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Planning & BOililing -Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (Mng) <br />Santa Ana, CA 92702 <br />(714) 647-s800 <br />www.santa-ana.org <br />Project Address: <br />Contractor Comp <br />soL-01 cBc 2013 <br />(at S. <br />any Name:4v' <br />Contractor License Number: <br />YES 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 605.1'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 10" maximum bet\iveen <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 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 i ation.) <br />I certify under penalty of perjury under the Iaws of the State of <br />AS ignatu <br />Phone Number 5a> <br />Email Address: c <br />Eu <br />du <br />dn <br />4 <br />5 <br />2 <br />3 <br />6 <br />7 <br />9 <br />dadu <br />dn <br />du <br />du <br />do <br />du10 <br />-,-SANTA <br />ANA <br />Itr\lNG <br />&BUIOI\G <br />$NI <br />^J .} <br />f <br />o Date I <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />Solar Photovoltaic (PV) Checktist for Detached STNGLE 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 Noto anv of the questions. Dlancheckshall be required. <br />a1 .7,YL <br />Print Name: <br />1 <br />\ <br />Rev:1111912A15