BLD2022-1050_Application_8.7.2022_10.19.04_AM_3036631CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1184322 - Master Bathroom
Applicant
First Name Last Name Company Name
Roger Diaz JDA Plumbing LLC
Number Street Apartment or Suite Number E-mail Address
516 143rd St diguer38@gmail.com
City State Zip Phone Number Extension
Lynnwood WA 98087 (425) 971-5802
Contractor
Company Name
JDA PLUMBING LLC
Number Street Apartment or Suite Number
516 143rd St SW
City State Zip Phone Number Extension
LYNNWOOD WA 98087 4259715802
State License Number License Expiration Date UBI # E-mail Address
JDAPLPL782J8 5/16/2024 BD4,19fl9B.,i diguer38@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
8615 184TH ST SW
City Zip Code County Parcel Number
EDMONDS 98026 00599400000400
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Douglas B\ Eliana A Allyn
Number Street Apartment or Suite Number
8615 184TH ST SW
City State Zip
EDMONDS WA 98026
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and
authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I
have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work
requires a licensed contractor to perform the work, the information will be provided prior to permit issuance.
Date Submitted: 8/7/2022 Submitted By: Roger Diaz
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1184322 - Master Bathroom
Project Contact
Company Name: JDA Plumbing LLC
Name: Roger Diaz Email: diguer38@gmail.com
Address: 516 143rd St Phone #: (425) 971-5802
Lynnwood WA 98087
Project Type
Single Family Residential
Activity Type
Alteration
Project Name: Master Bathroom
Description of Work: Adding a bathroom and laundry on second floor
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Fixtures
Clothes Washer
Shower, Tub or Combo
Toilet
Sinks
Sink
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
1
1
1
Scope of Work
Plumbing
Add a bathroom and laundry on second floor
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