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DocuSign Envelope ID:41428AC7-5BD6-46E8-A8C9-9813319D2ED9 mr-SiuCIV I IAL rnu I OVOLTAIC PERMIT APPLICATION (Page 1 of 2) CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS; 717 Laurel Dr Everett, Washington 98201 1PARCEL M 00561901000400 BUILDING TYPE: M SFR-DETACHED ❑SFR-ATTACHED/TOWNHOUSE ❑ DUPLEX CONTACT INFORMATION OWNER NAME:GROLLER SUSAN A&THOMPSON ANTHONY M CONTRACTOR NAME:Smart Energy Today CONTRACTOR LIC.#(REQUIRED): SMARTET870BS ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): 52463 PRIMARY CONTACT: ❑ OWNER YCONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360.464.2344 Catherine Schade ICONTACT EMAIL:Catherine.s@smartenergytoday.net SOLAR PANEL APPLICATION INFORMATION PV SYSTEM DESCRIPTION (include manufacturer and model,#of PV modules and inverters): 8.16 KWDC Rooftop Photovoltaic Solar Installation 24 HANWHA Q CELL(Q.PEAK DUO-G8+340W) MODULES 24 ENPHASE IQ7-60-2-US(240V) MICROINVERTERS 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 Ff ❑ 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. ❑ 3. Rooftop is made from lightweight material such as a single layer of composition shingles, metal roofing, lightweight 9Z ❑ masonry, or cedar shingles. 4. The installation shall comply with the manufacturer's instructions. [IRC M2302.2] ❑ 5. The installation shall meet the requirements of NFPA 70 National Electric Code, and all required electrical permit(s) must Yf ❑ 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 �.f ❑ specifications. [IRC M2302.2.1(1)] LJ 8. The ground snow load does not exceed 70 pounds per square foot. [IRC M2302.2.1(1)] R1 ❑ 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 (lbs/sq.ft.): 2.27 L�J 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 ❑ 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 I�I ,/ Eltreated 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] ❑ 14. PV modules are listed and laveled with a fire classification in accordance with UL 1703. [IRC M2302.2.3] ❑ 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 ASSSSOCIATED BUILDING PERMIT# Continue on to Page 2 of Application (Revised 913012016)