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I <br />Plann ing & Building Agency <br />B uilding Safety Division <br />20 Civic Center Plaza <br />P,O. Box 1988 (iU-19) <br />Santa Ana, CA 92702 <br />(714) 647.5A00 <br />www. sa nt a.a na. o ag <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />soL,c1 c8c 2c1l <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FA,!llLY RESIDENCES Only <br />lnstructions: The licensed contractor of record shall complete all sections. answer the ten questions and <br />sign the certlflcalion section be ow A copy of this form shall be atlached to each of T\ /O sets of plans, of <br />nrinmum 11'x17' siz-. lf answerino NO to anvof theouestions ,o lan check shall be re quired <br />P roject Add res s \o -)" j to i r-tno o [. L c] v\-z- <br />Contractor Company Name: Q\,/(1 RVn <br />C ontractor Lice ns e N umber:S \k <br />YES NC Are the fcl!owing applicable to the proposed project? <br />V'/lil the PV system layout provlde the required threejoot 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 only one roofing layer with no <br />y/iLl the PV affay be flush mounted to ihe existing roof so that the plane of the <br />modules (panels) are parallel to the piane of the roof? <br />\r'/il the PV system weigh maximum 4 pounds per square feet or less? <br />V1/lll the PV system be installed whers the modules do not overhang any roof edges <br />(such as eaves, gabled ends, ridges and hips)? <br />\r'/lll the PV system be installed with a space of 2' minimum to 10" maximum beuveen <br />the underside of modules and the surface of the roof? <br />\illill the PV system be installed without using any ba last systeri or counter-weighl <br />system? <br />Vl/ill the anchors be installed wilh a maximum horizontal anchor spacing of 6 feet <br />and is this maximurn horlzonta spacing shown on the plans? <br />V/ill the minimum 5/16" lag screws be installed with a minimum of 2-112 ioch <br />embedment into roof rafters (with pre-drllleC 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 />, F,tr <br />2,iKtr <br />3 tr <br />4 <br />5 <br />E--D <br />E <br />6 f <br />7 <br />tr <br />I f,tr <br />10 M tr <br />I cert fy under penalty of perjury under the laws of the State of Callfornia that e above is true <br />Print Name <br />Phone Num <br />(C^ R\JSSQ Signalu re <br />oea q\q vqL - <br />Email ACdress CwqRUn -COf\ <br />t\?c1u"n Date l</ <br />l il,TTtIIG <br />ffifl <br />Re, 1113,2015