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Planning & Bu ild ing Ag:ncf <br />B u ilding Sa iety Divis ion <br />20 Ci'tic Cenler Plaza <br />P,O. Box 19EE (1,4.19) <br />Santa Ana, CA 927 0? <br />(714) 647 -5800 <br />www.santa -a na. org <br />RESIDENTIAL <br />PI.IOTOVOLTAIC <br />CHECKLIST <br />Solar Photovollaic (PV) Checklist for Detached SINGLE FAIIIlLY RESIDENCES Only <br />lnstructionsi Th? l.censaC contractcr ol re.ord shall compl3t3 all sections, ans,,ver the t3n quastlons and <br />sign the certification se.tion belo',v. A copy of this fcrm shall be attached to each of T\y'/O sets of plens, of <br />urslions. olan ch?ck shall be requiredminrm-rnr 11' v. 17 siz= Ii ans,ri:rinq NO tD anv of the q <br />DN LDProject Address: <br />Contractor Company N ame <br />Contraclor License l'/ umber <br />YES t]C <br />qx <br />3 <br />trn <br />$u <br />Sn <br />$oNtr <br />En <br />Xs <br />Ks <br />fie <br />Xo <br />Are the following applicable to the proposed project? <br />y/ill the PV system layout provid3 the r3quired lhr-.s-foot vrde clear access path,,vays <br />p:r Section 605.1 1 of the CaliFornia Fire Code, and is this sho,,n on the roof plan? <br />r//iil the PV syst3m be install3d on a rcoi haiing onl.1 onz roofing lal:r wiih no <br />overlays ? <br />Will the PV array be flush mounled to the exjsting roof so that the plane of the <br />modules (panels) are parallel to the plane of the roof? <br />VVili the PV system weigh maximum 4 pounds per square feet or less? <br />\r'/ill the PV system be installed where the modules do not overhang any roof edges <br />(such as ea'res, gabled ends, ridges and hips)? <br />\l/ill the PV system be installed wilh a space of 2" m;nimum to 10" maximum betreen <br />the underside of modulss and the surface ol the roof? <br />S/ili the PV syst3m be jnstalled without using any ballast system or counter-'r'/eight <br />\ /ill the anchors be installed with a maximum horizonlal anchor spacing of 6 feet <br />and is this maxjmum hoflzontal spacing shown on the plans? <br />Will the minrmum 5i 1 6" lag screws be installed with a minimum ol 2-112 inch <br />ernbedment into roof rafters (with pre-drilled holes) and is this minjmum embedment <br />shown on the pla ns? <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 />4 <br />5 <br />6 <br />7 <br />8 <br />I <br />10 <br />I certify undet penalty of perjury under-llhe laws of th <br />Print Na,e: L)NN rc C uHeis <br />Phone Number <br />Ema lAddress <br />e State of Ca ia that the above is true: <br />Sig nature <br />n C <br />b <br />^,n <br />AlL/L <br />Rev 1111912015 <br />ct\q-q@-q7 3 Date q t7 ZOZO <br />slL-cl c;l2l1l <br />{t <br />t: <br />,]