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RESIDENTIAL PHOTOVOLTAIC PERMIT APPLICATION (Page 1 of 2) <br /> CITY OF EVERETT PERMIT SERVICES <br /> SUBMITTAL INSTRUCTIONS:Email application to PermilServices@everettwa.gov or drop off at 3200 Cedar Street 2nd Floor Drop Box <br /> EVERETT <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: 10726 20th PI W,Everett,Washington,98204 PARCEL#: <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED 1 TOWNHOUSE ❑DUPLEX <br /> CONTACT INFORMATION <br /> OWNER NAME: Marvin Wuest <br /> CONTRACTOR NAME: BRS Field Ops,LLC <br /> CONTRACTOR LIC.#(REQUIRED); BRSFIF0820N3 ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): 60040 <br /> PRIMARY CONTACT: ❑OWNER WCONTRACTOR El OTHER(Please Specify) <br /> CONTACT NAME: ICONTACT PHONE: 385-482-0045 <br /> Diana Sanchez ICONTACT EMAIL: permitting.departmen€@blueravensolar.com <br /> SOLAR PANEL APPLICATION INFORMATION <br /> PV SYSTEM DESCRIPTION(include manufacturer and model,#of PV modules and inverters): <br /> MODULE TYPE:(16)REC Solar REC420AA PURE-R <br /> MONITORING:Enphase IQ Combiner 4 X-IQ-AM1-240-4 <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 101.21 <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 © ❑ <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($)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 Elspecifications. [IRC M2302.2.1(1)] <br /> B.The ground snow load does not exceed 70 pounds per square foot. [IRC M2302.2A(1)] 8 ❑ <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 (lbsfsq.ft.): <br /> 10.To address uplift, modules are mounted no higher than 18"above the surface of the roofing to which they are affixed. D ❑ <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 © ❑ <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 a ❑ <br /> treated wood equivalent to that required for the roof construction. [IRC M2302.2.11 <br /> 13, Roof and wall penetrations shall be flashed and sealed to prevent entry of water, rodents, and insects. [IRC M2302.2.2] a ❑ <br /> 14, PV modules are listed and laveled with a fire classification in accordance with UL 1703. [IRC M2302.2.31 0 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 P <br /> Continue on to Page 2 of Application <br /> (Revised 412112022) <br />