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HomeMy WebLinkAboutBANNE2017-3033 DATE OF ISSUANCE: R viF. l ! AUG 1 o zo.,,e T is,' + �s PERMIT#: BUILDING PERMIT APPLICATION (PLEASE PRINT LEGIBLY—COMPLETE ENTIRE FORM) JOB ADDRESS: �Q (�� (() C;� + /(` Dr. SUITE # LOT: BLOCK: SUBDIVISION: BUILDING CONTRACTOR(company name): 1' �c a "y" F ► Q CURRENT MAILING_ADDRESS I GN L' r CITY/STATE/ZIP: 'r,4 i`®� �'� �d?c,,r!� �©� PH:# Fax# PROPERTY OWNER: ±'�j ,'J IZI?7`L�'�i�(`p Hc-111 �Q �'C' Cr U. CURRENT MAILING ADDRESS:(9M jx)�1^�'i 0\ ✓C CITY/STATE/ZIP: Tf- 1 Z{2— PHONE NUMBER PROJECT VALUE: $ 1 Q0 FIRE SPRINKLERED? YES NO WHAT TRADES WILL BE NEEDED?(Check ones that apply- ELECTRIC PLUMBING MECHANICAL DESCRIPTION OF WORK TO BE DONE: N+C'ma Q 'K 4 USE OF BUILDING OR STRUCTURE: ( Sr; 1 4.` NAME OF BUSINESS: 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, alterations and additions) ❑ I hereby certify that plans have beeh'submitted to the Texas Department of Licensing and Regulation for Accessibility Review. Control 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 FL( ERMORE UNDERSTAND THAT PLANS AND SPECIFICATIONS ARE NOT REVIEWED FOR HANDICAPPED ACCESSI BILITY BY HE CITY,AND THAT THE DESIGN PROFESSIONAL/OWNER IS RESPONSIBLE FOR OBTAINING SUCH APPROVAL FROM THE PPROPRIATE STATE AND OR FEDERAL A , Y(S), f PRINT NAME: P °Qw SIGNATURE PHONE#: �`l (v�l _ S� EMAIL: ❑ CHECK BOX IF PREFERRED TO BE CONTACTED BY E-MAIL THE FOLLOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT Construction T e: \12 Permit Valuation: $ )040 •00 Setbacks Approval to Issue Occupancy Group: (J Fire Sprinkler: YES " NO ^ Front: — Electrical — Division: Building Depth: .2 o' Left: _ Plumbing Zoning: C. G Building Width: 4b Rear: — Mechanical Occupancy Load: Right: Plan Review A royal: Date: '9•1 '17 Building Permit Fee: CIO Site Plan Approval: Date: Plan Review Fee: re D artment: Ma vl-4 Ma* .S Date: 'F•11' 17 Lot Drainage Fee: ekvl Public Works Department: Date: Sewer Availability Rate: Health Department: Date: Water Availability Rate: Approved for Permit: Date: fe -1 1 . 11 Total Fees: Lot Drainage Submitted: Approved: Total Amount Due: P.O.60%95104,GRAPEVINE,TX 76099(817)410-3165 O:FORMSIOSPER S 1102-Rev.11�5106,2 9,M71 _ w v rr O Z n, LL 0 * �!J J * Q C� a U T- .. H cU) on- U) * ~ U Z U « a O * o LJ du LL t - 0 , WPOP mow/ V li cra m - z � uj � < CL U) = � < 3: , UA LD c„ C r. . CL > LLJ < < EMI >_ U t 4000 Q J �— �: 0 <t (YI r,n a p O R r l ,4Ut r '- $ un - r � d Q C """ � � ++ � � C y 0. Ei Ei m di "` _ 31 am L� IMP CD o ., z . IL 10 112" Fo ZZ � too s cu 0 ' 3 LL TJ„ *' N $ to tm co E id es t 0 a U < .0 w CD s Wes.. V ® � •rvi � , p w► CL 4) Ask E t`°v A UV