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*,,SNTA <br />NA,ffi <br />Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-'19) <br />Santa Ana, CA 92-102 <br />(714) 647-5800 <br />ww.rr.santa-ana.orq <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />soL-01 c8c 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 '1 1" x 17" size. lf answerinq NO to anv of the q uestions. olan check shall be required. <br />Project Address:\fo, N tPC-^i )L <br />contractor company Hame: 1r-f\ t(te-t-.r <br />contractor License Number, 1 9g f\ \ <br />2 <br />3 <br />YES NO <br />tr <br />tr <br />Ea <br />bs <br />'go <br />EO <br />10 tr <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 ol 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 struclural 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 />laws of the State of California <br />Etr <br />bnEtr4 <br />5 <br />6 <br />7 <br />8 <br />I <br />lcertify under pJlalty of peIury unfler,t\e <br />PrintName: \(,d" Rfaa; <br />\Phone Number <br />Email Address: <br />Rev 11/19/2015 <br />\\\'I s\'$3 \Sionaturel <br />Date: L <br />the above is true: