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RESIDL;.TIAL PHOTOVOLTAIC PERMIT APPLICATION (Page 1 of 2 CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: A ILI- A is 4- AY.e i Ev,eye4-1-j vif4 clap? PARCEL#: � a�b ®a 'Oo BUILDING TYPE: ,SFR-DETACHED 0 SFR-ATTACHED/TOWNHOUSE 0 DUPLEX CONTACT INFORMATION OWNER NAME: i I In r ae fin OV l L. CONTRACTOR NAME: ' jOSSO}y S'ot01,p( LLfi CONTRACTOR LIC.#(REQUIRED): 2,LOSSs L<OP.41 ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): C-7 k2 PRIMARY CONTACT: ❑OWNER pt.CONTRACTOR 0 OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: CO l-e Qi b i D Ss loh'1 st,i 6v. CD n SOLAR PANEL APPLICATION INFORMATION PV SYSTEM DESCRIPTION(include manufacturer and model,#of PV modules and inverters): 4. 13 g:v/ " -i'61(45 - S x 4) ) 66- INTO-Fd- 4' Li ) Sem, 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. 1. PV system is designed and proposed for a detached one-or two-family dwelling or townhouse not more than three YES NO 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 101.2] 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, lightweightg El 0 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 ® 0 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 INA State. [IRC M2302.2] El 7. The PV system is designed for the wind speed of the local area, and will be installed per the manufacturer's 0 specifications. [IRC M2302.2.1(1)] ❑ 8. The ground snow load does not exceed 70 pounds per square foot.[IRC M2302.2.1(1)] 9. The total dead load of modules, supports, mountings, raceways. and all other appurtenances weigh no more than four y pounds per square foot. [IRC M2302.2.1(3)]. Enter total dead load of system(lbs/sq.ft.): a-1 ]b J j 0 -ii- ❑ 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)] Ki El 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 treated 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 M2302.2.21 Ei 14. PV modules are listed and laveled with a fire classification in accordance with UL 1703. [IRC M2302.2.3] 0 Comments: 0 PLEASE FILL OUT A CITY OF EVERETT BUILDING PERMIT APPLICATION IF YOU QUALIFY FOR AN OTC BUILDING PERMIT City of Everett Official Use Only ASSOCIATED BUILDING PERMIT# Continue on to Page 2 of Application B ( 'cj u (Revised 9/30/2016)