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Plaming & Bullding Agency <br />Building Sdeay Division <br />20CivicffiPlaa <br />P.O. Box lS8 (il}19) <br />S taAr4 CA WiTq2 <br />Pr4 Brr-sqn <br />vwrvttsatt*alaorg <br />RESIDENTUIL <br />P}IOTOVOLTAIG <br />GHECl{.IST <br />sol-01 cBC 2013 <br />Proiect Address: <br />Gontacbr Gonpary ilrre <br />Gonffir License ltrnter: <br />SOLAR 360 BUILDING SERVIC[,S ]NC. <br />?rora <br />YES t'to Are lhe follouing 4plicar.le b lhe proposed prcjectil <br />Will the PV array be flush mounted to the existing roof so that the plane of the <br />modules (panels) are parallel to the plane of the roof? <br />Will the PV system weigh maximum 3 pounds per square feet or less? <br />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 lo 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 PV system be installed on a roof having only one roofing layer with no <br />overlays? <br />Will the PV system layout provide a three-foot wide clear access pathway per the <br />latest edition of "Guideline for Fire Safety Elements of Solar Photovoltaic Systems" <br />by OCFA? (Guideline available on the OCFA website: http://www.ocfa.oro) <br />Do the plans show a maximum horizontal anchor spacing of 6 feet? <br />Do the plans show a minimum oI 2-112 inch lag screw embedment into roof rafters? <br />Are ALL the structural pages of the plans WET stamped and signed by a California <br />licensed professional engineer? (including project speciflc site plan, PV layout, <br />anchorage spacing, anchorage details and manufacturer's PV support information.) <br />2 <br />3 <br />trtr <br />trtrtrtr <br />4 trtr <br />5 trtr <br />6 x tr <br />tr <br />D <br />tr <br />tr <br />7 <br />E <br />I x <br />10 tr <br />I c€rtitr under p€ndty of perjury under lhe lat/us of the Sft of <br />Print name: Courtney Ford Signature <br />Galifomia dove is t!€r <br />C <br />Phone Number: (888) 688 4946 Date: lll8l20l8 <br />EmailAddress: courtney.ford@solar-360.com <br />x <br />Rev 211712415 <br />-,-SANTA <br />ANA-'Iil,fi <br />Sola PhobvolEic (PV, Che<tdist for ll#red Sll{GLE FAMI-Y RESITENCES Onlyt <br />hstuc{ions: The licensed contractor of record shall fill in the address of the project, contractols <br />licensing information and answer queslions I -10 below. Complete and sign the certiflcation section. <br />**lf ansrering M) to ary of lhe questions, plan clred( shdl be rcquir€d.* <br />2713 WEST SAINT ANDREW PLACE SANTA ANA, CA 92704 <br />1