HomeMy WebLinkAboutPLBG2013-194005/30./2013 10:55 97239571333 p��Y n �i `l,[�1� c =1,.a I'LlItlBING ��(( PAGE 01
CITY OF
GR �`�C
MECHANICAL ELECTRICAL :EiO6N FUEL GAS
PERMIT AP
IPLEASE PRINT)
I -S 0-
JOB ADDRESP'I, Li
5
111YPE'.OF OCCUPANCY
I. R -3
SIN$LE FAMILY, DUPLEX
TOI'YNHOIUSE,
NEW CCASTRUCTION &
ADUITi415 (PER UNIT)
TO-rAL 9)-FOOT UNDER.
ROOF
11. A, IE, 1, F -1
HOTEL%. APARTMENT$,
DRIINKIW/DINING,
EDI, GAIljONAL, ASSEMBLY,
INS11TUTIONAL
III. B, F, H, M.S,U
OFFICE,,RETAIL, WHOLESALE,
GARAGI�'S, FACTORIES,
WORKSWOPS, SERVICE
STATIONS. WAREHOUSE
IV, AlY OCCUPANCY GROUP
FINISH -OUTS,
SHM 0OMPLETIONS,
ALTERA41ONS OR
STANDALONE PERMITS
CONTRACT'VALUATION OF WORK:
$ 2 ? _t..
V. MISCEL{,ANEOUS
IRRIGA10N SYSTEMS
MO$ILE HOME SERVICE .
TEMPORARY POLE SERVICE
SWIMMIKG POOLS
SIGN ELVCTRIC
Bul
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- 3,500
3,501 - 4,000
4,001+
1 - 500
501 - 100,000
100,001 - 500,000
500,001 +
1 - 500
501- 50,000
50,001- 100,000
100,001+
WORK
0- 500
501- 1,500
1,501- 3,000
8,001- 5,000
5,001- 50,000
501001- 100,000
100,001 - 500,000
500.001+
OVORWADS APIA- ICATION-S - PEESWEP APPLICATION 4 -11 -dm
PHONE NUMBF!R'
•/ 1'r
PERMIT FEES
$ 33.25
$ 49.88
$ 63.18
$ 76AB
$ 83.13
$ 89.78
$ 96.43
$ 103.06
$ 109.73
$ 120.37
EA DE
$ 37.00
$ 17.50 +.035
PER
$ 3,500.00 +.03
SQUARE
$15,000.00+,02
FOOT
ELI&
$ 37.00
$ 1327,00t.003
$ 32.00+ .01
PER
$ 182.00+ .007
SQUARE
$ 582.00+,003
FOOT
$ 37.00
$ 45.00
$ 57.00
$ 72.00
$ 27-00+-000
$ 127.00+ .007 PER
$ 327.00+ _005
DOLLAR
TVALUATiON
$ 1327,00t.003
$ 37.00
$ 37-00
$ 37-00
$ 37.00
$ 37.00
M
AMOUNT DUE
$ 7L
05/30/2013 10:55 97239571 -3 C;,IJ PLUMBIHI3 PA13E 02
PLAN SUBMITTAL:
WHEN plgNS ARE REQUIRED BY COVES,
ORDINANCES, OR AS DETERMINED BY THE BUILDING
OFFI( IAL :THREE (3) SETS OF PLANS SHALL BE SUBMITTED IN HARD COPY FORMAT. ENGINEER SEALED
PLAN A�D CALCULATIONS SHALL BE SUBMITTED AS REQUIRED BY CODES, ORDINANCES OR WHERE
OTHIOR E REQUIRED BY STATE LAW.
OTHER INSPECTIONS AND FEES:
• INSOEC NS OUTSIDE NORMAL BUSINESS HOURS (2HR MINIMUM) ................_--......................... -- $42.O0/HOUR`
• REIIIIJSP -TION FEES --- -... ............ ........ . .. $42.00
37.Q
• PE MiT
't FOR WHICH NO FEE IS SPECIFICALLY INDICATED ...............................
- � ,,,•�42.00lHOUR
• INS�EC ONS FOR WHICH NO FEE IS SPECIFICALLY IN
(112 HOUR MINIMUM) .............. . . .•
• AD IE711C AL PLAN REVIEW REQUIRED BY CHANGES, ADDITIONS, OR REVISIONS TO $42,00 1HOUR
APPROED PLANS ....................................... ................... .. ............ ............ ...... .
• BUItDI PERMIT FEES FOR THE GRAPEVINE- COLLEYVILLE INDEPENDENT SCHOOL DISTRICT
SH, LL 25% OF THE FEES ESTABLISHED IN THIS TABLE
FO t US OF OUTSIDE CONSULTANTS FOR PLAN CHECKING AND INSPECTIONS, OR BOTH. . ....... ACTUAL COSTS"
I HE*BYIICERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND ALL WORK WILL BE
PERFbR D ACCORDING TO THE DOCUMENTS APPROVED BY THE BUILDING DEPARTMENT AND IN COMPLIANCE
WITHlTH 'FOITY OF GRAPEVINE CODES REGULATING CONSTRUCTION. IT IS UNDERSTOOD THAT THE ISSUANCE OF
THIS E"IT DOES NOT GRANT OR AUTHORIZE ANY VIOLATION OF ANY CODE OR ORDINANCE OF THE CITY OF
GRA EVI .
I FURTH CERTIFY THAT ALL WORT( THAT IS REQUIRED TO COMPLY WITH ANY FEDERAL, STATE, AND i OR
LO CL LAf REGARDING SNERGY CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE LAWS,
AND WA :VERIFICATION OF ENERGY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST.
S O CTOR OR AUTHORIZED AGENT F RTN ED NAME
nINER FOR HOMEOWNERS PERMITS)
a/ 7
PHONI; tj�' EMAIL:
`OR THE T AL HOURLY COST TO THE JURISDICTION WHICHEVER IS GREATER.
* "ACTI AL STS INCLUDE ADMINISTRATIVE AND OVERHEAD COSTS.
CITY G PEVINE, BUILDING INSPECTIONS, P- O. BOX 9'104, GRAPEVINE, TX 76099 (81 ?) 410-3165
6t2110i RI /18EQ.Y' 0lOM1, Imo, 2107, 7107, BM9 M1 M1706, 4111
QAFORM!hXq AI *" ICATtt)NS - FEES�MEP APPLICATION 4- 11.dnc
.1=55 5/30/1 3
CITY OF GRAPEVINE PWS ID# 2200013
WATER CUSTOMER SERVICE INSPECTION CERTIFICATION
DATE: 6/r'-// 3 F- j
ADDRESS: lo,- an
PERMIT #: 13 - nelb
BUILDING
SWIMMING POOL
IRRIGATION
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 Vill, (Ordinance number 92 -17), and Chapter
7, Article V, (Ordinance number 01 -93).
In addition, to e best of my knowledge, no cross connection exists at this address at the time of inspection.
O P OR LICENSE NUMBER
TITLE
DATE
INSPECTOR