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*-SANTA <br />ANAJ <br />'Lr\ll\c <br />[[t]Nc <br />tcilo <br />sol-o1 cBc 20r 3 <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAMILY RESIDENCES Only <br />lnstructions: The licensed contractor of record shall complete all sections, answer the ten questions and <br />sign the certiflcation section below. A copy of this form shall be attached to each of TWO sets of plans, of <br />minimum 11"x17" size. lf answerinq NO to anv of the ques tions. olan check shall be required. <br />Prole ct Address: I 2 11 a i)b <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />r+)A\ <br />Contractor Company Name: <br />Contractor License Number: <br />Qca, ,*s &ishr&dL <br />YES,, NO, 4tr <br />,. da <br />,da <br />+ EIE <br />s. EIE <br />o Eltr <br />, 6tr <br />tooo 650 <br />Are the following applicable to the proposed project? <br />Will the PV system layout provide the required three-foot wide clear access pathways <br />per Section 605.1 1 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 wilh a maximum horizontal anchor spacing of 6 feet <br />and is this maxjmum horizontal spacing shown on the plans? <br />Will the minimum 5/16" lag screws be installed with a minimum ol2-112 inch <br />embedment into roof rafters (with pre{rilled holes) and is this minimum embedment <br />shown on the plans? <br />Are ALL the structural pages ofthe 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 />8 <br />9 <br />tr <br />c tr <br />10 d tr <br />I certity under penalty of <br />Print Name: -TA rl ,ci <br />perlury under the laws of the <br />Ec5c5 S <br />State of California that the above is true: <br />ignature: <br />Phone Number <br />Email Address: <br />25q 1A'l "t8 13 Date <br />Rev: 11/19/2015 <br />llrraSat?( c sa/a,t a lct 7€ ijl - C O'Yq <br />Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647.s800 <br />www.santa-ana.or9 <br />(