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Home My WebLink AboutPLBG2018-3337City of Grapevine P.O. Box 95104 Grapevine, TX 76099 (817) 410-3165 Voice (817) 410-3012 Fax PLUMBING PERMIT {VALUE} Issue Date: August 29, 2018 PROJECT DESCRIPTION: double check vavle replacement PROJECT # PLBG-18-3337 (817) 410-3010 Inspections www.mygov.us Permits LOCATION LEGAL 1908 New Haven Rd. Grapevine, TX 76051 Saybrooke Blk 2 Lot 15r *06441599* CONTRACTOR HEB Plumbing & Sprinkler State ID # 39596 P. O. Box 999 Bedford, TX 76095 (817) 284-7777 Phone (817) 285-8260 Fax (817) 320-1775 Mobile OWNER William Townsend 1908 New Haven Rd Grapevine, TX 76051-7139 AVAILABLE INSPECTIONS Backflow Device Inspection (required) TCEQ Backflow Certification Submit (required) Plumbing Final (required) INFORMATION County Tarrant Square Footage VALUATION 700.00 Zoning FEES TOTAL =$ 90.00 Plumbing Permit Fee {VALUE}$ 90.00 PAYMENTS TOTAL = $ 90.00 HEB Plumbing & Sprinkler (Kathlyn V. Smith) Cc on 08/29/2018 ($90.00) 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-18-3337 | Printed 03/25/20 at 3:33 p.m. Page 1 of 3 CITY OF GRAPEVINE BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT NAME OF PWS: GRAPEVINE ANNUAL TEST IRRIGATION_ PWS I.D.# 2200013 OTHER NAME OF BUSINESS WHERE DEVICE IS LOCATED: ADDRESS OF SITE SERVICED: I9 oft NeL %tAf�h IZ� PLUMBING PERMIT IF APPLICABLE: # TESTER LICENSE NUMBER: h POO /2.JR o EXPIRES: -2 DATE OF LAST TEST GAUGE CALIBRATION: 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 MANUFACTURER: Fetbc,�o SIZE: MODEL: 5-0 SERIAL NUMBER: p 3 PHYSICAL LOCATION OF METER. 4 7-4�[A �S(.o S„e I , REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER DOUBLE CHECK VALVE AIR INLET CHECK ASSEMBLY VALVE_ 1ST CHECK 2Ne CHECK RELIEF VALVE C-Tight ng Open at _psid Initial Tight Iosed Tig Opened at psid Test R psid 2, 0 Did not open Leaked .�,:r-- Leaked —psid S Leaked Repair Materials Used Test DC-Closed Tight Opened at Opened at After Closed Tight _psid Repair RP_ psid _psid _psid The above is certified to be true. TESTERS FIRM M NAME: T ADDRESS: !/a /ZD" IO d/o6-(, CITYISTATEOP:"lv-r {�� /� 7 b C3(-.3 DATE. g 2-1- -C8 PHONE NUMBER: PRINT NAME: Lem ,,. f ry ,/ZSIGNATURE• : DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FOR INSPECTION AT(817)410-3010 O:IFORMS\DS REGISTRATION FORMSIBACKFLOW REGISTRATION.doc 11/3/200DIRev.4126/05 Rev.01111/06