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*-SANTA <br />NA <br />llr\]NC <br />IBI]IJNG <br />$t\0 <br />Planning & Building Agency <br />Building Safety Oivision <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-s800 <br />www.santa-ana.org <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />soL4l CBC 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 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" x17" size. lf answerinq NO to anv of the questions, plan check shall be required. <br />P roj ect Address: L<c:r;- //' F Zentc l+ 5 r S/1N i7\,rJ,/a <br />Contractor Company Name: <br />Contractor License Number: <br />=Et?g <br />qN9=Z--\2 <br />"*4n <br />7- <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 Sectlon 605.11 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 between <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 of 2-112 inch, <br />embedment into roof rafters (with pre{rilled holes) and is this minimum embedment <br />shown on the plans? <br />Are ALL the structural pages ofthe plans stamped and signed by a California <br />licensed professional engineer? (including project specific site plan, PV layout, <br />anchorage spacing, anchorag e details and manufacturer's PV su pport information.) <br />I certify under penalty of perjury under the laws of the Sta <br />Print Name <br />Phone Number:Az,u\zot -B\5'o <br />Emait Address: 7"-y*-*; V (? *eco e x>eeL4 Oo <br />Signature <br />Date: <br />Rev 11/19/2015 <br />?a C-op1 <br />true <br />YES NO <br />1 Etr <br />,*tr <br />3. EJ <br />4 )Eltr <br />s *1 tr <br />6 AIE <br />7 -Ertr <br />8. -trrtr <br />9EC <br />1o_-Ertr