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HomeMy WebLinkAboutCO2016-3448UNDER CONSTRUCTION CORRECTION LETTER PW OR LD NEEDED TD NO LETTER WAITING FIRE HOLD CIO CHECK LIST C/O PERMIT # P16 - 4-; ADDRESS: 3000C BUSINESS NAME: L'bocS BUSINESS / PROPERTY CHANGE NAME / OWNER ,~NEW CONST / ADDITION PERMIT # V NEW TENANT / OCCUPANT v' REMODEL / ALTERATION PERMIT # \L-3 C_S c itis \. APPLICATION FORM COMPLETED ZONING MAP COPIED & WORKORDER FORM COMPLETED t,/ 3. ZONING CHECKED & COMPLETED ON APPLICATION BUILDING INSPECTION SCHEDULED DATE 1//?// 7 TIME ISSUE DATE O C 8 FINAL DATE FIRE DEPT. INSPECTION SCHEDULED DATE FIRE INSPECTOR: CITY SECRETARY (ALCOHOL) HEALTH INSPECTION PUBLIC WORKS INSPECTION v 9. LOT DRAINAGE INSPECTION 10. CORRECTION LETTER SENT TIME NOTIFICATION DATE: NOTIFICATION DATE: E-MAIL DATE E-MAIL DATE DATE 11. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO 13. HEALTH DEPARTMENT SIGN OFF f/ - ei?12 4. CITY SECRETARY (Alcohol License Sign Off) ..15. PUBLIC WORKS SIGN OFF x-16. LOT DRAINAGE SIGN OFF V 17. LANDSCAPING SIGN OFF V 18. BUILDING OFFICIALS SIGNATURE / 19. C/O ISSUED ELECTRIC RELEASED: SCANNED: JAN 1 9 2017 * CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED: JAN 3 9 2017 6 O:\FORMS\DSCOIN FOR MATION\CKLIST 12/30/04 \ Rev.11111,11\15 DATE OF ISSUANCE: JAN 1 8 2017 PERMIT #: LAC CERTIFICATE OF OCCUPANCY REQUEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT ADDRESS OF OCCUPANCY: --- 4 c'icAVU.__ M \ 06--/-/ ve kl\ 3 P -k• SATtE # 4 '-U- LOT: ( P— BLOCK: SUBDIVISION: -z-s-cxpe_c\e RA', t.s Ma A d6 kA ****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITI1OUT LEGAL DESCRIPTION**** NAME OF BUSINESS: Wor:Q,, \u.acLuttA_ NEW OCCUPANT: YES 7 NO NEW BUILDING/PROPERTY OWNER: YES NO 7 NEW BUILDING: YES NO NAME CHANGE: BUSINESS YES NO / NUMBER OF EMPLOYEES: /-- FREIGHT FORWARDING: YES NO / W_VCA NEW BUSINESS OWNER: YES TYPE OF BUSINESS: cj kik! t erAk., SQUARE FOOTAGE: (Example: Retail, Office, Warehouse) NAME OF TENANT: CURRENT MAILING ADDRESS: r\ , CITY/STATE/ZIP:-,k(iiti\alk. Tte— .50S PHONE NUMBER: 1 -(0c, -9-,,A k PROPERTY OWNER: C/t(,,,c‘k),,I,Q \a.5 (A) MAILING ADDRESS: CITY/STATE/ZIP: ki\lktU-9 Lt(d),C PHONE NUMBER: lt+ •)(1) (0SZCS • IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if ye's, provide copy of Sales Tax Certificate) - - - - YES / NO • WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beydrage Permit) - YES NO • PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? YES NO / • WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? YES NO / • WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? (if yes, screening is required) YES NO / • WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING. YES NO 7 • WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? YES NO • IS BUILDING SPRINKLERED? YES / 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 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. (If access to the building/space is not provided at the time of the scheduled inspection, a $42.00 re -inspection fee will be charged) FOR QUESTIONS PLEASE CALL (817) 410-3165. PRINT NAME: LAW SIGNATURE: / PHONE #: EMAIL: Development Services Department The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165 Fax (817) 410-3012 * www.grapevinetexas.gov 0:FORMS DSAPPLICATIONS \C/0Application 3/22/2001/Rev:5/06,2/07,4/09,2/13 frvv _ c -E7 (OVER) TEXAS SALES TAX 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" withit 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 ii 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 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 when 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: S'2/ WHERE DO YOU WANT �1'OUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED? ADDRESS: \ N Us.cc CITY, STATE, ZIP: �iLti�, \\(-" lo 1 oye G�©C1 Or, *****************************FOR OFFICE USE ONLY***************************** TYPE OF CONSTRUCTION: �1L ZONING DISTRICT: OCCUPANCY: DIVISION: CONDITIONAL USE: PERMITTED USE: BUILDING DEPARTMENT: ZONING APPROVAL: FIRE DEPARTMENT: LOT DRAINAGE INSPECTION: PUBLIC WORKS DEPARTMENT: HEALTH DEPARTMENT: CITY SECRETARY: LANDSCAPING APPROVAL: APPROVAL FOR ISSUANCE: O:FORMS\DSAPPLICATIONS\C/OApplication 3/22/2001 / R ev:5/06, 2 /0 7, 4/09, 2113 DATE: DATE: DATE: DATE: DATE: DATE: DATE: DATE: I (//'77f/(4-7 CF,RTIFICATE OF OCCUPANCY WORKORDER PERMIT # 16 - 14-'4-2, Q, c),:, CC - E, ADDRESS OF INSPECTION: 3C)C`x _ G CcTT_v- n e 4 P\. ,L;+ y, l°Co '-)- DATE OF INSPECTION: NAME OF BUSINESS: LI�J 0 0 S C GLC-'C'J CD 1'\S TYPE OF BUSINESS: %'e ,�cA_L.; E a tr\A USE OF BUILDING AND/OR PREMISES: V Cc on k_ REASON FOR APPLYING: (\ e L (e \k CONTACT PERSON: @O C 1 OS SCei C (c 5 TELEPHONE NUMBER: 4-(oc ---1 io- _- TIME OF INSPECTION: e_) COMMENTS/VIOL 10 S: Adair **TO BE FILLED OUT BY BUILDING OFFICIAL** ZONING DISTRICT OF INSPECTION LOCATION: CA, TYPE OF BUILDING: ..Sfraau-41� GROUP AND DIVISION: reit ZONING RESTRICTIONS: 4.1 O: FORMS DSCOINFORMATION WORKORDER 12 20 114 Rev. 1.17 2006 0 J ®® & 5»»00 °co0 \-o o 22== 0) D.) \gym/ \// \P 32 a/\ 2 3 // )0 N\\ *go& /CO Q0 0 =Jsa \00O oCD CD Goya 0.) //\ƒ of a) &f ®\o /\2 <o 52\ st \ 0 7• a \\ 2 \ \R§ ®\ / E g\ �«\ /\o §Eo. \\\ O 0 /7/ 0 3f ( 0 CD 0 X32 $ao \}\