HomeMy WebLinkAboutCO2025-004827UNDER CONSTRUCTIOn
TD - NO LETTER
SENT LETTER
PW OR LD NEEDED
PENDING FIRE
PENDING HEALTH
LANDSCAPING i CODE
HOLD riLL
•
C/O PERMIT # 25 —
A o
NAME:
BUSINESS I PROPERTY
CH NAME /OWNER NEW CONST /ADDITION PERMIT#
NEW TENANT / OCCUPANT REMODEL /ALTERATION PERMIT#,
1 APPLICATION FORM COMPLETED
2, WORKORDER FORM COMPLETED
3, ENVIRONMENTAL NOTIFIED DATE --- TIME
5,
(E-MAIL JIMMY FROCK i �wd, �,q2v)
&VALERIE FARRELL �dam�[ mv,q��a�: -
li 011
4, HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATE
(SCAN TO C/O IN MYGOV ® IF LARGE SET, ALSO SCAN TO LF & FORWARD SET TO FlFiE)
5. FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE
ZONING CHECKED & COMPLETED ON APPLICATION
7. BUILDING INSPECTION SCHEDULED DATE TIME
3° FIRE DEPT INSPECTION SCHEDULED DATE. TIME
FIRE INSPECTOR'
HEALTH INSPECTION NOTIFICATION DATE:
10 CITY SECRETARY (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 DEPARTMENT SIGN OFF
-17. CITY SECRETARY (Alcohol License Sign Off)
13. PUBLIC WORKS SIGN OFF
4, LOT DRAINAGE SIGN OFF
20. LANDSCAPING SIGN OFF
21 BUILDING OFFICIALS SIGNATURE
22. C/O CERTIFICATE ISSUED
ELECTRIC RELEASED:____
SCAN CERTIFICATE TO MYGOV ......... ... . ........
MAILED
CIFOHMSOSCOINFORMAI IMCM IST
12130/04 1 Rev, tV23124
Or
If 11 rl, 1167 =17
UN'ot�"q.% list
1Me term, Vace 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 or a retailer In TexFA but delivery or shipment Is made
k p--MQ" , y, -f ft
I have read the above and I understand that I will be required to provide a copy of the Sales Tax Permit to the CRY Of
Grapevine, Texas If the circumstance applies to my businesL
Tens Saks Tax Number: -
DO YQ k �ITANT Y013R COMff�' CERTIF ICATE OF
ADDRM: ....1 1 9 3rd Ave Suite 4550,
,=,STATE, ZIP: 4.
- —Seattl WA 9810�
TMTTTTLT 1 11 0 4WRIDDI-Ij I'll -113ETT-1,1=113:111�
W slid W Wil x1(1)zK1 9 11181"y I
PERMal'= USE.
BUILDING DEPARTMENT*
BUILDING INSPECTOR:
ZONING APPROVAL' --
FM DEPARTMENT.
0T'13-xf6Aa#1J � 01 14 Val 1410 %7j 1
IWALTH DEPARTMENT:
CITY SECRETARY:
LANDSCAPINGAPPROVAL.
APPROVAL FOR ISSUANCE:,Ar
k9230WIM "I
CONDITIONAL USE® AJ 0 -.
OCCUPANT LOAD: --3
DATE: /a r
DATE -
DATE:
DATE:
DATE-.
DATE:
DATE -
DATE.
DATE:
DATE:
City of Grapevine
Certificate of Occupancy
PO Box 95104
Project # 25-OM27
Grapevine, Texas 76099
Pwiect Description- C/O (Assisted Living) 'Manella Senlrrr
817) 41"166
Living of Grapevine' (Name Change) [01 aPJ2026: FORWARD
TO LANDSCAPE]
ADDRESS
3735 Ira E Woods Ave.
Grapevine, TX 76051
LEGAL
Riverwoods Eilk 1 Lot 3
PERAAFT HOLDER
Matta LaRiviere
Mariefia Senior Living of
Grapevine
(206) 465-9066
COLLABORATORS
Jetty LaRiviere
Mariefla Senior Living
of Grapevine
(206) 465-9066
OVMERS
Senior Living 01
Grapevine Dst Inspired
TENANTS
- Allen Little
Volante of Grapevine
(480) 748-4339
4
i . Final Fire Dept Inspection 3. Landscaping
2. Final Building C/O Inspection 4. C/O APPROVED FOR ISSUANCE
INFORMATION FIELDS
**NAME OF BUSINESS
Marieft Senior Living of Grapevine
"TENANT NAME (individual)
detta LaRi Mire
'TENANT PHONE NUMBER
206-465-9066
**APPLICANT NAME (individual)
Jetty LaRiviere
'"APPLICANT PHONE NUMBER
206-465-9066
Square Footage
71989
*Sales Tax Number
RIA
TYPE OF BUSINESS
Assist Living Facift
CONSTRUCTION TYPE
11B ® SPRINKLERE
OCCUPANCY GROUP
1-2
*Sales TaK
NO
Signs
YES
Outside Storage
YES
Outside RefuselRecycling
YES
Fire Sprinkler System?
YES
Alcoholic Beverage Sales
NO
Alterations
NO
Change of Business Name
YES
Changef Business Owner
NO
Freight Forwarding Business
NO
Hazardous Material
NO
Industrial Waste
NO
New Building / Addition
NO
New Building / Property Owner
NO
New Occupant / Tenant
NO
Page V2
I4
! J
29���
Square Footage - Office
71989
• CONDITIONAL USE REQUIRED?
NO
• OCCUPANCY LOAD
315
• 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
READ AND SIGN
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.
>> (ff access to the building/space Is not provided at the time of scheduled
inspection, a $50.00 re -inspection fee vAll be charged)
FOR QUESTIONS or TO RECALL FOR INSPECTION, PLEASE CALL: (817) 410-
i 3165 or (817) 410-3166
February 03, 2026
Signature Date
Certificate of Occupancy
Project # 25-ON827
Page 212
MYGOV-us 25-004B27, OZIM2M at 3:40 PM Issued by- Courtney Cogbum
�M,Hlmco o
NT01-clill, "lo'le
Mqlymmmm
**TO BE FILLED OUT BY BUILDING OFFICIAL"
ZONING DISTRICT OF INSPECTION LOCATION: po OCCUPANT LOAD:
TYPE OF BUILDING: SfKl-dK4EoM0 GROUP AND DIVISION: .37— — -a
ZONING RESTRICTIONS:
C \FORMStr,)S(,OINFORMATIONkWORKOFiDER
1.IP30104 Rev 5/2JA2024
All
s#25-004827CERTIFICATE OF OCCUPANCY
City of Grapevine Permits and Inspections
of U i. -mcy is hereby issued pursuant to Section 109 of the 2021 International Building Code And Chapter 64 of the
-, _r= ,_. cnensive Zoning Ordinance. At the time of inspection, this building or space was found to be in compliance with _
ifs ' - :-if) ,cnr3l ° : 5� J Zoning Ordinances of the city of Grapevine. An change in use, tenant and/or owner of this building/space
5 9 Y P Y 9r
: ,certificate of Occupancy. ,
" Business
i,,Aari xlla Senate? i t-.Hlq of Grapevine �
I, P Senior Living Of Grapevine Dst Inspired ..
# 4 ? irfr° f 'd 'oA,, Ave- 7047 E Greenway Pkwy Suite 300
TX Scottsdale, AZ 85254
:. !A
•. PROJECT INFORMATION
Assisted Living Facility
PO
i
i ISSUED By
Date