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Plann ing & Building Agency <br />Building Safety Divis ion <br />20 Civic Center Plaza <br />P.O. Box 1988 (&l-19) <br />Santa Ana, CA 92702 <br />(714) 647.s300 <br />www. sa n ta-a n a. o rg <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />scl-o1 c3c 2C 1l <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAtullLY RESIDENCES Only <br />lnstructions: The licensed contractor of record shall complete all sections, ans,/ver the ten questlons and <br />s gn the certrflcation sectlon below. A copy of this fornr shall be attached to each of T\r'/O sets of plans, of <br />rninimum 11' x 17' size lf answerino NO to an of the uestions. plan check shall be requiredo <br />Project Address:Pi,u-<-'zr r ArJrr-s <br />Contractor Company Name: <br />C ontractor Licens e Number: <br />Lrven golar *4tch <br />I i:i <t s ct' <br />YEt NcEtr <br />Mr <br />Etr <br />Are the following applicable to the proposed proiect? <br />\r'/ill the PV system layout provide lhe required threejoot wide clear access pathways <br />per Section 605.'1 1 of the California Fire CoCe, and is this shown on the roof plan? <br />VVill the PV system be installed on a roof havlng oniy one roofing layer with no <br />V\/ill the PV array be flush mounted to the existtng roof So that the piane of the <br />modules (paneis) are parallel to the plane of the roof? <br />Uilll the PV system weigh maximum 4 pounds per square feet or less? <br />Vvill lhe PV s,vstem be installed where the modules do not overhang any roof edAes <br />(such as ea'zes, gabied ends, ridges and hips)? <br />S/ill the PV systern be installed with a space of 2'minimum to l0" maxrmum beb/veen <br />the underside of modules and the surface of the roof? <br />U/lll the PV systen'r ce instaileC without using any ballast syslen'r or collnler-weight <br />Vt/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 mlnimum 5i 16" lag screws be installed with a minimum of 2-112inch <br />embedment into roof rafters (,flith 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? (including project specific site plan, PV layout, <br />anchorage Spacing, anchorage details and manufacturer's PV support information.) <br />4 <br />l <br />2 <br />3 <br />o <br />7 <br />D <br />!J tJ <br />I <br />I <br />D <br />tr <br />tr <br />10 <br />R3/ 1113/2'115 <br />tr <br />I certify under penalty of perjury under the laws of the State of California that the abo is t <br />Prinl Namer €ty rL Sr hr,S ignature <br />DatePhone Number <br />Erna lACdress <br />61:1l /b t( <br />h f <br />t&tfl <br />ruM0 <br />lilmitG