HomeMy WebLinkAboutROOF2019-2496 J U N 2 0 2019 DATE OF ISSUANCE: JUN 7019
.A VINE
PERMIT#:
BUILDING PERMIT APPLICATION
(PLEASE PRINT LEGIBLY—COMPLETE ENTIRE FORM)
JOB ADDRESS: �P'!,?� f'q i Y1S4'a, (/a i► e _^�CP691SUITE#
LOT: i BLOCK: SUBDIVISION:
BUILDING CONTRACTOR(company name): i V(?
� �N r17+ CURRENT MAILING ADDRESS:
f �01 P
CITY/STATE/ZIP: J(�(�l�� A V t +1 _4&0'q2_ PH:#911 '8( U-4�(1�UZFax#
PROPERTY OWNER: lout ':L / t-A+N``
CURRENT MAILING ADDRESS: A 1A-'5l,4( Cc. 2
CITY/STATE/ZIP: - `� PHONE NUMBER: - �� Z
PROJECT VALUE: $ r'� U F ue FIRE SPRINKLERED? YES 1 t/ t NO
WHAT TRADES WILL BE NEEDED? check ones at ap ly)ELECTRIC P UMBING MECHANICAL
rB
DESCRIPTION OF WORK TO BE DONE: (1Q. l Q1��5 YA W-01�
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)
❑ 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 APPROV 1 i FROM �
' E APPROPRIATE STATE AND
OR FEDERAL A 11ENCY(S). ( ��-
PRINT NAME:_ ' Odbl 0 _ SIGNATURE
❑ CHECK BOX IF PREFERRED TO BE CONTACTED BY E-MAIL
THE FOLLOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT
Construction Type: Permit Valuation: $ Setbacks Approval to Issue
Occu ancy Group: Fire Sprinkler: YES NO Front: Electrical
Division: Building Depth: Left: Plumbing
Zoning: Building Width: Rear: Mechanical
Occu anc Load: Grease Trap Right: Hood
Plan Review Approval: Date: Building Permit Fee:
Site Plan Approval: Date: Plan Review Fee:
Fire Department: Date: Lot Draina e Fee:
Public Works Department: Date: Sewer Availability Rate:
Health Department: Date: Water Availability Rate:
Approved for Permit: Date: Total Fees: flP
Lot Drainage Submitted: Approved: Total Amount Due:
P.O.BOX 95104,GRAPEVINE,TX 76099(817)410-3165 0:FORMS0SPEWTAPPLICATIONS 1/02•Rev.11/04,5/06,2/07,11/09,4/11,2/19
4P*VINE
er, BUILDING ROOFING
x - Issue Date:June 20,2019
e► Y PROJECT DESCRIPTION:Replace Residential Roof
PROJECT# (817)410-3010 WWW.mygov.us
ROOF-19-2496 Inspections Permits
City of Grapevine
LOCATION LEGAL
P.O.Box 95104 2905 Peninsula Dr. Placid-Peninsula Addition Blk 4 Lot 33r
Grapevine,TX 76099
Grapevine,TX 76051
(817)410-3165 Voice
(817)410-3012 Fax
CONTRACTOR INFORMATION
Griffith Roofing, Inc. —APPLICANT NAME Larry Hamlon
801 Charleston Dr. —APPLICANT PHONE NUMBER 817-235-6965
Southlake,TX 76092 County Tarrant
(817)800-4802 Phone —
(817)491-2636 Fax VALUATION 47000
(817)657-6819 Mobile FEES TOTAL=$42.00
Building Permit Fee($42.00 Flat Fee) $42.00
OWNER PAYMENTS TOTAL=$42.00
Jill Statham
2905 Peninsula Dr Griffith Roofing, Inc. (Robby Duncan)
Grapevine,TX 76051-2526 Other on 0612012019 ($42.00)
Note:CC1564
AVAILABLE INSPECTIONS NOTICES
P. MISC.Building Inspection(required) 1)ALL work must be done in compliance with the 2006 INTERNATIONAL
► Building Final(required) 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 SUCI-!APPROVAL FROM THE APPROPRIATE STATE AND OR
FEDERAL AGENCY(S).
Signature Date
MYGOV.US City of Grapevine I BUILDING ROOFING I ROOF-19-2496 I Printed 06/20/19 at 8:15 a.m. Page 1 of 2