HomeMy WebLinkAboutCO2018-4105 UNDER CONSTRUCTION _
CORRECTION LETTER_
PW OR LID NEEDED _
TD NO LETTER_
WAITING FIRE_
HOLD _
CODE _
C/O CHECK LIST
C/O PERMIT # P18 -
ADDRESS: l l 3 '7 5 . a.r St
BUSINESS NAME: �; , de, z
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
V_/6. BUILDING INSPECTION SCHEDULED DATE I3 TIME
7. FIRE DEPT. INSPECTION SCHEDULED DATE e Z,5 TIME SLyv�_
FIRE INSPECTOR: �_Cl)Yyi tT1i
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)
17. PUBLIC WORKS SIGN OFF
8. LOT DRAINAGE SIGN OFF
19. LANDSCAPING SIGN OFF
20. BUILDING OFFICIALS SIGNATURE q� ry p
21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: NO y�) 1 4 2018
SCAN CERTIFICATE TO MYGOV:
CONDITIONS TO BE TYPED ON C/O? YES/ NO MAILED:
OA FORMS\OSCOINFORMATIOMCKLIST
12I30104ARev.11N1,11116.5118
OCT 3 0 2018 �j �i �1�15 I S
T e: X A 81 PERMIT#: I X'7 U ID
Tj
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITHANAyCTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: 11.5 7 Sr, YIin S�, 6llr&wjyy Y, 7100 51 SUITE# 6f 14
LOT: A3 BLOCK:�_ SUBDIVISION: 1�t4 III tAl-' QY)IV (MetO
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUEDD WITHOUT LEGAL DESCRIPTION****
NAME OF BUSINESS: e , yletiaem
NEW OCCUPANT: YES X NO i INEW BUILDING/PROPERTY OWNER: YES NO
NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: 4- FREIGHT FORWARDING: YES NO
NEW BUSINESS OWNER: YES NO
TYPE OF BUSINESS: DM(2 lr�t�e�lJYiyrt�C d SQUARE FOOTAGE: j4jLb
(Example:Retail Clothing/Attorney's Office/Office-warehonse/Ry�e {/, ant)
NAME OF TENANT [PERSON'S NAME]: Ash K(TA Y\A6iirAr / 1-AiM Arf fL
CURRENT MAILING ADDRESS: l f/S1 Qp(♦♦' l-Vym b"as,'Y 11- O G 10 l0
CITY/STATE/ZIP: -Fl* %o/yA , TX -10lJ-V+ PHONE NUMBER: 7774 3er
PROPERTY OWNER: (ria2lytn * Savv( L6mb ^ p-/4 btAnq TrVt-
MAILINGADDRESS: ;A('00 olyn n St. U
CITY/STATE/ZIP: ; Qki b,ec, I CIS a�1 b�O PHONE NUMBER: J3(} _ L33
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW?(if yes,provide copy of Sales Tax Certificate)---- YES_NO X
♦ 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 X NO_
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM?------YES_NO X
♦ WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY?
(if yes,screening is required)----------------------------------------------------------- YES NO X
♦ WILL THERE BE ANY OUTSIDE STORAGE(including storage of company/fleet vehicles),DISPLAY,
USE OR DINING?------------------------------------------------------------------ YES NO X
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES NOT
♦ 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_NO �f
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 PL (817)410-3165.
SIGNATURE: �C- PRINT NAME: L""W I T-A -M EERTA
PHONE#: 734- -250 Q799 EMAIL:
(OVER)
Development Services Department
The City of Grapevine *P.O.Box 95104* Grapevine,Texas 76099* (817)410-3165
Fax(817)410-3012 *unvw.erapevin wxas.eov
O:FORMSIOSAPPI ICATIONST/
4/22/2001/Rev:5/066,2/07,U09,2/15,1111S,10116,611B
TEXAS SALES TAX
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/napplies to my business.
Texas Sales Tax Numb :
Signature ��� ._.
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS:_ I 75'�T M�tr(64C LA
CITY, STATE, ZIP: -VV4--Wad 1 TX -707-44-
OFFICE USE
TYPE OF CONSTRUCTION: OCCUPANCY: 4!3 DIVISION:
ZONING DISTRICT: P� CONDITIONAL USE: A
�/ VA
PERMITTED USE: f X
BUILDING DEPARTMENT: DATE: -�fpp/-,�/f�
BUILDING INSPECTOR: DATE:
ZONING APPROVAL: y DATE: /
FIRE DEPARTMENT: 'Q �' 417YVh,.r,,,7? _ DATE:
U LOT DRAINAGE INSPECTION: DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTMENT: DATE:
CITY SECRETARY: DATE:
LANDSCAPING APPROVAL: u DATE:
APPROVAL FOR ISSUANCE: DATE:
O:FORMSIOSAPPLICATIONS\C!
31221200VRac 5106,210T,d105,2113,11115,10116,8RB
CERTIFICATE OF OCCUPANCY
' Issue Date:November 15,2018
PROJECT DESCRIPTION:C/O[Home Care Private Duty-Office]"Innovative Aging Concepts,LLC dba
Senior Helpers"
° PROJECT# (817)410-3010 www-mygov.us
CO-18-4105 Inspections Permits
City of Grapevine
P.O.Box 95104 LOCATION TENANT LEGAL
Grapevine,TX 76099 1137 S Main St. Innovative Aging Concepts, By Invitation Only Condo Blk
(817)410-3165 Voice Grapevine,TX 76051 LLC dba Senior Helpers B Lot B2
(817)410-3012 Fax 7.62%Common Area
7.62%Common Area
CONTRACTOR INFORMATION
Nikita Mehta 'CONSTRUCTION TYPE VB
11757 Marlette Ln. .OCCUPANCY GROUP B
Fort Worth,TX 76244 t ZONING DISTRICT PO
(734)306-0789 Phone
"NAME OF BUSINESS Innovative Aging Concepts, LLC Senior
OWNER Helpers
Laub Carolyn N&Sam Edward 20 "TYPE OF BUSINESS In Home Care
3460 Ullman St "APPLICANT NAME Nikita Mehta
San Diego, CA 92106 "APPLICANT PHONE NUMBER 734-306-0789
AVAILABLE INSPECTIONS "'TENANT NAME Nikita Mehra
Final Building C/O Inspection (required) "TENANT PHONE NUMBER 734-306-0789
� Final Fire Dept Inspection (required) "Sales Tax NO
Landscaping (required) 'Sales Tax Number
� C/O APPROVED FOR ISSUANCE
(required) Alcoholic Beverage Sales NO
Alterations NO
Change of Business Name NO
Change of Business Owner NO
County Tarrant
Fire Sprinkler System? NO
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 4
Outside Refuse/Recycling NO
Outside Storage NO
Signs YES
Square Footage 1416
Zoning PO-Professional Office
FEES TOTAL=$50.00
Certificate of Occupancy $50.00
MYGW.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-18-41051 Printed 11/15118 at 10:28 a.m. Page 1 of 3
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 18 —X11)
ADDRESS OF INSPECTION: zzz 7 c:2
DATE OF INSPECTION: �� � 1} TIME OFF INSPECT"ION: •�j'it
NAME OF BUSINESS:
TYPE OF BUSINESS: �Y _-�� ���, n> e&,
USE OF BUILDING AND/OR PREMISES:
REASON FOR APPLYING:
CONTACT PERSON:
TELEPHONE NUMBER:
COMME TSNIOLATIONS:
are
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF`INSPECTION LOCATION: PCB
TYPE OF BUILDING: o/ GROUP AND DIVISION:
ZONING RESTRICTIONS:
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