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Planning & Bullding Agency <br />Building Safety DiYision <br />20 CiYic Cent6r Plaza <br />P.O. Box i988 (il-i9) <br />Sante Ana, CA 92702 <br />(714) 6/47-5800 <br />wwwsanta-rna.or9 <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />soL{1 cBc 2013 <br />Solar Photovohaic (PV) Checklist for Detached SINGLE FAtttLY RESTDENCES Onty <br />lnstructions: The licensed contraclor of record shall complete all sections, answer the ten questions and <br />sign the certification secti <br />minimum 1 1" x '1 7" size. <br />on below. A copy of this form shall be attached to each of TWO sets of plans, of <br />lf answerin NO to anv of the o ions, olan check shall b€ reouired. <br />Project Address:4o2t u)uJ,#Qr\ 6 (l <br />contrac{or company Name: Vivint Solar <br />contrac-torLicenseNumber. 973756 <br />2 <br />YES NOdu <br />du <br />clu <br />Are the following applicablc to tho proposed proiec{? <br />Will the PV system layout provide the required three-foot wide clear access pathways <br />per Section 605.11 of the Califomia 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 />ovedays? <br />Will the PV array be flush mounled to the existing roof so that the plane of the <br />modules (panels) are parallel to the plane of the roof.r <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 roon <br />Will the PV sysJem be installed without using any ballast system or counter-weightsystem? '.. <br />Will the anchors be'lhstalled 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 2-1lZ 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 WET stamped and signed by a Califomia <br />licensed professional engineer? (including project specific site plan, PV layout, <br />anchorage spacing, anchorage details and manufacturer's PV support information.) <br />3 <br />4 <br />5 <br />ilg tr <br />D <br />6 du <br />{ID <br />€n <br />6a <br />7 <br />I <br />10 gltr <br />I certify under penalty of perJury under the law3 of tho State of Cal <br />print Name: s *r r '4 C) l-{ \<- <br />p6on" 11ur[, - 562322-- 1 2 7 o <br />Signature <br />Date <br />Email Address: noem i. pa rra @vivintsol ar.com <br />that is true: <br />*,-SANTA <br />NAW <br />1. <br />Rov:8/1712015