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*-SANTA <br />NA,'ffii <br />Planning & Buildirlg 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 />w\rrw.sa nta -a na. org <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />sol,01 cBC 2013 <br />Solar Photovoltaic (PV) Checklist for Oetached 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 11" x 17" size. lf answerinq NO to any of the questions, plan cieck s hall belequlleeL <br />Project Address:\\ o s N, &\ L\"-, s\ <br />5 w"r (\n <br />2 <br />\YES NO'sg <br />h <br />\ <br />N <br />\ <br />'N <br />b <br />\ <br />\ <br />tr <br />tr <br />tr <br />tr <br />tr <br />tr <br />tr <br />6 <br />7 <br />8 <br />Contractor Company Name: <br />Contractor License Number: <br />I tr <br />tr <br />I certify under p <br />1s-r\\q <br />Are the following applicable to the proposed project? <br />Wll 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 />Wll the PV system be installed on a roof having only one roofing layer with no <br />overlays? <br />Wll 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 />\Mll the PV system weigh maximum 4 pounds per square feet or less? <br />\Mll 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 />Wll the PV system be installed without using any ballast system or counter-weight <br />system? <br />VMll 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 \A/ET stamped and signed by a California <br />licensed professional engineer? (including project specific site plan, PV layout, <br />anchorage spacing, anchorage detaals and manufacturer's PV support information.) <br />3 <br />roN <br />under the laws of the State of California that the above is true: <br />sig naturePrint Name <br />Phone Number <br />Email Address: <br />a ofp ury <br />.\ <br />-l <br />Date: 1 <br />8/=--/ <br />I <br />4. <br />Rev 811712015