HomeMy WebLinkAboutCO2026-000841 ENT LETTER
PW OR LID NEEDED
PENDING FIRE
PENDING HEALTH -.--
LANDSCAPING
HOLD F. ILE
C/0:k1`;"'HECK LIST
C/O PERMIT# 26
ADDRESS:
.. .... .. .. .... .......... .. . ..... . . .. ... .....
BUSINESS NAME.
BUSINESS P PROPERTY
CHANGE NAME /OWNER -NEW CONST /ADDITION PERMIT# ......
NEW TENANT/ OCCUPANT REMODEL ION PERMIT
ISSUE DATE FINAL DATE ,
3,
, 4
6
7
9.
11,
13
14.
15,
1&
17
18,
_/2 0.
21.
22.
51' Iffilli 1111i 1511
ENVIRONMENTAL NOTIFIED DATE
& VALERIE FARRELL
(E-MAIL JIMMY BROCK
HAZARDOUS MATERIAL SAFETYDATA SHEETS TO FIRE DATE
(SCAN TO C/O IN MYGOV -IF LARGE SET, ALSO SCAN TO LF &FORWARD SETTO FIRL�
FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATA
ZONING CHECKED & COMPLETED ON APPLICATION
BUILDING INSPECTION SCHEDULED
HEALTH INSPECTION
CITY SECRETARY (ALCOHOL)
PUBLIC WORKS INSPEGI ION
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
T DATE IME
DATE TIME
FIRE INSPECTOR'.
NOTIFICATION
NOTIFICATIONDATE:
__,,_____, . .....
E.-MAIL DATE
E-MAIL DATE
DATE
LETTER. YES /
LETTER: YES / NO
ELECTRIC RELEASED
SCAN CERTIFICATE TO MYGOV-
MAILED:
CM ORMSOSMINFORMATIMCKLIS1
121'10/04 % R, v 512T24
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T V X
DATE OF ISSUANCE:-:
PERMIT #:
CERTIFICATE OF OCCUPANCYAEQUEST
FEE: $50 .00
A
LOT: 2R BLOCK: 1 SUBDIVISION: Regency Center Addn (Grapevine)
""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION*'-'"
NAME OF BUSINESS: -Clean & Show
NEW OCCUPANT: YES NO NEW BUILDING/PROPERTY 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: Clean & Show (F'5;amp�p. Relail Ofithiig ! AjtgrUf,,y'F, 0�-ICF ()ffiVeAVqA,Ch1)u
OFFICE[WAREHOUSE PROVIDE BREAKDOWN OF SQUARE FOOTAGES:
SF OFFICE: SF WAREHOUSE: TOTAL SQUARE FOOTAGE: 7,535 S F
NAME OF TENANTP��
r_MMR._VMX_114nXL1"_X 1_11V
CITY/STATE/ZLP: PHONE NUMBER:
11ROPERTY OWNER: Kite Realty Group
MAILINGADDRESS: 285 Grand Avenue, Suite 210
CITYISTATE/ZIP: Southlake, Texas 76092 ..PHONE NUMBER: 817-829-7180
+ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) ------- YES NO
+ WELL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) - - - YES NO
+ WILL THERE BE FOOD SALES? (if yes, contact Tarrant County Health 817-321-4983 for more information) - - YES — NO
+ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? --------------------- YES NO
+ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? -------- YES NO
+ WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? (screening is required) YES NO
+ WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY/ USE/DEXING? YES NO
+ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? ---------------------------- YES NOI
+ IS BUILDING SPRINKLERED? ---------------------------------------------------------- YES 3Z NO
+ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
(if yes, provide list of types & quantities, along with material safety data sheets) ------------------------- YES NOV
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 $50.00 re-insvection fee will be charged)
FOR QUESTIONS or:to RE7.SCHEDU4_+', LEASE CALL (817) 410-3165 or (817) 410-3166
Irv-,
Michelle Theisen
SIGNATURE: PRINT NAME:
PHONE 817-829-7180 EMAIL: mtheisem
-_
Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099
(817) 410-3165 (817) 410-3166
C:FORM&BSAPPUCATIONS-FEMCO APP
11MQ
E
TEXASSALESTAX
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 making 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 Nitniber:
rs
Signature:
j
. . ...... .. .. . . . ...... . ....... ... ... ...........
ADDRESS:
CITY, STATE, ZIP:
ZONING DISTRICT: -e7 C-
PERMITTED USE: Q 4W P A
BUILDING DEPARTMENT:
BUILDING INSPECTOR:
FIRE DEPARTMENT:
VIA
411.4 DIVISION:
CONDITIONAL USE:
OCCUPANT LOAD: A11,4
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
HEALTH DEPARTMENT: DATE:
CITY SECRETARY: DATE:
LANDSCAPING APPROVAL DATE:
APPROVAL FOR ISSUANCE: r DATE:
PO Box 95104 1
Grapevine, Texas 76099 ProjectDescription: C/O "Clean and Show"
817) 410-3166
nfflt + i i � �';
ADDRESS INSPECTIONS
1501 W State Hwy 114,
100 1. Final Building C/O Inspection
Grapevine, TX 76051 2. Landscaping
LEGAL
INFORMATION I
Regency Center Addn
Ik 1 Lot 2r
"NAME OF BUSINESS
"TENANT NAME (Individual)
PERMIT HOLDER
"TENANT PHONE NUMBER
Michelle Theisen
(817) 829-7180
APPLICANT E-MAIL
*"APPLICANT NAME (Individual)
OWNERS
"*APPLICANT PHONE NUMBER
• Inland Western
Grapevine Lp
Square Footage
" TYPE OF BUSINESS
TENANTS
* CONSTRUCTION TYPE
• VACANT BUILDING
/VACANT SUITE /
* OCCUPANCY GROUP
SHELL BUILDING
Fire Sprinkler System?
* CONDITIONAL USE REQUIRED?
* OCCUPANCY LOAD
* PERMITTED USE
" ZONING DISTRICT
0 r
0
CLANSHO
Vacant
817-829-710
Michelle Theisen
817-829-7180
7535
Vacant
II - SIKLERE
/
YES
/A
NO OCCUPANCY
CC
TOTAL I
$ 50.00 $50.00 $50.00
$ 50.00 $ 50.00 $0.00
I HEREBY CERTIFY THAT THE FOREGOING IS OR i THE BEST OF
KNOWLEDGEMY 1 OCCUPANCY i iR
THE INFORMATION HEREIN SEFORTH.
to the building/space is n+ provided of + +i
inspection, i it re -inspection fee will be +'+:
Page 1/2
MYGMUS 26-000841, 05/08/2026 at 3:04 PM Issued by: Amanda Robeson
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Project # 26-000841
May 08, 2026
Gate
Page 2/2
MYGOV.US 26-000841, 0510812026 at 3:04 PM Issued by: Amanda Robeson
p, �ill 11''
4.
77
ttt
PERMIT # 26
ADDRESS CFINSPECTION:
7
NAME OF BUSINES&
I YPE OF BUSINESS:
USE OF BIJILDING AND/OR PREMISES.
REASON FOR APPLYING -
CONTACT PERSON:
TELEPHONE NUMBER:
COMMENTS/ViOLATIONS:
rl', h
**TO BE FILLED OUT BY BUILDING OFFICIAL"
ZONING DISTRICT OF INSPECTION LOCATION: 1, OCCUPANTLOAD-
TYPE OF BUILDING: GROUP AND DIVISION:
ZONING RESTRICTIONS:
G T ORMSU)SGOM ORIVIA I 1UNWORKORDER
i 21,AO/04 RFv 1,121XXP4