HomeMy WebLinkAboutCO2015-3319UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
WAITING FIRE
C/O CHECK LIST
C/O PERMIT # P15 - �3 3
ADDRESS:
BUSINESS NAME: C=am on -
BUSINESS / PROPERTY
in-
BUSINESS/PROPERTY
CHANGE NAME/OWNER
NEW TENANT/OCCUPANT
D Gomes
_ NEW CONST/ADDITION PERMIT #
REMODEL/ALTERATION PERMIT #
* CONDITIONS TO BE TYPED ON C/O: YES / NO
O \FORMSIDSCOINFOR MATIONICKLIST
12/30/341 Ree1Ill 1
ISSUE DATE
1.
APPLICATION FORM COMPLETED
FINAL DATE
2.
ZONING MAP COPIED & WORKORDER FORM COMPLETED
✓ 3.
ZONING CHECKED & COMPLETED ON APPLICATION
�,
C
�-7
4'.,
BUILDING INSPECTION SCHEDULED:
DATE l TIME
V/
5.
FIRE DEPT. INSPECTION SCHEDULED:
DATE �� TIME
p
` ) I 1
FAA
INSPECTORrj K
�~ 6.
HEALTH INSPECTION:
DATE TIME
�- 7.
PUBLIC WORKS INSPECTION:
E-MAIL DATE
,----8.
LOT DRAINAGE INSPECTION:
E-MAIL DATE
9.
CORRECTION LETTER SENT:
DATE
10.
BUILDING INSPECTORS SIGN OFF
LETTER: YES / NO
✓ 11.
FIRE DEPARTMENTS SIGN OFF
LETTER: YES / NO
✓�
12.
HEALTH DEPARTMENT SIGN OFF
i� 13.
PUBLIC WORKS SIGN OFF
/ .
14.
LOT DRAINAGE SIGN OFF
V/1'15.
LANDSCAPING SIGN OFF
16.
BUILDING OFFICIALS SIGNATURE
X_
17.
C/O ISSUED ELECTRIC
RELEASE: '"J
COPY:
MAILED:
* CONDITIONS TO BE TYPED ON C/O: YES / NO
O \FORMSIDSCOINFOR MATIONICKLIST
12/30/341 Ree1Ill 1
SSP 14.2011
ATE
DATE OF ISSUANCE:
PERMIT #:
FEE: $50.00
NO FEEREQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED 97THANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: (r'lr�iX�VIYIP 1`Wii -3 'PKwy SUITE#_W
LOT: i BLOCK: SUBDIVISION r f- . Fri✓ (YLt �l,l
""CERTIFICATE OF OCCUPANCY
NAME OF BUSINESS: 0,1O C,A`(jn
NEW OCCUPANT: YES v NO
NEW BUILDING: YES NO V
NUMBER OF EMPLOYEES. j
VILL NOT BEISSUEDR1111vus LEGAL DESCRIPTION** --n VCS
NEW BUILDING/PROPERTY OWNER:
NAME CHANGE: BUSINESS
FREIGHT FORWARDING:
NEW BUSINESS --
YES NO I/
YES NO /
YES NO
TYPE OF BUSINESS: e) A i ER. YES SQUARE FOOTAGE NO 1/
(Example: Retail, Office, Warehouse) —� I Q.0
NAME OF TENANT: (�° (I�_�PYldac =t C Yn65 / VO'�-In O,nv
CURRENT MAILING ADDRESS: -a1' p Lornayak
CITY/STATE/ZIP: Z2A rA 3x q 1007 I PHONE NUMBER: -213
PROPERTY OWNER:
MAILING ADDRESS:
CITY/STATE/ZIP: VAnUy ino 11( —4loGf6l PHONE NUMBER: IQ - L((jC)()
# IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - YES / NO _
# WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) -YES _ NO /
# PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _yES ✓ NO _
# WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? ----- YES NO
# WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY?
(if yes, screening is required)------------------------------------------------------- YES_ NOS
# WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ YES _ NO ✓
# WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ --------- yES NO ✓
# IS BUILDING SPRINKLERED?------------------------------- ____ ___ YES ;/ NOV
# WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
(if yes, provide list of types & quantities, along with material safety data sheets) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ YES _ NO
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: i1moa �?lC SIGNA 4 /�,
PHONE#: j{1 -C' 7'1 EMAIL:
Development Services Department (OVER)
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165 .
Fax (817) 410-3012 * www.grapevinetexas.gov
O:FORMS\DSAPPLICATIONSIC/OApplication
M2/2001 /Rev:5/06,2/0], V 09,3%3
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. 1�-
Texas
Signal
ADDRESS: '1 12.i ,, l r YhaVf IYiP 2C
CITY, STATE, ZIP:
tix� r r** tix*** tx*x**FOOR OFFICE USE
TYPE OF CONSTRUCTION: s` OCCUPANCY: 1 ` DIVISION:
ZONING DISTRICT:
PERMITTED USE:
BUILDING DEPARTMENT:
ZONING APPROVAL:
FIRE DEPARTMENT: Q.AA
LOT DRAINAGE INSPECTION: _
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
CITY SECRETARY:
LANDSCAPING APPROVAL: I�Ifl&e /
APPROVAL FOR ISSUANCE:
o- SnYNS\OSAPPLICATIONSICIOAPPII Wti-n
CONDITIONAL USE:
DATE:
I6$N-rzb/r
DATE:
T—
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
( firIZAC -
CERTIFICATE OF OCCUPANCY
1, 00I IN ' Rok
PERMIT # 15 - k 9
ADDRESS OF INSPECTION: 3OOD
DATE OF INSPECTION: Ot
NAME OF BUSINESS:
TYPE OF BUSINESS: Q01
'll
k,
TIME OF INSPECTION: V
USE OF BUILDING AND/OR PREMISES: Z�Zzi Sa lE S
REASON FOR APPLYING:
CONTACT PERSON
TELEPHONE NUMB
COMfIA99 O 9
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: L&tka a , ex,
TYPE OF BUILDING: !t% ice• —GROUP AND DIVISION: r -A
ZONING RESTRICTIONS:
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