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.^-SANTA <br />NA <br />llr\l\c <br />llullt\c <br />IG[Vl <br />Planning & Building AgencY <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.sa nta-ana.org <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />sol-o1 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 questio <br />stg n the certiflcation section below. A copy of this form shall be attached to each of TWO sets of p <br />minimum 1 '1' x 17" size lf answe nn oNOtoan v of the estions.o lan check shall be reou i red.o u <br />ns and <br />lans, of <br />Proiect Address: <br />Contractor ComP <br />OL <br />any Name: <br />Contractor License Number: <br />Are the following applicable to the proposed project? <br />WillthePVsystemlayoutprovidetherequiredthree-footwidecIearaccesspathwayS <br />per Section 605.11 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 />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 tne PV system weigh maximum 4 pounds per square feet or less? <br />Yes 16gg <br />2 <br />3 <br />8 <br />I <br />ah <br />tr <br />tr <br />4 <br />tr <br />6 <br />7 <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 />\Mll 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 ol2-112 inch <br />mbedment 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 project specific slte plan, PV layout' <br />anchorage spacing, ancliorage details and manufacturer's PV support information') <br />er penalty of P erjury under the laws of the State of California that the a <br />EYC <br />10 <br />I certify und <br />Print Name: <br />Phone Number <br />Email Address: <br />,- <br />Rev: 11/19/2015 <br />ilW tL"4 <br />Date <br />is <br />Signature: