HomeMy WebLinkAboutNSFR2022-000156I
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JOB ADDRESS:
N
LOT: BLOCK: A SUBDIVISION:
BUILDING CONTRACTOR (company name):
CURRENT MAILING ADDRESS: Y
DATE OF ISSUANCE: MAR 18 LULL
PERMIT #:
SUITE #
CITY/STATE/ZIP; g i 9t. Pfi- # Fax #
PROPERTY OWNER:
CURRENT MAILING ADDRESS:
CITY/,S-1-ATF/ZIP: PHONE NUMBER:
O FIRE SPRINKLERED? YES N PROJECT VALUE:. -.'..:;,J
WHAT TRADES WILL BE NEEDED? ELECTRIC PLUMBING MECHANICAL
DESCRIPTION OF WORK TO BE DONE:
USE OF BUILDING OR STRUCTURE:
NAME OF BUSINESS:
Total Square Footage under roof- Square Footage of alteration/addition:
Q' I hereby certify that plans have been reviewed and the building will be inspected by a rectified 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.)
4, 1 hereby certify that plans have been submitted to the Texas Department of Licensing and Regulation for Accessibility Review.
Control Number: (Not required for I & 2 family dwellings)
9, 1 hereby certify that an asbestos survey has been conducted for this structure in accordance with the regulatory requirements of the TeNas
Department of Health.
(REQUIRED FOR DEMOLITIONS, ADDITIONS AND OR ALTERATION TO COM-MERCIAL 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 grantor authorize any violation of any code or ordinance of the City Of Grapevine. IFURTHERMORE: UNDERSTAND
THAT PLANS AND SPECIFICATIONS ARE NOT REVIEWED FOR HANDICAPPED ACCFSSIBILITY BY THE CITY, AND THATTHE
DESIGN PROFESSIONAIJOWNER IS RESPONSIBLE FOR OBTAINING SUCH APPROVAL FROM THE APPROPRIATE STATE AND
OR FEDERAL AGENCY(S).
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PRINTNAME: SIGNATURE J
I EMAIL: PHONE
V
BOX IF PREFERRED TO BE CONTACTED BY E-MAIL
THE FOLIOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT
Construction Type: V6 Permit Valuation: $ Setbacks Approval to Issue
Occupancy Group: Fire Sprinkler: YES NO Front- Electrical
Division: Building Depth: Left: Plumbing
Zoning: (2-P Building Width: Rear: Mechanical
Occupancy Load: Grease Trap Riolit: Hood
Plan Review Approvo---t�-�-- Date: 311, Building Permit Fee:
Site Plan Approvak�—' Date: Plan Rc`v�i i ew Fee:
Fire Department: Date: Lot Drainage Fee:
Public Works Department: Date: Sewer Availability Rate:
1 Health Department: Date: Water Availability Rate.
Approved for Permit: Date: Total Fees:
,,-Lot Drainage Submitted: Approved:
Total Amount Due:
OFORMS'lDSPEWITAPPLICATIONS WVRev I
P.O. BOX 95104 GRAPEVINE TX