HomeMy WebLinkAboutRMISC2019-5018 DEC 2 7 Z019 AN 0 202�1
DATE OF ISSUANCE:I A d
PERMIT#:
BUILDING PERMIT APPLICATION
(PLEASE PRINT LEGIBLY-COMPLETE ENTIRE FORM)
JOB ADDRESS: (�12.3 Vv t 1 l{ ��N �I SUITE #
LOT: a BLOCK: SUBDIVISION: Ma� �
BUILDING CONTRACTOR(company name)1:,'Q•ezf3
CURRENT MAILING A�DyD�R�E�S: 55
CITY/STATE/ZIP: YCtNLINVII� t) `(�. �I �0�3 mil Fax#
PROPERTY OWNER
CURRENT MAILING ADDRESS: ��^,I^a3
CITY/STATE/ZIP: 6 R! k 1 U(_ 1 }L-m oS PHONE NUMBER: p�I�� bot—no
00
PROJECTVALUE: $ ACOQ. FIRESPRINKLERED? YES NO I--'
WHAT TRADES WILL BE NEEDED?
r�(Check
1Ones that apply)ELECTRIC PLUMBING MECHANICAL_
DESCRIPTION OF WORK TO BE DONE:
USE OF BUILDING OR STRUCTURE: F `J r=—= -
NAME OF BUSINESS: (W(L
Total Square Footage under roof: Square Footage of alterationladdition:
1 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 APPROVAL FR Q7 THE APPROPRIATE STATE AND
OR FEDERAL AGENCY(S). ^' ' _
PRINT NAME: I�R� V L• INE l( S SIGNATURE J�
PHONE#: ��l-�) �j -� L�.� (:D-0 — EMAIL:�
CHECK BOX IF PREFERRED TO BE t
THE FOLLOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT
Construction Type: Permit Valuation: $ Setbacks Approval to Issue
Occupancy Group: Fire Sprinkler: YES NO Front: Electrical
Division: Building Depth: Left: Plumbing
Zoning: y^,p Building Width: Rear: Mechanical
Occupancy Load: Grease Tra Right: Hood
Plan Review A roval Date: i ,: 20 Building Permit Fee: a j
Site Plan Approval: Date: Plan Review Fee:
Fire Department: Date: Lot Drainage Fee:
Public Works Department: Date: Sewer Availability Rate:
Health Department: Date: Water Availability Rate:
Approved for Permit: Date: Total Fees: f, S
Lot Drainage Submitted: Approved: 2 L3 r Total Amount Due:P0BOX P5100,GRAPEVINE,TX 76099(817)010.3165 O.FORMSLSPERMITAPPLICATIONS W2 R-11
t�gyAT1 { ai BUILDING RESIDENTIAL ACC STRUCTURES
.1�11YI SJI:"E Issue Date:January 6,2020
rq 0 C y g ti PROJECT DESCRIPTION:Construct Detached Cedar Pergola(8X14)
PROJECT# (817)410-3010 www.mygov.us
RMISC-19-5018 Inspections Permits
City of Grapevine
P.O.Box 95104 LOCATION LEGAL
Grapevine,TX 76099 1723 Wildflower Trl. Meadow Park Addition Blk 2 Lot 2
(817)410-3165 Voice Grapevine,TX 76051
(817)410-3012 Fax
CONTRACTOR INFORMATION
Outback Creations, Inc. *ZONING DISTRICT R-5.0
3207 Woodford Dr. **APPLICANT NAME
Terry Winters
Arlington,TX 76013
(817)832-2811 Phone 'APPLICANT PHONE NUMBER 817-832-2811
(817)861-4960 Fax County Tarrant
(817)832-2811 Mobile Fire Sprinkler System? NO
Square Footage 112
OWNER VALUATION 4000
Daniel Przyojski FEES TOTAL=$87.25
1723 Wildflower Trl
*Building Permit Fee(Value) $87 25
Grapevine,TX 76051-8415
PAYMENTS TOTAL=$87.25
AVAILABLE INSPECTIONS
� Building Foundation/Footing(required) Outback Creations, Inc. (Terry L. linters)
� Building Setback(required) Check on 0110612020 ($87 25)
� Building Framing(required) Note:CK3424
Lot Drainage Inspection(required) NOTICES
� Building Final(required)
1)ALL work must be done in compliance with the 2006 INTERNATIONAL
BUILDING CODE.
2)A copy of the signed permit and approved plans must be on site at all times.
3)The project address must be clearly posted at the job site.
READ AND SIGN
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 APPROVAL FROM THE APPROPRIATE STATE AND OR
FEDERAL AGE CY(S).
1-6
Signature Date
MYGOV.US City of Grapevine I BUILDING RESIDENTIAL ACC STRUCTURES I RMISC-19.5018 1 Printed 01/06/20 at 10:44 a.m. Page 1 of 2