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Home My WebLink AboutPLIRR2018-0882 r Issue Date: °' ` `r 'lrCITY OF GRAPEVINE J 701p I lf (CIRCLE ONE) - MECHANICAL ELECTRICAL - PLUMBING - IRRIGATION - FUEL GAS PERMIT APPLICATION PLEASE PRINT LEGIBLY-COMPLETE ENTIRE FORM PERMIT# '2)`�- I BLDG.PERMIT# DATE: JOB ADDRESS: 41 6 SUITE# DESCRIPTION OF WORK: .�_ PROPERTY OWNER: /l CONTRACTING COMPANY: ? 4/ ADDRESS: •'�// � ADDRESS: CITY/STATE/ZIP: t CITY/STATE/ZIP: -1 r/^ 7 PHONE NUMBER: PHONE NUMBER: 7Zy7z�l TYPE OF OCCUPANCY BUILDING FT) AREA 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 SO. 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 f 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 TVALUATION EACH TRADE V. MISCELLANEOUS ' IRRIGATION SYSTEMS J $ 37.00 MOBILE HOME SERVICE $ 37.00 TEMPORARY POLE SERVICE $ 37.00 SWIMMING POOLS $ 37.00 SIGN ELECTRIC $ 37.00 $ 4 O:IFORMSIDS APPLICATIONS-FEESWEP 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(112 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 i 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. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT PRINTED NAME (OR HOMEOWNER FOR HOMEOWNERS PERMITS) PHONE#: `7/7ZY7Zq/`'` 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 O:IFORMSIDS APPLICATIONS-FEESWEP APPLICATION 4-11.doc PLUMBING - IRRIGATION PERMIT 'G'1' I NE. Issue Date:March 5,2018 T E. X ! y ' PROJECT DESCRIPTION:Replacement of Backflow Device PROJECT# (817)410-3010 WWW.mygov.us PLIRR-18-0882 Inspections Permits City of Grapevine LOCATION LEGAL P.O.Box 95104 416 Pebble Brook Dr. Mc Clelland Addition-Gpv Blk 1 Lot 7 Grapevine,TX 76099 Grapevine,TX 76051 *01840819* (817)410-3165 Voice (817)410-3012 Fax CONTRACTOR INFORMATION Circle D Construction[IRRG] County Tarrant State ID#1-10007199 P.O. Box 24381 FEES TOTAL=$37.00 Fort Worth,TX 76124 Plumbing Miscellaneous Fee $37.00 (817)442-5545 Phone PAYMENTS TOTAL=$37.00 (817)247-2914 Mobile Circle D Construction[IRRG](Dallas Deaver) OWNER Other on 03/05/2018 ($37.00) Note: CC9924 Current Owner Current Owner NOTICES Current Address ALL work must be done in compliance with the 2006 INTERNATIONAL Current Ci,ty 76051-3524 PLUMBING CODE. AVAILABLE INSPECTIONS P. TCEQ Backflow Certification Submit PLAN SUBMITTAL:WHEN PLANS ARE REQUIRED BY CODES, (required) ORDINANCES,OR AS DETERMINED BY THE BUILDING OFFICIAL,THREE ► Backflow Device Inspection(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/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. 4 Signature Date NOV 2 7 2018 . PO Box 24381 Pr WORTH, TX 76124 CArClE3 0 817-41"000 CC]iVSTF"tLfCTipIV TXL17199 e of r 1 'may P�`�07r hJFfi��,I DALL• Permit#PLIRR-18-0882 416 Pebble Brook Dr. 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. DALLAS DEER NOV 2 8 2018 . . 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: T f PLUMBING PERMIT IF APPLICABLE: # TESTER LICENSE NUMBER: BP0012038 EXPIRES: 3-28-21 DATE OF LAST TEST GAUGE CALIBRATION: 3-14-18 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: F&6e'f) SIZE: "if MODEL: 05-D SERIAL NUMBER: t Ly p 6`0 1/'S" PHYSICAL LOCATION OF METER: Frew f `4gr t'Qt"f- �� e REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER DOUBLE CHECK VALVE AIR INLET CHECK VALVE ASSEMBLY 1sT CHECK 2ND CHECK RELIEF VALVE Open at paid paid DC-Closed J�Q Closed ')it Opened at Initial _RP paid Did not open Leaked _Test psid Leaked Leaked Repair Materials Used Test DC-Closed Tight Opened at Opened at After Closed Tight paid Repair RP_ paid paid paid The above is caerdfied to be true. TESTERS FIRM NAME: aaa Backflow, LLC ADDRESS: PO Box 173453 CITY/STATE/ZIP: Arlington, Tx. 760 DATE: 6 PHONE NUMBER: 817--97 00 PRINT NAME: Chris DeFrancis SIGNATURE: DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FOR INSPECTION AT(817)410-3010 C.MMUMr 11s6aMXLOOALS-1\T—PNXPy WMMTCEQBACKFLOWTESTERREGISfRAT1OMd. 11AAIOARw 41M 1,06,2MO