HomeMy WebLinkAboutPLBG2021-002964ADDRESS
3040 Old Mill Run,
Grapevine, TX 76051
LEGAL
Creekwood West
Addition Blk 1 Lot 21
A21
S220 1
2,012 per TAD,
*05035139*
COLLABORATORS
•Kathlyn V. Smith
HEB Plumbing &
Sprinkler
(817) 284-7777
OWNERS
•Zoellner, Mark Z
INSPECTIONS 15
1. MISC. Plumbing Inspection
2. Plumbing Rough In
3. Plumbing Sewer
4. Plumbing Shower Pan
5. Plumbing Top Out
6. Plumbing Tub Seal
7. Plumbing Water Service
8. Plumbing Gas Service
9. Plumbing P-Trap
10. Plumbing Temp Gas
11. TCEQ Backflow Certification Submit
12. Backflow Device Inspection
13. Plumbing Customer Sevice
Inspection
14. Plumbing Water Heater
15. Plumbing Final
INFORMATION FIELDS
VALUATION 1800
TCEQ SKMBT_C55221091016230.pdf
FEE TOTAL PAID DUE
Plumbing Permit Fee {VALUE}$ 57.00 $ 57.00 $ 57.00
TOTALS $ 57.00 $ 57.00 $ 0.00
The granting of this permit does not presume to give authority to violate or cancel
the provisions of City, State, or other local laws regulating construction or the
performance of construction. All provisions, laws, and ordinances governing this
type of work shall be complied with, whether specified or not and shall be enforced
at any and all times.
City of Grapevine Plumbing Permit
{VALUE}
#21-002964
Project Description: replace double check valve for irrigation
Issued on: 08/25/2021 at 6:16 AM by: Victoria Hecko
MYGOV.US 21-002964, 08/25/2021 at 6:16 AM Issued by: Victoria Hecko
Page 1/1
0
li evw�i- - %q
Texas Commission on Environmental Quality
BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT
The iollowinp for must be cqjEj�.eted for each assembly tested. A signedand dated o�iaal must be submdrted to the public water supplier for recordkeeping °purj*ses.
NAME OF PWS- 'A 6.
PWS TD4: `` c y. `
PWS MAILING ADDRESS: C .1
RSON:
PWS CONTACT PE
ADDRESS OF SERVICE:,- ('Aa tv i
The backflow, prevention assembly detailed below has been tested and maintained as required by commission regulations
and is certified to b�
'TYPE OF BACKFLOW PREVEN,60N ASSEMBLY (BPA):
Reduced Pressure Principle TRP kReduced Pwssure Principle -Detector (RPBA-D) Type II'
Double Clieck Valve (DCVA)
Double Check -Detector (DCVA-D) Type 11
Pressure Vacuum Breaker (PV) Spill-Res'stant Pressure Vacuum Breaker (SVB)
laliypaqs- is- ,iri:' f3vS:%,Ianulacturer _�
Vllode', < B,, p a s s BPA ILa0Ca(mn1
l3PA&-.r4ics:
Evd��t �"f i RO'N
ol
m ac<,,ordance %vttlh -nanufacwwe3, an,6110,6 es
Ass�m Ny P V 13 V 1-i
J u,, pi,,. As sc ird, N 11 f A'
4
fDCV A
kehcf Vatvl- Bypass C'heck Air Inle!
(7 1 e cK Waive. J
ie"t, os d Op�t,,ned al:� Hehl "al,
h�Wal es t �7 � k v s i d a S i d 11if"Ad a! ,
D psia�
_'Ios t di "lit;',?Closed'ri-lit Did not ope�
gl-t
ft)�d, j�A fij)ly op--
eaked ope'l J
L, �_J ji Leaked Le'.
L
i'epa�rti and, Nlain�:
Used-* ByP ass::
Test After Held at psid 11 Held at Parted at Held at p%id I- psid 10pened at psid 1-leld ai R
!Re iim
11psid air Closed Tight Closed l psid
I Date
�Tight El'
check: numeric reading -eHired for DCVA only
Potable: Non -Potable. Dorferentral pressure gauge used:
NisT Q:_
SN. :6-
lake/l Date tested for accuracy Model: i
Remarks:
Company Name, Licensed Tester Name
(Print/Type): S
Company Address, Licensed Tester Name (Sigrlature):
211
Company Phone BPAT License # n Gz)
7 License Expiration Date, 9 C'a 3
The above is certified to be true at t1he time of testing.
TEST REC.ORDS MUST BE KFPT FOR AT LEAST TIARFE YEARS 130 TAC §290.46(B) I
USE ONLY MANUFACTURER'S REPLACEMENT PARTS
'FCEO-20700 (Revision ()4_04-901Q)