HomeMy WebLinkAboutCO2026-001233 NDER CONSTRUCTION
TD - NO LETTER
SENT LETTER
PW OR LD NEEDED
PENDIN&F!RE-
,PENDINGHEALTH-�'
LANDSCAPING / CODE
VOLD FILE
C/O CHECK LIST
C/O PERMIT # 26
3. ENVIRONMENTAL NOTIFIED DATE TIME
(E-MAIL JIMMY BROCK & VALERIE FARRELL
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
& FIRE CREPT INSPECTION SCHEDULED
17
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
ary SECRETARY (Alcohol License Sign Off)
PLIFLIC WORKS SIGN OFF
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
BUILDING OFFICIALS SIGNA-I LIRE
C/0 CERTIFICATE ISSUED
E-MAIL. DATE
DATE
I-ETTER: YES / NO
LETTER: YES / NO
ELECTRIC RELEASED
SCAN CERTIFICATE TO MYGOV
MAILED:
C 1FORMIADSCUINFORIAAFION%Kl 161
1213004 X R6 v 5121124
RA.PEVj.1`.\,.E
DATE OF ISSUANCE:
PERMIT#:
CERTIFICATE OF OCCUPANCY REOUEST
FEE: $50.00
ATO FEE REQUIRED IF THE CFR TIFICA TF OF OCCUPANCY ISA SSOCIA TED 01TH AN A CTIVE CURRENT,r, UILJ�ING PF2 If/ T
ADDRESS OF OCCUPANCY: 0 SUITE# 42-6
LOT: BLOCK: SUBDIVISION:
�1,4C ERTI FICA TE OF OCCUPANCY WILL NOT BE ISSUED kVITHOUT LEGAL DESCRIPTION:::-`**
NAME OF BUSINESS: PAD x: vess
' NEW OCCUPANT: YES NO NEW BUILDING/PROPE RTY OWNER: YES NO L,
NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: 0- NEW BUSINESS OWNER: YES NO
FREIGHT FORWARDING: YES NO
TYPEOFBUSINESS:
:*IF OFFICEAWAREHOUSE PROVIDE BREAKDOWN OFSQUARE FOOTAGES:
SF OFFICE: SF WAREHOUSE: ---------- - TOTAL SQUARE FOOTAGE:
NAME OF TENANT cAqf,---
CURRENT MAILING ADDRESS: M)113 rz;,—
CITY/STATE/ZlP: Vki PHONE NUMBER: 561 -5A
PROPERTY OWNER: i,:A��I UYN tj ves+rne6 ZI-C
. . ... . .. .....
MAILING ADDRESS: Ji3 7 7 JVMeyi-� Oroje-
CITY/STATE/Z[P: PHONE NUMBER:
4
J
IS YOUR BUSINESS SUBJECT TO SALES Tax LAW? (if yes, provide copy of'Sales Tax Certificate) -------
YES
-�� No
*
wn,i.THERE BE ALCOHOLIC BEVERAGE SALES? (if 3'es, provide copy of Alcoholic Beverage Permit) ---
YES
0
*
WILL THER 1, BE FOO 1) SA LF S? (if ycs, contact Tarrant County Health 8 t7-321-4983 for more information) - -
IIES
*
*
PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? ---------------------
INDUSTRIAL SYSTEM..
YES
- NO
4
WILL BUSINESS GENERATE ANY WASTE DISCHARGE TO SEWER - - - - - - - -
W'ILL OUTSIDE IIEFUSL,/RECYCLING/COiNillikC'FIN(; CONTAINERS BE NECESSARY? (screening is
YES
YES
NO
NO
4
required)
WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleetvchicles), DISMAY/ USE/DINING;? YES
_NO-j
*
WILL ANY ALTERATiONS BE MADE TO THE SITE OR BUILDING? ----------------------------
YES--V>
'0
*
IS BUILDIN(; SPRINKLERFI)? ----------------------------------------------------------
YES
—NO_
4
WILL BUSINESS STORE OR HANDLE HAZARDOUS NIATERIAI,S OR LIQUIDS''V/1
(if' yes, provide list of types & quantities, along with material safety data sheets) -------------------------
I'ES
NO
I HEREBY CERTIFY 'THAT THE FOREGOING IS CORRECT TOTHE BEST OF MY KNOWLEDGE AND THE SAID
OCCUPANCY IS IN CONFORMANCE WITH THE INFORAIATION HEREIN SET FORTH.
(if access to the building/space is not provided at the time of the scheduled inspection, a $50H) re -inspection 11'ee will be charged)
FOR QUESTIONS or to R-E-SCHEDULE. PLEASE CALL (817) 410-3165 or (817) 410-3166
SIGNATURE: PRINTNAME: qL
e-
PHONE#:
Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099
(817) 410-3165 4 (817) 410-3166
www.,,ra evinetexas.c,ov
C:F0S-BSPL T10NS-FEM,C0 APP
11121021
0 �Rev.7-25/M TEXAS SALES AND USE TAX PERMIT
1-300
This permit is not transferable, and this side must be prominently displayed in your place of business.
�6keMptiOn Or
amw
permit In ja properly,ojet
r? -ROYNO _� -"'fls A 0, 11 t- I TAXPAYER NAME, BUSINESS LOCATION
c�nl�-�'alossary to document why taxis not collected on a sale.
ep �!,-
CATION NAME and PHYSICAL LOCATION
WINNER PLANO LLC
WINNER PLANO LLC
3200 14TH ST # 420
TX 75074-4423
PLANO
n6sj"b',"
ownership, location or business location name.
Type of permit
SALES AND USE TAX
Taxpayer number
3-21031-2140-9____
Location numb.
00001
CO
iijm rnHMTV . .. ..... - -- - -- - ---- ------ _nrsf business date Olt location A
NAICS: 722513 Limited -Service Restaurants
WE SHOW THIS BUSINESS IN THE FOLLOWING LOCAL SALES TAX AUTHORITIES
CITY: PLANO
EFF: 01/05/2026 rTRANSIT: DALLAS MTA EFF: 01/05/2026
You may need to collect sales and/or use tax for other local taxing authorities depending on your type of business.
For additional information, see "Collecting Local Sales and Use Tax" section on the back of this document.
If you have any questions regarding sales tax, visit our website at www. Comptroller. Texas. Gov or call us at 800-252-5555.
Kelly H cook
TEXAS SALES TAX
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 mill be required to collect State and Local Sales Tax in the amount of &251'/v.
A "Seller or Retailer" moans person engaged in the business of making sales oaf "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 art-, received by tile "Seller or Retailer
in a calendar year. Ifan order is received at the place of business of a retailer in Texas, but delivery or shiptnent is made
fw,�R�a st,��t �,h ax is due and
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: 3-,�-43d �0-9
Signature:
Val (V-
ADDRESS:
0S
CITY, STATE, ZIP: V (Vie A 1 /6
********FOR OFFICE USE
'TYPE OF CONSTRUCT0iON: 10 CCUPANCY: DIVISION:
ZONING DISTRICT:
CONDITIONAL USE:
OCCUPANT LOAD:
PERMITTED USE:
BUILDING DEPARTMENT: DATE:
BUILDING INSPECTOR: DATE:
ZONING APPROVAL:
FIRE DEPARTMENT:
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT: _&rZ C-4 o2--�D 3ti
6!�
CITE' SECRFTARY:
LANDSCAPING APPROVA
APPROVAL FOR ISSUAN C F
0.
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
rom: Arzetta B. Hodges <
Sent: Tuesday, May 12,2026 3:08 PM
To: Amanda Robeson; Mitchell B. Carpenter; Raj
K. Chauhan; Jennifer M. Thomas
Subject: Re: Health Confirmation for 2805 Grapevine Mills Circle #126 "Pho Xpress"
Attachments: Pho Xpress Opening Ins pection.pdf
I just finished tne opening Inspectio
on our end. Please let me know if you have any questions!
From: Amanda Robeson <
Sent: Tuesday, May 12, 2026 2:48:47 PM
Mitchell B. Carpenter < ; Raj K. Chauhan < ;
Arzetta B. Hodges < ; Jennifer M. Thomas <
Subject: Health Confirmation for 2805 Grapevine Mills Circle #126 "Pho Xpress" I
f or'�� '�OU
Th-,nk ',ze
AL
. . . . . . . . . . I'll, f
0
r
i City of Grapevine
„Building
Services Assistant
TX 76051
200 S. Main Street I Grapevine,
s17 41 0-3158
Retail Food Establishment Inspection Repo
TARRANT COUNTY PUBLIC HEALTH
ENVIRONMENTAL HEALTH i
ON
� M_
WALK IN ADDRESS: 2500 CIRCLE DR, FORT WORTH TX 76119
MAILING ADDRESS: ATTN: ENVIRONMENTAL HEALTH
1101 S MAIN ST, FORT WORTH TX 76104
TEL: 817-248-6299
Permit Name:
PHO XPRESS
2805 E GRAPEVINE MILLS CIR UNIT 126
Site#; Inventory M
i Purpose:
39274 1 Opening
City:
GRAPEVINE
Food Type:
Restaurant
. . ......
Score: 77
Follow up: YES El NO 0
Violations: 13
Repeat: 0 cos:
Owner Name:
WINNER PLANO LLC
ZIP Code: Risk:
76051 Medium 2
Time In: Time out:
02:10 PM: 03:00 PM
IN = in compliance OUT = not inoornphance NIO = not observed NIA =not applicable PV=point value COS= corrected on -site during inspection R =repeat violation
•
Am
Retail Food Establishment Inspection Report
TARRANT COUNTY PUBLIC HEALTH
ENVIRONMENTAL HEALTH
WALK IN ADDRESS: 2500 CIRCLE DR, FORT WORTH TX 76119
MAILING ADDRESS: ATTN: ENVIRONMENTAL HEALTH
1101 S MAIN ST, FORT WORTH TX 76104
TEL: 817-248-6299
Date:
Permit Name:
05/12/2026
PHO XPRESS
Addrsss:
2805 E GRAPEVINE MILLS CIR UNIT 126
Site #:
Inventory N:
39274
1
Owner Name;
WINNER PLANO LLC
City: ZIP Code: Risk:
GRAPEVINE 76051 Medium 2
Purpose: Food Type: Time in: Time out:
Opening Restaurant
02:10 PM 03:00 PM
Item
Number AN INSPECTION OF YOUR ESTABLISHMENT HAS BEEN MADE. YOUR ATTENTION IS DIRECTED TO THE CONDITIONS OBSERVED AND NOTED BELOW:
Item # 5 Procedures for responding to vomiting and diarrheal events
Correct By: 05/18/2026
Comments: Observed no bodily fluid kit/ procedures.
Corrective Action: Must have bodily fluid kit] procedures in the case of bodily fluids.
Item # 9 No bare hand contact with RTE food or a pre -approved alternate procedure properly allowed
(Corrected on Site)
Correct By: 05/1212026
Comments: Observed employee cutting ready to eat shrimp with no gloves.
Corrective Action: Ensure to wear gloves when handling ready to eat food items.
Item # 15 Food separated and protected
Correct By: 0511212026
Comments: Observed raw eggs in shells stored above ready to eat chicken in reach in cooler by counter.
Corrective Action: Ensure all raw eggs are stored below ready to eat food items.
Item # 23 Proper date marking and disposition
Correct By: 05/12/2026
Comments: Observed various prepped items in coolers and walk in cooler/freezer not date marked.
Corrective Action: Ensure to date mark all food items.
Item # 28 Toxic substances properly identified, stored, used
Correct By: 05113/2026
Comments: Onserved unapproved sanitizer to sanitize dishes,
Corrective Action: Must obtain approved sanitizer to wash dishes.
Item # 35 Approved thawing methods used
Correct By: 05112/2026
Comments: Observed raw shrimp defrosting in sink with water.
Corrective Action: Ensure to thaw our fish under running cold water or refrigeration.
Item # 37 Food properly labeled; original container
Correct By: 05/1212026
Comments: Observed various bulk food items and prepped items not labeld.
Corrective Action: Ensure to label all food items.
Item # 38 Insects, rodents and animals not present
Correct By: 05/1212026
Comments: Observed unapproved pest control product in kitchen.
Corrective Action: Ensure to only use approved pest mangment to service facility.
Item # 39 Contamination prevented during food preparation, storage and display
Correct By: 05/1212026
Comments: Observed various buckets and boxes of food stored on the floor of the walk in cooler and freezer.
Corrective Action: Ensure all food items are stored at least 6 inches off the floor,
76etail Food Establishment Inspection Report
TARRANT COUNTY PUBLIC HEALTH
ENVIRONMENTAL HEALTH
WALK IN ADDRES& 2500 CIRCLE OR, FORT WORTH TX 76119
MAILING ADDRESS: ATTN: ENVIRONMENTAL HEALTH
1101 S MAIN ST, FORT WORTH TX 76104
TEL: 817-248-6299
Date;
Permit Name:
05/12/2026
rrlU Ai-Rr=BS
Address:
2805 E GRAPEVINE MILLS CIR UNIT 126
Site
Inventory Purpose:
39274
1 Opening
C*ner Name:
WINNER PLANO LLC
City: ZIP Code:
GRAPEVINE
76051
Food Type:
Restaurant
Risk:
Medium 2
Time In: Time out:
02:10 PM 03:00 PM
Item
Number AN INSPECTION OF YOUR ESTABLISHMENT HAS BEEN MADE. YOUR ATTENTION IS DIRECTED TO THE CONDITIONS OBSERVED AND NOTED BELOW:
Item # 40 Personal cleanliness
Correct By: 05112/2026
Comments: Observed employee personal belongings stored through out kitchen.
Corrective Action: Ensure to have a designated area for all personal belongings.
Item # 43 In -use utensils; properly stored
Correct By: 05/12f2026
Comments: Observed bowls with no handles being used as scoops for rice.
Corrective Action: Ensure to use a utensil with a handle.
Item # 53 Toilet facilities: properly constructed, supplied, cleaned
Correct By: 05115/2026
Comments: Observed no "employees must wash hands" signage in the womens restroom.
Corrective Action: Must provide required signage in restrooms.
Item # 56 Adequate ventilation and lighting; designated areas used
Correct By: 05122/2026
Comments: Observed muliple of the lights in the kitchen outImissing covers.
Corrective Action: Must repair/replace.
Page _L0f_.L
Retail Food Establishment Inspection Report
TARRANT COUNTY PUBLIC HEALTH
ENVIRONMENTAL HEALTH
WALK IN ADDRESS: 2500 CIRCLE DR, FORT WORTH TX 76LI9
MAILING ADDRESS: ATTN: ENVIRONMENTAL HEALTH
1101 S MAIN ST, FORT WORTH TX 76104
TEL: 817-248-6299
Date: Permit Name:
Owner Name:
05/1212026 RHO XPRESS
WINNER PLANO LLC
Address: City;'
ZIP Code: Risk;
2805 E GRAPEVINE MILLS CIR UNIT 126
GRAPEVINE 76051 Medium 2
Site #: Inventory#; Purpose: Food Type: Tim I a in: . Time out:
39274 1 Opening Restaurant 02:10 PM: 03:00 PM
GENERAL COMMENTS
Page -4- of -.4
• Box 95104 Project. i
Grapevine,.09
817) I •k
A1V,.
Grapevine,.11
.r
LEGAL
A 1 & 2A
Sallu, Joel Survey
722
'Iyournin Chae
r Xpress
.'565-9963
OWNERS
• Ravi Randal Inv Group
Lic
*
INSPECTIONS
1. Final Health Inspection
2. Final Fire Dept Inspection
3. Final Building • Inspection
**NAME OF BUSINESS
**TENANT NAME (Individual)
**TENANT PHONE NUMBER
APPLICANTE-MAIL
**APPLICANT NAME (individual)
**APPLICANT PHONE NUMBER
Square Footage
*Sales Tax Number
** TYPE OF BUSINESS
* CONSTRUCTION TYPE
* OCCUPANCY GROUP
HEALTH APPROVAL - FINAL
INSPECTION (City Use Only)
*Sales Tax
Alcoholic Beverage Sales
Alterations
Change of Business Name
Change of Business Owner
Fire Sprinkler System?
Freight Forwarding Business
Hazardous Material
Industrial Waste
New Building / Addition
New Building / Property Owner
New Occupant / Tenant
61
Landscaping4.
APPROVED FOR
► ISSUANCE
Pho X ress
Hyoumin Chae
562-565-9963
Hyoumin Chae
562-565-9963
3396
32103121409
Restaurant
II - SPRINLRE
A-2
26-001233-HELTHINSPECTINSIG -
OFF-20260512.df
YES
NO
NO
NO
NO
NO
NO
NO
NO
NO
Page 1/2
MYGOV.US 26-001233, 06123/2026 at 8:41 AM Issued by: Courtney Cogburn
Tzursiffva * i -a
Number of Employees
10
Outside Refuse/Recycling
NO
Outside Storage
NO
Signs
YES
* CONDITIONAL USE REQUIRED?
NO
* OCCUPANCY LOAD
110
• PERMITTED USE
YES
• ZONING DISTRICT
cc
FEE TOTAL
PAID DUE
Certificate of Occupancy $ 0.00
$50.00 $ 50.00
TOTALS $ 50.00
$ 50.00 $0.00
I HEREBY CERTIFY THAT O OING IS CORRECT TO TAE BESTMY KNOWLEDGE AND THAT •
SAID "NCY IS IN CONFORMANCE
THE INFORMATION~ O'
>> (if access to the building/space is not provided at the time of schedul
inspection, a $50.00 re -inspection fee will be charged)
FOR QUESTIONS or TO RECALL FOR INSPECTION, PLEASE CALL: (817) 41
3165 or 1 6e,
Signature
City of GrapevineCertificate Occupancy
Project # 26-001233
Page 212
MVGOV.US 26-001233, 06/23/2026 at 8:41 AM Issued by: Courtney Cogburn
WN IMM ENE*
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION: ----OCCUPANT LOAD:
TYPE OF BUILDING-. GROUP AND DIVISION -
ZONING RESTRICTIONS°
C )FORMSOS1,01W ORMAT 1UNMORKORDER
121:10104 Rvi 142312074
CERTIFICATE OF OCCUPANCY
City of Grapevine Permits and Inspections
This Certificate of Occupancy is hereby issued pursuant to Section 109 of the 2021 International Building Code And Chapter 64 of the
City of Grapevine Comprehensive Zoning Ordinance. At the time of inspection, this building or space was found to be in compliance with
the applicable Building and Zoning Ordinances of the city of Grapevine. Any change in use, tenant and/or owner of this building/space
shall first require a new Certificate of Occupancy.
Business Name Property Owner
Pho Xpress Ravi Randal Inv Group Lie
205 E Grapevine Mills Cir, 126 2627 Hopkins Dr
Grapevine, TX 7601 Grand Prairie, TX 75052
PROJECT INFORMATION
Use Classification: Restaurant
Occupancy Group: -
Construction Type:11 - SPRINKLERED
Occupancy Load: 110
Zoning District: C
ISSUED Y: