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#A\TH] <br />.,NA'm <br />Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box '1988 (lvl-19) <br />Santa Ana, CA 92702 <br />(714) 647.5300 <br />www.santa-ana.org <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAMILY RESIDENCES Only <br />lnstructions: The licensed contractor of record shall con]plete all sections, answer the ten questlons anC <br />slgn the cartlfication section beiow. A copy of this form shall be attached to each of.TV/O sets of plans, of <br />minimum 11' x 17' size lf answerinq NO to anv of the questio ns. olan check shall be required <br />Project Add ress:Zirc A ihr.U^".,^l".,.q 9T <br />Contractor Company Name: n u n (un " <br />contractor License Number' ]5o tZ 4 <br />Are the following applicable to the proposed proiect? <br />\ iill the PV systern layout provlde the requlred 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 />\ /ill the PV system be installed on a roof having oniy one roofing layer with no <br />overlays? <br />Ui ill the PV array be flush mounted to the existing roof so that the piane of the <br />modules (panels) are parallel to the plane of the roof? <br />U/ill the PV system weigh maximum 4 pounds per square feet or less? <br />U/ill the PV system be installed where the modules do not overhang any roof eCAes <br />(such as eaves, gabled ends, ridges and hips)? <br />\l/ill the PV system be installed with a space of 2" minimurn to 10" maximum bet\iveen <br />the underside of modules and the surface of the roof? <br />\ /ill the PV system be lnstalled without using any ballasl system or counter-weight <br />system? <br />S/ill 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 />u/ill the minimum 5/16" lag screws be installed with a minimum of 2-112 irch <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 />Emaii Address aiC\< . brroA['^e...\ O 5uncu* - ca rn <br />YE'6 <br />4 <br />5 <br />2 <br />3 <br />6 <br />7 <br />tr <br />Etr <br />9 gtr <br />'10 Etr <br />ds <br />Ettr <br />6u6n <br />En(s <br />I certify under penalty of perjury under the laws of the State of Calif nl hat t <br />t1-'- abi\Date: b-1-1- ZotDPhone Number <br />Rev 11/19/2015 <br />ove is true <br />1 <br />Print Name: hn \<cW Cl "..b <rr Signaturel