HomeMy WebLinkAboutPLIRR2017-2763 e MAY
�GRA Issue Date:
CITY OF GRAPEVINE d
(CIRCLE ONE)
MECHANICAL - ELECTRICAL - PLUMBING IRRIGATION —FUEL GAS
PERMIT APPLICATION
�:. (PLEASE PRINT LEGIBLY—COMPLETE ENTIRE FORM)
PERMIT# BLDG.PERMIT# DATE: y
JOB ADDRESS: t n i WI # �7
L i•-
DESCRIPTION OF WORK: f
PROPERTY OWNER: CONTRACTING COMPANY: // / /
�w K�JcoJQ cLl�
ADDRESS: ADDRESS:
o } ac �� u
CITY/STATE/ZIP: CITY/STATE/ZIP:
PHONE NUMBER: PHONE NUMBER:
TYPE OF OCCUPANCY BUILDING AREA PERMIT FEES G AMOUNT DUE
SQ FT) _
EACH TRADE
I. R-3
1 - 749 $ 33.25
SINGLE FAMILY, DUPLEX 750— 1,199 $ 49.88
TOWNHOUSE, 1,200- 1,500 $ 63.18
NEW CONSTRUCTION& 1,501 - 1,750 $ 76.48
ADDITIONS(PER UNIT) 1,751 - 2,000 $ 83.13
2,001 - 2,250 $ 89.78
TOTAL SQ. FOOT UNDER 2,251 - 3,000 $ 96.43
ROOF 3,001 - 3,500 $ 103.08
3,501 - 4,000 $ 109.73 $
4,001 + $ 120.37
EACH TRADE
II. A, E, I, R-1
1 - 500 $ 37.00
HOTELS,APARTMENTS, 501 —100,000 $ 17.50+.035 PER
DRINKING/DINING, 100,001 —500,000 $ 3,500.00+.03 SQUARE
EDUCATIONAL,ASSEMBLY, 500,001 + $15,000.00+.02 FOOT $
INSTITUTIONAL
EACH TRADE
OFFICE, RETAIL, WHOLESALE, 1 - 500 $ 37.00
GARAGES, FACTORIES, 501 - 50,000 $ 32.00+ .01 PER
WORKSHOPS,SERVICE 50,001- 100,000 $ 182.00+ .007 SQUARE
STATIONS, WAREHOUSE_ _ 100,001+ 1 $ 582.00+.003 1 FOOT $
CONTRACT EACH TRADE
IV. ANY OCCUPANCY GROUP VALUATION OF
WORK
FINISH-OUTS,
SHELL COMPLETIONS, 0- 500 $ 37.00
ALTERATIONS OR 501- 1,500 $ 45.00
STAND ALONE PERMITS 1,501- 3,000 $ 57.00
3,001- 5,000 $ 72.00
CONTRACT VALUATION OF WORK: 5,001- 50,000 $ 27.00+ .009
50,001-100,000 $ 127.00+ .007 PER
$_ 100,001-500,000 $ 327.00+ .005 DOLLAR $
500,001+ $ 1,327.00+ .003 IVALUATION
EACH TRADE
V. MIS12,1ELLANE011
IRRIGATION SYSTEMS $ 37.00
MOBILE HOME SERVICE $ 37.00
TEMPORARY POLE SERVICE $ 37.00
SWIMMING POOLS $ 37.00
SIGN ELECTRIC $ 37.00 $ 57
C:\Users\sbatte\AppDala\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\G8CE6GQFIMEP APPLICATION 4-11.doc
L6
PLAN SUBMITTAL:
WHEN PLANS ARE REQUIRED BY CODES, ORDINANCES, OR AS DETERMINED BY THE BUILDING
OFFICIAL, THREE (3) SETS OF PLANS SHALL BE SUBMITTED IN HARD COPY FORMAT. ENGINEER SEALED
PLANS AND CALCULATIONS SHALL BE SUBMITTED AS REQUIRED BY CODES, ORDINANCES OR WHERE
OTHERWISE REQUIRED BY STATE LAW.
OTHER INSPECTIONS AND FEES:
• INSPECTIONS OUTSIDE NORMAL BUSINESS HOURS(2HR MINIMUM)...............................................$42.00/HOUR*
• REINSPECTION FEES.................................................................................................................. $42.00
• PERMITS FOR WHICH NO FEE IS SPECIFICALLY INDICATED........................................................... $37.00
• INSPECTIONS FOR WHICH NO FEE IS SPECIFICALLY INDICATED(1/2 HOUR MINIMUM)......................$42.00/HOUR
• ADDITIONAL PLAN REVIEW REQUIRED BY CHANGES,ADDITIONS,OR REVISIONS TO
APPROVEDPLANS.......................................................................................................................$42.00/HOUR
• BUILDING PERMIT FEES FOR THE GRAPEVINE-COLLEYVILLE INDEPENDENT SCHOOL DISTRICT
SHALL BE 25%OF THE FEES ESTABLISHED IN THIS TABLE
• FOR USE OF OUTSIDE CONSULTANTS FOR PLAN CHECKING AND INSPECTIONS, OR BOTH.........ACTUAL COSTS**
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 LA EGAR NG ENERGY CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE LAWS,
AND THAT VERI ION OF ENERGY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST.
SIGNATURE O CONTRACTOR OR AUTHORIZED AGENT PRINTED NAME
(OR HOMEOWNF,R FOR HOMEOWNERS PERMITS)
P1 ���—9a�&/ EMAIL.
– ! �' _
*OR THE TOTAL HOURLY COST TO THE JURISDICTION WHICHEVER IS GREATER.
**ACTUAL COSTS INCLUDE ADMINISTRATIVE AND OVERHEAD COSTS.
Development Services Department,Building Inspections
The City of Grapevine*P.O.Box 95104*Grapevine,Texas 76099 *(817)410-3165
Fax(817)410-3012 *www.grapevinetexas.gov
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Lakeside Irrigation
504 Willow Springs
Heath,TX 75032
Office:972-722-8020
Fax:972-772-3246
IRRIGATION SYSTEM MAINTENANCE CHECKLIST
Installation Completion Date: -icqa 41
Address:
The following items have been provided and explained to the irrigation system owner or system
owner's representative.
❑ The manufacturer's manual for the controller.
❑ A seasonal watering schedule.
❑ A list of components that require maintenance and the recommended frequency of maintenance is
attached.
❑ A permanent sticker has been attached to the controller indicating the warranty period for the
irrigation system and contact information.
❑ The corrected or re-drawn design plans indicating the actual installation and components of the
system.
❑ Location and operation of the isolation valve.
Irrigation system owner/representative Date
This irrigation system has been installed in accordance with all applicable state and local laws,
ordinances, rules, regulations or orders. I have tested the system and determined that it has been
installed according to the Irrigation Plan and is properly adjusted for the most efficient application of
water at this time.
Irrigator Date Irrigation Technician Date
Irrigation in Texas is regulated by the Texas Commission on Environmental Quality(TCEQ)
(MC-178), P.O. Box 13087, Austin, Texas 78717-3087.'TCEQs web site is:
www tM.state.ix.us. or AR 0-OF 7`E��s+��
Thank you,
Ryan McIntire .............. i
io
R1f fr!A. tut I?TIRE. i
�...., :..... i
130377 .'A-:
CITY OF GRAPEVINE'
B __Mi -- PREYMON ASSEMBLY TEST AND
MAINTENANCL.REpORT
NAME OF PWS: GRAPEVINE ANNUAL TEST
PWS LDJ 2200013 IRRIGATION
OTHER
NAME OF BUSINESS WHERE DEVICE IS LOCATED:
ADDRESS OF SITE SERVICED: 3 '` L I'Lol
PLUMBING PERMJT IF APPLICABLE: #
TESTER LICENSE NUMBER: BP0004884 - EXPIRES:7-18-17
DATE OF LAST TEST GAUGE CALIBRATION:_ 5:-A-2 01 Z--
THE BACKFLOW PREVENTION ASSEMBLY DETAILED BELOW HAS BEEN TESTED AND MAINTAINED AS REQUIRED BY
T EQ REGULATIONS AND IS CERTIRED TO BE OPERATING WITHIN ACCEPTABLE PARAMETERS,
TYPE OF ASSEMBLY
REDUCED PRESSURE PRINCIPLE PRESSURE VACUUM BREAKER
DOUBLE CHECK ATMOSPHERE VACUUM BREAKER
MANUFACTURERS W F.�i n — Ste: 1��
MODEL: 350 —
SERIAL NUMBER: Z-.13610
PHYSICAL LOCAMON OF METER:__•__front yard -
REPI)CED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER
DOUBLE CHECK VALVE
ASSEMBLY AIR INLET CHECK VALVE
15'CHECK 2"D CHECK RELIEF VALVE
g OPOn at paid
Initial
DC-Closed j Closed Ti(ht Owed at Did nce� �W_RP
Test + qwn Lealced
L�l 1 Leaked � paid
YaberWs
Lft"
L Dc•CI ;=. �t� ,�pe�at O at
Cad Tigt�k—RP paid _ paid p9ld psid
The 8DOW is miffed to be&ua
TESTERS FIRM NAME:Lakeside IrrLgation
ADDRESS:5 n d w i 1 1 nw �=r i n.�c nr CITY/STATEMP•-
DATE: 7 PHONE NUMBER: 972-722-8020
PRINT NAME: Carr Mooned _ _ SIGNATURE:
DOUBLE CHECK VALVE INSPECTION MUST SE CALLED FOR PEM ((SO 17))470 30)0