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*,,sililA <br />NA,ffi <br />I Planning & Building Agency <br />Building Safety Divis ion <br />20 Civic Center Plaza <br />P.O. Box'1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647 -5800 <br />www.sanla-ana.org <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />soL-o1 cBc 2013 <br />Qz7o,'\c,.AProject Address: <br />Contractor Comp <br />a <br />any Name <br />Contractor License Number: C \r.,+ \C \t-] Lra.,T <br />YES NO 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 605.11 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 minimum 5/16" lag screws be installed with a minimum of 2-1t2 inch <br />embedment 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 />gtr <br />Ettr <br />E+\ <br />4 <br />5 <br />2 <br />3 <br />6 <br />7 <br />8 <br />gtr <br />@tr <br />gtr <br />Mtr <br />gtr <br />utr <br />I gtr <br />10 EID <br />I cerlify under penalty of perjury under the laws of the State of California that lhe above is true: <br />Print Name: SrJ r 4 signature:'-,, uvlL **'fu, o+e.,'.'.--S*-clct,.-..., <br />Phone Number <br />Email Address: <br />Clrq\ z oz, - .sqz2- Date v <br />Rev I 1/19/2015 <br />{ <br />Solar Photovollaic (PV) Checklist for Detached STNGLE FAMILY RESTDENCES Onty <br />lnstructions: The licensed contractor of record shall complete all sections, answer the 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 anv of the ouestions, olan check shall be required. <br />1. <br />r';S/ral-znt-r