HomeMy WebLinkAboutPLIRR2016-4560 A VNC� CA /_�OA Issue Date:
nFC 20I CITY OF GRAPEVINE
jCIRCLE ONE)
MECHANICAL - ELECTRICAL - PLUMBING - RRIGATIO - FUEL GAS
PERMIT APPLICATION
PLEASE PRINT LEGIBLY—COMPLETE ENTIRE FORM
PERMIT# / _i i�, 6BLDG.PERMIT# DATE:
JOB ADDRESS: 120q vc4`ey Vi 5W,D f SUITE At
DESCRIPTION OF WORK: S InL� S {CYh
PROPERTY OWNER: ke ;1 n1' CONTRACTING COMPANY:
cG^ Mld ci+es T{7j n
q} ADDRESS: Ioy Vcdt V;� i ADDRESS: lqo -
�q at
CITY/STATE/ZIP:6t f ����1^C� R-
3' , CITY/STATE/ZIP: 0 `'
Q PHONE NUMBER: �I�G 74oL� PHONE NUMBER. ^ 7�L(
h ql2-`d9a-259s �fi1-S �•IsSY
TYPE OF OCCUPANCY BUILDING AREA PERMIT FEES AMOUNT DUE
(SQ FT)
EACH TRADE
S 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
x
S 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 f 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
IRRIGATION SYSTEMS $ 37.00
MOBILE HOME SERVICE $ 37.00 � 7J�
TEMPORARY POLE SERVICE $ 37.00l.�
SWIMMING POOLS $ 37.00 (�
SIGN ELECTRIC $ 37.00 $ 37-o0
C.\Users\sbatte\AnoData\LocaWicrosoft\W inrlows\Temooraw Internet Files\Content.0otlook\G8OE6GQF\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
• APPROVED PLANS.......................................................................................................................$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 THAT VERIFICATION OF FNE GY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST.
SIGNATU R OR AUTHORIZED AGENT PRINTEID
(OR HOM p NER FOR HOMEOWNERS PERMITS)
PHONE#: 7J 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 ale P.O. Box 95104 *Grapevine,Texas 76099 1I6(817)410-3165
Fax(817)410-3012 *www.grapevinetexas.gov
C:\Users\sbatle\APPData\LocaKMicr.MW intlows\Temporary Internet Files\ConientOotlook\GSOE6GQF\MEP APPLICATION 4-11.doc
(f��'Dp�tjjppTr PLUMBING - IRRIGATION PERMIT
1711t1 V11�TG- Issue Date: December 9,2016
cq 8 A 3 PROJECT DESCRIPTION: Install Irrigation System
PROJECT# (817) 410-3010 WWW.mygov.us
PLIRR-16-4560 Inspections Permits
City of Grapevine
LOCATION LEGAL
Grapevine,,T TX 76099
P.O.Box 1204 Valley Vista Dr. Bellaire Addition Blk 6 Lot 21
X
(817)410-3165 Voice Grapevine, TX 76051 No. 6220 Tr 21
(817)410-3012 Fax `00153095'
CONTRACTOR INFORMATION
Mid Cities Irrigation County Tarrant
State ID#5227
1901-A Bedford Road FEES TOTAL=$37.00
Bedford,TX 76021 Plumbing Miscellaneous Fee
$37.00
(817)540-1559 Phone
(817)283-7632 Fax PAYMENTS TOTAL=$3T00
(817)401-5146 Mobile
Mid Cities Irrigation(Pau/Bishop)
Check on 1210112016
($37.00)
OWNER Note: CK#2913
Diane R Foster NOTICES
1204 Valley Vista Dr ALL work must be done in compliance with the 2006 INTERNATIONAL
Grapevine,TX 76051-4069 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) ENGINEER SEALED PLANS AND CALCULATIONS SHALL BE SUBMITTED
MISC. Irrigation Inspection(required) AS REQUIRED BY CODES,ORDINANCES OR WHERE OTHERWISE
Plumbing Customer Sevice Inspection
(required) REQUIRED BY STATE LAW.
P 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 I OR LOCAL LAW REGARDING ENERGY
CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE
LAWS,AND THAT VERIFICATION OF ENERGY CODE COMPLIANCE SHALL
MYGOV.US City of Grapevine I PLUMBING-IRRIGATION PERMIT I PLIRR-16-0560 I Printed 12/09/16 at 8:36 a.m. Page 1 of 3
BE SUBMITTED TO THE CITY UPON REQUEST.
Signature Date
MYGOV.US City of Grapevine I PLUMBING-IRRIGATION PERMIT I PLIRR-16-45601 Printed 12/09/16 at 8:36 a.m. Page 2 of 3
. 20Z1a
Texas Commission on Environmental Quality PERNIIT# /G- 9fG0
BACKFLOW PREVENTION ASSEMBLY TEST AND MAINTENANCE REPORT
The following form must be com feted for each assembl tested.A si ned and dated mi final must be submitted to the Public water su lie,for recordkee in u mes;
NAME OF PWS: C t'_�k `, V";
PWS ID#: aa �-
PWS MAILING ADDRESS: i
PWS CONTACT PERSON:
ADDRESS OFSERVICE: Icy few Dle,
The backflow prevention assembly detailed below has been tested and maintained as required by commission regulations
and is certified to be operating within acce table parameters,
TYPE OF BACKFLOW PREVENTION ASSEMBLY (BPA);
101 Reduced Pressure Principle(RPBA) I
i❑ Reduced Pressure Principle-Detector(RPBA-D) Type II ❑Double Check Valve (DCVA) '❑ Double Check-Detector(DCVA-D) Type II ❑
❑: Pressure Vacuum Breaker(PVB) yp
❑ Spill-Resistant Pressure Vacuum Breaker(SVB)
Manufacturer: Main: � Bypass l Size:
Model Number. Main:,; DG Bypass:I BPA Location: Main:,; BvIt
Serial Number: �$]�Z Main: 3� %n
I Bypasst,; BPA Serves: � ! `
Annual Test ❑ Irrigation,9 Other Elhysical P Location of Meter: y-
Reason for test: New Existing ❑ Replacement ',❑ Old Model/Serial #
Is the assembly installed in accordance with manufacturer recommendations and/or local codes?
Is the assembly installed on a non-potable water supply I Yes ❑ No
pp y(auxiliary)'. t�y
❑ Yes ^ J IV(,
o
TEST RESULT Type 11
Reduced Pressure Principle Assembly (RPBA) Assembly PVB & SVB
PASS DCVA
FAIL ❑ 1"Check 2n1 Check*** Relief Valve Bypass Check Air Inlet Check Valve
Initial Test Held at IG psid Held atl-,L psid Opened at__ Held at sid O
Date: I/7/7o70 Closed Tight Closed Tight —p d not at eJ psid Held at-_
Time: g uAt1 j Q psid Did not Closed Tight ❑ Did not open '❑ psid
Leaked 10 Leaked Leaked ❑ Did it fully open Leaked ❑
open i❑
(Yell❑/No'❑)
Repairs and Main:
Materials
Used** Bypass:
Test After Held at_psid Held at L_I psid Opened at_ Held at_psid Opened at sad Held at
ReEai Closed Tight Closed Tight ;❑ psid Closed ��P
Date: i I psid
Time:l ! Tight 0
** ?"d check: numeric readin re wired for DCVA onl
Differential pressure gauge used:
Potable: Non-Potable: ❑
Make/Model: - K�v SN:
BZ 2.d L Date tested for accurac : I� y
Remarks:
or
i
Company Name: M;d ciI�o� :4r( a;04 Licensed Tester Name
Print/Type): 54rfhefl a yd�
Company Address: 19ol-j[ bed-Ftafd 40 Licens r
azure):
Bed�o Te7GotI
Company Phone#: $I j3yo- 1s'S4The above is License# 4So75
License Ex iration Dale: i 9 Z7
ifie
tzejo
* e of test
TEST RECORDS MUST BE KEPT FOR AT LEAST ITH EE YEARS [30 TAC Fe true at the r290.46(B)l g
'* USE ONLY MANUFACTURERS REPLACEMENT PARTS
CITYOFGRAPEVINE
T!.' nEVELOPbIENTSERVICES
FEB 16 2017
ti
ENIS&L/ANDS APING
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FINAL CHECK LIST
DATE: rd I v, 1
PERMIT#: Iv k�0 ADDRESS: I�.OH Owlet
1. FINAL WALK THROUGH TO EXPLAIN THE OPERATION OF THE SYSTEM
2. MAINTENANCE CHECK LIST:
A. THE MANUFACTURER'S MANUAL FOR THE AUTOMATIC CONTROLLER
B. A SEASONAL (SPRING, SUMMER FALL, WINTER) WATERING SCHEDULE
C. A LIST OF COMPONENTS THAT REQUIRE MAINTANANCE AND RECOMMENDED
FREQUENCY FOR SERVICE.
#1 CHECK AND CLEAN NOZZLE'S MONTHLY FOR CORRECT COVERAGE
#2 TEST RAIN/FREEZE SENSOR, EVERY MONTH
43 SERVICE AND CLEAN Y STRAINER YEARLY
3. THIS IRRIGATION SYSTEM HAS BEEN INSTALLED IN ACCORDANCE WITH ALL APPLICABLE
STATE AND LOCAL LAWS, ORDINANCES, RULES, REGULATIONS OR ORDERS, I HAVE
TESTED THE SYSTEM AND DETERMINED THAT IS HAS BEEN INSTALLED ACCORDING TO
THE IRRIGATION PLAN AND IS PROPERLY ADJUSTED FOR THE EFFICIENT OF WATER AT
THIS TIME
4. PERMANENT STICKER: COMPANY AND WARRANTY DATES
5. IRRIGATION PLAN TO OWNER
OWNER OR OWN
EEAR' REPRESENTATIVE
L11 i
MID-CITIES IRRIGATION, IN . REPRESENTATIVE OF
.. ...................
PAUL H. BISHOP
.•.e...a..........
5227 :Or
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