HomeMy WebLinkAboutPLBG2019-3015City of Grapevine
P.O. Box 95104
Grapevine, TX 76099
(817) 410-3165 Voice
(817) 410-3012 Fax
PLUMBING PERMIT {VALUE}
Issue Date: July 24, 2019
PROJECT DESCRIPTION: Place 3/4" RPZ valve in break room
PROJECT #
PLBG-19-3015
(817) 410-3010
Inspections
www.mygov.us
Permits
LOCATION LEGAL
455 E Northwest Hwy.
Grapevine, TX 76051
Northwest Crossing Shpg Center Blk 1 Lot 1r1
CONTRACTOR
C. Pearson Plumbing {PLBG}
State ID # 39596
910 S. Pine Street
Grapevine, TX 76051
(817) 488-0490 Phone
(817) 488-2146 Fax
(817) 825-8083 Mobile
OWNER
Independent Builders Inc
PO Box 323
Grapevine, TX 76099
ph. (817) 229-6782
AVAILABLE INSPECTIONS
Backflow Device Inspection (required)
TCEQ Backflow Certification Submit
(required)
Plumbing Final (required)
INFORMATION
County Tarrant
Square Footage
VALUATION 500
Zoning HC - Highway Commercial
FEES TOTAL =$ 37.00
Plumbing Permit Fee {VALUE}$ 37.00
PAYMENTS TOTAL = $ 37.00
C. Pearson Plumbing {PLBG} (Carey Otis
Pearson)
Cc on 07/24/2019
($37.00)
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-19-3015 | Printed 02/26/20 at 3:29 p.m. Page 1 of 3
AUG 2 2019
CITY OF GRAPEVINE
BACK PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT
NAME OF PWS: GRAPEVINE
ANNUAL TEST
PWS I.D.# 2200013 IRRIGATION
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NAME OF BUSINESS WHERE DEVICE IS LOCATED: [ o' - n4r�(j OTHER k.
ADDRESS OF SITE SERVICED: J(S� ENnrfl,w�sf �y �4Pekwc.TR 7(�S-
PLUMBING PERMIT IF APPLICABLE: #
TESTER LICENSE NUMBER: f' 1
DATE OF LAST TEST GAUGE CALIBRATION: EXPIRES:
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
_eREDUCED PRESSURE PRINCIPLE
PRESSURE VACUUM BREAKER
DOUBLE CHECK _ATMOSPHERE VACUUM BREAKER
MANUFACTURER: p(gyp 4S SIZE:
MODEL: Li co SERIAL NUMBER: l9 d d 3
PHYSICAL LOCATION OF METER:-. LL' �c�•�t/.(K.j Wq.fV• Qy-�r
REDUCED PRESSURE PRINCIPLE ASSEMBLY
PRESSURE VACUUM BREAKER
DOUBLE CHECK VALVE
ASSEMBLY AIR INLET CHECK VALVE
1ST CHECK 2NI CHECK RELIEF VALVE
DC,CIo a Tight 1 ed Tight Open at_psid _psid
Initial RP psid �r Opened at
Test !J - Did not open Leaked
(JLA 5.5 Leaked Leaked --psid
I Repair
Materials
Used
Test DC-Closed Tight
Opened After C P ned at Opened at
Repair _RP__ psid Closed Tight _
psid _psid psid
pry The above is certified to be true.
TESTERS FIRM NAME- R-R P'bOr'nAl�
ADDRESS: Irl. CITY/STATE/ZIP: . c+ Iwa(( QSZ.Z,�O ;2
DATE: 7��Yl( �/ �� PHONE NUMBER: 2 3 �'O fr
PRINT NAME: Y� 5CJ SIGNATURE:
DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FOR INSPECTION AT(817)410-3010
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