STATE OF WASHINGTON DEPARTMENT OF LABOR AND …

Dear Applicant,

STATE OF WASHINGTON

DEPARTMENT OF LABOR AND INDUSTRIES

PO Box 44470, Olympia, WA 98504-4470

Upon approval for testing, an exam notice and directions will be mailed to you.

Once an applicant has been approved for certification under the reciprocal agreement or medical gas endorsement application, a notice will be mailed to the applicant requesting an additional licensing fee.

Application fees are non-refundable. If you have any questions regarding the processing of your application, you may contact this office at the address above or by calling Plumber Certification at 360-902-5207.

Type of Application Exam Applicants ? Journey Level ? Residential Specialty ? Residential Service ? Medical Gas (an additional licensing fee will be required when you pass the exam)

? Domestic Pump ? Pump and Irrigation (an additional licensing fee

will be required when you pass the exam) Combination licenses require separate electrical application.

Reciprocal Applicants An additional licensing fee will be required after the application has been reviewed and approved.

Fees $189.80 per exam

$189.80 fee valid for one year

$189.80

Medical Gas Endorsement Applications ? For first time applicants only. ? If you held an endorsement previously and it

has expired past 90 days, you are required to take the Medical Gas Exam. ? An additional licensing fee will be required after the application has been reviewed and approved.

Temporary Permit Applications Temporary permits are issued one time only to active out of state plumbers. A temporary permit is valid for 120 days and is non-renewable. If you fail the exam, the temporary permit is no longer valid.

$69.80 $94.20

Requirements ? Appropriate fee attached. ? Washington state trainees ? supply

original affidavits of experience, unless already on file with the department. ? Out of state plumbers ? copy of out of state license. ? Copy of picture identification such as a driver's license.

? Copy of active out of state plumber's license must be attached.

? Appropriate fee attached. ? Copy of picture identification such as a

driver's license. ? Medical gas applicants must have an

active Washington State Journey Level Card. ? Appropriate fee attached. ? Certificate of completion from department approved medical gas training course. ? Copy of picture identification such as a driver's license.

? Copy of active out of state plumber's license must be attached.

? Appropriate fee attached. ? Examination application and appropriate

fee required. ? Copy of picture identification such as a

driver's license.

F627-008-000 Application for a Journeyman, Residential Specialty, Rec Plumbers or Med Gas 07-2021

All Applicant Instructions

Fill out the application completely. Failure to provide correct information in all of the appropriate sections shall be deemed sufficient cause for rejection of the application by the Plumber Certification Section.

If you are unable to take the examination on the date you have scheduled with PSI, you must call PSI at least 2 days prior to the exam date and reschedule. If you do not reschedule or if you fail to show for the exam, you will forfeit the scheduling fee with PSI and must contact PSI to be rescheduled.

If you wish to reschedule your examination or have any questions, please call 855-340-3910.

Effective January 1, 2017 ? the Journey Level, Residential Specialty, Domestic Pump and Pump and Irrigation examinations will be based on the 2015 Uniform Plumbing Code with the Washington State Amendments. You are urged to study the publications thoroughly.

Journey Level and Residential Specialty Plumber Examination Applicants

The three part examination will consist of:

1. 100 Uniform Plumbing Code questions with Washington State Amendments taken from Chapters 1 ? 10 and 15, 16 and 17.

2. A waste and vent pipe sizing drawing based on sizing and design methods from Chapter 7. 3. A water pipe sizing drawing based on sizing and design methods from Chapter 6.

Provided are Drainage Fixture Unit Values (Table 702.1); Water Supply Fixture Units (Table 610.3); Fixture Unit (Table 610.4); and Flushometer Fixture Units (Table 610.10). No other tables will be provided.

The minimum score required to pass the examination is 70% on each of the three parts.

Pump and Irrigation, and the Domestic Pump Specialty Plumber Examination Applicants

The Pump and Irrigation and the Domestic Pump examination will consist of questions taken from Chapters 2, 3, 6, and 16 of the Uniform Plumbing Code with the Washington State Amendments.

The minimum score required to pass the examination is 70%.

Medical Gas Examination Applicants

The examination is designed to measure your knowledge of the requirements of the currently adopted medical gas code.

The Washington State medical gas examination is an open book exam based on the NFPA 99C Gas and Vacuum Systems.

The minimum score to pass the examination is 70%.

Residential Service Exam Applicants

This exam contains questions taken from UPC with amendments, mechanical code with amendments, RCWs and WACs and other related sources.

F627-008-000 Application for a Journeyman, Residential Specialty, Rec Plumbers or Med Gas 07-2021

Department of Labor and Industries Plumber Certification Section PO Box 44470 Olympia WA 98504-4470

Phone: 360-902-5207

Application for Plumber Examination, Reciprocal, Medical Gas Endorsement, or

Temporary Permit

The fee made payable to the Department of Labor and Industries must accompany the application.

Exam information can be found at:

Exam date & Location:

Exam applied for (check only one):

Journey Level (GL Code 2050)

Fee: $189.80

Residential Specialty (GL Code 2050)

Domestic Pump (GL Code 2062)

Application applied for:

Fee: $189.80

Reciprocal (GL Code 2050)

Fee: $69.80

Medical Gas Endorsement (GL Code 2250)

Fee: $94.20

Temporary Permit (GL Code 2056)

Applicant information: Name (Last, First, Middle)

Pump and Irrigation (GL Code 2062) Medical Gas (GL Code 2255) Residential Service (GL Code 2050)

Social Security No. (required)

Address

City

State Zip Code

Date of Birth

Phone Number

Email Address

Is this your first application?

Yes

Have you been certified in Washington previously or had

Yes

a temporary certificate?

Do you have a current plumber trainee certificate?

Yes

Are you in an approved plumbing apprenticeship program

Yes

in Washington?

Employer information: Employer Name

Address

City

Date (From ? To)

No No No If yes, write your plumber trainee

certificate number. No If yes, write your apprenticeship ID

number.

State Zip Code Phone Number

Signature I hereby certify that the statements on this application are true and accurate. See RCW 18.106 and WAC 296-400A-130 for penalties for false statements or material misrepresentation. I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct.

Signature of Applicant

Date

F627-008-000 Application for a Journeyman, Residential Specialty, Rec Plumbers or Med Gas 07-2021

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download