HomeMy WebLinkAboutCO2018-3653 UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LID NEEDED _
TD NO LETTER
WAITING FIRE _
HOLD
CODE
C/O CHECK LIST
C/O PERMIT # P18 - 36 5-,z
ADDRESS: .2/L? A), A"-t
BUSINESS NAME:
BUSINESS/PROPERTY
CHANGE NAME / OWNER NEW CONST/ADDITION PERMIT#
- / NEW TENANT / OCCUPANT - REMODEL/ALTERATION PERMIT#
/ ISSUE DATE FINAL DATE
v/ 1. APPLICATION FORM COMPLETED
2. ZONING MAP COPIED & WORKORDER FORM COMPLETED
3. HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATE
(SCAN TO C/O IN MYGOV-IF LARGE SET,ALSO SCAN TO LF&FORWARD SET TO FARE)
4. FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE
–° 55. ZONING CHECKED & COMPLETED ON APPLICATION
6. BUILDING INSPECTION SCHEDULED DATE TIME
FIRE DEPT. INSPECTION SCHEDULED DATE -,j TIME ( 3�
FIRE INSPECTOR:
—� 8. CITY SECRETARY(ALCOHOL) NOTIFICATION DATE:
9. HEALTH INSPECTION NOTIFICATION DATE:
10. PUBLIC WORKS INSPECTION E-MAIL DATE
_— 11. LOT DRAINAGE INSPECTION E-MAIL DATE
12. CORRECTION LETTER SENT DATE
Tr . 13. BUILDING INSPECTORS SIGN OFF LETTER: YES / AtQ
v----14. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO
– 15. HEALTH DEPARTMENT SIGN OFF
—` 16. CITY SECRETARY(Alcohol License Sign Off)
17. PUBLIC WORKS SIGN OFF
18. LOT DRAINAGE SIGN OFF
19. LANDSCAPING SIGN OFF
0/20. BUILDING OFFICIALS SIGNATURE
1. C/O CERTIFICATE ISSUED ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOV:
CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED:
O\FORMS\OSCOINFORMATIOMCKLIST
* DATE OF ISSUANCE: OCT r7 12018
5 p 2 ?_018 GRA 'EVII-T
t' PERMIT#: /8 -15,,5 -3
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITH ANACTIVE CURRENT BUILDING PERMIT
ADDRES/St OF OCCUPANCY: 12-10 f ^ SUITE# j 0 C�
LOT: BLOCK: SUBDIVISION: b� kSlae- F&CG-'ion
""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION""
NAME OF BUSINESS: A rctgorl co To tDn
NEW OCCUPANT: YES_�NO NEW BUILDING/PROPERTY OWNER: YES NO
NEW BUILDING: YES NO�— NEW BUSINESS NAME CHANGE: YES NO X
NUMBER OF EMPLOYEES: cj FREIGHT FORWARDING: YES NO
f �
NEW BUSINESS OWNER: YES NO
TYPE OF BUSINESS: A rdk I+-e CTS D 4--j t✓ SQUARE FOOTAGE: 2. L) ZZ
(Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restaurant) T
NAME OF TENANT [PERSON'S NAME: KQt lk) LCrst
CURRENT MAILING ADDRESS: 29 Z-1 C0.r U I sI e- ��- * ``
CITY/STATE/ZIP: 1��1 aS ( ( V -7 S 2 Oy PHONE NUMBER 2 k —S 2(q _ O^I 31
PROPERTY OWNER: 544 d g Er p,� f LYE x [C
MAILING ADDRESS: z,3 3 S`7 77&"4
/Lo4
CITY/STATE/ZIP: -Dl} &4.a4 , PHONE NUMBER: _
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes,provide copy of Sales Tax Certificate)---- YES v_ NO
♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes,provide copy of Alcoholic Beverage Permit)-YES NO_
♦ 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 O_
♦ WILL THERE BE ANY OUTSIDE STORAGE(including storage of company/fleet vehicles),DISPLAY, \/
USE OR DINING?------------------------------------------------------------------ YES_ NO
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?_________________________ YES_NO
♦ IS BUILDING SPRINKLERED? ------------------------------------------------------- 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_NOK
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 542.00 re-inspection fee will be charged)
FOR QUESTIONS PL SE_CALL 817)410-3165.
SIGNATURE::,,���7�� PRINT NAM'E':
Development Services Department (OV )
The City of Grapevine *P.O.Box 95104*Grapevine,Texas 76099 *(817)410-3165
Fax (817)410-3012 * www.grai)evinetexas.gov
O:PORMSIOSAPPLICATIONSIC/
3/2212001/Rew 5/06,2/01,4/09,2/13,11/15,10/16
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 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: A
Signature: �.-it
WHERE DO YOU A \T]Y_OUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED'
ADDRESS: (3�
CITY, STATE, ZIP:
OFFICE USE
TYPE OF CONSTRUCTION: V)5 OCCUPANCY: -� DIVISION:
ZONING DISTRICT: � CONDITIONAL USE: 1C( /
PERMITTED USE:
BUILDING DEPARTMENT: DATE:
BUILDING INSPECTOR: DATE:
ZONING APPROVAL: DATE:
FIRE DEPARTMENT: �Cil /C, /l ✓ � DATE:
LOT DRAINAGE INSPECTION: DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTMENT: DATE:
CITY SECRETARY: DATE:
LANDSCAPING APPROVAL: lam. DATE: Lb/3(
(g
APPROVAL FOR ISSUANCE: DATE: 0 3/"l�/
O:FORMSIOSAP PLISATIONSIG
3122120011Rev:5106,2107,41K2113,11115,10N6
pA tria�ip CERTIFICATE OF OCCUPANCY
�llh� Y 117G. Issue Date:October 31,2018
a
PROJECT DESCRIPTION:C/O[Architect's Office]"Archon Corporation"
PROJECT# (817)410-3010 WWW.mygov.us
CO-18-3653 Inspections Permits
City of Grapevine
LOCATION TENANT LEGAL
Grapevine,,T TX 76099 or P
P.O.Box 210 Park Blvd. Archon Corporation Brookside Addition Blk 5 Lot 4
X
Suite#100
(817)410-3165 Voice I Grapevine,TX 76051
(817)410-3012 Fax
CONTRACTOR INFORMATION
Katie Wurst *CONSTRUCTION TYPE VB
2929 Carlisle St.,Ste.#130 *OCCUPANCY GROUP B
Dallas,TX 75204
*ZONING DISTRICT p0
(817)881-7886 Phone
**NAME OF BUSINESS Archon Corporation
OWNER **TYPE OF BUSINESS Architect's Office
Studemont Ltd **APPLICANT NAME Katie Wurst
13355 Noel Rd Ste 1770 **APPLICANT PHONE NUMBER 817-881-7886
Dallas,TX 75240-6829 **TENANT NAME Katie Wurst
AVAILABLE INSPECTIONS **TENANT PHONE NUMBER 817-881-7886
• Final Building C/O Inspection(required) *Sales Tax NO
• Final Fire Dept Inspection(required) *Sales Tax Number
• Landscaping(required)
C/O APPROVED FOR ISSUANCE Alcoholic Beverage Sales NO
(required) Alterations
NO
Change of Business Name NO
Change of Business Owner NO
County Tarrant
Fire Sprinkler System? YES
Freight Forwarding Business NO
Hazardous Material NO
Industrial Waste NO
New Building/Addition NO
New Building or Property Owner NO
New Occupant/Tenant YES
Number of Employees 5
Outside Refuse/Recycling NO
Outside Storage NO
Signs YES
Square Footage 2622
Zoning PO-Professional Office
FEES TOTAL=$50.00
Certificate of Occupancy $50.00
PAYMENTS TOTAL=$50.00
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-18-36531 Printed 11101/18 at 12:03 p.m. Page 1 of 3
Katie Wurst(CAD Applicant Information)
Check on 0912412018 ($50.00)
Note:CK#23218
READ AND SIGN
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 scheduled
inspection,a$42.00 re-inspection fee will be charged)
FOR QUESTIONS PLEASE CALL:(817)410-3165.
Signature Date
MYGOVAS City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-18-36531 Printed 11/0V18 at 12.03 p.m. Page 2 of 3
RF
A-1
(EfFORES'G
BE'
-0
Id-
TT
6-01 i
j
IT
K-
1�c
rr
44
ClErLN
100,
Lf
1v
011
bb
Z,V,".
a-9-
ic
B
af
0
T, A'
CIL! J
l�i
q
F T TT ------------
TT F
tt
Aw
lkl-N,;
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 18 -
ADDRESS OF INSPECTION: 2 L�2 22 . :ZL XlIIXJ
DATE OF INSPECTION: iej I K , TIME OF INSPECTION:
NAME OF BUSINESS: �11a
u
TYPE OF BUSINESS:
USE OF BUILDING AND/OR PREMISES: (}! Zt,
REASON FOR APPLYING:
CONTACT PERSON:
TELEPHONE NUMBER: 59/ k1-
COMMENTS/VIOLATIONS: /t/ra-r 4ppkoyto. �-4,�Qrys (,y 10v'60,1 ,
p
Y ass C.orrec-^a� . 1l� to.3�. �Ff
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: pd
TYPE OF BUILDING: \I-b GROUP AND DIVISION:
ZONING RESTRICTIONS:
O.FORMS OSCOINIORRIATION AOR AORDLR
12 M 04 Ru 1 17 2006
/) m
\ - / \
E x 2
\; k
\\d CD
f\£§ Q 2
/ \ _ § « a
L) / ) ) }
f2/ : 0
-\ = f | ) x
e .
ƒ U) ` \
U - ' \
^ E5
\ \\ � \\/ -
D _
LO
co
U • _ f \ \
( $ O> } W - -
\ ; ƒ \ \0 §
i - '=E U L ,
0 W % E ® .
o- k
° U \{\) -
\ . ` : /
�\) §
e u c /\ |)a/ / / \ }
\ ^ - 0
IL \
}E{ \ _ \ )
( /u ° - P (0
¥ EZ4f � t %CL am �)
� f \ 2 t5 \
\ \ (/ / gi0 : _ 7 \
3aaf 2 0 = = » o
# \ 5
\ ; f § / ) ( / \ {
4072
. § G a a \
{ . \ \
-- ---
.
{ . ,a . . . v � . . . « � . . -
Z\ d? . ? » . /` ? .