HomeMy WebLinkAboutPLBG2019-0802CityofGrapevine
P.O.Box95104
Grapevine,TX76099
(817)410-3165Voice
(817)410-3012Fax
PLUMBINGPERMIT{VALUE}
IssueDate:March4,2019
PROJECTDESCRIPTION:Replaced2"double-checkinCourtyard
PROJECT#
PLBG-19-0802
(817)410-3010
Inspections
www.mygov.us
Permits
LOCATIONTENANTLEGAL
601ParkBlvd.
Building#21
Grapevine,TX76051
TheOaksatParkBoulevardTheBlk2Lot1
WoodlakeAptsAddition
CONTRACTOR
KPKPlumbingLLC.
StateID#M-40738
1502NorthMasonStreet
Bowie,TX76230
(940)841-1173Phone
(940)841-1173Mobile
OWNER
FrontlineGrapevineLp
9460WilshireBlvdSuite850
BeverlyHills,CA90212
AVAILABLEINSPECTIONS
BackflowDeviceInspection(required)
TCEQBackflowCertificationSubmit
(required)
PlumbingFinal(required)
INFORMATION
County Tarrant
SquareFootage
VALUATION 1000
Zoning R-MF2-Multi-Family
FEESTOTAL=$45.00
PlumbingPermitFee{VALUE}$45.00
PAYMENTSTOTAL=$45.00
KPKPlumbingLLC.(SammiePoe)
Ccon03/04/2019 ($45.00)
NOTICES
ALLworkmustbedoneincompliancewiththe2006INTERNATIONAL
PLUMBINGCODE.
PLANSUBMITTAL:WHENPLANSAREREQUIREDBYCODES,
ORDINANCES,ORASDETERMINEDBYTHEBUILDINGOFFICIAL,THREE
(3)SETSOFPLANSSHALLBESUBMITTEDINHARDCOPYFORMAT.
ENGINEERSEALEDPLANSANDCALCULATIONSSHALLBESUBMITTED
ASREQUIREDBYCODES,ORDINANCESORWHEREOTHERWISE
REQUIREDBYSTATELAW.
READANDSIGN
IHEREBYCERTIFYTHATTHEFOREGOINGISCORRECTTOTHEBEST
OFMYKNOWLEDGEANDALLWORKWILLBEPERFORMEDACCORDING
TOTHEDOCUMENTSAPPROVEDBYTHEBUILDINGDEPARTMENTAND
INCOMPLIANCEWITHTHECITYOFGRAPEVINECODESREGULATING
CONSTRUCTION.ITISUNDERSTOODTHATTHEISSUANCEOFTHIS
PERMITDOESNOTGRANTORAUTHORIZEANYVIOLATIONOFANY
CODEORORDINANCEOFTHECITYOFGRAPEVINE.
IFURTHERCERTIFYTHATALLWORKTHATISREQUIREDTOCOMPLY
WITHANYFEDERAL,STATE,AND/ORLOCALLAWREGARDINGENERGY
CONSERVATIONWILLBEPERFORMEDINACCORDANCEWITHTHOSE
LAWS,ANDTHATVERIFICATIONOFENERGYCODECOMPLIANCESHALL
BESUBMITTEDTOTHECITYUPONREQUEST.
MYGOV.USCityofGrapevine|PLUMBINGPERMIT{VALUE}|PLBG-19-0802|Printed03/06/19at9:01a.m.Page1of3
Peru`,+-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: U.�G O(1 006 9—()C9,
ADDRESS OF SITE SERVICED: bol tJ. P4d RI VA.
PLUMBING PERMIT IF APPLICABLE: # 19- ugo&
TESTER LICENSE NUMBER: Epbol73h'1 EXPIRES: Was/11
DATE OF LAST TEST GAUGE CALIBRATION: 12/1g lIR
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: IJ\IK\nS SIZE: aIi
MODEL: '� So SERIAL NUMBER: BaSSW
PHYSICAL LOCATION OF METER: ",e,/\ U"U 'Is5 4 aI ' ox3
REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER
DOUBLE CHECK VALVE AIR INLET CHECK VALVE
ASSEMBLY
1sT CHECK 2ND CHECK RELIEF VALVE
DC-Closed Tight Closed Tight Open at psid _psid
Initial RP Opened at
psid ^ � Did not open Leaked
a
Test psid
Leaked Leaked
aSs
Repair
Materials
Used
LRTe st LDC-Closed Tight Opened at Opened at
fter Closed Tight _psid
pai _ psid _psid _psid
pp L The above is certified to be true.
TESTERS FIRM NAME: /TIl TeS'I
ADDRESS:60 fre& PA_$ _tlon CITY/STATE/ZIP: ROaiIoVEiT� .�lPd(0�
DATE: sItiI19 PHONE NUMBER: -O WJ
1 �
PRINT NAME: KYIP. h.'6lav Ch SIGNATURE:
DOUBLE CHECK VALVE1 INSPECTION MUST BE CALLED FOR INSPECTION AT(817) 410-3010
Rdlkc�S rAa . -� w)ry no fay
0 WORMS S IRRIGATION INPOVBACRELOW TEST REPORT.doc
Revised:1/05,2/10