HomeMy WebLinkAboutPLBG2023-002958ADDRESS
1517 Brookwood Dr.
Grapevine, TX 76051
LEGAL
Dove Landing Addition
Blk 1 Lot 20
S
*05787556*
PERMIT HOLDER
Shannon Rockett
Mr Rooter DFW
(214) 339-9000
COLLABORATORS
•Shannon Rockett
Mr Rooter DFW
(214) 339-9000
OWNERS
•Blake, Jennifer L
INSPECTIONS 3
1. TCEQ Backflow Certification Submit
2. Backflow Device Inspection
3. Plumbing Final
INFORMATION FIELDS
**APPLICANT NAME (Individual)Mark McGaughy
**APPLICANT PHONE NUMBER 214-339-9000
VALUATION 2935
TCEQ 1517 BROOKWOOD DR.pdf
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 13, 2023
Signature Date
City of Grapevine
PO Box 95104
Grapevine, Texas 76099
817) 410-3166
Plumbing Permit {VALUE}
Project # 23-002958
Project Description: Replaced Doublecheck device in yard
Issued on: 09/13/2023 at 3:23 PM
MYGOV.US 23-002958, 09/13/2023 at 3:23 PM Issued by: Connie Cook
Page 1/2
The follmim! form must be compkted fore h mbl,, tosatd. A skned and dukd *dowl mkist besubmimd to!!�CJIYILHC��Ater bu orw..
NAME OF PWS: QLity of Grap q
PWS ID#: 2200013
I_PWS MAILING ADDRESS: IPO Box 95104 Grape yi1ne, TX 76099
1 PWS CONTACT PERSON: I
FADDRESS OF SERVICE'. _1jennifer Blake 1517 Brookwood Dr Grapevine, TX 76051
. .........
The backflow prevention assembly detailed below -has been tested and md"itn'tained as re . quired by commission regulations
and is certified to be olvrating within acceptable Ixtrameters.
TYPE OF BACKYLOW PREVENTION A$SEMBLY , il—PA—):
RedPressure Princi -D) Type 110
- ------ F—Red'aced-► . ... ....
uced Pressure Principle (RPBA)
Double Check Valve (DCVA) El Double Check -Detector (DCVA-D) Type 110
Pressure Vacuum Breaker iiiVb) Spill -Resistant Pressure Vacuum Breaker (SVB)
Manufacturer: Main:Watts By Jim: Size,
—9 -a - 0 0 7 M 1 Q T Bypass: �atw. Bypass:
Model Number: BPA Location: lFront yard near sidewalk
Number: Main.587018 Bypass: TBPAServes: lirri 'ation
1 Reason fo-r- test; 5New 0 1 Existing 0 Replacement El Old Model/Serial#`� ?
Is the assembly installed in accordance with manufacturer recommendations and/or local codes?
190 1 Yes 0 No
Is -potable water supply (auxiliary)? the assembly installed on a non 1 Yes No
Type 11 ;t
PVB & SVB
Check Valve
psi Held at 1.8 psid
Held at g_.O psi
�j Opened at
Held at it
Held at
M
Closed Tight 0 Closed Tight 0
'psid
Closed Tight 0 Did not open' E]
Jpsid
Leaked 0 Leaked 0
Did not
open 0
Leaked �Did it fully open
0
Lea ked 171
(Yes El /No ED
Repairs and
Main:
Materials
Used**
Bypass:
'at_
T estAfter
ed Hlat i [Held psid
Regal
Closed Tight 0
Date.■
Time-
244 check: nnje� XVA oniv
Differential pressure gauge used:
Make/Model-
NIftiis TG-5
,.Remarks: Permit # 23-002932
J
Company Name: & A Activ6Sac -k-fF&W-- Licensed Tester Name
(Printff,�): 'John Ansley
Company Address: 1611 N lH 35E., Suite 4% LicensedTester Name (Signature):
Carrollton, TX 75006
Company Phone #: 7-- PAT License tBP00061
piration Date:
The above Is certified to be true at the time of testing.
TEST RECORDS MUST BE KEPT FOR AT LEAST THREE YEARS [30 TAC §290-46(8)1
** USE ONLY MANUFACTURER'S REPLACEMENT PARTS