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Home My WebLink AboutCO2025-004142 UNDER CONSTRUCTION TD ® NO LETTER SENT LETTER Pal OR LD NEEDED PENDING FIRE PENDING HEALTH LANDSCAPING / CODE C/O CHECK LIST C/O PERMIT# 25 - ADDRESS: A&I WiTa BUSINESS I PROPERTY CHANGE NAME / OWNER NEW CONST /ADDITION PERMIT# NEW TENANT/ OCCUPANT 11, REMODEL /ALTERATION PERMIT#-...--.., ISSUE DATE RNAL DATE 1 APPLICATION FORM COMPLETED 2. WORKORDER FORM COMPLETED 3. ENVIRONMENTAL NOTIFIED DATE TIME (E-MAIL JIMMY BROCK & VALE RIE 4. HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATE (-SCAN TO C/O IN MYGOV ® IF LARGE SET, ALSO SCAN TO LF & FORWARD SET TO FIRE) 5. FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE 6 ZONING CHECKED & COMPLETED ON APPLICATION 7BUILDING INSPECTION SCHEDULED & FIRE DEPT INSPECTION SCHEDULED 9. HEALTH INSPECTION 10. CITY SECRETARY (ALCOHOL.) 11. PUBLIC WORKS INSPECTION 12. LOT DRAINAGE INSPECTION 13. CORRECTION LETTER SENT 14. BUILDING INSPECTORS SIGN OFF 15° FIRE DEPARTMENTS SIGN OFF HEALTH DEPARTMENT SIGN OFF 1T Cl TY SECRETARY (Alcohol License Sign Off) 13. PUBLIC WORKS SIGN OFF 19, LOT DRAINAGE SIGN OFF -��20. LANDSCAPING SIGN OFF 21. BUILDING OFFICIALS SIGNATURE 22. C/O CERTIFICATE ISSUED DATE 1,TIME DATE TI M E FIRE INSPECTOR: NOTIFICATION DATE: NOTIFICATION DATE: E-MAIL DATE E-MAIL DATE DATE LETTER: YES / NO LETTER: YES / NO ELECTRIC RELEASED: SCAN CERTIFICATE TO MYGOV . ..... .. MAILED° C:1F'ORMS\DSCOINFORMATIONCKLIbI 12/30104 % Rfv �123124 DATE OF ISSUANCES T H E PERMIT #o t' 4, • A 8 CERTIFICATE OF O-CCUPANCY EST NO FEE REQUIRED IF THE CFRTIFICAT E OF OCCUPANCY IS ASSOCIA TFD WITH CURRENT BUI DING PERMIT ADDRESS OF OCCUPANCY: 11-5 �J 1, LOT: ; :;: ;: -._BLOCK: ._ .. SUBDIVISION® � � .N C ERTII'IC ATF OF OCCUPANCY __............ -•I•Z•'IIaIr NOT E IIJFJII 4YIT"I�IOI.�T LEOAI, IIESC'RII`7"I#}N***" NAME OF BUSINESS: NEW ®� OCCUPANT- YES - IIIJII.I)INCIdI�RO1�ElIT'Y NO NEW N£I ....„;,:_ -... NEW BUILDING: YES NO NEW BUSINESS NAME C HANGE: YES N NUMBER EIS OF EMPLOYEES: NEW BUSINESS OWNER: Y FS NO FREIGHT FORWARDING: I1ES NC1 TYPE BUSINESS: � i. 1 ,i $ � � (Exaars &: FicW C:I ;AWnl , Altorwe.v's Offi,.o. ' Rfstzua ant, of£ic€.war _r c-aa °,,*1 ` O F'ICEIW RIj,HOUST+ PIICIi lHE BREAKDOWN OF SQUARE FI]` AGES. SE OFFICE: ,SF WAREHOUSE: TOTAL SQUA : FOOTAGE: 'I .. NAME OF TENANT CURRENT MAILING ADDRESS: CITY/STATE/ZIP, ,._. r . - " PTIONE NUMBER: d a PROPERTY OWNER: ai-k cc-,.w:: ' ", :... MAILING ADDRESS, '"� �; � . �� W , :�... °... f k ""�•;:�.. �j CITY/STATE/ZIP: w. kJ + r- ...1 F HON `1Vi EEo �i � � 3 3- + IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Siles Tax Certificate) - - - - - - - YES NO WILL THERE BE ALCOHOLIC BEVERAGE SALES? (ir ytv, provide copy of Alcoholic Beverage Permit) - - - YES NO * WILL THERE BE FOOD SALES? (if yes, € ontact Tarrant County Health 17-3.21-4983 for more information) - - YES NO t PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? - - - - - - - - - - - - - - - - - - - - - YES NO ____- i WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE'TO SEIVER SYSTEA - - YES . Nth 4 WILL OUTSIDE REFUSE C YC°LINGIC"OMPAC'TING CONTAINERS BE C:ESSARY? (sir .ni rs grrr . } YES NO 4 L T BE ANY OUTSIDE STORAGE (including storage or c°ompanyditect vehicles), DISPLAY/ US ADINl 43? YES - �NO ',14 + AVILLANYAL'TERATIONSBEMADETt.; THE SITE ORBUILDING? ----------------_---------- YES NO IS BUILDING SPR ERED?---------------------------------------------------------- YES NO 11'ILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS? (if yes', provide list of types & quantities. along with material safety data slreel.$) - - - - - - - - - - - - - - - - - - - - - - - - - YES _____n NO I HEREBY CERTIFY' TTIA T THE FOREGOING EGOIN IS CORRECT TO THE BEST OF AIV KNOWLEDGE AND THE SAID OCCUPANCY IS IN CONFORMANCE WITH THE IN'I'CIRMAT°ION HEREIN' SET FORTH. (If access to the building/space is not provided at the time of the scheduled inspection, a -�5 a a re -Inspection fee will be c°1cir €°d..) FOR UEST°ION.'s ,or to RE -SCHEDULE, rLEASEA ALL (17) 410-31 5 or (817) 410-3166 SIGNATURE: ? ^..'��, �a � ,. �,�� l' � 4 PRINT NAME: IrHONE # EMAIL: Building Services Department The City of Grapevine * P.O. Box 05104 * Grapevine, Texas 76009 ( 1 7) 410-3165 (81 7) 410-0166 C:FOAMSMBSAP PUCATIONS-FEES,CO APP 11121a4 TEXAS SALES TAX Texas Sales Tax is charged and collected on sales within a 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 orRetailer" 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 orshipment 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. Texas Sales TaxNumber: g Si nature: . W.. °®✓ M a CITY, STATE, ZIP: OFFICE USE TYPE OF CONSTRUCTION: OCCUPANCY: DIVISION: ZONING ISTICT: CONDITIONAL USE: PERMITTEDUSE: , , OCCUPANT LOAD: BUILDING DEPARTMENT: _ ATE:... , BUILDINGINSPECTOR:'��, ./, "..... �,,�` DATE: ZONING A OVAL: FIRE DEPARTMENT: LOT DRAINAGE INSPECTION: PUBLIC WORKS DEPARTMENT: HEALTH DEPARTMENT: CITY SECRETARY: LANDSCAPING APPROVAL: _21 ATE: ATE: ATE: ATE: ATE: ATE: // � T DATE: PC Box 95104 Project # 25-004142 Grapevine, Texas 76099 Project Description: C/O (Clean & Show) 817) 410-3166 Issued on: 11 /07/2025 at 2:43 PM ADDRESS INSPECTIONS 1115 W Northwest Hwy Grapevine, TX 76051 1. Final Building C/O Inspection 2. Landscaping LEGAL 114 Place Blkl Lot la INFORMATION FIELDS Shell Building **NAME OF BUSINESS PERMIT HOLDER **TENANT NAME (Individual) Laura Self **TENANT PHONE NUMBER (817) 313-5627 —APPLICANT NAME (Individual) OWNERS **APPLICANT PHONE NUMBER - Laura Kay Self Square Footage TENANTS *Sales Tax Number • Laura Self TYPE OF BUSINESS (817) 313-5627 * CONSTRUCTION TYPE * OCCUPANCY GROUP *Sales Tax Alcoholic Beverage Sales Alterations Change of Business Name Change of Business Owner Fire Sprinkler System? Freight Forwarding Business Hazardous Material Industrial Waste New Building / Addition New Building / Property Owner New Occupant / Tenant Outside Refuse/Recycling Outside Storage Signs MYGOV.us 25-004142,11107/2025 at 2:43 PM Clean & Show Vacant 817-313-5627 Laura Self 817-313-5627 8335 N/A Shell Building VB N/A NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO Page 1/2 Issued by: Amanda Robeson 006901M • CONDITIONAL USE REQUIRED? N/A • OCCUPANCY LOAD N/A * PERMITTED USE NO OCCUPANCY * ZONING DISTRICT HC FEE TOTAL PAID DUE Certificate of Occupancy $50.00 $50.00 $50.00 TOTALS $50.00 $50.00 $0.00 READ AND SIGN I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THAT SAID OCCUPANCY IS IN CONFORMANCE WITH THE INFORMATION HEREIN SET FORTH. >> (it access to the building/space is not provided at the time of scheduled inspection, a $50.00 re -inspection fee will be charged) FOR QUESTIONS or TO RECALL FOR INSPECTION, PLEASE CALL: (817) 410- 3165 or (817) 410-3166 November 07, 2025 Signature Date City of Grapevine Certificate of Occupancy Project # 25-004142 Page 2/2 MYGOV,us 25-004142, 11107/2025 at 2:43 PM Issued by: Amanda Robeson Rim, 11�111 pi LOT: , mko V 0 Nq iwq PERMIT# 25 - ADDRESS OF INSPECTION, DATE OF INSPFCTION, TIMEOF INSPECTION- , T'9 NAME OF BUSINESS: . . ...... ... TYPE OF BUSINESS. USE OF BUILDING AND/OR PREMISES: REASON FOR APPLYING: CONTACT PERSON: TELEPHONE NUMBER: COMM ENTSNIOLATIONS: o k A-r At- , rtlio-l- o > ......... . . **TO BE FILLED OUT BY BUILDING OFFICIAL" ZONING DISTRICT OF INSPECTION LOCATION: C OCCUPANT LOAD - TYPE OF BUILDING: 0.5 GROUP AND DIVISION: ZONING RESTRICTIONS: . . ........ I ', \Po RMSIDSC 0 IN FORMAT IONWORKORDE R 1 '21' 30104 Rev. 512312024