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HomeMy WebLinkAboutPLBG2013-108403/28/2013 3:10PM FAY, 8174391856 OR PLUMBER MIAR 2 9 201:3 01 y�13 cnr' CITY OF GRAPEVINE MECHANICAL ELECTRICAL PLUMBING PERMIT APPLICATION PERMIT t! PLEASE PRINT C _ �� U BLDG. PE MET# PJOB ADDRESS: a r fl 7 . PROPERTY OWNER! ADDRESS: J f/ t "Lla l W 1� CITYISTATE /ZIP: /li ( ) PHONE NUMUER: ��� TYPE OF OCCUPANCY BUILE SINGLE FAMILY, DUPLEX TOWNHOUSE, NEW CONSTRUCTION & ADDITIONS (PER UNIT) TOTAL SQ.FOOT UNDER ROOF II. A, E, I, R -1 HOTELS, APARTMENTS, DRINKING /DINING, EDUCATIONAL, ASSEMBLY, INSTITUTIONAL III. 8, F, H, M, S, U OFFICE, RETAIL, WHOLESALE, GARAGES, FACTORIES. WORKSHOPS, SERVICE STATIONS WAREHOUSE IV, ANY OCCUPANCY GROUP FINISH -OUTS, SHELL COMPLETIONS, ALTERATIONS OR STAND ALONE PERMITS CONTRACT VA AWN OF WORK: V_ MISCELLANEOUS IRRIGATION SYSTEMS MOBILE HOME SERVICE TEMPORARY POLE SERVICE SWIMMING POOLS SIGN ELECTRIC 1 - 749 750— 1,199 1,200- 1,500 1.501- 1,750 1,751- 2,000 2,001- 2,250 2,251- 3,000 3,001- 31 500 3,501 - 4000 4,001+ I- I 500 501 — 100,000 100,001 — 5 0,000 500,001+ 1 1- I 500 501 - 50,000 50,001- 1010,000 100,001+ 0- 501- 1,501- 3,001, 5,001- 50,001 -1 100,001 -4 500001+ WFORMSS 05 APPLICAtiON3- FEESWEP APPLICATION ¢i 1.doc ADDRESS: ` CITYI$TATEIZIP: PHONE NUM13EF PERMIT FEES $ 33.25 $ $ 49.88 $ 63.18 $ $ 76.48 $ 83.13 $ $ 89.78 $ 96.43 $ $ 103.08 $ 109.73 $ $ 120.37 ESA TRADE $ 37.00 127.00+ $ 17.50 +.035 1 PER $ 3,500.00 +.03 SQUARE $15,000.00 +.02 FOOT $ 1,327.00 +,003 EACH TRADE $ 37.00 $ 32.00+ .01 1 PER $ 182,00+.007 SQUARE $ 582.00+ .003 FOOT 500 $ 37.00 ,500 $ 45.00 1000 $ 57.00 ,000 $ 72.00 ,000 $ 27.00+,009 ,000 $ 127.00+ _007 PER 000 $ 327,00+ .005 DOLLAR 11VALUATION $ 1,327.00 +,003 $ 37.00 $ 37.00 $ 37.00 $ 37.00 $ 37,00 FUEL GAS $ $ 120002/0003 AMOUNT DUE ��S 0U /3 8/3013 3:10PM FAX 8174391856 DR PLUMBER Z0003/0003 PLAN SUBMITTAL: WHEN PLANS ARE REQUIRED BY CODES, ORDINANCES, OR AS DETERMINE -b BY THE BUILDING OFFICIAL, THREE (3) SETS OF PLANS SHALL 13E SUBMITTED IN HARD COPY FORMAT. ENGINEER SEALED PLANS AND CALCULATIONS SHALL W. �UBMITTED AS REQUIRED BY CODES, ORDINANCES OR WHERE OTHERWISE REQUIRED BY STATE LAW. OTHER INSPECTIONS AND FEES., INSPECTIONS OUTSIDF NORMAL BUSINESS ZURS (2HR MINIMUM) .......... ......... . + REINSPECTION FEES ............................ ...$42 -00 /HOUR* ..,,,t ................ . . .. ...... ............... $42,00 1111-1-1.1 + PERMITS FOR WHICH NO FEE: IS SPECIFICALLY INDICATED,,,,,,,,.,. INSPf- CT1ONS FOR WHICH NO FEE IS SPECIFICALLY INDICATED (112 HOUR MINIMUM ) ..................... .$42 00/HOUR • ADDITIONAL PLAN REVIEW REQUIRED BY CHANGES, ADDITIONS, OR REVISIONS TO APPROVED PLANS ............... - -.... .$42.00 /HOUR BUILDING PERMIT FEES FOR THE GRAPEVINE- COLLEYVILLE INDEPENDENT SCHOOL DISTRICT SHALL BE 25% OF THE FEES ESTABLISHED 1N THIS TABLE + FOR USE OF OUTSIDE CONSULTANTS FOR P AN CHECKING AND INSPECTIONS, OR BOTH ...... -ACTUAL COSTS ** I HEREBY CERTIFY THAT THE FOREGOING IS IYORRECT TO THE BEST OF MY KNOWLEDGE AND ALL WORK WILL BE PERFORMED ACCORDING TO THE DOCUMENTS APPROVED BY THE BUILDING DEPARTME=NT AND IN COMPLIANCE WITH THE CITY OF GRAPEVINE CODES REGUL�TING CONSTRUCTION- IT IS UNDERSTOOD THAT THE ISSUANCE OF THIS PERMIT DOES NOT GRANT OR AUTHORIFE ANY VIOLATION OF ANY CODE OR ORDINANCE OF THE CITY OF GRAPEVINE=. I FURTHER CERTIFY THAT ALL WORK THAT LOCAL LAW REGARDING ENERGY CONSERV AND THAT VERIFICATION OF ENERGY CODE C SIGNATURE OF CONTRACTOEFOR AUTHOf (OR HOMEOWnPA FOR HOMEOWNERS PE PHONE #: � M40 `OR THE TOTAL HOURLY COST TO THE JURISDIC ' *ACTUAL COSTS INCLUDE ADMINISTRATIVE AN[ CITY OF GRAPEVINE, BUILDING INSPECTIONS, P 6121101 REVISED; 10 /01, 5106, 207, T/07, BfDD, 11109, 41l 1 O!IFORMSMS APPL(CATIONS - FEESIMEP APPLICATION 4.11,dDc S REQUIRED TO COMPLY WITH ANY FEDERAL, STATE, AND 1 OR TION WILL BE PERFORMED IN ACCORDANCE WITH THOSE LAWS, MPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST. SENT PRINTED NAM--E--- WHICHEVER IS GREATER, 17) 410 -3165 CITY OF GRAPEVINE PWS ID# 2200013 WATER CUSTOMER SERVICE INSPECTION CERTIFICATION DATE: / ( BUILDING /6V 7-- SWIMMING POOL ADDRESS: �/ ` / ©© IRRIGATION / PERMIT #: -lOo PLUMBING y 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 Vill, (Ordinance number 92 -17), and Chapter 7, Article V, (Ordinance number 01 -93). In additioAto e b e owledge, no cross connection exists at this address at the time of inspection. SIGNATURE OF INS LICENSE NUMBER TITLE DATE INSPECTOR