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Home My WebLink AboutPLBG2023-003261ADDRESS 3000 Grapevine Mills Pkwy., 525 Grapevine, TX 76051 LEGAL Grapevine Mills Addition Blk 1 Lot 1r3 S Sea Life Center Aquarium PERMIT HOLDER Clayton Robinson CR Plumbing (940) 367-3778 COLLABORATORS •Clayton Robinson CR Plumbing (940) 367-3778 OWNERS •Grapevine Mills Mall Lp (317) 636-1600 TENANTS •Sea Life Center Aquarium (212) 512-9600 INSPECTIONS 4 1. TCEQ Backflow Certification Submit 2. Backflow Device Inspection 3. Plumbing Customer Sevice Inspection 4. Plumbing Final INFORMATION FIELDS **APPLICANT NAME (Individual)Clayton Robinson **APPLICANT PHONE NUMBER 9403673778 VALUATION 7000 Square Footage 35157 TCEQ 3000 Grapevine Mills Pkwy 525 Backflow Report- Food Prep Room 9.8.23.pdf, 3000 Grapevine Mills Pkwy 525 Backflow Report- Quarantine Room 9.8.23.pdf FEE TOTAL PAID DUE Plumbing Permit Fee {VALUE}$ 90.00 $ 90.00 $ 90.00 TOTALS $ 90.00 $ 90.00 $ 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 12, 2023 Signature Date City of Grapevine PO Box 95104 Grapevine, Texas 76099 817) 410-3166 Plumbing Permit {VALUE} Project # 23-003261 Project Description: Replace (2) RPZ's in quarantine room & food prep room at "Sea Life" Issued on: 09/12/2023 at 8:48 AM MYGOV.US 23-003261, 09/12/2023 at 8:48 AM Issued by: Connie Cook Page 1/2 Texas Commission on Environmental Quality BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT he 1,01o"miz Jorni nit i tv com lcicj ttye he to the tier for reconlk,,mmo .. .... 'ce" �igned and (fated oLginal mum h d P�Ws: # PWS ID#: L > A PWS1LING ADDRESS: PA'S CONTACT PFRSON�- l} T6 R E, �ss OFF S �Ei R V I CC �E bit I :!1:JUZa= 'Thebackllow' assetub. Y detailed below has een tested train e s diredbycommi3O— Prevention, dt req n ra aulations carrel is-cellified to be 2perating within acceptable parameter TYPE OF BACKFLOW PR'E'VENTION ASSEMBLY ('BPA): rl L Pressure Principle (RPBA) 0 Reduced c' uc Pro L Reduced Pressure Principle -Detector (RPBA-D) Type 11 El Z ) Double e C Double Chock Valve (bCVA) 0 Double Check -Detector (DCVA-D) Type 110 Breaker , k PVB) 0 �tant Pressure Vacuum Breaker (SVB) Spill- e.,it 0 t Pressure Vacuum Breaker (PVB)❑ Spill-Resis at Manufacturer: i -Main :Z taif vN Bypass: Size: i Main-. J; to B ypas,�: Wdel Number: Main: Bypass: BPA Location: 1 Scrial Number: Main: �ypa,,, E#18L3PA Serves: -- eAjqt��B Rea,,on for tc\,t: t New Q Existing 0 Replacement Old Model/Serial # � 1,the assembly installed in accordance with manufacturer recommendations and/or local codes? j Y E01 No IN the assembly installed on a non -potable water supply (auxiliary)? 13 Yes No TEST RESULT1 Type 11 Reduced Pressure Principle Assembly (RPBA) Assembly PVB & SVB 1 4 �n . i�ly PASS DCVA Relief Valve Bypass Check Air Inlet Check VlIv, Check Valve FAIT, n I" Check 2"d Check*** ,lbritialTest p,id p �lghl Held at psid Opened at Held at psid Opened at psid Held at Held at (H1oL'ea1t' R" Cto.sed Tight Er psid Closed Tight El _ Did not open 0 Pid P-� i d 5'i,3D?vq 0 Leaked 0 Did not Leaked 0 Did it fully open Leaked n 0 IlLcaked Open 0 I- L (Yes 0 /No 0) lRepair's and lklain: ,!Malerials i 'Used** Bvpass: ,Te Test After Re Held a[ psid 11 Held a psid Opened at Held at psid Opened at psu. I Ir7 Held at air Closed Tilght 0 lil Closed Tight C1 psid psid Closed po� D'itc: Tight 0 Tinli". I i I check: numeric reading required for DCVA on Difterential pressure gauge used: -1 Nort-Potable: 03,,j E> Wuc, Potable� 7,Y-- q9 E Sly': I Date tested tor accurael ---------- --- 7 Company Name: CILicensed Tester Nante Z Pt(AM10�V'1W (Print/Type): Licensed Tester Naine (Signature): 0millam Address- 7-25X 15eMiltCr- �n A EIBIPA,r License # C1410- -7- 37 License Expiration Date: C T Lice -7 License Ex The abclvc is certified to he true at the time of testing. TEST RECORDSMUSTBE KEPT FOR AT LEAST THREE YEARS j30TAC§290,40(B)j t 'SV ONLYMANI, JFA(-H3RER'S REPLACE"MENTPARTS 1 (10-2( 17100 1 Rct i,,ion 04-04-2019) Pwe I of 1 Texas Commission on Environmental Quality BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT A mpedand litacdonvittil lnut he 4nhmnled tot he pithlic witer at PPhcrt'orrcnrdkcptrf 'jurjN i,e,: NAME OF N�S —� it PAS ID#: !tAILIY; ADDRESS: P'A'S CONTACT PERSON: l!Izl'ss OF SERVICE: I ' 0 Thc backilow preve 110011 assembly detailed below has been tested atad in, intamm e s required by coat regulations andiscertificitobco c lating within accc MBLY (BPA): Principle -Detector- j ❑ Reduced Prc sure (RPBA-D) Type Pell 0 CVA-D) Type 110 C3 Pres, Vacuum Breaker (SVB) Al.tnittatctu re r: f Mat ir *Model Number ai:: B y p a.M's Size: Bypass: A Location—, I Serial Number: ail BPj Bypass: BPA Serves: Rea,on f,w tc,t: i Ne%N El I Existing, C01 1 Replacement Old Mo�del/Scd�al#o"�D'^' Zo I - , tile asscmblkinstalled in accordance with manufacturer recommcndationsand/or local codes'? -------- es, iNo U 1, tile as';cnibly installed on a non-potabic water supply (auxilitaryy! e'0 n Ys i I Reduced Pressure Principle Assembly (RPBA) A., TEST RESULT Type It ssemSV bly PVB & B ]PASS [�� I I DCVA - - ----- �2 Relief Valve Bypass Check Air Inlet Check Vallee .1 psid Hal 3L3- psid oP7,ted .1a Held at no.,erright C1 Didnolopen ❑ 1 psid e psid Opened at psid Held at Ck,setl Tight Cks'ed Tight 0' psid Tillic: Did not caKed ❑ Lea e 0 open 0 Leaked r-1 Did it fully open Leaked 0 —LI—'d -70 1 (Yes 0 No [1) 1 Repair, and 11Nlain: Material, 11 L sc&"' ilp"" I'�;t After Hel<3 at psid Held at psid ' C}penccl at Held at psid Opened at — psid Held at Closed Tight El VA of Dil`terential pressure gauee used: 6 V a!�� v C- Potable: Non -Potable: n -7 Zck -.,-I -t I Date tested for atcc atrsac C 0 ompany Milne: 7 Licensed Tester Name (Print Type): 1v1 Gilibe"C4— Licensed Tester Name (Signature Company Addl'CSS: Tlsv, zecr, r-Cr— Compally Pholle O' BPAT License # AF, N577 License . . .. ... Expiration DC ate: Z0 R , The above is certitleil to be true at the time of testing. 'I I-STRECORDS MUST BE KEIYI'FOR AT LEAST THREE YEARS 130 TAC §290.40(ii)l °'f I'SI-10NEYMANUFAC FURF.R'S REPLACEMENT PARTS ICLO-20701 (Rekision 04-04-2019) Paew I of I