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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,santa-ana.org <br />EIIEEEEEIG! j.l5!!lf!ljllfE=, -arM]-i: li !l-!l:-li ie5lt-t*[E:rl,H[trJlItlEllEgftEEEtrlsol{1 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 certiflcation section below. A copy of this form shall be attached to each of TWO sets of plans, of <br />minimum 1'1" x 17, size. lf answerinq NO to any of the questions, plan check shall be required. <br />Project Address:LL1'1 <br />RES!DENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />t Q2 <br />Contractor Company Name: <br />Contractor License Number: <br />4 <br />5 <br />2 <br />3 <br />YES NO <br />Etr <br />6n <br />qtr <br />9trqtr <br />(o <br />Are the following applicable to the proposed project? <br />Will the PV syslem layout provide the required three-foot wide clear access pathways <br />per Section 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 rooling 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 10" 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 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 struclural pages of the plans stamped and signed by a California <br />licensed professional engineer? (including project specific site plan, PV layout, <br />anchorage spacing, anchorage details and manufacturer's PV support information.) <br />qtr <br />trtr <br />do <br />tr tr <br />I certify under peialty of perjury pnder the <br />Print Name: /]n,'a.rt ,/41r, ", ,, <br />laws of the State of California that the above is true: <br />Phone Number <br />Email Address: <br />,,-SANTA <br />NA <br />ILT\\NC <br />{BUIDNC <br />rc[\(1 <br />Rev: 1'tl19/2015 <br />-W -) <br />/" <br />ZY\o <br />/a vo t4 <br />S ig nature: <br />6. <br />7. <br />8. <br />9. <br />10. <br />Date: 6'<-- I )'l-