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HomeMy WebLinkAboutSFRA2017-3872 OCT 112017 NOV 12 017 DATE OF ISSUANCE: PERMIT#: —�8 BUILDING PERMIT APPLICATION (PLEASE PRINT LEGIBLY—COMPLETE ENTIRE FORIM) JOB ADDRESS: 6(p I(t(( C-+- C/zWefl(rte t 7)v 1&03-1 SUITE# / LOT: I (° BLOCI{: SUBDIVISION: UQ-"T Vry bA"(1-S BUILDING CONTRACTOR(companynamel1): �W lNQt7 `Fwy CURRENT MAILING ADDRESS: ?�3 O L-" '' CITY/STATE/ZIP: CA/(D ((tD0 -,->6 PH:#91-"gk3'12 Of-ray # PROPERTY OWNER 5 e r Popov f , A U1t51-j-fi A Popov CURRENT MAILINGADDRESS: CITY/STATE/ZIP: C-i(�i,peUtive ( i7c �(00� � PHONENUMBER: j - wls PROJECT VALUE: ttry $ Y i, yCSU: "— FIRESPRINKLERED7 YES V NO WHAT TRADES WILL BE NEEDED?(Check ones amt apply)ELECTRIC—f PLUMBING ---- ME CHANICAC- DE SCRIPTION OF WORK TO BE DONE: W rti il a U)S (� USE OF BUILDING OR STRUCTURE: SI�j (L ff tv" y NAME OF BUSINESS: To�l Square Footage under roof., b3 Square Footage of alteration/addition: J r3 I hereby certify that plans have been reviewed and tile building will be inspected by a certified energy code inspector in accordance with State Law. Plan review and inspection documentation shall be made available tothe Building Department(required for new buildings, alterations and additions) ❑ Ihereby 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) ❑ 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 COMIYIERCIAL AND PUBLIC BUILDINGS) I hereby certify that the foregoing is correct to the best of my knowledge and all wm•kwill 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 a•authorize any violation of any code m•ordinance of the City Of Grapevine. I FURTHERMORE UNDERSTAND THAT PLANS AND SPECIFICATIONS ARE NOT REVIEWED FOR HANDICAPPED ACCESSIBILITYBY TBE CITY,AND THAT THE DESIGN PROFESSIONAVOWNERIS RESPONSIBLE FOR OBTAINING SUCH APPROVAL FROM THE APPROPRIATE STATE AND OR FEDERAL AGENCY(S). PRINT NAME: f tZ�� (t'�-(sxle(rf SIGNATURE PHONE M CI q1,1 3 EMAIL: U CHECK BOX IF PREFERRED TO BE CONTACTED BY E-MAIL THE FOLLOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT Construction Type: V Permit Vahiation: $ )q 060 •OD Setbacks I Approval to Issue Oconpiancy Grmi : R ' Fire Sprinkler: YES — NO — Front: Electrical Division: Building Depth: Left: Phunbing Zoning: - 7 S Building Width: Rear: Mechanical Occn anc Load: Right: Plan Review Appro ve1: Date: 10 • 1j,11 Building Permit Fee: I A- Site Plan Approval: Date: Plan Review Fee: Fire De artinent: Date: Lot Drainage Fee: Public Works De aitinent: Date: Sewer Availability Rate: Health Departinent: Date: Water Availability Rate: Approved for Permit: Date: 10•11. 11 Total Fees: Lot Drainage Submitted: Approved: Total Amount Due: P.O.BOx951".GILPEYP1E.U 7&%o@17)M03fts ofdel4rb kwMelMma1)OZ , CB 7,11N9,411 C°_C s8 rl,S( Lij C� LLI �-j - — £ g J_ O w ' I I � 3 CL z 3 z < a oz O o LL a J F �_ ) N• U �m• \m y p 2 n g z 0 o w w T CO El w W N W _ O J ❑ ` W ; z 0 p Q ¢ `✓co 0 O N Y 0 N J Q N _ J wLl� Vi Q z Q k LL Z w U O J O 2 �*, X w 4 < � a` * Lij * 9 Li Vi m z z r 0 v o o U' I ti x F ro w nJ ni 33 � q 3 Lo V1 d^ C9 tY7 m �'> `o Rf v N b V y N v LO co n co rn ° t' N m y Lo co n ro rn o w N w Q 00 Q cC tW r ru C6 f(j � O V / E % ` I t > � � � � � q . \ § ^ \ \ � c Li z : \ ( \ 2 ` \ / \ - L ( L / § ` @r ` : . _ > \ ƒ / ) § ( \ � / � 2 z ai ; a - ( \\\ \ y - / ° ` ° j8 � } § ; co 2 a - z n : \ � \ 2 Of 3 \ / \ \ z 0Jy2 , c ( $ : � / 3 / \ < ( ° © ( / 0 tu 99 � J C4.® � \ # 0 k » ^ / � � � 2k � & @ � e ; 7 & ® m © m ) t § ] § � � r « « e * = of C . f-I a G l9 ds � — oil �'uoaY, W06 5 9� � d S � 6g10 ojssgl�, pueS 1—�a a�O a314M�Ilo��� sJoloo elvilmv— sPY9N�v/•ek�aR7i9t SI Sa uR+�Ve9ddnss6uneU.. 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