HomeMy WebLinkAboutPMISC2025-004091Issue ®
CITY OF GRAPEVINE
(CIRCLE ONE)
PLUMBING - IRRIGATION - FUEL GAS MECHANICAL' ELECTRICAL
PERMIT APPLICATION
4PLEASE PRINT LEGIBLY — COMPLETE ENTIRE FORW
__B_LDG. PERM -IT # _7 _DAT__E,_:_______ hk_ # P lift
JOB ADDRESS: SUITE #
DESCRIPTION OF WORK:
p ROO E R'TY 0, W NF R:
ADDRESS:
CITYISTATEIZIP7
PHONE NUMBEP:
. ... ....... ...... TYPE OF OCCUPANCY
1. R-3
[New Residential Construction
Additions & Alterations]
SINGLE FAMILY, TOWNHOUSE,
DUPLEX
(PER UNIT}
TOTAL S. FOOT UNDER
ROOF
BUILDING AREA
_J (SO FT)
CONTRACTING COMPANY'
ADDRESS:
CITYISTATEOP:
PHONE NUMBER:
PERMIT FEES
EACH TRADE
1 -
749
$
33.25
750-
1,199
$
49.88
1,200-
1,500
$
63.18
1,501-
1,750
$
76.48
1,751 -
2,000
$
83.13
2,001 -
2,250
$
89.78
2,251 -
3,000
$
96.43
3,001 -
3,500
$
103.08
3,501 -
4,000
$
109.73
4,001 + $ 120.37
.......... . ..... . .... . .... . . .....
EACH TRADE
'11. A. E. I R-1
[New Commercial Construction or 1 - 500
Addition] 501 — 100,000
HOTELS, APARTMENTS, DRINKING/ 100,001 — 500,000
DINING, EDUCATIONAL, ASSEMBLY, 500,001 +
INSTITUTIONAL
111. B, F H, M, S, U
[New Commercial Construction or I - 500
Addition] 501- 50,000
OFFICE, RETAIL, AIL, WHOLESALE, 50,001- 100,000
GARAGES, FACTORIES, 100,001+
WORKSHOPS. SERVICE STATIONS.
WAREHOUSE
CONTRACT
IV. ANY OCCUPANCY GROUP VALUATION OF
WORK
$
37.00
$
17.50+.035
PER
$
3,500.00+.03
SQUARE
$15,000.00+.02
FOOT
EACH TRADE
$
37.00
$
32.00+.01
PER
$
182.00+ .007
SQUARE
$
582.00+.003
FOOT
N
AMOUNTIDUE
FINISH -OUTS, SHELL
COMPLETIONS, ALTERATIONS,
0- 500
$
37.00
ACCESSORY STRUCTURES
501- 1,500
4$
45.00
or STAND-ALONE PERMITS.
1,501- 3000
e$
57.00
3,001- 5:000
$
72.00
CONTRACT VALUATION O
5,001- 50,000
$
27.00+.009
50,001- 100,000
$
127.00+.007 PER
IVALUATION
100,001- 500,000
$
327.00+ 005
DOLLAR $
500,001+
$ 1,327.00+.003
EACH TRADE
V. MISCELLANEOUS
IRRIGATION SYSTEMS
$
37.00
MOBILE HOME SERVICE
$
37.00
TEMPORARY POLE SERVICE
$
37.00
SWIMMING POOLS
$
37.00
SIGN ELECTRIC
$
37.00
RESIDENTIAL A/C & W/H Change Out 1
$
37.00
MF A/C & W/H Change Out oer Unit
$
37.00
j=11IT11111 ' Clip
� r a• rr>-r * i- r r r
+ i � * a � + : r , if r= i r • - r * i ., •:
i ■ t r!' r
INSPECTIONS OUTSIDE i' *L BUSINESS HOURrr '
• i rr
PERMITS FOR WHICH NO FEE IS SPECIFICALLYr * rF $37.00
INSPECTIONS it WHICH NO FEE IS SPECIFICALLYr HOUR rr • r
ADDITIONAL * REQUIRED ADDITIONS,OR REVISIONS i
BUILDING PERMIT FEES FOR THE GRAPEVINE-COLLEYVILLEi ii DISTRICT
SHALL BE 25% OF *:TABLE
HEREBYFOR USE OF OUTSIDE CONSULTANTS FOR PLAN CHECKING AND INSPECTIONS, OR BOTH ......... ACTUAL COSTS*
CERTIFY THAT FOREGOING CORRECT"i THE BEST OF r; AND ALL WORK
PERFORMED ACCORDING TO THE DOCUMENTS APPROVED BY THE BUILDING DEPARTMENT AND IN COMPLIAN
WITH THE CITY OF GRAPEVINE itES REGULATING CONSTRUCTION.UNDERSTOOD THAT THE ISSUANCEi
THIS PERMIT DOES NOT.* OR AUTHORIZE ANY • a i OF it OR ORDINANCE OF THE CITYi
GRAPEVINE.
LOCALI FURTHER CERTIFY THAT ALL WORK THAT IS REQUIRED TO COMPLY WITH ANY FEDERAL, STATE, AND
*- iING ENERGY CONSERVATION WILL BE PERFORMED IN ACCORDANCETHOSE
►■ ■� i i ii i f i 'i i
SIGNATURE CONTRACTOR it AUTHORIZEDs • NAME
i' HOMEOWNER FOR HOMEOWNERS
PHONE : EMAIL:
In residential districts, standby generators for emergency use only; provided all of the following conditions
are et:
i. A permit has been issued for such generator
2. Generator is screened from view as defined in Section 5.0
3. Periodic testing is conducted only during the hours of 7am to 7pm Monday — Saturday with no
testing on Sunday
. Shall be located three feet (3'-0") minimum from the adjacent property line
5. Permissible sound levels /- 5db for the district at buildings on adjacent properties shall be met
during final inspection test as defined in Table 1 of Section 55..3
. Any generator installed for continuous use in non -emergency conditions is prohibited
Building Services Department
The City of Grapevine P.O. Box 9510 Grapevine, Texas 76099
(17) 1-16 (17) 10-16
www. `aevinet x s..dov
G:PORMSATS Applications-Fees1MEP Applim im
Revised: 1-2024
City of Grapevine
Plumbing Permit - MISC
PO Box 95104 Project # 25-004091
Grapevine, Texas 76099
817) 410-3166 Project Description: Install water heater -0"
Issued on: 10/23/2025 at 12:11 PM
ADDRESS INSPECTIONS 2
2712 Rosecliff Terr.
Grapevine, TX 76051 1. Plumbing Water Heater 2. Plumbing Final
LEGAL INFORMATION FIELDS
Timberline South
Addition Blk 2 Lot 12 —APPLICANT NAME (individual) Justin Huffman
A 12 **APPLICANT PHONE NUMBER 817-694-8627
S2202 VALUATION 1000
*05998603*
PERMIT HOLDER
FEE TOTAL PAID DUE
JUSTIN HUFFMAN
Plumbing Miscellaneous Fee $37.00 $37.00 $37.00
NORTH TEXAS PLUMBI
NG SOLUTIONS
TOTALS $37.00 $37.00 $0.00
(817) 733-1015
READ AND SIGN
COLLABORATORS
® JUSTIN HUFFMAN
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF
MY KNOWLEDGE AND ALL WORK WILL BE PERFORMED ACCORDING TO
NORTH TEXAS
THE DOCUMENTS APPROVED BY THE BUILDING DEPARTMENT AND IN
PLUMBING
COMPLIANCE WITH THE CITY OF GRAPEVINE CODES REGULATING
SOLUTIONS
CONSTRUCTION. IT IS UNDERSTOOD THAT THE ISSUANCE OF THIS PERMIT
DOES NOT GRANT OR AUTHORIZE ANY VIOLATION OF ANY CODE OR
(817) 733-1015
ORDINANCE OF THE CITY OF GRAPEVINE.
OWNERS
I FURTHER CERTIFY THAT ALL WORK THAT IS REQUIRED TO COMPLY WITH
ANY FEDERAL, STATE, AND / OR LOCAL LAW REGARDING ENERGY
• Kristin Jayne Burt
CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE
Haggard
LAWS, AND THAT VERIFICATION OF ENERGY CODE COMPLIANCE SHALL BE
SUBMITTED TO THE CITY UPON REQUEST
October 23, 2025
Signature -bate
Page 1/2
MYGOV.US 25-004091, 10/2312025 at 12:11 PM Issued by: Amanda Robeson
Plumbing Permit - MISC
Project 04091
l
r
NOTES
> 24 HOUR INSPECTION
METRO (817) 410-3010, CUT OFF TIME FOR A.M. INSPECTION 17:30 A.M. ___ CUT OFF TIME FOR P.M.
INSPECTION IS 12:30 P.M.
a PERMIT! IN ACCORDANCE WITHAPPLICATION IL IN THISOFFICE.
. + r . i■ • • r �r r+ i + i
i" - r r' i` +:+ r• r •- + - - it i i! r+ i •■',
+
__. Page 2/2
MYGOV.US 25-004091, 10123/2025 at 12:11 PM Issued by: Amanda Robeson
DATE OF ISSUANCE::
VINE
PERMIT #:
ti
BUILDING PERMIT APPLICATION
JOB ADDRESS:
SUITE
LOT: BLOCK: SUBDIVISION:
BUILDING CONTRACTOR (company name):
CURRENT MAILING ADDJf"SS:
CITY/STATEIZIP:
PH: # Fax#
PROPERTY OWNER:
CURRENT MAILING ADDRESS:
CITY/STATE/ZIP:• PHONE NUMBER:
PROJECTVALUE: FIRE SPRINKLERED? YES NO
WHAT TRADES WILL BE NEEDED? ELECTRIC PLUMBING... '- MECHANICAL
DESCRIPTION OF WORK TO BE ONE:
USE OF BUILDING OR STRUCTURE:
NAME OF BUSINESS:
Total Square Footage under roof: Square Footage of alteration/addition:
El I hereby certify that plans have been reviewed and the building will be inspected by a certified energy code inspector in accordance with
State Law. Plan review and inspection documentation shall be made available to the Building Department (required for new buildings,
alterations and additions)
El I hereby certify that plans have been submitted to the Texas Department of Licensing and Regulation for Accessibility Review.
Control Number: (Not required for 1 & 2 family dwellings)
U I hereby certify that an asbestos survey has been conducted for this structure in accordance with the regulatory requirements of the Texas
Department of Health.
(REQUIRED FOR DEMOLITIONS, ADDITIONS AND OR ALTERATION TO COMMERCIAL AND PUBLIC BUILDINGS)
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 Ordinance 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 FURTHERMORE UNDERSTAND
THAT PLANS AND SPECIFICATIONS ARE NOT REVIEWED FOR HANDICAPPED ACCESSIBILITY BY THE CITY, AND THAT THE
DESIGN PROFESSIONAL/OWNER IS RESPONSIBLE FOR OBTAINING SUCH APPROV \J,, I ROM THE APPROPRIATE STATE AND
OR FEDERAL AGENCY(S).
PRINT NAME:
SIGNATURE
PHONE #: EMAIL:
CHECK BOX IF PREFERRED TO BE CONTACTED BY
FOLLOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT - -
Construction T. i�e: Pen -nit Valuation: $
. .... ..... . Setbacks Approval to Issue
Occuranc-r, Grour Fire Sprinkler: YES NO Front:
Electrical
Division: Buildino Der4h: Left: Plumbin
g
Zonin,,�7: Bulldin�_, Width: Rear: Mechanical
. . . . ................
Occupanc', Load: Grease Tra�� RLht: Hood
...........
Plan Review Approval: Date: 'Building Pen -nit Fee:
.... ......................
Site Plan Approval: Date: Plan Review Fee:
Fire D e�,artmcnt: Date: Lot Draina--,e Fee:
Public Works Derartment: Date: Sewer Availability Rate:
Health De,)artment: Date: Water Availability Rate:
Approved for Permit: Date: Total Fees:
Lot Drainage Submitted: Approved: Total Amount Due:
P.O. BOX 95104, GRAPEVINE, TX 76099 (817) 410-3165 0:FORMSOSPERMITAPPLICATIONS 1102-R-1 1104N06,2107,1 1/0%4111,2119