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,*SANTA <br />AxiAJH* <br />Planning & Building Agencv <br />Bullding Safety Division <br />20 Civic C€nter plaza <br />P.O. Box 1988 (M-i9) <br />Santa Ana. CA 92202 <br />"cr14, 647€800 <br />www-santa-ana.org <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />cHECKt_lsT <br />SOL .01 cBc 2013 <br />sorar photovortaic (pv) che#rist for Detached s^rclE FAMILY RESTDENCES onry <br />lnstructions : The licensed contractor of record sh all complete alt sectiosign the certification section below. A copy of this form shall be <br />ns,answer the ten questions and <br />minimum 1'1" x 1l', size.aftached to each of TWO sets of plans, of <br />Project Address:El tv flq, <br />Contractor Company llame: V r Yr -{-)s\Q r <br />Contractor License Number: Q, -t l-t s6. <br />1 <br />YES NOtrtr <br />Etr <br />ETQ <br />Are the fofiowing applicabte to the proposed proiect? <br />t/\frll the PV system layout provide the required three_foot wide clear access pathwaysper Section 605.11 of the Califomia Fire Code, and is this shown on the roof plan? <br />Mll the PV system be installed on a roof having only one roofing tayer with nooverlays? <br />Willthe PVanay be flush mounted to the existing mof so that the plane of themodules (panels) are parallel to the plane of the ioop <br />lryi the PV system weigh maximum 4 pounds per square feet or less? <br />Will the PV s-ystem be installed where the modules do not overhang any roof edges(such as eaves, gabled ends, ridges and hips)? <br />!ryill the PV system be instarled with a space of 2" minimum to 10. maximum betueenhe underside of modules and the surfuce of the roof? <br />Will the PV system be installed without using any ballast system or counter-weightsystem? <br />Wilt the anchors be installed with a maximum horizontat anchor spacing of 6 feetand is this maximum horizontal spacing shown on the plans? <br />lMll the minimum s/l6" rag screw.s be instafled with a minimum of 2-1i2 inchembedment into rooJ rafters (with predrilled holes) and is ha minimum embedmentshowlt on the plans? <br />Are ALL the strucfural pages of the ptans stamped and signed by a Califomialicensed professionat engineer? (including project sp#;"i ; ;*, pV tayout,anchorage spacing, anchorage a'etaits an-o'ma'n;idtur"i";; Srpport information.) <br />2. <br />3. <br />4- <br />5. <br />6. <br />7. <br />8. <br />Eltr <br />ElA <br />Ettr <br />trtr <br />Eltr <br />I Eto <br />10. El E <br />I certify under penalty of pefjury under the laws of the State of California that the is true: <br />Print Name:itl V4r Signature: <br />Phone Number: <br />Email Address: <br />L-q -iz-t o <br />\a <br />Rev: 11hgl2!1S <br />Date: IO z <br />t