HomeMy WebLinkAboutPLBG2024-003565 (3)ADDRESS
2221 Ira E Woods Ave.
Grapevine, TX 76051
LEGAL
1d F W Business Park
Addition Blk 1 Lot 7a
S
PERMIT HOLDER
Rodrigo Flores
Saucedos Plumbing GC
(214) 694-8962
COLLABORATORS
•Rodrigo Flores
Saucedos Plumbing
GC
(214) 694-8962
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)Rodrigo Flores
**APPLICANT PHONE NUMBER 214-236-3972
VALUATION 800
FEE TOTAL PAID DUE
Plumbing Permit Fee {VALUE}$ 45.00 $ 45.00 $ 45.00
TOTALS $ 45.00 $ 45.00 $ 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.
October 01, 2024
Signature Date
City of Grapevine
PO Box 95104
Grapevine, Texas 76099
817) 410-3166
Plumbing Permit {VALUE}
Project # 24-003565
Project Description: Replace 3/4" Double Check (for
Restrooms) Located in Front Yard / Right Side "Blooming
Colors"
Issued on: 10/01/2024 at 10:29 AM
MYGOV.US 24-003565, 10/01/2024 at 10:29 AM Issued by: Victoria Hecko
Page 1/2
Texas Commission on Environmental Quality
BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT
The fol owi form must be com leted for each assembK terra
esied and dated oriuinal must be submitted to the .,blic water su tier for rccordkee:
NAME OF PWS: Gra�:evine
PWS ID#:
PWS MAILING ADDRESS: 501 S'naoy B"Oax
PWS CONTACT PERSON: Backfiow Coordinator
AD DRESS OF SERVICE: Z'
The backflow prevention assembly detailed below has been tested and maintained as c required by ommission regulations
and is certified to be operatin-, within acceAtable parameters.
TYPE OF BACKFLOW PREVENTION ASSEMBLY (BPA):
C]; Reduced Pressure Principle (RPBA) Reduced Pressure Principle -Detector (RPBA-D) Type WE]
r*11 Double Check Valve (DCVA) 0 Double Check -Detector (DCVA-D) Type 11
P ressure Vacuum rer Spill -Resistant Pressure Vacuum Breaker (SVB) Beak(PV
Manufacturer: Main: f
Main_ c', Bypass:, Size: Main: m Bypass:
Model Number: Bypas BPA Location: 4
Serial Number: Main: ,7 Bypass;. BPA Serves:
PERMIT NUMBER:
Reason for test: New El Existing EJ Replacement Old Model/Serial #I t
Is the assembly installed in accordance with manufacturer recommendations and/or local codes?
21 Yes E] No
Is the assembly installed on a non -potable water supply (auxiliary)? 13 Yes No
TEST RESULT Type Il
nci
educed essure le Ass embly (RPBA) Assembly PVBr & SVB
�RPrPrip
PASS ....�.._
DCVA
1,,Relief Valve Bypass Check Air Inlet Check Valve
FAIL El 11 Check 2" Check***
AL
1p psid Opened at psid i Held at
Held at,�Z -$ psid sid Opened at
Initial Test Held a�_ P Held at!-,
�Close d Tight j
0 Did not open :Ipsid
Date: Closed Tight i�ClosedTight P� Psid
'!bid it fully
Time: 9 Did not 1�
Leaked Leaked 0 0 4Leaked 0 open Leaked
Open `(Yes!D/Noll
Repairs ain:
Materials
Used" �,'Bypass:
at
i psid J� Opened at Held
Test After Held at psid Held at psid Opened at psid ��Held at
Repai C1„losedTi-ht EIIClosed.Tight C]' j1psid ItClosed psid
Date: ;;Tight 'El
Time::
2" check: numeric readin�: re,ruired for DCVA onli
Differential pressure gauge used: Potable: Non -Potable:
S j
Make[Model- 7 'N: Pate ter'sted for accurac
Remarks:
Company Name: Licensed Tester Name
(Print/T
Company Address: Licensed Tester Name (Signature): . .... .
Company Phone #- BPAT License #
License Ext,iration Date:
The above is certified to be true at the time of testing.
TEST RECORDS MUST BE KEPT FOR AT LEAST T14REE YEARS [30 TAC §290.46(B)l
** USE ONLY MANUFACTURFR'S REPLACEMENT PARTS
TCEQ-20700 (Revision 04-04-2019) Page 1 of 1