HomeMy WebLinkAboutCO2019-0113 UNDER CONSTRUCTION
CORRECTION LETTER_
PW OR LID NEEDED
TD NO LETTER_
WAITING FIRE _
HOLD _
CODE_
C/O CHECK LIST
C/O PERMIT # P19 - l�
ADDRESS: S3 , 4 , 6(ap ?y/ D)S�C)
BUSINESS NAME! 1 i1ckc+ia AH S LLC, j(,- I'
BUSINESS PROPERTY CCh 1.E'r�y
CHANGE NAME / OWNER NEW CONST/ADDITION PERMIT# /
NEW TENANT/ OCCUPANT � REMODEL/ALTERATION PERMIT#
ISSUE DATE FINAL DATE
V" 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
6. BUILDING INSPECTION SCHEDULED DATE '� TIME ' k
7. FIRE DEPT. INSPECTION SCHEDULED DATE TIME
FIRE INSPECTOR: c
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
LZ 20. BUILDING OFFICIALS SIGNATURE ,A r��p y 1
L,-'21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: f/-m " lOtt �01J
SCAN CERTIFICATE TO MYGOV:
CONDITIONS TO BE TYPED ON C/O? YES/ NO MAILED:
O 1FORMSIDSCOINFORMATIOMCKUST
1 2130/04 I Rev.11 N 1,11 U 5,5118
DATEOFISSUANCE:
RE FINE.
PERMIT#: cm
< 3
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH ANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: 3 6;� 6r 5 0.v ,,e i�;11,13/�� 7b os') 3 Sz
i SUITE#
LOT: !Sa a. BLOCK: SUBDIVISION:
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION**** J
NAME OF BUSINESS: la I L 1-C Lbct Tx Btac)Z , e
NEW OCCUPANT: YES I- -' NO NEW BUILDING/PROPERTY OWNER: YES NO v
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: Se kln- ( SQUARE FOOTAGE: � -7t--o
(Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restaurant)
NAME OF TENANT iPERSON°S N 1 1Ei: L' //,`0
CURRENT MAILING ADDRESS: /C 3-7 ^1,KA t•,-e ff D,,
CITY/STATE/ZIP:_ F 4 .tj a,-d , 7(e/t( PHONE NUMBER:
/
PROPERTY OWNER: CC « o�c( �, L1
MAILING ADDRESS: 1 '}' 0 11 S"-.�
CITY/STATE/ZIP: DaIA`t a-s '7T)(- ( l.-o I PHONE NUMBER: 4- }-(D 09:3L
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW?(if yes,provide copy of Sales Tax Certificate)---- YES NO t "*�
♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes,provide copy of Alcoholic Beverage Permit)-YES_NO I
♦ 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 i—'
♦ 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 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 G�'
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$4.2.00 re-inspection fee will be charged)
FOR QUESTIONS
APL CALL(817)410-3165. /
SIGNATURE: �LJ/V - PRINT NAME: `"�e,��, O,i„ �✓Ltf/p i�
PHONE#: O / 7-`(q 7, EMAIL:
Development Services Department (OVER)
The City of Grapevine * P.O. Box 95104 * Grapevine,Texas 76099 *(817)410-3165
Fax(817)410-3012 * ,ti,r,v.grapo inctcxat,euv.
O:rO 001/Re :&06,2ATION$1G
0TOR61/Rev:N06,2/W,O/00,1R3,H/i6,t6n 6,6/10 (�`�
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.
1 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: �� t 9 6, �C 7(i 1�(�
x *********** *******x ****FOR OFFICE USE
TYPE OF CONSTRUCTION: OCCUPANCY: DIVISION:
ZONING DISTRICT: e�„/ CONDITIONAL USE:
�/ q[��
PERMITTED USE: I �-7
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 APPROVAL DATE: I Q�
APPROVAL FOR ISSUANC DATE: —
O:FORMSIOSAPPLICATIONSICI
0122/2001/Rev:5106,2107,0109,2/13,11115,10116,8 118
CERTIFICATE OF OCCUPANCY
Issue Date:March 1,2019
7 f. 1 1 1 ti PROJECT DESCRIPTION:C/O(Martial Arts Studio)"121 Martial Arts,LLC dba TX Black Belt Academy"
I
PROJECT# (817) 410-3010 WWW.mygov.us
CO-19-0113 Inspections Permits
City of Grapevine
LOCATION TENANT LEGAL
P.O.box ,TX 3520 N Grapevine Mills Blvd. 121 Martial Arts,LLC dba TX Grapevine Mills Crossing Bilk
Grapevine,TX 76099 P g
Suite#350 Black Belt Academy A Lot 5a2
(817)410-3165 Voice Grapevine,TX 76051 Per Plat D214040301
(817)410-3012 Fax
CONTRACTOR INFORMATION
William Ingram *CONSTRUCTION TYPE IIB Sprinklered
1037 McKavett Drive *OCCUPANCY GROUP B
Fort Worth, TX 76140 *ZONING DISTRICT CC
(817)487-2750 Phone
**NAME OF BUSINESS
121 Martial Arts,LLC dba TX Black Belt
Academy
OWNER **TYPE OF BUSINESS Martial Arts Studio
Grapevine Crossing Holdings LI **APPLICANT NAME William Ingram
1722 Routh St Ste 770 **APPLICANT PHONE NUMBER 817-487-2750
Dallas,TX 75201-2517 **TENANT NAME William Ingram
ph.(214)270-0936 **TENANT PHONE NUMBER 817-487-2750
AVAILABLE INSPECTIONS *Sales Tax NO
• Final Building C/O Inspection(required) *Sales Tax Number
• Final Fire Dept Inspection(required) Alcoholic Beverage Sales NO
• Landscaping (required)
• C/O APPROVED FOR ISSUANCE Alterations NO
(required) 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 YES
Number of Employees 2
Outside Refuse/Recycling NO
Outside Storage NO
Signs YES
Square Footage 2700
Zoning CC-Community Commercial
FEES TOTAL=$50.00
Certificate of Occupancy $50.00
PAYMENTS TOTAL=$50.00
MYGOV.Us City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-19-0113 I Printed 03/01/19 at 4:28 p.m. Page 1 of 3
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 19- Dl 13
ADDRESS OF INSPECTION:
DATE OF INSPECTION: TIME OF INSL�PECTIONN:
NAME OF BUSINESS: I3l (�Gi� �qC A( �LLC J lX l-' k ,,- �dCrYl�t
TYPE OF BUSINESS: Maf- l(3L. { t ' l VA I
USE OF BUILDING AND/OR PRE, IMISES:
REASON FOR APPLYING:
CONTACT PERSON: W i I U ck n1 1 r�q ���_ - (o o
TELEPHONE NUMBER:
COMMENTS/VIOLATIONS:
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: c�
TYPE OF BUILDING: / )--f�) SPA/nJ fG S GROUP AND DIVISION: gj
ZONING RESTRICTIONS:
D.FORMS DSCOINFORMATION\VORKORDER
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