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Home My WebLink AboutPLBG2021-1576City of Grapevine P.O. Box 95104 Grapevine, TX 76099 (817) 410-3165 Voice (817) 410-3012 Fax PLUMBING PERMIT {VALUE} Issue Date: May 10, 2021 PROJECT DESCRIPTION: Replace Backflow Device For Irrigation PROJECT # PLBG-21-1576 (817) 410-3010 Inspections www.mygov.us Permits LOCATION LEGAL 2701 Hidden Lake Dr. Grapevine, TX 76051 Hidden Lake Estates Addition Blk 2 Lot 46 No. 2220 Tr 46 *06489621* CONTRACTOR S & T Pro Plumbing, LLC State ID # 35454 1520 Diamond Creek Lane Kennedale, TX 76060 (682) 777-6255 Phone (682) 777-6255 Mobile OWNER Eric Kelp 2701 Hidden Lake Dr Grapevine, TX 76051 AVAILABLE INSPECTIONS TCEQ Backflow Certification Submit (required) Plumbing Final (required) INFORMATION County Tarrant Square Footage VALUATION 1755 Zoning R-7.5 - Single Family FEES TOTAL =$ 57.00 Plumbing Permit Fee {VALUE}$ 57.00 PAYMENTS TOTAL = $ 57.00 S & T Pro Plumbing, LLC (Sonny Nguyen) Check on 05/10/2021 Note: CK#1753 ($57.00) 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-21-1576 | Printed 08/06/21 at 3:23 p.m. Page 1 of 3 MAY 13 2021 Texas Commission on Environmental Quality BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT 7be fidlowh,-r form must be wnnp tnl for each assembly tailed. A signed and dated nrieinal n;ust be submiaed to the public wdler Supplier far mcordkerping *puMaus (NAME OF PWS:_ - - I PWS LD#: 2 6,01l'i PWS MAILING ADDRESS: �_ S PWS CONTACT PERSON:- e ICt/au Coc Jt.�e f� _ _ __ - __ _ I ADDRESS OF SERVICE: 2oj N,dd+ /< Ea p _-G..r/b ,.. i r �G ofj The backflow prevention assembly detailed below has been tested and maintained as 'required by commission regulations and is certified to be operating within acceptable parameters. 1 - - TYPE OF AACOLOW PREVENTION ASSEMBLY_TPA):__ j ❑ Reduced Pressure Principle (RPBA) ❑ Reduced Pressure Principle -Detector (RPBA-D) Type II 0 110 ! Double Check Valve (DCVA) ❑ Double Check -Detector (DCVA-D) Type 110 '❑ Pressure Vacuum Breaker (PVB) ❑ I Spill -Resistant Pressure Vacuum Breaker (SVB) Manufacturer: Main: c,trc}}5 Bypass: Size: Main. /' Bypass: Model Number: I Main: o07n, f Bypass: BPA Location: 1 ` 0�,x J L 04� 0} xfr Serial Number: Main__-Sy/rgy Bypass. - - - - BPA Serves: I I Reason for test: I New [4 I Existing ❑ I Replacement ❑ Old Model/Serial # I Is the assembly installed in accordance with manufacturer recommendations and/or local codes9' 4 yes I ❑ No I Is the assembly installed on a non -potable water supply (auxiliary)? I ❑ Yes Q No TEST RESULT Type II v Reduced Pressure Principle Assembly (RPBA) Assembly PASS Q DCVA — Relief Valve l Bypass Check FAIL ❑ i Check 1 2°du Check*=* .f,r UM Air Inlet I Check Valve Initial Test Held at � psid Held at 'L`d psid Opened at _ Held at_ psid Opened at, psid Held at 'Date: -jZ_L( Time: 3i9�:n, Closed Tight Leaked ® ❑ Closed Tight Leaked ❑ psid Did not open ❑ p Closed Tight Leaked [I ❑ Did not open ❑' Did it full open }' P (Yes ❑ /No ❑) psid Leaked ❑ Repairs and Main: Materials Used*" Bypass: Test After Held aC __ psid HeIJ a[ _psid Opened a[ [%sed eld ar __ psid Re )air Closed Tight ❑Closed Tight ❑ psid Date: t '❑ Time: at — psid IlHeld at, ,x* tad check:me nuric reading required for DCVA only _ -- - Differential pressure gauge used: Potable:] I Non -Potable: ❑ Make/Model: I . x L-C, —S(4 < SN: O To Y 163D f Date tested for accuracy: FRemarks: I Company Name: /� j Licensed Tester Name f% (Print/Ty k _ I & A irvl � i Company Address: ') zS j9,6& C�''Ze-k 0- Licensed Tester Name (Signature): f Cja �.rc 'I"Q Company Phone #: BPAT License # (5 pUlK 7�i i �! ��—�r0 License Expiration. Date: ')_-ye--Lf j The above is certified to be tree at the time of testing. *TEST RECORDS MUST BE KEPT FOR AT LEAST THREE YEARS 130 TAC §290.4(i(B)] *� USE ONLY MANUFACTURER'S REPLACEMENT PARTS TCEQ-213700 (Revision 04.04-2019) Page I of I