HomeMy WebLinkAboutPMISC2025-003923ADDRESS
2513 Springhill Dr.
Grapevine, TX 76051
LEGAL
Heatherwilde Blk 1 Lot
10
S
*06505619*
PERMIT HOLDER
Tanner Henshaw
Above and Beyond Plum
bing Services LLC
(469) 995-5069
COLLABORATORS
•Tanner Henshaw
Above and Beyond
Plumbing Services
LLC
(469) 995-5069
OWNERS
•Lindsey Burnett
INSPECTIONS 1
1. Plumbing Final
INFORMATION FIELDS
**APPLICANT NAME (Individual)Tanner L Henshaw
**APPLICANT PHONE NUMBER 46999505069
VALUATION 500
DOCUMENTS - MISC 01 25-003923 - Backflow Report.pdf
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.
October 10, 2025
Signature Date
City of Grapevine
PO Box 95104
Grapevine, Texas 76099
817) 410-3166
Plumbing Permit - MISC
Project # 25-003923
Project Description: Original install of water line showed a
daily DCV on the irrigation line, resulting in replacement.
Located At the meter in the front yard Old SN: ad7654 new SN
482516
Issued on: 10/10/2025 at 3:58 PM
MYGOV.US 25-003923, 10/10/2025 at 3:58 PM Issued by: Amanda Robeson
Page 1/2
Texas Commission on Environmental Quality
BACKFLOW PREVENTION ASSEMBLY TEST AND MAESTENANCE REPORT
The followin�: form must be com� leted for each assembl, tested. A si-ned and dated ori. ',ual must be submitted to the ublic water su,,v lier for recordkeejnL_*, y sag:
NAME OF PWS:
PWS ID#:
�?WS MAILING ADDRESS:
PWS CONTACT PERSON:
(P
'ADDRESS OF SERVICE:
Thi.
e backflow prevention assembl detailed be)ow hall�' been tested and maintaineil
y as required by commission regulations
and is certified to be operating within accejAable 1 ieters.
TYPE OF BACEFLOW PREVENTION ASSEMBLY (BPk):
Reduced Pressure Principle (RPBA) Reduced Pressure Principle -Detector (RPBA-D) Type Ill El
Double Check Valve (DCVA) Double Check -Detector (DCVA-D) Type 11 13
Pressure Vacuum Breaker (PVB) Spill -Resistant Pressure Vacuum Breaker (SVB)
Size: Main: Bypass:
Manufacturer: Main: Bypass:.
main:
lvt
Bypass��
Model Number: BPA Location:
Serial Number: Main: Z," Bypass,.: BPA Serves:
Replacement [3,,' Old Model/Serial # < N, A z>
Reason for test: New ET Existing 0
is the assembly installed in accordance with manufacturer recommendations and/or local codes? 1 EJ Yes 0 No
0 No
is the assembly installed on a non -potable water supply (auxiliary)? El Yes
TEST RESULT
PASS
FAIL 11 11 Check 21 Check***
Initial Test Held at 2.1 psid Held at , 2�11 , psid
Date. 10- 1 Q -011 5 I Closed Tight :E] Closed Tight i
Time:31 oo V"'t Leaked 'El Leaked El:
11�
Type II
Assembly PVB & SVB
f-ced. at Held at psid Opened at ps
Closed Tight ■ Did not open■
not Leaked El Did it fully op n.
■ 'El�
(Yes E]J
al,
Repairs and I'Main'
Materials
Used"
_]Bypass:-,---
Test After Held at psid Held at psid Opened at Held at psid Opened at sid Held at p
REMAKE Closed Tight :El Closed Tight 11 11psid Closed
psid
Date: Tight 0
Time: 17
...... .... . ..... ...... . ....... . .. .... .. ..
DCVA
21 check: numeric readimd for onL,
Differential pressure gauge used: Potable:
Non -Potable:
Make/Model: S N: 5
ate tested for accurac',
7iemarks'
Company Name: Licensed Tester Name
liintITN
!I x
V
Company Address: w 1 Licensed Tester Name (Signature):
BPAT License#
Company Phone #:
Date:
License Expiration
The above is certified to be true at the time o testing.
TEST RECORDS MUST BE KEPT FOR AT LEAST THREE YEARS [30 TAC §290.46(B)l
** USE ONLY MANUFACTURER'S REPLACENIENT PARTS