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Home My WebLink AboutBLD2022-00462 - MECHANICAL1 DCD Front Staff From:Department of Community Development <notifications@cognitoforms.com> Sent:Thursday, August 4, 2022 10:08 AM To:DCD Front Staff Subject:Mechanical Permit - Lawrence Johnson ALERT: BE CAUTIOUS This email originated outside the organization. Do not open attachments or click on links if you are not expecting them. 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? Yes I UNDERSTAND THAT PROPANE IS PROHIBITED IN HAZARDOUS LOCATIONS SUCH AS BASEMENTS OR PITS OR ANYWHERE “HEAVIER- THAN-AIR” GAS CAN UNSAFELY COLLECT. Yes 2 BRIEF DESCRIPTION OF YOUR PROJECT I would like to install a 120 horizontal propane tank, gas line and propane insert into my masonry fireplace. Property Owner's Information PARCEL # 953700424 PROPERTY OWNER'S NAME Lawrence Johnson SITE ADDRESS 8265 Flagler Rd, Nordland, Washington 98358 PROPERTY OWNER'S MAILING ADDRESS 8265 Flagler Rd, Nordland, Washington 98358 PROPERTY OWNER'S PHONE NUMBER (360) 301-0134 PROPERTY OWNER'S EMAIL ADDRESS lajonowa@gmail.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 Ron Bishop PROJECT CONTACT'S COMPANY NAME Bishop Propane Services PROJECT CONTACT'S MAILING ADDRESS 110 Carl Johnson Rd., Quilcene, Washington 98376 3 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 8/3/2024 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 4 GAS PIPE SYSTEM (GAS PIPE SYSTEM LPG/OIL) 1 PROPANE TANK (LP FUEL TANK) 1 HEAT PUMP 0 GENERATOR 0 AIR CONDITIONER 0 HOW MANY GALLONS IS THE TANK? 120 IS THE TANK ABOVE GROUND? Yes Submittal Items SITE PLAN 20220803.pdf Fees MECHANICAL PERMIT FEE $204.00 PROPANE - LINES, TANK, AND APPLIANCE (ADD'L $97.00) $102.00 PROJECT SCANNING FEE $25.50 TECHNOLOGY FEE $16.58 TOTAL FEES $348.08 CONFIRM UNDERSTANDING I understand PRINT NAME Lawrence Johnson 5 Powered by To help protect your priv acy, Microsoft Office prevented automatic download of this picture from the Internet.Cognito Forms