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Planning & Building Agency <br />Euilding 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 />sol 01 cBc 20r 3 <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAMILY RESIDENCES Only <br />lnstructions: The licensed contractor of record shall complete all sections, answer the len 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 11" x17" size. lf answerinq NO to any of the questions, plan check shall be required. <br />/t/ or -fa+sl< <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />,,,-SANTA <br />NA <br />ILI$IIG <br />tBiltDIt[ <br />lcilil <br />Contractor Company Name: <br />Contractor License Number:-<5{ /:O <br />,r{notrtr 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 605.11 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 inlo roof rafters (with pre{rilled 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 site plan, PV layout, <br />anchorage spacing, anchorage details and manufacturer's PV support information.) <br />u nder pen ofp ury the State ot California that t is true: <br />2 <br />3 <br />4 <br />5 tr <br />tr <br />6 da <br />7 <br />tr <br />10 tr <br />I certify <br />Print Na <br />Phone Number <br />Email Address: <br />Rev: 11i 19/2015 <br />8 <br />9 <br />f <br />Signature <br />Date: <br />Project Address: <br />{q <br />{"