HomeMy WebLinkAboutCO2019-4830 UNDER CONSTRUCTION _
CORRECTION LETTER_
PW OR LD NEEDED _
TD NO LETTER_
WAITING FIRE _
HOLD _
CODE _
C/O CHECK LIST
C/O PERMIT # PI - L `P)O
ADDRESS: I (o ik3 LZYI CCkS eE -�DC. # ay_J
BUSINESS NAME: L��'Cz fl S�\UtJ
BUSINESS I PROPERTY
_CHANGE NAME/ OWNER _ NEW CONST/ADDITION PERMIT#
NEW TENANT/ OCCUPANT — REMODEL/ALTERATION PERMIT#
ISSUE DATE FINAL DATE
v/ 1. APPLICATION FORM COMPLETED
--j 2. ZONING MAP COPIED &WORKORDER FORM COMPLETED
i--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
BUILDING INSPECTION SCHEDULED DATE ( � )� TIME It �� M
� '^ FIRE DEPT. INSPECTION SCHEDULED DATE ,tw�-TIME
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
--trw�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
yi
LOT DRAINAGE SIGN OFF
. LANDSCAPING SIGN OFF
20. BUILDING OFFICIALS SIGNATURE DEC 12 21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: 2019
SCAN CERTIFICATE TO MYGOV:
lIE CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED:
OAFORMSIDSOOINFORM TION10KLIST
ID3=4I R-1 MM 1115.5118
DATE OF ISSUANCE: L G 019
I.GRA Cpp V I�TpN E (1
T g x A s 3 PERMIT#:
\�tC 14 7o 1
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH ANACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: /(a i,/;� La�VC A s 7Lea� 4 r SUITE# 2® 3
LOT: I R � BLOCK: �, SUBDIVISION: d°' t/ 1 C-',O
""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION""
NAME OF BUSINESS: C ���^� VL- S/o w
NEW OCCUPANT: YES NO / NEW BUILDING/PROPERTY OWNER: YES NO ✓
NEW BUILDING: YES NO ✓ NEW BUSINESS NAME CHANGE: YES NO v
NUMBER OF EMPLOYEES: C FREIGHT FORWARDING: YES NO
/y� NEW BUSINESS OWNER: YES NO [/
TYPE OF BUSINESS: 0/Ti c S_ - C �Ea ✓ � ShOw SQUARE FOOTAGE:
(Example:Retail Clothing/Attorney's Office/Office-Warehouse/Restaurant)
NAME OF TENANT [PERSONAS NAME: fir✓ed"q/ k^2zti //-C1-A,1 G 7 Q
CURRENT MAILING ADDRESS: alo 0 �T 1 �r3 Q e py v� S t /O S
CITY/STATE/ZIP:�/0'e v I N `7(-19 'j ( PHONE NUMBER: `3/ 7 .3 S(� '9600
C gl7 9zS 2SG�
PROPERTY OWNER: vc P/,q P, e"' Ae v�, z el,
/ 7
MAILING ADDRESS: _ L/�UC7 �y P rI �a / /c S �. f 0 S
CITY/STATE/ZIP: V 7 Co c�5' 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 JC
♦ WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY?
(if yes,screening is required)----------------------------------------------------------- YES—NO I/
♦ 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 ✓
♦ 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 V
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 C LL(817)410-3165. T
SIGNATURE: /�� G �s 2+� PRINT NAME: [ t y La vc 5� 1i
PHONE#: `b y l7 I Z S 2 �tio �`I EMAIL:
' (OVER)
Development Services Department
The City of Grapevine*P.O.Box 95104 * Grapevine,Texas 76099 (817)410-3165
Fax(817)410-3012 ale www.jzral)evinetexas.gov
O:FORMSIOSAPPLICATIONSIC/
3/22/2001aim 5106,2/0T,4/09,2113,11/15,10/i6,8/i6
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 aappliee to my business.
Texas Sales Tax Number: ^°f
c
Signature:
WHERE DO YOU
�WANT YOUR COMPLETED CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS: `- (0y / 'S� �� 5
CITY, STATE, ZIP: -7 t G 5-
*max*r* * *x*e*** **xx** ** FOR OFFICE USE ONLY*****rx*x* * rx* * **x*** **
TYPE OF CONSTRUCTION: SQZ/&I IZ-4 OCCUPANCY: DIVISION:
ZONING DISTRICT: CONDITIONAL USE:_ g4 Zk
PERMITTED USE:
BUILDING DEPARTMENT: DATE:
BUILDING INSPECTOR: -< DATE:_4�2—/c`) /
ZONING APPROVAL: DATE:
FIRE DEPARTMENT: DATE:
LOT DRAINAGE INSPECTION: DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTMENT: DATE:
CITY SECRETARY: A DATE:
LANDSCAPING APPROVAL: DATE: L1`ti3` VOL
APPROVAL FOR ISSUANCE: DATE:
O:FORMSIDSAPPLICATIONSICI \
312212001/Rev:5106,2f07,4109,2113,11115,10/16,8118
*Url
CERTIFICATE OF OCCUPANCY
Issue Date:December 13,2019
PROJECT DESCRIPTION:C/O(Clean&Show)
PROJECT# (817)410-3010 www.mygov.us
CO-19-4830 Inspections Permits
City of Grapevine
P.O.Box 95104 LOCATION TENANT LEGAL
Grapevine,TX 76099 1643 Lancaster Dr. Clean&Show Clearview Park Addition Blk 2
Suite#203 Lot 1 r1
(817)410-3165 Voice Grapevine,TX 76051 Acres 2.1521
(817)410-3012 Fax
CONTRACTOR INFORMATION
Tim Lancaster *CONSTRUCTION TYPE IIB Sprinklered
4100 Heritage,Suite 105 —*OCCUPANCY GROUP None
Grapevine,TX 76051
(817)925-2569 Phone *ZONING DISTRICT CC
NAME OF BUSINESS Clean&Show
OWNER *"TYPE OF BUSINESS Clean&Show
Evergreen-fern Ltd **APPLICANT NAME Tim Lancaster
4100 Heritage Ave Ste 105 APPLICANT PHONE NUMBER 817-925-2569
Grapevine,TX 76051-5716 TENANT NAME
ph.(000)000-0000 Clean&Show
**TENANT PHONE NUMBER 817-925-2569
AVAILABLE INSPECTIONS *Sales Tax NO
� Final Building C/O Inspection(required) *Sales Tax Number
� Landscaping(required)
r 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 1886
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-19-4830 I Printed 12/13/19 at 9:49.a.m. Page 1 of 3
4 a w W ' Ry20 2a,a y a °°,e CC P,a, x owoe
0 says s ,seg pO�e� P�a� 1
pnn 385 2 IA O s s uMPA,, o�Y V �865\, t ONPP�P�P�CC rOSZP,us®t oO��oe t FOlV FOOM ,n
PO �,. R-7.5 �Di40 oewp pa,8,eas® OFF,Qpj1M 3s ss o3al"® PpsP P,
)RTHWEWtH&y WNURIHWEs HWv WIN QRTHW,ESTMWymK%OWI—H(�`
lotis
vk-
'-4G\,�7R ,o,E p05N PO SNWEst 7 N� `s3v9 SP got,4 �48\ A SN0t,,t
ou® np�'l oop9T VIEW NOR\p1A A vxa 'll", av�
PO � -PPZ ZP• P3p32 sP A vA
B pm
aaa� oDxM NR v, t .a"o
a sma, SOIN�` MacP x CaP-P'
NK cyi,a �I
>c PRNo I4d Pp°4T _°'�
P.
3t6g5H 't v.vea®vwv®ahe®. v®
PO ,
�� _® NppK� R-7.5
� t
u
o PB
mom sne.,.� :oo®° Piss GOD n 6
q.
zse, O pN
Ip CC PO 5
3 a
AWALC,ST-t..ST EB
e. '
iH 144 o \ 2v ' 2 HEATHEI 'T
f pO5g5 WIWALl6T
1A ' zs ' a
t ,�',� w i�; z 2° 2
T.nP�0 yJ v 1�yF a ,\ •� bMNkGUG/N�jf f,yf.-ghL�,u`tF.,1(� �r'„ n,v"
7'PG W3p�O.EG0S
ill
a 1
R-7.5
OP. f a P
CHELSEA
E -12.5 ST
17
O°
' n p
14 ` 14 7 U
z
F W z 6
D e�e Je__ s v Q 12v vA
uu \ TA u „
z pvvnc P® 2< G v W(COEIEGEKT
9
awRVKW` ,s ,a 11 a ,v ro 21 12
P
I" R-7:5
4 C
4� 8us � .9s� i ';NjTs
p FD eP C z.
;o',® 9"� c�Ppv�MN PCD I
A Fp AO PS °ON,\N e NV\ '0 OXFORDkN
11
BS0Ptkc,•OUS vrjf �, !y r,Ot` 4G55e µ PO GU�PPNK I v ,
v 2 s a
40565 ,.nee rjT y�`FFy �4E f ° C
J I v
`EB t•O`'q a ax . 2s n 2 n zv ,v ll
�JB
amro® `I;pC�F, s EATOkLN
Lyyj @�O ,. . i G 1) vD
C it ,ty 9r!• I z c 2 , x
F
£ EW W_I UDGINS-Si
s LpNCASTER'OR<e. c4EpPNK sv , 1. Ps ,v °
1?N17
VOINe ,A, Z4
O\'EPpKK 2 z 50 2 , B(0 z „
So r Trfa 1q6 EBt,. E WOODS.pVE
ID > m9i:m� SNIRpLEi��E�-7\Itp-
f114 LSHo'14-UT ON 011Fy
0.�'p a'ti yr ye Sy a 42
�O9 F,p ODS pVda f(S!15�26 ��V,Pt•'v �S, !O ry,F O 121411®
9'L ``^✓•��Eip54H'11 E\WOODS"" EB. 0i�SH.I-Iy00 ^, F'3 J,ly `P'S BIT�o m
4 WO0 26��� WOODS -
L-i-\� p 1 inch = 400 feet Grid Page: o oR
CERTIFICATE OF OCCUPANCY
WORKORDER
PERMIT # 19 - `Y'S 3 Q
ADDRESS OF INSPECTION: (D q-� �F'
DATE OF INSPECTION: ) TIME OF INSPECTION:
NAME OF BUSINESS: (2 n �� Shp 10
J
TYPE OF BUSINESS: C`e a-11 �` `11 0 a)
USE OF BUILDING AND/OR PREMISES:` V('y-ca C\:v
REASON FOR APPLYING: se
-�-
CONTACT PERSON: 7-f(,- 1 V a j1 Q a C4 � ie
TELEPHONE NUMBER: S (9�
COMMENTS I,OnLAATIONS:
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: CCr
TYPE OF BUILDINGA -0 GROUP AND DIVISION: GAg,4^1 4.#Yo jg'N,, �J
ZONING RESTRICTIONS:
0_FORNIS OSCOINFORNIATION WORKOHOER
I32004 Rev_1 112001