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HomeMy WebLinkAboutCOMA2012-3125ek3' - 401 Lu 1 c. -- 6 iJ ` 6'e -AUG 31 2012 �Yli St��JL,i '•7 /��e,1Ll,. �.�`\��'�`�ar —� ��+ ��Q^ llr la�JUAIf`C�I.r: ,. -.3. ,r a: s A s A � PFIEdR'MIT #: BUILDING PERMI T APPLICATION PLEASE PRINT) JOB ADDRESS: / SUITE # LOT: gm BLOCK: SUBDIVISION: S �5 BUILDING CONTRACTOR (company name): �� l�l e C—(—e— to— o as +r- c7k� Q (\ CURRENT MAILING ADDRESS: CITY /STATE /ZIP: PROPERTY OWNER: _Vl c, T AA fJ Fax # CURRENT MAILING ADDRESS: k) �I� CA CITY /STATE /ZIP: M J� �,S f(p— PHONE NUMBER: l "' 0) " 2000 PROJECT VALUE: $ Z l o Q Q T FIRE SPRINKLERED? YES NO _ DESCRIPTION OF WORK TO BE DONE: USE OF BUILDING OR STRUCTURE: NAME OF BUSINESS: CgA -Td:F-qAq 410 * *Total Square Footage under roof: 2.� 2 a,= 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 d-tat plans have been subn:f:ted to the Texas Deplo.rtrnerot 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 lust: 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 AC SIBILITY BY THE CITY, AND THAT THE DESIGN PROFESSIONAL /OWNER IS RES N IBLE FOR OBTAINING SUCH APP VA FROM THE APPROPRIATE STATE AND OR FEDERAL AGENCY(S). ` a,►� (081 -�a ! PRINT NAME: Jl G WM6 SIGNATURE PH #:,6A 07577 ` 2-o o0 FAX #: 69 /,SI ` 0860 EMAIL: �/�(a ❑ CHECK BOX IF PREFERRED TO BE CONTACTED BY E -MAIL THE FOLLOWING IS TO RF C0MPT.F.T1P'71 uv TUr TWIT nTlvrr TlvevrrTrnly T%Vn . nT,.,.r,.T r Construction T e: Permit Valuation: $ IX, v ySetbacks y A Ly, A pproval to Issue Occupancy Grou Fire Sprinkler: YES NO Front_: Electrical Division: Building Depth: Left: Plumbin Zoning: Building Width: Rear: Mechani a Occupancy Load: Right: Plan Review Approval: Date: 91911'2_ Building Permit Fee: i G . Site Plan Approval: Date: Plan Review Fee: i ire Department: Date: Lot Drainage Fee: Public Works Department: Date: Sewer Availability Rate: Health Department: Approved for Permit: Lot Drainage Submitted: Date: Date: !L— Approved: Water Availability Rate: Total Fees: , C)` Total Amount Due: P.O. BOX 95104, GRAPEVINE, TX 76099 (617) 410 -3165 � ���-- - ` , O:FORMSTSPERMITAPPLICATIONS 1/02-Rev. 11/04,5/06.2107,11109,4/11 ��ohyy '%: �D� U'SAS NOV * e MECHANICAL, CITY OF GRAPEVINE ELECTRICAL APLUMBING FUEL GAS PERMIT APPLICATION (PLEASE PRINT) PERMIT # BLDG. PERMIT #� DATE: JOB ADDRESS: S ITE # "alk _► n DE RIPTI N F WORK: / 411w !f 119$A� cl4orcl c 6 irWe­e� L S PROPERTY OWNER: t CONTRACTING COMPANY: _ l ADDRESS: 10 4s � N. r, A ate, ADDRESS: J9 /c CITY /STATE/ IP: CITY /STATE /ZIP: 1 / (� SJ _ o ,� PHONE NUMBER: y` PHONE NUMBER: 99-?' 6341P SI P / TYPE OF OCCUPANCY BUILDING AREA PERMIT FEES AMOUNT DUE (SQ FT) 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 19501- 3,000 $ 57.00 3,001- 5,000 $ 72.00 CONTRACT VALUATION OF WORK: 5,001- 50,000 $ 27.00+.009 c 50,001- 100,000 $ 127.00+ .007 PER TVALUATION $ C�v'L� 100,001- 500,000 500,001+ $ 327.00+ .005 DOLLAR $ 1,327.00 +.003 $ % l� 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 $ O: \FORMS \DS APPLICATIONS - FEES \MEP APPLICATION 4- 11.doc 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 LOCAL LAW REGARDING ENERGY CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE LAWS, AND THAT VERIFICATION OF NERGY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT PRINTED NAME (OR HOMEOWNE/R / FOR HOMEOWNERS PERMITS) PHONE #:- Y 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 6/21/01 REVISED: 10/01, 5106; 2/07, 7/07, 8/09, 11/09, 4/11 O: \FORMS \DS APPLICATIONS - FEES \MEP APPLICATION 4- 11.doc i�liAl'F'al:�E. MECHANICAL NOV 16 2012 CITY OF GRAP v+NE ELECTRICAL PLUMBING FUEL GAS PERMIT A LI Npy I kp 201,y oI >=ncr- p " PERMIT # � � � � BLD� ® IT# � � � � � � � � DATE: JOB ADDRESS: 5 TE # /mil I t�t� hse -k DESCRIPTION OF W// ORK: V, h r_ p"I'll C, Ci e 6 PROPERTY OWNER: c_ L S r e'_5 C -0 CONTRACTING COMPANY: c-.L v (o f ADD SS: AD RESS: `3y.S"t S. FM 1-5-1 o x 5-92-- CITY TATEIZJP: C1TYISTATEIZIP_ og c� c� - 6, f 0 -s PHONE NUMBER: _ PHONE NUMBER: TYPE OF OCCUPANCY BUILDI(N�G AREA 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. S, F, H, M,S,U 1- 500 $ 37.00 OFFICE, RETAIL, WHOLESALE, 501- 50,000 $ 32 -00+ .01 PER 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 $ l �"? 50,001 - 100,000 100,001- 500,000 500,00-1+ $ 127.00+ .007 PER $ 327.00+ .005 DOLLAR $ 1,327.00+ .003 VALUATION 7 0 $ / 4 $S 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 $ WFORMSIOS APPLICATIONS- FEESWEP APPLICATION 4- 11_doc 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 (112 HOUR MINIMUM) .. ....................$42.001HOUR 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. 1 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) PRINTED NAME PHONE #:� i 1 I 7 / I 3 EMAIL' - -- CITY OF GRAPEVINE #� s MECHANICAL ELECTRICAL PLUMBING,, FUEL GAS PERMIT APPLICATION (P_;,&k RINT) PERMIT # ` ( �1 BLDG. PERM F DATE: J411 2 82-013 U SUITE # JOB ADDRESS: -:2/ d f� LL -5 ✓1 DESCRIPTION OF WORK: �-v1 STca 1 1 Z. 2- S PROPERTY OWNER: CONTRACTING COMPANY: c- L. c-- wr o c AD SS: ADDRESS: CITY /STATE/ZIP: CITY STATEIZIP: / ��+�LSS PHONE NUMBER: PHONE NUMB R: 69 — '?_ 2-000 97 2 - -fib TYPE OF OCCUPANCY BUILDI(N� AREA PERMIT FEES AMOUNT DUE EACH TRADE 1. 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 $ 10108 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 Ill. 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- 500,000 500,1101+ $ 327.00+ .005 DOLLAR $1,327.00+.003 VALUATION $ 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 $ v. MMa ArruGAI IurvS- 1httbWEP APPLICATION 4 -11 Aoc 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) ........................... ....................$42.001HOUW • 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 APPROVEDPLANS ......................... ............ ......... ............ ......... ............. ....................................... $42.001HOUR • 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 #: 8 1 �7- l -/6- 713 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 6121101 REVISED. 10101 SMC 9m7 Tim Mm wno — O:IFORMSIDS APPLICATIONS - FEESWEP APPLICATION 4-11-do 410 -31 CITY OF GRAPEVINE RACKFLOW PREVENTION ASSEINBLY TEST AND MAINTENANCE REPORT NAME OF PWS: GRAPEVINE ANNUAL TEST IRRIGATION PWS I.D.# 2200013 OTHER NAME OF BUSINESS WHERE DEVICE IS LOCATED: Sk' l l ADDRESS OF SITE SERVICED. A/01 &11L PLUMBING PERMIT IF APPLICABLE: # ` 02 TESTER LICENSE NUMBER: 5 r ©Q I _4j - DATE OF LAST TEST GAUGE CALIBRATION: EXPIRES: 910 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 MANUFACTURER: / iLN` _5 12— (�-y'y SIZE: 3 _ MODEL: �J /\ SERIAL NUMBER: 2 PHYSICAL LOCATION OF METER: gA.,,,i The above is cued to be true TESTERS FIRM NAME: c, Lc- �^ o re ADDRESS: C75�S 9 ; F/� �.s7 #/3 CITYISTATE/ZIP: VC'inJ5 0. DATE: PHONE NUMBER: t PRINT NAME: „,,. SIGNATURE: DOUBLE CHECK VALVE INSPEC -RON MUST 9E CALLED FOR INSPECTION A7' (817) 41Q -,3414 �ii�+ao+nnr.�f,w,ps.ywo ���pn1”' was :ra�+r�;eyrisatgt*6u��utKMi,,kc . REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER DOUBLE CHECK VALVE AIR INLET CHECK VALVE ASSEMBLY RELIEF VALVE 1sT CHECK 2"0 CHECK Open at paid Did not open psid Leaked nitial V-Clo a Tight RPI psid losed ght Opened at Test psid Leaked Leaked Repair Materials Used Test DC- Closed Tight Opened at Opened at After Closed Tight psid Repair RP psid psid psld The above is cued to be true TESTERS FIRM NAME: c, Lc- �^ o re ADDRESS: C75�S 9 ; F/� �.s7 #/3 CITYISTATE/ZIP: VC'inJ5 0. DATE: PHONE NUMBER: t PRINT NAME: „,,. SIGNATURE: DOUBLE CHECK VALVE INSPEC -RON MUST 9E CALLED FOR INSPECTION A7' (817) 41Q -,3414 �ii�+ao+nnr.�f,w,ps.ywo ���pn1”' was :ra�+r�;eyrisatgt*6u��utKMi,,kc . CITY OF GRAPEVINE BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT NAME OF PWS: GRAPEVINE ANNUAL TEST IRRIGATION PWS I.D.4 2200013 OTHER NAME OF BUSINESS WHERE DEYICE IS LOCATED: Ske l l G4f- w a � ADDRESS OF SITE SERVICED: oV D ! � I PLUMBING PERMIT IF APPLICABLE: # TESTER LICENSE NUMBER: b f IQ f! DATE OF LAST TEST GAUGE CALIBRATION: 31;25 5t - EXPIRES: THE BACKFLOW PREVENTION ASSEMBLY DETAILED BELOW HAS BEEN TESTED AND MAINTAINED AS REQUIRED BY T. CEQ REGULATIONS AND IS CERTIFIED TO BE OPERATING WITHIN ACCEPTABLE PARAMETERS. TYPE OF ASSEMBLY REDUCED PRESSURE PRINCIPLE PRESSURE VACUUM BREAKER DOUBLE CHECK ATMOSPHERE VACUUM BREAKER MANUFACTURER: "" L SIZE: "- MODEL: I X� �f SERIAL NUMBER: PHYSICAL LOCATION OF METER:. ` //" !z'1 I he above - cess VIA— ev Low u ues. TESTERS FIRM NAME: 1' L c° v� , n f-e J on Io r +r► ej \l� ADDRESS: G .S, F�'`� CITYISTATEIZIP: r� J 5 �`� ?' D DATE: _T�` -� 1 PHONE NUMBER: !2 �,U — �I PRINT NAME- j'ar,d,, iL( L r�a„,o j-e SIGNATURE: ice. DOUBLE CHECK VALVE INSFECTIQN MUST BE GALLED FOR INSPECTION AT (817) 41@x,10' 10 G1D0� -. Ind' ISr%'A'�c�i BiGN1A.OW TEffirr�+7RAT10N.d�a: rim' 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 DC- Closed Tight Closed Ti h Opened at Initial Test _RP _GK, Z paid ._ 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 psid psid I he above - cess VIA— ev Low u ues. TESTERS FIRM NAME: 1' L c° v� , n f-e J on Io r +r► ej \l� ADDRESS: G .S, F�'`� CITYISTATEIZIP: r� J 5 �`� ?' D DATE: _T�` -� 1 PHONE NUMBER: !2 �,U — �I PRINT NAME- j'ar,d,, iL( L r�a„,o j-e SIGNATURE: ice. DOUBLE CHECK VALVE INSFECTIQN MUST BE GALLED FOR INSPECTION AT (817) 41@x,10' 10 G1D0� -. Ind' ISr%'A'�c�i BiGN1A.OW TEffirr�+7RAT10N.d�a: rim' AB Project Reprint Confirmation Page EABPRJB2818940 Texas Department of Licensing and Regulation Architectural Barriers Project Registration Confirmation Page Thursday, August 30, 2012 EABPRJB2818940 PERSON FILING FORM Name: Fred D. Cawyer Phone: 972 -285 -2445 Person Address: 3819 Towne Crossing BlvdSuite 111, Mesquite, TX 75150 �� G Ras Number: 00000086 ' 0 2012 Project Name: Interior and Exterior Remodel Project Address: Gateway #40 2101 Hall Johnson Grapevine, TX 76051 County: Tarrant TENANT Contact Name: NA Phone: Contact Address: BUILDING /FACILITY Name: Gateway #40 FACILITY Owner: Victron Stores LP Phone: 469 - 517 -2000 Owner Address. 105 YMCA Drive, Waxahachie, TX 75165 Contact Name: Nick Vasquez Phone: Contact Address: Contact Email: DESIGN FIRM Name: Richard King Phone: 214 -236 -9289 Firm Address: 5206 Woodmeadow Drive, Garland, TX 75043 Designer Name: Richard King Emai: Type of License: Architect License Number: 10307 PROJECT DESCRIPTION Start Date: 10/2012 Completion date: 01/2013 Estimated Cost: $125,000.00 Type of Work: Renovation /Alteration Type of Funds: This project is privately funded, on private land for private use. Are the private funds provided by a tenant? No State Lease No. : Scope of Work: Interior /exterior remodel of c- store. Does this building(s) have more than one level? No Are there any elevators, escalators, or platform lifts in this building? No Are there any boiler in this building? No Page 1 of I This AB Project registration Confirmation Page, construction documents, and applicable fees must be submitted in accordance with the Texas Administrative Code Chapter 68, Rule 68 51. If TDLR will be performing the review or inspection services, see Rule 68.80. If a RAS will be performing the review or inspection services, please contact the RAS as they set and collect their own fees, see flu 68.75. In accordance with Rule 68.52, the owner of a building or facility must also obtain an inspection from the department or a registered accessibility specialist not later than the first anniversary of the completion of construction. Request for inspection shall be made by completing the Request for Inspection form and submitting it no later than 30 calendar days after the completion of construction. https: / /www.license.state.tx. us/ ABProjectRegistrationOnline lABProj ectPrintConfirmation.... 8/30/2012 60--x. wo 4o 1f E- X+er\0(- i�Qmclde� COMcheck Software Version 3.8.0 Interior Lighting Compliance Certificate 2009 IECC Section 1: Project Information Pro;r•ct Type Addition Project Tale: Construction Site: Owner /Agent: Designer/Contractor: 2101 Hall Johnson Rd Maloney Associates Consulting Grapevine TX Engineers, Inc. 1228 Trailwood Dr Hurst, TX 76053 Section 2: Interior Lighting and Power Calculation A B c D Area Category Floor Area Allowed Allowed Watts (tt2) Watts / ft2 (B x C) 1915 1.5 2873 Total Allowed Watts = 2873 Section 3: Interior Lighting Fixture Schedule A B c D E Fixture 10 : Description I Lamp 1 Wattage Per Lartlp I Ballast tamps/ # of Fixture (C x D) Fixture Fixtures Watt. Regal 11915 sq ft.) Linear Fluorescent 1: A: 48" T8 28W (Super T8) / Electronic 4 27 73 1971 L neap, Fluorescent 2 B: 48" 18 28W (Super'1`8) I Electronic 2 2 48 96 Total Proposed Wafts = 2067 Section 4� Requirements Checklist Lighting Wattage: 1 1 %'al prvposed 'units must be less than or equal to total allowed watts. Allowed Watts Proposed Watts Complies 2873 2067 YES Controls, Switching, and Wiring: i Daylignt runes a dr :Kylights more than 15 feet from the perimeter have lighting controls separate from daylight zones adjacent to v"mi. al fanrrtratiOn. _j 3 Daylight Jones have individual lighting controls independent from that of the general area lighting. Exceptions. _j Contiguous daylight zones spanning no more than two orientations are allowed to be controlled by a single controlling device. •J Davt ght spgry • enclosed by walls or ceiling height partitions and containing two or fewer light fixtures are not required to have a separate swt t • 48nerai area lighting.. 4 Irviependent control- `or each space (switch /occupancy sensor). 606pt+ons' J Areas nasgnated as security or emergency areas that must be continuously illuminated. Prtrlect Title- Report date: 08/08112 Data fitename: it 10ATAtE2 ComChecklCSTORE GRAPEVINE COMPLIANCE REPORT.cck Page 1 of AUG 31 2012 C-70-+eu -)" l(wtA Vill, son Brio ��� x-t-er o� �err�oc�e� J Lighting in slauways or comdors that are elements of the means of egress. J 5, Master sw to at entry to hotel /motel guest room. J 6 !ndnioual dwelling units separately metered. J 7. Medical hoax I ghUng or art/history display fighting claimed to be exempt from compliance has a control device independent of the control of the nonexempt 1phling. J 5- Each space required to have a manual control also allows for reducing the connected lighting load by at least 50 percent by either cont"irg3 all luminaires, dual switching of alternate rows of luminaires, alternate luminaires, or alternate lamps, switching the middle lamp h.danares independently of other (amps, or switching each luminaire or each lamp. Exceptions: J Only one fuminaire in space. J An dceupant•sensing device controls the area. J The area is a corridor, storeroom, restroom, public lobby or sleeping unit. J Areas that use less than 0.E Watis/sq ft. J 9. Automatic fighting shutoff control in buildings larger than 5.000 so ft. Exceptans: ;J Sleeping units, patient care areas: and spaces where automatic shutoff would endanger safety or security J 10 Photocell /astronomical time switch on exterior lights. E,rcept:ons. ,J Lighting intended for 24 hour use J 1 t.Tandom wired cxw -tamp and three -lamp ballasted luminaires (No single -lamp ballasts). Exceptions: J Electronic •.;in- frequency ballasts; Luminaires on emergency circuits or with no available pair. Interior Lighting PASSES DC-9n better man codu Section 5: Compliance Statement Compliance Stammerit: The proposed lighting design represented in this document is consistgnt with the building plans, specifications and other caiailabons suomitted with this permit application. The proposed 1101 ng arystem Ras been designed to meet the 2009 IECC regwrements :n COMcheck Version 3.8.0 and to comply with the mandatorytggl trernenis in the Requirements Checklist. Name - Tole Signature I Date Project Title- Report date: 08/08/12 ;)eta filenamo K:IDATXEZ ComChecklC -STORE GRAPEVINE COMPLIANCE REPORT.cck Page 2 of Allen Hunt - 2101 Hall Johnson Rd. Gateway 40 Store remodel, Grapevine Tx. Page 1 From: Allen Hunt To: nvasquez @victrongroup.com Subject: 2101 Hall Johnson Rd. Gateway 40 Store remodel, Grapevine Tx. Mr. Vasquez, The following attachment is the review comments for the above stated project. Please review comments and have your designers clarify, change and / or add needed information as necessary for new plans to be submitted to city. Thank you, Allen hunt. Plans Examiner, City of Grapevine. (817) 410 -3129 City of Grapevine Building Inspection Department Plan Review Comments P.O. Box 95104 Phone: (817) 410 -3129 Grapevine, Texas 76051 Fax: (817) 410 -3536 NAME OF PROJECT: GATEWAY 40 ADDRESS: 2101 HALL JOHNSON RD CONTACT: NICK VASQUEZ PLANS EXAMINER: ALLEN HUNT NUMBER OF STORIES: 1 TOTAL SQ. FT: 3,212 ZONING: CC OCUPANCY: M / F1 OCCUPANT LOAD: EXITS REQUIRED: 2 FIRE SPRINKLED: NO CU: N/A COMMENTS: 1. ALL EGRESS DOORS TO BE OPENABLE WITHOUT THE USE OF KEY, SPECIAL EFFORT OR KNOWLEDGE. 2 EXITS MUST BE SEPERATED BY A DISTANCE EQUAL TO HALF THE DIAGNAL DISTANCE OF BUILDING. THE 2 EXISTING EXITS FROM THE STORE DO NOT PROVIDE FOR THE REQUIRED DISTANCE. DOORS TO MEET REQUIREMENTS OF 2006 I.B.C. SECTION #1008 AND #1015.2.1 2. MANUALLY OPERATED FLUSH BOLTS OR SURFACE BOLTS NOT PERMITTED. 3. REMODEL SHALL BE DESIGNED TO COMPLY WITH THE 2009 IECC. VERIFICATION OF COMPLINACE SHALL BE SUBMITTED TO THE CITY BY A CERTIFIED ENERGY CODE INSPECTOR PRIOR TO THE ISSUANCE OF BUILDING FINAL APPROVAL OR CERTIFICATE OF OCCUPANCY. 4. ALL CHANGES FROM THE CITY APPROVED PLANS WILL REQUIRE REVISED PLANS SUBMITTED AND ADDITIONAL REVIEW FEES DUE. 5. COORDINATE ALL FIRE ALARM, SMOKE EVACUATION AND / OR SPRINKLER SYSTEM PLANS, APPROVALS AND INSPECTIONS WITH THE FIRE MARSHALL AND REED ENGINEERING. 6. PLANS THAT EXCEED 10 PAGES REQUIRE THE CITY SET TO BE BOLTED. 7. IDENTIFY ALL THE NEW WALL TYPES ON THE FLOOR PLAN BY SYMBOL. 8. SECURE THE 2'X4' LIGHT FIXTURE HOUSINGS FROM STRUCTURE OR PROVIDE DOCUMENTATION THAT DEMONSTRATES NEW GRID WILL SUPPORT ALL LOADS. 9. ALL INTERIOR WALL AND CEILING FINISHES TO MEET MINIMUM CLASS C, FLOOR TO MINIMUM CLASS II PER ASTM E -84 FLAME SPREAD / SMOKE DEVELOPMENT. 10. A NEW CERTIFICATE OF OCCUPANCY WILL BE REQUIRED IF STORE NAME HAS CHANGED AND / OR NEW OWNERSHIP HAS TAKEN PLACE. 11. ENSURE SAFTEY GLAZING AT DOORS AND WINDOWS AS PRESCRIBED BY CHAPTER #24 OF 2006 I.B.C. IS PRESENTLY FOLLOWED OR BROUGHT TO CODE. 12. ALL FLOOR DRAINS REQUIRE TRAP PRIMERS. PROVIDE TRAP PRIMERS FOR NEW FLOOR DRAINS. 13. THE ELECTRICAL PANEL MFS IS NOT SHOWN AS RATED FOR POTENTIAL LOADS OF SUB PANELS. DRAWING INDICATE A LARGER SERVICE IS NEEDED AS SUBMITTED. 14. IF THE NEW FLOOR PLAN INVOLVES RELOCATION OF STORAGE AND / OR SALE DISPLAY POINT, ANY CHANGE IN AREA'S OF EXISTING ALCHOHOLIC BEVERAGES, A NEW CONDITIONAL USE WILL BE NEEDED. TO PROVIDE FOR IF THIS IS NEEDED, CONTACT THE PLANNING DEPARTMENT (817) 410 -3154. 15. CONFIRM THAT NEW MECHANICAL UNITS ARE NOT A PART OF THE UP GRADE TO BUILDING. Please review comments and have designers add information and make changes as Needed. Provide 3 new copy's of plans to city with one set bolted if over 10 pages. APPLICATION RECEIVED: 08/31/12 REVISIONS RECEIVED: 9tt4(1(L PERMIT ISSUED: 1ST COMMENTS: 09/06/12 REVISIONS REVIEWED: City of Grapevine Building Inspection Department Plan Review Comments P.O. Box 95104 Phone: (817) 410 -3129 Grapevine, Texas 76051 Fax: (817) 410 -3536 NAME OF PROJECT: GATEWAY 40 ADDRESS: 2101 HALL JOHNSON RD CONTACT: NICK VASQUEZ PLANS EXAMINER: ALLEN HUNT NUMBER OF STORIES: 1 TOTAL SQ. FT: 3,212 ZONING: CC OCUPANCY: M / F1 OCCUPANT LOAD: EXITS REQUIRED: 2 FIRE SPRINKLED: NO CU: N/A COMMENTS: ALL EGRESS DOORS TO BE OPENABLE WITHOUT THE USE OF KEY, SPECIAL EFFORT OR KNOWLEDGE. 2 EXITS MUST BE SEPERATED BY A DISTANCE EQUAL TO HALF THE DIAGNAL DISTANCE OF BUILDING. THE 2 EXISTING EXITS FROM THE STORE DO NOT PROVIDE FOR THE REQUIRED DISTANCE. DOORS TO MEET REQUIREMENTS OF 2006 I.B.C. SECTION #1008 AND #1015.2.1 2. MANUALLY OPERATED FLUSH BOLTS OR SURFACE BOLTS NOT PERMITTED. 3. REMODEL SHALL BE DESIGNED TO COMPLY WITH THE 2009 IECC. VERIFICATION OF COMPLINACE SHALL BE SUBMITTED TO THE CITY BY A CERTIFIED ENERGY CODE INSPECTOR PRIOR TO THE ISSUANCE OF BUILDING FINAL APPROVAL OR CERTIFICATE OF OCCUPANCY. 4. ALL CHANGES FROM THE CITY APPROVED PLANS WILL REQUIRE REVISED PLANS SUBMITTED AND ADDITIONAL REVIEW FEES DUE. 5. COORDINATE ALL FIRE ALARM, SMOKE EVACUATION AND / OR SPRINKLER SYSTEM PLANS, APPROVALS AND INSPECTIONS WITH THE FIRE MARSHALL AND REED ENGINEERING. 6. PLANS THAT EXCEED 10 PAGES REQUIRE THE CITY SET TO BE BOLTED. 7. IDENTIFY ALL THE NEW WALL TYPES ON THE FLOOR PLAN BY SYMBOL. SEP Y 2012 � tA,��"�. 8. SECURE THE 2'X4' LIGHT FIXTURE HOUSINGS FROM STRUCTURE OR PROVIDE DOCUMENTATION THAT DEMONSTRATES NEW GRID WILL SUPPORT ALL LOADS. 9. ALL INTERIOR WALL AND CEILING FINISHES TO MEET MINIMUM CLASS C, FLOOR TO MINIMUM CLASS II PER ASTM E -84 FLAME SPREAD / SMOKE DEVELOPMENT. 10. ANEW CERTIFICATE OF OCCUPANCY WILL BE REQUIRED IF STORE NAME HAS CHANGED AND / OR NEW OWNERSHIP HAS TAKEN PLACE. 11. ENSURE SAFTEY GLAZING AT DOORS AND WINDOWS AS PRESCRIBED BY CHAPTER #24 OF 2006 I.B.C. IS PRESENTLY FOLLOWED OR BROUGHT TO CODE. 12. ALL FLOOR DRAINS REQUIRE TRAP PRIMERS. PROVIDE TRAP PRIMERS FOR NEW FLOOR DRAINS. 13. THE ELECTRICAL PANEL MFS IS NOT SHOWN AS RATED FOR POTENTIAL LOADS OF SUB PANELS. DRAWING INDICATE A LARGER SERVICE IS NEEDED AS SUBMITTED. Per NEC 220.87, Main service tabulation using the existing demand load plus 25% plus the new panel load indicates a load of 226A. The existing service size and OCP is 400A. 14. IF THE NEW FLOOR PLAN INVOLVES RELOCATION OF STORAGE AND / OR SALE DISPLAY POINT, ANY CHANGE IN AREA'S OF EXISTING ALCHOHOLIC BEVERAGES, A NEW CONDITIONAL USE WILL BE NEEDED. TO PROVIDE FOR IF THIS IS NEEDED, CONTACT THE PLANNING DEPARTMENT (817) 410 -3154. 15. CONFIRM THAT NEW MECHANICAL UNITS ARE NOT A PART OF THE UP GRADE TO BUILDING. No new mechanical units are installed. Please review comments and have designers add information and make changes as Needed. Provide 3 new copy's of plans to city with one set bolted if over 10 pages. APPLICATION RECEIVED: 08/31/12 1ST COMMENTS: 09/06/12 REVISIONS RECEIVED: REVISIONS REVIEWED: i fi vit, PERMIT ISSUED: Anna Hoard � � W From: Sent: Monday, September 10, 2012 3:11 PM To: Anna Hoard Cc: Dominic Vasquez Subject: Re: FW: 2101 Hall Johnson Rd. Gateway 40 Store remodel, Grapevine Tx. Attachments: Gateway40 exit travel distance- 9- 9- 12.pdf Here's some of the responses for you to use with your response to the city. also, see the attached exiting distance document. See the attached exhibit for the distance requirement. I believe this should suffice. you should be able to send this plus written responses the the balance. 1. We agree to have all egress doors openable without the use of a key. See the attached document indicating the doors at seperated by more than 1/2" the longest diagonal. 2. We agree to not have manually operated flush bolots or surface bolts. 3. We agree. The buildng shell and HVAC units are not changing so the curent envelope mechanical Com- chk is not applicable. We will provide an independent certified energy code inspectio . 4. We will comply, 5. Existing fire alarm and smoke evacuation systems will be upgraded to comp and we will coordination inspections with REED Engineering and the Fire Marshalls office. 6. Plans are resubmitted bolted. 7. On sheet A2.0 the new wall types are identified and in floor plan 2/A2.0 the new walls are identified my mark. 8. The new 2'x4' light housings will be secured from the structure. , 9. All interior wall and ceiling finishes will meet the min. Class C and flooring minimum Class II ASTM E -84. 10. Will comply —• q l r.a a -1 �= s S 11. Glazing shall be confirmed and changed if required to meet Chapter #24, 2006 IBC. 12. Will comply. All new floor drains shall have trap primers 13. I will forward to MEP engineer for comment. 14. You answer this one 1 15. I will forward to MEP engineer for comment. - - - -- Richard, Asbestos Inspection (Al) — Project #: A- 128800 +1- 3,200sfRetail Facility 4 2101 Hall Johnson Road Grapevine, Texas 760516051 July 19, 2012 2.0 FINDINGS On July 13, 2012, a combined total of Eighteen (18) bulk samples were collected from the subject site. Based upon the bulk sample analysis performed by Polarized Light Microscopy (PLM), the results indicated that none of the samples contained greater than one - percent (I%) asbestos. SAMPLE # SAMPLE DESCRIPTION LOCATION Samples 415 - #18 Window Caulking Please see Appendix A - Sample Locations 3.0 RECOMMENDATIONS Asbestos Containing - Window Caulking According to EPA NESHAp regulation 40 CFR Part 61, the Asbestos Containing - Window Caulking referenced above are considered to be Category I non - friable materials. The materials were observed to be in good condition at the time of the Al. Proper removal and disposal by OSHA Class II work practices utilizing a licensed asbestos abatement contractor is necessary prior to any renovation and/or demolition that would disturb this material. This material should be managed by implementing an Operations & Maintenance Program to include work requirements, communication of hazards, location maps, and recordkeeping according to OSHA 1926.1101 regulations. Continued on next page PINNACLE ENVIRONMENTAL Confidential — Do Not Duplicate Metro 817- 287 -0520 — www.pinsci.com Allen Hunt - Gateway 40 Remodel Plans From: "Renee L. Minnfee" < To: Ahunt @grapevinetexas.gov Date: 9/21/2012 10:11 AM Subject: Gateway 40 Remodel Plans Good Morning Allen, I have finished my plan review for Gateway 40. Those plans have been approved. Have a good weekend! Renee Minnfee MPH, RS Tarrant County Environmental Health 1101 S. Main St., Rm. 2300 Fort Worth, TX 76104 Phone 817.321.4979 Fax 817.321.4961 Email: Page 1 Allen Hunt - 2101 Hall Johnson Rd. .z. Page 1 i From: Allen Hunt To: Subject: 2101 Hall Johnson Rd. Mr. Vasquez, The permit is ready to issue for the interior work only for the property of 2101 Hall Johnson Rd. As we discussed the exterior work will require a Conditional Use Plan and is not approved at this time until the provisions of the Conditional Use plan are applied for and approved. None of the interior work as shown on plans nor to my knowledge per conservation requires a Conditional Use Permit. We will need a contractor to register with us and fill out their information on permit form, the General Contractor you use for project will need to pick up permit. If I can be of further help please let me know. Thank you, Allen Hunt Plans Examiner, City of Grapevine. (817) 410 -3129 ENERGY CONSERVATION INSPECTION CERTIFICATION FORM (ALL OCCUPANCIES EXCEPT SINGLE FAMILY RESIDENTIAL) / il Project Name: (21 Address of Inspection: Name of Company Performing Inspection: Q4� Name of Certified Inspector Performing Inspection: ICC Energy Code Inspector Certification Number: =22,27,'-- -Z '2 In accordance with State Law (Senate Bill 5 enacted by the 77th Legislature of the State of Texas), I hereby certify that I have inspected the above referenced structure and that it complies with the International Energy Conservation Code and any Amendments adopted by the State of Texas and / or the City of Grapevine. Signature of Inspector Development Services Department The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165 Fax (817) 410-3012 * www.grapevinetexas.gov OAF0RMS\DS ENERGY CODE RELATED\EnergyCornmCertForm-Mar07.doc DON GREENE No 2364 COMM ERCIAURESIDENTIAL ENERGY PLANS EXAMINER / INSPECTION Offices located in Dallas/Ft. Worth[Tyler • 469-441-1932 SITE ADDRESS PASS FAIL PASS FAIL OK M PRO GEEO CALL FOR REiNSPFrTfON OK TO PROCEED CALL FOR RtMPECITICA SUBDIVaql\l 2 P JECT NAME INSPE^TION TYPE t7lei r ---- 7r-, El INSPECTION TYPE ❑ ❑ CI 7- - "6z ,.- "we'vix- INSPECTION TYPE ❑ ❑ INSPECTION TYPE ❑ ❑ — CLIENT k -K- INSPECTION TYPE ❑ F-1 INSPECTION TYPE ❑ ❑ COMMENTS . ..... TT 5-4 I f CITY PERMIT INSPECTION IAT INSPECTOR 7/ (t 511 CITY OF GRAPEVINE PWS ID# 2200013 Q WATER CUSTOMER SERVICE INSPECTION CERTIFICATION DATE: �� %/� / 'I I a �Q `(2j i'OV BUILDING SWIMMING POOL ADDRESS: r� %rir /i14L �p/.•to��,•,/ � /_� 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 kno ledge, no cross connection exists at this address at the time of inspection. vo SIGN R SPEQT LICENSE NUMBER 4.4 W1tFC VCE TITLE INSPECTOR DATE