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Home My WebLink AboutPLIRR2013-1846— CITY OF GRAPEVINE A e MECHANICAL ELECTRICAL PLUMBING PERMIT APPLICATION (PLEASE PRINT) MAY 2 2 2013 FUEL GAS PERMIT # BLDG. PERMIT # DATE: MAY 3 0 2013 JOB ADDRESS: l SUITE # DESCRIPTION OF WO _ [' {,1 � r � ✓4✓7 PROPERTY OWNER: ) p CONTRACTING COMPANY., �`JJ ADDRESS: ADDRESS: ° 3 Y c( "t c,, c_4 CITY /STATE /ZIP: CITY /STATE /ZIP: —9 PHONE NUMBER: PHONE NUMBER: , TYPE OF OCCUPANCY BUILDING AREA SQ 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 TVALUATION $ EACH TRADE V. MISCELLANEOUS IRRIGATION SYSTEMS $ 37.00 MOBILE HOME SERVICE $ 37.00 �, �%V TEMPORARY POLE SERVICE $ 37.00 SWIMMING POOLS $ 37.00 SIGN ELECTRIC $ 37.00 $ O: \FORMS \DS APPLICATIONS - FEES \MEP APPLICATION 4- 11.doc R - S•o 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* REINSPECTIONFEES ................................................................................... ............................... $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 (OR HOMEOWNER FOR HOMEOWNERS PERMITS) PHONE #: ,'J\ k TL -(,o 6 C \ lift-, v- PRINTED NAME 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 6/21/01 REVISED: 10/01, 5/06, 2/07, 7/07, 8/09, 11/09, 4/11 O: \FORMS \DS APPLICATIONS - FEES \MEP APPLICATION 4- 11.doc N ,414 L L 1 !" Z IM RE t E A.,' ` ,•w Off: v •.301 RELEASED FOR CONSTRUCTION SHEET: OF: .�� RELEASE DOES NOT AUTHORIZE ANY WORK IN CONFLICT %4 f WITH THE BUILDING CODE OR ZONING ORDINANCE t THIS PLAN TO BE KEPT ON PMv, -0 THE JOB AT ALL TIMES Ci DATE: , S ' 2-L4 ° AV 13 BY: 0&-40 BUILDING INSPECTION DIVISION RELEASE DOES NOT APPLY TO CONSTRUCTION IN ALt N IRRIGATION IN TEXAS IS REGULAT BY THE TEXAS COMMISSION ON ENVIRONMENTAL QUALITY (TCEQ) MC -178/ P.O. BOX 13087 AUSTIN, TEXAS 78711-3087 W N.TCEQ.STATE.TXUS r.,A--s ,&a pr - 6o fl�= srpN -7 c) PSt T sp* j ■ i�- ® Mp % � -.. �'. ••�t��U'�a'1A�1AC P+c.t�rrlanwl I �� Call plpswacslzzm is 34) 36; OCg,+YjYzc�1� a2 (t,4 H-o pk A I � ''R\ \D A 3Aeic� lo►� � —� ysul Pox k te t t4S ally mawo- A OFFICE COPY t3 -18� MAY 2 2 2013 �s' ja� -on JUL 01 2013 CIT PL- Y � _ I �q� Y OF GRAPEVINE BACKROW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT NAME OF PWS: GRAPEVINE ANNUAL TEST PWS I.D.# 2200013 IRRIGATION �? OTHER NAME OF BUSINESS WHERE DEVICE IS LOCATED: �- ADDRESS OF SITE SERVICED: PLUMBING PERMIT IF APPLICABLE: # LA-9- — TESTER LICENSE NUMBER: _ _ �+ EXPIRES: DATE OF LAST TEST GAUGE CALIBRATION: 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 .'7REDUCED PRESSURE PRINCIPLE PRESSURE VACUUM BREAKER -DOUBLE CHECK ATMOSPHERE VACUUM BREAKER MANUFACTURER: '>;/JC (J ►i SIZE: MODEL: SSU SERIAL NUMBER: PHYSICAL LOCATION OF METER: M REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER DOUBLE CHECK VALVE ASSEMBLY AIR INLET CHECK VALVE 1sT CHECK 2ND CH ECK RELIEF VALVE DC- Closed Tight Closed Tight Open at psid psid Initial _RP c psid Opened at Test r�y / Did not open Leaked Leaked Leaked psid Materials Test DC- Closed Tight Opened at Opened at After Closed Tight psid Repair RP _ psid psid psid The above is cerfified to be true. TESTERS FIRM NAME: ADDRESS:._�L.��j�`I [s< .,� -- �` j CITY/STATE/ZIP: v �. Si ,Z i DATE: P( HONE NUMBER: SZ;, PRINT NAME: KJ�►S UV ��,eK�t SIGNATURE: DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FOR INSPECTION AT (817) 410 -301 01.1FORMSVDS REGISTRATION FORMS \TCEQ BACKFLOW TESTER REGISTRATION.Aoe 11/3100/Rev. 4/05,1/06,2/10 CITY OF GRAPEVINE PWS 9®## 2200013 WATER CUSTOMER SERVICE INSPECTION CERTIFICATION DATE: ..�IA013 BUILDING SWIMMING POOL ADDRESS: -)1;20 CarJy k.✓ IRRIGATION �( PERMIT 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 best of my owl ge, no cross connection exists at this address at the time of inspection. IGN F LICENSE NUMBER TITLE INSPECTOR 1 /2-alP O: \forms \waterservinsp, 0501 08/03