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IRPPLI ATIONI RESIDRTIAL PHOTOVOLTAIC PERM C (Page 1 of 2) CITY OF EVERETT PERMIT SERVICES 4E-1- 3200 CEDAR STREET, EVERETT,WA 98201 Pa (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 161 t tQ PARCEL#_ BUILDING TYPE: ❑SFR-DETACHED QJ SFR-ATTACHED/TOWNHOUSE ❑ DUPLEX { CONTACT INFORMATION OWNER NAME: Dal t,\e ,c- avd CONTRACTOR NAME: D LA VALK CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): `PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) ��y CONTACT NA : CONTACT PHONE: 2 0 , ;• r t r� ��e QiLLa t/ct CONTACT E��aalL. SOLAR PANEL APPLICATION INFORMATION PV SYSTEM DESCRIPTION(include manufacturer and model,#of PV modules and inverters): 0 - IFS116a r ern 25 ViNt - Pah-els .M.C Lk c/4.is kit (v l,2(2-43 - ' 1 -- 5b la✓P69.e 1 o KW se t o NO A e ridl tied -r s tA,9 le.Pk Ss2_, 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 i 1. PV system is designed and proposed for a detached one-or two-family dwelling or townhouse not more than three 1 stories above grade or detached accessory structure that is code compliant to setbacks and height, or code allows , E pension of nonconformity for solar modules. [IRC 101.2] ' L. Modules on pitched roofs do not exceed the highest point of the roof unless approved by the local jurisdition. 0 ® 3. Rooftop is made from lightweight material such as a single layer of composition shingles, metal roofing, lightweight masonry, or cedar shingles. 4. The installation shall comply with the manufacturer's instructions. [IRC M2302.2] 'VI El 5. The installation shall meet the requirements of NFPA 70 National Electric Code, and all required electrical permit(s)must be obtained from the Authority having Jurisdiction to administer the electrical code. [IRC M2302.2] ® I 6. The installation shall meet the requiremetns of the International Fire Code as amended by WA State. [IRC M2302.2] 'ED 0 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)] P 1 - P 8. The ground snow load does not exceed 70 pounds per square foot. [IRC M2302.2.1(1)] `� I Li 9. The total dead load of modules, supports, mountings, raceways, and all other appurtenances weigh no more than four pounds per square foot. [IRC M2302.2.1(3)]. Enter total dead load of system(Ibslsq.ft.): " ' I 10. To address uplift, modules are mounted no higher than 18"above the surface of the roofing to which they are affixed. [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 n 1 • ' 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] CO I0 • 14. PV modules are listed and leveled with a fire classification in accordance with UL 1703. [IRC M2302.2.3] a 1 i iComments: PEASE 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 (Revised 9/30/2016)