HomeMy WebLinkAboutPLBG2024-002752ADDRESS
1855 Cimarron Trl.
Grapevine, TX 76051
LEGAL
Pallaggios Estates Blk 1
Lot 3A
PERMIT HOLDER
Dillon Patterson
SWAT PLUMBING
(817) 244-4370
COLLABORATORS
•Dillon Patterson
SWAT PLUMBING
(817) 244-4370
OWNERS
•Johnson, James F
INSPECTIONS 2
1. Plumbing Water Service 2. Plumbing Final
INFORMATION FIELDS
**APPLICANT NAME (Individual)DILLON PATTERSON
**APPLICANT PHONE NUMBER 817-244-4370
VALUATION 3500
Square Footage 50
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.
August 02, 2024
Signature Date
City of Grapevine
PO Box 95104
Grapevine, Texas 76099
817) 410-3166
Plumbing Permit - MISC
Project # 24-002752
Project Description: WATER LINE REPLACEMENT TO
REPAIR THE LEAK ON THE MAIN WATER LINE
Issued on: 08/02/2024 at 1:20 PM
MYGOV.US 24-002752, 08/02/2024 at 1:20 PM Issued by: Connie Cook
Page 1/2
Texas Commission on Environmental Qaqjkify
BACKFLOW PREVENTION ASSEMBLY TEST AND JWAM1,WNAjNCE REpORT
The fellowin,- form must be completed for each assembly tested. A si-_,ied and dated o6einal must be submitted to the jiublic %Vatff sulylier for reer, I rdkeerin, *i,,wi Wes:
�__NAME OF PWS: ne
- __ __ _ _ _I Grapevi
PWS ID#:
PWS MAIL-ING ADDRESS:
PW_S CONTACT PERSOM Backfiow Coordinator
ADDRESS OF SERVICE.: SFD/ 1855 Cyrnarron Trail
___Qhloe1 SWAT PI/ 682-200-39014
The backflow prevention assembly detailed below has been tested and mairtained as required by commission regulations
and is certified to be operating within acceptable pwameters.
TYPE OF BACKFLOW PREVENTION ASSEP,1P:LY'(BPA),-
Reduced Pressure Principle (RPBA) Reduced Pressure Prine : o
iple-Detector (RPBA-D) Type H : 'i
X; Double Check Valve (DCVA)
Double Check-Delector (DCVO,-D) Type H2O
Pressure Vacuum Breaker (PVB) Spill -Resistant Pressure Vacuum breaker (SYB)
M_ain:3/4"
Manufacturer: Main: FebCo Bypass-, Size: Bypass: I
Model Number: Main: 850 RypassJ: EPA Location: Lett Side Vroe ety-dt &te
Serial Number: Main. HD56090 Bypass; TiiPk_Ser_veS: 1 Irrigation
PERMIT NUMBER: 24- 027
Reason for test: New Existing 0: Replacement E1 Old Model/Serial #
a,
Is the assembly installed i accordance with manufacturer recommendations and/or local codes?
es No
Is the assembly installed on, a non -potable water supply (auxWary)? eyes
TEST RESULT Typa Il
Reduced Pressure Principle Assembly (RPBA) Assembly PVB & SVB
7-
PASg DCVA
Relief Valve Bypass Check Airinlet Check 'Valve
FAIL 0 1 Check 21 Check'
Initial Test 7Heldatl" �si d Held ZZ;DTpsid Opened at Held at paid Opened at;.. j psid Held al
dosed Ti Closed Tlght,0 11 Did no" OPP
,Date:, Tight Closed Tight psid
Time
'Leaked Did not Lcakr Did it fully o Leaked
(;)ygxakcd pen
d
open Q
"M19 salt;.„.
R a!"
Date7.,
Tim
e
.Bypass:
Held at psid Held at psid
Glassed TightClosed Tight
2,d check: numeric readim_�
[_ 4� ]�,
rt
Differential pressure gaug ge used-
MakeM90ej:_ Midwest We�t
I Remarks: 1
kYes lu /No U)
Opened at;_._; Held at.! psid Opened at psid held at
psid Closed Mid
Tight �11
b,
ota
(astable:N,011
211 5 Date tested for taco brad
_L7_
Ll I _01 -2023
i, L_,ompany Name: .01 Accuracy Backflow Licensed Tester Name Robert MacCloskey
(Print/Tyre):
Company Address: Po Box 6832 Licensed TesterName (Sigaature):
McKinney, TX 75071
Company Phone W: 972-699-7156 SPAT License i BP0021622
License Exeiratioq D-ae, 1-11-22-2025
The above is certified to be true at the time of testing.
TEST RECORDS MUST BE KEF`T FOR AT LEAST THREE YEARS [30 TAC §290,46(B)]
[ISE ONLY MANUFACTURER'S REPLACEMENT PARTS
TCEQ-20700 (Revision 04-04-2019) Page 1 of 1,