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HomeMy WebLinkAboutCO2025-003610UNDER CONSTRUCTION TD — NO LETTER SENT LETTER PW O,,I.,,D,N.EED.ED ENDI,N _FIRE: _ P.NDING HEALTH LANDSCAPING ,ODE H+.LLD FILE C/O 40[O""HECK LIST C/O PERMIT 25 ADDRESS: BUSINESS NAME - BUSINESS ! PROPERTY -CHANGE /,OWNERCONSTI ADDITION PERIMIT# C U A T ^� TENANT f'3„ l ALTERATION PERMIT ISSUE DATE FINAL DATE - .... 1. APPL ICATION FORM COMPLETED 2. WORKORDER FORM COMPLETED —3. ENVIRONMENTAL NOTIFIED DATE TIME (E-MAIL JIMMY EROGIO ff _ P,Y,.a,°s: ,:,...:.: & VALERIE FARRELL 4. HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATA _ .aa....." (SCAN TO C/O IN MYGO7V — IF LARGE SET, ALSO SCAB TO LF & FORWARD SET TO FIRE) 5. FIRE: DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE 6 ZONING CHECKED & COMPLETED ON APPLICATION 7, BUILDING INSPECTION SCHEDULED DATE TIME 3. FIRE DEPT INSPECTION SCHEDULED DATE TIME FIRE INSPECTOR: 9. HEALTH INSPECTION NOTIFICATION DATE: 10. CITY SECRETARY (ALCOFIOL) NOTIFICATIONDATE: 11. PUBLIC WORKS INSPECTION E-MAIL DATE 12. LOT DRAINAGE INSPECTION E-MAIL DATE 13. CORRECTION LETTER SENT (SATE '14. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO 15. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO 1 . HEALTH DEPARTMENr SIGN OFF '___ 17. CITY SECRETARY (Alcohol License Sign Off) 1, PUBLIC WORKS SIGN OFF 19. LOT DRAINAGE SIGN OFF 20. LANDSCAPING SIGN OFF 21. BUILDING OFFICIALS SlGiNATURE 22. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: SCAN CERTIFICATE TO MYGOV: MAILED- CAFORMSOSC:OINFGRMA1 !t}1MC KL-IS7 52130iO4iRev 52', M jg T S DATE OF ISSUANCE: PERMIT #: CERTIFICATE 0F.1-OCCUPANCY REIDUEST FEE: $50.00 ZASW-f 0#e-�"RV.WWA ADDRESS OF OCCUPANCY: SUITE# LOT: BLOCK: SUBDIVISION: n­ ""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTIONA 10r.11101 10901 a MW 10 NEWOCCUPANT: YES �/' NO NEW BUILDING/PROPERTY OWNER: YES NO V NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE: YES NO NUMBER OF EMPLOYEES: NEW BUSINESS OWNER: YES -NO FREIGHT FORWARDING: YES -NO= TYPEOFBUSIN ESS: **IF IC USE PROVIDE BREAKDOWN OF SQUARE FOOAS: SF OFFICE: SF WAREHOUSE: TOTALS QUAREFOOTA: NAME OF TENANT-", CURRENT MAILING ADDRESS: CITY/STATE/ZIP: PROPERTYOWNER: MAILING ADDRESS: CITY/STATE/ZIP: PHONENUMBER: + IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) ------- YES — NO + WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) --- YES NO + WILL THERE BE FOOD SALES? (if yes, contact Tarrant County Health 817-321-4983 for more information) + PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? --------------------- N 1,S NO + WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? -------- YES NO + WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? (screening is required) YES NO * WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY/ USE/DINING? 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 yes, provide list of types & 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 buflding/space is not provided at the time of the scheduled inspection, a �50.00 twill be charged) 117OR QUESTIONS or to RE -SCHEDULE, PLEASE CALL (817) 410-3165 or (817) 410-3166 SIGNATURE:'_Mz_ PRINT NAME: ­ .......... . Building Services Department The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 (817) 410-3165 * (817) 410-3166 C:FORMSMAPPUCATIONS-FEESWO APP IWM4 �# M1 AN Lill NOW gall I Immin MOM 1EM i5RUFTIN 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 ► includes any location at which three or more orders are received ► the "Seller ► Retailer in a calendar year. If an order is received at the place ► business of a retailer in Texas, ► delivery or shipment is made 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: Signature: 1-7w— ADDRESS:—'-­ CITY, STATE, ZIP: ------- OFFICE USE TYPE OF C N CI a p. OCCUPANCY: DIVISION: ZONING DISTRICT: CONDITIONAL USE: PERMITTED USE: OCCUPANT LOAD: BUILDING DEPARTMENT: DATE: BUILDING INSPECTOR: DATE - ZONING APPROVAL: FIRE DEPARTMENT: LOT DRAINAGE INSPECTION: PUBLIC WORKS DEPARTMENT:, HEALTH DEPARTMENT: CITY SECRETARY: LANDSCAPING APPROVAL - APPROVAL FOR ISSUANCE: DATE: DATE: DATE: DATE: DATE: DATE: DATE: DATE: 7, WRrFTVTMX"F7Wr;7 PO Box 95104 Q vine, Texas 76099 ADDRESS 1400 W Northwest Hwy., 240 Grapevine, TX 76051 LEGAL Rose Plaza Addition Blk 1 Lot 1 S PERMIT HOLDER Michelle Rankine (214) 471-4556 Michelle Rankine (214) 471-4556 OWNERS TENANTS - Fast Labs of Grapevine Right at Home uj, "py - 'j Certificate of Occupancy Project # 25-003610 Project Description: C/O (Home Health Office)" Fastest Labs of Grapevine/Right at Home" gr Issued on: 12/01/2025 at 3:55 PM 4 INSPECTIONS 1. Final Fire Dept Inspection 2. Final Building C/O Inspection INFORMATION FIELDS "NAME OF BUSINESS **TENANT NAME (individual) **TENANT PHONE NUMBER —APPLICANT NAME (individual) —APPLICANT PHONE NUMBER Square Footage *Sales Tax Number TYPE OF BUSINESS • 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 Number of Employees Outside Refuse/Recycling Outside Storage 3. Landscaping 4. C/O APPROVED FOR ISSUANCE Fastest Labs of Grapevine/Right at Home Michelle Rankine 214-471-4556 Michelle Rankine 214-471-4556 850 N/A Home Care Office VB B NO NO NO NO NO NO NO NO NO NO NO YES 4 NO NO Page 1/2 MYGOV.US 25-003610, 12/01/2025 at 3:55 PM Issued by: Amanda Robeson RMNTOi = # Signs • CONDITIONAL USE REQUIRED? • OCCUPANCY LOAD • PERMITTED USE • ZONING DISTRICT ME= YES NO 6 YES PO ***NO OUTDOOR STORAGE INCLUDING BUT NOT LIMITED TO COMPANY VEHICLES' — FEE TOTAL PAID DUE Certificate of Occupancy $50.00 $50.00 $50.00 TOTALS $50.00 $50.00 $0.00 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. >> (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 INSPECTION, PLEASE CALL: (817) 410- 3165 or (817) 410-3166 Signature City of Grapevine Certificate of Occupancy Project # 25-003610 MYGOV.US 25-003610, 12101/2025 at 3:55 PM Page 212 Issued by: Amanda Robeson ........... C kFORMS\DSCOINFORMATIONkWORKL)RDER 12130104 Rev. 512312024 #25-003610 CERTIFICATE OF OCCUPANCY City of Grapevine Permits and Inspections 4 ;)ancy is hereby issued pursuant to Section 109 of the 2021 International Building Code And Chapter 64 of the -,r_-qvi, ii;�- (,-w­rehensive Zoning Ordinance. At the time of inspection, this building or space was found to be in compliance with F­g1,tTfwi and Zoning Ordinances of the city of Grapevine. Any change in use, tenant and/or owner of this building/space nex Certificate of Occupancy. Business Name Property Owner G,.-v -evine/Right at Home ) Pomona Properties W Nallhwes! Hwy. 240 b P.O. Box 1647 Hurst, TX 76053 A _-A PROJECT INFORMATION Ue Home Care Office jrU, A Vs Lj­r"c, PO OUTDOOR STORAGE INCLUDING BUT NOT LIMITED TO COMPANY VEHICLES*** A Ir D BY Date ae 4� S