HomeMy WebLinkAboutCOMA2018-0259�s
FEB 12 Z018
DATE OF ISSUANCE:
PERMIT #:
BUILDING PERMIT APPLICATION
UIF (PLEASE PRINT LEGIBLY — COMPLETE ENTIRE FORM)
JOB ADDRESS: % t��% i C SUITE #
LOT: BLOCK: SUBDIVISION:
BUILDING CONTRACTOR (company name):
CURRENT MAILING ADDRESS: �) a f`�
CITY/STATE/ZIP: 1T2A hJ C L , " `? rI Y7, PH: # `103-Y S`i-moi,/ FFax # ` o 3 4 j-1- je ;2
IF
PROPERTY OWNER: -ri -6
CURRENT MAILING ADDRESS: �0' k— C
CITY/STATE/ZIP: 4�', rte r�- �'� % U% PHONE NUMBER:
PROJECT VALUE: $ O ,___ _ FIRE SPRINKLERED? YES e-- NO
WHAT TRADES WILL BE NEEDED? (Check ones that apply) ELECTRIC L,�PLUMBING MECHANICAL L--'
DESCRIPTION OF WORK TO BE DONE: wl ury� C= l�'- e. s.i2 �-J , RQ P -6L
USE OF BUILDING OR STRUCTURE:
NAME OF BUSINESS: c»
Total Square Footage under roof-. 7 Square Footage of alteration/addition: _A
� -/, r-4/ /off
,0. 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,
alterations and additions)
❑ I hereby certify that plans have been submitted to the Texas Department of Licensing and Regulation for Accessibility Review.
Control Number: (Not required for I & 2 family dwellings)
U 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 AVAL FROM THE APPROPRIATE STATE AND
OR FEDERAL AGENCY ). 1PP O
PRINT NAME: % SIGNATURE
PHONE #: EMAIL:
❑ CHECK BOX IF PREFERRED TO BE CONTACTED BY E-MAIL
THE FOLLOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT
Construction Type:
Permit Valuation: $
Setbacks
Approval to Issue
Occupancy Group:
Fire Sprinkler: YES — NO ®"
Front:
Electrical L-®'
Division:
Building Depth:
Left:
Plumbing
Zoning:
Building Width:
Rear:
Mechanical v. --
Occupancy Load:
Right:
Plan Review Approval:
Date: -(je
Building Permit Fee:
r '2
Site Plan Approval:
Date:
Plan Review Fee:
ire Department: OA Y,4W
Date: - 1-/ 9
Lot Drainage Fee:
Public Works De artment:
Date:
Sewer Availability Rate:
ealth Department:
Date: -f -,16
Water Availability Rate:
Approved for Permit:
Date: (8
Total Fees:
0
Lot Drainage Submitted:
Approved:
Total Amount Due:
C, -a,
P.O. BOX 95104, GRAPEVINE, TX 76099 (817) 410-3165
1
O: FORMSMSPERMITAPPLICATIONS 1/02-R-.11104,6106,2/07,11109,4/�1� j JCC
3�
vm 2 9 MR
TRX A 8 JAN "fprt
CITY OF GRAPEVINE
IRCLE ONE)
MECHANICAL CTRICA - PLUMBING - IRRIGATION - FUEL GAS
MIT APPLICATION
(PLEASE PRINT LEGIBLY — COMPLETE ENTIRE FORM)
PERMIT#
BLDG. PERMIT#
DATE:
oo
JOB ADDRESS:P-00 Mmil SUITE #
,
DESCRIPTION OF WORK�j /I PMO
eCj
PROPERTY OWNER:
CONTRACTING COMPANY:
rvlAa i-1,-(L,-ic e
ADDRESS:
ADDRESS'
S, -
//30 tl'eh,e
CITY/STATE/ZIP:
CITY/STATE/ZIP:
voce
bL1V0lvd1P ZY M13 7
PHONE NUMBER:
PHONE NUMBER:
f ZL� 00 o
TYPE OF OCCUPANCY
BUILDING AREA
PERMIT FEES
AMOUNT DUE
(SQ FT)
EACH TRADE
I. R-3
1- 749
$ 33.25
SINGLE FAMILY, DUPLEX
750— 1,199
$ 49.88
TOWNHOUSE,
1,200- 1,500
$ 63.18
NEW CONSTRUCTION &
1,501- 1,750
$ 76.48
ADDITIONS (PER UNIT)
1,751- 2,000
$ 83.13
2,001 - 2,250
$ 89.78
TOTAL SQ. FOOT UNDER
2,251- 3,000
$ 96.43
ROOF
3,001 - 3,500
$ 103.08
3,501 - 4,000
$ 109.73
$
4,001 +
$ 120.37
EACH TRADE
11. A, E, 1, R-1
1 - 500
$ 37.00
HOTELS, APARTMENTS,
501 — 100,000
$ 17.50+.035 PER
DRINKING/DINING,
100,001 — 500,000
$ 3,500.00+.03 SQUARE
EDUCATIONAL, ASSEMBLY,
500,001 +
$15,000.00+.02 FOOT
$
INSTITUTIONAL
EACH TRADE
Ill. B, F, H, M, S, U
OFFICE, RETAIL, WHOLESALE,
1- 500
$ 37.00
GARAGES, FACTORIES,
501- 50,000
$ 32.00+.01 PER
f
WORKSHOPS, SERVICE
50,001- 100,000
$ 182.00+ .007 SQUARE
STATIONS, WAREHOUSE
100,001+
$ 582.00+.003 FOOT
$
CONTRACT
EACH TRADE
IV. ANY OCCUPANCY GROUP
VALUATION OF
WORK
FINISH -OUTS,
SHELL COMPLETIONS,
0- 500
$ 37.00
ALTERATIONS OR
501- 1,500
$ 45.00
STANDALONE PERMITS
1,501- 3,000
$ 57.00
3,001- 5,000
$ 72.00
CONTRACT VALUATION OF WORK:
5,001- 50,000
$ 27.00+.009
$ &0_0
50,001-100,000
100,001- 500,000
$ 127.00+ .007 PER
$ 327.00+ .005DOLLAR
-0
$
500,001+
$ 1,327.00+.003 VALUATION
EACH TRADE
V. MISCELLANEOUS
IRRIGATION SYSTEMS
$ 37.00
MOBILE HOME SERVICE
$ 37.00
TEMPORARY POLE SERVICE
$ 37.00
SWIMMING POOLS
$ 37.00
SIGN ELECTRIC
$ 37.00
0:\FORMS\DS APPLICATIONS - FEESWEP APPLICATION 4-1 l.doc
PLAN SUBMITTAL:
WHEN PLANS ARE REQUIRED BY CODES, ORDINANCES, OR AS DETERMINED BY THE BUILDING
OFFICIAL, THREE (3) SETS OF PLANS SHALL BE SUBMITTED IN HARD COPY FORMAT. ENGINEER SEALED
PLANS AND CALCULATIONS SHALL BE SUBMITTED AS REQUIRED BY CODES, ORDINANCES OR WHERE
OTHERWISE REQUIRED BY STATE LAW.
OTHER INSPECTIONS AND FEES:
• INSPECTIONS OUTSIDE NORMAL BUSINESS HOURS (2HR MINIMUM)...............................................$42.00/HOUR'
• REINSPECTION FEES.................................................................................................................. $42.00
• PERMITS FOR WHICH NO FEE IS SPECIFICALLY INDICATED........................................................... $37.00
• INSPECTIONS FOR WHICH NO FEE IS SPECIFICALLY INDICATED (1/2 HOUR MINIMUM)......................$42.00/HOUR
• ADDITIONAL PLAN REVIEW REQUIRED BY CHANGES, ADDITIONS, OR REVISIONS TO
APPROVEDPLANS ...... ................................ ........... ................................................................ ......$42.00/HOUR
• BUILDING PERMIT FEES FOR THE GRAPEVINE-COLLEYVILLE INDEPENDENT SCHOOL DISTRICT
SHALL BE 25% OF THE FEES ESTABLISHED IN THIS TABLE
• FOR USE OF OUTSIDE CONSULTANTS FOR PLAN CHECKING AND INSPECTIONS, OR BOTH......... ACTUAL COSTS"
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 CODES 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.
1 FURTHER CERTIFY THAT ALL WORK THAT IS REQUIRED TO COMPLY WITH ANY FEDERAL, STATE, AND / OR
LOCAL LAW REGARDING ENERGY CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE LAWS,
AND THAT VERIFICATION OF ENERGY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST.
0
SI NA UR O R CTOR OR AUTHORIZED AGENT
(OR HOMEOWNER FOR HOMEOWNERS PERMITS)
PHONE #:
PRINTED NAME
EMAIL: "
'OR THE TOTAL HOURLY COST TO THE JURISDICTION WHICHEVER IS GREATER.
—ACTUAL COSTS INCLUDE ADMINISTRATIVE AND OVERHEAD COSTS.
Development Services Department, Building Inspections
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165
Fax (817) 410-3012 *
O:\FORMS\DS APPLICATIONS - FEES\MEP APPLICATION 4-11.doc
it
liM CHANIC
CITY OF GRAPEVINE
(CIRCLE ONE)
ELECTRICAL - PLUMBING - IRRIGATIONGAS
PERMIT APPLICATION
(PLEASE PRINT LEGIBLY - COMPLETE ENTIRE FORM)
PERMIT #
PERMIT#
DATE:
JOB ADDRESS: SUITE #
115W 71
DESCRIPTION OF WORK:
PROPERTY OWNER'
CONTRACTING COMPANY: J
Wa)d M w- sLL,� ttvm
ADDRESS:
ADDRESS:
CITY/STATE/ZIP:
CITY/STATE/ZIP:
PHONE NUMBER:
PHONE NUMBER:
TYPE OF OCCUPANCY
BUILDING AREA
PERMIT FEES
AMOUNT DUE
(SO FT)
EACH TRADE
I. R-3
1- 749
$ 33.25
SINGLE FAMILY, DUPLEX
750- 1,199
$ 49.88
TOWNHOUSE,
1,200- 1,500
$ 63.18
NEW CONSTRUCTION &
1,501- 1,750
$ 76.48
ADDITIONS (PER UNIT)
1,751- 2,000
$ 83.13
2,001 - 2,250
$ 89.78
TOTAL SQ. FOOT UNDER
2,251 - 3,000
$ 96.43
ROOF
3,001 - 3,500
$ 103.08
3,501 - 4,000
$ 109.73
$
4,001 +
$ 120.37
EACH TRADE
11. A, E, 1, R-1
1 - 500
$ 37.00
HOTELS, APARTMENTS,
501 - 100,000
$ 17.50+.035 PER
DRINKING/DINING,
100,001 - 500,000
$ 3,500.00+.03 SQUARE
EDUCATIONAL, ASSEMBLY,
500,001 +
$15,000.00+.02 FOOT
$
INSTITUTIONAL
EACH TRADE
111. B, F, H, M, S, U
OFFICE, RETAIL, WHOLESALE,
1- 500
$ 37.00
GARAGES, FACTORIES,
501- 50,000
$ 32.00+ .01 PER
1
WORKSHOPS, SERVICE
50,001- 100,000
$ 182.00+ .007 SQUARE
STATIONS, WAREHOUSE
100,001+
$ 582.00+.003 FOOT
$
CONTRACT
EACH TRADE
IV. ANY OCCUPANCY GROUP
VALUATION OF
WORK
FINISH -OUTS,
SHELL COMPLETIONS,
0- 500
$ 37.00
ALTERATIONS OR
501- 1,500
$ 45.00
STANDALONE PERMITS
1,501- 3,000
$ 57.00
3,001- 5,000
$ 72.00
CONTRACT VALUATION OE WORK:
5,001- 50,000
$ 27.00+.009
$
50,001- 100,000
100,001- 500,000
$ 127.00+ .007 PER
$ 327.00+ .005DOLLAR
TVALUATION
500,001+
$ 1,327.00+.003
EACH TRADE
V. MISCELLANEOUS
IRRIGATION SYSTEMS
$ 37.00
MOBILE HOME SERVICE
$ 37.00
TEMPORARY POLE SERVICE
$ 37.00
SWIMMING POOLS
$ 37.00
SIGN ELECTRIC
$ 37.00
0:\FORMS\DS APPLICATIONS - FEESWEP APPLICATION 4-1 l.doc
PLAN SUBMITTAL:
WHEN PLANS ARE REQUIRED BY CODES, ORDINANCES, OR AS DETERMINED BY THE BUILDING
OFFICIAL, THREE (3) SETS OF PLANS SHALL BE SUBMITTED IN HARD COPY FORMAT. ENGINEER SEALED
PLANS AND CALCULATIONS SHALL BE SUBMITTED AS REQUIRED BY CODES, ORDINANCES OR WHERE
OTHERWISE REQUIRED BY STATE LAW.
OTHER INSPECTIONS AND FEES:
• INSPECTIONS OUTSIDE NORMAL BUSINESS HOURS (2HR MINIMUM) .................................... ........... $42.00/HOUR*
• REINSPECTION FEES.................................................................................................................. $42.00
• PERMITS FOR WHICH NO FEE IS SPECIFICALLY INDICATED........................................................... $37.00
• INSPECTIONS FOR WHICH NO FEE IS SPECIFICALLY INDICATED (1/2 HOUR MINIMUM)......................$42.00/HOUR
• ADDITIONAL PLAN REVIEW REQUIRED BY CHANGES, ADDITIONS, OR REVISIONS TO
APPROVEDPLANS ...... ............................................... ............... ................................................... $42.00/HOUR
• BUILDING PERMIT FEES FOR THE GRAPEVINE-COLLEYVILLE INDEPENDENT SCHOOL DISTRICT
SHALL BE 25% OF THE FEES ESTABLISHED IN THIS TABLE
• FOR USE OF OUTSIDE CONSULTANTS FOR PLAN CHECKING AND INSPECTIONS, OR BOTH......... ACTUAL COSTS**
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 CODES 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 FURTHER CERTIFY THAT ALL WORK THAT IS REQUIRED TO COMPLY WITH ANY FEDERAL, STATE, AND / OR
LOCAL LAW REGARDING ENERGY CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE LAWS,
AND THAT VERIFICATION OF ENERGY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST.
SIGNATURE OF CONTRACT O At AGENT PRINTED NAME
(OR HOMEOWNER FOR EOWNERS PERMITS)
PHONE #:% C' I EMAIL: /< t�
*OR THE TOTAL HOURLY COST TO THE JURISDICTION WHICHEVER IS GREATER.
**ACTUAL COSTS INCLUDE ADMINISTRATIVE AND OVERHEAD COSTS.
Development Services Department, Building Inspections
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165
Fax (817) 410-3012 *
O:\FORMS\DS APPLICATIONS - FEESWEP APPLICATION 4-11.doc
Guita McIlroy
From: Renee L. Minnfee < com>
Sent: Friday, February 09, 2018 10:39 AM
To: Don Dixson
Cc: Guita McIlroy; Vicki Hecko
Subject: Woodridge Nursing Rehab Remodel
Good Morning,
Tommy submitted his paper work and paid for the remodel at 1500 Autumn Dr. I have reviewed it and have approved
the remodel for this establishment.
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
Accountability. Quality. Innovation.
Q ti C1 110 [M
A healthier community through leadership in health strategy
* * * External email communication — Please use caution before clicking links and/or opening attachments * * *
QUESTPLM REPORT
M i c r o A n a I y t i c s
2530 Electronic Lane, Suite 712
Dallas, Texas 75220-1229 NVLAP Lab No. 200249
Tel 214.351.4441 TDH License No.30-0218
Client: TZ Contracting Request No.: 27637
Project: Woodridge Kitchen Report Date: 1/22/18
Project No.; Sample Date: 1/18/18
Identification: Polarized Light Microscopy/Dispersion Staining (PLM/DS)
Test Method: Method 40 CFR, Ch. 1, Part 763, Subpart F, Appendix A
On 1/18/18, four (4) bulk material samples were submitted by Tommy Murray of TZ Contracting
for PLM/DS analysis. The results are outlined below:
Client No. Sample Description Fibrous Components Asbestos Content
I1 Beige Floor Tile (A) with Yellow Mastic (B) JNone A) None Detected
B) None Detected
�2 White Paint (A) on Gray Ceiling Tile (B) B) 40% Cellulose A) None Detected
I 30% Perlite B) None Detected
20% Fiberglass
Wallboard: Light Green and White Paint B) 98% Cellulose A) None Detected
Layers (A), Tan Paper (B) and Pink Drywall C) 40% Gypsum B) None Detected
(C ) 10% Fiberglass C) None Detected
4 Wallboard: Light Blue Paint (A), White C) 98% Cellulose A) None Detected
_ Texture (B), Tan Paper (C ) and Pink D) 40% Gypsum B) None Detected
Drywall (D) 10% Fiberglass C) None Detected
ID) None Detected
The EPA test method for bulk analysis (EPA/600/R-93/116) states in paragraph 2.2.2. that "the detection limit for
visual estimation is a function of the quantity of the sample analyzed, the nature of matrix interference, sample
preparation, and fiber size and distribution. Asbestos may be detected in concentrations of less than one percent
by area if sufficient material is analvzed. Samples may contain fibers too small to be resolved by PLM (<0.25
micrometers in diameter) so detection of those fibers by this method may not be possible."
Samples are analyzed by layers, and percentages estimated visually during microscopic examination. Individual analysis
sheets available upon request. Results may not be reproduced except in full. This test report relates only to the samples
tested, and results must not be used to claim product endorsement by NVLAP or any agency of the U.S. Government.
Materials containing >1% asbestos are considered by the EPA to be asbestos containing materials, and must be handled as
such.
Analyst: Jennifer Jaber
Lab Director: Jennifer D. Jaber Approved Signatory
f E
� -9
c"/ t
Page 1 of 1 Lab Request No 27637
SUMMARY AND CHECKLIST TO BE COMPLETED BY PLANS EXAMINERS
ADDRESS DATE -
NEW CONSTRUCTION RENOVATION ALTERATION
ADDITION TENANT FINISH OUT HISTORIC
ZONING DISTRICT PERMITTED USE: YES t NO
CONDITIONAL USE: YES NO SPECIAL USE: YES NO
SITE PLAN: YES NO Z PERMIT #f® DATE -•
LOCATION ON PROPERTY
EXTERIOR WALL(S) RATING: NORTH HR EAST HR SOUTH HR WEST HR
LOCATION ON PROPERTY/DIST TO PROP LINE (FEET) N E S W
REQUIRED YES NO HR RATING HORIZ VERT
USE AND OCCUPANCY
OCCUPANCY CLASSIFICATION
Group Division
Group Division Group
Division
Group Division
Group Division Group
Division
Group Division
Group Division Group
Division
Fire Sprinkler YES _ NO —Required
YES _ NO—
O_Fire
FireAlarm YES _ NO _Required
YES _ NO
SPECIAL OCCUPANCIES
Special Occupancies Yes
No
Group Division
Group Division Group
Division
OCCUPANCY SEPARATIONS
REQUIRED YES NO
HR RATING HORIZ
VERT
NON -SEPARATED USES
YES NO SEPARATED USES YES NO
DEMISING WALL
PARTY WALL TENANT SEPARATION
MAXIMUM ALLOWABLE FLOOR AREA
Maximum Allowable Floor Area per Table + Area Increase +
sprinkler increase = TOTAL ALLOWABLE AREA
MAXIMUM ALLOWABLE BUILDING HEIGHTNA
Maximum Allowable Height per Table +Story Increase + sprinkler
increase =
INCREASES Frontage Sprinklers Unlimited Area
NUMBER OF STORIES:
Type of Construction:
SEPARATED USES
CONSTRUCTION TYPE
LII�I 0 IIII_1
Type IA Type IB Type IIA Type IIB Type IIIA
Type IIIB Type IV — Heavy Timber Type VA Type VB
Protected: Unprotected:
FIRE RESISTIVE CONSTRUCTION
Required: Yes No FW— FB Shaft
Openings Opening Area Allowed Per Table Rated Opening_
FIRE WALL FIRE BARRIER SMOKE PARTITION
OCCU PANT LOAD
TOTAL SQUARE FOOTAGE
SQUARE FOOTAGE OF USE /OCCUPANT LOAD FACTOR = OCCUPANT LOAD FOR BUILDING
Group Division / _
Group Division
Group Division
Group Division
Group Division
Length of pews/benches
# of Fixed Seating # of Booths
TOTAL OCCUPANT LOAD
=
EXITING
AT GRADE:
Number of Exits Required Number of Exits Provided
st t�
Total Exit Width Required Total Exit Width Provided f
OTHER FLOORS: CONVERGENCE: Al ZA
Number of Exits Required Number of Exits Provided
Total Exit Width Required Total Exit Width Provided
OCCUPIED ROOFS: 914
Number of Exits Required Number of Exits Provided
Total Exit Width Required Total Exit Width Provided
Correct Placement % Diagonal served 1/3 Diagonal Served
Correct Swing of Exit Doors Door Landings Length Width
Hardware: Panic or Fire Exit Accessible N/A
Travel Distance Common Path Occupancy Type
Stairs Yes No ,-� Rise/Run Rails Guards Landing
Rated Shaft _ Rated Openings Penetrations Width Height
INTERIOR ENVIRONMENT
Floor/Wall Coverings: Flame -spread Smoke Index
RESTROOMS
Impervious Flo rf overings: Yes No _ Impervious Wall Coverings: Yes No
REQUIRED SPECIAL INSPECTIONS
Steel Welding High-strength bolts Details Concrete Materials
Masonry Wood
Soils
Pile foundations
Pier foundations Sprayed fire-
resistant materials
Density _
Bond strength
Mastic and intumescent fire-resistant
coatings Exterior insulation and finish systems (EIFS) Special inspection for smoke control
GP
Other Notes: ~21140920WA41 14VZ9
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