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*-SANTA <br />ANAqMi <br />Planning & Building Agency <br />Building Satety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana,org <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />sol 01 cac 20r 3 <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAMILY RESIDENCES Only <br />contractor of record shafi cornplete all sections, answer the ten qu€stions andlftstnr$ons: The hcensed <br />sign the certilication section <br />minimum 11" x 17" size <br />Proiect Addtess: <br />Contractor Company l,lame: <br />Contractor License Number: <br />YES NOdn <br />du <br />ds <br />Compbte So lar Solutions o California, lnc <br />below. A copy of this form shall be attached to each of TWO sets of plans, of <br />NO to he uestio n checkn llt q;l10I <br />4 <br />5 <br />2 <br />3 <br />dudo <br />961 I B8 <br />Are the following applicable to the proposed project? <br />VMlt the PV system layout provide the required three-foot wide clear access pathways <br />per Section 605.'l 1 of the Califomia Fire Code, and is this shovrrn on the roof plan? <br />Willthe PV system be installed on a roof having only one roofing hyer wilh no <br />overlays? <br />Willlhe PV anay be flustl rnounted to the existing roof so that the plane of the <br />modules (panels) are parallel to the plane of the roof? <br />Wll lhe PV system weigh maximum 4 pounds per square feet or less? <br />Wll the PV system be installed where the modules do not overhang any roof edges <br />(such as eaves, gabled ends, rrdges 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 />Vvill the PV system be installed without using any ballast system or counter-weight <br />system? <br />Wll the anchors be installed with a maximum horzontal anchor spacing of 6 feet <br />and ra ttns maximum hortzorfial spacing shcAArn on th€ dans? <br />Witl lhe minimum 5/16 lag screws be installed with a minimum of 2-112 inch <br />embedrnent rnto roof rafters (with predrilled 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 California <br />licensed professional engineer? (including pro.iect specific site plan, PV layout, <br />anchorage spacing, anchorage details and manufacturer's PV support information ) <br />I certify under penalty of parjury under the laws of the state of california that the above is true: <br />print Name: Evan Francis Signature <br />Phone Number 650-610-1 777 Date <br />Email Address <br />Rev: 8/1712015 <br />Der itsOcomDletes r com <br />t4.*Fraazr, <br />u du <br />,du <br />uila <br />ndu <br />',0 dB