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