HomeMy WebLinkAboutPLBG2018-0238 (2)City of Grapevine
P.O. Box 95104
Grapevine, TX 76099
(817)410-3165 Voice
(817)410-3012 Fax
PLUMBING PERMIT {VALUE}
Issue Date: January 30, 2018
PROJECT DESCRIPTION: Replace RPZ device
PROJECT #
PLBG-18-0238
LOCATION
2215 E Grapevine Mills Cir
Grapevine, TX 76051
(817)410-3010
Inspections
TENANT
Applebee's/Manager
05F-P
WWW.mygov.us
Permits
LEGAL
Grapevine Mills Addition Blk 5
Lot 3
Applebee's
CONTRACTOR
INFORMATION
All Repair Plumbing, Inc.
County Tarrant
State ID # 20951
Square Footage
P.O. Box 3129
VALUATION 500
Burleson, TX 76097
Zoning CC - Community Commercial
(817)920-9415 Phone
(817) 920-9423 Fax
FEES TOTAL = $ 37.00
Plumbing Permit Fee {VALUE) $ 37.00
OWNER
PAYMENTS TOTAL = $ 37.00
Scf Rc Funding I Llc
47 Hulfsh St Ste 210
All Repair Plumbing, Inc. (Howell Tony)
Princeton, NJ 8542
Cc on 0113012018 ($37 00)
NOTICES
AVAILABLE INSPECTIONS
ALL work must be done in compliance with the 2006 INTERNATIONAL
• Backflow Device Inspection (required)
• TCEQ Backflow Certification Submit
PLUMBING CODE.
(required)
• Plumbing Customer Sevice Inspection
PLAN SUBMITTAL: WHEN PLANS ARE REQUIRED BY CODES,
(required)
ORDINANCES, OR AS DETERMINED BY THE BUILDING OFFICIAL, THREE
• Plumbing Final (required)
(3) SETS OF PLANS SHALL BE SUBMITTED IN HARD COPY FORMAT.
ENGINEER SEALED PLANS AND CALCULATIONS SHALL BE SUBMITTED
AS REQUIRED BY CODES, ORDINANCES OR WHERE OTHERWISE
REQUIRED BY STATE LAW.
READ AND SIGN
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST
OF MY KNOWLEDGE AND ALL WORK WILL BE PERFORMED ACCORDING
TO THE DOCUMENTS APPROVED BY THE BUILDING DEPARTMENT AND
IN COMPLIANCE WITH THE CITY OF GRAPEVINE CODES REGULATING
CONSTRUCTION. IT IS UNDERSTOOD THAT THE ISSUANCE OF THIS
PERMIT DOES NOT GRANT OR AUTHORIZE ANY VIOLATION OF ANY
CODE OR ORDINANCE OF THE CITY OF GRAPEVINE.
I FURTHER CERTIFY THAT ALL WORK THAT IS REQUIRED TO COMPLY
WITH ANY FEDERAL, STATE, AND / OR LOCAL LAW REGARDING
ENERGY CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH
THOSE LAWS, AND THAT VERIFICATION OF ENERGY CODE
COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST.
MYGOV US City of Grapevine I PLUMBING PERMIT (VALUE) I PLBG-18-0238 1 Primed 01/30/18 at 1248 p in Page 1 of 3
CITY OF GRAPEVINE
BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT
NAME OF PWS: GRAPEVINE ANNUAL TEST
IRRIGATION
PWS I.D.# 2200013 OTHER AC
NAME OF BUSINESS WHERE DEVICE IS LOCATED: S
ADDRESS OF SITE SERVICED: ?--Z f .5" It-7 45-WEV04t7
PLUMBING PERMIT IF APPLICABLE: # %- t —/ + 5.s _
TESTER LICENSE NUMBER: _, Poo ►t 04 9 EXPIRES: 2,&LOO
DATE OF LAST TEST GAUGE CALIBRATION: �1Z
THE BACKFLOW PREVENTION ASSEMBLY DETAILED BELOW. HAS BEEN TESTED AND MAINTAINED AS REQUIRED BY
i CEQ REGULATIONS AND ISCERTIFIED TO Br: OPERATINGWITHIN ACCEPTABLE PARAMETERS.
TYPE OF ASSEMBLY
u REDUCED PRESSURE PRINCIPLE _ _ PRESSURE VACUUM BREAKER
_ DOUBLE CHECK ATMOSPHERE VACUUM BREAKER
I
MANUFACTURER: IAf � L-r-I N SIZE:
// �J �' f
MODEL: (R 7S x�-2- SERIAL NUMBER: i/..� , Z 707
PHYSICAL LOCATION OF METER:
REDUCED PRESSURE PRINCIPLE ASSEMBLY I PRESSURE VACUUM BREAKER
DOUBLE CHECK VALVE - —�~ AIR INLET CHECK VALVE
ASSEMBLY
16T CHECK 2N1, CHECK RELIEF VALVE
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Initial J . &P _, _ psid erred at Did not open Leaked
Test r. psid
Leaked Leaked
I
Repair
Materials
used
Test DC -Closed Tight Opened at ( Opened at
After Closed Tight j psid
Repair _ RP _ psid psid psid
The above 7sicertPtlad to be trde.
TESTERS FIRM NAME: 2mar� ��57-/� /QIt1�' ..-._
ADDRESS:1303 A/ lowrllv CITY7STATE/ZIP: ke4fe- f 71G "7,76 S
DATE: irJ PHONE NUMBER:
PRINT NAME S SIGNATURE:
DOUBLE CHECK VALVE INSPECTION MUST SE CALLED FOR INSPECTION AT (817) 410-3010
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