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*,,SANTA <br />NA,'[ffi <br />Plan ning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www,santa-ana.org <br />RESIDENT!AL <br />PHOTOVOLTAIC <br />CHECKLIST <br />sol,o1 cgc 2013 <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAMILY RESIDENCES Only <br />lnstructions: The licensed contractor of record shall complete all sections, answer the ten questions and <br />sign the certification section below. A copy of this form shall be attached to each of TWO sets of plans, of <br />minimum 11" x 17" size. lf answerino NO to aly of the questions, plan check shall be required. <br />z\z\ D<o )o g-l S.--.\ ,4^"- cA albrProject Address: <br />Contractor Company Name: <br />Contractor License Number: <br />YES NOtrtr <br />8 Ettr <br />I Ertr <br />10 p tr <br />I certify under penalty of <br />Print Name: M iC? <br />lo \.A .r..-l <br />trtr <br />trtr <br />Eltrtrtr <br />Eltr <br />EID <br />2 <br />3 <br />4 <br />( <br />lB?-ot <br />Are the following applicable to the proposed project? <br />Wlll the PV system layout provide the required three-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 />VVlll the PV system be installed on a roof having only one roofing layer with no <br />overlays? <br />Wll 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 />VMll 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 the 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 />Wll the PV system be anstalled 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 />\Mll the minimum 5/16" lag screws be installed with a minimum ol2-112 incn <br />embedment into roof rafters (with pre-drilled 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 />6 <br />7 <br />perjury under the larvs of th <br />$ec{<tcc i <br />California that the above is true: <br />.Z/-.-.-.-z-r-- <br />e State of <br />Signature <br />pnone t'lumber: 85 I 9l t )q ( 5- Date <br />Rev 11/1912015 <br />\J c*1Email Address: i -\ <br />1