HomeMy WebLinkAboutCO2019-2178 UNDER CONSTRUCTION _
CORRECTION LETTER_
PW OR LID NEEDED_
TD NO LETTER_
WAITING FIRE _
HOLD_
CODE _
C/O CHECK LIST
C/O PERMIT # P19 - f1
ADDRESS: � n t✓. l�c���1315 Rd ,
BUSINESS NAME: Q-te :/1 I Show
BUSINESS PROPERTY
_ CHANGE NAME / OWNER _ NEW CONST/ADDITION PERMIT#
NEW TENANT/OCCUPANT — REMODEL/ALTERATION PERMIT#
/ ISSUE DATE FINAL DATE
�-/J 1. 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)
FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE
" �5. ZONING CHECKED & COMPLETED ON APPLICATION ,`
G%6 BUILDING INSPECTION SCHEDULED DATE �o % TIME
,ww ,7. FIRE DEPT. INSPECTION SCHEDULED DATE TIME
FIRE INSPECTOR:
,, 8. CITY SECRETARY(ALCOHOL) NOTIFICATION DATE:
--� 9. HEALTH INSPECTION NOTIFICATION DATE:
G 10. PUBLIC WORKS INSPECTION E-MAIL DATE
�1. LOT DRAINAGE INSPECTION E-MAIL DATE
12. CORRECTION LETTER SENT DATE
13. BUILDING INSPECTORS SIGN OFF LETTER: YES / NO
,-X 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
LOT DRAINAGE SIGN OFF
19. LANDSCAPING SIGN OFF
20. BUILDING OFFICIALS SIGNATURE JUN 04 2019
21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOV:
CONDITIONS TO BE TYPED ON C/O? YES/NO MAILED:
O\FORMSIOSCOINFORMATIOMCKLIST
1930/OJ1Re I 1,11115.5/18
k�i GIs
11AY 3 4 �Q�y GR DATE OF ISSUANCE:
T r , x n s PERMIT#:
s
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH ANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: 417 E. Dallas Road SUITE#
LOT: 3 BLOCK: SUBDIVISION:
****CERTIFICATE OF OC UPANCY WILL NOT BE ISSUED WITHOUT LEGA ESCRIPTION****
NAME OF BUSINESS: Clean &Show
NEW OCCUPANT: YES_NO V NEW BUILDING/PROPERTY OWNER: YES NO
NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE: YES NO�i
NUMBER OF EMPLOYEES: 0 FREIGHT FORWARDING: YES NO ve
NEW BUSINESS OWNER: YES NO_V
TYPE OF BUSINESS: Clean &Show SQUARE FOOTAGE:
(Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restaurant)
NAME OF TENANT jPERSON'S NAME]: Clean &Show
CURRENT MAILING ADDRESS:
CITY/STATE/ZIP: PHONE NUMBER:
PROPERTY OWNER: Grapevine Land Holdings,LLC
MAILING ADDRESS: 3110 W. Southlake Blvd, Suite 120
CITY/STATE/ZIP: Southlake,TX 76092 PHONE NUMBER: 817-337-7706
♦ 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 J
♦ WILL THERE BE ANY OUTSIDE STORAGE(including storage of company/Beet vehicles),DISPLAY,
USEOR 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 J
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)410-3165.
i
SIGNATURE: �� PRINT NAME: Rory Johnson
PHONE#: '' 817-742-1852
�' EMAIL:
(OVER)
Development Services Department
'( Q _ The Ci of Grapevine P.O.Box 95104* Grapevine,Texas 76099 *(817)410-3165
�J 3 —� C)t Fax(817)410-30123 wwu .eraucvinctexas,Sov
O:FORMSMAPPLICATIONSIC/
312213001/Rev:5/06,V07,M09,2113,11/15,m116,8/18
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 5.25%.
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: A/7 b I.
Signature: �r
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS: 3110 W. Southlake Blvd, Suite 120
CITY, STATE, ZIP: Southlake, TX 76092
OFFICE USE
TYPE OF CONSTRUCTION: �' OCCUPANCY: N 6� DIVISION:
ZONING DISTRICT: / , / CONDITIONAL USE:_ V-A
PERMITTED USE: eJL ew1y . ,6 tO IA-)
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 APPROVA DATE:
�PPROVAL FOR ISSUANCE: DATE:
O:FORMSIOSAPPLICATIONSICI
A2212001/Rev:5106,2109,6I09,2113,11115,10N6,6116
CERTIFICATE OF OCCUPANCY
RAP INE Issue Date:June 5,2019
'T E 1 1 S ti' PROJECT DESCRIPTION:C/O"Clean&Show"
PROJECT# (817)410-3010 www.mygov.us
CO-19-2178 Inspections Permits
City of Grapevine
LOCATION TENANT LEGAL
P.O. Box 417 E Dallas Rd. Clean &Show Payton-Wright li Addition Blk
Grapevine,,T TX x 7soss Grapevine,TX 76051 1 Lot 3
(817)410-3165 Voice
(817)410-3012 Fax
CONTRACTOR INFORMATION
Rory Johnson *CONSTRUCTION TYPE VB
417 E. Dallas Rd. *OCCUPANCY GROUP N/A
Grapevine,TX 76051 *ZONING DISTRICT LI
(817)742-1852 Phone NAME OF BUSINESS Clean&Show
TYPE OF BUSINESS Clean &Show
OWNER **APPLICANT NAME Rory Johnson
Richard Simmons **APPLICANT PHONE NUMBER 817-742-1852
3110 W Southlake Blvd Ste 120 **TENANT NAME Vacant
Southlake, TX 76092 **TENANT PHONE NUMBER 817-742-1852
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 1497
Zoning LI -Light Industrial
FEES TOTAL=$ 50.00
Certificate of Occupancy $50.00
PAYMENTS TOTAL=$50.00
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1 inch = 400 feet Grid Page:
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 19 - c�i Q5
ADDRESS OF INSPECTION: + � 7 E , C�t 1 �Gt
DATE OF INSPECTION: ��,, CSCC/9 TIME OF INSPECTION: f
NAME OF BUSINESS: ( a- J h l7ll
TYPE OF BUSINESS: C`ea n :A `J`' co
USE OF BUILDING AND/OR PREMISES:
REASON FOR APPLYING: f�,L� fS-�
CONTACT PERSON: �/ J p V y-\S 0n
TELEPHONE NUMBER: o
COMMENTSNIOLATIONS:
1
i
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF` INSPECTION LOCATION: L i 1�
TYPE OF BUILDING: t-5 GROUP AND DIVISION:
ZONING RESTRICTIONS:
O.FORMS DSCOINFORMATION t ORKOR ER
12 3004 Rw.1 17 2006