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Home My WebLink AboutPLBG2017-1277 PLUMBING PERMIT (VALUE) (A� 1, Issue Date:April 10,2017 vTrc xatas 1 PROJECT DESCRIPTION:Install 2 RPZ at Replacement in Soda Line and Ice Machine"Uncle Juilios" PROJECT# ( 17)Inspections www.mygov.us PLBG-17.1277 Inspections Permits City of Grapevine LOCATION TENANT LEGAL P.O.Box 951041301 William D Tate Ave. Uncle Julio's Ha le Addition Blk 1 Lot 4a ^ Grapevine,TX Voice Hay ley L Grapevine,TX 76051 Uncle Julio's •\ (817)410-3012 Voice ^C (817)410-3012 Fax �l CONTRACTOR INFORMATION Mascot Plumbing Services LLC County Tarrant State ID#M-41151 Square Footage 1782 W McDermott VALUATION 1000 Allen,TX 75013 (469)854-8680 Phone Zoning HC-Highway Commercial (469)854-8670 Fax FEES TOTAL=$45.00 (469)854-8680 Mobile Plumbing Permit Fee(VALUE) $4E00 OWNER PAYMENTS TOTAL=$45.00 Grapevine Towers Ltd Mascot Plumbing Services LLC(Kristen Doss) 8350 N Central Expwy Ste 1300 Cc on 04/07/2017 ($45.00) Dallas,TX 75206-1620 NOTICES AVAILABLE INSPECTIONS ALL work must be done in compliance with the 2006 INTERNATIONAL Backflow Device Inspection(required) PLUMBING CODE. . TCEQ Backflow Certification Submit (required) PLAN SUBMITTAL:WHEN PLANS ARE REQUIRED BY CODES, Plumbing Customer Sevice Inspection (required) ORDINANCES,OR AS DETERMINED BY THE BUILDING OFFICIAL,THREE Plumbing Final(required) (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 I PLUMBING PERMIT{VALUE)I PLBG-17-1277 I Printed 04/10/17 at 9:01 a.m. Page 1 of 3 CITY OF GRAPEVINE BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT NAME OF PWS: GRAPEVINE ANNUAL TEST_ PWS I.D.# 2200013 IRRIGATIONOTHER NAME OF BUSINESS WHERE DEVICE IS LOCATED: / 11 A ADDRESS OF SITE SERVICED: 136/ IJ!(j-apt, �n 7Q/ r PLUMBING PERMIT IF APPLICABLE: # //,,GG TESTER LICENSE NUMBER:�2 J�/,o EXPIRES: 0 -1S - 115 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 _ATMOSPHERE VACUUM BREAKER MANUFACTURER: L,j a-45 SIZE: ` ppYZ � IXJ MODEL: ) ! (U�� l SERIAL NUMBER: Z,QgOZ PHYSICAL LOCATION OF METER: pyl REDUCED PRESSURE PRINCIPLE ASSEMBLY PRESSURE VACUUM BREAKER DOUBLE CHECK VALVE ASSEMBLY AIR INLET CHECK VALVE 1ST CHECK 2N°CHECK RELIEF VALVE DC- esed Tight Open at_psid _paid Initial _RP paid Opened at Test Did not open Leaked �'ayf Leaked Leaked " psid Repair — Materials Used Test DC-Closed Tight Opened at Opened at After Closed Tight Repair RP_ psid _psid — paid _psid The abo 0 is certified to be true. TESTERS FIRM NAME: 1`T� ADDRESS: A J is ITY/STATE/ZIP:} /l//71}7P(gt eI. DATE:_ �- /h - r7 PHONE NUMBER: 614 q /. 7 PRINT NAME:�n,I - � .+ii ! )1 h�aG�7 SIGNATURE: DOUBLE CHECK VALVE INSPECTION MUST BE CALLED FOR INSPEC !ON AT 17)410-3010 C NIX U\IE-11L.IICAL-1I1c P YPQMWSC%TCED 9 CKROW IESTERREGIeWTpN px 1(.f/NiRev.4N1 ,0I,2110