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BLD2023-1193+Application+9.24.2023_10.03.01_PM+3801174CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1373912 - The Trike Stop Applicant First Name Last Name Company Name Roqer Diaz JDA Plumbinq LLC Number Street Apartment or Suite Number E-mail Address 516 143rd St diquer38(@_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 17410 52ND AVE W City State Zip Phone Number Extension LYNNWOOD WA 98037 (425) 971-5802 State License Number License Expiration Date UBI # E-mail Address JDAPLPL782J8 5/16/2024 604320263 diquer38(a-)_gmail.com Project Location Number Street Floor Number Suite or Room Number 23105 100TH AVE W main floor none City Zip Code County Parcel Number EDMONDS 98020 00391400000100 Associated Building Permit Number Tenant Name Trike Stop Daycare Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name FORD AND FOLK LLC Number Street Apartment or Suite Number 22309 76TH AVE W City State Zip EDMONDS WA 98026 Certification Statement - The applicant states: 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. 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: 9/24/2023 Submitted By: Roger Diaz Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1373912 - The Trike Stop 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 Activity Type Scope of Work Nonresidential Alteration Plumbing Project Name: The Trike Stop Description of Work: Adding 3 bathrooms , a laundry room , a water heater and bar sink . Project Details Scope of Work Plumbing Fixtures Per Plans Type of Use Work does NOT have med gas, commercial kitchen, food svc, lab, medical, or dental use. Associated Building Permit? There is or will be a building permit associated with this work at the project location. Additional Project Information Total number of fixtures being added or altered Work Location Work Description/Location (example: 1 st floor, Master Bath, Garage) 15 Relocate the laundry , adding a full bathroom ,tankless water heater and two half bathrooms . Page 2 of 2