HomeMy WebLinkAboutPLIRR2016-1086 MAR °a " 2016
— CITY GRAPE —
urMECHANICAL ELECTRICAL PLUMBING FUEL GAS
APR 1 2016 PERMIT APPLICATION
PLEASE PRINT APR 21201 .
Q� PERMIT# -Iv �� BLDG.PERMIpT# DATE: 3–Z2—/jo
16 JOB ADDRESS: ZZ5 S. � ST12EEr � PcV/ € X S(pDS !
DESCRIPTION
1 i .OF r� G F S T 3�)
PROPERTY OWN
COENTLRCTIN COM
G P N
Ro M ?I Vc U 2C
AIIRESS� ADDRESS:_5 I) VI5 Bt.VD •
35 1 0 W H(-tc-7 � `
CITY/STAY �l N KIGfILA/✓� HILLS, � lip 190 CITY/STATEIJ2IP`:'t,,`,� c- TLJ 759119
r PHONE NUMBER: PHONE NUMBER: 1
_ 811 -�{28- Za'1? lq'7 2- -'7-71 - Ili,5
TYPE OF OCCUPANCY BUILDING AREA PERMIT FEES AMOUNT DUE
(SQ FT)
I. R-3 EACH TRADE
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
4
2,001 - 2,250 $ 89.78
TOTAL SQ.FOOT UNDER 2,251 - 3,000 $ 96.43
ROOF 3,001 - 3,500 $ 103.08
I� C
3,501 - 4,000 $ 109.73 $
8 4,001 + $ 120.37
EACH TRADE
` l_ II. A, E, I, R-1
1 - 600 $ 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
1 - 500 $ 37.00
OFFICE, RETAIL, WHOLESALE, 501 - 50,000 $ 32.00+ .01 PER
GARAGES, FACTORIES, 50,001- 100,000 $ 182.00+.007 SQUARE
WORKSHOPS, SERVICE 100,001+ $ 582.00+ .003 1 FOOT $
STATIONS, WAREHOUSE
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 TVALUATION
V/M15CEE=
EACH TRADE
IRRIGATION SYSTEMS , 37.00
MOBILE HOME SERVICE $ 37.
TEMPORARY POLE SERVICE $ 37.00
SWIMMING POOLS $ 37.00
SIGN ELECTRIC $ 37.00 / 3
09FORMSOS APPLICATIONS-FEESMEP 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*
REINSPECTIONFEES................................................................_...._...._..._..__...._................... $42.00
• PERMITS FOR WHICH NO FEE IS SPECIFICALLY INDICATED........................................................... $37.00
• INSPECTIONS FOR WHICH NO FEE IS SPECIFICALLY INDICATED(1/2 HOUR MINIMUM). ................... $42.001HOUR
• 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 VERIFICAT ON'OF ENERGY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT PRINTED NAME '
(OR HOMEOWNER FOR HOMEOWNERS PERMITS)
PHONE#: EMAIL:
*OR THE TOTAL HOURLY COST TO THE JURISDICTION WHICHEVER IS GREATER.
**ACTUAL COSTS INCLUDE ADMINISTRATIVE AND OVERHEAD COSTS.
CITY OF GRAPEVINE, BUILDING INSPECTIONS, P.O. BOX 95104,GRAPEVINE,TX 76099 (817)410-3765
6/21101 REVISED.10101,5106,2107,]107,8109,11109,4111
0\FORMSDS APPLICATIONS-FEES\MEP APPLICATION 4-11 TAN.
,ryTy��y PLUMBING - IRRIGATION PERMIT
Ullt1C �jI�T�' Issue Date:April 21,2016
PROJECT DESCRIPTION:Install Irrigation System
PROJECT# (817)410-3010 WWW.mygOV.us
PLIRR-16-1086 Inspections Permits
City of Grapevine
LOCATION TENANT LEGAL
P.O.Box ,TX 1225 S Main St. D. L. Rogers Corp. Capital Center Addition Blk 1
Grapevine,TX 76099 9 P� P
(817)410-3165.Voice Grapevine, TX 76051 Lot 2
(817)410-3012 Fax
CONTRACTOR INFORMATION
Elm Grove Landscape&Irrigation County Tarrant
State ID#L10020743 Zoning HCO-Hotel&Corporate Office
3590 Whiteley Rd.
Wylie, TX 75098 FEES TOTAL=$37.00
(972)771-1165 Phone
(972)412-1125 Fax Plumbing Miscellaneous Fee $37.00
(214)837-0059 Mobile PAYMENTS TOTAL=$37.00
Elm Grove Landscape&Irrigation(Jr.Anthony)
OWNER Other on 03/22/2016 ($37.00)
D L Rogers Corp Note:CC6339
5013 Davis Blvd NOTICES
North Richland Hills, TX 76180-6874 ALL work must be done in compliance with the 2006 INTERNATIONAL
ph. (817)428-2077 PLUMBING CODE.
AVAILABLE INSPECTIONS
Letter of Compliance(Irrigation)(required) PLAN SUBMITTAL:WHEN PLANS ARE REQUIRED BY CODES,
�
• TCEQ Backflow Certification Submit ORDINANCES, OR AS DETERMINED BY THE BUILDING OFFICIAL,THREE
(required) (3)SETS OF PLANS SHALL BE SUBMITTED IN HARD COPY FORMAT.
• Backflow Device Inspection (required) ENGINEER SEALED PLANS AND CALCULATIONS SHALL BE SUBMITTED
MISC. Irrigation Inspection (required)
Plumbing Customer Sevice Inspection AS REQUIRED BY CODES, ORDINANCES OR WHERE OTHERWISE
�
(required) REQUIRED BY STATE LAW.
Plumbing Final(required) 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
MYGOV.US City of Grapevine PLUMBING-IRRIGATION PERMIT I PLIRR-16-10861 Printed 04/21/16 at 12:03 p.m. Page 1 of 3
LAWS,AND THAT VERIFICATION OF ENERGY CODE COMPLIANCE SHALL
BE SUBMITTED TO THE CITY UPON REQUEST.
Signature Date
MYGOV.US City of Grapevine i PLUMBING-IRRIGATION PERMIT i PLIRR-16-1086 I Printed 04/21116 at 12:03 p.m. Page 2 of 3
ZUt6
CITY OF GRAPEVINE
BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT
NAME OF PWS GRAPEVINE ANNUAL TEST
IRRIGATION
PWS 1 D.# 2200013 OTHER
("7
NAME OF BUSINESS WHERE DEVICE IS LOCATED:
ADDRESS OF SITE SERVICED: C
PLUMBING PERMIT IF APPLICABLE: # L R
TESTER LICENSE NUMBER: EXPIRES: �t }
DATE OF LAST TEST GAUGE CALIBRATION:___LL:_ ( ,T[)IL)
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- I
MODEL: SERIAL NUMBER `Y4�fJ�
PHYSICAL LOCATION OF METER:
REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER
DOUBLE CHECK VALVE AIR INLET
ASSEMBLY CHECK VALVE
1sT CHECK 2ND CHECK RELIEF VALVE
D Closed Ti to ad Ti Open at_psid _psid
Initial _R psid Opened at
Did not open Leaked
Test _psid
Leaked Leaked
Repair
Materials
Used
Test DC-Closed Tight Opened at Opened at
After Closed Tight
Repair RP_ psid _psid _psid --psid
The above is certified to he true.
TESTERS FIRM NAME: ` f
ADDRESS: CITYISTATE2IP`: Nt�S j� 7�j� 9
DATE: I IA PHONE NUMBER: 1� I4
PRINT NAME: 1 I� SIGNATURES
DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FOR INSPECTION AT(817) 410-3010
O.'FORMS,DS IRRIGATION INFO`BACKFLON TM REPORT M¢
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