HomeMy WebLinkAboutPMISC2023-002693ADDRESS
3326 Clearfield Dr.
Grapevine, TX 76051
LEGAL
Countryside Estates
Addition Blk 10 Lot 24
A24
S220 10
*04785061*
PERMIT HOLDER
Shannon Rockett
Mr Rooter DFW
(214) 339-9000
COLLABORATORS
•Shannon Rockett
Mr Rooter DFW
(214) 339-9000
OWNERS
•Reynaud, Otis W
INSPECTIONS 2
1. TCEQ Backflow Certification Submit 2. Plumbing Final
INFORMATION FIELDS
**APPLICANT NAME (Individual)Mark McGaughy
**APPLICANT PHONE NUMBER 2143399000
VALUATION 2500
FEE TOTAL PAID DUE
Plumbing Miscellaneous Fee $ 37.00 $ 37.00 $ 37.00
TOTALS $ 37.00 $ 37.00 $ 0.00
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 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.
July 26, 2023
Signature Date
City of Grapevine
PO Box 95104
Grapevine, Texas 76099
817) 410-3166
Plumbing Permit - MISC
Project # 23-002693
Project Description: installing double check valve
Issued on: 07/26/2023 at 10:39 AM
MYGOV.US 23-002693, 07/26/2023 at 10:39 AM Issued by: Connie Cook
Page 1/2
AC PLOW PRENENTION ASSEMBI,Y'I'ESI'ANDN,IAINTI.'NANCE REPOM'
Thc fi4lowin4 .�fonfl uItINI IV cojjlplxtcd fore", h a , �,twiht te�wdA A�L:Iml and dated ori0n;d mut N-1 a.mhimltvd to tl mipplier for mmrAwc ltt^ cater
I e%
NAME OF PWS- Citv of Grat)evine
PPS IN: 2260013
PWS NMAILING ADDRESS- 1P0 Box95104 Grapevine, TX 76099 C
4
P\\,*,s coN,rAcr PERSON:
ADDRE-SS OF SERVICE: Current Resident 3326 Clearfield Dr Grapevine. TX 76051
The backtlow prevention assembly detailed below has been tested -,aid maintaincolas required by conanission regulatiows
and is certit' ted to be operating, wit hinacceptable paranicters.
`TYPE OF BACKFLOW PREVENTiON ASSEMBLY (811A.):
Reduced Pressure Prineil)le (R09A) Reduced Pressure Principle -Detector ('RPBA-D) Type 110
Double Check Valve (DCVA) E] Double Check -Detector (DCVA-D) Tyler, 110
Pressure Vacuum Breaker (PVB) SDill-Resistaw Pressure Vacuum Breaker (SVf3)
5-11,1111facturer: :shrill -Watts N,pass: Size: Main: 3/4" 13%,Pass�
I BPA U�catit n At meter
.%'LF007M3QT Bypass: Model Number: fi ain
Serial Mimi: Bypxss.�
Niaill-214184 BP..�Serves: 7irriqation
I Reason for test- New 0 E, K i s tit —n�, 0
I Replacement El Old McKlel/Serial # ? ?
1 Is theassembly installed inaccordance with manufacturer recommendations and/or hxal codes?
Yes No
1 Is tile assellibls, installed oil a non-jx)tablewatcr sul)I)IN (auxiliaq)? D Yes E I N'
TESTRESULT
Reduced Pressure Princil)le Assenibly (RPBA) Assembly PVB & SVB
PASS DCVA
FAIL C3 I" Check 21 Check Reliel'Valve Bypass Check Air Inlet Check Valve
Re
" "' Vaive
2' if �l
IllitialTest Illeld.k12.3 psid lieldat psid Opened at I leld at psid Opened psid field at
Did
Date: 08-01-23 Clotwd Tight Closed Tirlit psid Cloy, Tight 0 Did not open �id
Time: 7:45 AM Did not C3 Did it fully open naked
0
Leaked El Leaked 0 Uaked
o )L
lvil 0 Yes C1 /No CI)
Repairs and Main:
Materials
Used*,", Bypass:
Test After Held at — psid field at 1)sid Openedat_ lieldat_psiol Opened at_psid lIe1dat___
11mair ClosedTight 0 Closed Tight 0 psid Closed p4d
Date: Tight 0
Time:
check: numeric reading intred t, r DCVA on.V
.
Differential pressure gaug-e used: Potable: Non -Potable: 0
)t
'(I)for ac-Potable:
09-23-2022
""iae" pressure
06plt7 Z3 Datetesw oraccurac
Mlake/Model: Wilkins TG-5 Sid: nR171inq
Company NaActive Backfiow Licensed Tester Name
(Printfryrle): John An fee,101 Licensed Tester Name (Signature):
Conilmny Address: 611 N IH 35E., Suite 4
Carrollton, TX 75006
Company Phone #: 972-242-2229 'Fj) K—r License #
License )iralion Date, _j 04-04-26
-f—he aboveiscertifled to I)e true at the three of testing.
*'ITSTRECORDS MUST BE KEPTFOR A,r LEAST THREE YEARS I30'I*AC §290.46(B)j
-": USE ONLY NIAN111,ACTURER'S REJILACUMENTPAR'I'S
TCPO. )(IVO i Pev;6nn W,-01-10 10 1 pnog I of I