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Planning & Buildlng AE?n cY <br />Buildiog Safety Divis ion <br />20 C ivic Center Plaza <br />P. O, Box 19 a3 {M.19) <br />Santa Ana, CA 92702 <br />(714) 647.5800 <br />www,santa-ana. org <br />RESIDENTIAL <br />P}.IOTOVOLTAIC <br />CHECKLIST <br />sotar Photovolraic (PV) checklist for Detached SINGLE FAIVIILY RESIDENCES Only <br />lnstructions: The CANSE <br />sig n the certification sec <br />d contractor of rscord shall complete all sections, ansr/ver the ten questions and <br />tion belo',v. A copy of this fcrm shall be attached to each of T\y'/O ssts of plans, o <br />f ansvrerinq NO to an y of t he q ue stion s olan chack shall be reminimrm 11'x17'stz= I uired <br />0-n <br />c <br />C 0Proje c t Add res s: <br />0 oo <br />3 <br />6 <br />7 <br />B <br />Are the following applicable to the proposed project? <br />y/ill the PV systsm layout provide the required three-foot y/ide clear access pathways <br />per Sectjon 605.11 of the CaliFornia Fire Cod3, and is this sho'l/n on the roof plan? <br />\.//ill the PV systsm be installed on a rooi ha /ing only on3 roofing lay3r '/iith n0 <br />overlays? <br />VVill the PV array be flush mounted to the existing roof so that the plane of lhe <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 />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 />\ /ill the PV system be jnstalled with a space of 2" minimum to l0" maximum bet'xeen <br />the underside of modules and the surface of the roof? <br />\ /ill the PV system be installed without using any ballast system or counter-' eight <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 of 2'112 inch <br />ernbedment 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? (including project specific site plan, PV layout, <br />anchorage spacing anchorage details and manufacturer's PV support information ) <br />lcertify under penalty of perjury under the laws of the State of Califor e above is true <br />Print Name Signatu re <br />YES NO <br />Btr <br />mn <br />Eltr <br />atrgltr <br />AD <br />Etr <br />atr <br />atr <br />tstr <br />I <br />10 <br />z6-0 Date: 0 t <br />Rev I1/19/2015 <br />0o 4 <br />?,D <br />s:L-c1 caa 2lr3 <br />Contractor ComPanY N ame: <br />Contractor License l'/ umber: <br />lo <br />Phone Number; <br />EmailAddress <br />4 <br />5 <br />1