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E INK 11DATE OF ISSUANCE h�L' ; LIE
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F a. n a PERMIT #:
BUILDING PERMIT APPLICATION
(PLEASE i'_it_J+ + (-j(Nr LEGIBLY— C.t�}MPT.ji'TE E iIRE FORM):)RM)
JOB ADDRESS: t t t�a[�' Q`0foeV ( n e---,
LOT:
BUILDING CONTRACTOR
CURRENT MAILING ADDRESS:
CITY/STATE/ZIP: \'6
PROPERTY OWNER: ro
CURRENT MAILING ADDRESS:
CITY/STATE/ZIP:
PROJECT VALUE: $%
BLOCK: SUBDIVISION:
M
1
WHAT TRADES WILL BE NEEDED? (Check ones that apply) ELECTRIC _ PLUMBING _ MECHANICAL _
DESCRIPTION OF WORK TO BE DONE: W i 0 C1 )S
USE OF BUILDING OR STRUCTURE:
NAME OF BUSINESS: ...� x!s:b,�yj_ c L c -
Total Square Footage under roof:
Square Footage of alteration/addition:
I 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,
s alterations and additions)
@' I hereby certify that plans have been submitted to the Texas Department of Licensing and Regulation for Accessibility Review.
C ntrol 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 APPROVAL FROM THE APPROPRIATE STATE AND
OR FEDERAL AGENCY(S).
PRINT NAME: an� CM0D5SIGNATURE��'� iYYl 1
PHONE #: _ —D aq 0 EMAIL:
❑ CHECK BOX IF PRF,FF,RRRn TO RF. C"NTAV9rvn Rv v_%& Al it
THE FOLLOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT
Construction Type:
Permit Valuation: $
Setbacks
Approval to Issue
Occupancy Grou
Fire Sprinkler: YES NO —
Front:
Electrical
Division:
Building Depth:
Left:
Plumbing
Zoning:
Building Width:
Rear:
Mechanical
Occupancy Load:
Right:
Plan Review Approyal:
Date: - 4
Building Permit Fee:
Site Plan Approval:
Date:
Plan Review Fee:
Fire Department:
Date:
Lot Drainage Fee:
Public Works Department:
Date:
Sewer Availability Rate:
Health Department:
Date:
Water Availabilit Rate:
Approved for Permit:
Date: U' °
Total Fees:
"
Lot Drainage Submitted:
Approved:
Total Amount Due
, 4
P.O. BOX 95104, GRAPEVINE, TX 76099 (817) 410-3165
O:FORIAMSPERMITAPPLICATIONS 1/02-RW,11N4,5106,2107,11/09,4/11
INSTALL, PARTNM$.. LLE
WINDOW MEASUREMENT DETAIL
tUSTOM�R: :094
ADDRESS: i ?I I sa aa m-ur Ott
Phone #.- - 2j@L-:!&2v
CITY 0E GR3APE—M—N
-E
RELEASED FOR CONSTRUCTION
SHEET: OF:
RELEASE DOES NOT AUTHORIZE ANYORK IN CONFLICT
WITH THE BULDII=mo 'C09E OR ZONING ORDINANCE,
THIS PLAN �C BE K'F--PT ON
THE JOt, AT ALL TIMES
DAT E: Ll - 2p BY
BUILDING lN!qPFrMrN
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Materials:
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OfflCE COP -e
Egress windows shall have a clear opening with the following dimensions:
Minimum Height 24 inches
Minimum Width 20 inches
Minimum Opening 6.7 sq. ft. (5-0 sf at grade level)
Maximum sill height 44 inches
Minimum sill height 24 inches
Safety Glazing:
Safety Glazing shall comply with Section R308$ International Residential Code,