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-,-SANTA <br />NAffi <br />Planning & Buildlng Agency <br />Building Safety Oivlsion <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <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 Delached 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 1 7" size. lf answerin qNOtoan of the ouestions, Dlan c heck shall be required. <br />toaa -S. rr ir lee 5+Project Address: <br />2 <br />3 <br />6 <br />7 <br />4 <br />5 <br />Contractor Company Name: <br />Contractor License Number: <br />YES NOds <br />ds <br />6u <br />10 <br />Cnli€or,,.'i E lect.'. <br />?3o112 <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 605.1 I 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 l0" maximum betlveen <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 ol2-112 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 proiect specific site plan, PV layout, <br />anchorage spacing, anchorage details and manufacturer's PV support information.) <br />lcertify under penalty of perjury unde r lhe laws of the State of California I e abov is true <br />Print Name: Eri l( b L,r ^<t Signature: <br />@agtr <br />du <br />do <br />do <br />du <br />dn <br />I <br />9 <br />Phone Number <br />Email Address A 'tt e ri k es o <br />Rev 11/19/2015 <br />(lz) zres qt t Date: 0'1 -2 E - t 7