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Home My WebLink AboutCO2025-0037901. 2 5. 6 7. . y UNDER CONSTRUCTION TD — NO LETTER SENT LETTER PWOR1.I,Q NEEDED P FI,Rit' PENDING HEALTH C/O CHEI LIST '•Y .rt �fY yYi� a111.1111y ; i r . BUILDING INS* D HEALTH INSPECTION CITY SECRETARY (ALCOHOL) PUBLIC WORKS INSPECTION LOT DRAINAGE INSPECTION CORRECTION LETTER SENT BUILDING INSPECTORS SIGN OFF FIRE DEPARTMENTS SIGN OFF HEALTH DEPARTMENT SIGN OFF CITY SECRETARY (Alcohol License Sign ) PUBLIC WORKS SIGN OFF LOT DRAINAGE SIGN OFF LANDSCAPING SIGN OFF CERTIFICATE ISSUED ATE _ �.. TIME DATE TIME FIRE INSPECTOR: NOTIFICATION ATE: _ NOTIFICATIONDATE: E-MAIL DATE E- AIL ATE ,, ._ DATE.. ... _� LETTER: YES / NO LETTER: YES / NO ELECTRIC RELEASED�,. 4� �^��',�141 1(.I�� S I„'« S T��M"la,.f) �°MoI °.`Karl`_ CAFORi` SMSCOINFORMATICiPlICKLIST IM0104 t Rev, 0123/24 DATE OF ISSUANCE: PERMIT #: CERTIFICATE OF OCCUPANCY REQUEST FEE: $50.00 N FEE REOUDMD IF THE CER 4 T77MIF7 A 0 ADDRESS OF OCCUPANCY: LIDO _1 I & , _1 SUITE # LOT: BLOCK: SUBDIVISION: ""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION"" NANIE OF BUSINESS: L( ci vr� NEW OCCUPANT: YES NO NEW BUILDING/PRO ERTY OWNER: YES NO NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE: YES NO NUMBER OF EMPLOYEES: NEW BUSINESS OWNER: YES NO FREIGHT FORWARDING: YES -NO TYPE OF BUSINESS: Retail Clothing / Attorney's Office I Restaurant Office/Warehouse) Vjj�a(Exarnple *9F OFFICEIWAREHOUSKPROVIIDV BREAKDOWN OF SQUARE FOOTAGES: SIP OFFICE: SF WAREHOUSE: TOTAL SQUAREFOOTAGE: 3 NAME OF TENANT [PERSON'S NAME]: f-t-) L Ass v e- i i-� 6-5 CURRENT MAILING ADDRESS: 4.E CrrY/STATE/ZIP: 3D� PHONE NUMBER: PROPERTY OWNER: C-7 LLC_ MAILING ADDRESS: (0 CITY/STATE/ZIP: PHONE NUMBER: a I. IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) ------- WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) --- YES YES NO NO WILL THERE BE FOOD SALES? (if yes, contact Tarrant County Health 817-3214983 for more information) - - YES NO PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? --------------------- YES NO WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TONO + WILL OUTSIDDE REFUSEIRECYCLINGICOMPACTING CONTAINERS BE NECESSARY? (screening is required) YES NO 0 WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY/ USE/DE%NG? YES NO + WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? ---------------------------- YES NO IS BUILDING SPRINKLERED? ---------------------------------------------------------- YES NO WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS? (if list types & yes, provide of 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 $50.00 re-inslLection fee will be charged) FOR QUESTIONS or,A #F-SCHEKtIE, PLEASE CALL (817) 410-3165 or (817) 410-3166 SIGNATURE:, PRINT NAME: PHONE rT;Z)&/ 7-Ij EMAIL: 4L06uAbA- fu-F-TtY-O-OTaPevi-ne—*-ff.'D.-Box -Fra-p—evFn-e—, I exas76099 (817) 410-3165 * (817) 410-3166 C:FDRU SAPPUCATM-IFEESICOAPP w",,_gr4pevinetexas.qov (OVER) 11121/24 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. Texas Sales Tax Number: 07� WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED? 0 ADDRESS: - CITY, STATE, ZIP: 77 TYPEOCOUOOUPANCY PERMITTED USE: BUILDING DEPARTMENT: BUILDING INSPECTOR: FIRE DEPARTMENT: jrUNM DIVISION: CONDITIONAL USE: OCCUPANT LOAD: DATE: DATE: DATE: DATE: CITY SECRETARY: DATE: LANDSCAPING ADATE: PPROVAL: APPROVAL FOR ISSUANCE: DATE: 0 Is V1#1;11M Grapevine,PO Box 95104 sf• Description:Project Associates (Pegasus Senior Living)" Issued on: 12/04/2025 at 12:07 PM Nnnorcc lllia1%J1140 611 S Main St., 400 Grapevine, TX 76051 LEGAL City Of Grapevine Bilk 15 Lot C S 1 TENANTS PSL I Associates Pegasus r t 06 00 1. Final Fire Dept Inspection 2. Final Building 0/0 Inspection INFORMATION FIELDS "NAME OF BUSINESS **TENANT NAME (Individual) "TENANT PHONE NUMBER APPLICANT E-MAIL —APPLICANT NAME (Individual) —APPLICANT PHONE NUMBER Square Footage "Sales Tax Number "" TYPE OF BUSINESS • CONSTRUCTION TYPE " OCCUPANCY GROUP *Sales Tax New Occupant / Tenant Number of Employees 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 Outside Refuse/Recycling EI 3. Landscaping 4. C/O APPROVED FOR ISSUANCE PSL Associates (Pegasus Senior Living) PSL Associates 214-306-7674 ext 100 aobuabang@iongviewequity. Obuabang 281-728-7147 3300 N/A Office II - SPILEED B NO 9 Q NO NO NO YES O NO NO NO Page 1/2 MYGOV.US 25-003790, 12/04/2025 at 12:07 PM Issued by: Amanda Robeson 62�� INFORMATION FIELDS Outside Storage NO Signs NO Square Footage - Office 3300 • CONDITIONAL USE REQUIRED? NO • OCCUPANCY LOAD 22 • PERMITTED USE YES • ZONING DISTRICT CBD FEE TOTAL PAID DUE Certificate of Occupancy $50.00 $50.00 $50.00 TOTALS $50.00 $50.00 $0.00 I AEREITT 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. >> (if 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 INSPECTIN PLEA-9-E—f-ALL:,0.17.,)-W., 3165 or (817) 410-3166 Signature Certificate of Occupancy Project # 25-003790 ' - Page 2/2 MYGOMS 25-003790, 12/04/2025 at 12:07 PM Issued by: Amanda Robeson M I re TlMKTW"o 7-r-jmm **TO BE FILLED OUT BY BUILDING OFFICIAL" ZONING DISTRICT OF INSPECTION LOCATION: OCCUPANT LOAD: GROUP AND DV TYPE OF BUILDING: �� „" ':` 7- IISION: -1-11 C TORMSWCOINFORMAT 10NMORKORDER 12130/04 Rev, 512312024 kill 1MV, #25-003790 ij CERTIFICATE OF OCCUPANCY City of Grapevine Permits and Inspectioz. ns y, C,,;L)ancy is hereby issued pursuant to Section 109 of the 2021 International Building Code And Chapter 64 of the m,-H.Thensive Zoning Ordinance. At the time of inspection, this building or space was found to be in compliance with "1n0.C'7i;'%1.- 6iii-m-n Zoning Ordinances of the city of Grapevine. Any change in use, tenant and/or owner of this building/space ertificate of Occupancy. f M Business Name Property Owner P—lasus Senior Living) Grape Office Lic 750 N Saint Paul St Ste 250 X Dallas, TX 75201 t A j �Vg PROJECT INFORMATION q_Office ;'o B 1 118 - SPRINKLERED 22 CBD Jl I R Date n - A 14