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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 (Ml9) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />soL-o1 cBc 2013 <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 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 answerinq NO to any of the ouestions , plan check shall be reouired. <br />Project Address: <br />1 t,"rContractor Company Name: <br />Contractor License Number:'l S? \\t\ <br />Are the following appllcable to the proposed project? <br />Wll the PV system layout provide the required threejoot wide clear access pathways <br />per Section 605.1 1 of the California Fire Code, and is this shown on the roof plan? <br />Wll the PV system be installed on a roof having only one roofing layer with no <br />overlays? <br />\Mll 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 />Wll 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 />Wll 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 />VMll the PV system be installed without using any ballast system or counter-weight <br />system? <br />Wll 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 />Wll 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 WET stamped and signed by a California <br />licensed professional engineer? (including project specilic site plan, PV layout, <br />anchorage spacing, anchorage details and manufacturer's PV support information.) <br />\YES NO1bD <br />, htr <br />,\u <br />4 ND <br />u \o <br />u \o <br />, ba <br />,\g <br />r\gu <br />,o\u <br />I certify under <br />Print Name: <br />ggnalty of <br />\\.r \L J\. J Sig nature <br />under the laws of the State of California that the above is true: <br />Phone Number: <br />Email Address: <br />t- <br />Rev 8/1712015 <br />1 Date: j