HomeMy WebLinkAboutCO2026-000632mLam Mai *01FILARMu-
C/O PERMIT # 26
UNDER CONSTRUCT[ON
TD — NO LETTER
SENT LETTER
PW OR LID NEEDED
PENDING FIRE
PENDING HEALTH
LANDSCAPING
HOLDWL�E
ISSUE DATE FINAL DATE
1 APPLICATION FORM COMPLETED
-2, WORKORDER FORM COMPLETED
3. ENVIRONMENTAL NOTIFIED DATE., TIME
(E-MAIL JIMMY FROCK &VALERIE FARRELL
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
T BUILDING INSPECTION SCHEDULED DATE TIME
8. FIRE DEPT INSPECTICN SCHEDULED DATE TIME
FIRE INSPECTOR:
HEALTH INSPECTION NOTIFICATION DATE:
—10. CITY SECRETARY (ALCOHOL) NOTIFICATIONDATE:
11 PUBLIC WORKS INSPECTION E- MAIL DATE
12, LOT DRAINAGE INSPFGI ION E-MAIL DATE
CORRECTION LETTER SENT DATE
—14. BUILDING INSPECTORS SIGN OFF —T�) LETTER: YES /
- 15. FIRE DEPARTMENTS SIGN OFF LETTER' YES / NO
16, HEALTH DEPARTMEN't SIGN OFF
17. CITY SECRETARY (Alcohol License Sign Off)
18 PUBLIC WORKS SIGN OFF
-79 LOT DRAINAGE SIGN OFF
—cz 0, LANDSCAPING SIGN OFF
21. BUILDING OFFICIALS SIGNATURE
22 C/O CERTIFICATE ISSUED
ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOV-
MAILED
(,,:\Fc)RP,4,;\DSCoINFC)Rr14ATION\CKI IST
12!30104 4 R-v !423124
DATE OF ISSUANCE: 3/;L?1a 1,
PERMIT
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
W! _rTfVP rT7
BLOCK:
SUBDIVISION: ��P-IFZ:VlNg MI"
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION****
NAME OF BUSINESS:
NEW OCCUPANT: YES N 0
NEW BUILDINGIPROPERTY OWNER:
YES
—NO_
NEW BUILDING: YES NO
NEW BUSINESS NAME CHANGE:
YES
—NO
NUMBER OF EMPLOYEES:
NEW BUSINESS OWNER:
YES
—NO
FREIGHT FORWARDING:
YES
—NO
TYPE OF BUSINESS: % ' 1. (E xaniple: Retail Clothing / A(torney'g Offlue Restaurant / OfficefWarehouse)
**][F OFFICE/WAREHOUSE PROVI �)i BREAKDOWN OF SQUARE FOOTAGES:
SF OFFICE: -,— SF ��`Akl,'HOUSE; - I—— TOTAL SQUARE FOOTAGE:
NAME OF TENANT [P,YRSON'S NAME]:
CURRENT MAILING ADIAWSS: . . ...... ..
CITY/STATE/ZIP: PHONE NUMBER:
'A
MAILING ADDRESS,
A -
rl"HONE NUMBER: 4(,c0- 47-0-`
+ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) -------
YES
—NO
4 WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) - - -
YES
— NO 4_4
4 WILL THERE BE FOOD SALE S? (if yes, contact Tarrant County Health 817-321-4983 for more information) - -
YE S
— NO
4 PERMITS ARE, REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? ---------------------
YES
—NO
4 WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTE M? --------
YES
— NO
+ WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? (screening is required)
YES
NO
4 WILL THERE BE A -NY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY/ USE/DINING? YES
NO
4 WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? ----------------------------
YES -7-
NO
# IS BUILDING SPRINIMERE D? ----------------------------------------------------------
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 KNOW LEDGE AND THE SAID
OCCUPANCY IS IN CONFORMANCE WITH THE INFORMATION HEREIN SET FORTH.
SAWWA"e Wwa
FOR QUES IONS {;r to RE -SCHEDULE, PLEASE CALL (817) 410-3165 or (817) 410-3166
SIGNATURE: PRINT NAME: 1; j
"'j
PHONE EMAIL:
Building Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099
(817) 410-3165 * (817) 410-3166
www.,:Bm',)9vinetexas.,4ov (OVER)
C.F0"MOAPPUCATIOWFEEM00APP
11F204
Texas Sales Tax is charged and collected on sales within the State and City of Grapevine, Texas of "taxable items." Taxable
items include both tangible personal property, specified services. If you are in a 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 maldng sales of "taxable items", the 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, 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 to the City of
Grapevine, Texas if the circumstance applies to my business.
Texas Sales Tax
Signature:
ADDRESS:_
CITY, STATE, ZIP:
1111�� 1111 11 1 1 111:111 1 1
I! Ilk rQ_ XTR
TYPE OF CONSTRUCTION:
OCCUPANCY:
ZONING DISTRICT:,
PERMITTED USE:
WILTWO 19PARTMEW-
BUILDING INSPECTOR:
ZONING APPROVAL:,
FIRE DEPARTMENT:
I'll; Mav1 I I . -
04
a
DATE:
DATE: - _fz,7
DATE:
DATE:
DATE;
DATE.
DATE:
CITY SECRETARY: DATE:
LANDSCAPING APPROVAL.' DATE:
9794,
APPROVAL FOR ISSUANCE*DATE:.i
0 . A
PO Box 95104 Project # 26-000632
Grapevine, Texas 76099
Project Description: C/O (Clean & Show)
817) 410-3166
Issued on: 03/27/2026 at 11:59 AM
ADDRESS
INSPECTIONS
3
3590 N Grapevine Mills
1. Final Building C/O Inspection
3. C/O APPROVED FOR ISSUANCE
Blvd.
Grapevine, TX 76051
2. Landscaping
LEGAL
INFORMATION FIELDS
Grapevine Mills Crossing
Blk A Lot 2
**NAME OF BUSINESS
Clean & Show
**TENANT NAME (individual)
Vacant
PERMIT HOLDER
**TENANT PHONE NUMBER
N/A
VACANT BUILDING /VA
CANT SUITE / SHELL B
APPLICANT E-MAIL
kellil@tomdayco.
—APPLICANT NAME (individual)
Kelli Jo Lyons
COLLABORATORS
APPLICANT PHONE NUMBER
214-504-1450
® Kelli Jo Lyons
Square Footage
7905
(214) 504-1450
*Sales Tax Number
N/A
OWNERS
TYPE OF BUSINESS
Clean & Show
- Breihan Family Trust A
* CONSTRUCTION TYPE
lIB - SPRINKLERED
&B
* OCCUPANCY GROUP
N/A
*Sales Tax
NO
TENANTS
• VACANT BUILDING
Alcoholic Beverage Sales
NO
/VACANT SUITE /
Alterations
NO
SHELL BUILDING
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
NO
Outside Refuse/Recycling
NO
Outside Storage
NO
-- Page 1/2
MYGOV.US 26-000632, 03/27/2026 at 11:59 AM Issued by: Connie Cook
3=35=
Tzlfolu&i rf i r *�4
Signs
NO
• CONDITIONAL USE REQUIRED?
NIA
• OCCUPANCY LOAD
N/A
• PERMITTED USE
NO OCCUPANCY
• ZONING DISTRICT
cc
FEE TOTAL
PAID DUE
Certificate of Occupancy $50.00
$50.00 $50.00
TOTALS $50.00
$50.00 $0.00
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 schedule'v
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
Certcate of Occupancy
Project # 26-000632
MYGOV.us 26-000632, 03/27/2026 at 11:59 AM issued by: Connie Cook
Jko.".*OFE RTI F I CATE OF OCCUPANC)i
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12130104 Rev 5 2312024