HomeMy WebLinkAboutCO2026-002555 NDER CONSTRUCTION
TD — NO LETTER
SENT LETTER
PW OR LD NEEDED
PENDING FIRE
PENDING,HEALTH,,-
LANbSC�Pl NG / CODE
C/O PERMIT # 26 - ")
2.
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12.
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—15.
16,
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18.
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21,
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APPLICATION FORM COMPLETED
WORKORDER FORM COMPLETED
ENVIRONMENTAL NOTIFIED DATE TIME
(E-MAIL JIMMY BROCK; &VALERIE
HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATE
(SCAN TO C/O IN MYGOV - IF LARGE SET, ALSO SCAN TO LF & FORWARD SET TO FIR
FIRE, DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE -
ZONING CHECKED & COMPLETED ON APPLICATION
BUILDING INSPECTION SCHEDULED DATE TIME
Z
FIRE CREPT INSPECTION SCHEDULED DATE TIME
FIRE INSPECTOR".
HEALTH INSPECTION NOTIFICATION DATE: ..... . . . ....
CITY SECRETARY (ALCOHOL) NOTIFICATIONDATE-.
PUBLIC WORKS INSPECTION E-MAIL [SATE... . . .. ...... ... . ........
LOT DRAINAGE INSPECTION E-MAIL DA7f'E,___ _ .. ...... ...
CORRECTION LETTER SENT DATE
BUILDING INSPECTORS SIGN OFF LETTER: YES /
FIRE DEPARTMENTS SIGN OFF LETTER YES / NO
HEALTH DEPARTMENT SIGN OFF
CITY SECRETARY (Alcohol License Sign Off)
PUBLIC WORKS SIGN OFF
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
81M DING OFFICIALS SIGNATURE
C/O CERTIFICATE ISSUED
ELECTRICRELEASED
SCAN CERTIFICATE TO MYGOV
MAILED
Cl FORMSOSCOIM ORMAI P)MM IST
1J,',10j04 � R�v ',1'3M4
ATE OF ISSUANCE:
PERMIT#..'-,,
CERTIFICATE OF OCCUPANCYAUQUEST
FEE: $50.00
NO FEE REQUIRED IF THE CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMI-4
ADDRESS OF OCCUPANCY: 1::
_SUITE #
BLOCK:_ SUBDIVISION:
71
""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION****
NAMEOFBUSINESS:
NEW OCCUPANT: YES NO
NEW BUILDING/PROPERTY OWNER:
NEW BUILDING: YES NO ... NEW BUSINESS NAME CHANGE: YES —NO-, 7"
c.
NUMBER OF EMPLOYEES: NEW BUSINESS OWNER: YES NO
FREIGHT FORWARDING: YES NO
TYPE OF BUSINESS:
(Example. Retail Clothing I Attorney's Office / Restaurant / OfficefWarehouse)
**IF OFFICE/WAREHOUSE PROVIDE BREA KDOWN OF SQUAOOTAGES:
SF OFFICE: SF WAREHOUSE:
TOTAL SQUARE FOOTAGE:
NAME OF TENANT 'PERSON'S NAME]:
L
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
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
PERMITS ARE REQUIRED FORNO
—NO
WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? --------
YES NO
+ WILL OUTSIDE REFUSE/RECYCLINGICOMPACTING 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 thne of the scheduled inspection, al,,50.00 re -inspection fee will be charged)
FOR QUESTIONS or to RE -SCHEDULE, PLEASE C.8LL (817) 410-3165 or (817) 410-3166
SIGNATURE: PRINT NAME:
PHONE#: EMAIL:
Building Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099
(817) 410-3165 * (817) 410-3166
www_zrarevinetexas.00v
C:'ORM"= SAPPUCAMN�FEESAPP (OVER)
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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"
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:
Signature:
ADDRESS:
CITY, STATE, ZIP:
TYPE OF CONSTRUCTION: OCCUPANCY: DIVISION:
ZONING DISTRICT: L11 CONDITIONAL USE: K/ 0
PERMITTED USE:
BUILDING DEPARTMENT:
BUILDING INSPECTOR:
CITY SECRETARY:_
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:_
OCCUPANT LOAD:
DATE:
DATE:
DATE:
DATE:,,
I a1vo
F-IT.Vff
City of Grapevine
Certificate of Occupancy
PO Box 95104
Project # 26-002555
Grapevine, Texas 76099
817) 410-3166
Project Description: C/O (CLEAN & SHOW)
Issued on: 07/0812026 at 5:24 PM
ADDRESS
INSPECTIONS
3
621 Industrial Blvd.
1. Final Building C/O Inspection 3. C/O APPROVED
FOR ISSUANCE
Grapevine, TX 76051
2. Landscaping
LEGAL
Grapevine Industrial
INFORMATION FIELDS
Park Lot N Pt 6
S
**NAME OF BUSINESS
CLEAN & SHOW
**TENANT NAME (individual)
Vacant
PERMIT HOLDER
**TENANT PHONE NUMBER
817-360-2614
C/O Registration
Ossie Button
APPLICANT E-MAIL
(817) 360-2614
—APPLICANT NAME (individual)
OSSIE BUTTON
COLLABORATORS
**APPLICANT PHONE NUMBER
817-360-2614
- C/O Registration
Square Footage
5000
Ossie Button
** TYPE OF BUSINESS
Vacant
(817) 360-2614
* CONSTRUCTION TYPE
11-13
OWNERS
* OCCUPANCY GROUP
NA
-Inc Trorb
*Sales Tax
NO
Alcoholic Beverage Sales
NO
Alterations
NO
Change of Business Name
NO
Change of Business Owner
NO
Fire Sprinkler System?
NO
Freight Forwarding Business
NO
Hazardous Material
NO
Industrial Waste
NO
New Building / Addition
NO
New Building / Property Owner
NO
New Occupant / Tenant
NO
Outside Refuse/Recycling
NO
Outside Storage
NO
Signs
NO
Page 112
MYGOV.US 26-002555, 07108/2026 at 5:24 PM Issued by: Amanda Robeson
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CONDITIONAL USE REQUIRED?
NO
OCCUPANCY LOAD
VACANT
PERMITTED USE
YES
ZONING DISTRICT
Ll
FEE TOTAL
PAID DUE
Certificate of Occupancy $50.00
$50.00 $50.00
TOTALS $50.00
$50.00 $0.00
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF
MY KNUVVLEDGE AND THAT SAID OCCUPANCY IS IN CONFORMANCE WITH
THE INFORMATION HEREIN SET FORTH.
>> (if access to the 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
July 08, 2026
Signature Date
Certificate of Occupancy
Project # 26-002555
Page 2/2
MYGOV.US 26-002555, 07/08/2026 at 5:24 PM Issued by: Amanda Robeson
WORKORDER
**TO BE FILLED OUT BY BUILDING OFFICIAL"
ZONING DISTRICTOF INSPECTION LOCATIOM. I I -OCCUPANT LOAD: -VACMT
TYPE OF BUILDING: 10 GROUP AND DIVISION:
ZONING RESTRICTIONS:
C FORIVIMSGOINFORMA 10WIVORKORDER
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