HomeMy WebLinkAboutPLBG2023-003459ADDRESS
1401 William D Tate
Ave., 100
Grapevine, TX 76051
LEGAL
1hayley Addition Blk 1
Lot 2a1
S
Grimaldi's Pizzeria
PERMIT HOLDER
Matt Thurston
Protocall
(866) 297-5082
COLLABORATORS
•Matt Thurston
Protocall
(866) 297-5082
OWNERS
•114 Gv Towers Llc
TENANTS
•Grimaldi's Pizzeria
INSPECTIONS 3
1. TCEQ Backflow Certification Submit
2. Backflow Device Inspection
3. Plumbing Final
INFORMATION FIELDS
**APPLICANT NAME (Individual)Ty Mullins
**APPLICANT PHONE NUMBER 866-297-5082
VALUATION 4382
FEE TOTAL PAID DUE
Plumbing Permit Fee {VALUE}$ 72.00 $ 72.00 $ 72.00
TOTALS $ 72.00 $ 72.00 $ 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 27, 2023
Signature Date
City of Grapevine
PO Box 95104
Grapevine, Texas 76099
817) 410-3166
Plumbing Permit {VALUE}
Project # 23-003459
Project Description: Change out RPZ to Code with stainless
steel and change height to meet code "Grimaldi's Pizzaria"
Issued on: 09/27/2023 at 9:41 AM
MYGOV.US 23-003459, 09/27/2023 at 9:41 AM Issued by: Victoria Hecko
Page 1/2
The fbMwing fbm mmst bbr ewh wov"Iv tesW& A M' md dMW I must bembtnitted 'Ipurpo=-,
NAMEOFPWS.-
PWS ID#.
PWS MAILING ADDRESS:
PWS CONTACT PERSON:
ADDRESS OF SERVICE:
The backflow prevention assembly detailed below has been tested and maintained as required by commission regulations
and is certified to be operating withi-a-acc,eptable Parameters.
TYPE OF BACKFLOW PREVENTION ASSEMBLY
Reduced Pressure Principle (RPBA) 0 Reduced Pressure Principle -Detector (RPBA-D) Type 11
Double Check Valve (M tmble check -Detector (DcvA-D) Type Iro
iu I
M1,11ressurc Vacuum j Breaker (PVB) 0Spi-Resistant Pressure Vacuum Breaker (SVB) ll
LM�pyfactumr
Main: 1 RyP&'1q., Size:
Main: Bypass -'
Model N
Main. Bypass.4 BPA TA)cafion
A�
umbe
Serial Nr
Main: I Bypass- I BPAServes.
Reason for test*
I New Existing Replacement E,,1,
Old Model/Serial #
ls the assembly
installed in accordance with manufacturer recommendatitons and/or local codes? �(es No
Is the assembly installed on a non -potable water supply (auxiliary)?
lye's No
i Reduced Pressure Principle Assembly (RPBA)
4
PVB & SVB
DCVA
Relief V
■
YR
Repairs and
,Materials
ed**
. . . . . . . . . . . . . .
lest Aftr
iffeld at 'd
tm
Re
"clo, 10
Date- t
2d check.- numeric E��uircd for DCVA only,
Differential pressure puge used: Potable: 0
ake/Modei.
Mid -West M5-5 SN:ryk19AA
_LNon-Potable:
Date tested for accuracy -
-Rcmarks:
F6;mpany Name: Licensed Tester Name
Wise Water Solubons David Roi*nb
(Printffyoe):
Company Address: 309 W Hobbs St Ucensed Tester Nam (Signature):
Boyd TX 76023
Company Phone* 817-988-3791 BPAT License SPOO19401
Lice= Expiration Date:
The above is certified to be trW # the time of testing.
TEST RBCORLKS MUST BE KEPT FOR AT LEAST TIJREE YLARS t30 TAC §290.46(B)l
USE ONLY MANUFACrURER'S REPIACEMENT PARIS