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,,-SANTA <br />NA,,ffiI <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />sol-01 cBc 2013 <br />Solar Pholovoltaic (PV) Checklist for Detached SINGLE FAMTLY RESTDENCES Only <br />lnstruclions: 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' x 17" size. lf answerinq NO to anv of the ou ons. plan check shall be reouired. <br />Project Address: <br />Contractor Gompany Name: <br />Contractor License Number:1 so\ <br />YEA6 <br />4 <br />4 <br />NO 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 thas 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 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 o12-112inch <br />embedment into roof rafters (with pre-drilled 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, anchorage details and manufacturer's PV support information.) <br />tr <br />2 tr <br />tr <br />4 <br />fr, <br />tr <br />tr <br />UAtr <br />, Atr <br />u 4fl <br />n €tr <br />10.rB D <br />I certify under penalty of perjury under the laws of the State of Cal ia that <br />Print Name:Kq!.1 t\et Signature <br />Phone Number: qqq >n S$bol D v <br />Email Address:I <br />Rev:'11l19/2015 <br />sc <br />cl <br />,LV <br />is true: <br />Planning & Building Agency <br />Building Satety 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 />1