HomeMy WebLinkAboutCO2026-001353 NDER CONSTRUCTION
TD — NO LETTER
SENT LETTER
PW OR LD NEEDED
PENDING FIRE
PENDING HEALTH
LANDSCAPING/ CODE
HOLD'FILE
LefLexel mol
CHANGE NAME / OWNER NEW CONST /ADDITION PERMIT#
NEW TENANT / OCCUPANT REMODEL /ALTERATION PERMIT#
ISSUE DATE FINAL DATE
APPLICATION FORM COMPLETED
2, WORKORDER FORM COMPLETED
—3. ENVIRONMENTAL NOTIFIED DATE T1 M E
(E-MAIL JIMMY FROCK &VALERIE FARRELL ;
4, HAZARDOUS MATERIAL SAFE fV 6Afjk SHEETS TO FIRE Dkfif
{SCAN TO C/O IN MYGOV- IF LARGE SET, ALSO CAN TO LF &FORWARD SET TO FIR�i}"'
5. FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE
6 ZONING CHECKED & COMPLETED ON APPLICATION
7
—9.
—10,
11.
15,
I&
—17.
18.
19.
20,
21
22.
BUILDING INSPECTION SCHEDULED
FIRE DEPT INSPECTION SCHEDULED
HEALTH INSPECTION
CITY SECRETARY (ALCOHOL)
PUBLIC WORKS INSPECTION
LOT DRAINAGE INSPECTION
CORRECTION LETTER SENT
BUILDING INSPECTORS SIGN OFF
FIRE REPAIR TIMENI S SIGN OFF
HEALTH DEPARTMENT SIGN OFF
CITY SECRETARY (Alcohol License Sign Off)
PUBLIC WORKS SIGN OFF
1-01 DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
BUILDING OFFICIALS SIGNATURE
C/O CERTIFICATE ISSUED
ELECTRIC RELEASED,
SCAN CERTIFICATE TO MYGOV
MAILED:
DATE h TIME
DATE TIME
FIRE INSPECTOR:
NOTIFICATION DATE:
NOTIFICATION DATE :
E--MAIL DATE
E-MAIL DATE
DATE......
LETTER: YES / NO
LETTER: YES / NO
C X, � ORM�D' SC ONFORMA -1KNV 3q Ri I
I:?,, I Rc , 14
:FORMSWSAPPLICATIONS-FEES
3/2001/Rev; SIOSX07,4109,?Jl 3,11115,1 011 6,8/1 8,1=0
yl` :�Fi`I.�-- �
Ufa zlu Impf I., . -i-wm=wW'axalle items." Taxable
items include both tangible personal property, specified services. If you are in a business that will be selling "taxable items"
witIin the City of Grapevine, Texas you will be required to coltect State and Local Sales Tax in the amount of 8.25%.
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 Tax Number: -X,
Signature:
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
CITY, STATE, ZIP: . .. .......
III
TYPE OF CONSTRUCTION: v
OCCUPANCY: DIVISION:
ZONING DISTRICT:
CONDITIONAL USE:
PERMITTED USE;
OCCUPANT LOAD:
BUILDING DEPARTMENT:
DATE:
BUILDING INSPECTOR:
DATE; Z,
ZONING APPROVAL:
DATE:
FIRE DEPARTMENT:
DATE:
LOT DRAINAGE INSPECTION:
DATE:
PUBLIC WORKS DEPARTMENT:
DATE:
HEALTH DEPARTMENT:
DATE:
CITY SECRETARY:
DATE:
t,
DATE:
LANDSCAPINGAP VAL:
APPROVAL FOR ISSUANCE:
DATE:
City of Grapevine Certificate of Occupancy
PO Box 95104 Project # 26-001353
Grapevine, Texas 76099 Project Description: C/O (Clean & Show)
817) 410-3166
ADDRESS
1323 W Northwest Hwy.,
200
Grapevine, TX 76051
LEGAL
Stone Addition Blk 1 Lot
1R2
S
GreenbeanIT
PERMIT HOLDER
Jesus Machuca
ago"
OWNERS
INSPECTIONS
1. Final Building C/O Inspection
2. Landscaping
INFORMATION FIELDS
**NAME OF BUSINESS
**TENANT NAME (individual)
**TENANT PHONE NUMBER
APPLICANT E-MAIL
—APPLICANT NAME (individual)
**APPLICANT PHONE NUMBER
Square Footage
*Sales Tax Number
** TYPE OF BUSINESS
• CONSTRUCTION TYPE
• OCCUPANCY GROUP
*Sales Tax
Alcoholic Beverage Sales
Alterations
Change of Business Name
Change of Business Owner
Fire Sprinkler System?
Freight Forwarding Business
Hazardous Material
Industrial Waste
New Building / Addition
New Building / Property Owner
New Occupant / Tenant
Outside Refuse/Recycling
Outside Storage
9
Clean & Show
Clean & Show
N/A
Jesus Machuca
940-368-9536
1350
N/A
Clean & Show
VB
N/A
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
Page 1/2
MYGOV.US 26-001353, 05/14/2026 at 3:26 PM Issued by: Amanda Robeson
Signs NO
* CONDITIONAL USE REQUIRED? N/A
* OCCUPANCY LOAD
N/A
* PERMITTED USE NO OCCUPANCY
* ZONING DISTRICT HC
FEE TOTAL PAID DUE
Certificate of Occupancy $50.00 $ 50m $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 tote 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
Logo=
Signature
Certificate of Occupancy
Project # 26-001353
Page 212
MYGOV.US 26-001353, 05/14/2026 at 3:26 PM Issued by: Amanda Robeson
rry
PERMIT # 26 -,
ADDRESS OF INSPECTION
C TORMSWSGOINF ORMATIONMORKORDFR
1260,04 Rev 5/23/2024