HomeMy WebLinkAboutPLBG2023-003219ADDRESS
1211 W Northwest Hwy.
Grapevine, TX 76051
LEGAL
Westview Business Park
Blk 1 Lot 1a
S
Car Wash Grapevine
Location c/o Kimball Rd.,
L.P.
PERMIT HOLDER
Crockett / Patterson
Crockett Patterson Const
ruction & Plumbing, Inc
(121) 476-3730 (3)
COLLABORATORS
•Crockett / Patterson
Crockett Patterson
Construction &
Plumbing, Inc
(121) 476-3730 (3)
OWNERS
•Kimball Road Lp
TENANTS
•Car Wash Grapevine
Location c/o Kimball
Rd., L.P.
INSPECTIONS 3
1. TCEQ Backflow Certification Submit
2. Backflow Device Inspection
3. Plumbing Final
INFORMATION FIELDS
**APPLICANT NAME (Individual)Crockett Patterson
**APPLICANT PHONE NUMBER 2147637303
VALUATION 1794
Square Footage 4500
FEE TOTAL PAID DUE
Plumbing Permit Fee {VALUE}$ 57.00 $ 57.00 $ 57.00
TOTALS $ 57.00 $ 57.00 $ 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.
September 06, 2023
Signature Date
City of Grapevine
PO Box 95104
Grapevine, Texas 76099
817) 410-3166
Plumbing Permit {VALUE}
Project # 23-003219
Project Description: Replacing (1) 1-1/2'' RPZ device inside
the mechanical closet for the car wash water system. NOT
irrigation.(Self Service Carwash) "Kimball Rd. LLC"
Issued on: 09/06/2023 at 2:10 PM
MYGOV.US 23-003219, 09/06/2023 at 2:10 PM Issued by: Connie Cook
Page 1/2
Texas Commission on Environmental Quality
BACKFLOW PREVENTION ASSENIBLYTESTAND NIAIN'tENANCE REPORT
The followin., fonn mum be coms�Ieted furvach tested. A si.-Iicd and (Lilvd oriAml inua be submitted to the f,ublic water swl in
NAME6F OWS: lcitv of Grapevine SEP
PWS ID#: :2200013
PWS MAILING ADDRESS: :PO Box 95104 Grapevine, TX 76099
PWS CONTACT PERSON:
ADDRESS OF SERVICE: Gra,,��evine Carwash 1211 W Northwest HWY Grapevine TX 76051
T lie backilow prevention assembly detailed below has been tested and Maintained as required by commission regulations
and is certified to be olvratim-, within acceptable parameters.
11'YPE OF BACKFLOW PREVENTION ASSE-14111,Y (BPA):
Reduced Pressure Principle (RPBA
Reduced Pressure Principle -Detector (RPBA-D) Type 110
Double Check Valve (DCVA) Double Check -Detector (DCVA-D) Type 110
E] •Pressure Vacuum Breaker (PVB) Spill -Resistant Pressure Vacuum Breaker.,(SUB) I
Main: Main: 1-1/2" Byp.-ks,;:
anUfacturer: Bypass: Size:
BPA Location: in meth room
Model Number: Maii':LF009M2QT Bypass:
Serial
. BPA Serves: :mainline
Number Maiii:092768 Bypass,:
Reasoil for test:
New 0 Existing 13 Rei dacenient 0 Old Model/Serial 4 153553 009M2QT
Is the assembly
installed in accordance With Inaffil fact Lire r recommendations and/or local codes'? IZI Yes D No
Is the assembly
installed on a non -potable water supply (auxiliary)? El Yes M No
TEST ]RESULT
Type It �j
Reduced Pressure Principle Assembly (RPBA) �i
Assembly !I PVB & SVB
PASS 0
DCVA 15
Relief Valve
Bypass Check Air Inlet Check Valve
FAIL 0
I" Check i� 2n' Check*** jl
Initial Test
..............
Held at 9.0 psid Held ;It 8 ps .9 id !,�ODejjod at 2.9 Iteld at psid, Opencdat Jleldat
08-2-8-23
C I oxd Ti lit Closed Tiolit d
Did not
Closed Tight 1� Did not open El psid
'Did it fully open
11,xaked
Time: 1:00 PM
Leaked Ej Lcak-ed
�U-aked
[:3
Open
li(Ye- INO
Repairs and
Mai 11
Materials
Used**
Bypass:
Test After
Held at — paid i, Held at psid Held at Opened at �? psid Opened at paid Held at
Revair
Closed Ti-ht D Closed Tight paid aiClosed;,paid
Date:
Tight 11
Ti nie:
check: nurneri re ing C ad re(;uircd for DCVA onl�,
Differential pressure gauge used: Potable: Z Non -Potable:
LMakcIM1o4Fl:.
TG-5 !06171303 Date tested for accuracL. -23-2022 L09111 1. 11
Remarks:
Company Name; ::A & A Active Backflow Licensed Tester Name
(Priq/T` pe�)John P V1919y
Company Address: 1611 N 1H 35E., Suite 410 Licensed Tester Name (Signature):
,Carrollton, TX 75006
�BPO
Company Phone #: BPAT License O06162-#
License Expiration Date: 104-04-26
The above Is certified to be true at the time of testing.
TEST RECORDS MUST OE KEPT FOR AT LEAST THREE YEARS 130 TAC k290.46(B)l
** USE ONLY MANUFACTURER'S REPLACEMENT PARTS
TCEQ-20700 (Revision 04-04-2019) Page I of I