HomeMy WebLinkAboutCO2019-0170 UNDER CONSTRUCTION _
CORRECTION LETTER_
PW OR LD NEEDED _
TD NO LETTER_
WAITING FIRE_
HOLD _
CODE _
C/O CHECK LIST
C/O PERMIT # P19 - L/ 7 0
ADDRESS: /A q S. ICwh .S�
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
Z2. 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
V/ 5. ZONING CHECKED & COMPLETED ON APPLICATION r
6. BUILDING INSPECTION SCHEDULED DATE ! TIME (�
7. 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
LOT DRAINAGE SIGN OFF
19. LANDSCAPING SIGN OFF
�/20. BUILDING OFFICIALS SIGNATURE y
✓ 21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: d I
SCAN CERTIFICATE TO MYGOV:
CONDITIONS TO BE TYPED ON C/O? YES/NO MAILED:
0 TORMSMSCOwFOR.TIMCausr
1213ao4 A Re11 1111,1115,5118
GRAPEVINE, DATE OF ISSUANCE: r IV-1 `
JAN 14 2019 r 5 x A 8'& PERMIT#: 14-6170
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITHANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: 12 R S . M U ' SUITE#
LOT: � BLOCK: SUBDIVISION: Hclzlr /r6,4 cc' ,trr iu �
""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION""
NAME OF BUSINESS:
NEW OCCUPANT: YES_NO �1 WW BUILDING/PROPERTY OWNER: YES NO
NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE: YES NO Y
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO
'�%//11 "NEW.�.�BUSINESS OWNER: YES t�LLNO )<
TYPE OF BUSINESS: f t ( Guiw/� SQUARE FOOTAGE: -I Z i t
(Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restaurant)
NAME OF TENANT [PERSON'S NAME]:
CURRENT MAILING ADDRESS: ] Gov j_P,.a✓
CITY/STATE/ZIP: t o n.0 r�, 6 y I PHONE NUMBER: 1 a - (6 - $y '(
PROPERTY OWNER: —CL-k-,
G )n I
MAILING ADDRESS: I O rlo r toJ 1 -,,!� 5 e Z a U
CITY/STATE/ZIP: G-,nr.,,'rt T k -"'(11'7 l PHONE NUMBER: 17 r'16 � r f
I
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW?(if yes,provide copy of Sales Tax Certificate)---- YES_NO K
♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES?(if yes,provide copy of Alcoholic Beverage Permit)-YES_NO X_
♦ 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 K
♦ WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY?
(if yes,screening is required)----------------------------------------------------------- YES—NO Y
♦ WILL THERE BE ANY OUTSIDE STORAGE(including storage of company/Beet vehicles),DISPLAY,
USE OR DINING?------------------------------------------------------------------ YES NOk
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES—NO X
♦ IS BUILDING SPRINKLERED?------------------------------------------------------- YES X NO
♦ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
(if yes,provide list of types&quantities,along with material safety datasheets)----------------------YES NO
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 QUESTIOrwilL)r E C j.(&V)41.0 3165.
�s��
SIGNATURE: PRINT NAME: Cl-/4
rn-/. , / c
PHONE#: ( 7- Y �� EMAIL: �
Development Services Department
The City of Grapevine *P.O.Box 95104 * Grapevine,Texas 76099 *(817)410-3165
Fax(817)410-3012 SIP www.gWevinetexas.gov
O:FORMSIDSAPPLICATIONMI
3122I20011Rev:5/06,2109,M08,2/13,11/15,10/16,8118
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 applies to my business.
Texas Sales Tax Number: `
Signature:
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS:
CITY, STATE,ZIP:
OFFICE USE
ONLYx �/4�e/
TYPE OF CONSTRUCTION: I ^� .S'�21A(�li OCCUPANCY: omr_- DIVISION:
ZONING DISTRICT: ci+1 sv� CONDITIONAL USE: ,/1/4
PERMITTED USE:
BUILDING DEPARTMENT: DATE:
BUILDING INSPECTOR: DATE:
ZONING APPROVAL: DATE:
FIRE DEPARTMENT: DATE:
LOT DRAINAGE INSPECTION: DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTMENT: DATE:
CITY SECRETARY: DATE:
LANDSCAPING APPROVA DATE: �1
1
APPROVAL FOR ISSUANCE L
0:FORMSIDSAPPLICATIONSICI
3122120011Rev:5106,V07,M09,2113,11115,10116,8118
{ i�? CERTIFICATE OF OCCUPANCY
Issue Date:January 18,2019
PROJECT DESCRIPTION:C/O Clean&Show
i
a i PROJECT# (817)410-3010 www.mygov.us
CO-19-0170 Inspections Permits
City of Grapevine
LOCATION TENANT LEGAL
P.O.Box 129 S Main St. Clean&Show Hazlewood Commercial Bldg
Grapevine,,T TX X 76099 g
Suite#130 Addition Elk 1 Lot 1
(817)410-3165 Voice Grapevine,TX 76051 No.946Archibald F Leonard
(817)410-3012 Fax
Survey Tr 7
CONTRACTOR INFORMATION
David Thompson *CONSTRUCTION TYPE IIB Sprinklered
3457 Ringsby Ct. Unit 200
'OCCUPANCY GROUP N/A
Denver, CO 80216 *ZONING DISTRICT CBD
(817)416-4844 Phone
"NAME OF BUSINESS Vacant
OWNER "TYPE OF BUSINESS Clean&Show
Chateau Group I Ltd **APPLICANT NAME David Thompson
1000 Texan Tr Ste 200 **APPLICANT PHONE NUMBER 817-4164844
Grapevine,TX 76051-3777 **TENANT NAME Vacant
ph. (817)416-4844
"TENANT PHONE NUMBER 000-000-0000
AVAILABLE INSPECTIONS *Sales Tax NO
� Final Building C/O Inspection(required) *Sales Tax Number
� Landscaping(required)
. C/O APPROVED FOR ISSUANCE Alcoholic Beverage Sales NO
(required) Alterations NO
Change of Business Name NO
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 NO
Number of Employees
Outside Refuse/Recycling NO
Outside Storage NO
Overlay HL-Historic Landmark Subdistrict
Signs NO
Square Footage 4234
Zoning CBD-Central Business District
FEES TOTAL=$50.00
Certificate of Occupancy $50.00
MYGOVAS City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-19-01701 Printed 01/18/19 at 4:27 p.m. Page 1 of 3
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 19 -
ADDRESS OF INSPECTION: I.A q -5
DATE OF INSPECTION: /�4,42aZ 9 TIME OF INSPECTION:
T
NAME OF BUSINESS:
TYPE OF BUSINESS: 1�Q
USE OF BUILDING AND/OR PRE//MISnES:
REASON FOR APPLYING:
CONTACT PERSON: A
TELEPHONE NUMBER: 7
COMMENTS/VIOLATIONS: A�0 VIOL.4rio4i AbS9Av,9 /114,19
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION:
TYPE OF BUILDING: 11-15 Sxgmly 5 GROUP AND DIVISION: p�(O[/� �IEA�✓ �lffot rJ
ZONING RESTRICTIONS:
O-FORNIS OSCOINFORMATJON R'ORKORDER
I-311 M" 1 1111106