HomeMy WebLinkAboutCO2018-0280 UNDER CONSTRUCTION _
CORRECTION LETTER
PW OR LID NEEDED _
TD NO LETTER_
WAITING FIRE
HOLD
C/O CHECK LIST
C/O PERMIT # P18 C IXu
ADDRESS: -2)/ n)
BUSINESS NAME:
BUSINESS/PROPERTY
CHANGE NAME / OWNER _ NEW CONST/ADDITION PERMIT#
/NEW'TENANT/ OCCUPANT — REMODEL/ALTERATION PERMIT#
ISSUE DATE
1. APPLICATION FORM COMPLETED FINAL DATE
Z. ZONING MAP COPIED &WORKORDER FORM COMPLETED
3. ZONING CHECKED & COMPLETED ON APPLICATION
4. BUILDING INSPECTION SCHEDULED DATE TIME
5. FIRE DEPT. INSPECTION SCHEDULED DATE TIME
FIRE INSPECTOR:
6. CITY SECRETARY(ALCOHOL) NOTIFICATION DATE:
7. HEALTH INSPECTION NOTIFICATION DATE:
8. PUBLIC WORKS INSPECTION E-MAIL DATE
--' 9. LOT DRAINAGE INSPECTION E-MAIL DATE
10. CORRECTION LETTER SENT DATE
11. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO
12. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO
—� 13. HEALTH DEPARTMENT SIGN OFF
14. CITY SECRETARY(Alcohol License Sign Off)
15. PUBLIC WORKS SIGN OFF
16. LOT DRAINAGE SIGN OFF
17. LANDSCAPING SIGN OFF
18. BUILDING OFFICIALS SIGNATURE
19. C/O ISSUED ELECTRIC RELEASED:
SCANNED:
CONDITIONS TO BE TYPED ON C/O? YES/ NO MAILED:
O 1FORMS\DSCOINFORMFTIMCKLIST
1213=41R11111
JAN 19 2016
,ry�rop ^ DATE OF ISSUANCE:
PERMIT#:
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITH ANA CTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: �(;� N.� ,n�S�i r 2 fi SUITE#
LOT:IR BLOCK: SUBDIVISION: 3—hc1fn1ec^- LJ )-}- nn
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION****
NAME OF BUSINESS: f�1i��� ►���F� r af3?y�11P �<
NEW OCCUPANT: YES V NO NEW BUILDING/PROPER Y OWNER: YES ✓ NO_
NEWBUILDING: YES NO7 NEW BUSINESS NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: LS FREIGHT FORWARDING: YES NO
NEW BUSINESS OWNER: YES--7' NO
TYPE OF BUSINESS: SQUARE FOOTAGE: _ /f, I Srt{
(Example:Retail Clothing/Attorney's Offfr /ORe-Warehouse/Restaurant) __
NAME OF TENANT (Physical Name): L,I1l I?r' 1 iU� I---TI
1I L-Ca
CURRENT MAILING ADDRESS: 1(q WI nd\I Ke 1)17C-l1 , iffN
CITY/STATE/ZIP: C -)pj-)Zj
PROPERTY OWNER: ) n�
MAILING ADDRESS: -') ri C.
CITY/STATE/ZIP: ir C, 4 PHONE NUMBER: L9/7)917.6 r
♦ IS YOUR BUSINESS SUBJECT TO SALES TA LAW?(If yes,provide copy of Sales Tax Certificate)---- YES_ NO V
♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES?(if yes,provide copy of Alcoholic Beverage Permit)-YES NO ✓
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BEINSTALLED?-------------------YES T7-'NO
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM?----- YES NO_✓
♦ WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY?
(if yes,screening is required)-----------------------------------------------------------YES_.V/NO
♦ WILL THERE BE ANY OUTSIDE STORAGE,DISPLAY,USE OR DINING:--------------------- YES NO:z
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES VNO_
♦ IS BUILDING SPRINKLERED?------------------------------------------------------- YES L�'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 V
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/ Ing/space is not provided at the time of the scheduled inspection,a$42.00 re-inspection fee will be charged)
FOR QUESTION SE CALL(817)410-3165.
SIGNATURE PRINT NAME: ` o _
PHONE#: ' — EMAIL:
(OVER)
Development Services Department
The City of Grapevine sit P.O.Box 95104*Grapevine,Texas 76099 (817)410-3165
Fax(817)410-3012 sit www.grapevinetexas.gov
O:FORMSIDSAPPLICATION=f
313LZaallRev:Sla6,rJ0].4I09,P13,11/15
TEXASSALESTAX
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 1 understand that 1 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 Ta` u
Signature,
N ERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS: acco C. Lamar-/R)\)d SLAi+z
—
CITY,STATE,ZIP: Ar'I I %Cl �X 1�o(Y)t!(J
FOR OFFICE USE
TYPE OF CONSTRUCTION: OCCUPANCY: DIVISION:
ZONING DISTRICT: CONDITIONAL USE:
PERMITTED USE:
BUILDING DEPARTMENT: DATE:
ZONING APPROVAL: DATE:
FIRE DEPARTMENT: DATE:
LOT DRAINAGE INSPECTION: DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTMENT: DATE:
CITY SECRETARY: DATE:
LANDSCAPING APPROVAL: DATE:
APPROVAL FOR ISSUANCE: DATE:
O:FORM5105APPLICATIONMI
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 18
ADDRESS OF INSPECTION: o'f D / /�),
DATE OF INSPECTION: ��,, pp �j TIME OF INSPECTION:
NAME OF BUSINESS: �� � Z l4,o,� o� C
TYPE OF BUSINESS: „ti
USE OF BUILDING AND/OR PREMISES:
REASON FOR APPLYING:
CONTACT PERSON:
TELEPHONE NUMBE : _��
COMMENTSNIOLATIONS:
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION:
TYPE OF BUILDING: GROUP AND DIVISION:
ZONING RESTRICTIONS:
O.M.5 DSCOINMI ATION WORKORDER
12 30 0<R" 1 17 2M6