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*-SANTA <br />NA,Tffi <br />Planning & Building Agency <br />Building Safety Oivision <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA92702 <br />(714) 647-s800 <br />www.santa-ana.org <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAMILY RESIDENGES Only <br />lnstructions: The licensed contractor of record shall complete all sections, answer lhe ten questions and <br />sign the certification section below. A copy of this form shall be attached to each of TWO sets of plans, of <br />minimum 1 1 " x 17" size. lf answerinq NO to an of the o uestions, plan check shall be required. <br />RES!DENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />SProject Address: <br />Contractor Company Name: <br />Contractor License Number: <br />YESn tr <br />NO <br />10 <br />.-) <br />fl^t.:7.\7-1 <br />2 <br />3 <br />4 <br />5 <br />tr <br />tr <br />tr <br />Are the following applicable to the proposed project? <br />Will the PV system layout provide the required threejoot wide clear access pathways <br />per Section 605.1'l of the California Fire Code, and is this shown on the roof plan? <br />Will the PV system be installed on a roof having only one roofing layer with no <br />overlays? <br />Will the PV array be flush mounted to the existing roof so that the plane of the <br />modules (panels) are parallel to the plane of the roof? <br />Will 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 />Will the PV system be installed with a space of 2" minimum to 10" maximum between <br />the underside of modules and the surface of the roof? <br />Will the PV system be installed without using any ballast system or counter-weight <br />system? <br />Will the anchors be installed with a maximum horizontal anchor spacing of 6 feet <br />and is this maximum horizontal spacing shown on the plans? <br />Will the minlmum 5/16" lag screws be installed with a minimum of 2-112 inch <br />embedment into roof raflers (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 speciflc site plan, PV layout, <br />anchorage spacing, anchorage details and manufacturer's PV support information.) <br />6 <br />7 <br />8 <br />I <br />I certify under penalty of perjury under the laws of th <br />Print Name: l\.i6i.lF I flf.Qth <br />e State of Cali ia that the above is true: <br />Sig n atu re <br />DatePhone Number <br />Email Address: <br />Rev 11119/2015 <br />a1\?q <^\-1- I (k- <br />\)(/q <br />Z <br />(- <br />{,"Fa <br />/"/q <br />/o <br />{o <br />t+IE <br />44;, \----..- <br />(