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,,,'SANTA <br />NA <br />llr\\l\C <br />$[UtDt\G <br />ICNI <br />Planning & Building Agency <br />Building Safety Division . <br />20 Civic Conter Plaza <br />P.O. Box 1988 (M-'19) <br />Santa Ana, C492702 <br />(714) 647-s800 <br />www,sanla-ana.org <br />lEflEGalgla:?ii.- !:gf:': -:f-<,-ir 'ji,! : .!l- :r-Ei, ].:!*ra-lEj;!=GlJp-flEeglf*EfFfrlf <br />sol-o1 cBc 2013 <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAMILY RESIDENCES Only <br />lnstructions: The licensed contractor of record shall complete all sections, answer the ten questions and <br />sign the certification section below. A copy of this form shall be attached to each of TWO sets of plans, of <br />minimum 11" x '17" size. lf answerinq NO to anv of the ouestions , plan check shall be reouired. <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />Project Address:A2 \ S D. '€1 u-oo r) Dr <br />Contractor Company Name: <br />Contractor License Number: <br />YES r{O, Ftr <br />2 Etr <br />3 EEI <br />Ntr <br />Bn <br />Elu <br />10 trtr <br />I certify under pe <br />a,r d w?c <br />q1315 0 <br />4 <br />5 <br />$n <br />Dttr <br />trtr <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 605.11 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 />ovedays? <br />Will the PV anay 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 ol 2-112 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 />6 <br />7 <br />I <br />I <br />nalty of p <br />N.-re,- <br />€rj u ry under the laws of the State of California that thc above is true: <br />Print Name o-{r (P Signature <br />Phone Number: qL'7' qq: l2l o Date:I /ze/ r t <br />Email Address: A"e*t <br />Rev: 11/19/2015 <br />v,vrntSc\a.v. Loy.a <br />L(