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HomeMy WebLinkAboutCO2019-4388 UNDER CONSTRUCTION CORRECTION LETTER PW OR LID NEEDED TD NO LETTER WAITING FIRE HOLD CODE C/O CHECK LIST C/O PERMIT # P19 - 41399 ADDRESS: //� 15� S 64:22_ BUSINESS NAME: c_ "��, -C BUSINESS!PROPERTY HANGE NAME/OWNER NEW CONST/ADDITION PERMIT# NEW TENANT/OCCUPANT REMODEL/ALTERATION PERMIT# ` / ISSUE DATE_ FINAL DATE "� 1. APPLICATION FORM COMPLETED 1--'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 , 7. FIRE DEPT. INSPECTION SCHEDULED DATE 1' - TIME A/;t-1 FIRE INSPECTOR: 8. CITY SECRETARY(ALCOHOL) NOTIFICATION DATE: i' 9. HEALTH INSPECTION NOTIFICATION DATE: 10. PUBLIC WORKS INSPECTION E-MAIL DATE 11. LOT DRAINAGE INSPECTION E-MAIL DATE 12. CORRECTION LETTER SENT DATE 3. 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 tI 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: 01FOR MSIOSCOIN FORMATIONICKL IST 1 213010 4 1 Rev.11111,11M,5118 DATE OF ISSUANCE: �GRAE VINE `=m I. x A s' PERMIT#: f 9 F CERTIFICATE OF OCCUPANCY RE VEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT ADDRESS OF OCCUPANCY: / � �a� /��f1-%��� SUITE# Xi1 LOT: BLOCK:_ /� SUBDIVISION: zFu �� /�,cl ****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED ITHOUT LEGAL DESCRIPTION*** NAME OF BUSINESS: Ae, 1 /- e74I- NEW OCCUPANT: YES__NO NEW BUILDING/PROPERTY OWNER: YES NO X NEW BUILDING: YES NO_X NEW BUSINESS NAME CHANGE: YES NO NUMBER OF EMPLOYEES: / — FREIGHT FORWARDING: YES NO NEW BUSINESS OWNER: YES NO TYPE OF BUSINESS: (-2—a4 tl 14 -7 SQUARE FOOTAGE: (Example:Retail Clothing./Attorney's Office/ ffice-warehou / estaurant) NAME OF TENANT [PERSON'S NAME]: CURRENT MAILING ADDRESS: CITY/STATE/ZIP:_ �- -74-c%9Z PHONE NUMBER: PROPERTY OWNER: C,c�r G�f.c1 ,� � m 1-Z?a4 ( eMAI/- eI'/ cA� 0(Q_ MAILING ADDRESS: s�•4160 G� 14,y_ /lwq, CITY/STATE/ZIP: —TT 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 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 ♦ 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 X ♦ IS BUILDING SPRINKLERED?------------------------------------------------------- YES NOS_ ♦ 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 QUESTIONSSS PLEASE CALL(817)410-3165. SIGNATURE:_�;. � PRINT NAME: A PHONE#: ra� EMAIL: Development Services Department The City of Grapevine*P.O.Box 95104 *Grapevine,Texas 76099 (817)410-3165 Fax(817)410-3012 *www.crapevinetexas.gov O:FORMSIDSAPP L ICATIONSIC/ 3/22/2001/Rev:5/06,2107,4/09,2/13,11/15,1 OM 6,8/18 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: c. Signature: r WHERE DO YOIT WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED? ADDRESS: ll3 s �- CITY, STATE, ZIP: * * ** * ** ** **FOR OFFICE USE ONLY* >F >e TYPE OF CONSTRUCTION: V,3 OCCUPANCY: i DIVISION: ZONING DISTRICT: CONDITIONAL USE: A11A PERMITTED USE: BUILDING DEPARTMENT: DATE: BUILDING INSPECTOR: DATE: ZONING APPROVAL: DATE: y� FIRE DEPARTMENT: :I. - DATE:ci LOT DRAINAGE INSPECTION: DATE: PUBLIC WORKS DEPARTMENT: DATE: HEALTH DEPARTMENT: DATE: CITY SECRETARY: DATE: QQ a LANDSCAPING APPROVA DATE: APPROVAL FOR ISSUANCE: DATE: -� O:F ORMSIO SAP PLICATIO NS1CI 312212001/Rev:5/06,2107,4109,2/13,11/15,10116,8/16 CERTIFICATE OF OCCUPANCY G]?R1 ` '[ ,E Issue Date:November 20,2019 1 F , , PROJECT DESCRIPTION:C/O[Psychology Medical Office]"Karl Leavell,Phd,PLLC" PROJECT# (817)410-3010 www.mygov.us Inspections Permits City of Grapevine LOCATION TENANT LEGAL P.O.Box 95104 1135 S Main St. Kari Leavell,Phd,PLLC By Invitation Only Condo Blk Grapevine,TX 76099 Grapevine,TX 76051 B Lot B1 (817)410-3165 Voice 7.78%Common Area (817)410-3012 Fax CONTRACTOR INFORMATION Kari Leavell *CONSTRUCTION TYPE VB 1135 S.Main Street *OCCUPANCY GROUP B Grapevine,TX 76051-0000 *ZONING DISTRICT PO (817)329-5041 Phone **NAME OF BUSINESS Kari Leavell, PHD,LLC OWNER **TYPE OF BUSINESS Medical Office Laub Carolyn N 8 Sam Edward 20 **APPLICANT NAME Kari Leavell 3460 Ullman St **APPLICANT PHONE NUMBER 817-694-0050 San Diego,CA 92106 **TENANT NAME Kari Leavell AVAILABLE INSPECTIONS **TENANT PHONE NUMBER 817-694-0050 ► 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 NO Number of Employees 1 Outside Refuse/Recycling NO Outside Storage NO Signs NO Square Footage 1445 Zoning PO-Professional Office FEES TOTAL=$50.00 Certificate of Occupancy $50.00 PAYMENTS TOTAL=$50.00 MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-19-43881 Printed 11/26/19 at 12:28 p.m. Page 1 of 3 srk RL pit JL •r r: z � \. .:.A x i I r 5i $ 4 s a V P31N MIT In i Z yy f� 11:3 i� O w� s e�� W - Q 5' a d T W �� .BM•b4H 'HS 4 `u m �" MAIN•Sf^h'S G�Or°E>7�nnvN 1S•NIVW �-MAIN TMAR? gr �a3NIlaIV = 3 •x s e7 3 q _ -_ 1S3NId N TQ A m a e!_+I91tlASIMA377VA �m IN re _ 4 1 �J O e' �fL,*�n Aa 7a g4 y k�NO Nx bIM7. W. -i - \ - . 1.4 7 a yp s� Ile, CERTIFICATE OF OCCUPANCY WORKORDER PERMIT# 19 ADDRESS OF INSPECTION: . /,2 , s � DATE OF INSPECTION: TIME OF INSPECTION: NAME OF BUSINESS: TYPE OF BUSINESS: IV v USE OF BUILDING AND/OR PREMISES: REASON FOR APPLYING: � � CONTACT PERSON: - TELEPHONE NUMBER: COMMENTSNIOLATIONS: All le fl�a r �-o L L I1-zo.--/2.. **TO BE FILLED OUT BY BUILDING OFFICIAL" ZONING DISTRICT OF INSPECTION LOCATION: P t, TYPE OF BUILDING: V GROUP AND DIVISION: ZONING RESTRICTIONS: O:FORMS DSCOINFORMATION WORKORDER 12 30.04 R-1 17 2006 4� � Inspections Overview Requested 1 1 y " (Inspector:0d Oh Contractor:Od Oh) ID# PROJECT PROJECT DESCRIPTION INSPECTION View All CO-1941388 Certificate of Occupancy C/O[Psychology Medical Office]'Karl Leavell,Phd, Final Building C/O Inspection PLLC"[PENDING FIRE] Address Owner Contractor 1135 S Main St. Laub Carolyn N&Sam Edward 20 C/O Applicant Information Grapevine,TX 76051 3460 Ullman St Karl Leavell San Diego,CA 92106 1135 S.Main Street Grapevine,TX 76051 Tenant (817)3295041 phone Karl Leavell,Phd,PLLC Legal By Invitation Only Cando BIk B Lot B1 7.78'Y Common Area Final Building C/O Inspection (Inspector:Od Oh Contractor:Od Oh) User Date Time Result Scott Leavelle 11/06/2019 @ 10:11 am CDT Od 19h Requested 11/06/2019 @ 10:11 am CDT Od 19h Ready Scott Leavelle 11/06/2019 @ 10:11 am CDT Od Failed ; Required Item Scott Leavelle on 2019-11-06 at 10:12 am Repair or Replace emergency_egress light over stairs. 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