HomeMy WebLinkAboutPLBG2013-1204City of Grapevine,
TX
P.O. Box 95104
Grapevine, TX 76099
(817) 410 -3165 Voice
(817) 410 -3012 Fax
CONTRACTOR
1st Source Plumbing
State ID # 16051
2825 Wild Valley Dr.
Little Elm, TX 75068
(214) 551 -5338 Phone
(469) 362 -9578 Fax
(214) 491 -2043 Mobile
OWNER
Boat Club Plaza Llcetal
1510 West Loop S
Houston, TX 77027 -9505
PLUMBING PERMIT (VALUE)
Issue Date: April 5, 2013
PROJECT DESCRIPTION: Install RPZ for Carbonator "Salt Grass Steak House"
LOCATION TENANT LEGAL
102 E State 114 Hwy. Saltgrass Steakhouse #7 Metroplace Addition 2nd Instl
Grapevine, TX 76051 Blk 3 Lot 6R1A
AVAILABLE INSPECTIONS
w TCEQ Backflow Certification Submit
(required)
e Plumbing Customer Sevice Inspection
(required)
a Plumbing Final (required)
INFORMATION
County Tarrant
Square Footage
VALUATION 500
Zoning CC - Community Commercial
FEES TOTAL = $ 37.00
Plumbing Permit Fee {VALUE} $ 37.00
PAYMENTS TOTAL = $ 37.00
1st Source Plumbing (Lawrence C. Chambers)
Other on 0410512013 ($37.00)
Note: CC4775
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,
MYGOV.US City of Grapevine I PLUMBING PERMIT (VALUE} I PLBG -13 -1204 I Printed 04/05/13 at 3:42 p.m. Page 1 of 3
APR 2 2, m3
BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT
NAME OF PWS: GRAPEVINE ANNUAL TEST
IRRIGATION
PWS I.D.# 2200013 OTHER
NAME OF BUSINESS WHERE DEVICE IS LOC
ADDRESS OF SITE SERVICED:
PLUMBING PERMIT IF APPLICABLE: At�
TESTER LICENSE NUMBER: � v o L3
DATE OF LAST TEST GAUGE CALIBRATION:
4Z 2-0 �
EXPIRES: 03 -01( - ?-0 / z,(
.2—
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
V'REDUCED PRESSURE PRINCIPLE PRESSURE VACUUM BREAKER
DOUBLE CHECK ATMOSPHERE VACUUM BREAKER
-L
Z,�
MANUFACTURER: SIZE: 2--
MODEL: — 01!,-2 Z SERIAL NUMBER: 6' z- 6`Z
PHYSICAL LOCATION OF METER:
The above is certified to be true.
TESTERS FIRM NAME:
ADDRESS: Z t :�/ .,4'a--�PCITY/STATEIZIP: Z1'/7-/e
DATE: 6 4' - NUMBER: 7 -
PRINT NAME, PHONE
�"SIGNATURE:
DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FOR INSPECTION AT (817) 410-3010
C.IDOCUME-1l.bot(.XLOCALS-1f-t mP'XP9IPIMI-ITCSO SACKFLOW TESTER REGISTRATION.d..
111300/R— 4/05. 1105. 2110
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
DC -Close Tight
Closed Tight
Opened at
Initial
r2RP -0 psid
IF-1 0
Did not open
Leaked
Test
r
Leaked
Leaked
psid
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:
ADDRESS: Z t :�/ .,4'a--�PCITY/STATEIZIP: Z1'/7-/e
DATE: 6 4' - NUMBER: 7 -
PRINT NAME, PHONE
�"SIGNATURE:
DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FOR INSPECTION AT (817) 410-3010
C.IDOCUME-1l.bot(.XLOCALS-1f-t mP'XP9IPIMI-ITCSO SACKFLOW TESTER REGISTRATION.d..
111300/R— 4/05. 1105. 2110
\^��
]rY-1 / �}
��� ._
CITY OF GRAPEVINE PWS 1D# 2200013
DA ? h 3
,y
PERMIT
mmulam
SWIMMING POOL
�� ��_�
�/� �
` /�r�� PLUMBING A
| hereby certify that |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 ofGrapevine. Plumbing code is located in Chapter 7, Article VIII, (Ordinance number 92'17). and Chapter
7. Article V. (Ordinance number U1-O3).
In addition, toj4p best of my knowli��, no cross connection exists at this address at the time of inspection
DATE