HomeMy WebLinkAboutCO2016-4071UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
WAITING FIRE
HOLD
CIO CHECK LIST
C/O PERMIT # P16 - 4/7) 7 /
ADDRESS: /) 5 / .
BUSINESS NAME:
o
BUSINESS / PROPERTY
CHANGE NAME / OWNER NEW CONST / ADDITION
NEW TENANT / OCCUPANT REMODEL / ALTERATION
APPLICATION FORM COMPLETED
ZONING MAP COPIED & WORKORDER FORM COMPLETED
ZONING CHECKED & COMPLETED ON APPLICATION
BUILDING INSPECTION SCHEDULED
PERMIT #
PERMIT #
ISSUE DATE
FINAL DATE
DATE /6)(, ' j TIME /(, . (l::-)e:i
FIRE DEPT. INSPECTION SCHEDULED DATE &An TIME /U .`'006 • rit -
FIRE INSPECTOR:
CITY SECRETARY (ALCOHOL) NOTIFICATION DATE:
7. HEALTH INSPECTION NOTIFICATION DATE:
8. PUBLIC WORKS INSPECTION E-MAIL DATE
9. LOT DRAINAGE INSPECTION E-MAIL DATE
10. CORRECTION LETTER SENT DATE
V 11. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO
12. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO
13. HEALTH DEPARTMENT SIGN OFF
14. CITY SECRETARY (Alcohol License Sign Off)
-�` 15. PUBLIC WORKS SIGN OFF
16. LOT DRAINAGE SIGN OFF
1717. LANDSCAPING SIGN OFF
18. BUILDING OFFICIALS SIGNATURE
19. C/O ISSUED ELECTRIC RELEASED:
SCANNED:
MAILED:
* CONDITIONS TO BE TYPED ON C/O? YES / NO
O:1FOR MS1D SCOIN FOR MATIONICKLIST
12/30/041 Rev.11111,11\15
OCT UZffl6
ZOI6
DATE OF ISSUANCE:
GRAPEM
PERMIT #: /61 0 7/
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
A0 FEE REQC IRED IF CERTIFIL 4n or oect P,4 VCY IS ASSOCIATED WITH 4N ACTIVE ( I !MEAT !WILDING PERMIT
ADDRESS OF OCCUPANCY: 1050 Texan Trail st 1TE #_ 300
1,0'F: 4 BLOCK.: 1 SUBDIVISION: Grapevine Station
.*.*C ERIlk IC A FE OC PANCN WILL NOT BE ISSUED WITHOUT LEGAL. rwscit
IPTI
NAME OF BUSINESS: _
NEW OCCUPANT: YES X NO
NEW BUILDING: YES _ _ _ NO X
NUMBER OF EMPLOYEES: 2C)
$- L -12-K4
NEW BUILDING/PROPERTY OWNER: YES NO X
NEW BUSINESS NAME CHANGE: YES NO
FREIGHT FORWARDING: YES NO
NEW BUSINESS OWNER: YES NO
N•***
Ty PE OF BUS I ESS: SQUARE FOOTAGE: 3,380
lExatnpk; Retail Clothing Attornvy's Met Officc-Vi areboirie i I ottani-mot)
NAME OF TENANT c":";
CURRENT MAILING ADDRESS: _ 61;,(1) 3
CITY/STATE/ZIP: ,<:1 1))
PHONE NUMBER:
PROPERTY OWNER: RAB Properties, LLC.
MAILING ADDRESS: P.O. Box 3445
CITY/STATE/ZIP: _Palds Verdes, CA 90274 PHONE NUMBER: (310)901-6673
• 15 YOUK BUSINESS SUBJECT TO SALES TAX LAW? (Byes, provide copy (if Sales Tax. Certificate) - - - - YES SOX
• WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy tit Alcoholic Beverage Permit) - ' NO —
• PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS 11E INSTALLED? - - - --- - - - - - -- - - - — - YES NO
• WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE T() SEWER SYSTEM? - - - - - YES NO 1._
• WILL OUTSIDE REFUSE/RECYCLING/COMPACTIN( CONTAINERS BE NECESSARY?
(if yes, screening is required) YES ..... _ NO
• WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING, YES NO -)( _
• WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? YE,S NO
• IS BUILDING SPRINKLERED? YES._ NO
• WILL BUSINESS STORE OR H.ANDLE HAZARDOUS MATERIALS OR LIQUIDS?
(if yes, provide list of types 8: quantities, along with material safety data sheets) -----------------YES NO X-
I HEREBY CERTIFY THAT THE FOREGOING LS CORRECT TO THE BEST OF MY KNOWLEDGE AND THE SAID
OCCUPANCY IS IN CONFORMANCE WITH TEl INFORMATION HEREIN SET FORTH,
(If access to the building/space is not provid at lime of the scheduled inspection, a $42.00 re -inspection fee will be charged)
FOR QUESTIONS PLEASE CALL(817)4
SIGNATURE:
PHONE #: (:).°C3 t"
793
0:FORPASOSAPPLZAT)Ot4S1Ci
1,77,11111M go, 546.2/07,4)09,2,15,11 5
PRINT NAME: NAME:
EMAIL:
$ of
Development Services Department
The City of Grapevine * PO, Box 95104 * Grapevine, Texas 76099 * (817)410-3 165
Fax (817) 410-3012 * www.grapevinetexas,e,ov
TEXAS SALES TAX
Texas Saks 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 loyal sales tax is due and is allocated to
the city where the order was received.
I have read the above and I understand that 1 will be required to provide a copy of the Sales Tax 'Permit to the City of
Grapevine, Texas if the circumstance applies to nty business.
Texas Saks Tax Number:
Signature:
"'IVO •.0(
1'2)t'–')/ ,7? -f ,Otz,
DDRESS:
13/-
cm, STATE, ZIP:
*****************************FOR OFFICE USE oNuy****************************4
TYPE OF CONSTRUCTION: OCCUPANCY:
ZONING DISTRICT:
PERMITTED USE:
BUILDING DEPARTMENT: _
ZONING APPROVAL:
FIRE DEPARTMENT:
LOT DRAINAGE INSPECTION: **—
PUBLIC WORKS DEPARTMENT:
HEALTII DEPARTMENT:
CON DITIONA L USE:
DATE:
DATE:
DATE: 12 ,
DATE:
CITY SECRETARY:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:
0:FORMSIDSAPPLICATtON44C,
3I2212001.41ey:5106,2107.4109,211 :1 1 VIS
DATE:
DATE:
DATE:
DATE: 1, 2-./ /
DATE: ___"') U,
/ \/
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/ /v � jv. A /\ %`,
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CRRTIFICATF, OF OCCUPANCY
WORKORDER
ADDRESS OF INSPECTION: /i)
DATE OF INSPECTION:
NAME OF BUSINESS:
TYPE OF BUSINESS:
PERMIT # 16 - LU '%
l4
im. Q, , t # (')
TIME OF INSPECTION: /a, OG
USE OF BUILDING AND/OR PREMISES: 0 --
IL/ �.fe f-1�
REASON FOR APPLYING: ,� pLc.) tCG'u�
CONTACT PERSON: � %v�t� • S�/C21�2
TELEPHONE NUMBER: / ` ziU / q 7 q
COMMENTS/VIOLATIONS:
OK 14/2—er h ep
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION:
TYPE OF BUILDING:
15"
GROUP AND DIVISION:
ZONING RESTRICTIONS:
vr-
O: FORMS DSCOINFORMATION WORKORDER
1231104 Rev. 117 2000