HomeMy WebLinkAboutROOF2019-3614 * DATE OF ISSUANCE:P 5
V 2,
I �' PERMIT#:
BUILDING PERMIT APPLICATION
(PLEASE PRINT LEGIBLY-COMPLETE ENTIRE FORM)
JOB ADDRESS: 3LIM Ad� SUITE #
LOT: BLOCK: SUBDIVISION:
BUILDING CONTRACTOR(company name): 61 ve /r►7 e IQ®err, n
CURRENT MAILING ADDRESS: '77 L rg 1 -y.
CITY/STATE/ZIP: 4r.11.f..- `-%C 76-7'1'- PH:# 917"2 53-9 7/6 Fax#
PROPERTY OWNER: Qi V;d /V o Cy
CURRENT MAILING ADDRESS: S apn e-
CITY/STATE/ZIP: PHONE NUMBER:
PROJECT VALUE: $ /$1 DI,6) FIRE SPRINKLERED? YES NO
WHAT TRADES WILL BE NEEDED?(Check ones that apply)ELECTRIC PLUMBING MECHANICAL
DESCRIPTION OF WORK TO BE DONE: root,
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 APPROVAL FROM THE APPROPRIATE STATE AND
OR FEDERAL AGENCY(S).
PRINT NAME: 51e,,0fle-t SIGNATURE
PHONE#: 317-221 ,* [G' EMAIL:
❑ 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
Occupancy Group: Fire Sprinkler: YES NO Front: Electrical
Division: Building Depth: Left: Plumbing
Zoning: Building Width: Rear: Mechanical
Occupancy Load: Right:
Plan Review Approval: Date: Building Permit Fee: dP
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: �iw
Lot Drainage Submitted: Approved: Total Amount Due: QQ
P.O.BOX 95104,GRAPEVINE,TX 76099(817)410-3165 O:FORMS\DSPERMITAPPLICATIONS 1102-Rev.11104,5/06,2/07,11/09,4111
+l BUILDING ROOFING
���prENE + Issue Date:September 5,2019
ti I1 PROJECT DESCRIPTION:Replace Residential Roof
PROJECT# (817)410-3010 Www.mygov.us
ROOF-19-3614 Inspections Permits
City of Grapevine `
LOCATION LEGAL
P.O.Box 3400 W T Parr Rd. Heritage Oaks Addition-Gr vn Lot 7
TX Grapevine,,TX 76099 g p
(817)410-3165 Voice Grapevine,TX 76051 Heritage Oaks Addition-Grpvn Lot 7
(817)410-3012 Fax
CONTRACTOR INFORMATION
Blue Line Roofing **APPLICANT NAME Stephen Gilley
77 Corral Drive N. **APPLICANT PHONE NUMBER 817-253-9910
Fort Worth,TX 76244
County Tarrant
(817)253-9910 Phone
VALUATION 18000
OWNER FEES TOTAL=$42.00
David Nock Building Permit Fee($42.00 Flat Fee) $42.00
3400 Wt Parr Rd PAYMENTS TOTAL=$42.00
Grapevine,TX 76051
Blue Line Roofing(Stephen Gilley Michael
AVAILABLE INSPECTIONS Benson)
► Building Final(required) Other on 0910512019 ($42.00)
Note:CC0680
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).
9 S`
Signature Date
MYGOV.US City of Grapevine I BUILDING ROOFING I ROOF-19-3614 1 Printed 09/05/19 at 8:21 a.m. Page 1 of 2