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Home My WebLink AboutBLD2021-00530 - MECHANICALFrom:Department of Community Development To:DCD Front Staff Subject:Mechanical Permit - Matthew and Wendy Simpson Date:Thursday, September 9, 2021 9:19:16 PM CAUTION: This email originated from outside your organization. Exercise caution when opening attachments or clicking links, especially from unknown senders. Department of Community Development Mechanical Permit View full entry at CognitoForms.com. Entry Details IS THIS PARCEL WITHIN UNINCORPORATED JEFFERSON COUNTY? Yes IS THIS PERMIT FOR A MOBILE OR MANUFACTURED HOME?No IS THIS PERMIT APPLICATION FOR A SOLAR PANEL INSTALLATION?No DOES YOUR PROJECT INCLUDE ANY FIXTURES WITH A NATURAL GAS/PROPANE/OIL FUEL SOURCE? Yes IS THIS PERMIT APPLICATION FOR A PROPANE TANK INSTALLATION?No BRIEF DESCRIPTION OF YOUR PROJECT Installing propane gas insert in lower fireplace and connect connecting to existing adjacent propane line to fuel insert. Property Owner's Information PARCEL #921063012 PROPERTY OWNER'S NAME Matthew and Wendy Simpson PROPERTY OWNER'S MAILING ADDRESS 11100 Kulshan Rd, Woodway, Washington 98020 PROPERTY OWNER'S PHONE NUMBER (425) 894-8070 PROPERTY OWNER'S EMAIL ADDRESS wendysimpson@msn.com ARE YOU CURRENTLY OR WILL YOU BE WORKING WITH AN AGENT ON YOUR BEHALF? No ARE YOU CURRENTLY OR WILL YOU BE WORKING WITH A CONTRACTOR FOR YOUR PROJECT? Yes HAVE YOU DETERMINED WHICH CONTRACTOR YOU ARE USING FOR THIS PROJECT? Yes Project Contacts Contact 1 PROJECT CONTACT'S NAME Joshua Montoya PROJECT CONTACT'S COMPANY NAME Cozy Oak Fireplace PROJECT CONTACT'S MAILING ADDRESS 918 W. 11th, Port Angeles, Washington 98363 PROJECT CONTACT'S PHONE NUMBER (360) 670-1886 PROJECT CONTACT'S EMAIL ADDRESS cozyoakfireplacemm@gmail.com ROLE IN THIS PROJECT Contractor LICENSE #Cozyoof815rp EXPIRATION DATE 12/17/2021 Mechanical Permit Details HEAT SOURCE Propane Indicate Quantity of NEW Fixture Types Below FAN (BATH FAN AND/OR EXHAUST FAN)0 CLOTHES DRYER (CLOTHES DRYER WITH EXHAUST VENT)0 COOK STOVE (COOK STOVE, RANGE HOOD EXHAUST 0 FIREPLACE - GAS (FIREPLACE-GAS OR GAS LOG INSERT)1 FIREPLACE - WOOD (FIREPLACE- WOOD, WOOD STOVE, OR PELLET STOVE) 0 ELECTRIC FURNACE (ELECTRIC FURNACE OR HP +/- DUCTING)0 PROPANE (LP) GAS FURNACE (PROPANE FURNACE +/- DUCTING)0 WATER HEATER - GAS (GAS WH VENT AND COMBUSTION AIR)0 GAS PIPE SYSTEM (GAS PIPE SYSTEM LPG/OIL)0 PROPANE TANK (LP FUEL TANK)0 HEAT PUMP 0 GENERATOR 0 AIR CONDITIONER 0 Fees MECHANICAL PERMIT FEE $194.00 PROPANE - LINES, TANK, AND APPLIANCE (ADD'L $97.00)$0.00 PROJECT SCANNING FEE $24.00 TECHNOLOGY FEE $10.90 TOTAL FEES $228.90 CONFIRM UNDERSTANDING I understand PRINT NAME Matt Simpson Powered by Cognito Forms