HomeMy WebLinkAboutSFRA2018-4726 NAB �o � DATE OF ISSUANCE:
m e n s �lJ PERMIT#: -L) I a 6
BUILDING PERMIT APPLICATION
(PLEASE PRINT LEGIBLY-COMPLETE ENTIRE FORM)
JOB ADDRESS: LQ0Q"0r n—Ff 1 C C-CtQ2�-i n0 7(0GS) SUITE #
LOT: (p BLOCK: SUBDIVISION:Fa r r-<<
BUILDING CONTRACTOR(company name): M Le cp 4p^ r-cl '4R D M oa Ic �4 4*yu A)W 18
CURRENT MAILING ADDRESS: 128 1 1t7 C 1-4n -) Ock,-- U c ='I ) 1
/
CITY/STATE/ZIP:6 rLing}oin, Tu -71001S PH:#?II'1•LIyb•oaOB Fax#- �O
PROPERTY OWNER: bc; y I C� °t- 1 ,tln ctGC -r� I cese L
CURRENT MAILING^ADDRESS: 2-S --31 L J 9) 1O r n —jr (
CITY/STATE/ZIP: 2 1 fGt��Y Q 1 T,C 'I(QDS PHONE NUMBER: ! 1 • h$I . (o �] I
PROJECT VALUE: $ 201 ODO . 00 FIRE SPRINKLERED? YES NO
WHAT TRADES WILL BE NEEDED?(Check ones that apply)ELECTRIC ✓ PLUMBING_✓ MECHANICAL_
DESCRIPTION OF WORK TO BE DONE: ,i y ¢ r1 tjreci kc �lOp� -+ 1 r r+�1 rt t M o n 1
USE OF BUILDING OR STRUCTURE:
NAME OF BUSINESS:
Total Square Footage under roof: I b CC) S Square Footage of 94=W"dUti.: 2 Sb S
❑ 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 been 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 FURTHERMORE UNDERSTAND
THAT PLANS AND SPECIFICATIONS ARE NOT REVIEWED FOR HANDICAPPED ACCESSIBILITY BY THE CITY,AND THAT THE
DESIGN PROFESSIONAL/OWNER IS RESPONSIBLE FOR OBTAINING SUCH APPROV L F THE APPROPRIATE STATE AND
OR FEDERAL AGENCY(S). t
PRINT NAME: 0Z Ckl aP I N j��-f--L SIGNATURE
PHONE#: 4 b ' 0a10 l- EMAIL:
13 CHECK BOX IF PREFERRED TO BE CONTACTED BY E-MAIL
THE FOLLOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT
Construction Type: Permit Valuation: $ Setbacks Approval to Issue
Occupant Group: Fire Sprinkler: YES NO Front: Electrical
Division: Building Depth: Left: Plumbing
Zoning: Building Width: Rear: Mechanical
Occupancy Load: Right:
Plan Review Approval: Date: Building Pennit Fee: a
Site Plan Approval: Date: Plan Review Fee:
Fire Department: Date: Lot Drainage Fee:
Public Works Department: Date: Sewer Availability Rate:
Health Department: Date: Water Availability Rate: --
Approved for Permit: Date: Total Fees:
Lot Drainage Submitted: Approved: Total Amount Due: a S
P.O.BOX 95104,GRTPEVINE.TX 76093(617)410-316$ OFORMSIDSPERMITFPPLIO IONS 104 .l lN4bI06,2j%9.4/11
Manda Pancholy
From:
Sent: Monday, January 7, 2019 9:07 AM
To: Don Dixson
Cc: Manda Pancholy; Kourtney Davis
Subject: Re: Permit#18-4726
After speaking with Manda this morning, we want to cancel this building permit request.
The scope of work is pulling and replacing the cabinets and countertops in the kitchen and laundry room only.
There is no other work in any other room or hallway, there is no building or construction work.
The electrician and plumber will pull permits for their work.
Let us know if there is any further information you need from us to cancel this permit request.
Kind regards,
Mike Medford, Sr.
Medford - Design - Build - Remodel
1281 W Green Oaks Blvd., Ste. 111
Arlington, TX 76013
817.446.0368
On Fri, Jan 4, 2019 at 4:03 PM Don Dixson < wrote:
The initial plan review was performed. Before the plan review may be completed; a complete floor
plan must be submitted showing the extent of the proposed remodel and addition's impact to the
existing floor plan/rooms for egress/emergency egress. Please call Manda Pancholy if you have any
questions at 817-410-3160.
Don Dixson, CBO
Assistant Building Official
t