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HomeMy WebLinkAboutPLIRR2013-1611n CITY OF GRAPEVINE MECHANICAL ELECTRICAL PLUMBING" FUEL GAS PERMIT APPLICATION (PLEASE PRINT) PERMIT # BLDG. PERMIT # DATE: - JOB ADDRESS: SUITE # DESCRIPTION OF WORK: PROPERTY OWNER: i CONTRACTING COMPANY: ADDRESS: .�r ADDRESS: CITY /STATEIZIP: �_ CITYISTATE/ZIP: r�+� 76021 1 G PHONE NUMBER: q 7 PHONE NUMBER: 317*91IN-1t0V TYPE OF OCCUPANCY BUI `DIGNG 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, 1, 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+ $ 58Z00+.003 FOOT $ STATIONS, WAREHOUSE CONTRACT EACH TRADE IV. ANY OCCUPANCY GROUP VALUATION OF WORK FINISH-OUTS, SHELL COMPLETIONS, 0- 500 $ 37.00 ALTERATIONS OR 501- 1,500 $ 45.00 STAND ALONE PERMITS 1,501- 3,000 $ 57.00 3,001- 5,000 $ 72.00 CONTRACT VALUATION OF WORK: 5,001- 50,000 $ 27.00+.009 50,001 - 100,000 $ 127.00+.007 PER $ 100,001- 500,000 500,001+ $ 327.00+ .005 DOLLAR $ 1,327.00+ _003 TVALUATION $ EACH TRADE V. MISCELLANEOUS IRRIGATION SYSTEMS MOBILE HOME SERVICE $ 3 TEMPORARY POLE SERVICE $ 37.00 SWIMMING POOLS $ 37.00 �. C'k SIGN ELECTRIC $ 37.00 $ OAFORMSMS 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) .......................................... .x.....$42.00 /HOUR* • REINSPECTION FEES---------------------------------------------------------- ------------------------- - - - - -- ........... .. $42.00 • PERMITS FOR WHICH NO FEE IS SPECIFICALLY INDICATED ................................ ..........:.'.F..,: -a .... $37.00 • INSPECTIONS FOR WHICH NO FEE IS SPECIFICALLY INDICATED (1/2 HOUR MINIMUM) ........... °`�,r :.$42.00/FiOUR • 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, AND THAJVERIqICATI ON OF ENERGY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST. �� j�/ ---7 1 lam' Ili SIGNATURE OF CONTRALTO OR AUTHORIZED AGENT PRINTED NAME (OR HOMEOWNER FOR HOMEOWNERS PERMITS) *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_ 10101, 5/06.2/07.711)7.8108. 11109.4/11 O:IFORMSOS APPLICATIONS - FEES%MEP APPLICATION 4.11.doc JUN 10 2.013 CITY OF GRAPEVINE 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: ADDRESS OF SITE SERVICED: 1 a 9 " \ .P y- PLUMBING PERMIT IF APPLICABLE: # t 3 — 14 TESTER LICENSE NUMBER: 6VQ0o0bgL DATE OF LAST TEST GAUGE CALIBRATION: EXPIRES: I' `I — IU 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 V?eDOUBLE CHECK ATMOSPHERE VACUUM BREAKER MANUFACTURER: MODEL: SERIAL NUMBER: PHYSICAL LOCATION OF METER: The above is certified to be true. TESTERS FIRM NAME: ADDRESS: + CITY /STATE/ZIPQ jjL), -6 DATE: 1 PHONE NUMBER: PRINT NAME: I& nAP 11 AL SIGNATURE: DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FOR INSPECTION AT (8171410-3010 C :I000UME- 11s0atlelLOCALS- 11TempWgMwee1TCEO BACKFLOW TESTER REGISTRATION.6m 11l3I00/R- WDS, 1/06.7110 . 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 -Close Tight Closed Ti ht I li `j _RP psid / G� L � l Opened at Did not open Leaked st psid Leaked Leaked Repair Materials Used Test DC- Closed Tight Opened at Opened at After Closed Tight psid Repair RP _ psid psid psid The above is certified to be true. TESTERS FIRM NAME: ADDRESS: + CITY /STATE/ZIPQ jjL), -6 DATE: 1 PHONE NUMBER: PRINT NAME: I& nAP 11 AL SIGNATURE: DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FOR INSPECTION AT (8171410-3010 C :I000UME- 11s0atlelLOCALS- 11TempWgMwee1TCEO BACKFLOW TESTER REGISTRATION.6m 11l3I00/R- WDS, 1/06.7110 . JUN 10 BPM S.bdc..¢rrr O INC. SPRINKLER SYSTEMS & LANDSCAPING f f 1901 -A Bedford Rd. • Bedford, TX 76021 - 817.540 -1559 www.m1dc1Uesirrigation.com July 28, 2011 City of Grapevine This irrigation system has been installed in accordance with all applicable State and Local laws, ordinances, rules, regulations and orders. I have tested the system and determined that it has been installed according to the irrigation plan and is properly adjusted for the most efficient application of water at this time. *THREE -YEAR WARRANTY ON COMPLETE SPRINKLER SYSTEM, COVERING DEFECTIVE PARTS AND WORKMANSHIP Irrigation in Texas is regulated by the Texas Commission on Environmental Quality (TCEQ), MC -178, P.O. Box 13087, Austin; Texas 78711 -3087, TCEQ's website is: www.tceq.state.tx.us Darrell Bishop Q L) � M � o UJ CD L) N z N 0 � U W (L a. cl) W Z Z W (D LL O F- U � W cn � W � O. ± O @ 0 2 E U) Z 2 / @ 2 \ 2 \ � / 0 / \s �| % / \/ / . / \ / g 6 E \ t O 5 n2 \/E \ = a § ECG \ m §o ( 7E� _ �E/ m 0 \ � / _ %3 C 2 \ / < 1 \ y I / m \§k g LU Q 7c U) / ) 2 m2G c 0 f\ U) G® / / 3 \ m * / _ / _0 0 _\ ) Es =f cu \ / \ ( \ £E 85 ± a) O fy0 2 ± CO / > £ ® »� \2 / / / k \ / \ Z < O ± f / < (o 2 c < E _ -2 2w m ± O @ 0 2 E U) Z 2 / @ 2 \ 2 CITY OF GRAFf . 2NS RELEASE D-FOR CONSTRUCTION .4 15 FIA SHEET: OF .�'F DOES NOT AUTHORIZE ANY' WORK IN CONFLICT -E BUILDING CCDE OR ZONING ORDINANM THIS PLAN TO B 'KEPT ON ONTRACT01 THE JOB AT AL TIMES -11 va _;A1 E:.-... !�_- T 2-0 13 BY- 114SPECTIONS• BUILDING INSPECTION DIVISION RELEASE DOES NOT APPLY T( %STRUCTION N __EMENTS OR ON PUBLIC� % T OF-WAY. i�LL CHANGES MUST,mr? PROVED I. w L Irrigation s�j► m design and ln#altcMon shah comply with all state and Ibcal laws and rules, including but not limited S CA to the plumbing and residential codes adopted by the t3 to City of Gropovine, H8 1656 pa,"(fty the State of Texas, Ppe)1,4-ooc landscape irrigation rules cl&eloped by Texas 50, pmmiWn on Environmental, Qtxft (TCEQ), and Q'� s6qypht amendments_ti� these laws and ruies. RAIN AND FREEZE sensors are required. Backflow prevention devices shall be tested by an approved agency, i Ir. on forms pro ded by the city. Completed forms verifying proper op6 tion of device shall be returned to the city. 0 t Failure to ob In final Inspection of Irrigation system shall r 'I tat f asult In sos nsion of contractoft registration and may f c w Le� result in loss gistration and / or the issuance of cltafion(s 7- +0 -re4K P*V%de. te-44vy L t! d ca 0 •.. 1' 0000000000 "'00 PAUL K B!,2iOP 00600908000000G0001 ea ...'s 5227 0040z� 0 t 1 MAY 3 2013 - A/0 // /0? OFFICE COPY SMALL CAIA S1 ?44 CONTRACTOR REGISTI WILL BE REVOKED U `1 PERMIT EXPIRATIC 011 *I 3 �-Lvi V-01 ) v Ff ji,elq 1.m6( �P IC)I-e t VV$* FOR 65 fTj Mid-Cities TIrr r 56al 0 R dn 1"1-A Bx o721 Bedfd) 817-540-1559 Paul Bis ent) Enk :no �f lit/ 9 Ct�x 0 Aq' Ot,-We (Leelt volve Febc6 10'- 0 o Clas� LOD PVC I MAt'wL,,V%1 t OFFICE COPY SMALL CAIA S1 ?44 CONTRACTOR REGISTI WILL BE REVOKED U `1 PERMIT EXPIRATIC 011 *I 3 �-Lvi V-01 ) v Ff ji,elq 1.m6( �P IC)I-e t VV$* FOR 65 fTj Mid-Cities TIrr r 56al 0 R dn 1"1-A Bx o721 Bedfd) 817-540-1559 Paul Bis ent) Enk :no �f lit/ 9 Ct�x