HomeMy WebLinkAboutCO2019-0398 UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LD NEEDED_
TD NO LETTER
WAITING FIRE
HOLD _
CODE _
C/O CHECK LIST
C/O PERMIT # P19 - h -;3 Q S'
ADDRESS: Z/, l -3 7Crr)
BUSINESS NAME:
BUSINESS/PROPERTY
_ CHANGE NAME / OWNER _ NEW CONST/ADDITION PERMIT#
NEW TENANT/ OCCUPANT REMODEL /ALTERATION PERMIT#
ISSUE DATE FINAL DATE
—. APPLICATION FORM COMPLETED
V/2. 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
5. ZONING CHECKED & COMPLETED ON APPLICATION
6. BUILDING INSPECTION SCHEDULED DATEC�JQ 1A 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
8. LOT DRAINAGE SIGN OFF
19. LANDSCAPING SIGN OFF
20. BUILDING OFFICIALS SIGNATURE
21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: FEB Q C 2019
SCAN CERTIFICATE TO MYGOV:
CONDITIONS TO BE TYPED ON C/O? YES/NO MAILED:
0 FORMS\DSCOINFORMATIOMCKLIST
12/301041Ray.11111,11A15,5118
UA ' Q�� n DATE OF ISSUANCE: O� F0 1
GRAPEVINE,
T E x A s PERMIT#: /'7 n
6 3`7 k
� Ifiv
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITHANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: `063 1 ,r,PA.h klj SUITE## s'
LOT: / BLOCK: )9 SUBDIVISION: DDD�
""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUM WITHOUT LEGAL DESCRIPTION"" w
NAME OF BUSINESS: P SA o c✓
NEW OCCUPANT: YES NO NEW BUILDING/PROPERTY OWNER: YES NO
NEW BUILDING: YES NO :+; NEW BUSINESS NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO
NEW BUSINESS OWNER: YES NO •`
TYPE OF BUSINESS: SQUARE FOOTAGE: /Sao
(Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restaurant)
NAME OF TENANT [PERSON'S NAME]: a-
CURRENT MAILING ADDRESS:
CITY/STATE/ZIP: PHONE NUMBER:
PROPERTY OWNER: P��l ys l�,. ,'� I-el U. 5, Z"
MAILING ADDRESS:
CITY/STATE/ZIP: 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(including storage of company/fleet vehicles),DISPLAY,
USE OR DINING?------------------------------------------------------------------ YES NO k
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES NO k
♦ IS BUILDING SPRINKLERED?------------------------------------------------------- YES a 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
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 QUESTIONS�XkEAS/EE CALL(817)410-3165.
SIGNATURE: Yi" � "`., PRINTNAME: Lilh-e ✓ Ief&n
PHONE#: f'�(� 6 G f L� EMAIL.
(OVER)
Development Services Department
The City of Grapevine*P.O. Box 95104 * Grapevine,Texas 76099*(817)410-3165
Fax(817)410-3012 *www.grai)eyinetexas.goy
O:FORMSIDSAPPLICATIO NSIC/
3/2212001/Rov:5106,2107,4/09,2113,11/15,10116,8118
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: -2 A
D 2 + ! lc k.,,,,e ✓ !�'✓e- r-' / ✓ 5
CITY, STATE, ZIP: l)m d/oS �X, 252 0 l
OFFICE USE ONLY *//*��*******xxxx * *
TYPE OF CONSTRUCTION: �(-1/ !` s/P1�'K.S OCCUPANCY: ./1/9 DIVISION:
ZONING DISTRICT:_� CONDITIONAL USE:
PERMITTED USE: �iL
BUILDING DEPARTMENT: DATE: Z • S/�,/�Q
BUILDING INSPECTOR: DATE: Cf�tee(
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:FORMSIDSAPPLICATIONSICI
3122120011R.:5106,2101,4109,&13,11/15,10116,6116
�( �7r7�:L CERTIFICATE OF OCCUPANCY
l7ilA `�,J Issue Date: February 8,2019
rT e \ s S�' PROJECT DESCRIPTION:C/O Clean&Show
71U," PROJECT# (817) 410-3010 WWW.mygov.us
CO-19-0398 Inspections Permits
City of Grapevine
LOCATION TENANT LEGAL
P.O. Box 1063 Texan TO. Clean &Show Green Air Cargo Dist Cntr
Grapevine,,T TX X 76099
Suite#700 Addition Blk A Lot 1a1
(817)410-3165 Voice Grapevine,TX 76051 Tr Addition
(817)410-3012 Fax
CONTRACTOR INFORMATION
Lance Elam *CONSTRUCTION TYPE IIB Sprinklered
1063 Texan Trail *OCCUPANCY GROUP NONE
Grapevine, TX 76051 *ZONING DISTRICT LI
(972)884-9292 Phone ** NAME OF BUSINESS Clean &Show
OWNER TYPE OF BUSINESS Vacant
Amb Instl Alliance Fund III Lp **APPLICANT NAME Lance Elam
1800 Wazee St **APPLICANT PHONE NUMBER 214-764-1722
Denver, CO 80202-1884 **TENANT NAME Vacant
ph. (000)000-0000 **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
Signs NO
Square Footage 1500
Zoning LI-Light Industrial
FEES TOTAL=$50.00
Certificate of Occupancy $50.00
PAYMENTS TOTAL=$50.00
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 19 -
ADDRESS OF INSPECTION: /z� L 3 /k P"
DATE OF INSPECTION: a TIME OF INSPECTION:
NAME OF BUSINESS:
TYPE OF BUSINESS:
USE OF BUILDING AND/OR PREMISES:
REASON FOR APPLYING:
CONTACT PERSON: a inna Y lam,
TELEPHONE NUMBER: c,2 l / 7, y
COMMENTS/VIOLATIONS:
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION:
TYPE OF BUILDING: /I-& GROUP AND DIVISION: (,{�✓ �,GjD tt>
ZONING RESTRICTIONS:
0 FORh1S D5COINFORMATION\VORRORO6R
12]V 114 Re, 117 211116