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