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HomeMy WebLinkAboutCO2016-0603 UNDER CONSTRUCTION V CORRECTION LETTER PW OR LD NEEDED_ TD NO LETTER_ WAITING FIRE HOLD C/O CHECK LIST C/O PERMIT # P16 - 66,62 ADDRESS: �5 / S� BUSINESS NAME: I;o%�,z✓/�1 D, BUSINESS/ ROPERTY l CHANGE NAME /OWNER ✓NEWCONST/ADDITION PERMIT#101-06-96 NEW TENANT/OCCUPANT - REMODEL/ALTERATION PERMIT# SEP'T 2016 ISSUE DATE lot /1. APPLICATION FORM COMPLETED FINALDATE V 2. ZONING MAP COPIED & WORKORDER FORM COMPLETED 3. ZONING CHECKED & COMPLETED ON APPLICATION y 4. BUILDING INSPECTION SCHEDULED DATE/!� <j TIME 5. FIRE DEPT. INSPECTION SCHEDULED DATE /f/-/ TIME FIRE INSPECTOR: 6. CITY SECRETARY(ALCOHOL) NOTIFICATION DATE: 7. HEALTH INSPECTION NOTIFICATION DATE: ✓f 8. - PUBLIC WORKS INSPECTION E-MAIL DATE Y 9. LOT DRAINAGE INSPECTION E-MAIL DATE 10. CORRECTION LETTER SENT DATE 11. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO FIRE DEPARTMENTS SIGN OFF / LETTER: YES / NO 13. HEALTH DEPARTMENT SIGN OFF 14. CITY SECRETARY(Alcohol License Sign Off) �15. PUBLIC WORKS SIGN OFF 16. LOT DRAINAGE SIGN OFF 7. LANDSCAPING SIGN OFF 18. BUILDING OFFICIALS SIGNATURE �19. C/O ISSUED ELECTRIC RELEASED: nEC 4 mig SCANNED: * CONDITIONS TO BE TYPED ON C/O? YES/ NO MAILED: 0 TORMSMSCOINFORMATIONIOKLIST 1&301091 8-1101 N15 "BBB ��tE 1 DATE OF ISSUANCE: 4 PERMIT#:_ i6 6L 03 CERTIFICATE OF OCCUPANCY REQUEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS A//SSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT ADDRESS OF OCCUPANCY: 3�� f L A-Z` SUIITE# LOT: / BLOCK:/ SUBDIVISION: M,�),RRJ,5iA) A1) /7700 ""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION"" NAME OF BUSINESS: SALL/S-OXJ NEW OCCUPANT: YES NO NEW BUILDING/PROPERTY OWNER: YES NO NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE: YES NO�G NUMBER OF EMPLOYEES: .9 FREIGHT FORWARDING: YES NO NEW BUSINESS OWNER: YES NO TYPE OF BUSINESS: F'/1J4Fj�/,4, P<t}! �Sle Sr SQUARE FOOTAGE: !Z W (Example:Retail Clothing/Attorney's Office/Office-Warehou`s�e/R�1estaurant) NAME OF TENANT (Physical Name): �l F�SQJ1 ) CURRENT MAILING ADDRESS: ��1 f- nr-)7�z- CITY/STATE/ZIP: 1,c9x-"je�/—e-i k 7,S-0/5 PHONE NUMBER: i PROPERTY OWNER: ,iN"l C— MAILING ADDRESS:: `731 F CITY/STATE/ZIP: C flG Pi=- k �� PHONE NUMBER: • 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:/ • 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,DISPLAY,USE OR DINING----------------------- YES_ NOS • WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES/NO • IS BUILDING SPRINKLERED?------------------------------------------------------- YES_NOY� • WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS? (if yes,provide list of types&quantities,along with material safety data sheets)----------------------YES_NO Y I HEREBY CERTIFY THAT THE FOREGOING 1S CORRECT TO THE BEST OF MY KNOWLEDGE AND THE SAID OCCUPANCY IS IN CONFORMANCE WITH THE INFORMATION HEREIN SET FORTH. (If access to the build/11,�LL ce is not provided at the time of the scheduled inspection,a$42.00 re-inspection fee will be charged) FOR QUESTIONS PL / (817)4103165. SIGNATURE: // ,�1 PRINT NAME: 0��PHONE#: 2/4 s1✓ L— EMAIL: J I (OVER) Development Services Department The City of Grapevine*P.O.Box 95104* Grapevine,Texas 76099*(817)410-3165 Fax(817)410-3012*www.grapevinetexas.gov 0:F0aMS10SAPPLICAn0NSIC1 3/2L20018tev:5/08,2/B1,a/89,2119,i1H6 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 applies to my business. Texas Sales Tax Number: xYi"y'° n Signature: WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED? ADDRESS: CITY,STATE, ZIP: OFFICE USE ONLY************************x**** TYPE OF CONSTRUCTION: :S P-). OCCUPANCY: DIVISION: ZONING DISTRICT: ,e – CONDITIONAL USE: PERMITTED USE: t4 — / BUILDING DEPARTMENT: ATE: ,Z( /fQ i 14 r. ZONING APPROVAL: DATE: �G FIRE DEPARTMENT: < <c Q/L. G� ' DATE: rJ �OJ LOT DRAINAGE INSPECTION: DATE: PUBLIC WORKS DEPARTMENT: DATE: I2lJ y�/ HEALTH DEPARTMENT: DATE: CITY SECRETARY: DATE: LANDSCAPING APPROVAL: DATE: APPROVAL FOR ISSUANCE: DATE: O:FORMMSAPPLICATIONSIC/ 312212001/Rev:5106,210],9/09,2/13,11/15 CERTIFICATE OF OCCUPANCY Issue Date:December 14,2018 PROJECT DESCRIPTION:C/O[Professional Office]"Jackson Benefits'[Bldg 16-0580] 5 PROJECT# (817)410-3010 wwW.mygov.us CO-16-0603 Inspections Permits City of Grapevine LOCATION TENANT LEGAL P.O.Box 315 E Wall St. Jackson Benefits Morrison Addition Blk 1 Lot 1 TX Grapevine,,TX 76099 Grapevine,TX 76051 (817)410-3165 Voice (817)410-3012 Fax CONTRACTOR INFORMATION Neal Cooper *CONSTRUCTION TYPE VB 431 E.Bethel School Rd. *OCCUPANCY GROUP B Coppell,TX 75019 *ZONING DISTRICT HC (214)435-4502 Phone "*NAME OF BUSINESS Jackson Benefits Heal @nealcooper.org *'TYPE OF BUSINESS Professional Office OWNER **APPLfCANT NAME Neal Cooper The Lannie Dwayne Jackson Livi **APPLICANT PHONE NUMBER 214-435-4502 431 E Bethel School Rd **TENANT NAME Lannie Jackson Coppell,TX 75019 **TENANT PHONE NUMBER 972-841-1770 AVAILABLE INSPECTIONS *Sales Tax NO Final Public Works Inspection(required) *Sales Tax Number Lot Drainage Inspection(required) t Final Building C/O Inspection(required) Alcoholic Beverage Sales NO Final Fire Dept Inspection(required) Alterations YES w Landscaping(required) Change of Business Name NO C/O APPROVED FOR ISSUANCE (required) 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 3 Outside Refuse/Recycling NO Outside Storage NO Overlay HL-Historic Landmark Subdistrict Signs NO Square Footage 1285 Zoning HC-Highway Commercial READ AND SIGN 1 HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THE SAID OCCUPANCY IS IN CONFORMANCE MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-16-06031 Panted 12/17/16 at 9:31 a.m. Page 1 of 3 aoS RONNIE MEMO ramVIM11MMI ilia VA iml ®s LM ,mgm ors r� IN,IMN MAN aoc,sssw A 0 ®� -`I — �l � u ] .^^ S a o C Gt wgtri\ I\ � � � r• 4, t t Crays � EM i� IW 911ot� 11 �fI eve. I ► ice _ �E ail pie .�. �saa©oos e��©�e_0� eooQell�ad���►s� arms LMON CERTIFICATE OF OCCUPANCY WORKORDER PERMIT # 16 - d l lJ ADDRESS OF INSPECTION: DATE OF INSPECTION: _ TIME OF INSPECTION: NAME OF BUSINESS: TYPE OF BUSINESS: USE OF BUILDING AND/OR PREMISES: REASON FOR APPLYING: CONTACT PERSON: TELEPHONE NUMBER: � - COMMENTS/VIOLATIONS: **TO BE FILLED OUT BY BUILDING OFFICIAL** ZONING DISTRICT OF INSPECTION LOCATION: TYPE OF BUILDING: 3 r2faS GROUP AND DIVISION: (]� ZONING RESTRICTIONS: O.FORMS OSMINPORMATION WORKOROER 12 A N Rn-1 19 2006 _. - — - SW 1-1 ,�I�.- �Y •tires ---\ei` �r `.'_'O. 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