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Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1 938 (M.19) <br />Santa Ana, CA 92702 <br />1714) 647 -5A00 <br />www.sa nta-a n a. o rg <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />scl-o1 c3c 2a I l <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAilllLY RESIDENCES Only <br />P tojectAddress: -'zr s A,r,.lrc s P lou-< <br />Contractor Company Name: <br />Con tractor Licens e Number: <br />C-uven go(ar *4tch <br />a/' <br />4 <br />5 <br />2 <br />3 <br />7 <br />I <br />9 <br />Cu <br />10 D <br />I certify under penalty of perjury under the laws of the State of Califo <br />NO Are the following applicable to the proposed proiect? <br />D U/ill the PV systenn layout provlde the requir-.d threejoot wide clear access pathways <br />per Section 605.'1 1 of the California Fire Code, anC is this shown on the roof plan? <br />tr Vvill the PV system be instailed on a roof ha'/ing only one rooiing layer with no <br />ovedays? <br />tr !1/ill the PV array be flush mounted to the existing roof so that the plane of the <br />rnodules (panels) are parallel to the plane of the roof? <br />tr v\iill the PV system weigh maximum 4 pounds per square feet or less? <br />tr tr'/ill the PV system be installed lvhere the modules do not overhang any roof edAes <br />(such as eaves, gabled ends, ridges and hips)? <br />\r'/ill the PV system be installeC with a space of 2" n''rinirnum to 10" maxin.rum be!r'r'een <br />the underside of modules and the surface of the roof? <br />lVill the PV system be installeC without using any ballast syst3m or counter-wglght <br />system? <br />V\/lll 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 />U/ill the minimum 5/16" lag screws be installed with a minirnum of 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 of the plans stamped and signed by a California <br />licensed professional engineer? (incluCing projecl speciflc site plan, PV layout, <br />anchorage spacing, anchorage details and manufacturer's PV support information ) <br />! <br />tr <br />tr <br />Print Name €,w r t Sr lnr <br />rnia that the abo <br />Phone N,Jmber <br />Enna lACdress <br />4t: <br />o <br />r{ <br />h <br />1l <br />Signature <br />Date:/6 <br />is tr <br />muulutur <br />;#A,ffi <br />lnstructions: The Iicensed contracior of recorC sha I complete all sections ans, er the ten questrons and <br />sign the certiflcation section below A copy of thls forrn sira I be at:ached to each oJ Tl/1/O sets of pians, of <br />n inimum 11'x 17'size. lf answerinq NO to anv of the questions. olan check shall be required. <br />1 <br />YES <br />d <br />c <br />c <br />6 <br />Re / 1 !,13i 2015