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RESIGLIITIAL PHOTOVOLTAIC PERMI'i APPLICATION (Page 1 of 2) <br /> arr CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:053961 -7--;.")is ,-1 v L C C 1�� �` PARCEL#:00439079601101 <br /> BUILDING TYPE: ❑ SFR-DETACHED 0 SFR-ATTACHED/TOWN OUSE 0 DUPLEX <br /> CONTACT INFORMATION <br /> OWNER NAME:HOPEWORKS SOCIAL ENTERPRISES <br /> CONTRACTOR NAME:A AND R SOLAR SPC <br /> CONTRACTOR LIC.#(REQUIRED): RSOLAS*903JM CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 053961 <br /> PRIMARY CONTACT: 0 OWNER ❑✓ CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-621-8238 <br /> Wendy Wenrick CONTACT EMAIL: permits@a-rsolar.com <br /> SOLAR PANEL APPLICATION INFORMATION <br /> PV SYSTEM DESCRIPTION(include manufacturer and model,#of PV modules and inverters): <br /> Installing 193.815 PV system on rooftop <br /> (531)Itek IT365SE modules <br /> (4)Solaredge 43.2K inverters,(272)SolarEdge P730 optimizers <br /> BUILDING PERMIT CHECKLIST <br /> DETERMINE IF YOUR PROJECT QUALIFIES FOR AN OVER-THE-COUNTER BUILDING PERMIT: <br /> If you answer yes to all of the below questions, the project qualifies for an over-the-counter building permit. YES NO <br /> 1. PV system is designed and proposed for a detached one-or two-family dwelling or townhouse not more than three <br /> stories above grade or detached accessory structure that is code compliant to setbacks and height, or code allows ❑ ❑ <br /> expansion of nonconformity for solar modules. [IRC 101.2] <br /> 2. Modules on pitched roofs do not exceed the highest point of the roof unless approved by the local jurisdition. ] ❑ <br /> 3. Rooftop is made from lightweight material such as a single layer of composition shingles, metal roofing, lightweight ❑ El <br /> masonry, or cedar shingles. <br /> 4.The installation shall comply with the manufacturer's instructions. [IRC M2302.2] 0 <br /> 5. The installation shall meet the requirements of NFPA 70 National Electric Code, and all required electrical permit(s) must ❑ <br /> be obtained from the Authority having Jurisdiction to administer the electrical code. [IRC M2302.2] <br /> 6.The installation shall meet the requiremetns of the International Fire Code as amended by WA State. [IRC M2302.2] ❑ <br /> 7. The PV system is designed for the wind speed of the local area, and will be installed per the manufacturer's ❑ <br /> specifications. [IRC M2302.2.1(1)] <br /> 8.The ground snow load does not exceed 70 pounds per square foot. [IRC M2302.2.1(1)] J 0 <br /> 9. The total dead load of modules, supports, mountings, raceways, and all other appurtenances weigh no more than four .0 ❑ <br /> pounds per square foot. [IRC M2302.2.1(3)]. Enter total dead load of system (lbs/sq.ft.): <br /> 10. To address uplift, modules are mounted no higher than 18"above the surface of the roofing to which they are affixed. Fye ❑ <br /> [IRC M2302.2.1(4)] �XcJ <br /> 11. Supports for solar modules are installed to spread the dead load across as many roof-framing members as needed to ❑ <br /> ensure that no point load exceeds fifty(50) pounds. [IRC M2302.2.1(5)] <br /> 12. The photovoltaic modules and supporting structure shall be constructed of noncombustible materials or fire-retardant /f}, El <br /> wood equivalent to that required for the roof construction. [IRC M2302.2.1] CCJJ <br /> 13. Roof and wall penetrations shall be flashed and sealed to prevent entry of water, rodents, and insects. [IRC M2302.2.2] 0 0 <br /> 14. PV modules are listed and laveled with a fire classification in accordance with UL 1703. [IRC M2302.2.3] El ❑ <br /> Comments: <br /> PLEASE FILL OUT A CITY OF EVERETT BUILDING PERMIT APPLICATION IF YOU QUALIFY FOR AN OTC BUILDING PERMIT. <br /> City of Everett Official Use Only <br /> ASSOCIATED BUILDING PERMIT# <br /> Continue on to Page 2 of Application B , 0 fl e ®2 C e <br /> (Revised 9/30/2016) <br />