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RESIDE—IAL PHOTOVOLTAIC PERM11—mPLICATION (Page 1 of 2) <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 1422 W.Mukilteo Blvd.Everett WA 98203 I PARCEL#:00505700000801 <br /> BUILDING TYPE: El SFR-DETACHED 0 SFR-ATTACHED/TOWNHOUSE 0 DUPLEX <br /> CONTACT INFORMATION <br /> OWNER NAME:Erick Olson <br /> CONTRACTOR NAME:Blossom Solar LLC <br /> CONTRACTOR LIC.#(REQUIRED):BLOSSSL823M7 ICITY OF EVERETT BUSINESS LIC.#(REQUIRED):57621 <br /> PRIMARY CONTACT: ❑OWNER {(7 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Cole Anderson-Blossom Solar CONTACT PHONE: 425330-4322 <br /> CONTACT EMAIL: cole@blossomsolar.com <br /> SOLAR PANEL APPLICATION INFORMATION <br /> PV SYSTEM DESCRIPTION(include manufacturer and model,#of PV modules and inverters): <br /> 9.62 kW grid tied solar system Ei ` 5l-G"M, Dow rug) , I OI, &v{T4 1to1J04-t—A 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 budding 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 CZ 0 <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. 113:1 ❑ <br /> 3. Rooftop is made from lightweight material such as a single layer of composition shingles, metal roofing, lightweight /20 ❑ <br /> masonry, or cedar shingles. <br /> 4. The installation shall comply with the manufacturer's instructions. [IRC M2302.2] Ian 0 <br /> 5. The installation shall meet the requirements of NFPA 70 National Electric Code, and all required electrical permit(s)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] El 0 <br /> 7. The PV system is designed for the wind speed of the local area, and will be installed per the manufacturer's O ❑ <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)] ❑X 0 <br /> 9. The total dead load of modules, supports, mountings, raceways, and all other appurtena cesQveigh n more than four <br /> pounds per square foot. [IRC M2302.2.1(3)]. Enter total dead load of system(lbs/sq.ft.): / .15 (b 741- <br /> 10. To address uplift, modules are mounted no higher than 18"above the surface of the roofing to which they are affixed. ❑ <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 ❑ <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] ❑X 0 <br /> 14. PV modules are listed and leveled with a fire classification in accordance with UL 1703. [IRC M2302.2.3] ❑X 0 <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 /> ASSOC ED BUlupp PERMIT# <br /> Continue on to Page 2 of Application B J <br /> (Revised 9/30/2016) <br />