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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