HomeMy WebLinkAboutCO2013-1534UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
C/O CHECK LIST
C/O PERMIT # P13-
ADDRESS: 30c)ea
BUSINESS NAME: (f) r1_S
BUSINESS /PROPERTY
RANGE NAME /OWNER NEW CONST /ADDITION PERMIT #
NEW TENANT /OCCUPANT V REMODEL /ALTERATION PERMIT # I TS is
ISSUE DATE MAY 14 2013
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FINAL DATE
APPLICATION FORM COMPLETED
ZONING MAP COPIED & WORKORDER FORM COMPLETED
ZONING CHECKED & COMPLETED ON APPLICATION ,. n
BUILDING INSPECTION SCHEDULED: DATE TIME 0 `
FIRE DEPT. INSPECTION SCHEDULED: DATE TIME
INSPECTOR -3-o h
HEALTH INSPECTION:
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
DATE TIME
E -MAIL DATE
E -MAIL DATE
DATE
LETTER: YES / NO
LETTER: YES / NO
C/O ISSUED ELECTRIC RELEASE: N1,7
COPY: 1111 2013
MAILED:
* CONDITIONS TO BE TYPED ON C /O: YES / NO
0AFOR MSIO SCOIN FORMATIONICKLIST
12130104 I Rev.11111
DATE OF ISSUANCE:
PERMIT #:
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITH ANA CTIVE CURRENT BUILDING PERMIT
GRAPEVINE MILLS MALL
ADDRESS OF OCCUPANCY: 3000 GRAPEVINE MILLS PARKWAY, GRAPEVINE TX 76051 SUITE # 429
LOT: �� BLOCK: l SUBDIVISION: 1��� y��e_ "AS &_�t 0V�
" "CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WI HOUT LEGAL DESCRIPTION ""
NAME OF BUSINESS: WINDSOR FASHIONS
NEW OCCUPANT: YES X NO NEW OWNE : YES X NO
NEW BUILDING: YES NO X NAME CHANGE: BUSINESS TENANT YES X NO
NUMBER OF EMPLOYEES: 4 FREIGHT FORWARDING: YES NO X
NEW BUSINESS OWNER: YES X NO
TYPE OF BUSINESS: RETAIL - (,t om e.yvs SQUARE FOOTAGE:
(Example: Retail, Office, Warehouse)
NAME OF TENANT: WINDSOR FASHIONS
CURRENT MAILING ADDRESS: 4533 PACIFIC BLVD
CITY /STATE /ZIP: VERNON, CA, 90058
PROPERTY OWNER: SIMON PROPERTY GROUP, INC
MAILING ADDRESS: 5425 WISCONSIN AVENUE, SUITE 300
PHONE NUMBER: 888.494.6376
CITY /STATE /ZIP: CHEVY CHASE, MD 20815 - -- PHONE NUMBER: 301.968.6327
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - YES Y
NO
♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) -YES
NO X
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? - - - - - - - - - - - - - - - - - - - YES X
NO
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? ----- YES
NO X
♦ WILL OUTSIDE REFUSE /RECYCLING /COMPACTING CONTAINERS BE NECESSARY?
(if yes, screening is required) --------------------------------- - - - - -- -YES
NO X
♦ WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING ----------------------- YES
NO X
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? - - - - - - - - - - - - - - - - - - - - - - - - - YES X
NO
♦ IS BUILDING SPRINKLERED?------------------------------------------------- - - - - -- YES X
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 X
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.
PRINT NAME: % /%�% Lkk t i✓ SIGNATURE:�J'�./
PHONE #: �/ " / EMAIL:
��
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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:t'ORMSIUSAPPf.ICA' 06,2/0 , OApplication
3/Z2/2001: Rcvised:5 /06, 5.'06, 2/07,4/09
(OVER)
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: / 7,�;Zts7 / s 5� ,�- O
Signature:
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANY MAILED?
ADDRESS: '/,,--.P-? / —i�t�a -C Z/ Lam('
CITY, STATE, ZIP: / /�;.
* * * * * * ** *FOR OFFICE USE ONLY * * * **
TYPE OF CONSTRUCTION: OCCUPANCY: DIVISION:
ZONING DISTRICT:
CG)P11:11 "113`". RII,YX
PERMITTED USE:
BUILDING DEPARTMENT: DATE: Ctp,63
ZONING APPROVAL:
FIRE DEPARTMENT:
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:
O:FOR NMUSAPPLI CATI ONS \C /OA pplica tinn
1,22 /2001 /R- ise&5 /06, 5106, 2/07,4/09
DATE: /
DATE: 7
DATE:
DATE:
DATE:
DATE: �7— /,"" -13
DATE: &�Uj--/ —Z,40
CERTIFICATE OF OCCUPANCY
PERMIT # 13- l G � +
ADDRESS OF INSPECTION:CXYC�
DATE OF INSPECTION: -It3
TIME OF INSPECTION: +f1A1
NAME OF BUSINESS: �u nd sc� c` k 'mss h + y 0 s
TYPE OF BUSINESS:
USE OF BUILDING AND /OR PREMISES: le_ �CL l Sj le.s
REASON FOR APPLYING:
CONTACT PERSON:
C\
TELEPHONE NUMBER:� l4 3-�
COMMENTS/VIOLATIONS:
- ,77-
* *TO BE FILLED OUT BY BUILDING OFFICIAL **
ZONING DISTRICT OF INSPECTION LOCATION: LC-
TYPE OF BUILDING: Ir-19 GROUP AND DIVISION: jtl
ZONING RESTRICTIONS:
O. FORMS `:DSCOINFORMATION,WORKORDER
12 30!f14 R- 1/17/20)6
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