HomeMy WebLinkAboutPLBG2019-4343City of Grapevine
P.O. Box 95104
Grapevine, TX 76099
(817) 410-3165 Voice
(817) 410-3012 Fax
PLUMBING PERMIT {VALUE}
Issue Date: October 30, 2019
PROJECT DESCRIPTION: Plumb floor sink, Plumb sinks, Plumb RPZ for soda machine [Jack Hammer
Floor For Sinks] "Coco's Tea Room & Bistro'"
PROJECT #
PLBG-19-4343
(817) 410-3010
Inspections
www.mygov.us
Permits
LOCATION TENANT LEGAL
1641 W Northwest Hwy.
Suite # B
Grapevine, TX 76051
Coco's Tea Room & Bistro Northwest Plaza Addition Blk
1 Lot 1
Acres 2.29
CONTRACTOR
H & H Plumbing
State ID # 10163
417 Stirling
Rhome, TX 76078
(817) 638-2019 Phone
(817) 559-5519 Mobile
OWNER
Interproprty Northwest Llc
25 Highland Vlg Pk
Dallas, TX 75205-2789
ph. (972) 496-1900
AVAILABLE INSPECTIONS
MISC. Plumbing Inspection (required)
Plumbing Rough In (required)
Backflow Device Inspection (required)
TCEQ Backflow Certification Submit
(required)
Plumbing Final (required)
INFORMATION
County Tarrant
Square Footage 720
VALUATION 10485
Zoning SP - Site Plan
FEES TOTAL =$ 121.37
Plumbing Permit Fee {VALUE}$ 121.37
PAYMENTS TOTAL = $ 121.37
H & H Plumbing (Zac Hunter)
Cc on 10/30/2019 ($121.37)
NOTICES
ALL work must be done in compliance with the 2006 INTERNATIONAL
PLUMBING CODE.
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 | PLUMBING PERMIT {VALUE} | PLBG-19-4343 | Printed 01/07/20 at 2:37 p.m. Page 1 of 3
Texas Commission on Environmental Quality PERMITP aB -�q 4?43
BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT
The follo%ving form must be completed for each assembly tested.A signed and dated on final must be submitted to the public water su lier for recordkee in * u uses:
NAME OF PWS: V i
PWS ID#: �,a p N
PWS MAILING ADDRESS: I SCE S k
PWS CONTACT PERSON: i C i Ct
ADDRESS OFSERVICE: b G Sk W
The backflow prevention assembly detailed below has been tested and maintained as required by commission regulations
and is certified to be operating within acceptable parameters.
TYPE OF BACKFLOW PREVENTION ASSEMBLY (BPA):
Reduced Pressure Principle(RPBA) Q Reduced Pressure Principle-Detector(RPBA-D) Type III
Double Check Valve(DCVA) ❑ Double Check-Detector(DCVA-D) Type II
❑ Pressure Vacuum Breaker(PVB) Spill-Resistant Pressure Vacuum Breaker(SVB)
Manufacturer: in : i Q Bypass:: Size: t ` Main: I Bypass:,'
Model Number: I Maimi t QO Bypass:,] BPALocation: ; I A( L 4- ( la 11
Serial Number: I Main: 4 Bypass:[, Br Serves: 9P1t t $ki C
Annual Test❑ Irrigation❑ Other❑ Physical Location of Meter:
Reason for test: INew Existing El Replacement ❑ Old Model/Serial #
Is the assembly installed in accordance with manufacturer recommendations and/or local codes? fA_Ye s i❑ No
Is the assembly installed on a non-potable water supply(auxiliary)? ❑ Yes No
TEST RESULT Type II
Reduced Pressure Principle Assembly (RPBA) Assembly PVB & SVB
PASSIM DCVA
FAIL ❑ Relief Valve Bypass Check Air Inlet Check Valve
1"Check 2"'Check***
Initial Test Held at psid Held at ',psid/ Opened at�7 _ Held at_psid Opened at psid Held at
Date: }a_t ClosedTi h[ psid
Time: g Closed Tight M p Closed Tight '❑ Did not open I❑, psid
Did not
Leaked ❑ Leaked ❑ Leaked ❑ Did it fully open Leaked ❑!
o en ❑'
P (Yes ❑,/Not❑i)
Repairs and Main:
Materials
Used** Bypass:..
Test After Held at psid=ClosedTight
at_ Held at_psid Opened at a psid Held at_
R.Reair Closed Tight ❑ Closed psid
Date: Tight ❑I
Time:
*** 2"d check: numeric reading required for DCVA onl
Differential pressure gauge used: Potable:
Non-Potable: ❑
Make/Model: 1 l✓LSi SN: 7 Date tested for accurac J'
Remarks:
Company Name: 1l I Licensed Tester Name V
,-r PrinUT e): 4— �er f o�(fiSah
Company Address: y O. red Licensed Tester Name(Signature):
Company Phone#: E, ¢ O cy�6 BPAT License# 01 c1
U l 0 License Expiration Date: O a
The above is certified to be true at the time of testing.
*TEST RECORDS MUST BE KEPT FOR AT LEAST THREE YEARS l30 TAC§290.46(B)l
** USE ONLY MANUFACTURER'S REPLACEMENT PARTS
CITYOFGRAPEVINE
DEVELOPMENTSERVICES
TCEO-20700 f Revicinn w-nd-9O1 o1 REQUEST INSPECTION AT 48171 at0-intn