HomeMy WebLinkAboutPLBG2013-0333PERMIT# 13 3
T BLDG. PERMITS
I DATE: J AIN ; Z P 17
JOB ADDRESS: SUITE #
o
DESCRIPTION OF WORK:
PROPERTY OWNER&/,
CONTRACTING COMPANY.
ae
1hr I-A Fere O-Aammd,U
ADDRESS:
;S:kj3&e
ADDR19SS:
2 9,5-1-lff
CITY/SLATEIZIP.
P:
":,
d-440
PHONE NUMB R:
PHONE ?@_MBEB:
fl:7 o2dQ LrL'57--;7?
TYPE OF OCCUPANCY
BUILDING o!m AREA
(s
PERMIT FEES
AMOUNT DUE
EACH TRADE
I. 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
$ 8938
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
11. A, E, 1, R-1
1- 500
$ 37.00
HOTELS, APARTMENTS,
501 - 100,000
$ 17.50+.035 PER
1
DRINKING/DINING,
100,001 - 500,000
$ 3,500.00+.03 SQUARE
EDUCATIONAL, ASSEMBLY,
500,001+
$15,000.00+,02 FOOT
$
INSTITUTIONAL
EACH TRADE
B,
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
OF WORK:
3,001- 5,000
5,001- 50,000
$ 72.00
$ 27.00+.009
CONTRACT VALUATION
)D 'lJ
00
50,001- 100,000
$ 127.00+.007 PER
TVALUATION
100,001- 500,000
500,001+
$ 327.00+.005 DOLLAR
$ 1,327.00+.003
$
EACH TRADE
V. MISCELLANEOUS
IRRIGATION SYSTEMS
$ 37,00
MOBILE HOME SERVICE
$ 37.00
TEMPORARY POLE SERVICE
$ 37.00
SWIMMING POOLS
$ 37,00
SIGN ELECTRIC
$ 37.00
$
OAFORMSOS APPLICATIONS - FEESWEP APPLICATION 4-1 l.doc
7416-ii,j
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.
• INSPECTIONS OUTSIDE NORMAL BUSINESS HOURS (2HR MINIMUM) ..... ........ .................. ........ ...-- $42.001HOUW
• REINSPECTION FEES .................. ............. ._ —.,,..........................,,............-... ,.............................. $42,00
• PERMITS FOR WHICH NO FEE IS SPECIFICALLY INDICATED— ....................... ......... -- .... ...o.... .... -. $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 ................... -- ......... -- ............................ ....................................... ................ $42.001HOUR
BUILDING PERMIT FEES FOR THE GRAPEVINE —COU EYVILLE 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.
SIGNA URE OF CON RA TOR OR AUT RIZED AGENT
(OR HOMEOWNER FOR HOMEOWNERS PERMITS)
erl'okp 4 Zaa a
PRINTED NAME Ll/
-� •
"OR THE TOTAL HOURLY COST TO THE JURISDICTION WHICHEVER IS GREATER.
"ACTUAL COSTS INCLUDE ADMINISTRATIVE AND OVERHEAD COSTS.
(817)
6121V REVISED: 10,01, 5.06, 2107, 7107: W9, 11879.. 4/11
O VORMSM APPLICATIONS - FEESNMEP APPLICATION 4- 11,doc
City of Grapevine,
TX
P.O. Box 95104
Grapevine, TX 76099
(817) 410 -3165 Voice
(817) 410 -3012 Fax
CONTRACTOR
1 -A Fire and Domestic Testing [PLBG]
State ID # 38516
P.O. Box 79548
Fort Worth, TX 76179
(817) 232 -5577 Phone
(817) 232 -5722 Fax
(817) 247 -4799 Mobile
OWNER
Gmri Texas Lp
PO Box 593330
Orlando, FL 32859 -3330
AVAILABLE INSPECTIONS
► TCEQ Backflow Certification Submit
(required)
► Plumbing Customer Sevice Inspection
(required)
w Plumbing Final (required)
INFORMATION
County
Square Footage
VALUATION
Zoning
FEES
Plumbing Permit Fee {VALUE}
PAYMENTS
Tarrant
710
CC - Community Commercial
1 -A Fire and Domestic Testing [PLBG] (Brian
Wagoner)
Other on 0113012013
Note: CC5522
TOTAL = $ 45.00
$ 45.00
TOTAL = $ 45.00
NOTICES
ALL work must be done in compliance with the 2006 INTERNATIONAL
PLUMBING CODE.
($45.00)
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 -0333 1 Printed 01130/13 at 4:11 p.m. Page 1 of 3
'EB 1 ZIIi6
Ir
CITY OF GRAPEVINE
BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT
NAME OF PWS: GRAPEVINE
PWS I.D-# 2200013
NAME OF BUSINESS WHERE DEVICE IS LOCATED:
ADDRESS OF SITE SERVICED: -301
ANNUAL TEST
IRRIGATION
OTHER
PLUMBING PERMIT IF APPLICABLE: #— I
TESTER LICENSE NUMBER: be wo S t1 — EXPIRES--!()A - v4 - 2c�4
DATE OF LAST TEST GAUGE CALIBRATION: IR - -3,
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
DOUBLE CHECK ATMOSPHERE VACUUM BREAKER
11.1
MANUFACTURER: 661�a 77-5 SIZE:
MODEL. —669 '�! SERIAL NUMBER: 119
PHYSICAL LOCATION Of METER:
The above is certified to be true.
TESTERS FIRM NAME: -1 Jar 0j:)n'e-'m c-
ADDRESS: Ro' 12 -Iqs-q� CITY/STATE(ZIP.- (V I-
DATE: �,&2:2 r,?/ -ZeV3 PHONE NUMBER:
PRINT NAME: Wa"aC-t— SIGNATURE: Z4���
J-
DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FOR INSPECTION AT (617) 410-3010
MSTER REGIS NTCN duc
I,-d ZZZ9 zcz Zee pal 011sewo(] �R ejl� V � dZe:Z6 eI, 60 qe�
REDUCED PRESSURE PRINCIPLE ASSEMBLY
PRESSURE VACUUM BREAKER
DOUBLE CHECK
VALVE
AIR INLET
CHECK VALVE
ASSEMBLY
RELIEF VALVE
,IT CHECK
2r CHECK
Open at — psid
psid
DC-Closed Tight
Closed Tight
Initial
Test
—RP psid
7. T-
7 i�
Opened at
-Z il/
' /
Did not open
Leaked
Leaked
Leaked
psid
Repair
Materials
Used -
Test
DC-Closed Tight
Opened at
Opened at
After
Closed Tight
psid
Repair
— RP — psid
Paid
psid
The above is certified to be true.
TESTERS FIRM NAME: -1 Jar 0j:)n'e-'m c-
ADDRESS: Ro' 12 -Iqs-q� CITY/STATE(ZIP.- (V I-
DATE: �,&2:2 r,?/ -ZeV3 PHONE NUMBER:
PRINT NAME: Wa"aC-t— SIGNATURE: Z4���
J-
DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FOR INSPECTION AT (617) 410-3010
MSTER REGIS NTCN duc
I,-d ZZZ9 zcz Zee pal 011sewo(] �R ejl� V � dZe:Z6 eI, 60 qe�
gm, FIMIT.-I M.UTM.W72M recs 12' P-1 U744 RUN,
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 Vlll, (Ordinance number 92 -17), and Chapter
7, Article V, (Ordinance number 01 -93).
In addition, to the best -of . -k owledge, no cross connection exists at this address at the time of inspection.
SIGNATU OF INS , iQ , LICENSE NUMBER
TITLE
HEW
O: \forms \waterservinsp, 0501
08/03
INSPECTOR