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Home My WebLink AboutCO2026-001845DER CONSTRUCTION TD -- NO LETTER SENT LETTER PTV OR NE I:'0= '.' , TI J. = 'N','.-0SCAPING / CODE .; C/O CHECK LIST C/O IT # 2 . ADDRESS: BUSINESS E. m USI EIS '! PROPERTY CHANGE WVJE 1 OWNER NEWCONST lADDITION E IT .,x ..,. 1CClJAT �REMODELlLTE DTI ' IT #_. ISSUE DATE .... FINAL GATE . �. APPLICATION FORM COMPLETED 2: WORKORDER FORM COMPLETED 3, ENVIRONMENTAL NOTIFIED GATE m_ _._ . TIME (E-MAIL JIMMY BROCK;',..,,;', : f' P6':''': & VALERIE FARRELL ^ 4. HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATE �.................................__.. (SCAN TO C/O IN MYGOV — IF LARGE SET. ALSO SCAN TO LF & FORWARD SET TO FIiiE) FIRE DEPART ENT APPROVAL. OF HAZARDOUS MATERIAL DATE ZONING CHECKED & COMPLETED ON APPLICATION 7 BUILDING INSPECTION SCHEDULED DATE ,TIME FIRE DEP I INSPECTION SCHEDULED IELUI_ED DATE _ TIfE `FIRE INSPECTOR; ;..' . HEALTH INSPECTION NOTIFICATION DATE; w...-__.,.._.........__. 10, CITY SECRETARY (ALCOHOL) NOTIFICATION DATE: __............ _ 11. PUBLIC WORKS INSPECTION E-MAIL DATE ...._... 12" LOT DRAINAGE INSPECTION E-MAIL DATE , ..... ... 13, CORRECTION LETTER SENT DATE _......_ ............ 14bUilLDING INSPECTORS SIGN OFF LL"'T`I'ER: YES i lNb 15, FIRE DEPARTMENTS .SIGN OFF LE` TFR, 'DES 1 NO1 1& HFAL"rH DEPARTMENT' SIGN OFF 17. CITY SE(CRETARY (Alcohol License Sigo Oft) is .f. PUBLIC WORKS SIGN OFF LOT DRAINAGE SIGN OFF Q. LANDSCAPING SIGN OFF 21, BUILDING OFFICIALS SIGNATURE 22" C/O CERTIFICATE ISSUED ELECTRIC RELEASEDa SCAN CERTIFICATE TO MY OV J'A#LE[?: G ds 0RNq,1A)8(,iflM OWW10MCM 3 r I" d."?AUi te} l fir-.✓ ')r; ��,4t„9 ATE OF ISSUANCE: N I'd 1, 5C PERMIT #: 4 -.1, r UEST CERTIFICATE OF OCCUPANCY RE( FEE: $50.00 ygf�FEE PEQUIRED IF THE CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERME ADDRESS OF OCCUPANCY: SUITE # LOT: BLOCK: SUBDIVISION: N' ""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION"" NAME OF BUSINESS: NO NEW OCCUPANT: YES NO NEW BUILDING/PROPERTY OWNER: YES NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE: YES NO NUMBER OF EMPLOYEES: NEW BUSINESS OWNER: YES —NO FREIGHT FORWARDING: YES NO TYPE OF BUSINESS: **IF OFFICE[WAREHOUSE PROVIDE BREAKDOWN OF SQUARE FOOTAGES: SF OFFICE. — 111 SF WAREHOUSE:—— TOTALSQUAREFOOTAGE: NAME OF TENANT CURRENT MAILING ADDRESS: CITY/STATE/ZIP: PROPERTY OWNER: MAILING ADDRESS: CITY/STATE/ZIP: PHONE NUMBER: + IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) ------- YES NO 4 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 817-321-4983 for more information) - - 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? (screening is required) YES —NO + WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY/ USE/DINING? YES — NO # 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 'v50.00 re -inspection fee will be charged) FOR QUESTIONS or to, RE-SCHEDk, j P1,EA1.S1`. CALL (817) 410-3165 or (817) 410-3166 SIGNATURE: PRINT NAME: EMAIL: Building Services Department The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 (817) 410-3165 (817) 410-3166 C:FORMSOSAPPLICATIONS-FEMCO APP 121124 TEXAS SAL ESTAX axable items." Taxa go,%d 06 of Gra.4evine, Texas of "t i 11rul oat I NOR [INTME "ft all W im www"i 1 011 ft TIHISM-114MAXIS7 I I -lip -V 1H)"GUE41161M I -ALIJIMMAITTA I I tLyw 1144 FIrwrly-ingi aft u 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: OFFICE USE TYPE OF CONSTRUCTION: OCCUPANCY: DIVISION: CONDITIONAL USE: ZONINGDISTRICT: ITTEUSE: OCCUPANT LOAD- PERMD DATE: BUILDING DEPARTMENT: BUILDING INSPECTOR: DATE. ZONING APPROVAL: DATE: D FIREDEPARTMENT : ATE: LOT DRAINAGE INSPECTION: DATE: PUBLIC WORKS DEPARTMENT:-, DATE: HEALTH DEPARTMENT:.. DATE: CITY SECRETARY: . ...... DATE: t LANDSCAPING AP R 6Vv., DATE: APPROVAL FOR ISSUANC AT City of Grapevine Certificate of Occupancy PO Box 95104 Project # 26-001845 Grapevine, Texas 76099 Project Description: C/O (Medical Office) "Texas Breast 817) 410-3166 Specialists" "Y �q Issued on: 06/18/2026 at 8:59 AM ADDRESS 1631 Lancaster Dr., 225 Grapevine, TX 76051 LEGAL Clearview Park Addition Blk 2 Lot 3r PERMIT HOLDER Barrett Shepherd (469) 431-9508 OWNERS - Hr Acquisition Of San Antonio TENANTS • Oralia Favela Texas Best Specialists (817) 662-0008 1. Final Fire Dept Inspection 2. Fi-iial Builioiu C/O Insgection INFORMATION FIELDS **NAME OF BUSINESS **TENANT NAME (Individual) "TENANT PHONE NUMBER APPLICANT E-MAIL —APPLICANT NAME (individual) "APPLICANT PHONE NUMBER Square Footage ** 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 Number of Employees Outside Refuse/Recycling Outside Storage El 3. Landscaping Texas Breast Specialists Oralia Favela 817-662-0008 Barrett Shepherd 469-431-9508 2546 Medical Office IIB - SPRINKLERED B NO NO NO NO NO YES NO NO NO NO NO YES 6 NO NO MYGOV.US 26-001845, 0611812026 at 8:59 AM issued by: Amanda Robeson Tknyilffx ! i� Signs NO *CONDITIONAL USE REQUIRED? NO * OCCUPANCY LOAD 27 * 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 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 Signature City of Grapevine Certificate of Occupancy Project # 26-001845 Page 2/2 MYGOV.US 26-001845, 06/18/2026 at 8:59 AM Issued by: Amanda Robeson **TO BE FILLED OUT BY BUILDING OFFICIAL' ZONING DISTRIGA OF INSPECTION LOCATION: OCCUPANTLOAD: TYPE OF BUILDING., GROUP AND DIVISION ZONING RESTRICTIONS: C W ORNI�;V)S(.'OINFOR!IATIONkV%rORK(:)RDEFi 1d11'1010-,lRev 1,123/:M4