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,,-SANTA <br />Ai\tA <br />lLr\\Nc <br />,iilrlr$ <br />,t[ilcI <br />Planning & Bundlng Agoncy <br />Bullding Safatt/ Oivliion <br />20 Clyic Cerlter Plaza <br />P.O. Box t988 (It-19) <br />Santa Ana, CA 92202 <br />cn4l 6476800 <br />wYwsanta-ana.org <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />sol 01 cBc 2013 <br />solar Photovoltaic (pv) che#riet for Dcrrchcd SINGLE FAMILy RESTDENCES onry <br />lnstructions: The licensed confactor of record shall co mplete all sections, aru erthe ten questions andsign the certification sec{ion below. A copy of this form shall be attached to each of TWO sets of plans, ofminimum 11' x 17' size. lf ons an <br />Proiect Address:4'tos t\l v tzvt 4- <br />VContractor Company Name: <br />Contractor License lrlumben <br />tr <br />tr <br />10. <br />tr <br />D <br />tr <br />tr <br />tr <br />YEF <br />F <br />/ <br />7 <br />tr <br />NO <br />q 12; <br />penalty of perjury nder the laws of the State of Cal the <br />Are the following applicabte to the proposed proiect? <br />will the PV system rayout provide the required three.foot wide dear access pathways <br />per Section 605,1 1 of the Catifomia Fire Code, and is this shown on the roof plan? <br />lMll the PV system be installed on a roof having only one .oofing 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 />Vvill the PV system weigh maximum 4 pounds per square feet or less? <br />tMll tre PV s-ystem be instaled where the modules do not overfiang any roof edges <br />(such as eaves, gabled ends, ridges and hips)? <br />Wirl 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 roof2 <br />Will the PV system be installed without using any ballast system or counter-weight <br />system? <br />will the anchors be instafied with a maximum horizontar 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 2-1t2 inch <br />embedment into roof rafters (wffir pr+drilred hores) and is this minimum embedmentshown on the plans? <br />Are ALL the strucfural pages of the plans stamped and signed by a Califomia <br />liqensed professjonal engineer? (including project specffic site plan, pV layout,anchorage spacing, anchorage details and manufacture/s pV support informjtion.) <br />1 <br />2 <br />3 <br />4. <br />5. <br />6. <br />7. <br />8 <br />9 <br />7r <br />FJ <br />Pa <br />I certiry und <br />Print Name: <br />er <br />Phone Number <br />Email Address: <br />1-o <br />Lr--V-<\,3? L <br />. Lo\.14 <br />Rev:11/19/2015 <br />-\) <br />u <br />Signature: <br />tl)\