HomeMy WebLinkAboutPLIRR2019-4529 NOV, 12 2019
,GmRAP.EVINE Issue Date-,,,,,
CITY OF GRAPEVINE t -
- (CIRCLE ONE)
MECHANICAL ELECTRICAL - PLUMBING - IRRIGATION - FUEL GAS
PERMIT APPLICATION
(PLEASE PRINT LEGIBLY-COMPLETE ENTIRE FORM
PERMIT# I [ ^ j� � g BLDG.PERMIT# DATE:
JOB ADDRESS: '�` � v� �* � SUITE#
DESCRIPTION OF WOR
PROPERTY OW �^ CONTR C TI�NG COMP Y: �[
�.1 j\
A RESS' ADDRESS:
._f�;_ Al 4C r4S
CITY TATEIZ �. CITY/STATE/ZIP-
Rd-PEVj N k ) ? o o T W22
PHONE NUMBER: PHONE NUMBER: a
v
TYPE OF OCCUPANCY BUILDING AREA PERMIT FEES AMOUNT DUE
SQ FT
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, I, 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 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 TVALUATI
ON
EACH TRADE
V. MISCELLANEOUS
IRRIGATION SYSTEMS Gam_ 37.00--
MOBILE HOME SERVICE $ 37.00
TEMPORARY POLE SERVICE $ 37.00
SWIMMING POOLS $ 37.00 ��l
SIGN ELECTRIC $ 37.00 $ 7 CJ6
C:\Users\sbattelAppDala\Local\Microsoft\Windows\Temporary Internet Files\Content.Oudook\G80E6GQF\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.
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 TVERIF ATION OF ENERGY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST.
(S;b
r
SIG RA .IZED AGENT PRNTM 9AME
(OR HOMEOWNER FOR HOMEOWNERSPERMITS) /�
PHONE#: / /� �6 _ 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
C:\Users\sbatte\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\G80E6GOF\MEP APPLICATION 4-11.doc
PLUMBING - IRRIGATION PERMIT
G ] 1 D Issue Date:November 14,2019
.-T t,X 4 S,' PROJECT DESCRIPTION:Install Residential Irrigation System
PROJECT# (817)410-3010 www.mygov.us
PLIRR-19-4529 Inspections Permits
City of Grapevine
LOCATION LEGAL
P.O.Box 225 Lucas Dr. Pemberton Estates Blk 1 Lot 1r
TX Grapevine,,TX 76099
Grapevine,TX 76051
(817)410-3165 Voice
(817)410-3012 Fax
CONTRACTOR INFORMATION
Clean Green, Inc. County Tarrant
State ID#L10015239 Square Footage
2300 Moseley Rd. VALUATION
Crossroads,TX 76227-0000
(972)998-2076 Phone FEES TOTAL=$37.00
(972)998-2076 Mobile
Plumbing Miscellaneous Fee $37.00
PAYMENTS TOTAL=$37.00
OWNER
Jody Ann Smith Clean Green, Inc. (Gabriel A/meida)
225 Lucas Dr Check on 1111212019 ($37.00)
Note:CK#4976
Grapevine,TX 76051
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,
► MISC. Irrigation Inspection(required) ORDINANCES,OR AS DETERMINED BY THE BUILDING OFFICIAL,THREE
► Plumbing Customer Sevice Inspection (3)SETS OF PLANS SHALL BE SUBMITTED IN HARD COPY FORMAT.
(required)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/OR LOCAL LAW REGARDING ENERGY
CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE
LAWS,AND THAT VERIFICATION OF ENERGY CODE COMPLIANCE SHALL
BE B TTE TH UP REQUEST.
r
r �
MYGOV.US City of Grapevine I PLUMBING-IRRIGATION PERMIT I PLIRR-19-4529 I Printed 11/14/19 at 3:32 p.m. Page 1 of 3
Mean�Green, Ifle' .
UNPICAPf ANO 9NVAMON VPMES
P.0, Box 1628 NoVember 19, 2019
Little Elm,TX 15068
To whom it may concer I n,
This irrigation system on 225 N. Lucas Drive has been'installed in accordance with
all applicable State and L6—can—aws, o--rd-'Rna—n ce-s, rules, regulatio .
ns and.orders. I
have tested the system and determined that it has been installed accordingto flee
irrigation plan:and isproperly ad
adjusted for the efficient application of water
at this time.
5 2-
Sincerely,
Gabriel Al.meida
Licensed Irrigator
F
GABRIELALMEIDr.
Ll#15239
972-998-2G76
TeXas Commission on 1~ivirenmental Quality lPEttVtlT* �
I A CK LC;<�V PREVENTION AS:. ASSEMBLYASSEMBLYTEST AND NI AINTEI~d:�l�10E RE.F't31�T` � �� .
The Ful?awii2.s;farm mug;be eam it�ted Frsr each §5rtn6t�tested signed and dateit ari ins!tnsrst tteubmtttect fey tftt
! NAME OF piAr& 04 - Ublic water 4u liar Or recordk a in * p osas;
l PWS ID#:
' PWS MAILING ADDRESS:
Ci C� 1
l P 'VS CONTACT PERSON:
ADDRESS OF [kVICE: I
The backf7ovs prevention assembly detailed below has been tested and inaintain d as re uited ksy:eamn s ion regulations
Irv.
certified to be operating ithirr a i,e—, meters..
T CIF BA , EVENTII Y ASS LY BP
A) �--
1 .0 l Reduced Pressure Princi Ie RPBA i
} �❑ Redut ed Pressure Principle-Detector(RPBA-D) Type II J Rouble Check Value(DCVA}
i❑ Double Check-Detector(DCVA-D). Type II 'Pressure Vac: Breaker(F'VB}
O Spill-Resistant Pressure Vacuum Breaker(.SVB)`
Manufacturer MainBypass:.
l~g73,,
1aan. �
Sipe
del :� umber tulatti Bypa.m';
— —. Bypass: BSA Location t
5eiiat Ntltaihet �11asn ` f Yl� _ __� -�,
B ass:
Annual I`est Cl Irrigation OEht r E] Physical Lacaticizi of Meter.
�beA --
car test: New � —
}�t,ason l•
_ Existing; E Replacement Old Model/Serial #
€ Is the assembly installed in accordance wtith tnari afacturer rrcom aen Iatiotts ndlar 1 des
Ll ttie assembly installed on a sort-potable orate€ su ply(au ll ry}^ "_ - es a lira
.
I T-,i,ST R I SI1I,T
Type
Reduced: Preisu.re Principle Assembly (RPBA) Asss lrbly a PV81&bSVB
Pry SS 1
DCVA
Relief Valve ; Bypass Check�,Check. 2"'Check*** Check Inlet
FAIL 0 l . Check Vaive
total TSMI Held at��. psic held At sid Opened at.`P P Held at psid�0 ened at_ _ �psidl Held:at . .
Date i-44i V1 Closed°l'i. tit si i
b j Closed Fight P
Q : C'aed TihTime :L L t
aE c Leaked Did not dnit cpei p,s Leaked 0 did it fully oped leaked
�I f open
fNo }.
Repair; and Maiia:' -
Materials
Used** I3IS ypassc . f
I-Date:
es atlrF# held sit p5id Meld at -- psid Opened at Held at psid 0 criccl at S6d Hein all
--�— Closed Tight ® Closed Tight 0!t Psid Closed �;--4 p �ps d,
( y
Time: Tight `
'°`t cheek ttuinerit<readin re aired for I CVA + n .,
.... . . �u
,. Differential pressure gauge used-. Ate`"" �" -- r, .:.._ Potable. E °:
lVlakefMut3el. ;. �,
Itlan-Notable:: 10.
Date tested for accuracy
1
Remarks-
Company Name; ?
c t Licensed Tester Name
t Prt rttlT e}t +y'' -
Company A�dcl.ess: i
I Licensed Tester Na
t�ae(Signature}:
rl-r
Company Phone#.
BFA°T License# q.9
.:
:UcenseExoii ration:Date: -t 2 -
Tlae aboveis certified to be true at the time a testing.
TEST RECORDS MUST BE:KEPT FOR AT :,EAST THREE YEARS[30 TA.0§ZefJ:4ftesti*USE ONLY MANUFACTURER'S REPLACEME:YT PARTS
C TYWGRAPEVIXE:
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