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Project Address: <br />Project Applican <br />Applicant Email: <br />Site Owner Nam <br />To Be Completed By the Applicant <br />�— 9!5 ?W62 r <br />'hone No <br />OWL <br />JUN 0 9 2017 <br />CITY OF ANACORTES <br />PV System Description: U �p� �l�ir�4!/% �� — �lil� (�L�l-j j ✓I/4-�✓c� <br />Determine if your project is eligible for an over-the-counter Permit (Check Yes or No) Yes No <br />1. PV System is designed and proposed for a detached single-family house, duplex or <br />townhome. ❑ <br />2. PV System is designed for rooftop of house in general compliance with applicable <br />codes. ❑ <br />3. Mounting system is engineered and designed for PV. <br />4. Rooftop is made from lightweight material such as shingles. ❑ <br />5. PV system will be permitted and re -a ❑ <br />p pproved by Labor &Industries Electrical ❑ <br />division. <br />6. To address uplift, panel are mounted no higher than 18" above the surface of the pi' ❑ roofing to which they are affixed. Except for flat roofs, no portion of the system <br />may exceed the highest point of the roof. <br />7. Total deal load of panels, supports, mountings, race ways, and all other <br />appurtenances weight no more than one of the following. IF Yes, indicate which: ❑ <br />❑ No more than three and one half (3.5 pounds per square foot (PSF) <br />❑ Frameless panels on at least 3/12 pitch roof weighing no more than four and <br />one-half (4.5) PSF <br />❑ Frameless panels on at least 5/12 pitch roof weighing no more than five (5.0) <br />PSF <br />8. Supports for solar panels are installed to spread the dead load across as many 2 ❑ <br />roof -framing members as needed to ensure that no point loads in excess of fifty <br />(50) pounds are created. <br />9. Attachment to the roof is specified by the mounting system manufacturer. % El10. Panels are mounted no higher than the roof ridge or apex of roof (applies only to 1 Q/ ElDitched rnnfcl <br />Comments: <br />Checking this box, I certify that all of the information provided on this form is correct. <br />If you answered yes to all of the above questions, your PV installation is eligible for anover-the-counter <br />building permit. To apply please bring in this completed form to our permit center at City Hall for an <br />over-the-counter permit. <br />is eligible for over-the-counter <br />❑ No <br />iF C� <br />