Loading...
HomeMy WebLinkAboutCO2019-0531 UNDER CONSTRUCTION _ CORRECTION LETTER_ PW OR LID NEEDED_ TD NO LETTER_ WAITING FIRE_ HOLD_ CODE_ C/O CHECK LIST C/O PERMIT # P19 - 0631 ADDRESS: �&6 5y1 �JCu�.�� BUSINESS NAME: liK!a"n t BUSINESS I PROPERTY CHANGE NAME / OWNER _ NEW CONST/ADDITION PERMIT# NEW TENANT/OCCUPANT — REMODEL/ALTERATION PERMIT# ISSUE DATE FINAL DATE 1. APPLICATION FORM COMPLETED 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 1 ✓ 6. BUILDING INSPECTION SCHEDULED DATE a f, TIME L m- 7. FIRE DEPT. INSPECTION SCHEDULED DATE TIME •/ � FIRE INSPECTOR: Zd�ly /h 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 q 16. CITY SECRETARY(Alcohol License Sign Off) 17. PUBLIC WORKS SIGN OFF LOT DRAINAGE SIGN OFF 19. LANDSCAPING SIGN OFF 20. BUILDING OFFICIALS SIGNATURE 21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: FFB 117!� 2019 SCAN CERTIFICATE TO MYGOV: * CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED: 0]FORIdS\OSCOINFORWTIONICK 1ST 121201041 Revd 1 V 1.1105.5fl 8 107 DATE OF ISSUANCE: GRAP VII�IE T r x A s PERMIT#: FEB 0 7 2019 CERTIFICATE OF OCCUPANCY REQUEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT ADDRESS OF OCCUPANCY: EZo s /114 SUITE# LOT: BLOCK: SUBDIVISION: ""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION"" NAME OF BUSINESS: C le;a n a- . `to c,ti NEW OCCUPANT: YES_NO ? NEW BUILDING/PROPERTYQWNER: YES NO NEW BUILDING: YES NOT NEW BUSINESS NAME CHANGE: YES NO .x NUMBER OF EMPLOYEES: C� FREIGHT FORWARDING: YES NO 'x NEW BUSINESS OWNER: YES NO 7C TYPE OF BUSINESS: C (,e ' Sn 0 L"-/ SQUARE FOOTAGE: f 1c 9 L (Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restaurant) NAME OF TENANT [PERSON'S NAME]: C (e61, s A0c.,/ CURRENT MAILING ADDRESS: CITY/STATE/ZIP: PHONE NUMBER: PROPERTY OWNER: (C„ t_T\ MAILING ADDRESS: �5 C1 b co r T CITY/STATE/ZIP: 5co..t -1-k (,ke Tk :76_EiCt , PHONENUMBER: ♦ 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 require d)----------------------------------------------------------- YES—NO k ♦ 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_NO1>< ♦ 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 X 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 PLEASE CALL(817)._910-3165. SIGNATURE: /� PRINT NAME: PHONE#: �7 - 7G�"V EMAIL: �� + (OVER) Development Services Department The City of Grapevine*P.O. Box 95104 * Grapevine,Texas 76099 (817)410-3165 Fax(817)410-3012*www.grgpevinetexas.gov O:FORMSIOSAPPLICATIONSIC/ 3/1212001/Rev:5/08,2101,4108,2113,11/15,10/16,8118 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: t ',�kj�.� Signature: WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED? ADDRESS: CITY, STATE,ZIP: OFFICE USE ONLYx� �xrx * * ** * * **** TYPE OF CONSTRUCTION: U `✓ OCCUPANCY: IV ONf— DIVISION: ` ZONING DISTRICT: T c) CONDITIONAL USE: PERMITTED USE: n BUILDING DEPARTMENT: Q/ DATE: p_I�l BUILDING INSPECTOR: tt G DATE: ZONING APPROVAL: DATE: FIRE DEPARTMENT: DATE: LOT DRAINAGE INSPECTION: DATE: PUBLIC WORKS DEPARTMENT: DATE: HEALTH DEPARTMENT: DATE: CITY SECRETARY: DATE: ss�� LANDSCAPING APPROVA DATE: 4 `q / APPROVAL FOR ISSUANCE DATE: O:FORMSIOSAPPLICATIONSIC/ 312212001/Rev:5106,2107,909,2113.11115,10/16,8118 CERTIFICATE OF OCCUPANCY Issue Date:February 19,2019 1 S2 PROJECT DESCRIPTION:C/O"Clean&Show" PROJECT# (817)410-3010 Www.mygov.us \ CO-19-0531 Inspections Permits City of Grapevine -- LOCATION TENANT LEGAL P.O.Box 920 S Main St. Clean&Show Old Main Place Addition Bilk 1 TX Grapevine,,TX 76099 Building#A Suite#180 Lot 1 (817)410-3165 Voice Grapevine,TX 76051 (817)410-3012 Fax CONTRACTOR INFORMATION Edgar Dibble "CONSTRUCTION TYPE VB 3204 Glen Haven Ct. *OCCUPANCY GROUP N/A Highland Village,TX 76051 *ZONING DISTRICT PO (972)768-0550 Phone - **NAME OF BUSINESS Vacant OWNER ""TYPE OF BUSINESS Clean&Show Nationsbank Of Texas TR **APPLICANT NAME Edgar Dibble PO Box 1479 **APPLICANT PHONE NUMBER 972-768-0550 Fort Worth,TX 76101-1479 ""TENANT NAME Edgar Dibble ph. (000)000-0000 **TENANT PHONE NUMBER 972-768-0550 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? NO 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 1200 Zoning PO-Professional Office FEES TOTAL=$50.00 Certificate of Occupancy $50.00 PAYMENTS TOTAL=$50.00 MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-19-0531 I Printed 02/19/19 at 10:48 a.m. Page 1 of 3 CERTIFICATE OF OCCUPANCY WORKORDER �j PERMIT # 19 -0 S.3 i ADDRESS OF INSPECTION: DATE OF INSPECTION: a/� 3�o3U/� _ TIME OF INSPECTION: /• /S /yl. NAME OF BUSINESS: TYPE OF BUSINESS: �1Q USE OF BUILDING AND/OR PREMISES: REASON FOR APPLYING: / i C I / �U'i c 2 CONTACT PERSON: TELEPHONE NUMBER: COMMENTS IOLATIONSL 07 46 coo, IA v **TO BE FILLED OUT BY BUILDING OFFICIAL** ZONING DISTRICT OF INSPECTION LOCATION: /UI ' � V ,6 TYPE OF BUILDING: 6 GROUP AND DIVISION: � '� ZONING RESTRICTIONS: o.FORdls osmMww.fAnaN WoRRORDER 1 2111 04 Rev.1 172006