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Home My WebLink AboutCO2025-004379UNDER CONSTRUCTION TD — NO LETTER SENT LETTER PW OR LD NEEDED PENDING FIRE PLNDiNG HEALTH I-A.NDSCAPING C/O PERMIT# 25 ADDRES& BUSINESS NAME: BUSINESS,' PROPERTY CHANGE NAME / OWNER NEW CONST / ACC DITION PERMIT# NEW TENANT dOCCU PAN T REMODEL /ALTERATION PERMIT# ISSUE DATE ......... .. . . FINAL DATE - 1. APPLICATION FORM COMPLETED 2. WORKORDER FORM COMPLETED 3. ENVIRONMENTAL NOTIFIED DATE TIME (E-MAIL JIMMY BROCK v1,o<,,f0-,i,i & VALERIE FARRELL Y", 4. HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATE (SCAN TO C/O IN MY CV - IF LARGE SET, ALSO SCAN TO LF & FORWARD SET TO RkE}_ i -5 FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE ZONING CHECKED & COMPLETED ON APPLICATION 7. BUILDING INSPECTION SCHEDULED DATE TIME . .. ..... FIRE DEPT INSPECTION SCHEDULED DATE TIME FIRE INSPECTOR: 9. HEALTH INSPECTION NOTIFICATION DATE: '10. CITY SECRE,rARY (ALCOHOL) NOTIFICATIONDATE: 11, PUBLIC WORKS INSPECTION E-MAIL DATE 12. LOT DRAINAGE INSPECTION E-MAIL DATE 13. CORRECTION LETTER SENT DATE 14. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO 15. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO 1& HEALTH DEPARTMEN I'SIGN OFF 17. CITY SECRETARY (Alcohol License Sign Off) 18. PUBLIC WORKS SIGN OFF —19. LOT DRAINAGE SIGN OFF 20. LANDSCAPING SIGN OFF 21. BUILDING OFFICIALS SIGNATURE 22. C/O CERTIFICATE ISSUED ELECTRIC RELEASED. SCAN CERTIFICATE TO MYGOV. MAILED (.:TORNMDSGOW ORMATIONWKLIST U'I,A0104 i Rev ATE OF ISSUANCE: PERMIT #: T E CERTIFICATE OF OCCUPANCYyEQUEST FEE: $50.00 ADDRESS OF OCCUPANCY: WLS 5. SA SUITE# 10 6 LOT: BLOCK: SUBDIVISION: OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION"" NAME OF BUSINESS: So', 1. -1— . . ......... NEW OCCUPANT: YES v/'NO NEW BUILDING/PROPERTY OWNER: YES NO — - NEW BUILDING: YES NO V7 NEW BUSINESS NAME CHANGE: YES NO NUMBER OF EMPLOYEES: NEW BUSINESS OWNER: YES FREIGHT FORD WARING: YES —NO NO TYPEOFBUSINESS: **ILF OFFICE/WAREHOUSE PROVIDE BREAKDOWN OF SQUARE FOOTAGES: SF OFFICE: 91b SF WAREHOUSE: TOTALSQUAREFOOTAGE: 9 26 NAME OF TENANT'7,7 tA CURRENT MAILING ADDRESS: CITY/STATE/ZIP: T_ 7 50 (0\ PHONE NUMBER: 0 5 5 PROPERTY OWNER: MAILING ADD RESS: CITY/STATE/ZIP: --c d- I,: _71- -i's 0 �3 PHONE NUMBER: 77 4,}- 1 IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) ------- YES NO V WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) --- YES NO V t4 WILL THERE BE FOOD SALES? (if yes, contact Tarrant County Health 817-321-4983 for more information)NO PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? --------------------- YES NO + WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TONO WELL 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/1E1QNG? YES NO WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? ----------------------_-_ YES NO + IS BUILDING SPRINKLERED? ---------------------------------------------------------- YES7_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 V1 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 thne of the scheduled inspection, a ',,,50.00 re-insoection fee will be charged) 4� I FOR QUESTIONS or..�41 E-4'HEDULE, PLEASE CALL (817) 410-3165 or (817) 410-3166 SIGNATURE:,,_ PRINT NAME: yr 0(0135 PH O, I C��NE #: () EMAIL: Building Services Department The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 (817) 410-3165 (817) 410-3166 C: FORMSMAPPLICATIONS-FEEMCO APP 19121N 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. *� -1 �61 0 = Signature: ADDRESS: CITY, STATE, ZIP: OFFICE USE TYPE OF CONSTRUCTION: V 13 OCCUPANCY: DIVISION: ZONING DISTRICT: P 0 CONDITIONAL USE: PERMITTED USE: OCCUPANT LOAD: BUILDING DEPARTMENT: DATE: BUILDING INSPECTOR: DATE: • APPROVAL: FIRE DEPARTMENT: • DRAINAGE INSPECTION: CITY SECRETARY: LANDSCAPING APPROVAL: APPROVAL FOR ISSUANCE: DATE: DATE: DATE: DATE: DATE: DATE: DATE: City of Grapevine Certificate of Occupanqj PO Box 95104 Project # 25-004379 Grapevine, Texas 76099 817) 410-3166 Project Description: C/O (Chiropractic Office) "Saga WkA Chitopractic, PLLC" Issued on: 12/16/2025 at 8:36 AM ADDRESS INSPECTIONS 4 KB Grapevine Ball, LLC 1125 all St., 106 1. Final Fire Dept Inspection 3. Landscaping B Grapevine, TX 76051 2. Final Building C/O Inspection 4. C/O APPROVED FOR ISSUANCE i LEGAL INFORMATION FIELDS Bellaire Addition (Grapevine) BIK 2 Lot 4r ..NAME OF BUSINESS Saga Chiropractic, PLLC "TENANT NAME (individual) Joshua Robinett PERMIT HOLDER Joshua Robinett **TENANT PHONE NUMBER 940-782-0655 Saga Chridpractic, PLLC —APPLICANT NAME (individual) Joshua Robinett (940) 782-0655 "APPLICANT PHONE NUMBER 940-782-0655 COL LABORATORS Square Footage 928 - Joshua Robinett *Sales; Tax Number N/A Saga Chnopractic, TYPE OF BUSINESS Chiropractic Office PLLC * CONSTRUCTION TYPE VB (940) 782-0655 * OCCUPANCY GROUP B OWNERS Sales Tax NO - Kristen Blaisure Alcoholic Beverage Sales NO KB Grapevine Ball, LLC Fire Sprinkler System? YES (817) 456-6601 New Occupant / Tenant YES Signs YES TENANTS Square Footage - Office 928 • Joshua Robinett Saga Chiropractic, Alterations NO PLLC Change of Business Name NO (940) 782-0655 Change of Business Owner NO Freight Forwarding Business NO Hazardous Material NO Industrial Waste NO New Building / Addition NO New Building / Property Owner NO Number of Employees 2 ----- — Page 1/2 MyGov.us 25-004379,1211612025 at 8:36 AM Issued by: Amanda Robeson R FIOT-.1T, FTM TOT I FM q 4 -OP Outside Refuse/Recycling NO Outside Storage NO * CONDITIONAL USE REQUIRED? NO * OCCUPANCY LOAD 8 * PERMITTED USE YES " ZONING DISTRICT PO FEE TOTAL PAID DUE Certificate of Occupancy $50.00 $50.00 $50.00 TOTALS $50.00 $50.00 $0.00 111111111 P ' WGU10ARICT lb lilt UVRF0RI%AJWt—M-4i0�- 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 OUESTIONS or TO RECALL FOR INSPECTION, PLEASE CALL: �8-17)L4V- 3165 or (817) 410-3166 Signature City of Grapevine Certificate of Occupancy Project # 25-004379 Page 2/2 MYGOV.US 25-004379,1211612025 at 8:36 AM Issued by: Amanda Robeson moll 11''ll mmarkal-101 I'MA I'll ... I GN ORi,AS%DSCOINF(,)RMATIONNWC)f'KORDlR 104 Rev, '12'0024 #25-004379:- CERTIFICATE OF OCCUPANCY City of Grapevine Permits and Inspections cil 0'. c,. pancy is hereby issued pursuant to Section 109 of the 2021 International Building Code And Chapter 64 of the ,;ov of Gfap e c f e, ensive Zoning Ordinance. At the time of inspection, this building or space was found to be in compliance with In" _ ppiica!:,< c , _ < Q and Zoning Ordinances of the city of Grapevine. Any change in use, tenant and/or owner of this building/space _. ni%vj �,rtificate of Occupancy. fi Business Name Property Owner S3c =;rft,Fc° C Kristen Blaisure ; - 3 25 ., _t a { Grapewne, TXpp Grapevine, TX PROJECT INFORMATION j Chiropractic Office ... Load 8 S PO 3 gg'`yq S tSSIJE } ®ate Signature r-