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Home My WebLink About125 Apple Lane Address: 125 Apple Lane PREPARED 1/26/16, 9:07:18 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/26/16 --------------------------------- ADDRESS . : 125 APPLE LN SUBDIV: CONTRACTOR POWER TRIP ENERGY CORP PHONE : (360) 643-3080 OWNER BAILEY JEAN PHONE PARCEL 06-30-15-2-2-0350-0000- APPL NUMBER: 16-00000053 RES SOLAR PROJECT ------------------------------------------------------------------------------------------------ PERMIT= BSOL 00 BUILDING PERMIT - SOLAR REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------- ---------- BL99 01 1/26/16 JpkM BLDG FINAL January 26, 2016 8:14:19 AM jlierly. I, Bobbie 643-3080 -------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 16-00000053 Date 1/13/16 Application pin number . . . 462718 Property Address . . . . . . 125 APPLE LN ASSESSOR PARCEL NUMBER: 06-30-15-2-2-0350-0000- REPORT SALES TAX Application type description RES SOLAR PROJECT Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 19503 (Location Code 0502) r- ---------------------------------------------------------------------------- f _ Application desc V� ROOF MOUNTED GRID TIED PV SOLAR PANELS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BAILEY JEAN POWER TRIP ENERGY CORP 125 APPLE LN 83 DENNY AVE PORT ANGELES WA 983626903 PORT TOWNSEND WA 98368 (3 60) 643-3080 -------------------------------=-------------------------------------------- Permit . . . . . . BUILDING PERMIT - SOLAR Additional desc ROOF MOUNTED GRID TIE PV PANEL Permit Fee . . . . 130.00 Plan Check Fee .00 Issue Date . .. . . 1/13/16 Valuation . . . . 19503 ' Expiration Date 7/11/16 Qty Unit Charge Per. Extension BASE FEE 130.00 ----------------------------------------------------------------------------- Special Notes and Comments January 13, 2016 3:02:08 PM pbarthol. per WAC 51.51.2300 this permit is approved by the contractor indicating all requirements have been met for the permit to be issued over the counter. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ti ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 130.00 130.00 .00 .00 d Plan Check Total .00 .00 .00 .00 `Q Grand Total 130.00 130.00 .00 .00 Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized isnot commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct: All provisions of laws and ordinances governing this type of wor ill be complied with whether specified herein or not. The granting of a permit does not presume to give authority to 'ol to or canc he provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Ow (if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT/N CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line Meter to Bldg) Gas Line Back Flow/Water AIR SEAL: Walls Ceiling FRAMING: Joists I Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type _ Date Accepted By Electrical 417-4735 Construction - R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT-BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 16-00000053 Date 1/13/16 Application pin number , . . 462718 Property Address . . . . . . 125 APPLE LN TAX ASSESSOR PARCEL NUMBER: 06-30-15-2-2-0350-0000- REPORT SALES TA Application type description RES SOLAR PROJECT Subdivision Name .. . . . . . on your state excise tax form Property Use . . . to the City of Port Angeles Property Zoning _ R57 RESDNTL SINGLE FAMILY Application valuation . . 19503 (Location Code 0502) ----------------------------------------------------- -------------------- Application desc l • ROOF MOUNTED GRID TIED PV SOLAR PANELS ` ----------------------a Owner Contractor ------------------------ ------------------------ BAILEY JEAN POWER TRIP ENERGY CORP 125 APPLE LN 83 DENNY AVE PORT ANGELES WA 983626903 PORT TOWNSEND WA 98368 (360) 643-3080 ------------------------- . Permit . , . . . . BUILDING PERMIT - SOLAR fi Additional desc . . ROOF MOUNTED GRID TIE PV PANEL Permit Fee . . . . 130.00 Plan Check Fee .00 Issue Date . . . . 1/13/16 Valuation 19503 Expiration Date 7/11/16 ^ Qty Unit Charge Per _ Extension , BASE FEE 130.00 ---------------------------------------------------------------------------- Special Notes and Comments January 13, 2016 3:02:08 PM pbarthol. per WAC 51.51.2300 this permit is approved by the contractor indicating all requirements have been met for the permit to ` be issued over the counter. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ------------------ ---------- ---------- ---------- ---------- Permit Fee Total 130.00 130.00 .00 ,00 Plan Check Total .00 .00 .00 .00 Grand Total 130.00 130.00 .00 .00 ' l i Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized isnot commenced within 180 days,if construction or work Is suspended or abandoned for a period of 180 days after the work has commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of i construction. Date Print Name Signature ofo ho' d Agent Signature of Owner(if owner is builder) T:Forms/Build'ung Divislon/Building Permit THE :OX+ AIYGELES for City Use OF CITY � I. Permit# W A S H t N G T Q N. U. S. Date Received: 321 E 51h Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits@citvnfaa.us BUILDING PERMIT APPLICATION Project Address: iv A?eis LN ., Pcrg:t- APGEL-ETS WA , 903,6•Z ,FovjeL_-TF.tP EtQe0- 9 Gam- Phone: Prim Contact: FI-E-mtACV Email: T&KI-1 e FcMW UP-TO.'p C N t,-Rkz -CUM NamZ—e kid �lr t L� Phone 3(10 Property MailingAddress'.ZA,s pLE , ! Email Owner /`} +]-,/V Cityfp�I /A t4(,��5 State \;uA zipgg�� L NFd�� _TVtC E1Jf<�1f (.& Phone �(�o) &g3_.3��U 6 Contractor Address Email 015, / D�µN�t1,4E3c+s* � �'a,Nt`-12_'rRip cN�-��cctK Information city poi -V feW M,5t Np state VUA zip 9£� b Contractors License# Fo o Fri.T E= 93 i.f.a c—: Exp.Date: l l 15Z„p t 5 LegalI�escriptioni N 1f6tii Zoning: Tax Parcel#0�3dt�, Project Value:(materials and labor) vl(_6 1 y ��N�N 0y uRJEy �sZZ D�✓!300000 $ /_, Residential ® Commercial ❑ Industrial ❑ Public ❑ Permit Demolition 11Fire 11Repair 11Reroof(tear off/lay over) � ��t-�` g Classification For the following,fill out both pages of permit application: (check New Construction ❑ -Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ appropriate) Mechanical ❑ Plumbing ❑ Other ❑ Fire Sprinkler System? Irrigation System? Proposed Bathrooms f Proposed Bedrooms 1 Yes ❑ No EL Yes ❑ No B Project Description s Meer-t t>, 6j(U6-T•tt b PVP1,or0VGt-fAics -5ccAf, Is project in a Flood Zone: Yes ❑ NoW Flood Zone Type: If in a Flood Zone,what is the value of the structure before proposed improvement? $ I have 'read and completed the application and know it to be true and correct.I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to work. I understand that plan review fees are not refundable after review has occurred. I understand that I will forfeit review fees if 1 withdraw the application before the permit is issued. I understand that if the permit is not picked up/issued within i8o days of submittal,the application will be considered abandoned and the fees will be forfeited. Date Print Name Signature 4` r' Recd HTE Apprv'd _ �,� $130 Fee Application and Checklist for Roof Mounted Residential Solar Panels Project Information: Property Owner Name: JEAN BAILEY Project Address: 125 APPLE LN, PT ANGELES,WA Phone:360-457-7811 Contractor Name: Power Trip Energy Co Registration#:POWERTE934QE Contractor Phone: 360-643-3080 PV system Roof mounted grid tied 5.89 kW Mfg/model#of major equip:SunPower description: 18 modules,6 kW inverter 327 watt PV modules,SMA 6000TL-US-22 inverter Per WAC 51-51-2300,if the answer to the following questions is"yes"a building permit will be issued for simple(10-15kw output)PV systems without further engineering. Section M2302.2.1-Where solar panels are installed on roofs,the roof structure shall be deemed adequate to support the load of the rooftop if all of the following are met: Yes No 1. PV system is designed and proposed for a single family or detached accessory structure cl 2. The photovoltaic panels and modules and supporting structure shall be constructed of 0 noncombustible materials or fire-retardant treated wood equivalent to that required for the roof construction. The installation shall meet the requirements of the International Fire Code as amended by WA State. PV modules are listed and labeled with a fire classification in accordance with UL 1703 3. The PV system is designed for the wind speed of the local area and will be installed per the 0 manufacturer's specifications. 4. The ground snow load does not exceed 70 pounds per square foot.The PV system is designed 0 for the wind speed of the local area,and will be installed per the manufacturer's specifications. S. Total dead load of modules,supports,mountings,raceways and all other appurtenances weigh O no more than four pounds per square foot. Enter total dead load of system (lbs/ft2).[2.90 PSF] 6. Supports for solar modules are installed to spread the dead load across as many roof-framing El members as needed to ensure that no point load exceeds fifty(50)pounds. Modules are mounted no higher than 18"above the surface of the roofing to which they are affixed and do not exceed the highest point of the roof unless approved by the local jurisdiction. NOTE: if site inspection indicates a concern that the roof structure is not adequate to support the PV moduie(s),engineering may be required prior to final of the permit. As the property owner or authorized representative of the above listed property, i attest that all information in this checklist is accurate to the best of my knowledge. Applicant Signature: Date: 1/6/2016 Applicant Name(Please Print): 0ohn S.Fleming,Power Trip Energy Co Relationship to Property Owner: Installation Contractor T:\BUILDING\APPLICATION FORMS\SOLAR PERMIT CHECKLIST.DOCX 'rt Off �b Q- z-rk Co I r� Power Trip Energy Corp 83 Denny Ave Port Townsend, WA 98368 (360) 643-3080 www.powertripenergy.com Lic # POWERTE964JN January 6,2016 Pat Bartholick Code Compliance Officer 321 E 5th Street P.O.Box 1150 Port Angeles, WA 98362 codecompliance@cityofpa.us Dear Mr.Bartholick, • Enclosed please find a building permit and electrical permit for work to be done at 125 Apple Ln,Port Angeles for Jean Bailey. Our company(Power Trip Energy)will be installing a 5.89 kW solar array on the south roof of their house. I am using the Application and Checklist for Roof Mounted Residential Solar Panels,same as the last permit. Power Trip Energy will be happy to pay for the plan check fee by credit card as soon as you request payment. The electrical permit fee will also be paid by Power Trip Energy with a credit card. I.f you have any additional questions please do not hesitate to call the office at 360-643-30.80. Sincerely, C �t _ l� John Fleming,PE Solar Engineer Power Trip Energy Attachments: 1.—Application and Checklist for Roof Mounted Residential Solar Panels,site plan,&support documents 2—Electrical Permit Application&Electrical Line Drawing A`V 1 s� °� a o t • - sP p, s Warrancy 3 Mo, giararteerlpower 950%fcrr. v, pV' h!ner GKN: 0 44,',!v' to year 25 tha r� E20.3,7 etrFiera r i, 85"F(-=D'C tc!8l C', Noma Pcmve P om7 -- -- --- -- = - 32r, )Ia, xgrmrfiont:ba&, ra loar Pcn_ oierar ce `,i-. 55C�,grm'nor' Avg Pare;Efficicno' 2(:. Impact rer:!;7,ar;e rx.n I2 [u-1 cl amine,ha4 at:_mph,,23 rrds Ra EC 'aha e caPt-. �!m nt - • ( �' , rY,pearanre Class A+ Ra ed Curr_rt iimcP) _ 5 98 A S>13r Cell 96 Monocrystalline V•xeon Gen III Cell- pP it Volpe 0A.)C) 64 9 V Ter pered Glass High;rays n,ss!on e r pPred Anh Ra!ec,n•e S^ort-Grci RCS r nt(Isc) 646A fur.,-^n',-p IP-65 Rated May ST.terrl+ckagge 600'v 'C,-OOCVIK MC,1Compatble -i Maxtrr wn Series F3se 2C A la'w t black anodized,I-ighest MMA Rating Power-emp CO-2f(Pmpp) -038%!°C wt Ihs(12 5 kg) vuhageTemp Coe`tic:} —'-- — — -- 6&mb't"C -- Curent Temp C39(kc)----------- 3.5 mi NI ;'et.n sin-tia c.•.P'k-a7 . ..�..-,r.-!.,, .,:a!w. >ry%.nU,�tal „r..l�I,IY. a ,,.n+ Sr3,lc3rdte=t J '7C3.FCSS?15,IEC6i730_ Quaky tE is .. .. ISO 9'JJ :20018,ISO 40011 2C04 ,_. .< p", rC tg:r r r., .A, A FHS Cor FI.ar.-_e R QHS,C454S 18C ,CN 7,lead tree =d':6-'.Ian 1013•.:'fi u c - Am oe -ILAor i, m � snon!a:25t IEC 62"";6 Sal,Soraa 6: -_ , e te,� � IEC 61J1(passed max!mum sPverC�r i. r;Kale �..,^Pna+- �,r:•r,�,.._-t:.Ol<) -1,i ._};rS .ins.rvr�. ;+ .,,t y, ��—. _--_----t-_—._- ___-_.__ -_— _ _ __ _-. _ i 1 PID est :)otertial-InducEd DEgr dation.ee 10✓C'P,. ':+ ! ,.,:•,>rr <-1 w1-••,= �n• I.,,e i.!4,>nero -. nal,f,�=I 20 :_i:e .Il:r--.. � '.P A.d!lab;e lrtt n�5 C,Jc MCC,.MCS FA• L..TA'-- , ,- -h. - .,[,•n i,:n„,„,,ri.�l'ri.?011 l pa—1 t 1I.+,fes i Sc c .101 V,'r;..rr•4; r . t... 11:1 Aj, ".0 1 C1. 4n mr,, ' 3t.. SMDS•ST-101 SUNi i �M 20.4% Efficiency High Performance & Excellent Durability Ideal for roofs where space is at a premium or where future expansion might be needed. High Performance Delivers excellent performance in real worlr` E conditions,such as high temperatures,clouds anc low light-'." €G- E20-31.7 PANEL Proven Value Designed for residential rooftops,E-Series High Efficiency' Generate more energy per square foot panels(If-diver tree feaCr;res,value and re zinor, it panel;;onvert more sunlight to electricitproducing peformance for any ho-r,e. ,Hort cct^-ger per parel, and 60°/Q more energy per square foot over High Energy Producton7 Produce more energy per rated watt High year one perrr;rrnance delis=ers 7-100.-more enena,per rated watt This advantage int teases over time,producing 201 more energy over th Maxeon`Solar Cells:-lundamettally bene, first 25 years to rreet your needs- Engineered for performan_e,designed'or rehauJira Engineered for Peace of Mind 20% Designed to deliver consistent,:rouble-rrer energy over a very long lifetime.,'" Designed for Reliability he ScvTPo.'er Maxeon Solar Cell is the only cell noilt on a solid copper foundation.Vir tually impervious.n the corrosion arid cracking that degrade Conven=tional Panels." I) � - -.-�� PHOTON #7 Ranked in Fraunhofer durability test. ,)G%ocw'er maintained in Arias 25 camprehens€ve PV%?I Durability test.' Friday,January 31,2014 SnapNrack- SnapNrack O r m a n 775 Fiero Lane,Suite 200 "lkr} 1 �y `; San Luis Obispo,CA 93401 "Series 100 Roof Mount"Cover Letter cheel To Whom It May Concern, We have performed calculations for the 100 series roof mount PV system based on Structural the information provided by SnapNrack- Included with this letter are the report and calculations.We did the calculations in accordance with the 2012 IBC,ASCE 7-10, 2012 NDS, and guidelines stated in the Solar America Board for Codes and Standards. . Engineer Some of the components in the SnapNrack test data were used to determine the capacity and section properties of materials. We collected the test data using the 5air Oaks, C Blvd procedures outlined in the 2012 IBC Chapter 17. •Fair Oaks,CA 95628 (916)536-9585 (916)536-0260(fax) We included the following types of load combinations and building parameters into our calculations: 1989-2013 24 years ofexceUence • ASCE 7-10 wind speeds from 110 mph to 190 for B and C exposure categories • ASCE 7-10 Seismic Design Category E • ASCE 7-10 Snow Loads up to 120 psf ground snow • Buildings with mean roof heights up to 60 foot tilt angles / roof pitches Norman Scheel,S.E. from 0 degrees to 60 degrees. LEED AP BD+C LEED AP Homes The calculations have also been completed in accordance with the 2006 IBC,2009 Fellow—SEAOC roJ IBC,and ASCE 7-05. To use the data contained in this packet for ects that are Fellow-ASCE P P E-mail:noriarainssecom being evaluated to the older ASCE 7-05 wind speeds,refer to Appendix A for a wind speed conversion chart. Find the ASCE 7-05(IBC 2006/2009)wind speed in Rob Coon General Manager the Chart in Appendix A,identify the co ngASCE 7-10"(�C 2012)wind E-mail:mhcoon.Q-,gm.com speed value,and proceed with using the charts contained in this packet with the Steve Smith P.E. adjusted wind speed value. Pmject Manager E-mail:stevesmiflx*d ssc.com In our opinion, the mounting system, outlined by SnapNrack Series 100 PV Mounting System Code Compliance Installation Manual, is acceptable and meets Steven Cooksey the loading requirements as stated above. See the report and calculations ' �•; CAD supervisor with this letter for more information. E-mail:s4ev ncsecom dacide Winslow If th y er questions,please contact Norm Scheel. OrEce Manager � b E-mail:iad 4efn.nsso.com orm Scheel E,SE v LEER-AP BD+C,LEER-AP Homes 11: Fellow SEAOC Fellow A.S.C.E. EXPIRES OWSMSER 26.1.017 SnapNrack Series 100 nap rack- Project Info: _ Dealer: Power Trip Energy Co Project Name:1 Jean Bailey Create Date:1 2016-01-06T16:37:24-0800 BOM#:1 39244 PV Module Data: _ Module Brand _ SunPowerLength 61.39 inches Model SPR-327NE-WHT-D Width 41.18 inches Depth 1.81 inches Environmental Requirements: _ Weight 41.00 pounds Topographic Condition Standard Rated power @ STC 327.00 W Standard IBC 2012 Rail Color Black Snow Load 21-30 psf Item 4 Racking Color Black Wind Speed 130 mph Item 3 on Checklist Rafter Spacing 24 inches Roof Attachment Flashed L-Foot System Style: Rail Finish Black Anodized End Clamp Type Universal Grounding Method UL 2703 Listed Micro Attachment Kits No Edge Screen Trim? No if"Yes",4"or 8"screen? Screen Height inches Tilt Up? No Sub-Arrays: UL2703 Yes Premium Alloy Rail No Bulk Customer No Sub-Array Sub-Array 122" Rail 162" Rail Rail Mid End Edge Roof Modules Splices Clamps Clamps Screen Attachments 1 12 4 4 4 16 16 0 28 TOTALS 12 4 4 4 16 16 0 28 Page 1 of 3 Bailey Solar Racking SnapNrack Series 100 Calculator Proposed Bill of Materials Part Number Description Qty 015-09816 SNAPNRACK,STANDARD RAIL SET,1221N, BLACK,2 PC 2 015-09818 SNAPNRACK,STANDARD RAIL SET,1621N, BLACK,2 PC 2 242-04015 SNAPNRACK, BONDING STANDARD RAIL SPLICE ASSEMBLY,BLACK 4 242-02055 SNAPNRACK, BONDING MID CLAMP ASSEMBLY, 1.50-2.00IN, BLACK 16 242-02063 SNAPNRACK, BONDING UNIVERSAL END CLAMP ASSEMBLY 16 232-01023 SNAPNRACK,STANDARD RAIL END CAP, BLACK 16 242-02701 SNAPNRACK, BONDING BLACK L FOOT,BLACK GALV FLASHING,AND BASE KIT 28 242-02101 SNAPNRACK,GROUND LUG ASSEMBLY,6-12 AWG 4 Total Weight: 46.10 lbs System Total Weight: 610.00 lbs Array Area= 12 modules x(41.2"x 61.4"/144 sq. inch per sf)=211 sf Pounds per Square Foot of Array=610 lbs/211 sf=2.90 psf Item 5 checklist Pounds per attachment=610 lbs/28=22 lbs per attachment tem 6 checklist Page 2of3 Modules Per 5 Array Pitch(degrees) 28 Sub-Array Modules 12 Row Module 3 Building Height(ft) 17 Edge Screen(ft) 0 Rows Orientation Portrait Attachment Spacing 72 Attachment Spacing 48 Array Power(kW) 3.924 inches Override inches The maximum recommended rail span for this sub-array is 72 inches.The rail span for modules located in edge zones is reduced by 24 inches to 48 Inches Grcup 1 Rail Group 2 Rail Group 3 Rail Group 4 Rail Group S Rail 122"Rail 162"Rail Row Mid Row End Row Attach- Module Rail Length Length Length Length Length Qty QtvClamps Clamps Slices menti Bondin Bonding =1.18 41.18 2 0 0 8 0 8 0 2 ❑aa11n 37.90 1 28 4 10 0 1 00000 07.90 1 8 4 10 0 1 El❑❑❑ l Sub-Array 4 4 16 16 4 28 0 4 Totals Bailey Solar Racking Page 3 of 3 I Address: 125 Apple Lane THE T NGELES For City Use CITY OFPQR Permit# /,e/- / 14�-& WASHI N G T o N, U. S. Date Received: 321 E Slh Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits0cityofpa-us BUILDING PERMIT APPLICATION Project Address: i Phone: Primary Contact: '� Email: '�,� Name Phone 7 Property Mailing Address Email OwnerIt F. Cit Y� State. / Zip Name Phone yDM'-'0-I-A2 A.-w I IV% 3 60- Wo - 6' Contractor Address ` Email, n- /Zi Information city Zr, j State Zip Contractors License# Exp.Date: —/5 Legal Description: Zoning: Tax Parcel# ` Project Value: (materials and labor) Residential Commercial ❑ Industrial ❑ Public ❑ Permit Demolition Fire ❑f,, " Repair Reroof(tear off/lay over) 1:1 Classification For the folloAr gy. fill ut oth pages of per4nitapplication: (check New Construti 11 Ex rior Remodel 11Addition ❑ Tenant Improvement ❑ appropriate) Mechanical ,lumbing ❑ Other ❑ Fire Sprinkler System? IrrigatioAr�Sy M. Proposed Bathrooms Proposed Bedrooms Yes 0 No Yes 0 o Project Description &.Vj-AQ Is project in a Flood Zone: Yes ❑ Nom' Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to work. I understand that plan review fees are not refundable after review has occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is issued. I understand that if the permit is not picked up/issued within 18o days of submittal,the application will be considered abandoned and the fees will be forfeited. Date /I- O-Iy Print Name Signature ` G -- Residential Structures For Office Use Area Description(SQ FT) Existing Proposed ss value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or 2 Id floor) Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed ss Value Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Site Area Totals Lot/Site Coverage Calculations Lot Size(sq ft) Lot Coverage(sq ft) %Lot Coverage(Total lot coverage_lot size) Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site coverage_lot size) Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # Haz/Non-Haz Piping Outlets: Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # repair/alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fireplace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gas piping #of Outlets: Water Heater # Medical gas piping #of Outlets: Water Line # Plumbing Vent piping # Sewer Line # Industrial waste pretreatment interceptor Grease Trap) Size Other(describe): T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17.13.docx