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HomeMy WebLinkAboutCOMA2013-1516T� PROPERTY OWNER: VH01j05ofz- SgloNS IN(,. CURRENT MAILING ADDRESS: -4 53 3 PA•c.t FL(, 5LQ b - CiTYISTATE/ZIP: V t✓ � to D ty / Cat- / °I {U 0,5 stt, PHONE NUMBER: 01b e - 414. b 'a � PROJECT VALUE: '$ 4 00 it FIRE SPRINKLEREb? YES X NO _A.. Neo SToacPV- WAOT , a l�lsa�Cjf Co►>L. �'ti�r ld'f.aDl� A:'= �%f(�f97�NZ�r DESCRIPTION OF WORK TO BE DONE: hr o+5r Wy w,Nioo ul N 5� "t+ouKre sTt os w tgs USE OF BUILDING OR STRUCTURE: M U_P41�� i 1 t, E; NAME OF BUSINESS, Pt 10"'5 . * *Total Square Footage under roof: ?_�b Square Footage of alteration/addition: '� ! I hereby certify that plans have been reviewed and the building will be inspected by a certifs+ed 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, Iterations and additions) 0/'12 hereby certify that plans have been submitted to the Texas Department of Licensing and Regulation for Accessibility Review. ControrNemtber: F A e P K J e 3$! -106 f tot required for I& 2 family dwellings) U I hereby certify that an asbestos survey has been conducted for this structure in accordance with the regulatory requirements otthe 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 Departtnent and in compliance ,%ith-lhr City Of Grapevine Ordinance regu 'ng construction. At is understood that the issuance of this pertnit does not grant or authorize any violation of any code or ordinance of the City Grapevine. I FURTHERMORE UNDERSTAND THAT PLANS AND SPECIFICATIONS ARE NOT REVIEWED FOR AANDICAPPE CCESSIBILITY.BY THE) CITY, ANTI) THAT THE DESIGN PROFESSTONTALJOW -&R IS RESPO IBLE FOR OBTAINING SUCH AP OVAL FROM THE APP 0PRIATE STATE A-ND OR FEDERAL AGENCY(S). PRINT NAME- ��r� nis � � + �Gr1e SIGN PH #: 1 T. 2b5;- l y FAX #:,0 t 4 D--3- 313 EMAIL: 0 CHECK BOX IF PREkRRED TO BE CONTACTED BYE -MAIL THE FOLLOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMEN''T Construction' Type__ Per -t it Valuation: $ aap Setbacks A royal to Issue Occupancy Group: Fire Sprinkler- YES L,--- TAO j Front: F,lectrica.l DiN,isjoll. ! Building De the i Left: Plumbiin .�- Zoning: C Building Width: Rear: ; Mechanlca Occupancy Load: 474, i Right; Plan Review Approval: 6 Date: �1,� M_ _? Building Permit Fee: `' •3 S -.Site Plan Ap, rgval: _ - Date: Plan Review Fee: Fi e tment: Date: _ Lot Drainage Fee: Public Works Department: Date:_ Sevier Availability Rate: - Health Department: Date: Water Availabilit y Rate- Approved for Permit: Date: Total Fees: , Lot Drainage Submitted: Ap roved- Total Amount Due: Ky__k� t A- Y 0Ur\1I ac c •moo V&I ` MECHANICAL CITY OF GRAPEVINE ELECTRICAL x PLUMBING PERMIT APPLICATION !PI FA .qF PRINT) FUEL GAS PERMIT # BLDG. PERMIT # DATE: �J`l��� 5/30/2013 JOB ADDRESS: SUITE # 3000 Grapevine Mills Parkway 429 DESCRIPTION OF WORK: Remodel PROPERTY OWNER: CONTRACTING COMPANY: Grapevine Mills Bel -Ton Electric Service Inc. ADDRESS: ADDRESS: 5424 Wisconsin Ave. #300 2515 Southwell Rd. CITY /STATE /ZIP: Chevy Chase, MD 20815 CITY /STATE /ZIP: Dallas, TX 75229 PHONE NUMBER: PHONE NUMBER: 301/968 -6327 972/241 -0005 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 $ • 76 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 50,001- 100,000 $ 27.00+ .009 $ 127.00+ .007 PER ^ �� 1 $ 0�� l 100,001- 500,000 500,001+ $ 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 $ 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 SHAT VERIFICATION OF ENERGY/E6lD IIAAR� NCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST. , N, TURE OF MNTRACTOR OR AUTHORIZED AG (OR HOMEOWNER FOR HOMEOWNERS PERMITS) PHONE # 972/241 -0005 Russell Shark 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. 0. 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 65 4697422323 11:44:16 a. m, 06 -10 -2013 1 12 CITY OF GRAPEVINE a' s MECHANICAL ELECTRICAL PLUMBING FUEL GAS PERMIT APPLICATION IT PLEASE PR N PERMIT# BLDG. PERMIT# DATE: JOB ADDRESS: ` SUITE # j �� - `j'}�j DESCRIPTION OF WORK: - .�.- lr�1n/\ VI YCO�NTR�1A/CTING COMPANY: La ` �_ c � PROPERTY OWNER: I ` (} \l \} ADDRESS: 533 cto fi ADDRESS: `N -Cen a f CITYISTAT ZIP: e -qD 5 CITY /ST TEIZIP: e n PHONE NUMBER: PHONE NUMBER: BUILDING AREA PERMIT FEES AMOUNT DUE TYPE OF OCCUPANCY (SO FT EACH TRADE 1. R -3 1- 749 $ 33.25 SINGLE FAMILY, DUPLEX 750- 1,199 $ 49.88 $ 63.18 TOWNHOUSE, 1,200- 1,500 1,501 - 1,750 $ 76.48 NEW CONSTRUCTION & 1 751 - 2,000 $ 83.13 ADDITIONS (PER UNIT) 2,001 - 2,250 $ 89.78 TOTAL SQ.FOOT UNDER 2,251- 3,000 $ 96.43 $ 103.08 ROOF 3,001- 3,500 3,501- 4,000 $ 109.73 4,001+ $ 120.37 EACH TRADE 11. A, E, 1, R -1 1- 500 $ 37.00 HOTELS, APARTMENTS, 501 - 100,000 $ 17.50 +.035 PER SQUARE DRINKINGIDINING, 100,001 - 500,000 $15,000.00 FOOT $ EDUCATIONAL, ASSEMBLY, 500,001 + +,02 INSTITUTIONAL EACH TRADE 111. B, F, H, M. S, U 1- 500 $ 37.00 OFFICE, RETAIL, WHOLESALE, 501 - 50,000 $ 32.00+ .01 PER $ 182.00 +.007 SQUARE 1 GARAGES, FACTORIES, 50,001- 100,000 $ 582.00+ FOOT $ WORKSHOPS, SERVICE 100,001+ .003 STATIONS, WAREHOUSE CONTRACT EACH TRADE IV. ANY OCCUPANCY GROUP VALUATION OF WORK FINISH -OUTS, 0- 500 $ 37.00 SHELL COMPLETIONS, 501- 1,500 $ 45.00 ALTERATIONS OR STANDALONE PERMITS 1,501- 3,000 3,001- 5,000 $ 57.00 $ 72.00 /! CONTRACT VALUATION OF WORK: 5,001- 50,000 50,001- 100,000 $ 27.00+ .009, $ 127.00+ .007 PER S17 j $ $ a�� 100,001- 500,000 500,001+ $ 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 O:%FORMS\QS APPLICATIONS - FEESWEP APPLICATION 4 -11 doc >t j 4697422323 PLAN SUBMITTAL: 11:44:53 a.m. 06 -10 -2013 212 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 .............................. ............. - ..................... I........ $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 $42.00/HOUR APPROVED PLANS ......................... .......................... ............................... . • 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 REGAR ERGY CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE LAWS, AND THAT V =HORIZED OMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST. SIGNATURE OAGENT PRINTED NAME (OR HOMEOWNER FOR HOMEOWNERS PERMITS) PHONE #: "1��' a�' CI` -�ta9 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 621!91 REVISED: 10/01, 5106, 2107, W07, 8/09,11109,4111 OVORMSDS APPLICATIONS - FEESWEP APPLICATION 4- 11.doc MECHANICAL N/ CITY OF GRAPEVINE ELECTRICAL PLUMBING FUEL GAS PERMIT APPLICATION /DI CACc oni�rr� PERMIT# BLD .PERMIT# �-. i ~�_ DATE: �91A� `� l U ! � /� JOB ADDRESS: SUITE #^� 3otDo co e-, v�1�E' l�ls ol [. DESCRIPTION OF WORK: ^ `n PROPERTY OWNER: CO RACTING COMPANY' 15 ADDRESS: ADDRES ' CITYISTATE013: CITY /ST PHONE NUMBER: PHONE NU TT 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 11. A, E, !, R -1 HOTELS, APARTMENTS, 501- 500 501 - 100,000 $ 37.00 $ 17.50 +.035 PER DRINKINGIDINING, 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 OFFICE, RETAIL, WHOLESALE, 1- 500 501- 50,000 $ 37.00 $ 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 CONTRACT VALUATION OF WORK: 3,001- 5,000 5,001- 50,000 $ 72.00 �. 50,001 - 100,000 $ 27.00+.009 $ 127.00+.007 PER Q 1 $ 100,001- 500,000 500,001+ $ 327.00+ .005 DOLLAR $ 1,327.00+.003 IVALUATION $ 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 $ 2013 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 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, A E IFI ION OF ENERGY CODE COMPLIANCE SHALL UBMITTED TO THE CITY UPON REQUEST. L So SIGNAT NTRACT OR AUTHORIZED AGENT PRINTED N E (OR HOMEOWNER FOR HOMEOWNERS PERMITS) 1 PHONE #: 1 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 6121101 REVISED: 10/01, 5/06, 2107, 7/W, 8/09,11109,4/11 O:WORMS= APPLICATIONS - FEESIMEP APPLICATION 4- 11.doc X1 13 ( S I (0 3 ooc) E5c�ev TEXAS DEPARTMENT OF LICENSING AND REGULATION P.O. Box 12157 Austin, Texas 78711 (512) 463 -6599 • (800) 803 -9202 • FAX (512) 475 -2871 customer.service @I icense.state.tx.us www.license.state.tx.us PROOF OF SUBMISSION Per the Texas Architectural Barriers Act, Texas Government Code, Chapter 469, Section 469.101 "All plans and specifications for the construction of or for the substantial revoation or modification of a building or facility must be submitted to the department for review and approval if: (1) the building or facility is subject to this chapter; and (2) the estimated construction cost is at least $50,000." In accordance with 16 Texas Administrative Code Texas Administrative Rules Chapter 68.50(a), "An architect, interior designer, landscape architect, or engineer with overall responsibilty for the design of a building or facility subject to §469.101 of the Act, shall mail, ship, or hand - deliver the construction documents along with a Proof of Submission form to the department, a registered accessibility specialist, or a contract provider not later than the fifth day after the plans and specifications are issued." DESIGN PROFESSIONAL INFORMATION PLEASE PRINT OR TYPE 1. Last Name: M I T C*41�(. "L 7�� Off NAJ 1 S Middle T. 2. rchitect ;I Landscape Architect I I Interior Designer ' Engineer State: 3. License #: (1,! ] 1' 4. Address: (00 31 - 7.0 was Suite #: 2& o City: A- (L L 1 IJ 6 "f C7 ►—� State: _TA zip. -JI, b 0 / �_5Phone: g t -7 -2 6. Fax: 01 7 • 14 6 7-b -7 7- 7. * *Email: PROJECT INFORMATION 8. Project Name: 9. EABPRJ# (if applicable) W 1 M O S o;rz �S N td,vS & P— P-, 14. Adddress 10. Project Address: Suite #: e AZe -V-1 6W6V1rJe FirLVS MAL4-, 3000 &l1�p-pJFVINE mius my4Z-Vt/4-r State: City County: Zip; C� V 1 �► It r��-+v 'r v 11. I h eby notify the Texas Department of Licensing and Regulation of the described project and of my intent to perform, or cause to be performed, all service ecessary to design said project in accordance with the provisions of Texas Government Code, Chapter 469. 1 certify that I am the registered design fessional with overall responsibility fo the design of the project and whose seal is affixed to the construction documents. I am mailing, delive n , transmitting, or otherwise releasing these construction documents to an owner, lessee, contractor, subcontractor or other person for the purpo e f constuction, applying for a building permit, or obtaining regulatory approval. In the case of astate- funded or other public works project, it is the tim at which the construction documents are Publicly posted for bids. 'l Signature of Design Professional Date Date Construction Documents Issued RAS USE ONLY 12. Name: 11 RAS #: 14. Adddress Suite #: City: State: Zip: 15. Phone: 16. Fax: 17. * *Email: 18. 1 certify that to the best of my knowledge, the following information pertaining to this project is true and correct Signature of Registered Accessibility Specialist Date Date Construction Documents Received by RAS TDLR USE ONLY DO NOT WRITE BELOW THIS LINE Date Construction Documents Received by TDLR TDLR FORM AB042 03 -07 NOTE: An individual who completes and files this form with the Texas Department of Licensing and Regulation (the Dept.) is entitled to the following 1) to be informed about the information that the Dept. collects about the individual, upon their request and subject to a few exceptions: 2) to receive and review the information, under Section 552.021 and 552.023 of the Texas Govt Code; and 3) to have the Department correct information about the individual that is incorrect, under Section 559.004 of the Texas Govt. Code. * *The Department will add your address to the Architectural Barriers email notification list, which automatically provides information from the Department on matters affecting Architectural Barriers. Your email address is confidential pursuant to the Texas Public Information Act and the Department will not share it with the public. For additional information link to: http: / /www.license.state.tx. us/ newsletters /TDLRnotificationL!sts.ast) EABPRJB3812108 Texas Department of Licensing and Regulation Architectural Barriers Project Registration Confirmation Page Thursday, April 18, 2013 EABPRJB3812108 PERSON FILING FORM Name: Alloi Inc Phone: 310 -204 -2811 Person Address: 11900 Jefferson Blvd, Culver City, CA 90230 Ras Number: 00000011 Project Name: Windsor Fashions Grapevine Project Address: Grapevine Mills Mall Grapevine Mills Mall Unit 64293000 Grapevine Mills Parkway Grapevine, TX 76051 County: Tarrant TENANT Contact Name: Windsor Fashions Phone: 888 - 494 -6376 Contact Address: BUILDINGIFACILITY Name: Grapevine Mills Mall FACILITY Owner: Kathy Perez Phone: 317 -636 -1600 Owner Address: 225 West Washington St, Indianapolis, IN 46204 Contact Name: Kathy Perez Phone: 317 - 636 -1600 Contact Address: 225 West Washington St, Indianapolis, IN 46204 Contact Email: kperez @sim on.com DESIGN FIRM Name: Dennis Mitchell Phone: 817-265-2415 Firm Address: 6031 1 -20 West, Suite 260, Arlington, TX 76017 Designer Name: Dennis Mitchell Emai: Type of License: Architect License Number: 9411 PROJECT DESCRIPTION Start Date: 0512013 Completion date: 07/2013 Estimated Cost: $84,000.00 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? Yes State Lease No. : Scope of Work: New storefront, refinish concrete floor, new lighting at storefront, new surface mounted wall standards, new cashwrap and fixture package Does this building(s) have more than one level? No Are there any elevators, escalators, or platform lifts in this building? Unknown Are there any boiler in this building? Unknown 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 Rule 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. en A .� ML>C ( �CLS�unAc"( City Plan Check Response Windsor fashions Grapevine Mills, Unit #429 05.06.13 Re: Windsor Fashions Grapevine — Unit #429 Grapevine Mitts Malt 1. The plans provide for a new RTU, if the RTU is larger, heavier or in different location than the one being removed, an Engineer will need to access the truss system for load bearing to ensure truss system is not compromised. Has this been done? Also, if a helicopter is being used for R &R of unit, a separate permit will be required. PLEASE REVIEW SHEET 1/A200, KEYNOTE #43, 2. All wood within construction is to be F.R.T.W. with the, "U.L. Classified ", stamping visible for inspection. PLEASE REVIEW SHEET T100 /GENERAL NOTES, #14 3. The curtains that are being installed will need to be confirmed as approved per N.F.P.A. 701 or to be shown as non - combustible. PLEASE REVIEW SHEET 211A300, KEYNOTES #47 & #52 4. Please confirm that you are not raising walls above the existing wall levels. PLEASE REVIEW SHEET 1/A100, CALL OUTS 1, 9 & 10 AND WALL LEGEND PLEASE REVIEW SHEET A /600, DETAILS 1, 9 & 10 MAY 9 2013 5-/4 9,ejtWw-t- W�jA�, .tea It City Plan Check Response Windsor fashions Grapevine Mills, Unit #429 05.06.13 Re: Windsor Fashions Grapevine — Unit #429 Grapevine Mills Matt 1. The plans provide for a new RTU, if the RTU is larger, heavier or in different location than the one being removed, an Engineer will need to access the truss system for load bearing to ensure truss system is not compromised. Has this been done? Also, if a helicopter is being used for R &R of unit, a separate permit will be required. PLEASE REVIEW SHEET 1/A200, KEYNOTE #43. 2. All wood within construction is to be F,R.T.W. with the, "U.L. Classified ", stamping visible for inspection. PLEASE REVIEW SHEET T100 /6ENERAL NOTES, #14 3. The curtains that are being installed will need to be confirmed as approved per N.F.P.A. 701 or to be shown as non- combustible. PLEASE REVIEW SHEET 2/A300, KEYNOTES #47 & #52 4. Please confirm that you are not raising walls above the existing wall levels. PLEASE REVIEW SHEET 1/A100, CALL OUTS 1, 9 & 10 AND WALL LEGEND PLEASE REVIEW SHEET A /600, DETAILS 1, 9 & 10 City Plan Check Response Windsor fashions Grapevine Mills, Unit #429 05.06.13 Re: Windsor Fashions Grapevine — Unit #429 Grapevine Mills Malt 1. The plans provide for a new RTU, if the RTU is larger, heavier or in different location than the one being removed, an Engineer will need to access the truss system for load bearing to ensure truss system is not compromised. Has this been done? Also, if a helicopter is being used for R &R of unit, a separate permit wilt be required. PLEASE REVIEW SHEET 1/A200, KEYNOTE #43. 2. Atl wood within construction is to be F.R.T.W. with the, "U.L. Classified ", stamping visible for inspection. PLEASE REVIEW SHEET T100 /GENERAL NOTES, #14 3. The curtains that are being installed will need to be confirmed as approved per N.F.P.A. 701 or to be shown as non - combustible. PLEASE REVIEW SHEET 2/A300, KEYNOTES #47 & #52 4. Please confirm that you are not raising walls above the existing wall levels. PLEASE REVIEW SHEET 11/A100, CALL OUTS 1, 9 & 10 AND WALL LEGEND PLEASE REVIEW SHEET A /600, DETAILS 1, 9 & 10 APR 25 2013 3o ©cam ��� eVin� 'MWs Pw 44-9 Adifica case engineering 796 Merus Ct St. Louis, MO 63026 OFFICE: 636 - 349 -1600 FAX: 636 - 349 -1730 Website: www.aedificacase.com Structural Calculations Client: Windsor Fashions Project: Windsor Fashions- Grapevine, TX Date: April 17, 2013 Project #: OIWG -07 -01 -2013 ................. ............ �I STEPHEN J. SA ........................ 11097 $ r 1 Adifica I case engineering Adifica Case Engineering T 636 349160-0 782 Merus Court F 636 3491730 St. Louis, MO 63oz6 aedifica.com `a g 0 Iry Client Alloi Architecture — __ _. Page _—__ of_____ Project Windsor Fashions - Grapevine TX 04/2013 w _ Date OIWG -07 -01 -2013 _ Premilinary [j Madeby MVH Checked by Final m I\ i - - -T� --- - - - - -- — — t�� 39 -Z 3/4" LEASE LINE A N 0 4c e TDe'a c,t'� 4� 2 27 '4 M��Era-r SK -1 Apr 1, 2013 at 11:10 AM frames.r3d Company Apr 1, 2013 Designer 11:17 AM .lob Number Checked By: Load Combinations Description Solve P ... ... BLC Factor BLC Factor BLC Factor BLC Factor BLC Factor BLC Factor BLC Factor BLC Factor 1 1 DL +WL I Yes I Y I 1 1 1 1 1 2 1 1 Joint Loads and Enforced Displacements (BLC 2: WL) Inint I nhal I n M n -+i- F, A., n+-4- L, I, 41 t;- , A\ n, *..nou 1 N13 L z -.487 2 N16 L z -.487 3 N14 L z -.813 4 N15 L z -.813 Member RISC 13th(360 -05): ASD Steel Code Checks 1 R Mamhar China I IC KAmv i -rf+l Chonr I Ir' I -rft1 nir D-1- Dr, +L,.., rL,1 RA-,..I- U- --r,, r1k �.... 1 1 M1 HSS5X5X4 .148 0 .012 0 z 69.06 92.578 13.637 13.637 2.175 H1 -1b 2 1 M2 HSS5X5X4 .142 0 .012 0 z 69.06 92.578 13.637 13.637 2.171 H1 -1b 3 1 M3 HSS5X5X4 .187 0 .015 0 z 69.06 92.578 13.637 13.637 2.172 H1 -1 b 4 1 M4 HSS5X5X4 .179 0 .015 0 z 69.06 92.578 13.637 13.637 2.175 H1 -1b 5 1 M5 HSS5X5X4 .179 0 .015 0 z 69.06 92.578 13.637 13.637 2.175 H1 -1b 6 1 1 1 M6 IHSS5X5X4 .187 0 .015 0 z 69.06 92.578 13.637 13.637 2172 H1 -1b 7 1 M7 I HSS5X5X4 .142 0 .012 0 z 69.06 92.578 13.637 13.637 2.171 H1 -1b 8 1 M8 HSS5X5X4 .148 0 012 0 z 69.06 92.578 13.637 13.637 2175 H1 -1b 9 1 1 M9 HSS5X5X4 .141 0 .043 0 y 90.897 92.578 13.637 13.637 2262 H1 -1b 10 1 M10 HSS5X5X4 .173 0 .054 0 y 90.897 92.578 13.637 13.637 2.264 H1 -1b 11 1 M11 HSS5X5X4 .173 3 .054 3 y 90.897 92.578 13.637 13.637 2264 H1 -1b 12 1 M12 HSS5X5X4 .141 3 .043 3 V 90.897 92.578 13.637 13.637 2.262 H1 -1b 13 1 M13 HSS5X5X4 ,042 0 .006 0 y 58.564 92.578 13.637 13.637 1.709 H1 -1b 14 1 M14 HSS5X5X4 ,017 0 .003 10 Y 75.53 92.578 13.637 13.637 3 H1 -1b 15 1 M15 HSS5X5X4 .042 0 .006 0 y 58.564 92.578 13.637 13.637 1.709 H1 -1b 16 1 M16 HSS5X5X4 .044 15 .006 15 y 58.564 92.578 13.637 13.637 1723 H1 -1b 17 1 M17 HSS5X5X4 .018 0 .003 0 1 y 75.53 192.578 13.637 13.637 3 H1-1b 18 1 M18 HSS5X5X4 .044 0 .006 0 58.564 92.578 13.637 13.637 1.723 H1-1b Joint Deflections I (I I ahal Y rinl v rinl 7 rinl Y Dn +� +i.,n rrorll V Dn +o +i.,., r-41 7 D., +., +i.,- r,-A1 1 1 N1 0 0 0 0 0 0 2 1 N2 0 0 0 0 0 0 3 1 N3 0 0 0 0 0 0 4 1 N4 0 0 0 0 0 0 5 1 N5 0 0 0 0 0 0 6 1 N6 0 0 0 0 0 0 7 1 N7 0 0 0 0 0 0 8 1 N8 0 0 0 0 0 0 9 1 N9 0 -.001 -.223 -4.291 e -4 8.635e -5 - 2.02e -4 10 1 N10 0 -.002 -.289 - 5.484e -4 6.621 e -5 1.073e -4 11 1 N11 0 -.002 -.289 - 5.484e -4 - 6.621e -5 - 1.073e -4 12 1 N12 0 -.001 -.223 - 4.291e -4 - 8.635e -5 2.02e -4 13 1 N13 0 .001 -.223 - 4.378e -4 8.644e -5 - 2.033e -4 14 1 N14 0 .001 -.289 - 5.574e -4 6.628e -5 1.077e -4 15 1 N15 0 .001 -.289 - 5.574e -4 - 6.628e -5 - 1.077e -4 RISA -3D Version 9.1.0 [N: \2013WIloi Arch itecture\ OIWG- 07- 01- 201 Mal cs \fram es. r3d] Page 1 Company Apr 1, 2013 Designer 11:17 AM Job Number Checked By: Joint Deflections (Continued) LC Joint Label X [inl Y finl Z rinl X Rotation rradl Y Rotation rradl Z Rotation rad 16 1 N16 0 .001 -.223 - 4.378e -4 - 8.644e -5 2.033e -4 Joint Reactions LC Joint Label X fkl Y rkl 7 rkl MX rk_ftl RAY rk -ftl nn7 rU_r+i 1 1 N5 .021 -.783 .285 1.793 -.014 -.082 2 1 N 1 .022 1.384 .281 1.796 -.014 -.089 3 1 N6 -.012 -.995 .371 2.324 -.011 .047 4 1 N2 -.011 1.768 .363 2.327 -.011 .044 5 1 N7 .012 -.995 .371 2.324 .011 -.047 6 1 N3 .011 1.768 .363 2.327 .011 -.044 7 1 N8 -.021 -.783 .285 1.793 .014 .082 8 1 N4 -.022 1.384 .281 1.796 .014 .089 9 1 Totals: 0 2.747 2.6 10 1 COG (ft): X: 20 Y: 8.936 Z: 1.5 RISA -3D Version 9.1.0 [N: \2013\Alloi Arch itecture \OIWG- 07 -01- 2013 \Calcs \frames.r3d] Page 2 www.hilti.us Profis Anchor 2.3.5 Company: Page: 1 Specifier: Project: Address: Sub - Project I Pos. No.: Phone I Fax: Date: 4/1/2013 E -Mail: 5.8 Specifier's comments: 1 Input data - Anchor type and diameter: HIT -HY 200 + HAS 1/2 Effective embedment depth: hef,°ptl = 2.750 in. (hef,llmlt = 2.750 in.) " Material: 5.8 Evaluation Service Report:: Technical Supplement for AC308 Design Parameters Issued I Valid: 3/1/2013 1 - Proof: design method ACI 318 / AC308 Stand -off installation: eb = 0.000 in. (no stand -off); t = 0.500 in. Anchor plate: IX x ly x t = 10.500 in. x 10.500 in. x 0.500 in.; (Recommended plate thickness: not calculated) Profile: Square HSS (AISC); (L x W x T) = 5.000 in. x 5.000 in. x 0.250 in. Base material: cracked concrete, 2500, fc' = 2500 psi; h = 4.000 in., Temp. short/long: 32/32 °F Installation: hammer drilled hole, installation condition: dry Reinforcement: tension: condition B, shear: condition B; no supplemental splitting reinforcement present edge reinforcement: none or < No. 4 bar Seismic loads (cat. C, D, E, or F) no Geometry [in.] & Loading [lb, in.lb] 2 Proof I Utilization (Governing Cases) :f o� �o GS 1[ Oe Design values [lb] Utilization Loading Proof Load Capacity ON / Ov N Status Tension Concrete Breakout Strength 3302 4810 69/- OK Shear Steel Strength 93 3705 43 3 OK Loading fN Ov Utilization pN,v [ %] Status Combined tension and shear loads 0.686 0.025 5/3 54 OK 3 Warnings • Please consider all details and hints/warnings given in the detailed report! Input data and results must be checked for agreement with the existing conditions and for plausibility! PROFIS Anchor ( c ) 2003 -2009 Hilti AG, FL -9494 Schaan Hilti is a registered Trademark of Hilt AG, Schaan www.hilti.us Profis Anchor 2.3.5 Company: Page: 2 Specifier: Project: Address: Sub - Project I Pos. No.: Phone I Fax: Date: 4/112013 E -Mail: Fastening meets the design criteria! 4 Remarks; Your Cooperation Duties • Any and all information and data contained in the Software concern solely the use of Hilti products and are based on the principles, formulas and security regulations in accordance with Hilti's technical directions and operating, mounting and assembly instructions, etc., that must be strictly complied with by the user. All figures contained therein are average figures, and therefore use - specific tests are to be conducted prior to using the relevant Hilti product. The results of the calculations carried out by means of the Software are based essentially on the data you put in. Therefore, you bear the sole responsibility for the absence of errors, the completeness and the relevance of the data to be put in by you. Moreover, you bear sole responsibility for having the results of the calculation checked and cleared by an expert, particularly with regard to compliance with applicable norms and permits, prior to using them for your specific facility. The Software serves only as an aid to interpret norms and permits without any guarantee as to the absence of errors, the correctness and the relevance of the results or suitability for a specific application. • You must take all necessary and reasonable steps to prevent or limit damage caused by the Software. In particular, you must arrange for the regular backup of programs and data and, if applicable, carry out the updates of the Software offered by Hilti on a regular basis. If you do not use the AutoUpdate function of the Software, you must ensure that you are using the current and thus up -to -date version of the Software in each case by carrying out manual updates via the Hilti Website. Hilti will not be liable for consequences, such as the recovery of lost or damaged data or programs, arising from a culpable breach of duty by you. Input data and results must be checked for agreement with the existing conditions and for plausibility! PROFIS Anchor( c ) 2003 -2009 Hilti AG, FL -9494 Schaan Hilti is a registered Trademark of Hilti AG, Schaan Adifica case engineering Office: 636 -349 -1600 Fax: 636- 349 -1730 Website: www.aedificacase.com COMcheck Software Version 3.9 .2 Interior Lighting Compliance g g p Certificate 2009 IECC Section 1: Project Information Project Type: Alteration Project Title : Windsor Fashions Construction Site: Owner /Agent: Designer /Contractor: Grapevine Mills Grapevine Mills Parkway, Unit # 429 Grapevine, TX 76051 Section 2: Interior Lighting and Power Calculation A B C D Area Category Floor Area Allowed Allowed Watts (ft2) Watts / ft2 (B x C) Retail 3590 1.5 5385 Total Allowed Watts = 5385 Section 3: Interior Lighting Fixture Schedule A B C D E Fixture ID : Description / Lamp / Wattage Per Lamp / Ballast Lamps/ # of Fixture (C X D) Fixture Fixtures Watt. Retail (3590 sq.ft.) LED 1: Type "A ": Track light fixture: LED PAR 10W: 1 74 11 814 LED 2: Type "B ": LED downlight: LED PAR 20W: 1 10 20 200 HID 1: Type "C ": Decorative pendant: Metal Halide: Standard: 1 20 150 3000 Linear Fluorescent 1: Type "D ": 4' wraparound: 48" T8 32W: Premium efficiency: 2 8 57 456 Incandescent 1: Type "G ": Decorative chandelier: Incandescent 30W: 1 7 30 210 Compact Fluorescent 1: Type "H ": CFL Pendant: Triple 4 -pin 18W: Electronic: 1 10 20 200 Halogen 1: Type "I ": Wall Sconce: Halogen MR -16 50W: 1 2 50 100 Total Proposed Watts = 4980 Section 4: Requirements Checklist Lighting Wattage: Ll 1. Total proposed watts must be less than or equal to total allowed watts. Allowed Watts Proposed Watts Complies 5385 4980 Passes Controls, Switching, and Wiring: U 2. Daylight zones under skylights more than 15 feet from the perimeter have lighting controls separate from daylight zones adjacent to vertical fenestration. Lj 3. Daylight zones have individual lighting controls independent from that of the general area lighting. Exceptions: Ll Contiguous daylight zones spanning no more than two orientations are allowed to be controlled by a single controlling device. L) Daylight spaces enclosed by walls or ceiling height partitions and containing two or fewer light fixtures are not required to have a separate switch for general area lighting. Project Title: Windsor Fashions Report date: 04/25/13 Data filename: C: \Users \Admin \Documents \Windsor Grapevine_TX.cck Page 1 of 2 ❑ 4. Independent controls for each space (switch /occupancy sensor). Exceptions: ❑ Areas designated as security or emergency areas that must be continuously illuminated. ❑ Lighting in stairways or corridors that are elements of the means of egress. ❑ 5. Master switch at entry to hotel /motel guest room. ❑ 6. Individual dwelling units separately metered. ❑ 7. Medical task lighting or art/history display lighting claimed to be exempt from compliance has a control device independent of the control of the nonexempt lighting. C1 8. Each space required to have a manual control also allows for reducing the connected lighting load by at least 50 percent by either controlling all luminaires, dual switching of alternate rows of luminaires, alternate luminaires, or alternate lamps, switching the middle lamp luminaires independently of other lamps, or switching each luminaire or each lamp. Exceptions: ❑ Only one luminaire in space. ❑ An occupant- sensing device controls the area. ❑ The area is a corridor, storeroom, restroom, public lobby or sleeping unit. ❑ Areas that use less than 0.6 Watts /sq.ft. ❑ 9. Automatic lighting shutoff control in buildings larger than 5,000 sq.ft. Exceptions: ❑ Sleeping units, patient care areas; and spaces where automatic shutoff would endanger safety or security. ❑ 10. Photocell /astronomical time switch on exterior lights. Exceptions: ❑ Lighting intended for 24 hour use. ❑ 11.Tandem wired one -lamp and three -lamp ballasted luminaires (No single -lamp ballasts). Exceptions: ❑ Electronic high- frequency ballasts; Luminaires on emergency circuits or with no available pair. Section 5: Compliance Statement Compliance Statement: The proposed lighting alteration project represented in this document is consistent with the building plans, specifications and other calculations submitted with this permit application. The proposed lighting alteration project has been designed to meet the 2009 IECC, Chapter 8, requirements in COMcheck Version 3.9.2 and to comply with the mandatory requirements in the Requirements Checklist. Name - Title Signature . ...:........................... i D. J. PENN / ' ......... .............. ....:... • 58432 it �s0 ID NAX. �� r Alulo Date Project Title: Windsor Fashions Report date: 04/25/13 Data filename: C: \Users \Admin \Documents \Windsor Grapevine_TX.cck Page 2 of 2 Allen Hunt - 3000 Grapevine Mills Pkwy #429 Windsor Fashions Pa e 1 _.._... From: Allen Hunt To: Date: 5/2/2013 9:09 AM Subject: 3000 Grapevine Mills Pkwy #429 Windsor Fashions Eddy, I have reviewed the project above and have just a few questions needing answers / conformation. *The plans provide for a new RTU, if the RTU is larger, heavier or in different location than the one being removed, an Engineer will need to access the truss system for load bearing to ensure truss system is not compromised. Has this been done? Also, I f a helicopter is being used for R &R of unit, a separate permit will be required. *All wood within construction is to be F.R.T.W. with the, "U.L. Classified ", stamping visible for inspection. *The curtains that are being installed will need to be confirmed as approved per N.F.P.A. 701 or to be shown as non - combustible. *Please confirm that you are not raising walls above the existing wall levels. If we can ensure these items, I have red lined the plans with some of these and other typical notes, we can get these issued right away. Thank you, Allen Hunt Plans Examiner/ Field Coordinator City of Grapevine 817- 410 -3129 56t LS "ALj'a�(c6u�> F0 CITY OF GRAPEVINE PWS ID# 2200013 WATER CUSTOMER SERVICE INSPECTION CERTIFICATION DATE: 7Z BUILDING ADDRESS: V� SWIMMING POOL // IRRIGATION PERMIT #: !s J/5/6 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 t knowledge, no cross connection exists at this address at the time of inspection. SIGNA E OF IN Epoj LICENSE NUMBER TITLE DATE INSPECTOR