HomeMy WebLinkAboutCO2019-0116 UNDER CONSTRUCTION _
CORRECTION LETTER
PW OR LD NEEDED_
TD NO LETTER_
WAITING FIRE
HOLD_
CODE _
C/O CHECK LIST
C/O PERMIT # P19 - �p n
ADDRESS: ac l.i i 1 \ Ccll1 l�- \ c��� \'Ve , 4t:7�CC)
BUSINESS NAME: R E FAN E L =C o,t
BUSINESS PROPERTY
CHANGE NAME / OWNER _ NEW CONST/ADDITION PERMIT #
./ NEW TENANT/OCCUPANT _ REMODEL/ALTERATION PERMIT#
ISSUE DATE FINAL DATE
L 1. APPLICATION FORM COMPLETED
✓ 2. ZONING MAP COPIED &WORKORDER FORM COMPLETED
�. 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)
L 4. FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE
5. ZONING CHECKED & COMPLETED ON APPLICATION
6. BUILDING INSPECTION SCHEDULED DATE � I'�V4 TIME
7. FIRE DEPT. INSPECTION SCHEDULED DATE TIME
FIRE INSPECTOR:
8. CITY SECRETARY(ALCOHOL) NOTIFICATION DATE:
"-,-g. HEALTH INSPECTION NOTIFICATION DATE:
10. PUBLIC WORKS INSPECTION E-MAIL DATE
x"11. LOT DRAINAGE INSPECTION E-MAIL DATE
12. CORRECTION LETTER SENT DATE
1 BUILDING INSPECTORS SIGN OFF LETTER: YES / NO
14. FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO
15. HEALTH DEPARTMENT SIGN OFF
7. 16. CITY SECRETARY(Alcohol License Sign Off)
17. PUBLIC WORKS SIGN OFF
i- 18. LOT DRAINAGE SIGN OFF
19. LANDSCAPING SIGN OFF
20. BUILDING OFFICIALS SIGNATURE
�1. C/O CERTIFICATE ISSUED ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOV:
* CONDITIONS TO BE TYPED ON C/O? YES/ NO MAILED:
0TORMSIDSCOINFORMATIONICK IST
12MIN 1 Rev 11tl 1,11Il 5,5118
,(('1�7�p ppq��T DATE OF ISSUANCE:
1rllbA W A1VE
T E x a s PERMIT#: ' U I
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITH ANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: :M.Svc! �J lk o^ SUITE# ��00
LOT: \:) BLOCK: J- SUBDIVISION: i Mee \1 r1f (1 � f'( �cy(ti
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION****
NAME OF BUSINESS: 19 E a- � E 0 M oc�
NEW OCCUPANT: YES X, NO NEW BUILDING/PRRTY OWNER: YES NO �—
NEW BUILDING: YES NO X- NEW BUSINESS NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: II- FREIGHT FORWARDING: YES NO_
t [( NEW BUSINESS OWNER: YES N1 O
TYPE OF BUSINESS: Meat \ n l CL SQUARE FOOTAGE: �d100
(Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restaurant)
NAME OF TENANT [PERSON'S NAME]:
CURRENT MAILING ADDRESS: Z cx) cfoo�cd /,C y\C, / C
CITY/STATE/ZIP: S0, 4mcticr I X 76oQ,�-�- PHONE NUMBER:
PROPERTY OWNER: aj.-o (,son - LJ. 7 -
MAILING ADDRESS: M ((
CITY/STATE/ZIP: S(��2 V ! ( -X �� h 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 14_NO
♦ WILL THERE BE ANY OUTSIDE STORAGE(including storage of company/fleet vehicles),DISPLAY,
USE OR DINING?------------------------------------------------------------------ YES NO
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES_NO
♦ IS BUILDINGSPRINKLERED?------------------------------------------------------- YESNO_
♦ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
(if yes,provide list of types&quantities,along with material safety data sheets)----------------------YES NO 'X�
2r
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THE SAID
OCCUPANCY IS IN kONFORMANCE WITH THE INFORMATION HEREIN SET FORTH.
(If access to the pace is not provided at the time of the scheduled inspection,a$42.00 re-inspection fee will be charged)
FOR QUESTIO E CALL 17)410-3165. M
SIGNATURE: )) PRINT NAME:, ' ' `%��l sc of
PHONE#: 0'y EMAIL: ! �
(OVER)
Development Services Department
The City of Grapevine*P.O.Box 95104* Grapevine,Texas 76099 (817)410-3165
Fax(817)410-3012 *www.gral)evinetexas.gov
0:FORMSIDSAPPLICATIONS\C/
3I22/2001IRev:5/06,2/UT,4/09,2113,11115,10116,8118
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 No er: 3 Z 0 �ok 23 0
Q
Signature: v
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS:
CITY, STATE, ZIP: ^
OFFICE USE ONLY*xrxxx*** tF *x** � txt *xxtx***
TYPE OF CONSTRUCTION:�1✓'l/ OCCUPANCY: DIVISION:
'
ZONING DISTRICT: �/ CONDITIONAL USE: IV[4
PERMITTED USE: Ye 5
BUILDING DEPARTMENT: 6 DATE: a
BUILDING INSPECTOR: 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: I I
O:JORMSIDSAPPLICATIONMCI
3/2212001 1Rev:5/06,2/0],4/09,2H3,11/15,10116,8118
CityofGrapevine
P.O.Box95104
Grapevine,TX76099
(817)410-3165Voice
(817)410-3012Fax
CERTIFICATEOFOCCUPANCY
IssueDate:January25,2019
PROJECTDESCRIPTION:C/O(MedicalOffice)"REFINEUMedSpa"
PROJECT#
CO-19-0116
(817)410-3010
Inspections
www.mygov.us
Permits
LOCATIONTENANTLEGAL
2800WilliamDTateAve.
Suite#300
Grapevine,TX76051
REFINEUMedSpaTimberlineOfficeParkBlk1
Lot3a
CONTRACTOR
MelissaMuller
2400CrookedLane
Southlake,TX76092
(682)465-2508Phone
OWNER
Parkerson-tateLlc
POBox92747
Southlake,TX76092
ph.(817)424-2321
AVAILABLEINSPECTIONS
FinalBuildingC/OInspection(required)
FinalFireDeptInspection(required)
Landscaping(required)
C/OAPPROVEDFORISSUANCE
(required)
INFORMATION
*CONSTRUCTIONTYPE VB
*OCCUPANCYGROUP B
*ZONINGDISTRICT PO
**NAMEOFBUSINESS REFINEUMedSpa
**TYPEOFBUSINESS Office
**APPLICANTNAME MelissaMuller
**APPLICANTPHONENUMBER 682-465-2508
**TENANTNAME Melissamuller
**TENANTPHONENUMBER 682-465-2508
*SalesTax YES
*SalesTaxNumber 32069230384
AlcoholicBeverageSales NO
Alterations NO
ChangeofBusinessName NO
ChangeofBusinessOwner NO
County Tarrant
FireSprinklerSystem?YES
FreightForwardingBusiness NO
HazardousMaterial NO
IndustrialWaste NO
NewBuilding/Addition NO
NewBuildingorPropertyOwner NO
NewOccupant/Tenant YES
NumberofEmployees 4
OutsideRefuse/Recycling YES
OutsideStorage NO
Overlay
Signs YES
SquareFootage 1200
Zoning PO-ProfessionalOffice
FEESTOTAL=$50.00
CertificateofOccupancy $50.00
PAYMENTSTOTAL=$50.00
MYGOV.USCityofGrapevine|CERTIFICATEOFOCCUPANCY|CO-19-0116|Printed02/05/19at8:15a.m.Page1of3
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 19 - CJ to
ADDRESS OF INSPECTION: -,)-60c> W ( � � ' Cz n-\ i), cz oU
DATE OF INSPECTION: i�aY Q,) TIME OF INSPECTION:
NAME OF BUSINESS: t FiN t U me� �Qc, T�
TYPE OF BUSINESS: rnF (C a
USE OF BUILDING AND/OR PREMISES: So c\f l c-e
REASON FOR APPLYING:
CONTACT PERSON:'
TELEPHONE NUMBER: <a- -1' 3-5 Q
COMMENTS/VIOLATIONS: Alo vl oL, rsaa a4zo vw
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: PC)
TYPE OF BUILDING: V-0 GROUP AND DIVISION:
ZONING RESTRICTIONS:
O:FORMS DSCOINFORMAMN IVORKORDFR
I SAO Oi Rev.1 1-2006
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