HomeMy WebLinkAboutCO2025-0039622.
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ISSUE DATE __ FINAL DATE
ENVIRONMENTAL NOTIFIED DATE TIME
(E-MAIL JIMMY BROCK &Lc, &VALERIE FARRELL yLarreW _qrapevinetexas,_qpv
HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATE
(SCAN TO C/O IN MYGOV — IF LARGE SET, ALSO SCAN TO LF & FORWARD SET TO FIRE)
FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DA'11111"
ZONING CHECKED & COMPLETED ON APPLICATION I
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HEALTH INSPECTION
CITY SECRETARY (ALCOHOL)
PUBLIC WORKS INSPECTION
LOT DRAINAGE INSPECTION
CORRECTION LETTER SENT
BUILDING INSPECTORS SIGN OFF
FIRE DEPARTMENTS SIGN OFF
HEALTH DEPARTMENT SIGN OFF
CITY SECRETARY (Alcohol License Sign Off)
PUBLIC WORKS SIGN OFF
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
BUILDING OFFICIALS SIGNATURE
C/O CERTIFICATE ISSUED
* ON Yr.-.'s f N(�l
DATE TIME
DATE TIME
FIRE INSPECTOR:
------------
NOTIFICATION DATE:
NOTIFICATION DATE:
E-MAIL DATE
E-MAIL DATE
DATE
LETTER: YES / NO
LETTER: YES / NO
ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOV:
MAILED:
�M .....DATE OF ISSUANCE:
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NO FEE REQUIRED IF TIZE CER TIFICATE OF OCCUPANCY is ASSOCIATED WITH AN A CTIVE CURRENT BUILDING
ADDRESS OF OCCUPANCY.-
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""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION****
NEW OCCUPANT: S N
BUILDING:NEW A CHANGE: YES NO ac,
NUMBER OF : A NEW BUSINESS OWNER:
YES NO jP-
FREIGHT
TYPE OF BUSEWSS:? t
(Example: Retail Clothing / A ey's Office/Restaurant/O6 arehouse)
**IF OFFICEIWAREHOUSE
r7t A E: SF OFFICE: SF WAREHOUSE:TOTAL SQUARE FOOTAGE:
NAME OF TENANT I; S N'SNAM. : ei -4 ipkI4410
CURRENT MAILING : e o
C /S J0.1 c r ",PHONE NUMBER:
PROPERTY OWNER:
MAILINGADDRESS: ... ..w.__..._ _ ...._w.�_W. c�+ 11"5 ...
♦ IS YOUR BUSINESS SUBJECT TO SALES TA ? (if yes, provide copy of Sales Tax Certificate) - - - - - - - S O _
♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) - - - S _. N
♦ WILL THERE BE FOOD SALES? (if yes, contact Tarrant County Health 817-3214983for more information) - - YES NOtL_
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? -----------_-------- YES_!No_
♦ WILL BUSINESS GENERATE ANY INDUSTRIALAS E TO SEWER SYS?-------- S®NO®
♦ WILL OUTSIDE S /G AC CONTAWERS BE NECESSARY? (screening is required) YES NO
♦ WILL THERE BE ANY OUTSIDESTORAGE (including storage of company/fleet vehicles), IPA/ S ? YES NO
♦ WILL ANY ALTERATIONS BE MADE TO THE SI G?---------------------------- S l O
dA
♦ IS BUILDING S?---------------------------------------------------------- YES�
♦ WELL BUSINESS STORE L S MATERIALS OR LIQUIDS?
(if yes, provide NA of types & quantities, along with material safety data sheets) - - - - - - - - - - - - - - - - - - - - - YES NO
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THE SAID
OCCUPANCYCONFORMANCE WITH THE INFORMATION HEREIN SET FORTH.
access to the ° ace is not provided at the time of the scheduled inspection, a . 5. re-._tnspection fee will be )
QUESTIONSFOR or (817) 1-165 or (817) 410-3166
SIGNATURE: PRINTNAMIE:
Building` tlu
Department
The City of GrapevineBox 95104 * Grapevine, Texas 76099
(17) 1-15 * (817) 10-16
"P � �rarievinetexasa (OVER)
„a,4
TEXAS SALES TAX
Texas Sales Tax is charged and collected on sales within the State and City of Grapevine, Texas of 11axable items:' Taxable
items include both tangible personal property, specified services. If you are in a business that will be selling ftmable itemsP
within the City of Grapevine, Texas you will be required to collect State and Local Sales Tax in the amount of 8.25 %.
A "Seller or Retailermeans a person engaged in the business of maldng sales of "taxable itemsthe receipts from which are
included in the measure of sales or use tax.
The term, "place of business" includes any location at which three or more orders are received by the "Seller or Retailer
in a calendar year. If an order is received at the place of business of a retailer in Texas, hut delivery or shipment is made
from a location within the state other than the retailer's place of business. State and local sales tax is due and is allocated t(r
the city where the order was received.
I have read the above and I understand that I will be required to provide a copy of the Sales Tax Permit to the City of
Grapevine, Texas if the circumstance applies to my business.
Texas Sales Tax Number:
Signature:
WHERE'DO YOU WANT YOUR COMPLETED CERTMCATE OF OCCUPANCY MAMEM,
mom
CITY. STATE. ZIP:
TYPE OF CONSTRUCTION:
ZONING DISTRICT:
PERTYMTED USE:
BUILDING DEPARTNIENT:
BUILDING INSPECTOR:
FIRE DEPARTM1ENT:-----'-.--
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTI�MNT:
CITY SECRETARY:
LANDSCAPING APPROVAL:
APPROVAL FOR ISSUANCE:
OCCUPANCY: DIVISION:
CONDITIONAL USE:
OCCUPANT LOAD:
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
DAM,
DATE:
DATE:
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TaVayer nww and maftq aftess
MOISES PALACIO
SAN JOSE CA95148-2817
3
$ 1
8 !
NAICS CODE: 8 yy
20
n' Clothing t
aTMS PERMIT IS MON-TRANSFEAABLE
TaVwjer
3-21012-9928-0
date
Y
/ 1/2025
> R
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HANCO
Acting lirr ofPublic Accounts
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Sales Taxpayer Search - Sales Taxpayer Search
Q Taxpayer Locations
32102476051
PALACIO PALAC10 LIMITED LIABILITY
3652 NORWOOD AVE
SA N JOSE, CA 95148
ACTIVE
Location Status
Address Location
Name t
Number
EL ACTIVE
3000 00001
PALACIO
GRAPEVINE
MILLS
PKWY
STE 505
GRAPEVINE,
TX 76051
Permit Begin Permit End
Date ■.
RM
10/14/2025, 12:26 PM
City of GrapevineCertificate
of Occupancy
PO Box 95104
Project
r"
Grapevine, Texas 76099
817j 410-8166
P! 9)
Project Description: C/ (Retail Clothing)
"El Palacio Premium
'°
! Clothing>,
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!
cr
Issued on: 12/16/2025 at 9:01 A
ADDRESS
INSPECTIONS
4
3000 Grapevine Mills
Pkwy., 55
1. Final Fire Dept Inspection
3. Landscaping
Grapevine, TX 76051
2. Final Building C/O Inspection
4. C/O APPROVED FOR ISSUANCE
LEGAL
INFORMATION FI L
Grapevine Mills Addition
Ik 1 Lot 1 r3
**NAME OF BUSINESS
El Palacio Premium Clothing
**TENANT NAME (individual)Moises
Palacio
PERMIT HOLDER
Moises Palacio
"TENANT PHONE NUMBER
408-70-0343
l Palacio Premium Clot
APPLICANT E-MAIL
hing
**APPLICANT NA (Individual)
Moises Palacio
(0) 479-4318
**APPLICANT PHONE NUMBER
40-750-043
OWNERS
Square Footage
135
• Grapevine Mills Mall
*Sales Tax Number
32102476051
Lp
(317) 636-1600
** TYPE OF BUSINESS
Retail
* CONSTRUCTION TYPE
II - SPRINLD
TENANTS
* OCCUPANCY GROUP
M
•Moises Palacio
*Sales Tax
YES
El Palacio Premium
Clothing
Alcoholic Beverage Sales
NO
(408) 479-4318
Alterations
NO
Change of Business Name
NO
Change of Business Owner
NO
Fire Sprinkler System?
NO
Freight Forwarding Business
NO
Hazardous Material
NO
Industrial Waste
NO
New Building / Addition
NO
New Building / Property Owner
NO
New Occupant / Tenant
YES
i
Number of Employees
4
Outside Refuse/Recycling
NO
------- . -... _
_ . _.. Page 1 /2
MYGOV.US 25-003962, 12/16/2025 at 9:01 AM
Issued by: Amanda Robeson
Mz= -
uulfiamod!
Outside Storage
NO
Signs
YES
Square Footage - Office
1325
* CONDITIONAL USE REQUIRED?
NO
* OCCUPANCY LOAD
22
* PERMITTED USE
YES
* ZONING DISTRICT
cc
FEE TOTAL PAID DUE
Certificate of Occupancy $50.00 $ %00 $ %00
TOTALS $50.00 $50.00 $0.00
READ AND SIGN
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF
MY KNOWLEDGE AND THAT SAID OCCUPANCY IS IN CONFORMANCE WITH
THE INFORMATION HEREIN SET FORTH.
(if access to the building/space is not provided at the time of scheduled
inspection, a $50.00 re -inspection fee will be charged)
FOR QUESTIONS or TO RECALL FOR INSPECTION, PLEASE CALL: (817) 410-
3165 or (817) 410-3166
Signature
ama_a�
Project # 25-003962
Page 2/2
MYGMUS 25-003962, 1211612025 at 9:01 AM Issued by: Amanda Robeson
PERMIT#25 -
**TO BE FILLED OUT BY BUILDING OFFICIAL"
ZONING DISTRICT OF INSPECTION LOCATION: OCCUPANT LOAD: ----------
V
TYPE OF BUILDING: GROUP AND DIIS ION:
ZONING RESTRICTIONS:
C W ORMSOSCOINFORMATIONMORKORDE R
12130104 Rev 5/23/2024