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HomeMy WebLinkAboutPLBG2021-2573City of Grapevine P.O. Box 95104 Grapevine, TX 76099 (817) 410-3165 Voice (817) 410-3012 Fax PLUMBING PERMIT {VALUE} Issue Date: July 23, 2021 PROJECT DESCRIPTION: Install new RPZ @ meter in hot rock for Irrigation System "Shell Building" PROJECT # PLBG-21-2573 (817) 410-3010 Inspections www.mygov.us Permits LOCATION TENANT LEGAL 230 Park Blvd. Grapevine, TX 76051 Shell Building Brookside Addition Blk 5 Lot 1r Shell Building CONTRACTOR 1-A Fire and Domestic Testing [PLBG] State ID # 35454 P.O. Box 79548 Fort Worth, TX 76179 (817) 232-5577 Phone (817) 232-5722 Fax (817) 247-4799 Mobile OWNER 9692 Oak Hill Drive Llc 6405 Pemberton Dr Dallas, TX 75230 AVAILABLE INSPECTIONS TCEQ Backflow Certification Submit (required) Plumbing Final (required) INFORMATION County Tarrant Square Footage 150 VALUATION 750 Zoning PO - Professional Office FEES TOTAL =$ 45.00 Plumbing Permit Fee {VALUE}$ 45.00 PAYMENTS TOTAL = $ 45.00 1-A Fire and Domestic Testing [PLBG] (Brian Wagoner) Cc on 07/23/2021 ($45.00) NOTICES ALL work must be done in compliance with the 2006 INTERNATIONAL PLUMBING CODE. 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 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. Signature Date MYGOV.US City of Grapevine | PLUMBING PERMIT {VALUE} | PLBG-21-2573 | Printed 08/02/21 at 10:01 a.m. Page 1 of 3 Texas Commission on Environmental Quality PFlil IT# BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT 'the falloltime Corm must be eonwk%W for m�o7.21,11,00013 Ir rested. A signed ind dated origins[ must be %Wm iaed to the naWic water xuadier For rcrntdkee in •nnrt Wtr I NAME OF PWS: or Gra Inc PWS ID#: PWS MAILING ADDRESS: ! Pt) box 951mrrapev1n.,raxsaTopq PWS CONTACT PERSON: CAnnRl�ss OFsf vlc>�TVVW Va, r I� 'a v t" �- v i S The back#low prevention assembly detailed below has been tested and maintained as required by commission regulations and is certified to be operating within acceptable parameters. TYPE OF BACKFLOW PREVENTION ASSEMBLY (BPA): Reduced Pressure Principle (RPBA) 10 Reduced Pressure Principle -Detector (RPBA-D) Type li: ❑ !� Double Check Valve (DCVA) jO Double Check -Detector (DCVA-D) Type H ❑ Pressure Vacuum Breaker (PVB) !❑ Spill -Resistant Pressure Vacuum Breaker (SVB) Manufacturen Main: ; V"i W, .1 Bypaas.) Size: Main:112 " BypAs.S: Model Number. Main: 137s }CL, Bypam;1 BPA Location: t~i 1 1 : �► i� r Serial Number. Main: U33 gjd� Bypass;, BPA Serves: 17e.,N1 S7�, Annual Test ❑ Irrigation ❑ Other ❑ Physical Location of Meter: Rt:asott For test: I New Existing Q Replacement !o Old Model/Serial #, Is the assembly installed in accordance with manufacturer recommendations and/or local codes? Is the assembly installed on a non -potable water supply (auxiliary)? TEST RESULT Type 11 Reduced Prmum Principle Assembly (RPBA) Assembly PASS DCVA Relief Valve Bypass Check FAlll Q I u Check 1 x'wCheck**' J'Yes ':❑ No ❑ Yes ONO PVB & SVB Air Inlet Check Valve initial Da �Za Closed Tight' °Closed Ti t, paid O pedned n ,--� Cts�acd Tight —psid Opened aft opc .. � .. - Held at d =Held atF7d ? � [-- jpsid Held at gh S I I n © psid Teme:li3Op�� Leaked ❑i Leaked ;❑; file net Leaked Q Did it fully open Leaked ;Q °fin 1� (Yes 0 /No Ia Repairs and Main Materials Used** Bypass:1: MM A Held at",^ psid Held at a paid Opened at'—' Held at psid Opened at psid Field at Re r Closed Tight IQ Closed Tight Q psid Closed paid Date: Tight I❑; Time: I *** tad check: nuntetic teadina requ'vd for DCVA only Differential pressure gauge used: Potable: )or Non -Potable: �Cl) Make/Model- I I I Nt,ii,=t +a�rl M;- 1 SN: I i 07,)4trX I Date tested for accuracy: f I Remarks: j Company Name: I Licensed Tester Name 1 -A Flr&A Domestlr Tasting (print ■�r'ype). Company Address: i Licensed Tester Name (Signature): Po anx 79540 FW 76179 Company Phone #: I BPAT License # ; I ail-zss•5s77 License Expiration Date: I iFo i /l/ -7 _/z7 d� ° The above Is certified to be [me at the time of testing. TEST RECORDS MUST BE KEPT FOR AT LEAST THREE YEARS [30 TAC §290.46(13)1 '* USE ONLY MANUFACTURER'S REPLACEMENT PARTS CrrY OFGR& RKQULW1W. (817)410-W10 TCEQ-20700 (Revision 04-04-2019) x'