HomeMy WebLinkAboutPLBG2024-003166ADDRESS
633 Westport Pkwy.
Grapevine, TX 76051
LEGAL
Westport Business Park
Addition Blk 2 Lot 2r2
S
PERMIT HOLDER
Lance Gerald Carlson
LGC Plumbing, Inc.
(972) 278-7075
COLLABORATORS
•Lance Gerald Carlson
LGC Plumbing, Inc.
(972) 278-7075
OWNERS
•Bsrep Iii 633 Westport
Lp
TENANTS
•Azteca Enterprises,
LLC
INSPECTIONS 3
1. TCEQ Backflow Certification Submit
2. Backflow Device Inspection
3. Plumbing Final
INFORMATION FIELDS
**APPLICANT NAME (Individual)Lance Carlson
**APPLICANT PHONE NUMBER 9722787075
VALUATION 2500
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.
August 30, 2024
Signature Date
City of Grapevine
PO Box 95104
Grapevine, Texas 76099
817) 410-3166
Plumbing Permit {VALUE}
Project # 24-003166
Project Description: Replacing a 2" backflow device in the
pump room "Azteca Enterprises, LLC"
Issued on: 08/30/2024 at 4:32 PM
MYGOV.US 24-003166, 08/30/2024 at 4:32 PM Issued by: Courtney Cogburn
Page 1/2
City of Grapevine Plumbing Permit {VALUE}
Project # 24-003166
NOTICES
ALL work must be done in compliance with the 2021 INTERNATIONAL PLUMBING CODE. ALL work issued
prior to January 1, 2024, must be done in compliance with the 2006 INTERNATIONAL PLUMBING CODE.
PLAN SUBMITTAL: WHEN PLANS ARE REQUIRED BY CODES, ORDINANCES, OR AS DETERMINED BY
THE BUILDING OFFICIAL, THREE (3) SETS OF PLANS SHALL BE SUBMITTED IN HARD COPY FORMAT.
ENGINEER SEALED PLANS AND CALCULATIONS SHALL BE SUBMITTED AS REQUIRED BY CODES,
ORDINANCES OR WHERE OTHERWISE REQUIRED BY STATE LAW.
NOTES
> 24 HOUR INSPECTION NUMBER
METRO (817) 410-3010, CUT OFF TIME FOR A.M. INSPECTION IS 7:30 A.M. --- CUT OFF TIME FOR P.M.
INSPECTION IS 12:30 P.M.
> PERMIT ISSUED IN ACCORDANCE WITH APPLICATION ON FILE IN THIS OFFICE.
THIS PERMIT SHALL EXPIRE IF WORK IS NOT COMMENCED WITHIN (180 DAYS) OF ISSUANCE OR IF
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF (180 DAYS). THE ISSUANCE OR
GRANTING OF THIS PERMIT AND / OR APPROVAL OF PLANS, SPECIFICATIONS AND
COMPUTATIONS SHALL NOT BE CONSTRUED TO BE A PERMIT FOR, OR AN APPROVAL OF, ANY
VIOLATION OF ANY OF THE PROVISIONS OF THE CODES AND ORDINANCES OF THE CITY OF
GRAPEVINE. THE ISSUANCE OF A PERMIT BASED ON PLANS, SPECIFICATIONS, AND OTHER DATA
SHALL NOT PREVENT THE BUILDING DEPARTMENT FROM THEREAFTER REQUIRING THE
CORRECTION OF ERRORS IN SAID PLANS, SPECIFICATIONS, AND OTHER OR REQUIRING
CORRECTIONS OF THE CONSTRUCTION ITSELF.
MYGOV.US 24-003166, 08/30/2024 at 4:32 PM Issued by: Courtney Cogburn
Page 2/2
P � f, o
TexaCm s omission on Environmental Quality aA,
BBC' KFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT
tested, A siured aced daWonpinul `,hfKWafer,,-,U: Ji.j tClIr
NAME OF PWS. Grapevirr
PWS ID#:
PPS MAILING ADDRESS:
PWS CONTACT PERSON: Bakw CoprOinator
ADDRESS OF SERVICE: 5
The backflow prevention assembly detailed below has been tester) and mairimined as required by commission regulations,
and is certified to be oltratin-, within acceptable pararneters,
TYPE OF BACK -FLOW PREVENTION ASSY (BPA).
Reduced Pressure Principle (RPBA) 0 Reduced Pressure Principle -Detector (R-PBA-D) Type It D
Cl Double Check Valve iDCVA) 0 Double Check -Detector (DCVA-D) Type It 0
Pressure Vacuum Weaker jPVB) Spill -Resistant Pressure Vacuurn Breaker (SVI3)
�\J Bypass, Size: Maiw Bypass:
Tvianufacturer:
BPA Location,
tvlodel Number: Main: L f-oo cy m 13ypa,s- cf le
Serial Nfurnber: Main. Bypa,,4s. BRA Serves:
C
PERMIT NUMBER: 14 003
Reasonfortest: New Existing Replacerneat Old Model/Serial
(3
Is the assembly installed in accordance with manufacturer recoritmendations and/or local caries:` Z 'Yes '0 No
Is the assembly installed on a non -potable water supply (auxiliary)'? 0 -Yes 'SNo
TEST RESULT;
I j Type 11
FAIL 0
4ttitial Test
Repairs and
Materials
Used"
Reduced ..Pressure Principle Assembly (,RPBA) 1 Assembly
DCVA
Relief Valve Bypass Check
I" Check 2"' Checlk*** ,I
Held at � psid !4leldal
Clo,,,,ed Tight )Closed
Leaked Lcakcd
ain:
9=
ps-id I '10peaed at-'.
Tight psici
not
ope,
WIRM
Air Inlet j
Check Valve
Held at:— psid Opened at psid 11 Held at
Closed Tight EJ_ 'Did not open lipsid
Lcaheel
C] Did it fully open 111-enked 0
(Yes 11 /No [1)
Test After Reldar _ psid Heldat )sid I Opened at Held at — psid Opened at
I n psid Closed psid'fielkl at
&pair iiClosedTi-ht El Closed 'right psid
ZZ,
Date, Tight 0
Time:
211d check: nurneric, readin-1 required for DCnly
-.'-. 1:1 11 .. "I I I I . I- 1 11 ; 11 11 11 --4'-- � 6iflerential pressure gauge used- Potable. VA oNon-Potable-, C3
Date tested for accurac,, SN:
Make/Model 7 tZq-cy
t te
Remarks:
Company Name: f9lext- A,), &--kPtok, Licensed Tester Name
'te- -� 4: (Print/Tviw)r
Company Address: W A 6, le e-, c °f Licensed Tester Narne (Signature).
AI (ei 7503
Company Phone ff: BPAT License OP010 IE04_1 e
LiE':X
cense pirution Datc,�
The above is certified to be true at the time of testing.
[EST RFC ORDSIMUST BE KEPT FOR AT LEAST THREE YEARS t30 TAC,�,290ANB)l
t "SF ONLY NJANI ;FACTURFR'S RFP1 A("FNINN'T PARTS
TCEQ-20700 (Revision 04-04-2019) Page I ot, I