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RESIDLIiTIAL PHOTOVOLTAIC PERMIT-APPLICATION (Page 1 of 2) CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits WASHINGTON PROJECT SITE INFORMATION PROJECT ADDRESS: 7-do > •+-. PARCEL#: BUILDING TYPE: ySI.SFR-DETACHED ❑SFR-ATTACHED/TOWNHOUSE ❑ DUPLEX 1,41466 CONTACT INFORMATION OWNER NAME: ON l� N6 CONTRACTOR NAME: SUr\le )' >>/J jeMS CONTRACTOR LIC.#(REQUIRED): SLI 4[[NQS i O[O5du CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 515911- PRIMARY CONTACT: / [OWNER ❑CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Q / -N 3-a 6 J tV LA NGC CONTACT EMAIL: joy\L&iinep?Iy/r•yJ- (e SOLAR PANEL APPLICATION INFORMATION PV SYSTEM DESCRIPTION (include manufacturer and model,#of PV modules and inverters): _>} S��r o n�a.✓- CD,o�-3`� w 5 0 -so ' P �� tell,- r. �t(�d- �„ c:✓/ 7} S��rPp,,v-Q�✓ E—/�cPv 3�U� �,„b- j"verlev , c vy Qv, c-�S'ic h ( Mr1Cf 11 BUILDING PERMIT CHECKLIST DETERMINE IF YOUR PROJECT QUALIFIES FOR AN OVER-THE-COUNTER BUILDING PERMIT: If you answer yes to all of the below questions, the project qualifies for an over-the-counter building permit. YES NO 1. PV system is designed and proposed for a detached one-or two-family dwelling or townhouse not more than three stories above grade or detached accessory structure that is code compliant to setbacks and height, or code allows ❑ expansion of nonconformity for solar modules. [IRC 101.2] 2. Modules on pitched roofs do not exceed the highest point of the roof unless approved by the local jurisdition. ,K1 ❑ 3. Rooftop is made from lightweight material such as a single layer of composition shingles, metal roofing, lightweight (� ❑ masonry, or cedar shingles. J� 4. The installation shall comply with the manufacturer's instructions. [IRC M2302.2] NI ❑ 5. The installation shall meet the requirements of NFPA 70 National Electric Code, and all required electrical permit(s) must 0 be obtained from the Authority having Jurisdiction to administer the electrical code. [IRC M2302.2] 6. The installation shall meet the requiremetns of the International Fire Code as amended by WA State. [IRC M2302.2] ❑ 7. The PV system is designed for the wind speed of the local area, and will be installed per the manufacturer's specifications. [IRC M2302.2.1(1)] 8. The ground snow load does not exceed 70 pounds per square foot. [IRC M2302.2.1(1)] 5ZI. ❑ 9. The total dead load of modules, supports, mountings, raceways, and all other appurtenances weigh no more than four }�,y ❑ pounds per square foot. [IRC M2302.2.1(3)]. Enter total dead load of system (lbs/sq.ft.): 2. �J 10. To address uplift, modules are mounted no higher than 18”above the surface of the roofing to which they are affixed. N ❑ [IRC M2302.2.1(4)] 11. Supports for solar modules are installed to spread the dead load across as many roof-framing members as needed to ix n ensure that no point load exceeds fifty (50) pounds. [IRC M2302.2.1(5)] 12. The photovoltaic modules and supporting structure shall be constructed of noncombustible materials or fire-retardant treated wood equivalent to that required for the roof construction. [IRC M2302.2.1] 13. Roof and wall penetrations shall be flashed and sealed to prevent entry of water, rodents, and insects. [IRC M2302.2.2] JZI ❑ 14. PV modules are listed and laveled with a fire classification in accordance with UL 1703. [IRC M2302.2.3] El, ❑ Comments: PLEASE FILL OUT A CITY OF EVERETT BUILDING PERMIT APPLICATION IF YOU QUALIFY FOR AN OTC BUILDING PERMIT. City of Everett Official Use Only ASSOCIATED BUILDING PERMIT##� Continue on to Page 2 of Application B �� c L! -4 (Revised 9/30/2016) �7