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HomeMy WebLinkAboutROOF2013-2226Jun. 19, 2013 12.5$PM No, 5305 P. 1 �1U�! � ® X0`1 * �1 JUN 210 C013 // HATE OF ISSUANCE: __._ Y T E A S'4 137- } 1 � �7 PERMIT #: BUILDING PERMIT APPLICATION PL.F.ASE PRINT p JOB ADDRESS: { t V Oa K .0 i^ SUITE # LOT: BLOCK: SUBDIVISION: BUB,DING CONTRACTOR (company name): CI '� CURRENT MAILING ADDRESS: `l t � H '- C42) 111 c. N — CITY /STATE /ZIP: `3) t° PH; lax # 6 3 4( L-2 ' t, t i PROPERTY OWNER: r L e'�- CURRENT MAILING ADDRESS;t.k' CITY /STATE /ZIP: PHONE NUMBER: PROJECT VALUE: $ FIRE SPRINKLERED7 YES NO DESCRIPTION OF WORK TO BE DONE: G� (' l – Clj USE OF BUILDING OR STRUCTURE: 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 Regulatlon for Accessiblllty 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 ACCBSSJBlLjTY BV T*JE CI'T'Y, AND THAT THE DESIGN PROFESSIONAL/OWNER 1S RESPONSIBLE FOR OBTAINING SUCH APPROVAL FROM THE OPRIATE STATE AND OR FEDERAL AGENCY(S). PRINT NAME: 6 fl f l tf SIGNATURE PH #: 22- 51 3 J FAX #: b 3 -`t 1 ,� -1 i EMAIL_ $ © CHECK BOX IF PREFERRED TO BE CONTACTED BY E-kUL THE FOLLOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT Construction e: Permit Valuation: $ Setbacks Approval to Issue -Occupancy Group: Fire S rinkler: YES NO Front: Electrical Division: Building Depth: Left: Plumbing Zonin Buildin Width: Rear: Mechanical Occupancy Load: Right: Platt Review Approval: Date: Building Permit Fee, GIB' Site Plan Approval; Date; Plan Review Fee: Fire De artment: Date: Lot Draina e Fee: Public Works Department: Date: Sewer Availability Rate: Health Department: Date: Water Availability Rate: Approved for Permit: Date: Total Fees: :,r Lot Drainage Submitted: Approved: Total Amount Due: A.D. SOX 0x1 W, GRAPEVINE TX 70M ( 017) 41"I C4 07P0RMSD5PHRMITAPPL1CA'hOM 1m2- Rw.11M4.&0D6Awj1m9,4lit