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*,JA}I'TA <br />AIIIA.ffi <br />PIan ning & B uilding 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.sa n ta-ana.o rg <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />soL-o1 cBc 2013 <br />Solar Photovoltaic (PV) Checklist for Oetached SINGLE FAMILy RESIDENCES Only <br />lnstructions: The licensed contractor of record shall complete all sections, answer the ten questions and <br />sign the certrfication section below. A copy of this form shall be attached to each of rwo s ets of plans, of <br />mrnimum 1 '1" x 17' size. lf answerin NO to anv of the ouesti ons, olan check sha ll be required. <br />Proj ect Address: lLlb k/.S-^L (^y' ar. r^.,,.---4_ <br />Contractor Company Name: <br />Contractor License Number:/ {2- <br />YES NO Are the following applicable to the proposed project? <br />Will the PV system layout provide the requjred threejoot wide clear access pathways <br />per Section 605.'1 1 of the California Flre 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" Iag screws be installed with a minimum ol2-1/2inch <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 speciflc site plan, pV layout, <br />anchorage spacing, anchorage details and manufacturer's pV support information.) <br />-g tr <br />2 atr <br />3--EI tr <br />4 €trs-otr <br />6 -Dtr <br />tr <br />8 Eltr <br />I -E1.,tr <br />'10 E}D <br />I certify under penalty of perjury under the laws of the State of Califo a that the above is true: <br />Print Name: <br />Phone Num <br />S rgnatu re <br />ber <br />Emarl Address <br />Rev 11/19/2015 <br />'.9hqa.ln V eJu-@ Eewgorso lar'r S. Co <br />Date