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CITY OF GRAPEVINE
6 MECHANICAL ELECTRICAL PLUMBING FUEL GAS _
PERMIT APPLICATION
(PLEASE PRINT)
PERMIT#
BLDG. PERMIT#
DATE:
J U IV
JUN
JOB ADDRESS: SUITE #
DESCRIPTION OF WORK:
PROPERTY OWNER:
CONTRACTING COMPANY:
1,3 :JT
t _
7 A_
ADDRESS:
ADDRESS:
LCD
c' 'S JV
CITY /STATE /ZIP:
CITY /STATE /ZIP:
— ?C
_
PHONE NUMBER:
PHONE NUMBER:
- 7Z'-7S 4
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 +
$ 12037
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
---�
IRRIGAT SYSTEMS
$ 37.00
U 6
�
MOBILE HOME SERVICE
TEMPORARY POLE SERVICE
$ 37.00
$ 37.00
SWIMMING POOLS
$ 37.00
SIGN ELECTRIC
$ 37.00
$_ (hbJ1 cv
OAFORMS \DS�A}PPLICATIONS - FEES \MEP APPLICATION 4- 11.doc
N
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 (112 HOUR MINIMUM) .. ....................$42.00 /HOUR
ADDITIONAL PLAN REVIEW REQUIRED BY CHANGES, ADDITIONS, OR REVISIONS TO
APPROVED PLANS ................ ... .................................................................................................. $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,
ANDJHAT 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 #: — y
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, 5106, 2/07,7/07, 8/09, 11/09, 4111
O: \FORMS \DS APPLICATIONS - FEES \MEP APPLICATION 4- 11.doc
a rJ
(817) 410 -3165
ti
CITY OF GRAPEVINE 2 6 2013
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: -Z::;j /,-Jl oe" ;
ADDRESS OF SITE SERVICED: 003 /,j j i cc ,,qm -�::) j W-rr
PLUMBING PERMIT IF APPLICABLE:
TESTER LICENSE NUMBER: j3 j' n 0 133 o) EXPIRES: - /3 - 13
DATE OF LAST TEST GAUGE CALIBRATION: I/ - 2 '7 - 1 Z
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
S� REDUCED PRESSURE PRINCIPLE PRESSURE VACUUM BREAKER
DOUBLE CHECK ATMOSPHERE VACUUM BREAKER
MANUFACTURER: t SIZE:
MODEL: (�� �> SERIAL NUMBER: /14-/ -7 i' D
PHYSICAL LOCATION OF METER: 1, y
The above is certified to be true.
TESTERS FIRM NAME: ��� /� CT T- Oi4C_K!= L"-"-Ii
ADDRESS: /`f l ( L-- m t? y yL 'dog CITY /STATE /ZIP: 7,W-
DATE: - 2 ` /3 PHONE NUMBER: 172, - 2 Z -- 222
PRINT NAME: .T &Lfj.S SIGNATURE:
DOUBLE CHECK VALVE INSPECTION MUST BE'CALLED FOR INSPECTION AT
(817) 410 -3010
O: \FORM \BACKFLOW 1/9/98
Revised: 01111106
Reduced Pressure Principle Assembly
Pressure Vacuum Breaker
Double Check Valve Assembly
Relief Valve
Air Inlet
Check Valve
1st Check
2nd Check
Open at psid
P sid
Initial
DC
—'*,�
T�
-C�I s,ed Tight
Closed
-
Opened at
Did not open
Leaked
Test
RP -� psid
psid
Leaked
Leaked
22
chi b
II U- d. I
II
Test
DC- Closed Tight
Closed Tight
Opened at
Opened at
Psid
After
Repair
�RP psid
psid
psid
-
The above is certified to be true.
TESTERS FIRM NAME: ��� /� CT T- Oi4C_K!= L"-"-Ii
ADDRESS: /`f l ( L-- m t? y yL 'dog CITY /STATE /ZIP: 7,W-
DATE: - 2 ` /3 PHONE NUMBER: 172, - 2 Z -- 222
PRINT NAME: .T &Lfj.S SIGNATURE:
DOUBLE CHECK VALVE INSPECTION MUST BE'CALLED FOR INSPECTION AT
(817) 410 -3010
O: \FORM \BACKFLOW 1/9/98
Revised: 01111106
66/27/201:3 13:16 9729666210 BOWEN LANDSCAPE PAGE 62/02
,j(11N ?, " ZL; i.
Bowen Landscape
A.. f1t"`. ����..' �°'i V"Z ,y�LM'n,:, f'r -? i•A �1M
._._.
1863 McGee Lane, suite I:
Lewisville, TX 75077 -7668
/3 -CVa8'
Landscape irrigation
Maintenance Checklist & WArLanty
permit #
Site Address: M0 William D Tate
Grapawine, TX
Office 972- 317 -7489
Fax 972- 966 -6210
bowenlandsoa o verzion.nat
The customer has been given a manual for the automatic controller(s), has performed a walk through with
the irrigator and has reacopy of "as built" plans i=Qr the irrigation system.
Customer's initials
The customer bas been given a Seasonal watering schedule based on current or monthly historical ET data,
monthly effective rainfall estimate, plan, landscape coefficient factors and sit factors (winter, spring,
summer and fall)
Customer's initials,
The following is a list of Components that may require maintenatice and the recommended service
frequency:
Components
Maintenance
Frequenc
%glJe -,C
I.
)�)
Customer's signature -A _ Date: '7 /
Printed name_
This system has been installed in accordance
with all applicable state and local laws,
ordinances, rules, regulations and orders,
J have tested the irrigation system and have
detennined that it has been installed according
to the Irrigation .Plans and is properly adjusted
for the most efficient application of water
at this time,
Irrigation in Texas is regulated by the Texas
Commission on Environmental Quality (TECQ),
MC -178, PO Box 13087, Austin, TX 78711 -3087
Tt":EQ website www.tecq.state.1x us
Give original copy to the inspector at the time of ln,5pection.
Ttrigator'S
Date: 6/Z--7//--5
/--5
Bowen Landscape will honor all manufacturer's warranty not to exceed one (1) year from installation date,
M_
C5'
CITY OF GRAPEVINE PWS i®# 2200013
WATER CUSTOMER SERVICE INSPECTION CERTIFICATION
DATE: �p Z� 13 �" N BUILDING
--7� SWIMMING POOL
ADDRESS: 1303 W . D H "1-- Aue— RIGATION
PERMIT #: 13-7—
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 ad n, to the best of my knowledge, no cross connection exists at this address at the time of inspection.
-2 S 9 0
2NATU.....RE OF INSPECTOR ENSE NUMBER
TITLE INSPECTOR
/,ka �f 3
DATE
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