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IBM RESIDENTIAL PHOTOVOLTAIC PERMIT APPLICATION (Page l of 2) CITY OF EVERETT PERMIT SERVICES E V E R E T T CEDAR3200 l (P) 425-25]-8810 1 FAX 425-25T-835T I(E) everempstie erenwa gov i werwavere11wagovlpertnils PROJECT SITE INFORMATION PROJECT ADDRF$5: 191410541h sI SW Eeered. WN 98204 PARCELA: 00550300500301 BUILDING TYPE: O SFR-DETACHED ❑SFR-ATTACHED I TOWNHOUSE f7 DUPLEX CONTACT INFORMATION OWNER NAME: Raben TncM1ler CONTRACTOR NAME: Soi9en Power lLC CONTRACTOR LIC. IIREDUIRED: SOLGEPLERa CITYOF EVERETT BUSINESS LIC. IBREOUIRED: GM1 PRIMARYCONTACT: DOWNER OCONTRACTOR ❑ OTHER(Please Slowly) CONTACT NAME: CONTACT PHONE: (a55)]W1 tat Donnave Flaherty CONTACT EMAIL: permmmgMsdgenpower.cwn SOLAR PANEL APPLICATION INFORMATION Be SYSTEM DESCRIPTION (include manufacturer and model, # N PV modules and Inverers): PV solar roof mount installation, 3 circuits, system sae: 9.991RW, MPU, Number of modules and inverters: 27, Invader into: Ho milesMM 1200, Module info. Sunte&7370S-BWMNHB 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 operates 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 101,21 '❑ ❑ 2. Modules on pitched rcofs do not exceed the highest point of the roof unless approved by the local jurisdition. +❑ ❑ 3. Rooftop is made from lightweight material such as a single layer of composition shingles, metal rooting, lightweight masonry, or cedar shingles. '❑ ❑ . The Installation shall comply with Me manufacturer's Instructons. [IRC M2302.2] ZI ❑ 5. The installation shall meet the requirements of NFPA TO National Electric Code, and all required electrical permits) must be obtained from the Authority having Jurisdiction to administer the electrical code. [IRC M2302.2] '❑ ❑ 6. The installation shall meet the requremetns of the Intemafonal Fire Code as amended by VIA State. [IRC M2302.2] +❑ ❑ T. The PV system is designed for the wind speed of the local area, and will the installed par the manufacturers specifcations. [IRC M2302.2.1(1)] O ❑ 8. The ground snow load does not exceed TO pounds Per square foot. [IRC M2302.2.1(1)1 0 ❑ 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 lead of system (Ibslsq.ft.): '❑ ❑ 10. To address uplift, modules are mounted no higher than 18' above the surface of the roofng 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 that no paint load exceeds fifty (50) pounds. [IRC M2302.2.1(5)] O El 12. The photova sic modules and supporting structure shall he constructetl of noncombustible matenals or fire -retardant treated wood equivalent to that required for the roof construction, [IRC M2302.2.1I O El 13. Roof and wall penetrations shall be flashed and sealed to prevent entry of water, Ricardo, am insects. [IRC M2302.2.2] EI ❑ 14. PV modules are listed and leveled with a fire classification in accordance with UL 1703. [IRC M2302.2.3] I +❑ I ❑ Comments: PLEASE FILL OUTA CITY OF EVERETT BUILDING PERMIT APPLICATION IF YOU QUALIFYFOR AN OTC BUILDING PERMIT. Continue on to Page 2 of Application Gry d Ereren 0? 11 Use Gary (ReWI WAUN 1H)