HomeMy WebLinkAboutPermit M14-0032 - TRUONG RESIDENCE - FURNACE AND GAS FIREPLACETRUONG RESIDENCE
16836 53 AVE S
EXPIRED
01/24/2015
M14-0032
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.Rov
MECHANICAL OTC PERMIT
Parcel No: 8125200310 Permit Number: M14-0032
Address: 16836 53 AVE S Issue Date: 1/27/2014
Permit Expires On: 7/26/2014
Project Name: TRUONG RESIDENCE
Owner:
Name: TRUONG TAM A
Address: 16836 53RD AVE S , TUKWILA, WA,
98188
Contact Person:
Name: TAM TRUONG Phone:
Address: 16836 53 AV S , TUKWILA, WA, 98188
Contractor:
Name: OWNER AFFIDAVIT - TAM TRUONG Phone:
Address:
License No: Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
INSTALL NEW FURNACE, GOODMAN BRAND 86,000 BTU'S AND GAS FIREPLACE MAXIMUM 18,000 BTU'S. GAS
PIPING UNDER SEPARATE PERMIT.
Valuation of Work: $3,000.00
Type of Work: REPLACEMENT
Fuel type: GAS
Fees Collected: $188.90
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: HIGHLINE
Sewer Distric: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
Permit Center Authorized Signature:
2012 International Fuel Gas Code:
2012 WA Cities Electrical Code:
2012 WA State Energy Code:
2012
Date:
2012
2012
2012
I hearby 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 performance of work. I am authorized to sign and obtain this
developm pe it and agrto the conditions attached to this permit.
Signature:
Print Name: C I1"r^
Date: I1z-r14
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or
if the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***MECHANICAL PERMIT CONDITIONS***
2: All mechanical work shall be inspected and approved under a separate permit issued by the City of
Tukwila Permit Center (206/431-3670).
3: All permits, inspection record card and approved construction documents shall be kept at the site of work
and shall be open to inspection by the Building Inspector until final inspection approval is granted.
4: Manufacturers installation instructions shall be available on the job site at the time of inspection.
5: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired
appliances shall not be located in, or obtain combustion air from, any of the following rooms or spaces:
Sleeping rooms, bathrooms, toilet rooms, storage closets, surgical rooms.
6: Equipment and appliances having an ignition source and located in hazardous locations and public
garages, PRIVATE GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking
garages shall be elevated such that the source of ignition is not less than 18 inches above the floor surface
on which the equipment or appliance rests.
7: Type 1 Hoods, the required grease duct leakage test and (light test shall be performed by a special
inspection and testing agency in accordance with I.M.C. Chapter 5.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
0708 GAS FIREPLACE INSERT
1800 MECHANICAL FINAL
0701 ROUGH -IN MECHANICAL
CITY OF TUKW.'
Community Developmeui Department
Permit Center
6300 Southcenter Blvd:, Suite 100
Tukwila, WA 98188
littp://www.TukwilaWA.gov
Mechanical Permit No.
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
MECHANICAL PERMIT APPLICATION
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
Site Address: b a C cS
Tenant Name:
PROPERTY OWNER
Name: ' �, ����
I Jt w ` Ix__
Address:l G 23c c3r ei t7,,2„, C ,
City-k t, j1, State:f „ n
Zip: q
,sq.
CONTACT PERSON — person receiving all project
communication
Name? `j -
Address: 1 623 C t-3 °
'City
i�O1op:P
Oate:
1W (
�-J
o/ a-7c,—Em -zs
i1:
King Co Assessor's Tax No.:
t Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Address:
City: State: Zip:
Phone: Fax:
Contr Reg No.: Exp Date:
Tukwila Business License No.:
Valuation of project (contractor's bid price): $ 79ri 8 t C) j M
Describe the scope of work in detail:'a�`P,(k) ax . (e-5(� li 1 tl��
ZS� 7lA
ikr\ co( i ib.(cLo -T•Iot `i•t- (Y;
OfriS ttrk° TkCe._
Use: Residential:
Commercial:
New ❑ Replacement ❑
New ❑ Replacement ❑
Fuel Type: Electric ❑ Gas
Other:
H:Wpplications\Forms-Applications On Line\2011 Applications\Mechanical Permit Application Revised 8-9-1 l.docx
Revised: August 2011
bh
Page 1 of 2
Indicate type of mechanical work being installed and the quantity below:
Unit Type
Qty
Furnace <100k btu
Furnace >100k btu
Floor furnace
Suspended/wall/floor
mounted heater
Appliance vent
Repair or addition to
heat/refrig/cooling
system
Air handling unit
<10,000 cfm
Unit Type
Qty
Air handling unit
>10,000 cfm
Evaporator cooler
Ventilation fan
connected to single duct
Ventilation system
Hood and duct
Incinerator — domestic
Incinerator —
comm/industrial
Unit Type
Qty
Fire damper
Diffuser
Thermostat
Wood/gas stove
I
Emergency generator
Other mechanical
equipment
Boiler/Compressor
Qty
0-3 hp/100,000 btu
3-15 hp/500,000 btu
15-30 hp/1,000,000 btu
30-50 hp/1,750,000 btu
50+ hp/1,750,000 btu
PERMIT APPLICATION NOTES -
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.
The building official may grant one extension of time for additional periods not to exceed 90 days each. The extension shall be requested in writing
and justifiable cause demonstrated. Section 105.3.2 International Building 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 GWNER
Signature: , r
Print Name:14- U Ac4 �j
Mailing Address: 16 0 6 c
AUTHORIZED AGENT:
Day.Telepho
7-t0441V1/
City
Date: 2�
:zoo 6-16--2��6�
- sicC
State
Zip
H:\Applications\Forms-Applications On Line\2011 Applications\Mechanical Permit Application Revised 8-9-11. docx
Revised: August 2011
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Page 2 of 2
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
I PAID
$188.90
M14-0032 Address: 16836 53 AVE S
Apn: 8125200310
$188.90
MECHANICAL
$179.90
PERMIT FEE
R000.322.100.00.00
$147.40
PERMIT ISSUANCE BASE FEE
R000.322.100.00.00
$32.50
TECHNOLOGY FEE
$9.00
TECHNOLOGY FEE
60
R000.322.900.04.00
$9.00
$188.90
City of Tukwila
6200 Southcenter Blvd, Tukwila, WA
1 Finance Department
1402701-1 01/27/2014 BR1 T121
Mon Jan27,2014 04:37PM Trans#36-39
36 $179.90 DCDGEN - DCD Permits Plus
- General Fund
ID: TAM TRUONG
37 $9.00 MISC - Miscellaneous
* Desc: TAM TRUONG TECH FEE
38 $81.90 DCDGEN - DCD Permits Plus
General Fund
ID: TAM TRUONG
39 $4.10 MISC - Miscellaneous
* Desc: TAM TROUNG TECH FEE
4 ITEM(S): TOTAL: $274.90
Cash PAID $300.00
CHANGE DUE: $25.10
www.tukwilawa.gov 206-433-1835
Date Paid: Monday, January 27, 2014
Paid By: TAM TRUONG
Pay Method: CASH
Printed: Monday, January 27, 2014 4:31 PM 1 of 1
IAF
SYS 7E Mt
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO, PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
MI') - 103
Project:^
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Type/of Inspection:
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Address:
iftaX3
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Date Called:
. .
Special Instructions: `'
j
Date Wantede�r�i'
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!�
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m.
Requester:
Phone No:
DApproved per applicable codes.
DCorrections required prior to approval.
COMMENTS: D 4
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Inspector: J
Date:] , C ) 4
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REINSPECTION FEE REQUIRED.. -Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd/Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
M(2i-O032
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431-2451
(206) 431-36
Project:
Tr3,A �
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Type of.J;nspection:__
6M$ _I-A.sef7_.
Address:
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Date Called:
Special Instructions:
Date Wanted:1 ' Al
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1:,
p.m.
Requester:
i
Phone No:
ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
7 p PMD\JP Ms0 t--,fi L)1r -AATP.
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Inspector: /
Date:
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REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
6300 Southcenter Blvd,, #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431-2451
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431-3670
0111-1c032--
Project:
I I'ZLIbK) D
Typ of Inspection:
Ran-t''' .
Addres :
i/, 36. 53 At/
Date Called:
Special Instructions:
Date Wanted:
a.m.i
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
ro Q0 nl.Isti3e ? i _
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Date,
Inspec b :
1
EINSPECTION FEE REQUIR�D. Prior to next inspection, fee must be
I ai at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431-2451
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431-3670
Projects
Type of Inspection:,
Address:
frr /l g 33, Ai , C
Date Called: '
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Special Instructions:—
Date Wanted::?
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Requester:
Phone No:
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Approved per applicable codes. Corrections required prior to approval.
COMMENTS: / P''
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Inspector: /
REINS EP CTION FEE'REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date: /
7- 7
9
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:
Type of Inspection:
Address:
Date Calted:
Special instructions:
Date Wanted:
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS
Inspector
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
6163
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project
Type of Inspectio0:
Addres :
Date Called:
Special Instructions:
Date Wanted:
Requester:
Phone No:
ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Inspecto A
REI SPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
City of Tukwila
Department of Community Development
12/ 1 /2014
TAM TRUONG
16836 53 AV S
TUKWILA, WA 98188
RE: Permit No. M14-0032
TRUONG RESIDENCE
16836 53 AV S
Dear Permit Holder:
Jim Haggerton, Mayor
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 1/24/2015.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 1/24/2015, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File No: M14-0032
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
City of Tukwila
Department of Community Development
6/2/2014
TAM TRUONG
16836 53 AV S
TUKWILA, WA 98188
RE: Permit No. M14-0032
TRUONG RESIDENCE
16836 53 AV S
Dear Permit Holder:
Jim Haggerton, Mayor
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 7/26/2014.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address
your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 7/26/2014, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
er Marshall
Technician
F No M14-0032
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
CITY OF TUKWILA
Department of Community Development
630o Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431-367o FAX (206) 431-3665
E-mail: tukplanoci.tukwila.wa.us
Permit Center/Building Division
206 43i-367o
Public Works Department
206 433-0179
Planning Division
206 431-367o
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
STATE OF WASHINGTON)
) ss.
COUNTY OF KING
states as follows:
[please print name]
PERMIT NO: M, t k O D 3 3-.
G L-1 i-k -0073
i. 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 numbed 2- , and will therefore
not be performed by a registered contractor.
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
to engage an unregistered contractor to perform construction work.
•.•. •
i^7f.Q, 1p
-
OF tiyASN......:
Owner/Owner's A
have under state law in any decision
Signed and sworn to before me this
y,^
Z� day of k-, 20 \`A .
NOTARY PUBLIC in and for the State of Washington
Residing at , County
6c,1
�--
My commission expires: S — lS
Name as commissioned:
18.27.090 Exemptions. The registration provisions of this chapter do not apply to:
1. 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 46.7o RCW who shall
warranty service and repairs under chapter 46.7o 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;
i1. An owner* who contracts for a project with a registered
contractor, except that this exemption shall not deprive 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 valid electrical contractor's
license under chapter 19.28 RCW that employsl a ified
journeyman electrician, a certified reside0114 toe;til5
electrician, or an electrical trainee meeting thr01 ti
requirements of chapter 19.28 RCW to perform p'fi a ing
work that is incidentally, directly, and inunedi tely°
appropriate to the like -in -kind replacement'of a houselold
appliance or other small household utilization equip}faint
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 purposes of exemptions.