HomeMy WebLinkAboutCOMA2019-3988 (2) cwc�
OCT 0 3 2019 DATE OF ISSUANCE:
r k x n s *111111\0 PERMIT#: 12- 390P)
BUILDING PERMIT APPLICATION
(PLEASE PRINT LEGIBLY-COMPLETE ENTIRE FORM)
JOB ADDRESS: :;5006 GWI;Y19C MILLS Q(<w SUITE# �
LOT: BLOCK: SUBDIVISION:
BUILDING CONTRACTOR(company name): TflQ
CURRENT MAILING ADDRESS:
CITY/STATE/ZIP: PH:# Fax#
PROPERTY OWNER: 5'l AA OIC
CURRENT MAILING ADDRESS: 4 Z3 VJ 15 C O 1.1 S l til b V6 -4 3 c a
CITY/STATE/ZIP: G HEMy Gk1.1r5t"4hA0 2,09157 PHONE NUMBER:_ 30 9 6 00 G 33'z
PROJECT VALUE: $ 60 D FIRE SPRINKLERED? YES_X_ NO
WHAT TRADES WILL BE NEEDED?(Check ones that apply)ELECTRIC PLUMBING MECHANICAL
DESCRIPTION OF WORK TO BE DONE: L4wj9 La ILD PrtzV I ptNG JIT-11-1-r4:211195 IN T-b C.6�tS e
USE OF BUILDING OR STRUCTURE: W Fl (j f$o X UTO C t �TI�TG N A N r
NAME OF BUSINESS: T Fi p
Total Square Footage under roof: �r� q.GJ Square Footage of alteration/addition: 8 O 0
❑ I hereby certify that plans have been reviewed and the building will be inspected by a certified energy code inspector in accordance with
State Law. Plan review and inspection documentation shall be made available to the Building Department(required for new buildings,
alterations and additions)
❑ I hereby certify that plans have been submitted to the Texas Department of Licensing and Regulation for Accessibility Review.
Control Number: (Not required for 1&2 family dwellings)
I hereby certify that an asbestos survey has been conducted for this structure in accordance with the regulatory requirements of the Texas
Department of Health.
(REQUIRED FOR DEMOLITIONS,ADDITIONS AND OR ALTERATION TO COMMERCIAL AND PUBLIC BUILDINGS)
I hereby certify that the foregoing is correct to the best of my knowledge and all work will be performed according to the documents approved by
the Building Department and in compliance with the City Of Grapevine Ordinance regulating construction. It is understood that the issuance of
this permit does not grant or authorize any violation of any code or ordinance of the City Of Grapevine. I FURTHERMORE UNDERSTAND
THAT PLANS AND SPECIFICATIONS ARE NOT REVIEWED FOR HANDICAPPED ACCESSIBILITY BY THE CITY,AND THAT THE
DESIGN PROFESSIONAL/OWNER IS RESPONSIBLE FOR OBTAINING SUCH APPR AL FROM TH APPROPRIATE STATE AND
OR FEDERAL AGENCY(S).
PRINT NAME: SIGNATURE
PHONE#: '1' + 672 ) 60�H X-1 a U EMAIL:
❑ CHECK BOX IF PREFERRED TO BE CONT CTEDED Bi E-MAIL
THE FOLLOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT
Construction Type: —0 Permit Valuation: $ Setbacks A roval to Issue
Occupancy Group: At p. I Fire Sprinkler: YES I NO Front: Electrical
Division: Building Depth: Left: Plumbin
Zoning: Gli Building Width: Rear: Mechanical If
Occupancy Load: /V p rr i4,o/e AZ> TIo.�S Right:
Plan Review A roval: Date: r6-9/ Building Permit Fee: �$
Site Plan Approval: Date: Plan Review Fee:
Fire Department: �o Date:Le ' —/tel Lot Drainage Fee:
Public Works Department: Date: Sewer Availability Rate:
or Health Department: Date: Water Availability Rate:
Is` Approved for Permit: Date: Total Fees:
r Lot Drainage Submitter}- Approved: Total Amount Due:
2 P.0.9OX9510.GRAPEVINE,T%]609901]I4163165 FOW8ZSPEWffAPPL1CATION51102- e.111N45106.907,11109.M11
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DBA Name: Date: 05/29/2019 14:52
Unit No. 538 Scale: Vi
=30r
Leasing Agent: Corp.No. 5211