HomeMy WebLinkAboutPLIRR2013-1455CITY OF GRAPEVINE
T MECHANICAL ELECTRICAL PLUMBING GAS
l PERMIT APPLICATION
PLEASE PRINT
PERMIT #� ,'
BLDG. PERMIT #
DATE: �j r
JOB ADDRESS: SUI E #
DESCRIPTION OF WORK:
PROPERTY OWNER:
�i JV! (L., v
CONTRACTING COMPANY:
%G...
)Q r`I
c C. t
ADDRESS: �r �y-
ADDRESS:
CITY /STATE /ZIP:
CITY /STATE /ZIP:
JbA 775
PHONE NUMBER:
PHONE NUMBER: _ p�
TYPE OF OCCUPANCY
BUILDING AREA
(SO FT
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
$ 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 TVAL U ATION
$
V. MISCELLANEOUS
EACH TRADE
IRRIGATION SYSTEMS
$ 37.00
MOBILE HOME SERVICE
$ 37.00
TEMPORARY POLE SERVICE
$ 37.00
SWIMMING POOLS
$ 37.00
SIGN ELECTRIC
$ 37.00
$ 3-7-co
O: \FORMS \DS APPLICATIONS - FEES \MEP APPLICATION 4- 11.doc
pL -7•S
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
L LAW REGARDING ENERGY CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE LAWS,
H T VERIFICATION OF ENERGY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST.
VNA O RE OF CONTRACTOR OR AUTHORIZED AGENT PRINTED NAME
MEOWNER FOR HOMEOWNERS PERMITS)
PHONE #: '?Op I F's i EMAIL:
`OR THE TOTAL HOURLY COST TO THE JURISDICTION WHICHEVER IS GREATER.
` *ACTUAL COSTS INCLUDE ADMINISTRATIVE AND OVERHEAD COSTS.
CITY OF GRAPEVINE, BUILDING INSPECTIONS, P. O. BOX 95104, GRAPEVINE, TX 76099 (817) 410 -3165
6/21101 REVISED: 10/01, 5/06, 2/07, 7/07, 8/09, 11/09, 4111
0: \FORMS \DS APPLICATIONS - FEES \MEP APPLICATION 4- 11.doc
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MAY 16 W3
CITY OF GRAPEVINE
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 LOCATED: pr yz
ADDRESS OF SITE SERVICED: ISpL) khia aC-11A ihr
PLUMBING PERMIT IF APPLICABLE: # PLZ 2 - I -Lz, /
TESTER LICENSE NUMBER: W1)co /S% EXPIRES:
DATE OF LAST TEST GAUGE CALIBRATION: R 3 O -) Q_
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
DOUBLE CHECK
PRESSURE VACUUM BREAKER
ATMOSPHERE VACUUM BREAKER
MANUFACTURER: fr k Ln SIZE: I
MODEL: a5 c) SERIAL NUMBER: N� /3p[�
PHYSICAL LOCATION OF METER:,SF^�-;,�,�•o,.,'toP Eon,'I f•4uc,-f _R�/ door
The above is certified to be true.
TESTERS FIRM NAME: &I �,S®
ADDRESS: `S -Lt$r' Ar,-1 r —ai5,Je I /ieL-) CITY /STATE /ZIP: 1 .u�► "CK �7�a4y
DATE: /b�• _� PHONE NUMBER: F12 379 -O
PRINT NAME: SIGNATURE:
DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FOR INSPECTION AT (817) 410 -3010
O:\FORMS\OS REGISTRATION FORMS \TCEO BACKFLOW TESTER REGISTRATION.doc
11/3100 1Rev. 4/05,1/06,2/10
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
- Closed Ti
los Ti
Opened at
Initial
o � p sid
�,�
Did not open
Leaked
Test
psid
1 p�SS
Leaked
Leaked
Repair
Materials
1
A� �rt•iZL SIL"=r Lo S;de 0 HoJ,S�
Used
Used
F- Ca c�
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: &I �,S®
ADDRESS: `S -Lt$r' Ar,-1 r —ai5,Je I /ieL-) CITY /STATE /ZIP: 1 .u�► "CK �7�a4y
DATE: /b�• _� PHONE NUMBER: F12 379 -O
PRINT NAME: SIGNATURE:
DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FOR INSPECTION AT (817) 410 -3010
O:\FORMS\OS REGISTRATION FORMS \TCEO BACKFLOW TESTER REGISTRATION.doc
11/3100 1Rev. 4/05,1/06,2/10
May 20 13 10:50a JOHN DEBREI
8177881974 p.2
MAY 2 0 1013
P.0 Box 51 Colleyville TX 76034 ♦ 817.781.9851 ♦ fax 817.788.1974
May 20, 2013
To Whom It May Concern:
The irrigation system at 1804 Bic, Bend, Grapevine, TX, (Permit # PLIRR- 13 - 145 5 ) has been
installed in accordance with all applicable State and Local laws, ordinances, rules, regulations
and orders. 1 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 at this time.
Si cerely, OF T
"ohn A. Debrei JOHN DEBREI
President • ' .4973
r�a�G'�o
CITY OF GRAPEVINE PWS ID# 2200013
WATER CUSTOMER SERVICE INSPECTION CERTIFICATION
DATE: ;_21 —/i�;_ BUILDING
SWIMMING POOL
ADDRESS: �
IRRIGATION
PERMIT #: /'_5 – /T6_5 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 addition494;;;� cross connection exists at this address at the time of inspection.
-C;29f 7
SIGNATURE OF HVSPEC LICENSE NUMBER
TITLE
DATE
INSPECTOR