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Home My WebLink AboutCO2025-004694,TO 21 22. • UNDER CONSTRICTION TD — NO LETTER SENT LETTER PW OR LD NEEDED PENDING FIRE PENDING HEALTH LANDSCAPING HOL'r�'FILE ISSUE DATE FINAL DATE.._____ ENVIRONMENTAL NOTIFIED DATE TIME (E-MAIL JIMMY BROCK:4Li� & VALERIE FARRELL Al HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATE (SCAN TO C/O IN MYGOV - IF LARGE SET, ALSO SCAN TO LF & FORWARD SET TO HEALTH INSPECTION CITY SECRETARY (ALCOHOL) PUBLIC WORKS INSPECTION LOT DRAINAGE INSPE(,.,riON CORRECTION LETTER SENT BUILDING INSPECTORS SIGN OFF FIRE DEPARTMENTS SIGN OFF HEALI H 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 ram.TIME FIRE INSPECTOR: NOTIFICATION DATE. NOTIFICATION DATE: F_`1-MAIL DATE E-MAI L DATE__ DATE LETTER: YES / N',-,', LETTER: YES / NO ELECTRIC (RELEASED, SCAN CERTIFICATE TO MYGOV . . . ... ......... . .. .... . MAILED i G'j ORNIS0,AX)NU ORMAI IONNGKUST 12/30/04 \ Rev ""'23124 r 8 p =•, m....,::s-` m.:.n. ATE OF ISSUANCE: p Njr , tr+ PERMIT #: X. S '. CERTIFICATE OF OCCUPANCYRE"'IMEST FEE-0 $50.00 NO FEE REQUIRED IF THE CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT OCCUPANCY:ADDRESS OF SUITE BLOCK:SUBDIVISION: *-'-'**CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION**:-"* NAME OF BUSINESS: NEW OCCUPANT: YES NO NEW BUILDING/PROPERTY OWNER: YES NEW BUILDING: YES BUSINESS A CHANGE: YES NO NUMBER OF EMPLOYEES: BUSINESS OWNER: YES —NO FREIGHT FORWARDING: YES BUSINESS:TYPE OF OFFICE A US OV �' BREAKDOWN OF SQUARE FTAG: F OFFICE: SF WAREHOUSE: TOTALS UA FOOTAGE: NAME OF TENANT CURRENT MAILING ADDRESS: CITY/STATE/ZIP: PHONE NUMBER: PROPERTY OWNER: AILING A S .... _ .., .... .... . _. . CITY/STATE/ - : '.`: .... .....PHONE E ' IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - - - - YES NO ♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) - - - YES NO ♦ WILL THERE BE FOOD SALES? (if yes, contact Tarrant County Health 17-321-4483 for more information) - - YES NO ♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE STALLED? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - YES _ NO ♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? - - _ - - - _ - YES NO WILL 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/DINING? YES _ NO — ,. ♦ WILLA Y ALTERATIONS BE MADETOTHE SITE ORBUILDING? ------------------_------- YES NO ♦ IS BUILDING S E?---------------------------------------------------------- YES NO _ WILL BUSINESS STORE OR HANDLEHAZARDOUS 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 EI SET FORTH. (If access to the building/space is not provided at the time of the scheduled inspection, a �,50.00 re -inspection fee will be charged) FOR STIS o:° to RE -SCHEDULE, PLEASE CALL (817) 41-3165 or (817) 1-3166 SIGNATURE: ,V"_ .. w *,,. . .. _..... P NT NA E: ONE #: EMAIL: Building Services Department The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 (817) 410-3165 (817) 410-3166 1 FORMS\@@APPLICATIONS-FEES\CO APP 11/2124 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 Sates 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 TaxNumber: Signature: --, - A SS: CITY, S : TYPE OF CONSTRUCTION: OCCUPANCY: Z I SrrICT: PERMITTED USE: BUILDING DEPARTMENT: BUILDING SCTO : ZONING APPROVAL: FIRE DEPARTMENT: .c IVII: i r r OCCUPANT LOAD: DATE: ATE: .w DATE: ATE: ATE: r7y� DATE:'+ DATE: DATE: City of Grapevine Certificate of Occupancy :e*� IM PO Box 95104 Project # 25-004694 ��, Grapevine, Texas 76099 Project Description: C/O (Medical/Pharma) "Phase Advance 817) 410-3166 Al, Inc." [TD - ALSO FIRE NEEDED 1/7/2026 FORWARDED TO CODE] A Issued on: 02/06/2026 at 11:04 AM ADDRESS INSPECTIONS 4 1631 Lancaster Dr., 240 1. Final Fire Dept Inspection 3, Landscaping Grapevine, TX 76051 2. Final Building C/O Inspection 4. C/O APPROVED FOR ISSUANCE LEGAL Clearview Park Addition INFORMATION FIELDS 131k 2 Lot 3r *06592503* **NAME OF BUSINESS Phase Advance Al, Inc. **TENANT NAME (individual) Sipho Gumbo PERMIT HOLDER **TENANT PHONE NUMBER 682-557-2383 Sipho Gumbo Phase Advance Al, Inc. —APPLICANT NAME (individual) Sipho Gumbo (682) 557-2383 **APPLICANT PHONE NUMBER 682-557-2383 OWNERS Square Footage 3531 - Acquisition Of San *Sales Tax Number N/A Antonio Ltd Hr ** TYPE OF BUSINESS Medical/Pharma Office * CONSTRUCTION TYPE IIB - SPRINKLERED TENANTS • Anew Era TMS of * OCCUPANCY GROUP B Dallas, LLC *Sales Tax NO Alcoholic Beverage Sales NO Fire Sprinkler System? YES Alterations NO Change of Business Name NO Change of 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 YES Number of Employees 8 Outside Refuse/Recycling NO Outside Storage NO Page 1/2 MyGov.us 25-004694. 02106/2026 at 11:04 AM Issued by: Courtney Cogburn 0 Eqm: t, � 1110141iiy Signs NO Square Footage - Office 3531 CONDITIONAL USE REQUIRED? NO * OCCUPANCY LOAD 24 * PERMITTED USE YES * ZONING DISTRICT cc 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. >> (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 QUESTIONS or TO RECALL FOR INSPECTION, PLEASE CALL: (817) 410- 3165 or (817) 410-3166 Signature zn�•� February 06, 2026 Date w. Page 2/2 MYGOV.us 25-004694, 02/06/2026 at 11:04 AM Issued by: Courtney Cogburn PERMIT # 25 **TO BE FILLED OUT BY BUILDING OFFICIAL" ZONING DISTRICT OF INSPECTION LOCATION: . .. . ........ . _", OCCUPANT LOAD - GROUP AND TYPE OF BUILDING-,��' DIV ISION ZONING RESTRICTIONS: c', WORIvIV)SGOINI ORMA I 10INWORKORIA R 120C.'04 Rev bIN1204