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*-SNTA <br />NA'Iffi <br />Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA92702 <br />(714) 647-s800 <br />www.santa-ana.org <br />soL41 CBC 2013 <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAMILy RESTDENCES Onty <br />lnstructions: The licensed contractor of record shall complete all sections, answer the ten questions and <br />O sets of plans, of <br />be required. <br />sign the certification sectjon below. A copy of this form shall be attached to each of TW <br />minimum 11" x 17'' size. lf answerin NO to anv of the oues tions, plan check sha <br />Pro,ect Address:hLl 5 i<epe os- <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />Contractor Company Name: <br />Contractor License Number: <br />l,Vll fow€E- <br />lo 88q< <br />NO Are the following applicable to the proposed project? <br />tr 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 />tr Will the PV system be installed on a roof having only one roofing layer with no <br />overlays? <br />tr Will the PV array be flush mounted to the existing roof so that the ptane of the <br />modules (panels) are parallel to the plane of the roof? <br />tr Will the PV system weigh maxamum 4 pounds per square feet or less? <br />.tr --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 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 ol Z-ltZinch <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 Cal ornta at the above is true <br />Print Name: C4r1 ll ucipA 52At4l <br />1 <br />2 <br />3 <br />4 <br />. $u, fln, $o, po <br />,'po <br />Phone Number: tbf./qr3i <br />Signature <br />Date:3 <br />Rev 11/19/2015 <br />rr' <br />z. ilrf t/ <br />Email Address: TdAV€ E3 <br />YESs <br />+ <br />$