HomeMy WebLinkAboutCOMA2010-3914EI AR VINE_
T E• X A S'�
JOB ADDRESS:
JUL 26 2010
DATE OF ISSUANCE: ! /
, jUL 1 +6 ZOO PERMIT #: /
BUILDING PERMIT APPLICATION
PLEASE PRINT
LOT: , BLOCK: i SUBDIVISION:
SUITE #
BUILDING CONTRACTOR (company name): /2,E_ dk aaee , //l/c
CURRENT MAILING ADDRESS: S001 T . S44 1 &E, a 00
CITY /STATE /ZIP: '7 —Al, 37201 PH: # &1 -4-7 77 59W Fax # li/.f- 7 77
PROPERTY OWNER: 10D,ea�i
CURRENT MAILING ADDRESS:
M
CITY /STATE /ZIP: Nqs i yr llC � 37(90Y PHONE NUMBER: (c j �_ _316 fog r l
PROJECT VALUE: $ 61 66.00 FIRE SPRINKLERED? YES NO
DESCRIPTION OF WORK TO BE DONE: � j/n o 'q 0 79" /2i4116%,
USE OF BUILDING OR STRUCTURE:
NAME OF BUSINESS: &-y 1e)A' 6 R ,5e ?'.t- Roo
IJ
* *Total Square Footage under roof: 46 791 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 APPROVAL FROM THE APPROPRIATE STATE AND
OR FEDERAL AGENCY(S)
/1 /
PRINT NAME: _ G SIGNATURE O S F-2.
PH #• � ��Y U .67 JAAX #• EMAIL:
❑ CHECK BOX IF PREFERRED TO BE CONTACTED BY E -MAIL
THE FOLLOWING IS TO BE COMPLETED BY THE BUILDING'
INSPECTION DEPARTMENT
Construction Type:
Permit Valuation: $
,IV CO
Setbacks
Approval to Issue
Occupancy Group:
Front:
Electrical T-11
Division:
Building Width:
Left:
Plumbing
Zoning:
Building Depth:
Right:
Mechanical
Rear:
Plan Review Approval:
Date:
/ iv
Water Availability Rate:
Site Plan Approval:
Date:
Sewer Availability Rate:
Fire Department:
Date:
Building Permit Fee:
Public Works Department:
Date:
Plan Review Fee:
Health Department:
Date:
Lot Drainage Fee:
Approved for Permit:
Date:
Total Fees:
'
Lot Drainage Submitted:
Approved:
Total Amount Due:
P.O. BOX 95104. GRAPEVINE. TX 76099 (817) 410 -3165 O:FORMS\DSPERMITAPPLICATIONS\ 1 /M -Re .I 1-04.5-U6.2-07.1 1-U9