HomeMy WebLinkAboutCOMA2012-2313DATE OF ISSUANCE:
PERMIT #: � '), _C)3 \
BUILDING PERMIT APPLICATION
PLEASE PRINT
JOB ADDRESS: �;'® S K) L Ue'-'_g S}' SUITE #,
LOT: BLOCK: SUBDI`'ISION:
BUILDING CONTRACTOR (company name):
CURRENT MAILING ADDRESS:
CITY/STATE/ZIP: o- J �C ���� PH: # Fax #
PROPERTY OWNER:
CURRENT MAILING ADDRESS: S
CITY /STATE /ZIP:
PHONE NUMBER:
PROJECT VALUE: $ Z 00.. FIRE SPRINKLERED? YES NO X
n
DESCRIPTION OF WORK TO BE DONE: �T`'/�— + ✓ l' �oo.� rt ✓'� ?`J � � + +^ �' °- �� 11r�
USE OF BUILDING OR STRUCTURE:��+�
NAME OF BUSINESS:
* *Total Square Footage under roof: /90-<D 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 FR.QM THE APPROPRIATE STATE AND
OR FEDERAL AGENCY(S).
PRINT NAME: z I, �� �b ✓ `� /S SIGNATURE
PH #: �) �6 )� L/ 9-, FAX #: 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: $
Setbacks
Approval to Issue
Occupancy Group:
Fire Sprinkler: YES NO
Front:
Electrical
Division:
Building Depth:
Left:
Plumbing
Zoning:
Building Width:
Rear:
Mechanical
Occupancy Load:
Right:
Plan Review Approval:
Date:
Building Permit Fee:
43 0
Site Plan Approval:
Date:
Plan Review Fee:
Fire Department:
Date:
Lot Drainage Fee:
Public Works Department:
Date:
Sewer Availability Rate:
Health Department:
Date:
Water Availability Rate:
Approved for Permit:
Date:
Total Fees:
Lot Drainage Submitted:
Approved:
Total Amount Due:
P.O. BOX 95104, GRAPEVINE, TX 76099 (617) 410 -3165 O:FORMSTSPERMITAPPLICATIONS 1/ 02- Rev.11/04,5/06,2/07,11/09,4/11
CITY OF GRAPEVINE
6 6 MECHANICAL ELECTRICAL �t/ PLUMBING
PERMIT APPLICATION
(PLEASE PRINT)
FUEL GAS
PERMIT # I a, ` _
J lV
BLDG. PERMIT # ( ^x _ � 3
DATE:
j
fE�#'
JOB ADDRES IT
�j (yA I e` J+ �
L Gli 5
DES�BIPTIOIV OF WORK:
L c.�l % ° �,� X1'1/ �/ S GT r //✓ 2 -P v �drt/�U1
PRORr OWNER'
�� 50i✓
CONTR CTING COMPANY:
c
J r0 Y/
tJz/ ' G(h = �r rJ
ADD ES :
ADDRE p, C� �J
'
fl GIB G
f J oz a /�-
,
CIT !STATE /ZIP: � f � r �
CITY/ ATE/ IP:
e {O fO
o a/ e
P Wl'E' UM7R: -
PHON BER:
TYPE OF OCCUPANCY
BUILDING AREA
(SQ 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
IL A, E, I, 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
f
GARAGES, FACTORIES,
50,001- 100,000
$ 182.00+.007 SQUARE
WORKSHOPS, SERVICE
100,001+
$ 582.00+ .003 FOOT
$
STATIONS, WAREHOUSE
CONTRACT
EACH TRADE
IV. ANY OCCUPANCY GROUP
VALUATION OF
WORK
FINISH -OUTS,
SHELL COMPLETIONS,
0- 500
$ 37.00
ALTERATIONS OR
501- 1,500
$ 45.00
STAND ALONE PERMITS
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
'J �i
GE=C.'
.007
IVALUATION
L
$ z �� - -
100,001- 500,000
500,001+
$ 327.00+ .005 DOLLAR
$ 1,327.00 +.003
$
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
$
O: \FORMS \DS APPLICATIONS - FEES \MEP APPLICATION 4- 11.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.
I 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 ENERGY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST.
pu'v y% _
S �ATURE OF CON T TOR OR AUTHORIZED AGENT PRINTED MAME
(OR HOMEOWNER FCK HOMEOWNERS PERMITS)
PHONE #: F1,7- 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
b /Ll /Ul KLVIbLU' WWI, 5 /UU, 2/U /, / /U /, MU, 1l/Vy, 4111
OAFORMS \DS APPLICATIONS - FEES \MEP APPLICATION 4- 11.doc