HomeMy WebLinkAboutROOF2016-4140JOB ADDRESS:
DATE OF ISSUANCCT 27 2016
PERMIT #:
BUILDING PERMIT APPLICATION
(PLEASE PRINT LEGIBLY — COMPLETE ENTIRE FORM)
C:6
LOT: BLOCK: SUBDIVISION:
SUITE #
BUILDING CONTRACTOR (company name):(----4e.rv-\‘..)--v\-,\
CURRENT MAILING ADDRESS: V`-\ e
CITY/STATE/ZIP: Lz 0 \
PROPERTY OWNER: trAv---\\SccA__
CURRENT MAILING ADDRESS: LQ 1:7D
PH: /1') V-cf-VO
Fax #
CITY/STATE/ZIP: &ACC-LA."2e vV\-eL. PHONE NUMBER:
LA OC),C)(9
PROJECT VALUE: $ FIRE SPRINKLERED? YES NO
WHAT TRADES WILL BE NEEDED? (Check ones that apply) ELECTRIC PLUMBING MECHANICAL
DESCRIPTION OF WORK TO BE DONE: V\e
USE OF BUILDING OR STRUCTURE:
NAME OF BUSINESS:
Total Square Footage under roof: Square Footage of alteration/addition:
ra42
• 1 hereby certify that plans have been reviewed and the building will be inspected by a certified energy code inspector in accordance with
State Law. Plan review and inspection documentation shall be made available to the Building Department (required for new buildings,
alterations and additions)
• 1 hereby certify that plans have been submitted to the Texas Department of Licensing and Regulation for Accessibility Review.
Control Number: (Not required for 1 & 2 family dwellings)
• I hereby certify that an asbestos survey has been conducted for this structure in accordance with the regulatory requirements of the Texas
Department of Health.
(REQUIRED FOR DEMOLITIONS, ADDITIONS AND OR ALTERATION TO COMMERCIAL AND PUBLIC BUILDINGS)
I hereby certify that the foregoing is correct to the best of my knowledge and all work Will be performed according to the documents approved by
the Building Department and in compliance with the City Of Grapevine Ordinance regulating construction. It is understood that the issuance of
this permit does not grant or authorize any violation of any code or ordinance of the City Of Grapevine. I FURTHERMORE UNDERSTAND
THAT PLANS AND SPECIFICATIONS ARE NOT REVIEWED FOR HANDICAPPED ACCESSIBILITY BY THE CITY, AND THAT THE
DESIGN PROFESSIONAL/OWNER IS RESPONSIBLE FOR OBTAINING SUCH A VAL FROM THE APPROPRIATE STATE AND
OR FEDERAL AG .-Y(S).
PRINT NAME: rtzinv--)L(
,
PHONE #: g I/
SIGNATURE =
, .
EMAIL:
0 CHECK BOX IF PREFERRED TO JE CON -
THE FOLLOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT
Construction Type:
Pei it Valuation: $
Setbacks
Approval to Issue
Occupancy Group:
Fire Sprinkler: YES
NO
Front:
Electrical
Division:
Building Depth:
Left:
Plumbing
Zoning:
Building Width:
Rear:
Mechanical
Occupancy Load:
Right:
Plan Review Approval:
Date:
Building Permit Fee:
Site Plan Approval:
Date:
Plan Review Fee: tt--) 00
Fire Department:
Date:
Lot Drainage Fee: l ti
Public Works Department:
Date:
Sewer Availability Rate:
Health Department:
Date:
Water Availability Rate:
Approved for Permit:
Date:
Total Fees:
Lot Drainage Submitted:
Approved:
Total Amount Due:
P.O. BOX 95104, GRAPEVINE, TX 76099 (817)410-3165
0:FORMS DSPERMITAPPLICATIONS 1/02 -Re 4,5,06,2/07,11/09,4M
City of Grapevine
P.O. Box 95104
Grapevine, TX 76099
(817) 410-3165 Voice
(817)410-3012 Fax
BUILDING ROOFING
Issue Date: October 27, 2016
PROJECT DESCRIPTION: Residential Re -Roof
LOCATION
613 Lucas Dr.
Grapevine, TX 76051
LEGAL
W C Lucas Addition Blk 6 Lot 1& 2
No. 6220 Tr 1 & 2
*01618202*
CONTRACTOR
Premium Roofing
625 N. Riverside Dr.
Grapevine, TX 76051
(817) 690-1754 Phone
(817) 488-4073 Fax
(817) 690-1754 Mobile
matthew@premium-roofing.com
OWNER
Billy Hatley
613 N Lucas Dr
Grapevine, TX 76051-5059
AVAILABLE INSPECTIONS
► Building Final (required)
INFORMATION
**APPLICANT NAME Penny Wharton
**APPLICANT PHONE NUMBER 817-715-8601
County Tarrant
VALUATION 1400
FEES
TOTAL = $ 42.00
Building Permit Fee ($42.00 Flat Fee) $ 42.00
PAYMENTS TOTAL = $ 42.00
Premium Roofing (Matthew McNicholas)
Other on 10/27/2016
Note: CC4053
($42.00)
NOTICES
1) ALL work must be done in compliance with the 2006 INTERNATIONAL
BUILDING CODE.
2) A copy of the signed permit and approved plans must be on site at all times.
3) The project address must be clearly posted at the job site.
READ AND SIGN
I hereby certify that the foregoing is correct to the best of my knowledge and all
work will be performed according to the documents approved by the Building
Department and in compliance with the City of Grapevine Ordinance regulating
construction. It is understood that the issuance of this permit does not grant or
authorize any violation of any code or ordinance of the City of Grapevine. I
FURTHERMORE UNDERSTAND THAT PLANS AND SPECIFICATIONS ARE
NOT REVIEWED FOR HANDICAPPED ACCESSIBILITY BY THE CITY, AND
THAT THE DESIGN PROFESSIONAL / OWNER IS RESPONSIBLE FOR
OBTAINING SUCH APPROVAL FROM THE APPROPRIATE STATE AND OR
FEDERAL AGENCY(S).
Signature
Date
MYGOV.US City of Grapevine I BUILDING ROOFING I ROOF -16-4140 I Printed 10/27/16 at 3:46 p.m. Page 1 of 3