HomeMy WebLinkAboutPLIRR2013-0613CITY OF GRAPEVINE
MECHANICAL ELECTRICAL PLUMBING FUEL GAS
TV PERMIT APPLICATION
(PLEASE PRINT)
PERMIT # 1
BLDG. PERMIT #
DATE:
JOB ADDRESS: q S 7 SUITE
DESCRIPTION OF WORK:
(rri o...fio,i an 5 ct I
PROPERTY OW R:
CONTRACTING COMPANY:
A 6 v l /a.r
5 r►„ 4-h t a.►v n
ADDRESS:
ADDRESS:
elsv7 i,./�s��iasc
q7v
CITY STATE /ZIP:
CITY /STATE /ZIP:
-ra �t 77/
Ff . l✓o< A '7!01 /U
PHONE NUMBER:
PHONE NUMBER:
16/7_
TYPE OF OCCUPANCY
BUILDING AREA
(SQ FT)
PERMIT FEES
AMOUNT DUE
EACH TRADE
1. R -3
1- 749
$ 33.25
SINGLE FAMILY, DUPLEX
750- 1,199
$ 49.88
TOWNHOUSE,
1,200- 1,500
$ 63.18
NEW CONSTRUCTION &
1,501- 1,750
$ 76.48
ADDITIONS (PER UNIT)
1,751- 2,000
$ 83.13
2,001- 2,250
$ 89.78
TOTAL SQ.FOOT UNDER
2,251- 3,000
$ 96.43
ROOF
3,001- 3,500
$ 103.08
3,501 - 4,000
$ 109.73
$
4,001 +
$ 120.37
EACH TRADE
II. A, E, I, R -1
1- 500
$ 37.00
HOTELS, APARTMENTS,
501 - 100,000
$ 17.50 +.035 PER
DRINKING /DINING,
100,001 - 500,000
$ 3,500.00 +.03 SQUARE
EDUCATIONAL, ASSEMBLY,
500,001 +
$15,000.00 +.02 FOOT
$
INSTITUTIONAL
EACH TRADE
III. B, F, H, M, S, U
1- 500
$ 37.00
OFFICE, RETAIL, WHOLESALE,
501- 50,000
$ 32.00+.01 PER
1
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
ALTERATIONS 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
50,001- 100,000
$ 127.00+ .007 PER
$
100,001- 500,000
500,001+
$ 327.00+ .005 DOLLAR
$ 1,327.00+.003 TVALUATION
$
EACH TRADE
V. MISCELLANEOUS
IRRIGATION SYSTEMS
$ 37 d
MOBILE HOME SERVICE
TEMPORARY POLE SERVICE
$ 37.00
$ 37.00
SWIMMING POOLS
$ 37.00
' ✓ 1
SIGN ELECTRIC
$ 37.00
$
WFORMSMS APPLICATIONS - FEESWEP APPLICATION 4- 11.doc
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.
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 (1/2 HOUR MINIMUM) .. ....................$42.00 /HOUR
• ADDITIONAL PLAN REVIEW REQUIRED BY CHANGES, ADDITIONS, OR REVISIONS TO
APPROVEDPLANS ............................................. ......................................................... ................. $42.00 /HOUR
• BUILDING PERMIT FEES FOR THE GRAPEVINE- 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 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 OF CONTRACTOR OR AUTHORIZED AGENT PRINTED NAME
(OR HOMEOWNER FOR HOMEOWNERS PERMITS)
PHONE #: gl7 " S lg3s- EMAIL:
*OR THE TOTAL HOURLY COST TO THE JURISDICTION WHICHEVER IS GREATER.
* *ACTUAL COSTS INCLUDE ADMINISTRATIVE AND OVERHEAD COSTS.
riTY OF GRAPEVINE. BUILDING INSPECTIONS, P. O. BOX 95104, GRAPEVINE, TX 76099 (817) 410 -3165
6/21/01 REVISED: 10/01, 5/06, 2/07, 7107, 8/09, 11/09, 4/11
�P
CITY OF GRAPEVINE
BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT
NAME OF PWS: GRAPEVINE ANNUAL TEST
IRRIGATION
PWS I.D.# 2200013 y ` OTHER
NAME OF BUSINESS WHERE DEVICE IS LOCATED:�5,'��� I' 1
ADDRESS OF SITE SERVICED:
PLUMBING PERMIT IF APPLICA
TESTER LICENSE NUMBER: i "-2 Fc1 EXPIRES: 1 ;� I (9 -7
DATE OF LAST TEST GAUGE CALIBRATION: _ 1I' I Z
THE BACKFLOW PREVENTION ASSEMBLY DETAILED BELOW HAS BEEN TESTED AND MAINTAINED AS REQUIRED BY
TCEQ REGULATIONS AND IS CERTIFIED TO BE OPERATING WITHIN ACCEPTABLE PARAMETERS.
TYPE OF ASSEMBLY
REDUCED PRESSURE PRINCIPLE PRESSURE VACUUM BREAKER
K DOUBLE CHECK
ATMOSPHERE VACUUM BREAKER
MANUFACTURER: IL-1 C�o SIZE:
MODEL: L,5,-2 SERIAL NUMBER:
PHYSICAL LOCATION OF METER: Sb s-ACl„S C r
The above is certified to be true.
TESTERS FIRM NAME: S�ti►f�, LAtJA An J 1 s L
ADDRESS: P° L9, a -0x CITY /STATE/ZIP: W°t�l�
DATE:` t I' l3 q i PHONE NUMBER:
PRINT NAME: ,,A \jo^ L�t4! iA SIGNATURE: ✓
DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FOR INSPECTION AT (817) 410 -3010
C:IDOCUME- 1 \sbatte \LOCALS- 11TemplXPgrpwiselTCEO BACKFLOW TESTER REOISTRATIONAm
11/3100 /Rev. 4105, 1 /06, 2/10
REDUCED PRESSURE PRINCIPLE ASSEMBLY
PRESSURE VACUUM BREAKER
DOUBLE CHECK
VALVE
AIR INLET
CHECK VALVE
ASSEMBLY
RELIEF VALVE
1sT CHECK
2ND CHECK
Open at_ psid
psid
UC- Closed Tight
-161osed Tight
Initial
_RP -2, ) psid
A'F _2, f
Opened at
Did not open
Leaked
Test
psid
Leaked
Leaked
Repair
Materials
Used
Test
DC- Closed Tight
Opened at
Opened at
After
Closed Tight
psid
Repair
RP _ psid
psid
psid
The above is certified to be true.
TESTERS FIRM NAME: S�ti►f�, LAtJA An J 1 s L
ADDRESS: P° L9, a -0x CITY /STATE/ZIP: W°t�l�
DATE:` t I' l3 q i PHONE NUMBER:
PRINT NAME: ,,A \jo^ L�t4! iA SIGNATURE: ✓
DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FOR INSPECTION AT (817) 410 -3010
C:IDOCUME- 1 \sbatte \LOCALS- 11TemplXPgrpwiselTCEO BACKFLOW TESTER REOISTRATIONAm
11/3100 /Rev. 4105, 1 /06, 2/10
MAY 6 2013
3 - 1) (0 013
P.O. Box 11493
Fort Worth, TX 76110
Office 817 -946 -2222
Cell 817 - 501 -6210
Fax 817 - 920 -5899
City of Grapevine
Grapevine, TX
Re: Irrigation Statement
May 6, 2013
"This irrigation system has been installed in accordance with all
applicable State and Local laws, ordinances, rules, regulations and
orders. I have tested the system and determined that it has been
installed according to the irrigation plan and is properly adjusted for
the most efficient application of water at this time."
°Irrigation in Texas is regulated by Texas Commission on Environmental Quality"
(TCEQ)(MC -178) P.O. Box 13087,Aus6n, TX 78711 -3087
www.tceq.statc.us
Reese Stubenbordt LI 17511
Smith Lawn & Tree
�, alai /13
CITY OF GRAPEVINE PWS ID# 2200013
WATER CUSTOMER SERVICE INSPECTION CERTIFICATION
DATE: �l1 f BUILDING
SWIMMING POOL
ADDRESS: #�07 t�<'S�F`C!� -ri.S� IRRIGATION
PERMIT #: / 3 "`"O& I S 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 the be of my k edge, no cross connection exists at this address at the time of inspection.
AT E SP LICENSE NUMBER
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REVISIONS:
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DATE.
2 -19 -13
DRAWN BY:
Judson P. Smith IV
CHECKED BY:
Judson P. Smith IV
SCALE:
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CONTRACTOR SHALL CALL FOR
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CONTRACTOR REGISTRATION
WILL BE REVOKED UPON
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REVISIONS:
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DATE.
2 -19 -13
DRAWN BY:
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CHECKED BY:
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SCALE:
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