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-,-SANTA <br />ANAJiiilfr <br />Plannlng & Bulldlng Agoncy <br />Bulldlng Saf.ty Olvision <br />20 Clvlc Csnter Plaz8 <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 047-5800 <br />www.Banta.ant,org <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />sol{l cBc 2013 <br />Solar Photovoltalc (PV) Checkllst for Detached SINGLE FAMILY RESIDENCES Only <br />lnstructlon3: The licensed contrac{or of record shall complete all sections, answer the tsn qusstions and <br />sign the certification section below. A copy of this form shall be attached to each of TWO s€ts of plans, of <br />minimum 11' x 17' size. lf answerlno NO to anv of the ques0ons, olan check ahall be reoulred. <br />Project Address:1728 W PARK LN , Santa Ana CA 92706, United States <br />Contractor Company tr1".". Solar CitysoLARCITY <br />Contractor Llcense Number .888104 <br />YES NO Are the followlng appllcable to the proposed projoct? <br />Will the PV systsm layout provide the requirod three-foot wide clear access pathways <br />per Section 605.11 of the Califomia Fire Code, and is this shown on tho 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 exisling roof so that th€ plane of the <br />modules (panels) are parallsl to the plane of the roof? <br />Will th6 PV system weigh maximum 4 pounds per square feet or less? <br />Will the PV system b€ installed where the modules do not overhang any roof edg€s <br />(such as eaves, gabl€d €nds, ridges and hips)? <br />Will the PV system be installed with a space of 2'minimum to 10'maximum b€twoen <br />lh€ underside of modules and the surface of the mof? <br />Will the PV system be installed without uslng any ballast syst€m 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 tho minimum 5/16" lag scrows be lnstalled with a minimum o12-112 indl <br />embedment into roof rafters (with predritled holes) and is this minimum emb€dment <br />shown on the plans? <br />Are ALL the structural pages of the plans WET stamped and signed by a Califomia <br />lic€ns€d professional englneer? (including prorecl specific site plan, PV layout, <br />anchorage spacing, anchorage details and manufacturer's PV support information.) <br />1 trtr <br />2. Etr <br />Eltr <br />trtr <br />@o <br />Eltr <br />atr <br />4 <br />5 <br />6 <br />7 <br />8 Eltr <br />I Eltr <br />10 @o <br />I certlfy under penalty ot periury undor the laws of the State of Callfornla that tho abov6 l! truo: <br />p6n1 11666. JAIRO RIVERA <br />phone Number: 4805538187 <br />Signature Jairo Rivera-Mendez E:?it6:,I#:i*#*' <br />Dare. 6/27 /2016 <br />Emait Address: jriveramendez@SOLARC ITY.COM <br />Rov: &1712015