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,--SANTA <br />ANA <br />I[l$t\c <br />&BIIIJM <br />tGt\0 <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-s800 <br />www.santa-ana.org <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />soL-01 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, ol <br />minimum 11" x 17" size. lf answerin o NO to anv of the ouestions .o lan ch eck shall be reouired <br />Project Address:2l3l (ED4l2- S-r:A,./.+ a0 q21?l <br />Contractor Company Name: <br />Contractor License Number: <br />4 <br />2 <br />3 <br />6 <br />7 <br />8 <br />1 <br />o <br />trtr <br />Ettr <br />Etr <br />,El s <br />Etr <br />Etr <br />YES NOtrs <br />Eltr <br />F <br />qsb"ln D <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'l 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 />anchorage spacing, anchorage details and m sul,^plililormation ) <br />tr Will the minimum 5/16" lag screws be installed with a minimum ot 2-'ll? inch <br />embedment into roof rafters (with pre-drilled holes) and is this minimum embedment <br />shown on the plans? <br />tr Are ALL the structural pages of the plans stamped and signed by a California <br />licensed professional engineer? (including project spe plan, PV layout, <br />10 <br />Email Address <br />I certify under penalty of periury under the laws of the Stat <br />Signatule <br />a <br />Date: 5 rc, - z<.r? <br />abov€ is true <br />print Name: ?zo_ ira^..r: _.) <br />Phone Number: (..i / - i <br />.?, _ _, .., ^.<, i) !:. v-o L. )c <br />), <br />.l <br />Rev 11/19/2015