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Home My WebLink AboutCO2019-1970 UNDER CONSTRUCTION CORRECTION LETTER_ PW OR LD NEEDED_ TD NO LETTER WAITING FIRE _ HOLD _ CODE / C/O CHECK LIST / C/O PERMIT # P19 - '9 20 ADDRESS: 3C) ��L/�G>ze� lYl�� FL�Lc7 i) JS7� BUSINESS NAME: ,. BUSINESS/PROPERTY ✓ HANGED / 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 .2 -6. BUILDING INSPECTION SCHEDULED DATE TIME 7. FIRE DEPT. INSPECTION SCHEDULED DATE TIME FIRE INSPECTOR: S, 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 — LOT DRAINAGE SIGN OFF 19. LANDSCAPING SIGN OFF 20. BUILDING OFFICIALS SIGNATURE ,,/-21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: SCAN CERTIFICATE TO MYGOV: CONDITIONS TO BE TYPED ON C/O? YES/ NO MAILED: O'IFORMSIOSCOINFORMATIONICKLIST 121301041 Rev 11n 1,11tl 5 5118 MAYry ry t� �qy DATE OF ISSUANCE:9 J/ /l IyA 1 7 GU19 TELle� x e s PERMIT#: /1"/`7 7V 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: `�C)UC? C V-0,? t'(lP, M)k) VlCy� SUITE# K _ kMT1 tJ LOT: BLOCK: SUBDIVISION: ""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION"" NAME OF BUSINESS:Fuji 5ouSkI NEW OCCUPANT: YES V NO NEW BUILDING/PROPERTY OWNER: YES NO NEW BUILDING: YES NO�_ NEW BUSINESS NAME CHANGE: YES NO NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO L- - NEW BUSINESS OWNER: YES %r NO TYPE OF BUSINESS: V4,6w -k4 C_ 4QP!AC ' SQUARE FOOTAGE: (Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restaurant) NAME OF TENANT [PERSON'S NAME]: Sul U n5 ' CURRENT MAILING ADDRESS: 1 1 0 b h A&A X ra, 1 /�2 CITY/STATE/ZIP: LCW�SN 1�G '�3C �500`� PHONENUMBER: 4l'l2 53 es"b PROPERTY OWNER: rage ne M11(S MAILINGADDRESS: M K 1yk,\< CITY/STATE/ZH': U0 51 PHONE NUMBER:W_ `TIH Li 2oU ♦ 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�G ♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED?------------------- YES_NO ♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM?------YES_NO V ♦ WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? (if yes,screening is required)----------------------------------------------------------- YES_NO_ ♦ WILL THERE BE ANY OUTSIDE STORAGE(including storage of company/fleet vehicles),DISPLAY, USE OR DINING?------------------------------------------------------------------ YES NO V ♦ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? ------------------------- YES_NO_`7– ♦ 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 PL)EASE CALL(817)410-3165. SIGNATURE: 1/Q l PRINT NAME: SLAT VJI'An PHONE#: ��2 ' a53r b, EMAIL: - (OVER) Development Services Department The City of Grapevine *P.O.Box 95104* Grapevine,Texas 76099 *(817)410-3165 Fax(817)410-3012 *www.eral)evinetexas.gov O:FORMSIOSAPPLICATIONSIC/ 3122120011Rev:5/06,2/OT,4/09,2113,11/15,10/16,8/1S 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 b usiness. / ..p Texas Sales Tax Number: 7 (0' `� 0 Signature: WHERE DO YOU WIT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED? ADDRESS: I CI a W AAI n N-Mi 1 1 CITY, STATE,ZIP: OFFICE USE ONLY******** x****max*** *****t ** TYPE OF CONSTRUCTION: 1'�LJ 5��/�ILIj OCCUPANCY: DIVISION: ZONING DISTRICT: CONDITIONAL USE: PERMITTED USE: Yr� BUILDING DEPARTMENT: DATE: BUILDING INSPECTOR: DATE: ZONING APPROVAL: yze DATE: FIRE DEPARTMENT: 1��, DATE: LOT DRAINAGE INSPECTION: DATE: PUBLIC WORKS DEPARTMENT: DATE: HEALTH DEPARTMENT: aLaL,;�Jl . DATE: CITY SECRETARY: — ---- DATE: LANDSCAPING APPROVAL: DATE: � 3 b� l— APPROVAL FOR ISSUANCE: DATE: S' 3a�� O:FORMSIDSAPPLICAVOWC/ 312212001/Rev:5106,2107,4/09,2113,11/15,10116,8/18 - - CERTIFICATE OF OCCUPANCY Issue Date:May 30,2019 PROJECT DESCRIPTION:C/O-[Food Kiosk-Sushi]"Fuji Sushi" r- I + PROJECT# (817)410-3010 www.mygov.us CO-19-1970 Inspections Permits City of Grapevine LOCATION TENANT LEGAL P.O.Box 3000 Grapevine Mills Grapevine,,TX TX 7s09s P Pkwy. Fuji Sushi Grapevine Mills Addition Blk 1 Suite#K150 Lot 1r3 (817)410-3165 Voice Grapevine,TX 76051 Fuji Sushi (817)410-3012 Fax CONTRACTOR INFORMATION Sul Ling *CONSTRUCTION TYPE 116 Sprinklered 1906 Hidden Trail Dr. *OCCUPANCY GROUP M Lewisville,TX 75067 *ZONING DISTRICT CC (972)537-6046 Phone **NAME OF BUSINESS Fuji Sushi **TYPE OF BUSINESS Food Kiosk OWNER —APPLICANT NAME Sul Ling Grapevine Mills Mall Lip **APPLICANT PHONE NUMBER 972-537-6046 225 W Washington St **TENANT NAME Sui Ling Indianapolis, IN 46204-6120 **TENANT PHONE NUMBER 972-537-6046 ph.(317)636-1600 *Sales Tax YES AVAILABLE INSPECTIONS *Sales Tax Number 32061166842 • Final Health Inspection(required) Alcoholic Beverage Sales NO • Final Building C/O Inspection(required) • Landscaping(required) Alterations NO • C/O APPROVED FOR ISSUANCE Change of Business Name YES (required) Change of Business Owner YES 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 1 Outside Refuse/Recycling NO Outside Storage NO Signs NO Square Footage 120 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-19-19701 Printed 05/31/19 at 532 p rr, Page 1 of 3 Guita McIlroy From: Renee L. Sent: Tuesday, May 28, 2019 1:38 PM To: Vicki Hecko; Guita McIlroy Cc: Don Dixson Subject: Fuji Sushi Kiosk- Grapevine Mills Mall I just finished their pre-operational inspection for their kiosk.Fuji Sushi passed their health inspection and has permission to operate. Please sign off on their C/O for me. Have a good day! Renee Get Outlook for iOS *** External email communication—Please use caution before clicking links and/or opening attachments *** r CERTIFICATE OF OCCUPANCY WORKORDER PERMIT # 19 - lg'/0 ADDRESS OF INSPECTION: DATE OF INSPECTION:# 4, +O t TIME OF INSPECTION:' NAME OF BUSINESS: 1- �- TYPE OF BUSINESS: USE OF BUILDING AND/OR PREMISES: REASON FOR APPLYING: CONTACT PERSON: TELEPHONE NUMBER: COMMENTS/VIOLATIONS: **TO BE FILLED OUT BY BUILDING OFFICIAL** ZONING DISTRICT OF INSPECTION LOCATION: CCU TYPE OF BUILDING: I J-Z GROUP AND DIVISION: 14 ZONING RESTRICTIONS: O'.FORMS I>SCOINFORMATION AORKOROER 12 3I1 UL SIR I'2006 �'. ,.,. ,f, ♦,, -.�, ,.y ys .�. -♦i,,- ,fir - .G,�,-- .. s ' " G1 N fA ��, ,♦ 7 U C O n C 30 N m •i�.x• ' L.N O_ (O Ono Vl m �! J 1+ c / \ 0 0 0 — COD o C N C N @ O rtr� ¢�... O O C i O O C C N Z co ca ca 0 0 co c>, m o (o f.' a- s o a w U > > C CU n C G, Q LO m o muna -cli V _s m C _ m lb m CI Q N C C O ZN 0.0 N � o O N 0 ' -L. 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