HomeMy WebLinkAboutCO2018-4107 UNDER CONSTRUCTION _
CORRECTION LETTER_
PW OR LID NEEDED _
TD NO LETTER
WAITING FIRE _
HOLD_
CODE
C/O CHECK LIST
C/O PERMIT # P18 - '�/0 7
ADDRESS: /D�5�� /ryry�i�/� /%z�� /✓)o /� C�
BUSINESS NAME:
BUSINESS/PROPERTY
_ CHANGE NAME / OWNER _ NEW CONST/ADDITION PERMIT#
NEW TENANT/ OCCUPANT REMODEL/ALTERATION PERMIT#
ISSUE DATE FINAL DATE
//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 FIRE)
4. FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE
– 5. ZONING CHECKED & COMPLETED ON APPLICATION
6. BUILDING INSPECTION SCHEDULED DATE Ilt" TIME
7. FIRE DEPT. INSPECTION SCHEDULED DATE TIME
FIRE INSPECTOR:
r
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
-/13. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO
— 14. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO
15. HEALTH DEPARTMENT SIGN OFF
--' 16. CITY SECRETARY(Alcohol License Sign Off)
117. PUBLIC WORKS SIGN OFF
18. LOT DRAINAGE SIGN OFF
VVV/ 19. LANDSCAPING SIGN OFF
✓ 20. BUILDING OFFICIALS SIGNATURE p
21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: NOV 2018
SCAN CERTIFICATE TO MYGOV:
* CONDITIONS TO BE TYPED ON C/O? YES/ NO MAILED:
01 FORMSMSCOINFORMATIONICKLIST
1213CM41 Re,l1111.1 iV 5.5118
DATE OF ISSUANCE: 11-6-18
GRAD VV71NE ,�J �7 Uc� 7 rt `NIS T t; PERMIT#: /d " 110
(J r7 V
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITH ANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: 1,6 U_5Z- I eXr - 't+ SUITE#_�M
LOT: BLOCK: SUBDIVISION: Ai
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUE WITHOUT LEGAL DE RIPTION****
NAME OF BUSINESS: CA 2arti (.cam'g ituLo
NEW OCCUPANT: YES_NO NEW BUILDING/PROPERTY OWNER: YES NO
NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO
NEW BUSINESS OWNER: YES NO TYPE OF BUSINESS: VOtIo2t t SQUARE FOOTAGE: 4e SUD
(Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restaurant)
NAME OF TENANT [PERSON'S NAME:
CURRENT MAILING ADDRESS:
CITY/STATE/ZIP: PHONE NUMBER:
PROPERTY OWNER": ProkiM
MAILING ADDRESS: /���Z( {MC W U ( -t-1-tog) Q
CITY/STATE/ZIP: ► PHONE NUMBER: 97a —�a -�z 9Z
♦ 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 }C
♦ 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(including storage of company/fleet vehicles),DISPLAY,
USEOR DINING?------------------------------------------------------------------ YES_NO
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES NO
♦ IS BUILDING SPRINKLERED? ------------------------------------------------------- YES C 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�1_
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 C 817)410-3165.
SIGNATURE: ` 7 PRINT NAME: cJ�bs l nCC P� W i �L✓C%
PHONE#: 9— l J EMAIL:
(OVER)
Development Services Department
The City of Grapevine*P.O.Box 95104 * Grapevine,Texas 76099 * (817)410-3165
Fax(817)410-3012 *Www.¢rapevinetexas.eov
O:FORMSMAPPLICATIONS\CI
3/22/2001/Rev:5/06,2107,4109,2113,11/15,10116,8/16
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 to my business.
Texas Sales T c Number: A— f
Signature:
WHERE- OU WAN OUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS:
CITY,STATE, ZIP:
*** *** ** ** * **** //�* *FOR OFFICE USE
TYPE OF CONSTRUCTION/: /l� OCCUPANCY: ko Ale— DIVISION:
ZONING DISTRICT: L CONDITIONAL USE: N�A
PERMITTED USE: At
BUILDING DEPARTMENT: DATE:
BUILDING INSPECTOR: DATE: iD , S, tg
ZONING APPROVAL: DATE:
FIRE DEPARTMENT: DATE:
LOT DRAINAGE INSPECTION: DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTMENT: DATE:
CITY SECRETARY: DATE:
LANDSCAPING APPROV DATE:
APPROVAL FOR ISSUANCE DATE:
O:FORMSIDSAPPLICATIONSIC/
3122/2007/Rev:5106,2101,4/09,2/13,11115,10/16,8/18
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CERTIFICATE OF OCCUPANCY
WORKORDER.
PERMIT # 18 -4�/D 7
ADDRESS OF INSPECTION: /U�
DATE OF INSPECTION: // oZ vw TIME OF INSPECTION:
NAME OF BUSINESS:
TYPE OF BUSINESS:
USE OF BUILDING AND/OR PREMISES:
REASON FOR APPLYING: GXA�iA�
CONTACT PERSON:
TELEPHONE NUMBER( /p� ���—
COMMENTS/VIOLATIONS: A ZI4j,1;IZ ,/-k-';Ir rim yl-7-4 S
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**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: L.. /
TYPE OF BUILDING: OAZ IN,`5 GROUP AND DIVISION: r �/�DG✓
ZONING RESTRICTIONS:
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