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CO2018-0566
UNDER CONSTRUCTION CORRECTION LETTER PW OR LD NEEDED TD NO LETTER WAITING FIRE~ HOLD C/O CHECK LIST C/O PERMIT# P18 - 66' r ADDRESS: r BUSINESS NAME: _ BUSINESS IPR PERTY CHANGE NAME/ QWNER NEW CONST/ADDITION PERMIT# NEW TENANT/OCCUPANT REMODEL/ALTERATION PERMIT# ISSUE DATE FINAL DATE APPLICATION FORM COMPLETED ZONING MAP COPIED &WORKORDER FORM COMPLETED 3. ZONING CHECKED&COMPLETED ON APPLICATION 4. BUILDING INSPECTION SCHEDULED DATE -� 1 TIME C) 5. FIRE DEPT. INSPECTION SCHEDULED DATE TIME ° FIRE INSPECTOR: M� 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 V 12. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO _ 13. HEALTH DEPARTMENT SIGN OFF ) /i &w � ScG D/r3 14. CITY SECRETARY(Alcohol License Sign Off) ✓ 318 �'� --• 15. PUBLIC WORKS SIGN OFF �/ 310 � - --- 16. LOT DRAINAGE SIGN OFF tr'f 17. LANDSCAPING SIGN OFF 18. BUILDING OFFICIALS SIGNATURE APR-719. C/O ISSUED ELECTRIC RELEASED: APR 2 0 2018 SCANNED: CONDITIONS TO BE TYPED ON C/O? YES 1 NO MAILED: ^ O:IFOR MSIDSCOINFORMATIONICKLIST 121301041 Rev.11111,11115 DATE OF ISSUANCE: APR 2 0 201 FEB' 8 2018 ._�A EVINE 1 _T F: x A s PERMIT#• CERTIFICATE OF OCCUPANCY REQUEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITHANACTIVE CURRENT BUILDING PERMIT ADDRESS OF OCCUPANCY: � � �� f�' � �X11` rr SUITE# LOT: d� l BLOCK: SUBDIVISION: " , 2r:r y' 01" p Ley` ""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUE WI TOUT LEGAL DESCRIPTION"" NAME OF BUSINESS: bcczv� qs _ NEW OCCUPANT: YES NO NEW BUILDING/PROPERTY OWNER: YES NO f/ NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE: YES=NO NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO t/ �e��cw NEW BUSINESS OWNER: YES Q/NO TYPE OF BUSINESS: Y�'��-+ SQUARE FOOTAGE: (Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restaurant) NAME OF TENANT [PERSONS N,AMEJ: ' ©U I s�°�l� VIT k CURRENT MAILING ADDRESS: �a F_ 4%r e (N,e K<<lS CITY/STATE/ZIP: r—rte �� 1 PHONE NUMBER: ' PROPERTY OWNER: ` _ 'C . I Cu 1\)e ' LM yoq lo MAILING ADDRESS: CL 141 C'e�� CrG�( r Ste fl CITY/STATE/ZIP: -T?C 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 o 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? (if yes,screening is required)-----------------------------------------------------------YES NO ♦ WILL THERE BE ANY OUTSIDE STORAGE,DISPLAY,USE OR DINING----------------------- YES V NO ♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES NO J� ......... ♦ IS UILDINGSPRINKLERED?.------------------------------------------------------- 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$42.00 re-inspection fee will be charged) FOR QUESTIONS PLEASE CAl . (817)4110-3165. SIGNATURE: _ / PRINT NAME: �y��` 1 PHONE#: EMAIL: ' (OVER) Development Services Department The City of Grapevine *P.O.Box 95104 *Grapevine,Texas 76099 * (817)410-3165 Fax(817)410-3012 *www.grapevinetexas.gov 0:FORMSIUSAPPLICATIONSICI 312212001/Rev:5/06,2/07,4109,2113,11115,10116 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: WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED? ADDRESS: > - 6-TyWe Co-e- CITY, STATE, ZIP: E- �D f * 1 * ***FOR OFFICE USE TYPE OF CONSTRUCTION: I g 3 " � OCCUPANCY: A' DIVISION: ZONING DISTRICT: �� CONDITIONAL USE: A10 PERMITTED USE: Yr= t BUILDING DEPARTMENT: DATE: BUILDING INSPECT DATE: ZONING APPROVAL: DATE: FIRE DEPARTMENT: DATE:� elg11f LOT DRAINAGE INSPECTION: DATE: PUBLIC WORKS DEPARTMENT: DATE: r HEALTH DEPARTMENT: DATE: 02 ot�` CITY SECRETARY DATE: ' / LANDSCAPING AP AL: �. � DATE: APPROVAL FOR ISSUANCE: DATE: 0:FORM SMAPP LICATIO NS1C/ 312212001/Rev:5/06,2/07,4109,2113,11/15,10116 Guita McIlro From: Renee L. Minnfee < Sent: Thursday, March 29, 2018 3:34 PM To: Guita McIlroy Cc: Connie Cook Subject: Re: Daan Sushi- Grapevine (Tarrant County Health Documents) They have finally paid with the health department. I am okay with them. Sent using OWA for iPhone From:Guita McIlroy<gmcilroy @grapevinetexas.gov> Sent:Wednesday, March 28, 2018 9:16:04 AM To: Renee L. Minnfee Subject: RE: Daan Sushi-Grapevine (Tarrant County Health Documents) Okay thank you! Guita From: Renee L. Minnfee [mailto: Sent: Wednesday, March 28, 2018 9:15 AM To: Guita Mcllroy<gmcilroy @grapevinetexas.gov> Subject: FW: Daan Sushi-Grapevine (Tarrant County Health Documents) FYI, I called the number this morning and left a voicemail. Below is the email that I sent him. Renee Minnfee MPH, RS Tarrant County Environmental Health 1101 S. Main St., Rm. 2300 Fort Worth,TX 76104 Phone 817.321.4979 Fax 817.321.4961 Email: Tarrant County Public Health Accountability.Quality.Innovation. [12 A healthier community through leadership in health Sttdt$gy From: Renee L. Minnfee Sent:Wednesday, March 28, 2018 9:11 AM To: 'mynetpia @naver.com'<mynetpia @naver.com> Cc: Genyfer Umanzor<GUmanzor @tarrantcounty.com> Subject: Daan Sushi-Grapevine (Tarrant County Health Documents) Good Morning, Attached is the document you need to fill.out for the Tarrant County Health Department. Please check off change of ownership. I have copied Genyfer on this email. Please submit the application to her.There is a fee for both the restaurant and bar.Also,we will need to know when exactly did the change of ownership take place. Once,we have that information she will be able to generate the invoice for you.You may pay online or over the phone. But, we must have the paper work before this is done.Genyfer's direct line is 817-321-4963. Have a good day! Renee Minnfee MPH, RS Tarrant County Environmental Health 1101 S. Main St., Rm. 2300 Fort Worth,TX 76104 Phone 817.321.4979 Fax 817.321.4961 Email: Tarrant County Public Health ASIRIII Acccuntablity,Quality.Innovation, *". , C A l*alkhle turhmursil7r through i ei raleip Eh a lkh shat .gy *** External email communication—Please use caution before clicking links and/or opening attachments *** *** External email communication—Please use caution before clicking links and/or opening attachments *** 2 r r Gy �Yyb+b 3 t.- f6`'•vet ti G� • m• F3 " �f 9 �ry 8 ILL 1 d z awauoeroi •ss�� � �y oy , 713 F Ei W �t&$•'• I� d6�y� r s t . �!C W = -3• d�7 121rfK5•J] • 6� ^d 3 = • g rrjys .I °k h Ttr. x si ar � A� _ 577/W6RAPl'VINEMIk.�S pK �`r� y y�' WdW 3N�^3 66ei-A'MH •Ldb7pj/6662 / r. 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