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JUN 0 5 2012 DATE OF ISSUANCE:jUN 1. 1 Zola,
PERMIT #: /'I'— f
BUILDING PERMIT APPLICATION
PLEASE PRINT
JOB DRESS: l �-Gf,V ,� /� SUITE #
LOT: b BLOCK: 2, SUBDIVISION: r�A Gie,
BUILDING CONTRACTOR (company name):
CURRENT MAILING ADDRESS: 7s f i/ //V7SG/E/1`T' �,
CITY /STATE /ZIP: t /'
YGt•�L° �ih� %`)C r f�,s'/ PH: # G� % V �• 6 ZO Fax #
USE OF BUILDING OR STRUCTURE:
NAME OF BUSINESS: p
* *Total Square Footage under roof: t7 6 ® Square Footage of alteration/addition:
❑ I hereby certify that plans have been reviewed and the building will be inspected by a certified energy code inspector in accordance with
State Law. Plan review and inspection documentation shall be made available to the Building Department (required for new buildings,
alterations and additions)
❑ I hereby certify that plans have been submitted to the Texas Department of Licensing and Regulation for Accessibility Review.
Control Number: (Not required for 1 & 2 family dwellings)
❑ I hereby certify that an asbestos survey has been conducted for this structure in accordance with the regulatory requirements of the Texas
Department of Health.
(REQUIRED FOR DEMOLITIONS, ADDITIONS AND OR ALTERATION TO COMMERCIAL AND PUBLIC BUILDINGS)
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 Ordinance 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 FURTHERMORE UNDERSTAND
THAT PLANS AND SPECIFICATIONS ARE NOT REVIEWED FOR HANDICAPPED ACCESSIBILITY BY THE CITY, AND THAT THE
DESIGN PROFESSIONAL /OWNER IS RESPONSIBLE FOR OBTAINING SUCH APPROVAL FROM THE APPROPRIATE STATE AND
OR FEDERAL AGENCY S). /��� � ,ep �LY�� a1,- Pn Aj44sj
PRINT NAME: ! / SIGNATURE
PH #: ! �jd' V C-2 FAX #: EMAIL:
CHECK BOX IF PREFERRED TO BF, CONTACTFII RV F._MATY. T
THE FOLLOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT
Construction Type:
Permit Valuation: $ �`=--
Setbacks
to Issue
Occupancy Group: e'3
Fire Sprinkler: YES NO
__Approval
Front:
Electrical x P
Division:
Building Depth:
Left:
Plumbin S'
Zoning: 'j„S'
Building Width:
Rear:
Mechanical '-- ----
Occupancy Load:
Right:
Plan Review Approval:
ate: (o z
Building Permit Fee:
Site Plan Approval:
Date:
Plan Review Fee:
Fire Department:
Date:
Lot Drainage Fee:
Public Works Department:
Date:
Sewer Availability Rate:
Health Department:
Date:
Water Availability Rate:
Approved for Permit:
Date?
Total Fees:
Lot Drainage Submitted:
Approved:
Total Amount Due:
P.O. BOX 95104, GRAPEVINE, TX 76099 (817) 410 -3165
O:FORMSIDSPERMITAPPUCATIONS 1102- RW.11104,5/06,2/07,11/09,4/11
BUILDING - -- RESIDENTIAL ALTERATION
Issue Date: June 11, 2012
PROJECT DESCRIPTION: Bathroom Remodel & Replace Fixtures
71
.�.�i
LOCATION
5318 Glade Ln.
Grapevine, TX 76051
CONTRACTOR
CONTRACTOR MUST REGISTER
OR RENEW
200 S. Main Street
Grapevine, TX 76051
(817) 410 -3158 Phone
OWNER
Terry G Scott ETUX Vickie L
5318 Glade Ln
Grapevine, TX 76051 -4493
ph. (817) 421-0516
AVAILABLE INSPECTIONS
► Building Framing (required)
► Building Final (required)
INFORMATION
LEGAL
Glade Lane Blk 2 Lot 6
No. 2220 Tr 6
*06314163*
* APPLICATION STATUS
Approved
* CONSTRUCTION TYPE
VB
* OCCUPANCY GROUP
R3
* ZONING DISTRICT
R -7.5
* *APPLICANT / TENANT'S NAME
Roland Widmann
—APPLICANT/ TENANT'S PHONE
NUMBER
817 -416 -6220
APPROVED TO ISSUE ELECTRIC
YES
APPROVED TO ISSUE MECHANICAL
NO
APPROVED TO ISSUE PLUMBING
YES
County
Tarrant
Fire Sprinkler System?
NO
Square Footage
115
VALUATION
2860
FEES
TOTAL = $ 74.75
Building Permit Fee
$ 74.75
PAYMENTS
TOTAL = $ 74.75
CONTRACTOR MUST REGISTER OR
RENEW (City of Grapevine Contractor)
Other on 0611112012
Note: CC1953
($74.75)
NOTICES
1) ALL work must be done in compliance with the 2006 INTERNATIONAL
BUILDING CODE.
2) A copy of the signed permit and approved plans must be on site at all
times.
3) The project address must be clearly posted at the job site.
READ AND SIGN
MYGOV.US City of Grapevine I BUILDING - -- RESIDENTIAL ALTERATION I SFRA -12 -1898 I Printed 06/11/12 at 10:01 a.m. Page 1 of 3
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
Ordinance 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 FURTHERMORE UNDERSTAND
THAT PLANS AND SPECIFICATIONS ARE NOT REVIEWED FOR
HANDICAPPED ACCESSIBILITY BY THE CITY, AND THAT THE
DESIGN PROFESSIONAL / OWNER IS RESPONSIBLE FOR
OBTAINING SUCH APPROVAL FROM THE APPROPRIATE STATE
AND OR FEDERAL AGENCY(S).
Owner /Agent Signature Date
MYGOV.US City of Grapevine I BUILDING - -- RESIDENTIAL ALTERATION I SFRA -12 -1898 1 Printed 06/11/12 at 10:01 a.m. Page 2 of 3
City of Grapevine,
TX
P.O. Box 95104
Grapevine, TX 76099
(817) 410 -3165 Voice
(817) 410 -3012 Fax
ELECTRICAL PERMIT {VALUE}
Issue Date: June 14, 2012
PROJECT DESCRIPTION: Electrical for Bathroom Remodel
LOCATION
5318 Glade Ln.
Grapevine, TX 76051
LEGAL
Glade Lane Blk 2 Lot 6
No. 2220 Tr 6
*06314163*
MYGOV.US City of Grapevine I ELECTRICAL PERMIT {VALUE) I ELEC -12 -2027 I Printed 06/14(12 at 8:28 a.m. Page 1 of 3
INFORMATION
CONTRACTOR
County Tarrant
A & L Electric (SEE NOTE)
Square Footage 115
State ID # 26796
1106 Misty Oak Lane
VALUATION 800
Keller, TX 76248
FEES TOTAL = $ 45.00
(817) 337 -2982 Phone
Electrical Permit Fee (VALUE) $ 45.00
(817) 337 -2982 Fax
(817) 896 -9584 Mobile
PAYMENTS TOTAL = $ 45.00
A & L Electric (SEE NOTE) (Allen Luikens)
Other on 0611412092 ($45.00)
OWNER
Note: CC9933
Terry G Scott ETUX Vickie L
NOTICES
5318 Glade Ln
ALL work must be done in compliance with the 2005 NATIONAL
Grapevine, TX 76051 -4493
ELECTRIC CODE.
ph. (817) 421 -0516
PLAN SUBMITTAL: WHEN PLANS ARE REQUIRED BY CODES,
AVAILABLE INSPECTIONS
ORDINANCES, OR AS DETERMINED BY THE BUILDING OFFICIAL,
► Electrical Ceiling (required)
► Electrical Rough (required)
THREE (3) SETS OF PLANS SHALL BE SUBMITTED IN HARD COPY
Electrical Wall Rough (required)
FORMAT. ENGINEER SEALED PLANS AND CALCULATIONS SHALL
Electrical Final (required)
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 ELECTRICAL PERMIT {VALUE) I ELEC -12 -2027 I Printed 06/14(12 at 8:28 a.m. Page 1 of 3
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 REQMT.
Owner / Agent Signature
Date
MYGOV.US City of Grapevine I ELECTRICAL PERMIT {VALUE} I ELEC -12 -2027 Printed 06/14/12 at 8:28 a.m. Page 2 of 3
City of Grapevine,
TX
P.O. Box 95104
Grapevine, TX 76099
(817) 410 -3165 Voice
(817) 410 -3012 Fax
CONTRACTOR
Ayers Plumbing Repairs
State ID # M -39407
3255 Mimosa Park
Richland Hills, TX 76118
(817) 500 -3395 Phone
OWNER
Terry G Scott ETUX Vickie L
5318 Glade Ln
Grapevine, TX 76051 -4493
ph. (817) 421 -0516
PLUMBING PERMIT (VALUE)
Issue Date: June 11, 2012
PROJECT DESCRIPTION: Move Tub Drain, Install Tub and Shower Pan, Valve
LOCATION
5318 Glade Ln.
Grapevine, TX 76051
AVAILABLE INSPECTIONS
Plumbing Rough In (required)
► Plumbing Top Out (required)
► Plumbing P -Trap (required)
E Plumbing Final (required)
LEGAL
Glade Lane Bilk 2 Lot 6
No. 2220 Tr 6
*06314163*
•. •11
County Tarrant
Square Footage
VALUATION 500
FEES TOTAL = $ 37.00
Plumbing Permit Fee {VALUE} $ 37.00
PAYMENTS TOTAL = $ 37.00
Ayers Plumbing Repairs (David Ayers)
Cash on 0611112012 ($37.00)
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.
I FURTHER CERTIFY THAT ALL WORK THAT IS REQUIRED TO
MYGOV.US City of Grapevine I PLUMBING PERMIT (VALUE} I PLBG -12 -1995 I Printed 06111/12 at 2:46 p.m. Page 1 of 3
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.
Owner / Agent Signature Date
MYGOV.US City of Grapevine I PLUMBING PERMIT {VALUE} I PLBG -12 -1995 Printed 06/11/12 at 2:46 p.m. Page 2 of 3
D,.�-MdFlornePRO
81 7_41 6-6220 (off K', e) 817-915--8173 (cell)
PRO
Home Remodeling - Kitchen & Bath - Flooring - Painting - Carpentry - Room Additions - Window Coverings
CITY OF GRAPEVINE
RELEAS'3-ED FOR
Electrical: ,Z?A'Un?LMBjNG, MZCWICAL,
Can lights over vanity replaced w/ wall-mounted lights , &L 'RMITS
'Ll,CM
q AND SIGN"
Other recessed lighting circuit
• remain
Plumbing:
Existing shower replaced with new, same location, ceramic/porcelain the
New shower valve in approx. same location as existing
New jacuzzi tub to replace existing in same location / new tub filler installed
New undermount sinks (2) and faucets (2) to be installed in new granite top
toilet replaced with new
ALL �C�LL FOR
OR
INSPECTIOr
MMON
CONTRACTOR REGIS
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DATE �
v SWIMMING POOL
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ADDRESS : »J/ /
[/` ~ IRRIGATION
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PERMIT #:
I hereby certify that I have inspected the water supply system at the above referenced address. To the best ofrny
knovv|edge, the materials and methods used in the installation of this system comply with the plumbing code adopted
by the City ufGrapevine. Plumbing code ia located in Chapter 7. Article VIII, (Ordinance number S2-17). and Chapter
7, Article V, (Ordinance number 01 -93).
0501