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HomeMy WebLinkAboutCO2025-0038742. 3. 4. 5, cy a 17 • UNDER CONSTRUCTION TLC - NO LETTER SENT LETTER po PW OR LLB NEFIDE' PENDING FIRE PENDING HEAT;-"IH LANDSCAPING:!, ,ODE HOLD'FILE— ISSUE DATE ­1­,__ ,,, FINAL DATE APPLICATION FORM COMPLETED ENVIRONMENTAL NOTIFIED DATE TIME (E-MAIL JIMMY BROCKU%u,d., (C1'uj�'- ­ -) I " -_ i_,� & VALERIE FARRELL HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATE (SCAN TO C/O IN MYGOV ® IF LARGE SET, ALSO SCAN TO LF & FORINARD SET TO FIRE) FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE ZONING CHECKED & COMPLETED ON APPLICATION BUILDING INSPECTION SCHEDULED FIRE DEPT INSPECTION SoHEbULEb 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 Off) PORLIC WORKS SIGN OFF LOT DRAINAGE SIGN OFF LANDSCAPING SIGN OFF BUILDING OFFICIALS SIGNATURE C/O CERTIFICATE ISSUED DATE TIME DATE TIME FIRE INSPECTOR: NOTIFICATION DATE: NO TIFICAT ION DATE:,,,,, E-MAIL DATE E-MAIL DATE.--, DATE LETTER: YES NO LETTER: YES NO ELECTRIC® RELEASED. SCAN CERTIFICATE TO MYGOVI A MAILED, G TORMSMSCOINFORIMAI 10MCKLIST 12/J0104 k Rev f1r3124 CERTIFICATE OF OCCUPANCY QKEST FEE: $50.00 ILL ADDRESS OF OCCUPANCY: 1600 ' W College Street SUITE # 685 LOT: BLOCK: SUBDIVISION: ""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION"" NEW CC ANT: YES x NO NEW BUILDING/PROPERTY OWNER: YES NO x NEW BUILDING: YES - NO x NEW BUSINESS NAME CHANGE: YES NO NUMBER OF EMPLOYEES: 10 NEW BUSINESS OWNER: YES NO FREIGHT FORWARDING: YES NOx TYPE OF BUSINESS: Medical Office " I : I '� � ­1 1 - -1 ­ ­ I : r 1 **IF OFFICE/WAREHOUSE PROVIDE BREAKDOWN OF SQUARE FOOTAGES: SF OFFICE: 3806 SF WAREHOUSE: TOTAL SQUARE FOOTAGE: 3806 NAME OF TENANT: ­ ­­r, r1r. Laura Sturdivant CURRENT MAILING ADDRESS: 1505 LBJ Freeway, Suite 700 CITY/STATE/ZIP: Dallas TX 75235 ONENUMBER: 214-366-6035 MAILING ADDRESS: 3310TT-e CITY/STATE/ZIP: Nashville, Tennessee 37203 PHONE NUMBER: 214-980-1443 + IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) ------- YES —NO X + WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) --- YES —NO X WILL THERE BE FOOD SALES? (if yes, contact Tarrant County Health 817-321-4983 for more information) - - YES NO -X— PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? --------------------- YES NO 4 WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? -------- YES —NO X + WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? (screening is required) YES _NO X + WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY/ USE/DINING? YES NO -X + WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? ---------------------------- YES NO X + IS BUILDING SPRINKLERED? ---------------------------------------------------------- YES X 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 X I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TOT 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-ins))ection fee will be charged) FOR QUESTIONS or to RE -SCHEDULE, PLEASE CALL (817) 410-3165 or (817) 410-3166 SIGNATURE: PRINT NAME: -Jill -Owens_ - PHONE #: 214-980-1443 EMAIL: Building Services Department The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 (817) 410-3165 (817) 410-3166 G:FORMSSAPPLICATIONS-FEEMCO APP 11;2lt24 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: Signature: ADDRESS: -- CITY, STATE, ZIP: OFFICE USE OCCUPANCY: DIVISION: ZONING DISTRICT: CONDITIONAL USE: PERMITTED USE: OCCUPANT LOAD: BUILDING DEPARTMENT: DATE: BUILDING INSPECTOR: DATE: ZONING APPROVAL: DATE: FIRE DEPARTMENT: DATE: LOT DRAINAGE INSPECTION: DATE: ► u � CITY SECRETARY: LANDSCAPING APPROVAU P, APPROVAL FOR ISSUANCE DATE: DATE: / ) DATE:,!/ 19 DATE: City of Grapevine Certificate of Occupancy PO Box 95104 Project # 25-003874 Grapevine, Texas 76099 817) 410-3166 Project Description: C/O (Medical Office) "Dallas Nephrology Associates" % gzli.j , Issued on: 01/08/2026 at 11:06 AM ADDRESS INSPECTIONS 4 1600 W College St., 685 X Grapevine, T76051 1. Final Fire Dept Inspection 3. Landscaping 2. Final Building C/O Inspection 4. C/O APPROVED FOR ISSUANCE LEGAL Baylor Med Ctr Condo INFORMATION FIELDS Lot 1 Units 7 Thru 14 Imp Only "NAME OF BUSINESS Dallas Nephrology Associates Medical Off Bldg & **TENANT NAME (individual) Laura Sturdivant Family Clinic **TENANT PHONE NUMBER 214-366-6035 PERMIT HOLDER APPLICANT E-MAIL jili@integrapremier. Torrez —APPLICANT NAME (individual) Jill Owens Integra Premier "APPLICANT PHONE NUMBER 214-980-1443 Services, LLC (214) 980-1443 Square Footage 3806 TYPE OF BUSINESS Medical Office COLLABORATORS . CONSTRUCTION TYPE IA - SPRINKLERED - Stephanie Torrez Integra Premier * OCCUPANCY GROUP B Services, LLC *Sales Tax NO (214) 980-1443 Alcoholic Beverage Sales NO OWNERS Alterations NO - Hirt Properties Of i Signs NO Texas Ltd Change of Business Name NO TENANTS Change of Business Owner NO - Laura Sturdivant Fire Sprinkler System? YES Dallas Nephrology I Freight Forwarding Business NO Associates Hazardous Material NO Industrial Waste NO New Building / Addition NO New Building / Property Owner NO New Occupant / Tenant YES Number of Employees 10 Outside Refuse/Recycling NO Page 1/2 MYGOV.US 25-003874, 01/08/2026 at 11:06 AM Issued by: Connie Cook Outside Storage NO Square Footage - Office 3806 * CONDITIONAL USE REQUIRED? NO * OCCUPANCY LOAD 37 PERMrrTEr1 USE YES ZONING DISTRICT PCD FEE TOTAL PAID DUE Certificate of Occupancy $50.00 $50.00 $50.00 TOTALS $50.00 $50.00 $0.00 �1-1 V �Dll 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 schedulei 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 Certificate of Occupancy Project # 25-003874 January 08, 2026 Date owmm T C 4 Page 2/2 MYGOV.US 25-003874, 01/08/2026 at 11:06 AM Issued by: Connie Cook '%#*ERTI Fl CATE OF OCCUPANCY NAME OF BUSINEIII SS, TYPE OF BUSINESS: COMMENTS/VlgLATIONS: 17" X—L er .. ... ..... U� v'Z ZONING DISTRICT OF INSPECTION LOCATION: OCCUPANT LOAD: TYPE OF BUILDING: GROUP AND DIVISION, C TORMSOSCOINFORMA I IONWORKORDER 12/30/04 Rev 512312024 #25-003874 CERTIFICATE OF OCCUPANCY ctions 0 Thir C I 'If ,sale 0' Oc -.i -pancy is hereby issued pursuant to Section 109 of the 2021 International Building Code And Chapter 64 of the t3 Gfapevint- �omprehenslve Zoning Ordinance. At the time of inspection, this building or space was found to be in compliance with Mr. aDrAf(--ab!1_- 8',efflinq ind Zoning Ordinances of the city of Grapevine. Any change in use, tenant and/or owner of this building/space Vo ,hall t5r,�, 11?11UVA f »w Oertif icate of Occupancy. i�q Business Name Property Owner Dallas Nel,)hroloc -jy Associates Hrt Properties Of Texas Ltd h M �-(jlteae 131 685 W 3310 W End Ave Ste 700 Grap-i'vine, Nashville, TN 37203-1097 PROJECT INFORMATION U`se 64issific-a Y;or Medical Office CXCU�Iank�Y GrSnirJl 13 Uonsgvucticn Type: IA - SPRINKLERED "ccupancy Loac 37 Zonwq Urs,wt PCD za NSU'1�:rj BY Date - WK