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Plannlng & Bulldlng Agency <br />Bulldlng Safoty Dlvision <br />20 clvic Center Plaze <br />P.O. 8ox 1988 (ll-19) <br />Santa Ana, CA927OZ <br />(7r4) 847S800 <br />www.aanta-ana,org <br />RESIDENTlAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />soL{, cBc 2013 <br />Solar Photovoltalc (PV) Checkllst for Detached SINGLE FAillLY RESIDENCES Only <br />lnstructlons: The licensed contrac{or of record shall complete all sections, answer the ten quostions and <br />sign ths c€rtification soction below. A copy of this form shall be attached to each of TWO sets of plans, of <br />minimum 11' x 17' size. lf answerlnq NO to anv of the questlons. plan check 3hall be ,Eouired. <br />Project Address:2226 S Lowell St, Santa Ana, CA 92707, US <br />Contractor Company Name:Tesla <br />contractor License Number: 888104 <br />YES NO Are the followlng appllcabh to the proposed project? <br />Will the PV system layout provide the required thre+.foot wide clear access pathways <br />per Sec.tion 605.1 1 of the Calif,omia Fire Code, and is this shown on the roof plan? <br />Wll the PV system be installod on a roof having only one roofing layer with no <br />overlays? <br />Will the PV anay be flush mounted lo the existing roof so that the plane of the <br />modules (panels) are parallel to lhe plane of the roof? <br />Will the PV system weigh maximum 4 pounds per square feet or less? <br />\Mll the PV system be instralled where the modules do nol 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 10'maimum 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 th€ minimum 5/16" lag scrows be installed with a minimum ol2-112lnch <br />embedmenl into roof rafters (with pre{rilled holes) and is this minimum emb€dment <br />shown on the plans? <br />Ar€ ALL the slructural pages of the plans WET stamped and signed by a Califomia <br />licensed professional engineer? (including project specific site plan, PV layout, <br />anchorage spacing, anchorage d6tails and manufacture/s PV support infotmation.) <br />1 EI tr <br />2 trtr <br />Eltr <br />trtr <br />@tr <br />Etr <br />Elo <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 trtr <br />s. trtr <br />10. El El <br />I cortlfy under ponalty of periury undor tho laws ot the State of rnia lhat th€ a <br />print Name: Melissa Foxx Sig <br />phone Number: 7O2-7 85-2998 <br />Email Address: <br />Revr 8/1712015 <br />mfoxxsarmiento@tesla.com <br />7/16/18 <br />13 trus: <br />*S <br />ANA <br />ANTA <br />tLl\I\G <br />IBIITJI\G <br />.IGtITI <br />ctil <br />Date: