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*-SNTA <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, CA92702 <br />(714) 647.s800 <br />www.santa.ana.org <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />Solar Photovoltaic (PV) Checklist for Detached STNGLE FAMtLy RESTDENCES Onty <br />lnstructions: The licensed contractor of record shall complete all sections, answer the ten questions and <br />sign the certiflcation 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 answerin NO to an of the uestions lan check shall be re uired <br />Project Address:a L Ffo*,+ 5f 9*n J,,*-"! €^r <br />Contractor Company Name: <br />Contractor License Number: <br />l,r t7./ I (-4C D'-qb/07 4 <br />YESp NO Are the tollowing applicable to the proposed project? <br />tr Will 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 />tr Will the PV system be installed on a roof having only one roofing layer with no <br />overlays? <br />tr 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 />tr Will the PV system weigh maximum 4 pounds per square feet or less? <br />Y <br />P <br />w <br />F <br />F <br />Pa <br />w <br />3 <br />4 <br />tr 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 to 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 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 the minimum 5/16" lag screws be installed with a minimum ol Z-112 inch <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 speciflc site plan, pV layout, <br />anchorage spacing, anchorage details and manufacturer's PV support information.) <br />6 tr <br />7 tr <br />8 tr <br />I tr <br />10 S-o <br />I certify under penalty of perjury under the laws of the State of California that th <br />PrintName: foP- *l*t^La--Srgnature <br />Phone Number <br />Email Address: <br />-52L-or>z-Date; 5'Zf' / 7 <br />t o-- <br />Rev 11i 19/2015 <br />a-)- <br />bove e <br />sol-o1 cBC 2013 <br />1. <br />2.