HomeMy WebLinkAboutRMISC2023-002498DATIA)FISS1, ANCE':
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PERMIT
BUILDING PERMIT APPLICATION
JOB ADDRESS: 4 fV6c,+-,A)J #
LOT: BLOCK: SU
BUII,DINGCON'I'RACTOR(c,,iiil)iiii-,.Il.tiiic): �VrP WDdiq
Cif RRENT MAILING ADDRESS: -L,001
CITY/STATE/ZIP: ,� -7141 S I PH:# Faxff
PROPERTY OWNER: P)mo- t- %I * Z
CURRENTMAILING. ADDRESS- 23oq Mvek1,1vf7jrd "j)%r,
CITY/STATE/ZIP: fib J -7
PHONE NUMBER: lsao
PROJECT VALUE: $ ZZ-1voo FIRE SPRINKLERED? YES NO
WHATTRADES WILL BE NEEDED? ELECTRIC PLUMBING MECHANICAL
I)ESCRIPTIONOI,'WORK'I'OBI'[)ONE:
Pou
n x I eb r 1(—
y
USE Ol,'Btlllll,DIN(; OR sTRUCTURE:
NAMEOFBUSINESS:
Total Square Footage under roof: a6 < Square Footage of alteration/addition: ?Z 75
0 1 hereby certify that Plans have been rep icii ed and lite building will be inspected tar certified energy code is in accordance is ith
Slate Lass. Plan revivivand 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 theTexas Department ofLicensing an([ Regulation for Accessibility Review.
Control Number- (Not required for I & 2 family dwellings)
I herttly certitt, that all asbestos survey has beta conducted for this structure in accordance with the regulatory requirements ol'the Texas
Department of Health.
(REQUIRED FOR DEMOLITIONS, ADDITIONS AND OR ALTERATION TO CONINIII.-RCIAL AND PIJBLIC BUILDINGS)
I hereby certitt, that the foregoing is correct to the best of my knowledge and all work trill be performed according to the documents approved by
tile Building Departmentand in compliance with the Cit ' %, Of Grapevine Ordinance regulating construction. It is understood that tile issuance of
this pernot does not grant or authorize any violation or atki code or ordinance ol'the City Of Crailevine. I FURTH ER'vl( )RE UNDERSTAND
THATPLANS AND SPECIFICATIONS ARE NOT REVIEWED FOR HANDICAPPED ACCESSIBILITY BY `flit:C "y ATHATTHE
DESI(;N PROFESSIONAIJOWNER IS RESPONSIRLI,'FOR 011TAINING SUCII APPROVAL FROM '1`111",,APP�() R'T,<ND TE STATE AND
OR FEDERNt, A(;ENCY(S).
PRINT NAME: SIGNATLIZE
PIIONE#. c iJ a EMAIL: /mw A> jc:.
0 C H IFPREFERRED TO BE CONTACTED BY E-MAIL
THE FOLLOWING ISTO BE' COMPLETED BY THE BUILDING INSPECTION DFPV NT
COWS0116011'rype: Permit Valuation: S Setbacks Approval to ISSLIe
OCCLIpancy Group: P- Fire Sprinkler: YES No Front: Electrical
Division: 13tii1din,_, DePth: Left: PlUmbing
Buildino Width: Rear: Mechanical
Occupancy Load: IGI-ease Trap Richt: Hood
-I
Plan Review Approval: BUildirlPei Date:
Site Plan Approval: Date: Plan Review Fee:
Fire Department: Date: Lot Drainage Fee:
PUblic Works Department: Date: Sewer Availability Rate:
Health Department: Date: \VaterAvai tab] I ity Rate:
Approved for Permit: Date: Total Fees:
Drainage Submitted: Approved: Total A111011nt Due: 5)
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