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*-SNTA <br />NA,Tffi <br />Planning & Building Agency <br />Building Safety Divis ion <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-'19) <br />Sanla Ana, CA 92702 <br />(714) 647-s800 <br />www,santa.ana.org <br />Solar Photovoltaic (PV) Checktist for Detached SINGLE FAMILy RESIDENCES Onty <br />lnstructions: The licensed contractor of record shall complete all sections, answer the ten questions and <br />sign the certjfication section below. A copy of this form shall be attached to each of TWO sets of plans, of <br />mrnimum11"x17'size. lf answerinq NO to anv ofth e o uestions. D lan check shall be required <br />Proj ect Address: lna?..L\0Y{f\ fir(tI,( <br />"Q)fContractor Company Name: <br />Contractor License Number \00841 q <br />2 <br />YES NO <br />Ftr <br />Etr <br />trtr <br />Are the following applicable to the proposed project? <br />Will the PV system layout provide the required three-foot wide clear access pathways <br />per Section 605.11 of the California Fire Code, and is this shown on the roof plan? <br />Will the PV system be installed on a roof having only one roofing layer with no <br />overlays? <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 4 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 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 ot 2-112 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 specific site plan, pV layout, <br />anchorage spacing, anchorage details and manufacturer's pV support information.) <br />3 <br />4 trtrpa <br />Ftr <br />Ftr <br />6 <br />7 <br />8 tstr <br />9 Ftr <br />10 Eltr <br />I certify und et 9eqalry o <br />0-t 'zk <br />the State of California <br />Print Name Signature <br />Phone Number: 4M31afibt Date <br />Email Address: 'ia(Af\ . f ',f\aYlLtna <br />Rev 11r19/2015 <br />@Sun[uv 'e-wNw corn <br />ve is true <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />soL-o1 cBc 2013