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Phnning & Euatding Agencv <br />Eullding Safety Divtsion <br />20 Civic Conter plaza <br />P.O. Box 1988 (M-rg) <br />Santa Ana, cA 92202 <br />,(7141 6.17-5800 <br />www-santa-ana.org <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLTST <br />soL 0'r cBc 2013 <br />Solar Photovoltaic (pV) Che&ist for Dctrched SINGLE FAMILY RESTDENCES Onty <br />lnstructi ons: The licensed contractor of record shall complete all sectiosign the certification sedion below. A copy of this form shall be <br />ns,answer the bn questions and <br />minimum 11" x 11" <br />Project Address: <br />size. <br />attached to each of TWO sets of plans, of <br />N {7q,}- <br />Contractor Company llame: <br />Contractor License l,lumber: <br />, y.\+rs\6 rQln,Q <br />YES t{o1.PQ <br />2. @a <br />3. Eltr <br />Are the followlng applicable to the proposed proi€cm <br />Will the PV system layout provide he requked three_foot wide clear acce$s pathwaysper Section 605-11 of the Catffomia Fire Code, and irs tris strouvn ofl the mof plan? <br />Vvill the PV system be installEd on a roof having only one roofing tayer wirl noovedays? <br />tr{frll the PV array be flush mounted tc the existing roof so that the plane of themodules (panets) are parallel to he plane of the <br />-rooflr <br />Will the PV system weigh maximum 4 pounds per squaE feet or less? <br />Will the Pl/ ryStem be installed where the modules do not overhang any roof €dges(such as eaves, gabled ends, rirJges and hips)? <br />Mll the PV system be installed with a space of ? minimum to 1tr maximum betw€enthe und€rside of modules and the surf.ace of the roof? <br />Wll the PV system be installed wihout using any ballast system or countar-weightsystem? <br />will the anchors be instared with a maximum ho.izontar ancfior spacang of 6 feetand is this maximum horizontal spacing shonn on the plans? <br />will the minimum t16" rag screws be inshred with a minimum or 2-112 ind,remb€dment into rooJ rafters (wih predrired hores) andis rris mrnimum embedm€ntshown on the plans? <br />Are ALL he sfuciural pages of he plans stamped and signed by a Califiomia <br />lgped Crofessionat engineep (including.project sp*mJ"it" pr"", pV tayout,anchoGtge spacing, anchorage detairs "n-o'..'nG&r*irlV 5upport inrormaton.) <br />4. <br />5. <br />b- <br />trtr <br />EIB <br />Ero <br />trrI7 <br />I tstr <br />I Eto <br />10. aE <br />I certify under penalty of perJury under tfte laws of the State of Calfforn ia that the ls Eue:Print Name:t(l Vqr Signature: <br />Phone Number:z <br />Email Address: <br />Rev: 1l/19/2015 <br />Da.rl lC <br />ANA,IH <br />NI <br />r[l <br />t<-I o <br />a1 (it