HomeMy WebLinkAboutBLD2021-00186 - MECHANICALJEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street | Port Townsend, WA 98368
360-379-4450 | email: dcd@co.jefferson.wa.us
www.co.jefferson.wa.us/commdevelopment
MECHANICAL AND DEMOLITION PERMIT
BLD2021-00186
4/2/2021Issue Date
3/29/2021Received Date
PORT TOWNSEND, 98368
SITE ADDRESS:
PERMIT #:
APPLICANT:
939301303PARCEL NUMBER:
Lot:Block:9393 - CAPE GEORGE COLONY DIV.SUBDIVISION:
JOHN & DARLA LACY
140 PINE DR
PORT TOWNSEND WA 98368-9429
PHONE:
111 W VANCOUVER DR
Section: 12 Township: 30N Range: 2W
BISHOP PROPANE
110 CARL JOHNSON RD
QUILCENE, WA 98376
360-774-1995PHONE: CONTRACTOR:
Contractor's License BISHOPS861LW Expires 6/16/2022
PROJECT DESCRIPTION:PROPANE LINES
THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 4/2/2022.
REQUIRED INSPECTIONS:
Installation per Manufacturer Specifications/CO:________________________________________________
_______________________________________________________________________________________
Tank/Line/Appliance:_______________________________________________________________________
_______________________________________________________________________________________
Final Approval:____________________________________________________________________________
________________________________________________________________________________________
BUILDING INSPECTION HOT-LINE 379-4455.
REQUESTS MUST BE RECEIVED BY 3 PM THE DAY BEFORE THE INSPECTION IS NEEDED.
Office Hours 9:00 a.m. - 4:30 p.m. Monday - Thursday
HOT LINE AVAILABLE 24 HOURS A DAY
\\tidemark\data\forms\F_BLD_Permit_Propane.rpt 4/2/2021
From:Department of Community Development
To:DCD Front Staff
Subject:Mechanical Permit - John and Darla Lacy
Date:Monday, March 29, 2021 9:21:09 AM
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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 Removal of black iron propane supply lines
installed around 1980. These are attached to
the house and the house is being resided.
Installation of new propane supply lines located
underground.
Property Owner's Information
PARCEL #939301303
PROPERTY OWNER'S NAME John and Darla Lacy
PROPERTY OWNER'S MAILING
ADDRESS 140 Pine Drive, Port Townsend, Washington
98368
PROPERTY OWNER'S PHONE
NUMBER (360) 535-9104
PROPERTY OWNER'S EMAIL
ADDRESS taipanjpl13@gmail.com
ARE YOU CURRENTLY OR WILL YOU
BE WORKING WITH AN AGENT ON
YOUR BEHALF?
Yes
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 John Lacy
PROJECT CONTACT'S COMPANY
NAME jpl llc
PROJECT CONTACT'S MAILING
ADDRESS 140 Pine Drive, Port Townsend, Washington
98368
PROJECT CONTACT'S PHONE
NUMBER (360) 535-9104
PROJECT CONTACT'S EMAIL
ADDRESS taipanjpl13@gmail.com
ROLE IN THIS PROJECT Agent/Representative
PLEASE CONTACT
AGENT/REPRESENTATIVE FOR ALL
INQUIRIES REGARDING THIS
PROJECT.
Yes
Contact 2
PROJECT CONTACT'S NAME RON BISHOP
PROJECT CONTACT'S COMPANY
NAME BISHOP PROPANE SERVICES
PROJECT CONTACT'S MAILING
ADDRESS 110 Carl Johnson Road, Quilcene,
Washington 98376
PROJECT CONTACT'S PHONE
NUMBER (360) 774-1995
PROJECT CONTACT'S EMAIL
ADDRESS bishoppropaneservices@gmail.com
ROLE IN THIS PROJECT Contractor
LICENSE #BISHOPS861LW
EXPIRATION DATE 4/28/2021
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)0
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)1
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 John P Lacy
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