HomeMy WebLinkAboutCO2025-004130UNDER CONSTRUCTION
TD — NO LETTER
SENT LETTER
PW OR LD NEEDED
PENDING FIRE
DSC
LANPENDINP, HEALTH
APING'! CODE
HOLD FILE
C / 0 'to ;HECK LIST
CHANGE NAME I OWNER NEW CONST /ADDITION PERMIT#
NEW TENANT / OCCUPANT REMODEL / ALTERATION PERMIT #
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ISSUE DATE FINAL DATE
APPLICATION FORM COMPLETED
WORKORDER FORM COMPLETED
ENVIRONMENTAL NOTIFIED DATE TIME
(E-MAIL JIMMY BROOK LLm &VALERIE FARRELL
HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATE
(SCAN TO C/O IN MYGOV - IF LARGE SET, ALSO SCAN TO LF & FORWARD SET TO
FIRE DEPART MENT" APPROVAL OF HAZARDOUS MATERIAL DATE
ZONING CHECKED & COMPLETED ON APPLICATION
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)
PUBLIC 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:
NOTIFICATION DATE:
E-MAIL DATE
E-MAIL DATE .....-,
DATE
LETTER: YES / NO
LETTER: YES / NO
ELECTRIC RELEASED
-
SCAN CERTIFICATE TO MYGOV-
�j
MAILED:
1: 4ORMSOSGOINFORMATIMCKLIST
12130104 % Rev. ;i23124
ERMIT#:
CERTIFICATE OF OCCUPANCY FhTQUI�ST
FEE: $50.00
NO FEE REQUIMD IF CERTIFICATE OF OCCUFANCYIS ASSOCIATED WITHANACTIVE CURRENT BUILDING
ADDRESS OF OCCUPANCY:
SUITE #
LOT: BLODIVISION:
""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION""
NAME OF BUSINESS: SVAC)LO
NEW OCCUPANT: YES NO V' NEW BUIIL'DING/PROPERTY OWNER: I YES No
NEW BUILDING: YES NO:�� NEW BUSINESS NAME CHANGE: YES —NO
NUMBER OF EMPLOYEiS. FREIGHT FORWARDING:NO
NEW BUSINESS OWNER: YES NO 7_
TYPE OF BUSINESS: SQUAREFOOTAGE:
(Example: Retail Claffiing / Atto-ey's Office Offlee-l�wvh. Restam-ant)
TENAci-
NAME OF•NT:�',;:
CURRENT MAILING ADDRESS:
4'nY/STATE/7,I1:
PHONENUMBER:
PROPERTY OWNER:,,
MAILING ADDRE S
CITY/STATEIZIP: PHONE NUMBER:
+ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate)---- YES
—NO
+ WELL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) - YES
NO
+ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? ---------------_-- YES
NO
+ WELL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? ------ YES—NO—Z
+ WELL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY?
(if yes, screening is required) ----------------------------------------------------------- YES —
NO
+ WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/flect vehicles), DISPLAY,
USE OR DINING? ------------------------------------------------------------------ YES
NO
+ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? -----------------_-- YES —NO
+ IS BUILDING SPRINKLERED? ------------------------------------------------------- YES
NO
+ WELL 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.
(H access to the building/space is not provided at the time of the scheduled inspection, a 142.00 %kc will be charged)
FOR QUESTIONS PLEASE CALL (817) 410-3165.
SIGNATURE: PRINTNAME-
PHONE #: EMAIL:
Development Services Department
The City of Grapevine P.0, Box 95104 Grapevine, Texas 76099 (817) 410-3165
Fax (817) 410-3012
TEXAS SAL, ESTAX
Texas Sales Tax is charged and collected on sales within the State and City of Grapevine, Texas Of "t2X2h]e items." Taxable
items include both tangible personal property, specified services. If you are in a business that will be selling 11taxable 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 W.
The term, "place of business" includes any location at,%vhicb 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 tw
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:
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS:
CITY, STATE, ZIP:
OFFICE USE
TYPE OF CONSTRUCTION: _-a!3-5PKWKLEftE0 OCCUPANCY: DIVISION:
ZONING DISTRICT: CONDITIONAL USE:
PERMITTED USE: /t/0 OCCUPANT LOAD:
BUILDING DEPARTMENT: DATE:
DATE:
BUILDING INSPECTOR:
GAP L: DATE:
FIRE DEPARTMENT:
LOT DRAINAGE INSPECTION:
1,TVj&UC W*WKSTaTAAYTAENT:
HEALTH DEPARTMENT:
CITY SECRETARY:
LANDSCAPINGAP OVAL;
APPROVAL FOR ISSUANCE:
DATE:
DATE:
I
DATE.
71
DATE:
City of ♦ Certificate of Occupancy
•i Box 95104 Project # 25-004130
Grapevine, Texas 76099 Project Description: C/O - Clean & Show
217) • ••
ADDRESS INSPECTIONS 3
205 E Grapevine Mills
1. Final Building C/O Inspection 3. C/O APPROVED FOR ISSUANCE
Cir., 124
Grapevine, TX 76051 2. Landscaping
LEGAL
INFORMATION I L
Grapevine Mills Addition
Ik 2 Lot ri
""NAME OF BUSINESS
Clean &Show
"TENANT NAME (Individual)
Clean & Show
PERMIT HOLDER
"TENANT PHONE NUMBER
Clean &Show
Hugo Morley
(817) 773-1554
—APPLICANT NAME (Individual)
Hugo Morles
**APPLICANT PHONE NUMBER
817-773-1554
COLLABORATORS
• Hugo Morley
Square Footage
2000
(817) 773-1554
"Sales Tax Number
/A
*" TYPE OF BUSINESS
Clean & Show
OWNERS
* CONSTRUCTION TYPE
II - SPRINKLERED
• Ravi Randal Inv Group
Llc
* OCCUPANCY GROUP
N/A
(972) 591-4429
* CONDITIONAL USE REQUIRED?
1
* OCCUPANCY LOAD
N/A
T
• Hugo Morales
* PERMITTED USE
NO OCCUPANCY
(17) 773-1554
" ZONING DISTRICT
CC
*Sales Tax
NO
Alcoholic Beverage Sales
NO
Alterations
NO
Change of Business Name
NO
Change of Business Owner
NO
Fire Sprinkler System?
NO
Freight Forwarding Business
NO
Hazardous Material
NO
Industrial Waste
NO
New Building / Addition
NO
New Building / Property Owner
NO
Page 1/2
MYGOV.US 25-004130, 12/01/2025 at 3:24 PM Issued by: Amanda Robeson
INFORMATION FIELDS
New Occupant / Tenant
Outside Refuse/Recycling
Outside Storage
Signs
FEE
Certificate of Occupancy
TOTALS
TOTAL PAID DUE
$50.00 $50.00 $50.00
$50.00 $50.00 $0.00
I HEREBY CERTIFY THAT THE FOREGOIRG IS CORRECT TO TRE BEST OF
MY KNOWLEDGE AND THAT • OCCUPANCY IS IN CONFORMANCE WITH
THE INFORMATION HEREIN SET •.
>> (if access to the building/space is not provided at the time of schedule -'-
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
#
OEM= �
Signature
Certificate • Occupan
Project # 25-004130
MYGOV.US 25-004130,12/0112025 at 3:24 PM Issued by: Amanda Robesor
**TO BE FILLED OUT BY BUILDING OFFICIAL"
ZONING DISTRICT OF INSPECTION LOCATION: OCCUPANT LOAD:
TYPE OF BUI LDING..a5 GROUP AND DIVISION:
ZONING RESTRICTIONS-
C iF ORMStDSCOINFORMATIONkW(,)RKORE)Eli
12130104 Rev 51230-024