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Plannlng & Bullding Agoncy <br />Bulldlng Safoty Dlvi3ion <br />20 Clvic Csnter Plaza <br />P.O. Box 1988 (U-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.sante-ana.org <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />sol{1 cBc 2013 <br />Solar Photovoltalc (PV) Checkllst for Detached SINGLE FAMILY RESIDENCES Only <br />lnstructlons: The liconsed conlractor of record shall complete all sections, answ€r the ten questions and <br />sign the certillcation section below. A copy of this form shall be attached to each of TWO sets of plans, of <br />minimum 1'1" x 17' size. lf answerlns NOtoanvof the quesdons. olan check shall be requlred. <br />ProJect Address:2226 S Lowell St, Santa Ana, CA 92707, US <br />Contractor Company Name:Tesla <br />Contractor License Number:888104 <br />1 <br />YES t{O <br />Eltr <br />Etr <br />BEI <br />trD <br />@tr <br />tro <br />Are the followlng appllcable to the proposed proiect? <br />Will the PV system layout provide the required thres'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 />Will the PV system be inslalled on a roof having only one roofing layer with no <br />overlays? <br />Wll the PV anay be flush mounted to the existing roof so that the plane of the <br />modules (panels) are parallol to the plane of the roof? <br />Will the 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, ridges and hips)? <br />Will th6 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 of 2'112 inch <br />embedment into 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 signod by a Califomia <br />lic€nsed professional engineer? (including proiect sp€cific site plan, PV layout, <br />anchorage spacing, anchorage details and manufac'ture/s PV support information.) <br />J <br />4 <br />5 <br />6 <br />7. El El <br />8 <br />I <br />atr <br />trtr <br />10.trtr <br />I cortify under ponalty of periury under lhe laws of tho Stato of <br />Print Name:Melissa Foxx sig <br />phone Number: 7 02-7 85-2998 7/t <br />Email Ad <br />Rev: 8/1712015 <br />drsss. mfoxxsarmiento@tesla.com <br />Date 8 <br />ia that the is tius: <br />,--SANTA <br />ANAJIiH}