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;,SNIA <br />NA.ffi <br />Planning & Building Agency <br />Building Safety Diyision <br />20 Civic Center Plaza <br />P.O. Box 1988 (M.19) <br />Santa Ana, CA 92702 <br />(714) 647.5800 <br />www. sa nta.a n a.o rg <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />sol-o1 cBc 2013 <br />Solar Photovoltaic (PV) Checktist for Detached STNGLE FAM|Ly 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 rwo s ets of plans, of <br />minimum 11" x 17'size. lf answerinq NO to anv of the o uestions. plan check shall be req uired <br />QLTo+lx-\a (\\.1Project Address: <br />Contractor Company Name:L <br />Contractor License Number: C \f.,ttr \ <br />d <br />\t{L7f) <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 />Wlll 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 roofedges <br />(such as eaves, gabled ends, ridges and hips)? <br />Will the PV system be installed with a space of 2" minimum to l0" 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 2-112inch <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 />I certify under penalty of perjury under the laws of the state of california that lhe above is true: <br />Print Name: 3\i ,. +SignatureS\<lcr^^ <br />PhoneNumber: Cf f q\ ? oz- -.$qz2- <br />Rev 11/19/2015 <br />)l <br />oate, (rs/rc\-zo\-'l <br />4 <br />Email Address <br />YES NO1 gtr <br />2 go <br />3 ultr <br />4 gE <br />5 gtr <br />6 gtr <br />? vlE <br />s Eltr <br />e vltr <br />10 ultr