HomeMy WebLinkAboutPLIRR2018-1873 .1 I'MY 5 201f I sue Date`:
; CITY OF GRAPEVINE '1 '
(CIRCLE ONE)
MECHANICAL - ELECTRICAL - PLUMBING - IRRIGATION - FUEL GAS
PERMIT APPLICATION
PLEASE PRINT LEGIBLY—COMPLETE ENTIRE FORM
PERMIT# BLDG.PERMIT# DATE:
JOB ADDRESS: SUITE#
r�T�- 7bO.S! _
DESCRIPTION OF WOR
e n
PROPERTY OWNER: - CONTRACTJqq COMPANY:
ADDRESS: 'J ADDRESS:��i7 A ,4 K' �t SUi4
CITY/STATE/ZIP' I CITY/STA IP' ( (�/�
I PHONE NUMBER: V .� PHONE NUMBER: ' 7
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 $
I 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 TVALUATION
EACH TRADE
V. MISCELLAN-E-OUS
E
IRRIGATION SYSTED45 $ 37.00
F 11�
Pr SERVICE $ 37.00
TEMPORARY POLE SERVICE $ 37.00
SWIMMING POOLS $ 37.00
SIGN ELECTRIC $ 37.00 $ ff
C:1UserslsbattetAppDatalLocal\Microsoft\Windows\Temporary Internet FileslContent.OuUook1G80E6GQFIMEP 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-COL4EYVILLE 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 R RDING ENERGY CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE LAWS,
AND THAT V61FIC ION OF ENERGY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST.
SIGN, 4TqA61OR R AUTHORIZED AGEVT PRINTED NAME
(OR HOMEOWNER FO H ME WNERS PERMITS)
PHONE#: EMAIL:
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\G80E6GQF\MEP APPLICATION 4-11.doc
PLUMBING - IRRIGATION PERMIT
,GRAp RISE Issue Date:May 24,2018
vlll�
PROJECT DESCRIPTION:Residential Irrigation System Install
PROJECT# (817)410-3010 WWW.mygov.us
PLIRR-18-1873 Inspections Permits
City of Grapevine
LOCATION LEGAL
P.O.Box 2424 Lakeshore Dr. No.2002Solomon Cate Survey Tr 1b
TX Grapevine,,TX 76099 y
Grapevine,TX 76051
(817)410-3165 Voice
(817)410-3012 Fax
CONTRACTOR INFORMATION
Stenson Landscaping,Inc. County Tarrant
State ID#L10011961 P.O.Box 502 -
FEES TOTAL=$74.00
Lake Dallas,TX 75065 Plumbing Miscellaneous Fee $74.00
(940)498-7440 Phone
(469)503-3565 Mobile PAYMENTS TOTAL=$74.00
Stenson Landscaping, Inc.(Matt Stenson)
OWNER Other on 0511512018 ($74.00)
Note:CC6918
Jay D Balding NOTICES
840 E Worth St ALL work must be done in compliance with the 2006 INTERNATIONAL
Grapevine,TX 76051-3657 PLUMBING CODE.
AVAILABLE INSPECTIONS
► Letter of Compliance(Irrigation)(required) PLAN SUBMITTAL:WHEN PLANS ARE REQUIRED BY CODES,
► TCEQ Backflow Certification Submit ORDINANCES,OR AS DETERMINED BY THE BUILDING OFFICIAL,THREE
(required) (3)SETS OF PLANS SHALL BE SUBMITTED IN HARD COPY FORMAT.
► Backflow Device Inspection(required)
► MISC. Irrigation Inspection(required) ENGINEER SEALED PLANS AND CALCULATIONS SHALL BE SUBMITTED
► Plumbing Customer Sevice Inspection AS REQUIRED BY CODES,ORDINANCES OR WHERE OTHERWISE
(required) REQUIRED BY STATE LAW.
► Plumbing Final(required) 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 MITTED nTUPO;% REQUEST
/ Signature Date
MYGOV.US City of Grapevine I PLUMBING-IRRIGATION PERMIT I PLIRR-18-1873 I Printed 05/24/18 at 12:02 p.m. Page 1 of 3
MAY 3 0 2018
STENSON LANDSCAPE &
IRRIGATION INC.
P.O. BOX 502
' LAKE DALLAS, TX 75065
0
(940) 498-7440 • STENSONLAND.COM
Statement of Compliance
Re. 2424 Lakeshore Dr, Grapevine, Tx 76051
This irrigation system has been installed in accordance with all applicable State and Local laws,
ordinances, rules, regulations and orders. I have tested the system and determined that it has
been installed according to the irrigation plan and is properly adjusted for the most efficient
application of water at this time.
(t°` IGO
PEE OFT
yam• .�.. ...:*••
SAME ..••6••'. �
,.�0
`•c�sEo lR��r,P
BACKFL M.PREVENTI NI AS EM .GRAPEVINE
MBLY TEST AND MAINTENANCE REPORT
NAME OF PWS: GRAPEVINE
ANNUAL TEST
PWS I.D.# 2200013 IRRIGATION -
J OTHER
NAME OF BUSINESS WHERE DEVICE IS LOCATED: 1`��r� r
ADDRESS OF SITE SERVICED:
PLUMBING PERMITIF APPLICABLE: #
TESTER LICENSE NUMBER._ !�
_
DATE OF LAST TEST GAUGE CALIBRATION:� EXPIRES:
��--�
THE BACKFLOW PREVENTION ASSEWBLY DETAILED BELOW HAS BEEN TESTED AND�MAINTAINEDAS 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: ]�O
SIZE:
MODEL: — a SERIAL NUMBER: 6
PHYSICAL LOCATION OF METER: r
= REDUCED PRESSJIRE PRINCIPLE ASSEMBLY
PRESSURE VACUUM BREAKER
�w ASSEMBLY AIR INLET
CHECK VALVE
1 ST CHECK 2No CHECK RELIEF VA E
DC-Clo ed Tight Closed Tight Ope psid fci
Initial I —RP 22 psid 0 ed t r Ps
Test D4 not
Baked
Leaked Leaked Psi l
Repair
Materials
Used
Test DC-Closed Tight
After 1 1
Opened at I Opened at
Repair _RP Closed Tight
psid psid I _:psid
I psid
,�f� The above is certified to be true.
TESTERS FIRM NAME: �' 6 �'-'�
ADDRESS: O ' CITY/STATE/ZIP:
DATE: PHONE NUMBER: �—
PRINT NAME: 101,�',_ SIGNATURE:
DOUBLE CHECK VALVE/ PECTION MUST BE CALLED F INS ECTION AT(817) 410-3010
C:IDOCUME-11sbeR.U-OCALS-11Temp1%P91pwiselTCEO LO ESTER REGISTRA710N.doc
11000/Rev.4105.V06,2110
ALL CHANCES REQUIRE CONTRACTOR SHALL CALL FOR
CITY OFGRAM—WE APPROVAL INSPECTIONS:
RELEASED MR CONSTRUCT OIc RE�JISE[? (317) 410-3010
PLANS *
_ r�i atlon system designand Instalf�Q�l1on shall comply with ► ! :! �ry T CONTRACTOR REGISTRATION
all state�and ipcai law and rules, iridluding but not limited SHED � SHA
iii�z�E-�- ���� E 1 4 0 00 APPROVED PLANS+ +�.
City of ropevine, HB 1656 passed CNKIL; - LDING DaDEwFR
ITE ATALL TIMES PERMIT y�
an [bndscape irrigation rules developed by Texas �
y - +R�ION.
- - Co mission on Environmental Quality UCEQ), and C(TY gpPR ' _ PLAN BE KEPT CD r0 F� # t
any bsequent amendments to these laws and rules. - �. IMES
THE JC�B S1
AND FREEZE sensors dry aired. Backfiow fobpreventi n devices shall be tested by approved agency. DATE: S 2 I a S
on fo s provided by-the city. Com eted forms verifying BUILDIN E N DNISION: �t R
prop operation of device shall be nod tQ:"¢Ity. y r f: RELEASE DOES N T APPLY TO CONSTRUCTION
********** EASEMENTS R PUBLIC RIGHT-OF-WAY.
t ¢
Failur obtain final Inspection of 0gaflon system shahh CHANG MUST 8E VEO' �
result suspension of contractor's r$gistra�on and may .� -•�- _.
r sI of registration and 1 or the; of citations).
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