HomeMy WebLinkAboutROOF2018-2942 �\ DATE OF ISSUAN(t 0 2 0 F;
4--a-
r PERMIT#:
BUILDING PERIVIIT APPLICATION
(PLEASE PRINT LEGIBLY-COMPLETE ENTIRE FORM)
JOB ADDRESS: /j j(� (� SUITE#
LOT: BLOCK: SUBDIVISION:
BUILDING CONTRACTOR(company name): Cl(Coy
CURRENT MAILING ADDRESS: �' 6 q' �OYYpn
CITY/STATE/ZIP: O/&1 S ±X 7 S 2 l PH:#t/Lp /?4 SFax#
PROPERTY OWNER:
CURRENT MAILING ADDRESS:
CITY/STATE/ZIP: PHONE NUMBER:
PROJECT VALUE: $ �y�/1 CC2 _ FIRE SPRINKLERED? YES NO
WHAT TRADES WILL BE NEEDED? (Check ones that apply)ELECTRIC PLUMBING_ MECHANICAL_
DESCRIPTION OF WORK TO BE DONE:
USE OF BUILDING OR STRUCTURE:
NAME OF BUSINESS:
Total Square Footage under roof: Square Footage of alteration/addition:
❑ 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)
❑ 1 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)
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 AGEY(S).
PRINT NAME: s/)/rr Jn/dam Np Yr�Z SIGNATURE'
PHONE#: d /C/ a () - i g 5- EMAIL:
❑ CHECK BOX IF PREFERRED TO BE CONTACTED BY E-MAIL
THE FOLLOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT
Construction T e: Pen-nit Valuation: $ Setbacks Ap roval to Issue
Occupancy Group: Fire S rinkler: YES NO Front: Electrical
Division: Building Depth: Left: Plumbing
Zoning: Building Width: Rear: Mechanical
Occupancy Load: Right:
Plan Review Approval: Date: -Building Permit Fee:
Site Plan Approval: Date: Plan Review Fee:
Fire Department: Date: Lot Drainage Fee:
Public Works De artment: Date: Sewer Availability Rate:
Health Department: Date: Water Availability Rate:
Approved for Permit: Date: Total Fees:
Lot Drainage Submitted: Approved: Total Amount Due:
PO.BOX%IW,GMPEVINE,T%780%(817)4108165 O'.FORMSUSPERMITAPPLIOATIC S1A er.11/p4 ry �01,��A) It
BUILDING ROOFING
9.71C M 1G Issue Date:July 30,2018
PROJECT DESCRIPTION:Residential Re-Roof
PROJECT# (817)410-3010 www.mygov.us
ROOF-18-2942 Inspections Permits
City of Grapevine
LOCATION LEGAL
P.O.Box 95104 104 Sycamore
Grapevine.TX 76099 Silver Lake Estates Addition Bilk 1 Lot 5
Grapevine, TX 76051 No. 1220 Tr 5
(817)410-3165 Voice *07856490*
(817)410-3012 Fax
CONTRACTOR INFORMATION
Halton Negro Roof **APPLICANT NAME Romualdo Martinez
8646 Torreon St. **APPLICANT PHONE NUMBER 214-697-1365
Dallas,TX 75217
(214)697-1365 Phone County Tarrant
VALUATION 8000
OWNER
Daniel Adair FEES TOTAL=$42.00
104 Sycamore Ct Building Permit Fee($42.00 Flat Fee) $42.00
Grapevine,TX 76051-8259 PAYMENTS TOTAL=$42.00
AVAILABLE INSPECTIONS
Halcon Negro Roof(Romualdo Martinez)
Building Final(required) Other on 0713012018 ($42.00)
Note,CC9491
NOTICES
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 AGENCY(S).
� `� ` ar
Signature Date
MYGOV.US City of Grapevine I BUILDING ROOFING I ROOF-18-29421 Printed 07/30/18 at 3.18 p.m. Page 1 of 2