HomeMy WebLinkAboutPLIRR2023-002666ADDRESS
3525 William D Tate
Ave.
Grapevine, TX 76051
LEGAL
Bear Run Blk F Lot 1
S
PERMIT HOLDER
John Tuttle
Tuttle Irrigation
(817) 269-8673
COLLABORATORS
•John Tuttle
Tuttle Irrigation
(817) 269-8673
OWNERS
•Grapevine Nursery Ltd
TENANTS
•Marshall Grain Co
INSPECTIONS 6
1. MISC. Irrigation Inspection
2. Letter of Compliance (Irrigation)
3. TCEQ Backflow Certification Submit
4. Backflow Device Inspection
5. Plumbing Customer Sevice Inspection
6. Plumbing Final
INFORMATION FIELDS
**APPLICANT NAME (Individual)Layne Tuttle
**APPLICANT PHONE NUMBER 8172698673
VALUATION 1500
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.
July 24, 2023
Signature Date
City of Grapevine
PO Box 95104
Grapevine, Texas 76099
817) 410-3166
Plumbing - Irrigation
Permit
Project # 23-002666
Project Description: Replace Irrigation Backflow Device "Moon
Valley Nurseries"
Issued on: 07/24/2023 at 10:24 AM
MYGOV.US 23-002666, 07/24/2023 at 10:24 AM Issued by: Connie Cook
Page 1/2
010KV5,13 Old W film a 013 V "11211XIEN ! I a 11
The folly Ai form must be comAeted for each assembl; tested. A sil ned and dated ori,inal must be submitted to tbe;ublic water su; x r re,�urdkeen: po-oses,
NAM 11 OF PWS:
PWS ]I)#: oc', 13
PWS CIAILING ADDRESS:
1.iC - Gf� ",v,
J AD3 PWSDs
ACSEVIRSON: t4 K� WS OF CE:
f�' �SV4'5-
The back ow prevention assembly detailed below has been tested and maintained as require: uirel by commission regulAions
and is :ertified to be operatin.-, within acceptable parameters.
TYPE OF BACKFLOW PREVENTION ASSEMBLY (BPA):
01 1�educed Pressure Principle (RPBA) Reduced Pressure Principle -Detector (RPBA-D) Type H El
Double Check Valve (DCVA) Double Check -Detector (DCVA-) Type 110
0' 1 'ressure Vacuum Breaker (PVB) 0 Spill -Resistant Pressure Vacuum Breaker (SVB)
IManuf,%cturer: Main: Bypass:
Mod: Bypass�—:
Serial,,Number: Main:lflS�o �p Bypass:
Size: 1 Main: Bypass:
BPA Location:
t "s,
ewe PA Serves:
Reasonfortest: � New 0 Existing 13 Replacement OldModel/Serial4t
Is the embly installed in accordance with manufacturer recommendations and/or local codes? WT i�'es El No I
Is the bly installed on a non -potable water supply (auxiliary)? 0 Yes tNo
TEST RESULT 1 Type 11
Reduced Pre�....�-,�--.-,_......ssure Principle Assembly (RPBA) Assembly PVB & SVB
PAS� DCVA
f Valve Bypass Check Air In Cbek:k Valve Inlet;
Relief
FAII, 1" Check 2" Check***
'SVB
C b Valve
4 el at
Initia is 9sid Opened Held at psid Opened at psid Held at"
I "fest i Held at Held at 0 en d at
psid ��psid
Date. 7 lClo ed Closed Tight 10 1 1�Did not open s Tight Closed Tight 101 ��i
not Time:. WWrleaked El, al Leaked DI Did n Leaked 0 Did it fully open !i,�Leaked 101
open 1131 (Yes 101 /No 10�
Repairs „:end wain:
Materials 11
Used** �, !1
i,Bypass:
..........
Test After psid
Held at L—J F Held at psid, pPa.:...�.aClosed»p...
ned at Held ad E6pened at L
psid Held atLJJ Closed Tight sipsid
Rep air Closed Tight
a Date.. Tight
Time:
heck: numeric readinre9yireorDVA orib,ilfere,ta' Pressureg2"g
auused: VC Potable: Non -Potable:
tested for accuracy ak del.
emarks: TV-
Compw,�y Name: 0 Salvim- Sd,,%44n5, Licensed Tester Name
(Print/T , re
Company Address-d,,�;f 6,v,-tt�&Cz -,%'4m5 Pjj4otp Licensed Tester Name (Signature):
Compauy Phone BPAT License #
irat on Date:
x License. E
The above is certified to be true at the time of testing.
TEST R I CORDS MUST BE KEPT FOR AT LEAST THREE YEARS [30 TAC §290.46(B)l
** USE k NLY MANUFACTURER'S REPLACEMENT PARTS
TCEQ-0700 (Revision 04-04-2019) Page 1 of 1
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