HomeMy WebLinkAboutCO2019-2103 UNDER CONSTRUCTION
CORRECTION LETTER
PW OR LD NEEDED
TD NO LETTER
WAITING FIRE
HOLD
CODE
C/O CHECK LIST
C/O PERMIT # P19 - _11 ' 0
ADDRESS: 1
BUSINESS NAME: ' o . 1 1 1 �'I� 'D/re,
BUSINESS 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 ? p
6. BUILDING INSPECTION SCHEDULED DATE �� 11 1 TIME
7. FIRE DEPT. INSPECTION SCHEDULED DATE C—1 TIME h�
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
18. LOT DRAINAGE SIGN OFF
z19. LANDSCAPING SIGN OFF
20. BUILDING OFFICIALS SIGNATURE JUN 1 2019
V121. C/O CERTIFICATE ISSUED ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOV:
CONDITIONS TO BE TYPED ON C/O? YES/NO MAILED:
O:1FORMSIDSCOIN FORMATIONICKL IST
121301041 Re A1111.1 N5,5118
DATE OF ISSUANCE:uo,� �� l
MAY 2 8 2Q19 �'a'. PERMIT#:
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: r-�AurCf lqtx U SUITE#
LOT: BLOCK: SUBDIVISION: ,A/cP&jesf &531/1c1 1 PG - e�
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DES('RIPTION***-'
NAME OF BUSINESS: WIC 16rb �wc
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: �yASU ?%,ykCe_ ` �tMG`j SQUARE FOOTAGE: 0 -k-Z
(Example:Retail Clothing/Attorney's Office/office-Warehouse 1 Restaurant)
NAME OF TENANT (PERSON'S NAME]: Ted CaP li n )e-c
CURRENT MAILING ADDRESS: 3 ( �-• Nv��k�yV f S-� �-`w v p
CITY/STATE/ZIP: CZ itt- ev ( e),F- 1 T7\ ra 05 I PHONE NUMBER:
ff i 1
PROPERTY OWNER: ��eQcnd�ra '� ��� Jee3 /Daf-cd
MAILING ADDRESS:
CITY/STATE/ZIP:_ '�r� l'J 1�P✓�jC ��Q '�3Z� 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?------------------- VES j,/ NO
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? ------YES N01f/
♦ WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY?
(if yes,screening is required)----------------------------------------------------------- YES NOV'
♦ WILL THERE BE ANY OUTSIDE STORAGE(including storage of company/fleet vehicles),DISPLAY, ,/
USE OR DINING?------------------------------------------------------------------ YES NOL
♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING?------------------------- YES_T NO–le"
♦ 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
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.
SIGNATURE: cy /� PRINT'NAME:
__
PHONE#-. 2 (0 CD — — EMAIL:
(O'4 ER)
Development Services Department
The City of Grapevine * P.O. Box 95104*Grapevine,Texas 76099 (817)410-3165
Fax(817)410-3012 *w.wN,_�_:-gra.i evinetexa..gov
O:FORM SMSAP PL I CATIO NSICI
3/2212001/Rev:5106,2107,4109,2113,11115,10/16,8118
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.
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:
1 '
Signature: G'�l—X
WHERE DO YOU WA\T YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS: L-' 3 l C1. Nv c+h W-e (�--+ O vv
CITY, STATE, z1P: G ae-e-vl y�2 ,-7x -7 6 CAS l
OFFICE USE
TYPE OF CONSTRUCTION: 1 OCCUPANCY: DIVISION:
ZONING DISTRICT: CONDITIONAL USE:
PERMITTED USE: Yar
BUILDING DEPARTMENT. F 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: W c DATE: L
n _ r
APPROVAL FOR ISSUANCE: DATE:
O:FORMSIOSAPPLIW IONS101
3/2212001/Rev:5106,2107,4109,2113,11115,10116,8118
CERTIFICATE OF OCCUPANCY
Issue Date:June 7,2019
PROJECT DESCRIPTION:C/O(Insurance Agency)"Neighbor's Choice Insurance Agency Inc."
f PROJECT# (817)410-3010 Www.mygov.us
CO-19-2103 Inspections Permits
City of Grapevine
LOCATION TENANT LEGAL
P.O.Box 95104 431 E Northwest Hwy. Neighbor's Choice Insurance Northwest Crossing Shpg
Grapevine,TX 76099
Grapevine,TX 76051 Agency,Inc. Center Blk 1 Lot 1 r1
(817)410-3165 Voice
(817)410-3012 Fax
CONTRACTOR INFORMATION
Jeff Capliniger *CONSTRUCTION TYPE 116
431 E. Northwest Hwy • *OCCUPANCY GROUP B
GRAPEVINE,TX 76051 *ZONING DISTRICT HC
(817)996-4008 Phone -
*' NAME OF BUSINESS Neighbor's Choice Insurance Agency,
OWNER Inc.
Independent Builders Inc '*TYPE OF BUSINESS Insurance Office
PO Box 323 **APPLICANT NAME Jeff Capinger
Grapevine,TX 76099 **APPLICANT PHONE NUMBER 8174218866
ph. (817)229-6782 **TENANT NAME Jeff Caplinger
AVAILABLE INSPECTIONS **TENANT PHONE NUMBER 8174218866
w Final Building C/O Inspection(required) *Sales Tax NO
Final Fire Dept 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 YES
Number of Employees 3
Outside Refuse/Recycling NO
Outside Storage NO
Signs YES
Square Footage 1000
FEES TOTAL=$50.00
Certificate of Occupancy $50.00
PAYMENTS TOTAL=$50.00
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CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT# 19 - 1 o
ADDRESS OF INSPECTION: Ll b� �Jcf4ly�
DATE OF INSPECTION: [Q u TIME OF INSPECTION: _ t
NAME OF BUSINESS:
TYPE OF BUSINESS:
USE OF BUILDING AND/OR PREMISES:
REASON FOR APPLYING:
CONTACT PERSON:
TELEPHONE NUMBER: ]I `Ln
COMMENTSAII LATIONS:
J
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION:
TYPE OF BUILDING: GROUP AND DIVISION:
ZONING RESTRICTIONS:
O:FORMS DSCOINFORMATION WORKORDER
12 30.04 Rev.1 17 2006
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