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RESIDENTIAL PHOTOVOLTAIC PERMIT APPLICATION (Page 1 of 2) <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT SUBMITTAL INSTRUCTIONS: Email application to PermitServices@everettwa.gov or drop off at 3200 Cedar Street 2nd Floor Drop Box <br /> CONTACT INFORMATION:(P)425-257-8810 1(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> WASHINGTON <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:810 91st PI SE,Everett,WA 98208 PARCEL M 00605900002500 <br /> BUILDING TYPE: 0 SFR-DETACHED ❑SFR-ATTACHED/TOWNHOUSE ❑DUPLEX <br /> CONTACT INFORMATION <br /> OWNER NAME:Dawn Sly <br /> CONTRACTOR NAME:Forecast Solar LLC <br /> CONTRACTOR LIC.#(REQUIRED): FORECRL955MK, FORECRS883DG CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 044167 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR [-]OTHER(Please Specify) <br /> CONTACT NAME:`n,III HabenlCht CONTACT PHONE:425-487-6000 <br /> Will CONTACT EMAIL:office@forecastsolar.com <br /> SOLAR PANEL APPLICATION INFORMATION <br /> PV SYSTEM DESCRIPTION (include manufacturer and model,#of PV modules and inverters): <br /> Install 9.87 kW grid-tied,roof-mounted solar PV system.1 -SolarEdge SE-760OH-US inverter,25-Canadian Solar 395W solar modules, <br /> 25-SE-P400 optimizers,mounted on IronRidge solar racking system. <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 Q ❑ <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. 0 <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 El ❑ <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] 0 ❑ <br /> 7. The PV system is designed for the wind speed of the local area, and will be installed per the manufacturer's 0 ❑ <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)] Q ❑ <br /> 9. The total dead load of modules, supports, mountings, raceways, and all other appurtenances weigh no more than four El El <br /> per square foot. [IRC M2302.2.1(3)]. Enter total dead load of system (lbs/sq.ft.):2.74 <br /> 10. To address uplift, modules are mounted no higher than 18"above the surface of the roofing to which they are affixed. 0 ❑ <br /> [IRC M2302.2.1(4)] <br /> 11. Supports for solar modules are installed to spread the dead load across as many roof-framing members as needed to 0 ❑ <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 El ❑ <br /> treated wood equivalent to that required for the roof construction. [IRC M2302.2.1] <br /> 13. Roof and wall penetrations shall be flashed and sealed to prevent entry of water, rodents, and insects. [IRC M2302.2.2] E ❑ <br /> 14. PV modules are listed and laveled with a fire classification in accordance with UL 1703. [IRC M2302.2.3] ❑ <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 /> ASSSSOCIATED BUILDING PERMIT# <br /> Continue on to Page 2 of Application `-' <br /> (Revised 4/21/2022) <br />