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Planning & Building Agency <br />Building Safety Division <br />20 Civic Cenler Plaza <br />P.O. Box 19AA (I/-19) <br />Santa Ana, CA9270? <br />(714) 647.5800 <br />www.santa-ana, org <br />RESIDENTIAL <br />PIIOTOVOLTAIC <br />CH EC KL IST <br />. -: . ) , isll-c1 cal2l1l <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAIdILY RESIDENCES Only <br />lnstructions: Th3 lcensed contractor ol record shall complete all sections, ans\iver the ten questions and <br />sign the cerlificatron section belolv. A copy of this form shallbe attached to each of Tt//O s-^ts of plans, of <br />minim,-rnr 11" x 17' siza. li ans'rterin f the uestions lan chack shall be re uired <br />Project Address:StDZ t( b \\ <br />d r(\)<-Contractor Company Name: <br />Contractor License fi umber <br />YES NO <br />OZq,G <br />4 <br />,] <br />Are the following applicable to the proposed project? <br />t//ill the PV system layorLl provide the required three-footrlide clear access pathv,rays <br />pEr Section 605.11 of the California Fire Code, and is this sho,rn on the roof plan? <br />'//ill the PV system be instali:d on a rcolharing onll on= roofing lay:r 'rrith n, <br />overlays? <br />Will the PV array be flush mounted to the existrng roof so that the plane of the <br />modules (panels) are parallel to the plane of the roof? <br />VVill the PV system weigh maximum 4 pounds per square feet or less? <br />Will the PV system be installed where the modules do not overhang any roof edges <br />(such as eaves, gabled ends, ridges and hips)? <br />\tr/ill the PV system be installed with a space of 2" minimum to'l0" maximum bebrueen <br />the underside of modules and the surface of the roof? <br />U/ill the PV system be installed without using any ballast system or counter-'leight <br />system? <br />Vtiill the anchors be installed with a maxirnum horizontal anchor spacing of 6 feet <br />and is this maximum horizontal spacing shown on the plans? <br />Will the minimum 5/16" lag screws be installed with a minimum of 2-112inch <br />ernbedment into roof rafters (with pre-drilled holes) and is this minimum embedment <br />shown on the plans? <br />Are ALL the structural pages of the plans stamped and signed by a California <br />licensed professional engineer? (including project specific site plan, PV layout, <br />anchorage spacing, anchorage details and manufacturer's PV support information.) <br />I certify under Pen ty of e ry under the laws of the State of a liforn ia above is true <br />^( <br />6-tr <br />*u <br />Ftr <br />4 <br />5 <br />8e <br />EN <br />, str <br />7Ftr <br />B fiN <br />e da <br />10 6tr <br />Print Name <br />Phone Number <br />Email Address <br />Rev I l/19/2015 <br />Signatu <br />Date:4*z/: 7D <br />I A UC , coh <br />i----> <br />I <br />1.