HomeMy WebLinkAboutPLIRR2019-4797 1� DEC 6 2019
K 9� u
}'' ' �'d - -CITY OF GRAPEVINE
(CIRCLE ONE)
1p MECHANICAL ELECTRICAL - PLUMBING IRRIGATION - FUEL GAS
PERMIT APPLICATION
(PLEASE PRINT LEGIBLY-COMPLETE ENTIRE FORM)
/
PERMIT# q^ BLDG.PERMIT# DATE: %� ,
f
JOB ADDRESS: � 1 SUITE#
DESCRIPTION OF WORK: ( lJ
PROPERTY OWNER: _L I CONT ACTING COMPANY:
ADDRESS: ADDRESS:
1(v 65e h of 3 -_ , .0-13 o p S�
CITYISTATEIZIP: _` ( CITY/STATE/ZIP:
ate r�` �� T OQCQ
PHONE NUMBER: PHONE NUMBER:
TYPE OF OCCUPANCY BUILDING AREA SQ FT PERMIT FEES AMOUNT DUE
EACH TRADE
I. R-3
1 - 749 $ 33.25
SINGLE FAMILY, DUPLEX 750- 1,199 $ 49.88
TOWNHOUSE, 1,200- 1,500 $ 63.18
NEW CONSTRUCTION& 1,501 - 1,750 $ 76.48
ADDITIONS(PER UNIT) 1,751 - 2,000 $ 83.13
2,001 - 2,250 $ 89.78
TOTAL SQ. FOOT UNDER 2,251 - 3,000 $ 96.43
ROOF 3,001 - 3,500 $ 103.08
3,501 - 4,000 $ 109.73 $
4,001 + $ 120.37
EACH TRADE
II. A, E, 1, R-1
1 - 500 $ 37.00
HOTELS,APARTMENTS, 501 -100,000 $ 17.50+.035 PER
DRINKING/DINING, 100,001 -500,000 $ 3,500.00+.03 SQUARE
EDUCATIONAL,ASSEMBLY, 500,001 + $15,000.00+.02 FOOT $
INSTITUTIONAL
EACH TRADE
III. B, F, H, M, S, U
OFFICE, RETAIL, WHOLESALE, 1 - 500 $ 37.00
GARAGES, FACTORIES, 501 - 50,000 $ 32.00+ .01 PER
WORKSHOPS,SERVICE 50,001- 100,000 $ 182.00+ .007 SQUARE
STATIONS, WAREHOUSE 100,001+ $ 582.00+ .003 1 FOOT $
CONTRACT EACH TRADE
IV. ANY OCCUPANCY GROUP VALUATION OF
WORK
FINISH-OUTS,
SHELL COMPLETIONS, 0- 500 $ 37.00
ALTERATIONS OR 501- 1,500 $ 45.00
STAND ALONE PERMITS 1,501- 3,000 $ 57.00
3,001- 5,000 $ 72.00
CONTRACT VALUATION OF WORK: 5,001- 50,000 $ 27.00+ .009
50,001-100,000 $ 127.00+ .007 PER
$ 100,001-500,000 $ 327.00+ .005 DOLLAR $
500,001+ $ 1,327.00+ .003 VALUATION
V. MISCELLANEOUS EACH TRADE
LIRRIGATION SYSTEMS 7.00
MOBILE HOME SERVICE $ 37.00
TEMPORARY POLE SERVICE 1 $ 37.00
SWIMMING POOLS $ 37.00 �
SIGN ELECTRIC $ 37.00
O:\FORMS\DS APPLICATIONS-FEES\MEP APPLICATION 4.11.doc
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.
I
OTHER INSPECTIONS AND FEES:
• INSPECTIONS OUTSIDE NORMAL BUSINESS HOURS(2HR MINIMUM)...............................................$42.00/HOUR*
• REINSPECTION FEES.................................................................................................................. $42.00
• PERMITS FOR WHICH NO FEE IS SPECIFICALLY INDICATED........................................................... $37.00
• INSPECTIONS FOR WHICH NO FEE IS SPECIFICALLY INDICATED(1/2 HOUR MINIMUM)......................$42.00/HOUR
• ADDITIONAL PLAN REVIEW REQUIRED BY CHANGES,ADDITIONS, OR REVISIONS TO
APPROVEDPLANS.......................................................................................................................$42.00/HOUR
• BUILDING PERMIT FEES FOR THE GRAPEVINE-COLLEYVILLE INDEPENDENT SCHOOL DISTRICT
SHALL BE 25%OF THE FEES ESTABLISHED IN THIS TABLE
• FOR USE OF OUTSIDE CONSULTANTS FOR PLAN CHECKING AND INSPECTIONS, OR BOTH.........ACTUAL COSTS"
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND ALL WORK WILL BE
PERFORMED ACCORDING TO THE DOCUMENTS APPROVED BY THE BUILDING DEPARTMENT AND IN COMPLIANCE
WITH THE CITY OF GRAPEVINE CODES REGULATING CONSTRUCTION. IT IS UNDERSTOOD THAT THE ISSUANCE OF
THIS PERMIT DOES NOT GRANT OR AUTHORIZE ANY VIOLATION OF ANY CODE OR ORDINANCE OF THE CITY OF
GRAPEVINE.
I FURTHER CERTIFY THAT ALL WORK THAT IS REQUIRED TO COMPLY WITH ANY FEDERAL, STATE, AND / OR
LOCAL LAW REGARDING ENERGY CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE LAWS,
AND THAIFICATION OF ENERGY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST.
T
SIGNATURE OF CONTRACTOR OR AUTHD ED AGENT PRINTED NAME
(OR HOMEOWNER FOR HOMEOWNERS PERMITS)
PHONE#: L� V Z�7— EMAIL:
OR THE TOTAL HOURLY COST TO THE JURISDICTION WHICHEVER IS GREATER.
"*ACTUAL COSTS INCLUDE ADMINISTRATIVE AND OVERHEAD COSTS.
Development Services Department,Building Inspections
The City of Grapevine*P.O.Box 95104 *Grapevine,Texas 76099*(817)410-3165
Fax(817.)410-3012 *www.grapevinetexas.gov
OAFORMSIDS APPLICATIONS-FEES\MEP APPLICATION 4-11.doc
PLUMBING - IRRIGATION PERMIT
GRAPO NE Issue Date:December 10,2019
T F y-$ PROJECT DESCRIPTION:Install Residential Irrigation System
PROJECT# (817) 410-3010 WWW.mygoV.us
PLIRR-19-4797 Inspections Permits
City of Grapevine
LOCATION LEGAL
P.O.Box 95104 4391 Eastwoods Dr. Eastwoods Bilk 1 Lot 20a
Grapevine,TX 76099
Grapevine,TX 76051
(817)410-3165 Voice
(817)410-3012 Fax
CONTRACTOR INFORMATION
Riverside Irrigation County Tarrant
State ID#L10009339 Square Footage
P.O. Box 201365 VALUATION
Arlington,TX 76006
(972)647-8398 Phone FEES TOTAL=$37.00
(817)695-5886 Fax
Plumbing Miscellaneous Fee $37.00
PAYMENTS TOTAL=$37.00
OWNER
Joseph K Bahun Riverside Irrigation (Jay Bird)
11816 Horseshoe Ridge Dr Other on 1210612019 ($37.00)
Note:CC6444
Fort Worth,TX 76244-4892
NOTICES
AVAILABLE INSPECTIONS ALL work must be done in compliance with the 2006 INTERNATIONAL
► Letter of Compliance(Irrigation)(required) PLUMBING CODE.
► TCEQ Backflow Certification Submit
(required)
Backflow Device Inspection (required) PLAN SUBMITTAL:WHEN PLANS ARE REQUIRED BY CODES,
r Plumbing Customer Sevice Inspection ORDINANCES, OR AS DETERMINED BY THE BUILDING OFFICIAL,THREE
(required) (3)SETS OF PLANS SHALL BE SUBMITTED IN HARD COPY FORMAT.
► Plumbing Final(required)
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 I OR LOCAL LAW REGARDING ENERGY
CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE
LAWSVEDTOT
FICATION OF ENERGY CODE COMPLIANCE SHALL
BE SCITY UPON 11-. GUEST.
DEC 18209
;�
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r)ff
Installation complIetlon Date:
irngation Contractor: Riverside Lawn Sprinkler
IrIs`►.-iiatton Address: C1,51 F.-Astwe CA
The following items has e heeen prOl ided. and explained to the ir�ga�ors system owner.
(if the current oixrner is the b-tuilder, he is responsible for passing this information o
to the new homeOlvVlIer W.4e4 r-r—lri !
L The manufacturers manual for the controller.
rt A l .vcxt a�-4t 5 �f e'i r-'l3.11 tr'�_
A �easazaat Sr�ca.tt._.u-� w.,_...
3. A Fist of components that require rn�.ft t€nance and the �recomrp-en
frequency of maintenance,
4, A per anent sticker attached to the controller ind;cati ag the vvarranty
period for the:I"II.gataon system and -installer contact information.
5. The corrected as installed design plans indicating the actual installation and
components of the system.
"I`he location a,�t operation of.the isolation valve.
drri-ation ste•.. Owr<er Representaiive ate
- - Date
Builder
This irrigation system has been installed in accordance with ail applicable state anti
local laurs, ordinances, rules, regulations and Ur orders. I have tested the system and
determined that It has -been 3ri�`�ed a-...Drding r:� �I e i �a?It3rl �=aF ��� 1S properly
,adj fisted--fb-r the mo-st efficient appEcairoit of uvater, at ti:=v V ne.
o -
'x o >»i*.
Date
Licen, ?essible irTigat , j+otaraaNilpip!#c 3
3.., AY �aAl�,1�,
- a 38$9Si0aaao Nqd'
IA
Av
PEC 18 2019 Texas Commission on Environmental Quality
BACIPLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT
The following form must be completed for each assembly tested.A signed and dated original must be submitted to the public water su slier for mcordkee i * ores:
NAME OF PWS:
PWS ID#:
PWS MAILING ADDRESS: LCYL Sl avk
PWS CONTACT PERSON:
ADDRESS OF SERVICE: 3-1
The backflow prevention assembly detailed below has been tested A6 maintained as required by commission regulations
and is certified to be o eratin within acceptable parameters.
TYPE OF BACKFLOW PREVENTION ASSEMBLY(BPA):
❑; educed Pressure Principle(RPBA) ❑ Reduced Pressure Principle-Detector(RPBA-D) Type 11 ❑
Double Check Valve (DCVA) ❑ Double Check-Detector(DCVA-D) Type 11 ❑
❑! Pressure Vacuum Breaker(PVB) ❑ Spill-Resistant Pressure Vacuum Breaker(SVB)
Manufacturer: I Main: Bypass: Size: c " Main: Bypass:
Model Number: Main: 35o Bypass: BPA Location: v +
Serial Number: Main: ��j2Z By BPA Serves: ,." '
Reason for test: New Existing ❑! Replacement ❑ Did Model/Serial#
Is the assembly installed in accordance with manufacturer recommendations and/or local codes? es ❑ No
Is the assembly installed on a non-potable water supply(auxiliary)? ❑Yes gKc
TEST RESULT Type II
educed Pressure Principle Assembly(RPBA) Assembly PVB &SVB
PASS DCVA
,
Relief Valve Bypass Check Air Inlet Check Valve
FAIL .:"'1 1"Check •--Check*"
Initial Test Held at psid f Id at_9 psid ]pened at^_ Held at psid Opened at psid Held at
Date:C�-l�_lct Closed Tight Clued Tight psid Closed Tight Q Did not open ❑. psid
Time: Leaked ❑ Leaked ❑ Did not❑ Leaked ❑ Did it fully open Leaked ❑
open (Yes ❑ /No ❑)
Repairs and Main:
Materials
Used** Bypass:
Test After Held at psid Held at psid Opened at y Held at psid Opened at psid Held at
ReRg{r Closed Tight ❑ Closed Tight ❑ psid �1 psid
Date: Tight ❑
Time:
***2"`I check: numeric reading r ttired for DCVA only
F
rential pressure gauge used: Potable: Non-Potable:/Model: t` �ws SN: 6 gp($�, Date tested for accuracy : --1
Company Name: Licensed Tester Name /
t`vms IV' (Print/Type): '�v►
15
Company Address: i O'&_.j,55 Licensed Tester Name(Signature):
9
Company Phone#: BPAT License# Z
eLcEx iration bate: _ E_,,t IV
The above is certified to be true at the time of testing.
TEST RECORDS MUST BE KEPT FOR AT LEAST THREE YEARS(30 TAC§290.46(B)l
**USE ONLY MANUFACTURER'S REPLACEMENT PARTS
TCEQ-20700(Revision 04-04-201.9) Page 1 of l
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