HomeMy WebLinkAboutCOMA2010-2081\v
JUN 2 2 2010
JUL 0 2 2010
DATE OF ISSU CE:
PERMIT #:
BUILDING PERMIT APPLICATION
PLEASE PRINT
JOB ADDRESS: ! t , ff oa-, *ty <i w SUITE
LOT:
BLOCK:
SUBDIVISION:
BUILDING CONTRACTOR (company name): RQCQ� CA-F- bCl'`j CC- 7,J� L
CURRENT MAILING ADDRESS: 7v ,;� q Uj P K Ef i�EiL '-F f) ALL &`j ' TY 7S Z3
CITY /STATE /ZIP: b A LLA '�-, 'T`k :7<-Z3 ( PH: #dry - 31;--3'7[1 Fax #
PROPERTY OWNER: C 0(Z 11� C t f C
CURRENT MAILING ADDRESS:
CITY /STATE /ZIP:
PHONE NUMBER: � / 4 -�- " 3q Lf
PROJECT VALUE: $ �(' �� / FIRE SPRINKLERED? YES NO _
DESCRIPTION OF WORK TO BE DONE: t t 5 1 1 (\j V — - OF RLD
USE OF BUILDING OR STRUCTURE: L- s11
NAME OF BUSINESS: RC) Cyr G/oz ()t� C6 N i E"yz
* *Total Square Footage under roof: % L 00 '- Square Footage of alteration/addition:
O jk 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)
❑ hereby certify that plans have been submitted to the Texas Department of Licensing and Regulation for Accessibility Review.
' ontrol 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 E IBILITY BY THE CITY, D THAT THE
DESIGN PROFESSIONAL /OWNER IS RESPONSIBLE FOR OBTAINING SUCH APP OVAL ROM THE APPROP AT STATE AND
OR FEDERAL AGENCY(S).
PRINT NAME: ✓ � ` �2 SIGNATURE
PH #: l " l S 3 -7 G` 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: $ ZAOO -P,
Setbacks
Approval to Issue
Occupancy Group:
Front:
Electrical
Division:
Building Width:
Left:
Plumbi
Zoning: k�e-
Building Depth:
Right:
Me anical
Rear:
Plan Review Approval:
Date: 6125116
Water Availability Rate:
Site Plan A royal:
Date:
Sewer Availability Rate:
Fire Department:
Date: &JIye4
Building Permit Fee:
Public Works Department:
Date:
Plan Review Fee:
Health Department:
Date:
Lot Drainage Fee:
Approved for Permit:
Date: j
Total Fees:
Lot Drainage Submitted:
Approved:
Total Amount Due:
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Note: Visa *029
N(YrICES I
1) ALL work must be done In compliance with the 2006 !NTERNATIONAL
BUILDING CODE.
2) A copy of the signed permit and approved plans must be on site at all
times.
3) The project address must be dearly posted at the job site.
READ AND SIGN
I hereby certify that the foregoing is correct to the best of my knowledge
and all work will be performed according to #to 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 cr authorize any vitiation 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 15 RESPONSIBLE FOR
OBTAINING SUCH APPRO UAL ERGMAPPROPRIATE STATE
AND OR FkETWLL AGE
Afoica
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