HomeMy WebLinkAboutPermit D09-156 - ENDEAVOR HOUSE - STAIRSENDEAVOR HOUSE
14835 42 AV S
D09 -156
Tenant:
Name: ENDEAVOR HOUSE
Address: 14835 42 AV S , TUKWILA WA
Owner:
Name: HIGHLINE W S MENTAL HEALTH
Address: PO BOX 69080 , SEATTLE WA 98168
Phone:
Contractor:
Name: OWNER AFFIDAVIT - THOM MCKEON
Address: 2600 SW HOLDE ST , SEATTLE WA 98126
Phone: 206 - 933 -7213
Contractor License No:
DESCRIPTION OF WORK:
REPLACE/REPAIR EXISTING STAIR
Value of Construction:
Type of Fire Protection:
Type of Construction:
doc: IBC -10/06
V -B
City ** Tukwila •
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
Contact Person:
Name: THOM MCKEON
Address: 2600 SW HOLDEN ST , SEATTLE WA 98126
Phone: 206 - 933 -7213
Parcel No.: 0041000230 Permit Number: D09 -156
Address: 14835 42 AV S TUKW Issue Date: 08/06/2009
Suite No: Permit Expires On: 02/02/2010
$500.00
DEVELOPMENT PERMIT
* * continued on next page **
Expiration Date:
Fees Collected: $163.50
International Building Code Edition: 2006
Occupancy per IBC: 0022
D09 -156 Printed: 08 -06 -2009
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
City (*Tukwila •
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206- 431 -3665
Web site: http://www.ci.tulcwila.wa.us
Fire Loop Hydrant: N Number: 0 Size (Inches): 0
Flood Control Zone:
Hauling: N Start Time: End Time:
Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y.
Landscape Irrigation:
Moving Oversize Load: Start Time: End Time:
Sanitary Side Sewer:
Sewer Main Extension: Private: Public:
Storm Drainage:
Street Use: Profit: N Non - Profit: N
Water Main Extension: Private: Public:
Water Meter: N
Permit Center Authorized Signature:
doc: IBC -10/06
Signature: Date:
Print Name: - � i- — d 6'C
Permit Number: D09 - 156
Issue Date: 08/06/2009
Permit Expires On: 02/02/2010
Date: 8-L-61
I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the perfo - ce of work. I am authorized to sign and obtain this development permit.
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
D09 -156 Printed: 08 -06 -2009
Parcel No.: 0041000230
Address: 14835 42 AV S TUKW
Suite No:
Tenant: ENDEAVOR HOUSE
1: ** *BUILDING DEPARTMENT CONDPI'fONS * **
• •
City of Tukwila
doc: Cond -10/06
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http://wwwci.tukwila.wa.us
5: All wood to remain in placed concrete shall be treated wood.
PERMIT CONDITIONS
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
4: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
6: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be
obtained at City Hall in the office of the City Clerk.
7: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
* * continued on next page **
Permit Number: D09 -156
Status: ISSUED
Applied Date: 08/06/2009
Issue Date: 08/06/2009
D09 -156 Printed: 08 -06 -2009
® •
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206- 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and
this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provision of any other work
construction or the performance of work.
Signature:
Print Name:
doc: Cond -10/06 D09 -156
Date: F
ordinances governing
or local laws regulating
Printed: 08 -06 -2009
Site Address:
Company Name:
Mailing Address:
Company Name:
Mailing Address:
Company Name:
Mailing Address:
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Building Permit No.
Mechanical Permit No.
Plumbing/Gas Permit
Public Works Permit
Project No.
(For office use only)
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
SITE LOCATION
King Co Assessor's Tax No.: OD 1 4 1 ° O — 0.130
Suite Number:
Tenant Name: New Tenant: ❑ Yes El ..No
Property Owners Name: /t/��S C ,{ w�f 5� c7&.
Mailing Address: 264 .S" .Eti — s4T7 w4t 2C..
Zip
Name: -- Z7 io, /WA'0
Mailing Address: v?(ofb Ski f�L�fv �7
E -Mail Address: Tai. / *� ,&451-AVS.
GENERAL CONTRACTOR; INFORMATION
(Contractor Information for, Mechanical (pg 4)`for Plumbing and Gas Piping (pg 5))
.e/A4
Contact Person:
E -Mail Address:
Contractor Registration Number:
Contact Person:
E -Mail Address:
Contact Person:
E -Mail Address:
H:\Applications\Forms- Applications On Line\2009 Applications \1 -2009 - Permit Application.doc
Revised: 1 -2009
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City State
Floor:
CONTACT PERSON - who do we contact when your permit is ready to be issued
Day Telephone: 933 -- 7 zi
State
State
State
Zip
City
Fax Number:
Zip
City
Day Telephone:
Fax Number:
Expiration Date:
ARCHITECT OF RECORD - All plans must be wet stamped by Archi
Zip
City
Day Telephone:
Fax Number:
ENGINEER OF RECORD - All plaits must'be wet'st by Engineer;
State
Zip
City
Day Telephone:
Fax Number:
Page 1 of 6
BUILDING PERMIT INFORMATION 206- 431 -3670
Valuation of Project (contractor's bid price): $ ! 0
Z7
Scope of Work (please provide detailed information):
Will there be new rack storage? ❑ Yes
Existing Building Valuation: $
0.. No If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
2 Floor
3 Floor
Floors
thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
Interior Remodel
Addition to
Existing
Structure
Type of
Construction per
Type "of
Occupancy per
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ Yes 0 No If "yes ", explain:
FIRE PROTECTION /HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No
If `yes', attach list of materials and storage locations on a separate 8 -1/2 "x 11 " paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
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Revised: 1-2009
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Page 2 of 6
PERMIT APPLICATION NOTES — Applicable to all permits in this application.
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
Building and Mechanical Permit
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
Plumbing Permit
The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition).
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AU RIZED ENT:
S ignature:
Print Name: '7 ?79779 :
Mailing Address: oP‘ 00 .SYJ f�O�E:(i
I Date Application Accepted:
H.Wpplications\Forms- Applications On Line\2009 Applications \I -2009 - Permit Application.doc
Revised: 1 -2009
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Date: ���aJ
Day Telephone: 9S3 — 72/3
City
State Zip
Date Application Expires:
Staff Initials:
Page 6 of 6
Fixture Type:
Qty
Fixture Type:
Q
ixture Type:
Qty '
Fixture Type:
Qty
Bathtub or combination
bath/shower
Bidet
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic,
with independent drain
Drinking fountain or
water cooler (per head)
.d -waste grinder,
co • ercial
Floor Drain
Shower, single head trap
Lavatory
Was s untain
Receptor, indirect waste
Sinks
Urinals
Water Cl. t
Building sewer and each
trailer park sewer
Rain water system — per
drain (inside building)
Water heater d /or vent
Industrial wa - treatment
interceptor, inc . ing trap
and vent, except . kitchen
type grease interce. 'rs
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity)
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
Rep or alteration of
w. r piping and /or water
atment equipment
Repair or alteration o
drainage or vent piping
Medical gas piping
system serving 1 -5
inlets /outlets for a
specific gas
Each additional medical
gas inlets /outlets greater
than 5
Backflow protective
device other than
atmospheric -type vacuum
breakers 2 inch (51 mm)
diameter or smaller
Backflow protective device
other than atmospheric -type
vacuum breakers over 2
inch (51 mm) diameter
Each lawn sprinkler
system on any one meter
including backflow
protection devices
Atmospheric -type vacuu'
breakers not included '
lawn sprinkler back
protections (1 -5)
Atmospheric -type
vacuum breakers not
included in lawn
sprinkler backflow
protections over 5
Gas piping outlets
PLUMBING AND GAS PIPING PERMIT INFORMATION - 206-431-3670
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Valuation of Project (contra • •r's bid price): $
Scope of Work (please provide etailed information):
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
Indicate type of plumbing fixtures and /or gas piping outlet .eing in led and the quantity below:
H:\ApplicationsWorms- Applications On-Line \2009 Applications \1-2009 Permit Application.doc
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wer:
Page 5 of 6
Parcel No.: 0041000230 Permit Number: D09 -156
Address: 14835 42 AV S TUKW Status: PENDING
Suite No: Applied Date: 08/06/2009
Applicant: ENDEAVOR HOUSE Issue Date:
Receipt No.: R09 -01234
Initials: WER Payment Date: 08/06/2009 02:20 PM
User ID: 1655 Balance: $0.00
Payee: NAVOS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA -
Authorization No. 086225
ACCOUNT ITEM LIST:
Description
BUILDING - RES
PLAN CHECK - RES
STATE BUILDING SURCHARGE
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
RECEIPT
163.50
Account Code Current Pmts
000/322.100
000/345.830
640.237.114
Payment Amount: $163.50
120.00
39.00
4.50
Total: $163.50
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 08 -06 -2009
Project:
e ldf R , s)x
Type of Inspection:
1= /N4 L
Address: ..,
/ -.5
4 / 1, L/ S
Called:
Special Instructions:
-
("704
Date Wanted:
6 27- 05
p.m.
Requester:
Phone No:
- 775
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
PERMIT NO.
❑ Corrections required prior t approval.
COMMENTS:
(10114.134---4'0 s =l ,v /9/
1 I 0 REINSPECTION FEE R • UIRED. 9rior to inspection, feymust be
p d at 6300 Southcenter Blvd., . uite 100. Call to schedule relnspection.
Receipt No.:
Date:
t{L
Project:
.n/ D c4 / /4/.5 5
Type of Inspection:
/L A9 rrP/VG
Address:
i 5 4/2 9' 5
Date Called:
Special Instructions:
Date W nted:
5/_m 7_
p:m.
Requester:
Phone No:
cQ
?7 5 -'7 7
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. TIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
COMMENTS:
Inspecto
Date:
$ • 0 00 REINSPECTION F = REQUIR . Prior to inspection, fee must be
ai
at 6300 Southcenter :1 d., Suite 100. Call to schedule reinspection.
Receipt No.: 'Date:
Approved per applicable codes.
El Corrections required prior tq approval.
Pro ect:
,t//I //d r /4; s-
Ty f Inspection:
� PrAmws-
,6 W e9I'
A� re;� '/2 nd
tT
Date Called:
Special Instructions:
Dat e Wa ted:
��
/�— Q
�rrt`
p.m.
Requester:
Phone No'
7.-.4.r?'
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION �-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
j lnsp9r:
Date: ' t
IC ' k �
El $60.00 REINSPECTION FEE R UIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., uite 100. Call to schedule reinspection.
Receipt No.:
IDate:
Related reference number
Building
Authorization by,
TBD36/96 -form 12
•
City Of Tukwila
Permit Center
6300 Southcenter Boulevard, Suite, 100
Tukwila, WA 98188
(206 431 -3670)
ALTERNATE PLAN SUBMITTAL AUTHORIZATION
FOR LIMITED SCOPE OF WORK
I.B.C.& I.R.C. Section 104.1
Project name ,t //1'l/OS – 4 4' -4 '
Address 741? Tel /</e/e 44,
Description of work , �l4,E / //Z 4r-4 - s /i2S
The above project permit applicant, due to the limited scope of work is authorized to submit reduced
plan requirements described below.
1. Complete permit application required: (Note, all application must include; 1) property assessor
number, 2) copy of contractors license or completed owner waiver form.)
Mechanical Other
Application #
2. Minimum plan and /or specification requirement:
Site plan Floor plan y Elevations Foundation
Cross sections Roof plan W.S.E.C. Compliance Narrative
Structural calculations (stamped by Washington State licensed engineer )
Specific required information jper ssri.-r /04 g„
3. Other special instructions: /7,, p
c
e .
� r -�,� �,�� 1
•
,p cif
Date r-
(Authorization void 30 days after the date issued.)
i
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
T (206 ) 43 -367n FAY (206) 31_3665
E -mail: tukplanPci.tukwila.wa.us
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
, states as follows:
[please print name]
1. I have made application for a permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the
Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have
read or am familiar with RCW 18.27.090.
3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the
City of Tukwila must verify either that the contractor is registered by the State of Washington, or that
one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090,
I consider the work authorized under this permit to be exempt under number/ Z , and will therefore
not be performed by a registered contractor.
5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to
persons making electrical installations on their own property or to regularly employed employees
working on the premises of their employer. The proposed electrical work is not for the construction
of a new building for rent, sale or lease.
I understand that I may be waiving certain rights that I might otherwise have under state law in any decision
to engage an unregistered contractor to perform construction work.
ll AS
Owner /Owner's Agent*
Signed and sworn to before me this
day of
iglus I
Residing at
PERMIT NO: D IS b
NOTARY PUBLIC in and for the State of Washington
K' l V
, County
Name as commissioned: ,(I Pl ,� / a4C
My commission expires: 05-'7 " / v
Permit Center /Building Division
206 431 -3670
Public Works Department
206 433 - 0179
Pla "-"g Division
206 431 -3670
, 2 0r- i.
18.27.090 Exemptions. The registration provisions of this chapter do not apply to:
i. An authorized representative of the United States
government, the state of Washington, or any incorporated
city, town, county, township, irrigation district, reclamation
district, or other municipal or political corporation or
subdivision of this state;
2. Officers of a court when they are acting within the scope
of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in construction,
maintenance, or development work incidental to their own
business;
4. Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground mine
or mineral deposit when performed by an owner or lessee;
5. The sale of any finished products, materials, or articles of
merchandise that are not fabricated into and do not become
a part of a structure under the common law of fixtures;
6. Any construction, alteration, improvement, or repair of
personal property performed by the registered or legal
owner, or by a mobile /manufactured home retail dealer or
manufacturer licensed under chapter 46.70 RCW who shall
warranty service and repairs under chapter 46.70 RCW;
7. Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any site or
reservation under the legal jurisdiction of the federal
government;
8. Any person who only furnished materials, supplies, or
equipment without fabricating them into, or consuming
them in the performance of, the work of the contractor;
9. Any work or operation on one undertaking or project by
one or more contracts, the aggregate contract price of
which for labor and materials and all other items is less
than five hundred dollars, such work or operations being
considered as of a casual, minor, or inconsequential nature.
The exemption prescribed in this subsection does not apply
in any instance wherein the work or construction is only a
part of a larger or major operation, whether undertaken by
the same or a different contractor, or in which a division of
the operation is made into contracts of amounts less than
five hundred dollars for the purpose of evasion of this
chapter or otherwise. The exemption prescribed in this
subsection does not apply to a person who advertises or
puts out any sign or card or other device which might
indicate to the public that he or she is a contractor, or that
he or she is qualified to engage in the business of
contractor;
10. Any construction or operation incidental to the
construction and repair of irrigation and drainage ditches
of regularly constituted irrigation districts or reclamation
districts; or to farming, dairying, agriculture, viticulture,
horticulture, or stock or poultry raising; or to clearing or
other work upon land in rural districts for fire prevention
purposes; except when any of the above work is performed
by a registered contractor;
ii. An owner* who contracts for a project with a registered
contractor, except that this exemption shall not dcprive the
owner of the protections of this chapter against registered
and unregistered contractors. The exemption prescribed in
this subsection does not apply to a person who performs
the activities of a contractor for the purpose of leasing or
selling improved property he or she has owned for less than
twelve months;
12.* Any person working on his or her own property,
whether occupied by him or her or not, and any person
working on his or her personal residence, whether owned
by him or her or not but this exemption shall not apply to
any person who performs the activities of a contractor on
his or her own property for the purpose of selling,
demolishing, or leasing the property;
13. An owner* who performs maintenance, repair, and
alteration work in or upon his or her own properties, or
who uses his or her own employees to do such work;
14. A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician certified under the laws of the state of
Washington, or a plumber certified under the laws of the
state of Washington or licensed by a political subdivision of
the state of Washington while operating within the
boundaries of such political subdivision. The exemption
provided in this subsection is applicable only when the
person certified is operating within the scope of his or her
certification;
15. Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an employee
with wages as his or her sole compensation;
16. Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17. A mobile /manufactured home dealer or manufacturer
who subcontracts the installation, set -up, or repair work to
actively registered contractors. This exemption only applies
to the installation, set -up, or repair of the
mobile /manufactured homes that were manufactured or
sold by the mobile /manufactured home dealer or
manufacturer;
18. An entity who holds a'valiU'electrical contractor's
license under chapter it.28 RCW that employs a certified
journeyman electtician,",a certified residential specialty
electrician, or an 'electrical trainee meeting the
requirements of chapter 19.28 RCW to perform plumbing
work that is incidentally, directly, and immediately
appropriate to the like -in -kind replacement of a household
appliance or other small household utilization equipment
that requires limited electric power and limited waste
and /or water connections. An electrical trainee must be
supervised by a certified electrician while performing
plumbing work.
' Per Washington State Department of Labor and Industries, lessee has been
interpreted to be equivalent to owner for the purpose of these exemptions.