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Home My WebLink AboutPLIRR2024-003249ADDRESS 2221 Ira E Woods Ave. Grapevine, TX 76051 LEGAL 1d F W Business Park Addition Blk 1 Lot 7a S PERMIT HOLDER Felipe Hernandez Steven’s Lawn and Sprin kler (469) 371-5279 COLLABORATORS •Felipe Hernandez Steven’s Lawn and Sprinkler (469) 371-5279 OWNERS •Blooming Colors Nursery TENANTS •Blooming Colors Nursery (817) 416-6669 INSPECTIONS 3 1. TCEQ Backflow Certification Submit 2. Backflow Device Inspection 3. Plumbing Final INFORMATION FIELDS **APPLICANT NAME (Individual)Felipe Hernandez **APPLICANT PHONE NUMBER 469-371-5279 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. September 09, 2024 Signature Date City of Grapevine PO Box 95104 Grapevine, Texas 76099 817) 410-3166 Plumbing - Irrigation Permit Project # 24-003249 Project Description: Replace 2" Backflow Device With RPZ for Irrigation System (Right Front Corner of Building) "Blooming Colors" Issued on: 09/09/2024 at 10:08 AM MYGOV.US 24-003249, 09/09/2024 at 10:08 AM Issued by: Victoria Hecko Page 1/2 Texas Commission on Environmental Quality BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT The Eollo%yjn_form must be com =feted for trachassembl%,tested. A siguied and dated orizinal must be submitted to Ate public water sufier for rccordkeeinL* ur-oses: NAME OF PWS: Gravine PWS ID#: PWS MAILING kDDRESS: __5013bady-Eirook SC PERSON: Backfiow Coordinator SS OF SERVICE- _Tkc, /Ic� 17 e- L.,fete The be ow prevention assembly detailed below has been tested and maintained as reWirel by commission regulati ons and is certified to be.opera tix!L1c�eptwithin aqI rne — — ql�,�_Lizaraqtjs. )® _ -1. 1-1. __ - I TYPE OF BACKFLOW PREVENMON ASSEMBLY (BPA ie—duced Pressure P rinciple-(RP-BA) Reduced Pressure Principle -Detector (RPBA-D) Type IFE11 Double Check Valve (DCVA Double Check -Detector (DCVA-D) Type JI:13 Bak_ef �VB Pressure VacuumreSpill-Resist t Pressure Vacuum Breaker (SVB), .. ........ ............ 1 Manufacturer: Main:__T_ Bypass- .1 Size: Main: Bypass: 1: Model Number. n: Bypass4' _BPA Location . : ___ J_ Serial Number. Main: c Bypass, BPA Serves: PERMIT NUMBER: Reasonfor test: 1 New tl Existing Replacement Old Model/Serial #i 1-- Is the assembly installed in accordance with manufacturer recommendations and/or local codes? '91 lye 0 s 113 N Is the assembly installed on a non -potable water supply (auxiliary)? 0 Yes No TEST RESULT Type H Reduced Pressure Principle Assembly (RPBA) Assembly PVB. & SVB PASS DCVA Ref Valve Bypass Check Air Inlet Check Valve eli FAIL 0 1 St Check 2"d Check**;, psid Opened at:3�s 1� Held at psid psid 1� Held at Initial Test Held at;SQ psid Held at IS Opened at: :Date: -rj- I I- Zci Closed Tight JS EX z;psid Closed Tight Did not open �.'Closed`Tight JCJ psid Did not Time: rJv_eked -,d Did it fully open, Leaked 0 Loeak 0 Leaked 'Open (Yes 10I /No tEl ,:Repairs and Main:: Materials Used** ByTass: T at psid Opened at' psid ii Hold at eA After :,:Held at psid ',Held at Held ppid Opened at Reagir ,Closed Tight - 01 'dosed Tight psid Closed psid D I ate: Tight :0 'Time: 21 check- numeric readinV recijuired for DCVA only Differential pressure gauge used: I Potable: Non -Potable: EJ e Make/Modl: 'I - _ , e 4z � Date tested for accurac% io Remarks: J, Comp any Name: Licensed Tester Name is tr (Printffvne): Company Address: E 1 1 Licensed Tester Name (Signature): Company Phone #- BPAT License # zc' T_, L4 ci 7� CIL5. 791 1 LicenseEx,iration Date. The above is certWed to be true at the fime of tcsftg. TEST RECORDS MUST BE KEPT FOR AT LEAST THREE YEARS [30 TAC §290,46(B)] ** USE ONLY MANUFACTURER'S REPLACEMENT PARTS TCEQ-20700 (Revision 04-04-2019) Page I of 3