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Home My WebLink AboutPLBG2021-002964 (2)! PLUMBING PERMIT {VALUE} Issue Date: August 25, 2021 PROJECT DESCRIPTION: replace double check valve for irrigation "7 City of Grapevine P.O. Box 95104 Grapevine, TX 76099 (817)410-3165 Voice (817)410-3012 Fax CONTRACTOR HEB Plumbing & Sprinkler State ID # 41058 P. 0. Box 999 Bedford, TX 76095 (817) 284-7777 Phone (817)285-8260 Fax (817) 320-1775 Mobile PROJECT # PLEG-21-2964 LOCATION 3040 Old Mill Run Grapevine, TX 76051 INFORMATION r e; WWW.Mygov.us Inspections Permits LEGAL Creekwood West Addition Blk 1 Lot 21 No. 1220 Tr 21 2,012 per TAD *05035139* County Tarrant Square Footage VALUATION 1800 FEES TOTAL = $ 57.00 Plumbing Permit Fee {VALUE} $ 57.00 PAYMENTS TOTAL = $ 57.00 OWNER HEB Plumbing & Sprinkler (Kathlyn V. Smith) ($57.00) Mark Z Zoellner Cc on 08/25/2021 3040 Old Mill Run NOTICES Grapevine, TX 76051 ALL work must be done in compliance with the 2006 INTERNATIONAL PLUMBING CODE. AVAILABLE INSPECTIONS ► TCEQ Backflow Certification Submit PLAN SUBMITTAL: WHEN PLANS ARE REQUIRED BY CODES, ORDINANCES, OR AS (required) DETERMINED BY THE BUILDING OFFICIAL, THREE (3) SETS OF PLANS SHALL BE ► Backflow Device Inspection (required) SUBMITTED IN HARD COPY FORMAT. ENGINEER SEALED PLANS AND ► Plumbing Final (required) CALCULATIONS SHALL BE SUBMITTED AS REQUIRED BY CODES, ORDINANCES OR WHERE OTHERWISE REQUIRED BY STATE LAW. 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. Signature Date MYGOV.US City of Grapevine I PLUMBING PERMIT (VALUE) I PLBG-21-2964 I Printed 09/10/21 at 5:35 p.m. Page 1 of 2 Texas Commission on Environmental Quality BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT The following form must be completed for each i assembly tested. A signed and dated original must be submitted to the public water supplier for recordkeeping *purposes: NAME OFPWS: p, L? j PWS ID#. PWS MAILING ADDRESS: PWS CONTACT PERSON: ADDRESS OF SERVICE:" Ock MM vwn The backflow, prevention assembly detailed below has been tested and maintained as required by commission regulations and is certified to be operating within acceptable parameters. TYPE OF BACKFLOW PREVENTION ASSEMBLY (BPA)-. Reduced Pressure Principle (RPBA 101 Reduced Pressure Principle -Detector (RPBA-D) Type 111111 Double Check Valve (DCVA) 4 101 Double Check -Detector (DCVA-D) Type 11101 Pressure Vacuum Breaker (PVB) 1IEDI Spill -Resistant Pressure Vacuum Breaker (SVB) Manufacturer: Bypass; Size: Main: Bypass:.' Model Number: Main: ,y Bypass:" BPA Location: Serial Number: Main: &-SS Bypass'; Serves: 4S-1 BPA Reason for test: New ;Ell Existing EJ Replacement Old Model/Serial I❑�r) Is the assembly installed in accordance with manufacturer recommendations and/or local codes? � zb�!Yes I'![] No Is the assembly installed on a non -potable water supply (auxiliary)? n,,'Yes I ; No TEST RESULT PASSV FAIIJi E3 k 'Initial Test Date: iTime:: Repairs and Materials Used** . Test After Re air 'Date: Time: i Type 11 Reduced Pressure Principle Assembly (RPBA) Assembly DCVA I Relief Valve Bypass Check 111 Check 11 2nd Check*** I Held at fApsid Held at"I'psid Opened at! Held at psid Closed Tight Closed Tight psid Closed Tight 117-1 Leaked ❑ Leaked Did not open ; Ell Leaked El Main:1 I PVB & SVB Air Inlet Opened at, 'psid Did not open 117-11 Did it fully open I (Yes,171� /No Iff Check Valve Held at L—i psid Leaked ❑ Bypass: 11 Held at, 1 psid Held at' psid Opened at Held at psid Opened at, .. psid Held atl i i❑F11 psid Closed psid Closed Tight 0' Closed Tight Tight ❑ *** 2 nd check: numeric reading fbiff—erential pressure- —gauge used:— LMpjce/Model: UJ IS TKT-i- Remarks: i SN d for DCVA only Potable: Non -Potable: ;01 )69350-7 1 Date tested for accuracy: Company Name: ; I Licensed Tester Name 'AA &,Lw 0 (Print/Type): �y R31�er Company Address: Licensed Tester Name (Signature): 4c,1�or,C')--jx'7(o 137 eiv,.m b I I I BPAT License # Company Phone #: -7 &14'7 License Expiration Date: I-) - AO 313 The above is certified to be true at the time of testing. TEST RECORDS MUST BE KEPT FOR AT LEAST THREE YEARS [30 TAC §290.46(B)1 **USE ONLY MANUFACTURER'S REPLACEMENT PARTS TCEO-20700 (Revision 04-04-9.0 19)