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CITY OF GRAPEVINE
MECHANICAL ELECTRICAL PLUMBING( FUEL GAS Wz
PERMIT APPLICATION
/PI_FARF PRINTI
PERMIT #
BLDG- PERMIT#
PATE: JAI
JOB ADDRESS:, ` �\ SUITE #
DESCRIPTION OF WORK:
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PROPERTY OWNER:1 \ CONTRACTI G COMPANY:
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ADDRESS:
ADDRESS:
CITY /$TATEl21P
CITY /STATE/21P
PHONE NUMBER:
PHONE NUMB —
TYPE OF OCCUPANCY
RUIL DIINN F AREA
PERMIT FEES
AMOUNT DUE
EAQH TRADE
I. R -3
1- 719
$ 33.25
SINGLE FAMILY, DUPLEX
750- 1,100
$ 49.88
TOWNHOUSE,
1,200 - 1,500
$ 63.18
NEW CONSTRUCTION &
1,501- 1,750
$ 76-48
$ 88.13
ADDITIONS (PER UNIT)
1,751- 2,000
2,001. 2,250
$ 89.78
TOTAL SQ.FOOT UNDER
2,251- 3,000
$ 96.43
ROOF
3,001- 3,500
$ 103.08
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3,501- 4,000
$ 109.73
4,001 +
$ 120.37
EACH R^,.P F,
11. A, E, I, R -1
1- 500
$ 37.00
HOTELS, APARTMENTS,
501 - 100,000
$ 17.50 +.035 PER
1
DRINKING /DINING,
100,001 - 500,000
$ 3,500.00+.03 SQUARE
EDUCATIONAL, ASSEMBLY,
500,001+
$15,000- 00 + -02 FOOT
$�
INSTITUTIONAL
EACH TRADE
-
B, F,F-I,M,S,U
1- 500
$ 37.00
OFFICE, RETAIL, WHOLESALE,
501- 50,000
$ 32.00 +.01 PER
GARAGES, FACTORIES,
50,001- 100,000
$ 182.00 +.007 SQUARE
WORKSHOPS, SERVICE
100,001+
$ 582.00+.003 FOOT
$_
STATIONS, WAREHOUSE
CONTRACT
EACH TRADE
IV. ANY OCCUPANCY GROUP
VALUATION OF
WORK
FINISH -OUTS,
SHELL COMPLETIONS,
0-- 500
$ 37.00
ALTERATION$ OR
501- 1,500
$ 45.00
STAND ALONE PERMITS
1,501- 3,000
$ 57.00
3,001 - 5,000
$ 72.00
CONTRACT VALUATION OF WORK:
5,001- 50,000
$ 27.00+.009
�L.
50,001 - 100,000
100,001 - 500,000
5on,00l+
$ 127-00+.007 PEP
$ 327.00+ .005 DOLLAR
$ 1,327.00 +.003 VALUATION
$
_
EACH TRADE
V. MISCELLANEOUS
.�
IRRIGATION SYSTEMS
$ 37.00
MOBILE HOME SERVICE
$ 37.00
TEMPORARY POLE SERVICE
$ 37 -00
SWIMMING POOLS
$ 37.00
SIGN ELECTRIC
$ 37.00
$J
0;1FORM91D5 APPLICATIONS - Fr F$MFP APPLICATION 4 -1 salon
01109/2013 14:57 072776003? J NATInhJAL PA13E 02102
PLAN SUBMITTAL:
WHEN PLANS ARE REQUIRED BY CODES, ORDINANCES, OR AS DETERMINED BY THE BUILDING
OFFICIAL, THREE (3) SETS OF PLANS SHALL BE SUBMITTED IN HARD COPY FORMAT, ENGINEER SEALED
PLANS AND CALCULATIONS SHALL 13E SUBMITTED AS REQUIRED BY CODES, ORDINANCES OR WHERE
OTHERWISE REQUIRED BY STATE LAW.
OTHER INSPECTIONS AND FEES:
• INSPECTIONS OUTSIDE NORMAL BUSINESS HOURS (2HR MINIMUM) . ..................... ...................... -$42.00 /HOUR*
• REINSPECTION FEES...... . ...... ........ .......... -. ..................,......... $42.00
• PERMITS FOR WHICH NO FEE IS SPECIFICALLY INDICATED ............................. .. ............................ $37 -00
• INSPECTIONS FOR WHICH NO FEE IS SPECIFICALLY INDICATED (112 HOUR MINIMUM). .................. -$42.001HOUR
• ADDITIONAL PLAN REVIEW REQUIRED BY CHANGES, ADDITIONS, OR REVISIONS TO
APPROVED PLANS .................................................................... ............................... $42- OOIHOUR
. BUILDING PERMIT FEES FOR THE GRAPEVINF- COLLEYVILLE INDEPENDENT SCHOOL DISTRICT
SHALL BE 25% OF THE FEES ESTABLISHED IN THIS TABLE
• FOR USE OF OUTSIDE CONSULTANTS FOR PLAN CHECKING AND INSPECTIONS, OR BOTH......... ACTUAL COSTS *"
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND ALL WORK WILL RE
PERFORMED ACCORDING TO THE DOCUMENTS APPROVED 13Y THE BUILDING DEPARTMENT AND IN COMPLIANCE
WITH THE CITY OF GRAPEVINE CODES REGULATING CONSTRUCTION. IT IS UN0LRSTVUD THAT THE ISSUANCE OF
THIS PERMIT DOES NOT GRANT OR AUTHORIZE ANY VIOLATION OF ANY CODE. OR ORDINANCE OF THE CITY OF
GRAPEVINE,
I FURTHER CERTIFY THAT ALL WORK THAT IS REQUIRED TO COMPLY WITH ANY FEDERAL, STATE, AND 1 OR
LOCAL LAW REGARDING ENERGY CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE LAWS,
AND THAT VERIFICATION OF ENERGY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REOUEST_
SIGNMWOF CONTRACTOR OR AUTHORIZED AGENT
(OR HOMEOWNER. FOR HOMEOWNERS PERMITS)
PHONE #; NL- ^ "1 ` ` WW
PRINTED NAME
EMAIL: criI:
*OR THE TOTAL HOURLY COST TO THE JURISDICTION WHICHEVER I$ GREATER.
"ACTUAL COSTS INCLUDE ADMINISTRATIVE AND OVERHEAD COSTS.
CITY OF GRAPEVINF,. BUILDING INSPECTIONS, P.O. BOX 95104, GRAPEVINE, TX
6/21/61 REVISER 10101, --W06, 210T, 7I67, 8169, 11!09, All l
UTORMSTS APfVr'ATICINS - FEESIMEP APPLICATQN 4- 11.doc
CITY OF GRAPEVINE PWS ID# 2200013
WATER CUSTOMER SERVICE INSPECTION CERTIFICATION
DATE: `J ���� BUILDING
SWIMMING POOL
ADDRESS: � !9� �i � !
IRRIGATION
PERMIT (�' PLUMBING_
I hereby certify that I have inspected the water supply system at the above referenced address. To the best of my
knowledge, the materials and methods used in the installation of this system comply with the plumbing code adopted
by the City of Grapevine. Plumbing code is located in Chapter 7, Article VIII, (Ordinance number 92 -17), and Chapter
7, Article V, (Ordinance number 01 -93).
In addition, to th best of my knowledge, no cross connection exists at this address at the time of inspection.
SIGNATURE Off" NSPEeC/TOR LIC NEN MB
TITLE INSPECTOR
DATE