Tenant / Business Name
Trade Name / Store Name (DBA)
Shopping Center Name
Space / Unit Number
Square Footage
Primary Tenant Contact
Title
Phone
Store Manager On-Site
Phone
Proposed Construction Start Date
Target Grand Opening / Re-opening Date
Categories of Work (Check all that apply)
Storefront & Entrance (Glazing, security grilles, entrance doors, facade redesign)
Signage & Branding (Exterior blade signs, illuminated fascia signage, interior logo walls)
Sales Floor & Fixtures (Custom millwork, display racks, cash wrap counters, dressing rooms)
Flooring & Tile (Polished concrete, tile, hardwood, structural floor load changes)
MEP & HVAC (Dedicated rooftop HVAC units, supplemental cooling, utility metering)
Plumbing & Gas (Sinks, drainage, interceptors, water line extensions)
Life Safety & Security (EAS anti-theft gates, CCTV, burglar alarms, sprinkler head drops)
Exterior / Loading Bay (Dedicated delivery access, dumpsters, exterior lighting)
Detailed Description of Work:
Provide a clear summary of all proposed exterior and interior retail modifications (attach extra sheets if necessary)
Company Name
Contact Name
License #
Phone
Company Name
Contact Name
License #
Phone
Company Name
On-Site Superintendent
Mobile
Office Phone
Commercial License Number
Trade | Company Name | Contact Person | Phone Number | |
|---|---|---|---|---|
Electrical / Lighting | ||||
HVAC & Controls | ||||
Plumbing | ||||
Signage Installation | ||||
Security / EAS Systems |
Attach two (2) physical drawing sets and one (1) digital PDF set of the following:
Storefront Elevations & Architectural Plans: Dimensioned renderings including materials, finishes, color palettes, and glass specifications.
Signage Package: Detailed shop drawings showing sign dimensions, letter depth, illumination specifications (LED/halo-lit), electrical connections, and mounting details.
Reflected Ceiling & MEP Plans: Lighting layout, HVAC diffuser placement, and emergency lighting paths.
Structural Floor Load Calculations: Stamped engineering calculations for heavy safes, high-density display units, or concrete cutting.
Certificates of Insurance (COI): COI for GC and installers naming Landlord and Mall Management as Additional Insureds (Minimum limits: $2,000,000 Commercial General Liability, $1,000,000 Auto, Workers’ Comp per statutory limits).
Municipal Building & Electrical Permits: Copies of submitted permit applications or issued permits prior to starting construction.
Plan Review Deposit Fee
Physical Drawing
Physical Drawing
Digital PDF
Tenant and Contractor must strictly adhere to the following retail construction guidelines:
Construction Dust & Noise Controls: Dust barricades (floor-to-ceiling drywall or temporary barricade walls painted to match mall standards) must be erected before starting work. No dust or debris may migrate into the public mall concourse or adjacent stores.
Work Hours: All noisy work (core drilling, tile removal, structural grinding) must occur outside standard mall operating hours (between 10:00 PM and 7:00 AM). Standard quiet construction may occur during off-hours or normal operational hours if contained within barricades.
Deliveries & Staging: Material deliveries must pass through designated rear loading docks and service corridors only. No construction materials, ladders, or equipment may be transported through public entrances or the main mall concourse during operational hours.
Fire System Isolation: Draining sprinkler lines or disabling smoke detectors requires 48 hours' prior written notice to Mall Operations to prevent false alarms.
As-Built & Final Submissions: Tenant must provide final CAD/PDF "As-Built" drawings and an executed Certificate of Occupancy to Landlord within thirty (30) days of opening.
Tenant certifies that all submitted plans comply with local building codes, Americans with Disabilities Act (ADA) requirements, and the Shopping Center Design Criteria manual. No physical alterations or signage installations may begin until Landlord grants formal written authorization.
Tenant Signature
Date Received
Reviewed By
Storefront Design
Approved
Approved with Conditions
Rejected
Signage Package
Approved
Approved with Conditions
Rejected
COI Approved
Yes
Pending
Landlord Conditions & Notes
Landlord / Operations Signature
Form Template Insights
Please remove this form template insights section before publishing.
The core sections of the form break down into specific operational mechanisms, key risk areas, and strategic design considerations:
Mandatory Questions Recommendation
Please remove this mandatory questions recommendation section before publishing.
While every field on the form serves a practical purpose, six non-negotiable core fields act as absolute failure points if left blank. Missing any of these renders the form unusable for property managers and operations teams.
1. Exact Entity Name & On-Site Emergency Contacts
2. Detailed Description of Proposed Work & Target Schedule
3. General Contractor Name & License Number
4. Certificate of Insurance (COI) with Property Manager Named as Additional Insured
5. Stamped Architectural & Engineering (MEP) Plans
6. Tenant Acknowledgment & Formal Signature