HomeMy WebLinkAboutCO2018-2714 UNDER CONSTRUCTION
CORRECTION LETTER_
� p PW OR LD NEEDED
TD NO LETTER_
WAITING FIRE
OLD
CODE
C/O CHECK LIST
C/O PERMIT # P18 - n
ADDRESS:
BUSINESS NAME: 2:t'+1, i" 'a,e i-
BUSINESS/PROPERTY
CHANGE NAME / OWNER NEW CONST/ADDITION PERMIT#
NEW TENANT/OCCUPANT — REMODEL/ALTERATION PERMIT#
ISSUE DATE FINAL DATE
1. APPLICATION FORM COMPLETED
�. 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)
�. FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE
5. ZONING CHECKED & COMPLETED ON APPLICATION
6. BUILDING INSPECTION SCHEDULED DATE TIME
----f7. FIRE DEPT. INSPECTION SCHEDULED DATE TIME
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
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
18. LOT DRAINAGE SIGN OFF
19. LANDSCAPING SIGN OFF
20. BUILDING OFFICIALS SIGNATURE
21, C/O CERTIFICATE ISSUED ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOV:
CONDITIONS TO BE TYPED ON C/O? YES I NO MAILED:
O%FORMSOSCOINFORMATIONICHLIST
121501001 ReM Ill 1,11ll 5,5115
O Z�1E DATE OF ISSUANCE:
GRAPEVINE-
'p E, x A g PERMIT#:
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCL4TED WITH AN ACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: _ '�Cl�Q WA �SUITE# )� -DA0
LOT:�_BLOCK: SUBDIVISION: ls(L VQ7Q v:i•� d v l `t S
""*CERTIFICATE OF OCCU ANCY WILL NOT BE ISSUED WIT OUT LEGAL DESCRIPTION""*
NAME OF BUSINESS: �ol�
NEW OCCUPANT: YES NO NEW BUILDINGIPROPERTY OWNER: YES No k'
NEW BUILDING: YES_NO= NEW BUSINESS NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: _ FREIGHT FORWARDING: YES NO
NEW BUSINESS OWNER: YE5 NO r� C
TYPEOFBUSINESS: \Y�ct1cYY1G (�h r\ l f� SQUARE FOOTAGE: ILIX621. �T✓S{
(Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restaurant)
NAME OF TENANT [PERSON'S NAME]:
CURRENT MAILING ADDRESS; yr�l G C Y1 V 1 C p
CITY/STATE/ZIP: PHONE NUMBER: Y&9 Cr" VO— /76,
PROPERTY OWNER <
MAILING ADDRESS:
CITY/STATE/ZIP: � e � xo's rj(�t� PHONE BER: -!n
7Z -60(J- d Zol
♦ IS YOUR BUSINESS SUB CT 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 Y-
♦ 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_ NO
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES_NO�o
♦ 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 lto
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THE SAID T
OCCUPANCY IS IN CONFORMANCE WITH THE INFORMATION HEREIN SET FORTH.
(If access to the buildi g;�space is not provided at the time of the scheduled inspection,a$42.00 re-inspection fee will be charged)
FOR QUESTIONS PL ASE CALL 817)410-3165.
SIGNATURE: k)' PRINT NAME:
(OVER)
Development Services Department
The City of Grapevine* P.O.Box 95104 *Grapevine, Texas 76099*(8 17)410-3165
Fax(817)410-3012 * www.grapevinetexas.gov
0:FORNSMAPPLICATIONa1C/ -
312=001/Rev:5/06,747,N08,2/13,11/15,10/16 Y} Sot,
\ \ 4-&o
1
�M )-HN 1 � 1 AJ <' r.
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 mber: o o
Signature:
WH O OU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS: /-/,?/ C?U rYA V
CITY, STATE,ZIP: �Lc y u i ��� , /P XY Ls
OFFICE USE
TYPE OF CONSTRUCTION: fjQ/Z/ lLS OCCUPANCY: t�l DIVISION:
ZONING DISTRICT: s CONDITIONAL USE: ILL
PERMITTED USE:
BUILDING DEPARTMENT: DATE:
BUILDING INSPEC !*K' DATE:
ZONING APPROVAL: DATE:
FIRE DEPARTMENT: DATE:
LOT DRAINAGE INSPECTION: DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTMENT: DATE:
CITY SECRETARY: DATE:
LANDSCAPING APPROVAL: DATE:
APPROVAL FOR ISSUANCE: DATE:
O:FORnSOSAPPLICATIONSIC/
3122120011Rev:5106,210],4109,]!13,11 115,10116
CERTIFICATE OF OCCUPANCY
WORKORDERS Ft-°�oc),F
PERMIT # 18 - \_I 4 (� 4� ie z(-a(: ,isc3
ADDRESS OF INSPECTION: �JOUO C- � k�/ U o \t � s T'"w-wV ,
DATE OF INSPECTION: (�f TIME OF INSPECTION:
NAME OF BUSINESS: z
TYPE OF BUSINESS: ��}�� - _ v� S 2y- 4 k4-u h e p(ccc e mec\t
USE OF BUILDING AND/OR PRE``M''ISES:
REASON FOR APPLYING: )V e 1 L k le
CONTACT PERSON: L_Q0_\J W� 8e t/\.e c
TELEPHONE NUMBER: (vQ
COMMENTS/VIOLATIONS: /�/.�.co2f�•Fe� A1177. �6
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF/INSPECTION LOCATION: o
TYPE OF BUILDING: /1-e - SG*-/Af* S GROUP AND DIVISION:
ZONING RESTRICTIONS:
O.FORMS OSC0INFORMgTI0N WORKORDER
1130 04 Rcv_1'172006