HomeMy WebLinkAboutCO2019-0781 UNDER CONSTRUCTION _
CORRECTION LETTER_
PW OR LD NEEDED _
TD NO LETTER
WAITING FIRE ,
HOLD_
CODE _
C/O CHECK LIST
C/O PERMIT # P19 -_ 1
ADDRESS: C�c�C�S �'we' 7t��UC
BUSINESS NAME: _ '(1'\ �( CC,i,(-e
BUSINESS/PROPERTY
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
—V�' 5. ZONING CHECKED & COMPLETED ON APPLICATION
6. BUILDING INSPECTION SCHEDULED DATE Q TIME ( A�\
V 7. FIRE DEPT. INSPECTION SCHEDULED DATE_ TIME 7
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
i13. 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 ;�
=�18. LOT DRAINAGE SIGN OFF 31(e�1g— I�r`c�` v �"�'`
� 19. LANDSCAPING SIGN OFF 3/-7119 I
_20. BUILDING OFFICIALS SIGNATURE
21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: 1
SCAN CERTIFICATE TO MYGOV: I
CONDITIONS TO BE TYPED ON C/O? YES/ NO MAILED:
O IFORMSIDSCOINFORMATIONICK IST
12!38/001 Rev.11111,1 W 5,6118
DATE OF ISSUANCE:
S EB 2 8 ZVI PERMIT
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OFF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: v1 l�� N7oob< X E sU1TE# a D 0
LOT: [ BLOCK: N A SUBDIVISION: PCiC to 1 e l a.- V i n
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL D CRfPTION****
NAME OF BUSINESS: M 0 7-C U LCD �_e,
NEW OCCUPANT: YES ' NO NEW BUH,DING/PROPERTY OWNER: YES NO
NEW BUILDING: YES 140 NEW BUSINESS NA1kIN CHANGE,: YES S NO
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES _NO 7
NEW BUSINESS OWNER: YES x�NO +1_
TYPE OF BUSINESS: Mo D 1 c o . SQUARE FOOTAGE:
(Example:Retail Clothing/Attorney's Office/ORice-Wamhonw/Restaurant)
NAME OF TENANT [PERSON'S NAME]: WA-14-,I) ,1<tfA w A-FA
CURRENT MAILING ADDRESS: 716 Gl't'N A-,2,12'cY l�
CITY/STATE/ZIP: / t Jk / -7 6 O'j X PHONE NUMBER: -2- 1 8 7-o T B 11-7 S
PROPERTY OWNER: 1rnn'f�,-''l k*A'vjA-3- AYcSN/k CJb/ZA t /
MAILING ADDRESS: -71 b G("F be
pL %N !
Z 1 1 U�
CITY/STATE/ZIP: , -AK-c 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.7 NO_
* WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM?------YES—NO
* WILL OUTSIDE REFUSEfRECYCLING/COMPACTING CONTAINERS BE NECESSARY?
(if yes,screening is required)----------------------------------------------------------- YES—NO V
* "WILL THERE BE ANY OUTSIDE STORAGE(including storage of company/fleet vehicles),DISPLAY,
USEOR DINING?------------------------------------------------------------------ YES NO ✓
* WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES_NO,-Z
* IS BULL DINGSPRINKLERED?------------------------------------------------------- YES_�/NO__-
4 WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS? /
(if yes,provide list of types&quantities,along with material safety data sheets)----------------------YES_NO.z
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 budding/space is not provided at the time of the scheduled inspection,a$42.00 rejusnection fee will be charged)
FOR QUESTIONS PLEASACALL(SIP n410- 165.
SIGNATURE: "(A - PRINT NAME:
PHONE#: o�J a t7� C71 °1 `d EMAIL:
(OVER)
Development Services Department
The City of Grapevine * P.O.Box 95104*Grapevine,Texas 76099*(817)410-3165
Fax(817)410-3012*www.grapevinctexas.gov
O:FONMS MPPLFCAn0NSC/
3/22/nOlMev:Sbe,JM,eNSI,]N3,11M5,1 QM 6,9:10
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 maldng 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: /ViQ
Signature:^
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS: '� _�e✓n A h h e\; 11 cki 1 p4-9
CITY, STATE, ZIP: ,So u+M a k e,t TY- Cro 0 "k�*** � �
*also em,* **************** *****FOR OFFICE USE ONLY**
TYPE OF CONSTRUCTION: V15 OCCUPANCY: DMSION:
ZONING DISTRICT:_�/�i CONDITIONAL USE:
PERMITTED USE:
BUILDING DEPARTMENT: DATE:
BUILDING INSPECTOR: ✓. DATE:
ZONING APPROVAL: _ ` DATE:
FIRE DEPARTMENT: U V, 7)-ZJ C—�O64( 1/�y DATE: –1y//
LOT DRAINAGE INSPECTION: DATE: r
PUBLIC WORKS DEPARTMENT: /' DATE:
HEALTH DEPARTMENT: / DATE:
CITY SECRETARY: DATE:
LANDSCAPING APPROVAL: - W DATE:
APPROVAL FOR ISSUANCE: ' DATE:
O:FORMS70SAPPLICATIONMV
3a=001/Rev:5106,2/W,0/00,2/13,11115,10N 6,afl 6
CERTIFICATE OF OCCUPANCY
lillf9[ Y 1iCuy. Issue Date:March 18,2019
PROJECT DESCRIPTION:C/O(Medical Office)"M D Trucare"
PROJECT# (817)410-3010 WWW.mygov.us
CO-19-0781 Inspections Permits
City of Grapevine
LOCATION TENANT LEGAL
Grapevine,,T TX 76099 p
P.O.Box 823 Ira E Woods Ave. M D Trucare Premier Grapevine Off Pk
X
Suite#200 Condo Bilk n/a Lot 2 R 12
(817)410-3165 Voice Grapevine,TX 76051
(817)410-3012 Fax
CONTRACTOR INFORMATION
Ayesha Ebrahim *CONSTRUCTION TYPE VB
823 Ira E.Woods Avenue#200 *OCCUPANCY GROUP B
Grapevine,TX 76051 *ZONING DISTRICT CC
(218)205-0198 Phone
*'NAME OF BUSINESS M D Trucare
**TYPE OF BUSINESS Office
OWNER *'APPLICANT NAME Ayesha Ebrahim
Trucare Investments Llc **APPLICANT PHONE NUMBER 218-205-0198
716 Glen Abbey Dr —TENANT NAME Im,ran Khawaja
Southlake,TX 76092 **TENANT PHONE NUMBER 218-205-01298
AVAILABLE INSPECTIONS *Sales Tax NO
Final Building C/O Inspection(required) *Sales Tax Number
Final Fire Dept Inspection(required)
Landscaping(required) Alcoholic Beverage Sales NO
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 YES
New Occupant/Tenant YES
Number of Employees 3
Outside Refuse/Recycling NO
Outside Storage NO
Signs YES
Square Footage 1430
Zoning CC-Community Commercial
FEES TOTAL e$50.00
Certificate of Occupancy $50.00
PAYMENTS TOTAL=$50.00
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-19-0781 I Printed 03118/19 at 11:56 a.m. Page 1 of 3
Ayesha Ebrahim(Registration C/G)
Other on 0212812019 ($50.00)
Note:CC1529
READ AND SIGN
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 scheduled
inspection,a$42.00 re-inspection fee will be charged)
FOR QUESTIONS PLEASE CALL:(817)410-3165.
Signature Date
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-19-0781 I Printed 03/18119 at 11:56 a.m. Page 2 of 3
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT #,b8 - O`1 B
ADDRESS OF INSPECTION: <33 ro, E, t k cDoc\ e , it aon
DATE OF INSPECTION: 2 z(o TIME OF INSPECTION:
NAME OF BUSINESS: - �-V c ().C-e,
TYPE OF BUSINESS: 'Ime CV l Q n I
USE OF BUILDING AND/OR PREMISES: f) P r 1 c-e.
REASON FOR APPLYING: t 1 L' n Cc (lam
CONTACT PERSON:
TELEPHONE NUMBER:
COM�MENTS/VIOLATIONS:
/Ub ✓ ;r> �c� 7� s>.� .5 O�lsr�lir..� s.1i /L±r��� � 3_.0-: -/�/
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: G Ci
TYPE OF BUILDING: GROUP AND DIVISION:
ZONING RESTRICTIONS:
O.FORMS DSCOINFORAIATION\VORKORDCR
1 210 10 RI I I'211111
d
City of Grapevine
CERTIFICATE OF OCCUPANCY
City of Grapevine
This Certificate Of Occupancy is hereby issued pursuant to Section 109 of the 2006 International Building Code And Chapter 64 of the
City Of Grapevine Comprehensive Zoning Ordinance. At the time of inspection, this building or space was found to be in compliance
with the applicable Building and Zoning Ordinances of the City of Grapevine. Any change in use, tenant and/or owner of this
building/space shall first require a new Certificate of Occupancy.
PERMIT ID#CO-19-0781 r
Tenant 1 Business Property Owner
R Trucare ��P� �l* Trucare Investments Llc
23DIra E Woods Ave. 716 Glen Abbey Dr
Suite # 200 T g, [ t ' Southlake TX 76092
Grapevine TX 76051 it U'r
i
ti
Use Classification Office Issued B j
Occupancy Group B
Construction Type VB on ason,Assistant Building O Date
Zoning District CC - Community Commercial
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