HomeMy WebLinkAboutPLIRR2014-1966 CITY OF GRAPEVINE
MECHANICAL- ELECTRICAL- PLUMBING�f-FUEL GAS
MAY 16 2014 PERMIT APPLICATION �D 6p?)��
PLEASE PRINT
PERMIT#((_I_ / BLDG.PERMIT# DATE: 1G
JOB ADDRESS: ZI „`� �,`� C- ��C SUITE.#✓
DESCRIPTION OF WORK: ,ate 1 \1 J
PROPERTY OW�1221'� Q�'l I`' U CONTRACTING COM$PcpLY{may„r6 gfYn1
ADDRESS: ADDRESS:
CITY/STATE/ZIP' J CITYISTATEIZIP: �a.1�t-Yw max-
f PHONE NUMBER: PHONE NUMBER:
BUILDING AREA ✓
TYPE OF OCCUPANCY SO FT) PERMIT FEES AMOUNT DIUE
EA TRADE
I. R-3
1 - 749 $ 3325
SINGLE FAMILY, DUPLEX 750- 1.199 $ 49.88
TOWNHOUSE, 1.200- 1.500 $ 6318
NEW CONSTRUCTION & 1 501 - 1.750 $ 76.48
ADDII"IONS (PER UNIT) 1,751 - 2,000 $ 83-13
2,001 - 2250 $ 89.78
TOTAL SO 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
1 11, A, E, I, R-
1 - 500 $ 37.00
t-IOT EL.S. APARTMENTS, 501 - 100000 $ 17.50+.035 PER
DR!NKINC!LANING, 100,001 -500.000 $ 3,500.00+03 SQUARE
EDUCAI"IONAL. ASSEMBLY, 500,001 + $15,000-00+.02 FOOT $
!NS7!FU TiONAL.
EACH TRADE
ill. Q, F, H M, S, U T
1 - 500 $ 37.00
OFFICE, RETAIL, WHOLESALE, 501 - 50,000 $ 32.00+ .01 PER
j GP,I<AGES, FAL'TORIES, 50,001- 100,000 $ 18^2.00+ .007 SQUARE
LViORKSHOPS, SERVICE 100,001+ $ 582.00+ .003 FOOT $
_STI+TIONS_'J`JFlREHOUSE
CONTRACT EACH TRADE
IV. ANY OCCUPANCY GROUP VALUATION OF
WORK
FINISH CUTS,
SHELL COMPLETIONS, C- 500 $ 37.00
AL ERATiONS OR 501- 1.500 $ 45.00
STAND ALONE PERMITS 1,501- 3.000 $ 57.00
9.001- 5,000 $ 72.00
CONTRACT VALUATION OF WORK. 5.001- 50,000 $ 27.00+ 009
50,001- 100,000 $ 127.00+ .007 PER
j $—_ 100,001-500,000 $ 327.00+ .005 DOLLAR $
! 500,001+ $ 1,327.00+ .003_ VALUATION
EACH TRADE
V. MISCELLANEOUS
FIGA:i:QN 37,00
MOBILE: HOME SERVICE $ 37 00
TEMPORARY POLE SERVICE $ 37 ;}0
SVAIIIAWAU POOLS
SIGN LLECTRIC $ 3i 0,,
C lvpl 41aD$ ,I PL.,-Al f IONS S%MF P,lPPLlG,CNN 4-11 do, — J
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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'
• REINSPE CTI ON FEES........... ....._._ . ....... $42.00
• PERMITS FOR WHICH NO FEE IS SPECIFICALLY INDICATED.... $ 2 00
• INSPECTIONS FOR WHICH NO FEE IS SPECIFICALLY INDICATED (1/2 HOUR MINIMUM)......... .
ADDITIONAL PLAN REVIEW REQUIRED BY CHANGES, ADDITIONS, OR REVISIONS TO $42.00/HOUR
APPROVED PLANS... .,..,_.... .$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 LAW REGARDING ENERGY CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE LAWS,
AND THArRF N OF ENERGY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST.
SIGNATURTOR OR AUTHORIZED AGENT PRINTED NAME
L�ZTUAL OR HOMEOMEOWNERS PERMITS)
'�Z� i2� 'U'�Z EMAIL.
HOURLY COST TO THE JURISDICTION WHICHEVER IS GREATER.
S INCLUDE ADMINISTRATIVE AN D OVERHEAD COSTS.
CITY OF GRAPEVINE, BUILDING INSPECTIONS, P. 0. BOX 95104, GRAPEVINE, TX 76099 (817)410-3165
W1/01 RPASED 1"01.5106 ZD],ems,G:J� it/0-! 41
G TORS\DS APPUCATICNS-FFES;NEP APPLI;Al'ON 4 11 doc
AUG 292014
CITY OF GRAPEVINE
BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT
NAME OF PWS: GRAPEVINE ANNUAL TEST
IRRIGATION �-
PWS I.D.# 2200013 OTHER
NAME OF BUSINESS WHERE DEVICE IS LOCATED: an 8,o.tix1 k 5
ADDRESS OF SITE SERVICED: ti 1 2) I rca E W6 5 $q Ua
PLUMBING PERMIT IF APPLICABLE: #
TESTER LICENSE NUMBER: ICJ P 1289 J EXPIRES: 10 - -2-8-15
DATE OF LAST TEST GAUGE CALIBRATION: 9— 1 1 ° 1 3
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 C,HK EC _ATMOSPHERE VACUUM BREAKER
wMANUFACTURER: j, L n 5 SIZE: I/� ??
MODEL: 35 0 SERIAL NUMBER:
PHYSICAL LOCATION OF METER: Nl� en-I ranc2
REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER
DOUBLE CHECK VALVE AIR INLET CHECK VALVE
ASSEMBLY
1s'CHECK 2ND CHECK RELIEF VALVE
D -Closed Tight losed Tight Oened at Open at_psid _paid
Initial RP _psi p Did not open Leaked
Test _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: AuoX O/1
ADDRESS:: q01 5 CeClC - "'M Rcr -CITY/STATE/ZIP: V-Ecic,,o 1�i 11 T -7520q DATE: a PHONE NUMBER: q 19 5
PRINTNAME: t� Chi f- SIGNATURE
DOUBLE CHECK VALVE INSPECTION MUST BE CAL O P N AT(817)410-3010
GMOCUME-Ik ftLLO S-11Tr PV% M0 ITCEOB CKROWTESTER REGIST MNEac
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