HomeMy WebLinkAboutPLIRR2019-2596 + �+ PLUMBING - IRRIGATION PERMIT
Issue Date:July 1,2019
PROJECT DESCRIPTION:New Residential Irrigation System
PROJECT# (817)410-3010 WWW.mygov.us
PLIRR-19-2596 Inspections Permits
City of Grapevine
LOCATION LEGAL
P.O.Box 3710 Kelsey Ct.
Grapevine,,T TX X 76099 y Woodland Estates Addition Elk 1 Lot 26
(817)410-3165 Voice Grapevine,TX 76051
(817)410-3012 Fax
CONTRACTOR INFORMATION
H2O Sprinkler Systems County Tarrant
State ID#L10017237
310 Lakeside Drive FEES TOTAL=$37.00
Irving,TX 75062
Plumbing Miscellaneous Fee $37.00
(972)570-7580 Phone
(972)570-7553 Fax PAYMENTS TOTAL=$37.00
(972)849-4822 Mobile H2O Sprinkler Systems(Jared West)
Other on 0612512019 ($37.00)
Note:CC2232
OWNER
NOTICES
Ann Christopher 3710 Kelsey Ct ALL work must be done in compliance with the 2006 INTERNATIONAL
Grapevine,TX 76051 PLUMBING CODE.
AVAILABLE INSPECTIONS PLAN SUBMITTAL:WHEN PLANS ARE REQUIRED BY CODES,
Letter of Compliance(Irrigation)(required) ORDINANCES,OR AS DETERMINED BY THE BUILDING OFFICIAL,THREE
. TCEQ Backflow Certification Submit (3)SETS OF PLANS SHALL BE SUBMITTED IN HARD COPY FORMAT.
(required)Backflow Device Inspection(required) ENGINEER SEALED PLANS AND CALCULATIONS SHALL BE SUBMITTED
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MISC. Irrigation Inspection(required) AS REQUIRED BY CODES,ORDINANCES OR WHERE OTHERWISE
Plumbing Customer Sevice Inspection REQUIRED BY STATE LAW.
(required) READ AND SIGN
Plumbing Final(required) 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 Date
MYGCV.UB City of Grapevine I PLUMBING-IRRIGATION PERMIT I PLIRR-19-2596 I Printed 07/01/19 at 3:35 p.m. Page 1 of 3
�UL 19 20
CITY OF GRAPEVINE
BACKROW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT
NAME OF PWS: GRAPEVINE ANNUAL TEST
IRRIGATION
PWS"I.D.# 2200013 )LEI OTHER
NAME OF BUSINESS WHERE DEVICE IS LOCATED: �J 1�eIS`2r1 CCU'
ADDRESS OF SITE SERVICED: lit> �
PLUMBING PERMIT IF APPLICABLE: #
TESTER LICENSE NUMBER: "l �c�c�' EXPIRES: Y ' U
DATE OF LAST TEST GAUGE CALIBRATION: 7 ' {�
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 CHECKg —ATMOSPHERE VACUUM BREAKER
MANUFACTURER: C-0 SIZE:/! q
MODEL: O 1 SERIAL NUMBER: AT
PHYSICAL LOCATION OF METER: QS/f/�
REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER
DOUBLE CHECK VALVE AIR INLET CHECK VALVE
ASSEMBLY
1ST CHECK 2Ne CHECK RELIEF VALVE
DC-Closed Tight Closed Tight Ope a psid d
Op n d t
Initial _RP ZG psid 2 id of p e
Test
Leaked Leaked sl
Repair
Materials
Used
Test DC-Closed Tight Opened at Opened at
After Closed Tight _psid
Repair RP_ psid _psid _psid
Al The above is certified to be true.
TESTERS FIRrMM NAME: "' C�t�f� 'Y ' 7I Fr1 S� Z�
ADDRESS: (-I �ncu�� C� CITY/STATE/ZIP:
DATE: -7 I�1 `I / PHONE NUMBER: 1-76,
PRINT NAME: ( t.�� '��'^11 SIGNATURE:
DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FO s NSPECTION AT(817) 410-3010
O\FORMSTS REGISTRATION FORMSITCEO GACKFLOW TESTER REGISTRATION.doc
11Ia001R—4105,1106.910
A
JUL 2 2 2019
H2O Sprinkler Systems
310 Lakeside Drive
Irving,TX 75062
972-570-7580
Letter of Compliance
Project#l: PLIRR-19-2596
Address: 3710 Kelsey Court
Grapevine, TX 76051
To: City of Grapevine
Attn: Guita Mcilroy
This irrigation system has been installed in accordance with all applicable State and Local laws,
ordinances, rules, regulations and orders. I have tested the system and determined that it has been
installed according to the irrigation plan and is properly adjusted for the most efficient application of
water at this time.
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