HomeMy WebLinkAboutPLBG2017-4534 PLUMBING 1DFRM'-T (VALUE)
Issue Date:November 29,2017
PROJECT DESCRIPTION:install back-flow device on car wash"Texas Toyota Grapevine"
PROJECT# (817)410-3010 WWW.mygov.us
PLBG-17-4534 Inspections Permits
City of Grapevine
LOCATION TENANT LEGAL
P.O.Box 701 E State 114 Hwy. EAN Holdings, LLC dba Vt Grapevine BIk 1 Lot 1
TX
Grapevine,,TX 76099 9 P
Suite#100 Enterprise Rent A Car EAN Holdings, LLC dba
(817)410-3165 Voice Grapevine,TX 76051 Enterprise Rent A Car
(817)410-3012 Fax
CONTRACTOR INFORMATION
RON SMITH PLBG&BACKFLOW County Tarrant
State ID#M-9432
Square Footage
1035 SPRINGHILL DRIVE VALUATION 1200.00
SAGINAW,TX 76179-3454
(817)909-3763 Phone Zoning PCD-Planned Commerce Development
(817)847-1247 Fax FEES TOTAL=$45.00
(817)909-3763 Mobile
Plumbing Permit Fee(VALUE) $45.00
OWNER PAYMENTS TOTAL=$45.00
Aigtlp Texas Lp RON SMITH PLBG&BACKFLOW(RONNIE
1550 E Missouri Ave Ste 300 SMITH) ($45.00)
Phoenix,AZ 85014-2457 Cc on 1112912017
ph. (817)481-3531 NOTICES
ALL work must be done in compliance with the 2006 INTERNATIONAL
AVAILABLE INSPECTIONS PLUMBING CODE.
• Backflow Device Inspection(required)
• TCEQ Backilow Certification Submit
(required) PLAN SUBMITTAL:WHEN PLANS ARE REQUIRED BY CODES,
• Plumbing Final(required) 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.
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 I 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.
MYGOV.US City of Grapevine I PLUMBING PERMIT{VALUE)I PLBG-17-4534 I Printed 11/29/17 at 4:32 p.m. Page 1 of 3
DEC 12017
CITY OF GRAPEVINE
BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT
NAME OF PWS: GRAPEVINE ANNUAL TEST X —
IRRIGATION
PINS I.D.# 2200013 ��-- OTHER_Nc'_1.c1
NAME OF BUSINESS WHERE DEVICE IS LOCATED: 4l<,ve-yi/7 c,
ADDRESS OF SITE SERVICED:
PLUMBING PERMIT IF APPLICABLE: # P L tai 6r" 12 -
TESTER LICENSE NUMBER: 061,T-114, EXPIRES:_ 0; 627' -4.€7
DATE OF LAST TEST GAUGE CALIBRATION: O/' .2 4; -/7
THE BACKFLOW PREVENTION ASSEMBLY DETAILED BELOW HAS BEEN TESTED AND MAINTAINED AS REQUIRED BY
TCEQ REGULATIONS AND IS CERTIFIED TO BE OPERATING WITHIN ACCEPTABLE PARAMETERS.
TYPE OF ASSEMBLY
REDUCED PRESSURE PRINCIPLE _PRESSURE VACUUM BREAKER
_DOUBLE CHECK _ATMOSPHERE VACUUM BREAKER
MANUFACTURER: SIZE: r
MODEL: 00 `I/`% -Z SERIAL NUMBER: /0 2 7 0;2-
PHYSICAL LOCATION OF METER: .qL t7r1 G A'l: ).
REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER
DOUBLE CHECK VALVE AIR INLET CHECK VALVE
ASSEMBLY
1"T CHECK 2ND CHECK RELIEF VALVE
DC-Clocse,d��Tight Closed Tight Open at_psid _psid
Initial _RP y� sid Opened at
P � ,� Did not open Leaked
Test J psid
Leaked Leaked
Repair
Materials
Used
Test DC-Closed Tight Opened at Opened at
After Closed Tight _psid
Repair RP_ psid _psid _psid
The above is certified to be true.
TESTERS FIRM NAME: /FOl/J
ADDRESS:/C33S b/T CITY/STATE/ZIP: Toc� - �zr dl Ty �!
T�
DATE: / -O/ - O/ 7 PHONE NUMBER: 617 yGc1-37fo �i
PRINT NAME: S1--Ilr d SIGNATURE:
DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FOR INSPECTION AT(817) 410-3010
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