HomeMy WebLinkAboutCO2026-0007044
5.
6
1 8
10
11
12
13
14
15
w
17
18
21
22
UNDER CONSTRUCTION
FD ® NO LETTER
SENT LETTER
PW OR LD NEEDED
PENDING FIRE
PENDING HEALTH.,,
"LANDSCAPING / CODE
HbLfo'�ICE
ENVIRONMENTAL NOTIFIED DATE TIME
(E-MAIL JIMMY BROCK,�'�' &VALERIE FARRELL:�
HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATE
(SCAN TO C/O IN MYGOV- IF LARGE SET, ALSO SCAN TO LF & FORWARD SET TO FIRE)
FIRF DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DAT__G
wvw-i-,Irz r.,uP(-VF* P, (-*JUPI FTFW OV L�PPLICATION
BUILDING INSPECTION SCHEDULED
FIRE DEPT INSPECTION SCHEDULED
HEALTH INSPECTION
CITY SECRETARY (ALCOHOL)
PUBLIC WORKS INSPECTION
LOTDRAINAGE INSPECTION
CORRECTION LETTER SENT
BUILDING INSPECTORS SIGN OFF
FIRE DEPARTMENTS SIGN OFF
HEALTH 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
E-MAIL
DATE
LETTER: YES / NO
LETTER: YES / NO
ELECTRIC RELEASED
SCAN CERTIFICATE TO MYGOV
MAILED
-
I kFURIAMSCOINF
9 2/30M4 % Rev. 5)-"3/,4
11111111 1111 j
ADDRESS OF OCCUPANCY: 1600 W College Str Pt SUITE #-34(),
L i BLOCK: SUBDIVISION:
****CERTIFICATE OF OCCUPANCY WILL NOTi WITHOUT LEGAL DESCRIPTION****
NAME OF •USINESS:
_53ff Obstetrics .Gvnecoloov-Grapevine
NEW OCCUPANT: NO X NEW BUILDING/PROPERTY OWNER:1
BUILDING:NEW NO X NEW BUSINESS NO
NUMBER1OF 1' 1 BUSINESS 1 1
FREIGHT• ' r 1
TYPE OF BUSINESS:Medical
**rF OFFICE/WAREHOUSEOFFICE/WAREHOUSE PROVIDE BREAKDOWN OF i i
SF 1FFICE: 4136 — SF WAREHOUSE: TOTAL SQUAREii
MAILINGNAME OF TENANT � : Troy NewlBSW Obstetrics & Gynecology-Grapeymn(;
CURRENT r r .rr ►. College Street, Suitp.'14n
.•- ITMKIF141a
PROPERTY OWNER:
+r W End Avenue, - 700
MAILINGADDRESS:
1' r
YOUR BUSINESS : TO , NO
WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) ---
YES
NO X
+ WILL THERE BE FOOD SALES? (if yes, contact Tarrant County Health 817-321-4983 for more information) - -
YES
NO v
+ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? ---------------------
YES
NO
BUSINESS+
+ WILL
WILL OUTSIDE r 1(screening!
NO a
+ WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY/ USE/DINING? YES
_ NO
+ WILL ANY
rr ,.# 4 #
NO
+ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUEE)S?
(if yes, provide fist of types & quantities, along with material safety ,.
NO
HEREBY" 1 FOREGOING r, TO THE BEST OF i I AND THE SAID
OCCUPANCY IN CONFORMANCEINFORMATION 1SET FORTH.
(If access to the building1space is notprovided of h. scheduled inspection,I It oi fee will itcharged)
FOR QUESTIONS or to RE -SCHEDULE, PLEASE CALL (817) 410-3165 or (817) 410-3166
SIGNATURE: PRINT NAME: David Reed/DVS Construction LLC
ri 66 EMAIL:david@dvsconstruction.
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 7609b
r r .
C:FORUS SAPPUCATIONS-FEM100APP
111NMI
TEXASSALES TAX
Texas Sales Tax is charged and collected on sales within the State and City of Grapevine, Texas of 1%axable 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 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
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: N/A
Signature:
ADDRESS:_ 1600 W College Street, Suite 340
TYPE OF COS TRUCTION:M5 -5ARLAX194007 OCCUPANCY: DIVISION:
ZONING DISTRICT: FC_D CONDITIONAL USE: A/ 0
PERMITTED USE:
BUILDING DEPARTMENT: --------
, : , , ! ,
BUILDING INSPECTOR: 're .
ZONING APPROVAL:___—,
FIRE DEPARTMENT:
LOT DRAINAGE INSPECTION:
HEALTH DEPARTMENT:
CITY SECRETARY:
LANDSCAPING APPROVAL: ------
APPROVAL FOR ISSUANCE:
. . . ........
*CCUPANT LOAD:
DATE:
DATE:
DATE:
FIY.,WX
DATE:
DATE:
DATE:
City of Grapevine
Certificate of Occupancy
PO Box 95104
Projec# 26-000704
t
Grapevine, Texas 76099
817) 410-3166
Project Description: C/O (Medical Office) "SW Obstetrics &
Gynecology -Grapevine"
Z
Issued on: 06/22/2026 at 8:56 AM
�V
ADDRESS
INSPECTIONS
4
1600 W College St., 340
1. Final Fire Dept Inspection 3. Landscaping
Grapevine, TX 76051
2. Final Building C/O Inspection 4. C/O APPROVED
FOR ISSUANCE
LEGAL
Baylor Med Ctr Condo
INFORMATION FIELDS
Lot 1
Condo Units 7 Thru 14
**NAME OF BUSINESS BSW Obstetrics & Gynecology -
Grapevine
Imp Only Medical Off
Bldg & Family Clinic
**TENANT NAME (individual)
David Reed
**TENANT PHONE NUMBER
817-329-0389
PERMIT HOLDER
David Reed
APPLICANT E-MAIL
DVS Construction LLC
—APPLICANT NAME (individual)
David Reed
(415) 902-2466
—APPLICANT PHONE NUMBER
415-902-2466
COLLABORATORS
Square Footage
4136
- David Reed
TYPE OF BUSINESS
Medical Office
DVS Construction LLC
CONSTRUCTION TYPE
IIB - SPRINKLERED
(415) 902-2466
OCCUPANCY GROUP
B
OWNERS
*Sales Tax
NO
® Properties Of Texas
Alcoholic Beverage Sales
NO
Ltd H rt
Alterations
NO
TENANTS
Change of Business Name
YES
Troy New
Change of Business Owner
NO
BSW Obstetrics &
Fire Sprinkler System?
YES
Gynecology -Grapevine
(817) 329-0389
Freight Forwarding Business
NO
Hazardous Material
NO
Industrial Waste
NO
New Building / Addition
NO
New Building / Property Owner
NO
New Occupant / Tenant
NO
Number of Employees
9
Outside Refuse/Recycling
NO
Outside Storage
NO
Page 1/2
MYGOV.US 26-000704, 06/22/2026 at 8:56 AM Issued by: Amanda Robeson
INFORMATION I
Signs NO
• CONDITIONAL USE REQUIRED? NO
• OCCUPANCY LOAD 28
• PERMITTED USE YES
• ZONING DISTRICT C / PCD
FEE
TOTAL
PAID
Certificate of Occupancy
$ 50.00
$ 50.00
$ 50.00
TOTALS
$50.00
$ 50.00
$ 0.00
HEREBY#RO;CORRECT"O
INFORMATIONMY KNOWLEDGE AND THAT SAID OCCUPANCY IS IN CONFORMANCE WITH
THE 1'
>> (if access to the building/space is not provided at the time of scheduled
inspection, a $50.00 re -inspection fee will be charged)
N' �.,..
3165 or 1
Signature
City of GrapevineCertificate f Occupancy
Project # 26-000704
June 22, 2026
Date
Page 2/2
MYGOV.US 26-000704, 06122/2026 at 8:56 AM Issued by: Amanda Robeson
**TO BE FILLED OUT BY BUILDING OFFICIAL"
ZONING DISTRICT OF INSPECTION LOCATION: OCCURANTLOAD:
TYPE OF BUILDING: _IT13,- Z14/KcEe00 GROUP AND DIVISION -
ZONING RESTRICTIONS:
. . . .. ........
. ..... ..... . .. . ......
UW ORMU)SC01 N FORMATIOWIVO H Ko RDF R
1.'XW04 Rev 5,2312024