HomeMy WebLinkAboutPLBG2018-1525 APR 2 0 2018
'T N V[T E. Issue Date:
CITY' OF GRAPEVINE APR 2 0 ?0 8
(CIRCLE ONE)
MECHANICAL - ELECTRICAL - PLUMBING - IRRIGATION - FUEL GAS
PERMIT APPLICATION
PLEASE PRINT LEGIBLY-COMPLETE ENTIRE FORM
PERMIT# BLDG.PERMIT# DATE:
JOB ADDRESS: ry �r SUITE#
DESCRIPTION OF WORK: .>
PROPERTY 0", /�� L/ CONTRACTING COMPANY: .�
G1 q
ADDRESS: '/ // ADDRESS:
7l/ .I Q /,/71IMG Y
CITY/STATE/ZIP: CITY/STATEIZIP:
c u S 7 SOUro
PHONE NUMBER: I PHONE NUMBER:/ c
I 7 z) ��� �
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TYPE OF OCCUPANCY BUILDING AREA PERMIT FEES 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
III. B, F, H, M, S, U
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+ $ 582.00+ .003 f 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 /2-t_
CONTRACT VALUATION OF WORK: 5,001- 50,000 $ 27.00+ .009 0
,�r7�v� 50,001-100,000 $ 127.00+ .007 PER � j yrJ
$ ,5 � 100,001-500,000 $ 327.00+ .005 DOLLAR $ G S- 2
500,001+ $ 1,327.00+ .003 TVALUATION
V. MISCELLANEOUS EACH TRADE
IRRIGATION SYSTEMS $ 37.00
MOBILE HOME SERVICE $ 37.00
TEMPORARY POLE SERVICE $ 37.00
SWIMMING POOLS $ 37.00
SIGN ELECTRIC $ 37.00 $
C]Users\sbatteWppDate\Local\Microsoft\Windows Temporary Internet Files\Content.Oulook\GBOE6GQFlMEP APPLICATION 4-11,doc
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 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.
SIGNATURE'OF ONT, 'CTOR OR AUTHORIZED AGENT PRINTED NAME
(OR HOMEOWNNtR&)OR HOMEOWNERS PERMITS)
PHONE#: 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 SIP P.O.Box 95104 * Grapevine,Texas 76099*(817)410-3165
Fax(817)410-3012*www.grapevinetexas.gov
C:\Users\ebatteV PpData\Local\Microsoft\Windows\Temporary Internal Files\Content.Outlook\G8OE6GOF\MEP APPLICATION 4-11.doc
PLUMBING PER&"IT (VALUE)f`llT} ifl ?B Issue Date:April 20,2018
+VTAL 1 #Alf sXPtti PROJECT DESCRIPTION:Replace Back-Flow Device For Irrigation System
PROJECT# (817)410-3010 www.mygov.us
PLBG-18-1525 Inspections Permits
City of Grapevine
LOCATION LEGAL
P.O.Box 4149 Mapleridge Dr. Countryside East Addition Blk 5 Lot 17
TX
Grapevine,,TX 76099
(817)410-3165 Voice Grapevine,TX 76051 *05183308*
(817)410-3012 Fax
CONTRACTOR INFORMATION
Andys Sprinkler Drainage&Lighting[IRR County Tarrant
State ID#L10017625 Square Footage
3210 Commander Drive
VALUATION 500
Carrollton,TX 75006
(817)608-0660 Phone FEES TOTAL=$37.00
(817)822-1024 Mobile
Plumbing Permit Fee{VALUE) $37.00
PAYMENTS TOTAL=$37.00
OWNER
Jeffrey Wichman Andys Sprinkler Drainage&Lighting(IRR(Matthew
4149 Mapleridge Dr Chapman)
Grapevine,TX 76051 Other on 0412012018 ($37.00)
Note:CC4087
AVAILABLE INSPECTIONS NOTICES
• Backflow Device Inspection(required) ALL work must be done in compliance with the 2006 INTERNATIONAL
• TCEQ Backflow Certification Submit PLUMBING CODE.
(required)
• Plumbing Final(required)
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.
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.
MYGOV.US City of Grapevine I PLUMBING PERMIT(VALUE)I PLBG-18-15251 Printed 04120/18 at 10:00 a.m. Page 1 of 3
nature Date
MVGOV.US City of Grapevine I PLUMBING PERMIT{VALUE?I PLBG-18-1525 I Printed 04/20/18 at 10.00 a.m. Page 2 of 3
f
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:
ADDRESS OF SITE SERVICED: 4I-f'I n MQdlew'ijgC PVjVe_
Li
PLUMBING PERMIT IF APPLICABLE: # S 2S
TESTER LICENSE NUMBER: OP06IZ-77i0 EXPIRES: U/'9
DATE OF LAST TEST GAUGE CALIBRATION: q -15 - 13
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
EDUCED PRESSURE PRINCIPLE PRESSURE VACUUM BREAKER
DOUBLE CHECK _ATMOSPHERE VACUUM BREAKER
t l
MANUFACTURER: W L46114 SIZE: 1
MODEL: �SOXI— //��SER��IAL NUMBER: � -70067
PHYSICAL LOCATION OF METER: A-d-AT A dAd
REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER
DOUBLE CHECK VALVE
ASSEMBLY AIR INLET CHECK VALVE
1'CHECK 2ND CHECK RELIEF VALVE
g-5-fig d rO Open at_psid _psid
DC-Clos Tight Closed Tight Opened at
Initial _RP a,& psid 9,7 Did not open Leaked
Test _psid
V 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: ((�� n0TT F/MIQ�ir
ADDRESS: ('U ii X 7-701(S CITY/STATE/ZIP: P44-el (►'1 n IJ TX 9567 7
DATE: 5--5--(If PHONE NUMBER: `I-517`7160
PRINT NAME: &a_. SIGNATURE:
DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FOR INSPECTION AT(817) 410-3010
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