HomeMy WebLinkAboutPLBG2019-0801CityofGrapevine
P.O.Box95104
Grapevine,TX76099
(817)410-3165Voice
(817)410-3012Fax
PLUMBINGPERMIT{VALUE}
IssueDate:March4,2019
PROJECTDESCRIPTION:Replaced2"double-checkbybuilding10
PROJECT#
PLBG-19-0801
(817)410-3010
Inspections
www.mygov.us
Permits
LOCATIONLEGAL
601ParkBlvd.
Building#10
Grapevine,TX76051
TheBlk1Lot1
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
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-19-0801|Printed03/06/19at9:03a.m.Page1of3
Perm,+-f
CITY of GRAPEVINE
BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT
NAME OF PWS: GRAPEVINE ANNUAL TEST
IRRIGATION
PWS I.D.# 2200013 11 111 II OTHER=
NAME OF BUSINESS WHERE DEVICE IS LOCATED: U.AL DA Oorffi, 170.f Y�
ADDRESS OF SITE SERVICED: Ion, fj- PAIL— SIVA.
PLUMBING PERMIT IF APPLICABLE: # Iff—ONI
TESTER LICENSE NUMBER: 6POG1?31x7 EXPIRES: cyIaallq
DATE OF LAST TEST GAUGE CALIBRATION: 10 19 k
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
� ^ I ,
MANUFACTURER: W•ll� S SIZE: a
MODEL: '35() �GI� 1 SEERInAL IDo�NUMBER: s(Q tp 0
PHYSICAL LOCATION OF METER @, f of C pti'iC04j 410
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 Opened at Open at psid _psid
Initial _RP�psid H Did not open Leaked
Test psid
`C Leaked Leaked
Repair
Materials
Used
Test DC-Closed Tight Opened at Opened at
After Closed Tight psid
Repair RP psid psid psid
L The above is certified to be true.
TESTERS FIRM NAME: hi1Te$"I
ADDRESS: �rT'IL4 CITY/STATE/ZIP: Rftxwwi*'j:15C 1-malo
DATE: 3Iq/l9 II PHONE NUMBER: 5
PRINT NAME: Kylf" M'\�+klav"C l SIGNATURE: ' ✓
L ^rT
DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FOR INSPECTION AT(817) 410-3010
ReoAtes sN : G4(Q!5-(>
0AFORMSVDS JPpjGATTON INFOA6ACEFLOW TEST REPORT doc
Revised.1/06,2/10