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Home My WebLink AboutCO2025-004361UNDER CONSTRUCTION TD — NO LETTER SENT LETTER PW OR LID NEEDED PENDING FIRE PENDING HEALTH LAN b9cAPING _/ _00DE, HOLD 'FILE 0`40 CHECK LIST C/O PERMIT ADDRESS: BUSINESS NAME, BUSINESS i PROPERTY CHANGE NAME / OWNER NEW CONST /ADDITION PERMIT# NEW TENANT / OCCUPANT REMODEL /ALTERATION PERMIT# ISSUE DATE ,, . .. ........ FINAL DATE 1. APPLICATION FORM COMPLETED 2 WORKORDER FORM COMPLETED —3. ENVIRONMENTAL NOTIFIED DATE TIME (E-MAIL JIMMY BROCK)"B4., & VALERIE ki - ------------ 4. 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) 5. FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE 6 ZONING CHECKED & COMPLETED ON APPLICATION 7 BUILDING INSPECTION SCHEDULED DATE TIME 8. FIRE DEPT INSPECTION SCHEDULED DATE TIME__ FIRE INSPECTOR: —9. HEALTH INSPECTION NOTIFICATION DATE. . .. ... . .... _ -- 10. CITY SECRETARY (ALCOHOL) NOTIFICATIONDATE: - 11 PUBLIC WORKS INSPECTION E-MAIL DATE 12 LOT DRAINAGE INSPECTION E-MAIL DATE 3. CORRECTION LETTER SENT DATE- -14. BUILDING INSPECTORS SIGN OFF LETTER.- YES / NO 15, FIRE DEPARTMENTS SIGN OFF LETTER: YES / NO 1& HEALTH DEPARTMENT SIGN OFF 17. CITY SECRETARY (Alcohol License Sign Off) 18, PUBLIC WORKS SIGN OFF 'X 19. LOT DRAINAGE SIGN OFF 2. LANDSCAPING SIGN OFF 21. BUILDING OFFICIALS SIGNATURE 22, C/O CERTIFICATE ISSUED ELECTRIC RELEASED: SCAN CERTIFICATE TO MYGOV- k MAILED 1; TORMSUSGOINF ORMATIOMCKUST 12Q0104 t Rev 5123/24 CERTIFICATE OF OCCUPANCY RF(l EST E: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCYIS ASSOCIATED WITH ANACTIVE CURRENTBUILDING PERMIT ADDRESS OF OCCUPANCY: 200 W Northwest Highway, Suite 205 SUITE # LOT: BLOCK: )14 Pk SUBDIVISION. 11-1A ""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRRnON**** NAMEOFBUSINESS: CteAa-X\t iSVADLAD NEW OCCUPANT- YES _ NO v-' NEW BUILDING/PROPERTY OWNER: YES_NO NEW BUILDING: YES — NO NEW BUSINESS NAME CHANGE: YES NO NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO NEW BUSINESS OWNER: YES -NO TYPE OF BUSINESS: C- V §—,a VN ov\J sv%o�-O, SQUAREFOOTAGE: (Exatuple: Retail Clodiing / Attomey's Office / Office-Warehoue Restaurant) NAME OF TENANT CURRENT MAHING ADDRESS: A CITY/STATE/ZIIP: PHONE NUMBER: PROPERTY OWNER: Ken,,on Coleman MAILING ADDRESS: 5,8101 Tenn,son ParkwaY, S7, 1 So CITY/STATEIZIP: Plano/Texas/7520.4 PHONE NUMBER: 925-285-8366 # IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yesprovide copy of Sales Tax Certificate) ---- YES NO + WELL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) - YES NO + PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? ------------------- YES NO * WELL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? ------ YES NO + WELL OUTSIDE REFUSEIRECYCLINGICOMPACTING CONTAINERS BE NECESSARY? (if yes, screening is required) ----------------------------------------------------------- YES NO VII/ + WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY, USEOR DINING? ------------------------------------------------------------------ YES NO + WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? ......................... YES V + IS BUILDING SPRINKLERED? ------------------------------------------------------- YES NO_ * WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS? (if yes, provide list 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 OCCUPANCY IS IN CONFORMANCE WITH THE INFORMATION HEREIN SET FORTH. (If access to the building/space is not provided at the time of the scheduled inspection, a N42.010.1 Te-knsjrrwill be charged) FOR QUESTIONS PJ,. FASE C'.1 LL (817) 410-3165. SIGNATURE: PRINT NAME: Aftalewis PHONE #: 402-312-3059 I-W Development Services Department The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165 Pax (817) 410-3012 * , MFORMSXDSAPPLICAVONS-FEES 32001/Rev: 5/06,2107,4[09,2J73,11115,10/16,8118,10120 TAXAS "ALES eAX Texas Sales Tax is charged and collected on sales within the State and City of Grapevine, Texas of "taxable item." Taxable items include of tangible personal property, specified services. If you are in 2 business that will be selling "taxable items" 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 Retailer" means a person engaged in the business of making sales of "taxable ileum", the receipts from which ar,� 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, but 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 to 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 tothe City of Grapevine, Texas if the circumstance applies to my business. Texas Sales Tax Number: Signature: A ADDRESS: CITY, STATE, ZIP: OFFICE USE TYPE AV CONSTRUCTION: 03-5p Li jCLEitiE5,0 OCCUPANCY- DIVISION; ZONING DISTRICT: PERMITTED USE: 0,r-c—%,4dWe--f BUILDING DEPARTMENT: BUILDING INSPECTOR: rd-1175F#751°� HEALTH DEPARTMENT: CITY SECRETARY: LANDSCAPING APPROV,\,L: APPROVAL FOR ISSUANCf:.. CONDITIONAL USE: OCCUPANT LOAD: DATE: I/// q /.? DATE: DATE: I -u .74#X DATE: DATE. DATE: DATE: City of Grapevine Certificate ofOccupancy 'r+Box 0 r 10436 ProjectGrapevine, Texas 76099 Description: 817) 1 Issued12/01/2025 at 2:56 PM INSPECTIONS 200 W Northwest Hwy., 205 1. Final Building C/O Inspection 3. C/O APPROVEDISSUANCE Grapevine, TX 71 2. Landscaping LEGAL INFORMATION I L Grapevine Shopping Center Ik of Lot Plat "NAME F BUSINESS Glean Show S **TEAT NAME (individual) Glean & Show Grapevine Shopping "TENANT PHONE NUMBERNIA Center Lot Plat 3 -127- 1 Part Abandoned "APPLICANT E (Individual) In Lewis d "APPLICANT HO U 402-312-3059 Square Footage 1 200 PERMITL Allen Lewis *Sales Tax Number NIA Just Wellness RX LLC D ** TYPE OF BUSINESS Clean & Show A Cry - * CONSTRUCTION TYP V - SPRINKLERED (40) 312-59 * OCCUPANCY GROUPN/A COLLABORATORS*Sales Tax NO * Allen Lewis Alcoholic Beverage Sales NO Just Wellness RX LLC D Cryo-X Alterations NO (0) 1 - 059 Change of Business Name NO Change of Business Owner NO OWNERS Fire Sprinkler System? NO • c Kingdom Perspective Lic Freight Forwarding Business NO Hazardous Material NO TENANTS Industrial Waste NO • Expressive Beauty New Building f Addition NO New Building/ Property Owner NO New Occupant f Tenant NO Outside Refuse/Recycling Outside Storage NO Signs NO _... _. Page 1/2 MYGMUS 25-004361, 12/01/2025 at 2:56 PM Wued by: Amanda Robeson * CONDITIONAL I ? / * OCCUPANCY LOAD / * PERMITTED USE NO OCCUPANCY * ZONING DISTRICT HC TOTALFEE Certificate of Occupancy $50.00 $50.00 $50.00 TOTALS 0.0 $50-00 $0.00 .T , ► ■, ■ FOREGOING CORRECT TO TAE BEST OF MY KNOWLEDGE AND THAT SAIOCCUPANCY IS IN CONFORMANCE THE INFORMATION HEREIN SET i_ >> (If access to the building/space Is not provided at the time of scheduled Inspection,1 fi 1 re -inspection fee will be r' r FOR QUESTIONS or TO RECALL FOR INSPECTION, PLEASE CALL: (817) 410- or i Signature City Grapevine Certificate Project # 5-004 61 MYGOV.us 25.004361, 12J01?2025 at 2:56 R _ Page 2/ Issued by: Amanda Robeson , I J I 0, 111,11W Ill PERMIT **TO BE FILLED OUT BY BUILDING OFFICIAL" ZONING DISTRICT OF INSPECTION LOCATION: OCCUPANT LOAD - TYPE OF BUILDING: GROUP AND DIVISION: ZONING RESTRICTIONS: r, \FORMSWSCOINFORMAl ONINVORKORDF R 12130104 Re. v. IV,1120N