUIRED BY CHANGES, ADDITIONS, OR REVISIONS TO
APPROVEDPLANS .................................................................... ............................... ....................$42.00 /HOUR
• BUILDING PERMIT FEES FOR THE GRAPEVINE — COLLEYVILLE INDEPENDENT SCHOOL DISTRICT
SHALL BE 25% OF THE FEES ESTABLISHED IN THIS TABLE
• FOR USE OF OUTSIDE CONSULTANTS FOR PLAN CHECKING AND INSPECTIONS, OR BOTH......... ACTUAL COSTS- -
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 CODES 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.
1 FURTHER CERTIFY THAT ALL WORK THAT IS REQUIRED TO COMPLY WITH ANY FEDERAL, STATE, AND / OR
LOCAL LAW "REGARDING ENERGY CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE LAWS,
AND THAT VERIFICATION,OF ENEGY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST.
s
r Z
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT PRINTED NAME
(OR HOMEOWNER FOR HOMEOWNERS PERMITS)
PF�ONE #: _, I� �6� t C�
l EMAIL:
`OR THE TOTAL HOURLY COST TO THE JURISDICTION WHICHEVER IS GREATER.
"ACTUAL COSTS INCLUDE ADMINISTRATIVE AND OVERHEAD COSTS.
CITY OF GRAPEVINE, BUILDING INSPECTIONS, P. O. BOX 95104, GRAPEVINE, TX 76099
o/n /u, Ktvilljtu: lum, D /ub, Z /u /, / /U /, S /Uy
O:NFORMS \DS APPLICATIONS - FEES\MEP APPLICATION 8- 09.doc
(8171410 -3165
i Ill
q
its
VU u
DWI 90 no
O
CU
C/O
JY
C-31
CL
00
_ j XL
W
W
�W w
oN 0 ill: z
0 �
t
2
z
o
7- 1 z
eE m
z L>
2
Ln
a
(5
CL
CL
p
c <
T-
uj
LL,
uj
CL
00
_ j XL
W
W
�W w
oN 0 ill: z
0 �