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Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P,O. Box '1988 (lvl-19) <br />Santa Ana, CA 92702 <br />(7'14) 647-s800 <br />www.santa-ana.or9 <br />: <br />sor--0r cB:2!11 <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />Contracto r Company Name: <br />Contractor License Number: <br />Un.r-.iot> <br />V', "- ^Jr (-o\q- y <br />etnvTs\o <br />2 <br />3 <br />No Are the following applicable to the proposed project? <br />tr U/lll the PV system layout provide the required three-foot wide clear access pathways <br />per Section 605.1 1 of the California Fire Code, and is this shown on the roof plan? <br />tr s/ill the PV system be installed on a roof having oniy one roofing layer with no <br />overlays? <br />tr \ /ill 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 />tr u/ill the PV system weigh maximum 4 pounds per square feet or less? <br />tr \/\/ill the PV system be installed where the modules do not overhang any roof edges <br />(such as eaves, gabled ends, ridges and hips)? <br />\l/ill the PV system be installed with a space of 2" minimum to l0" maximum between <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 of 2-112 incn <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 pians 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 />tr <br />under the laws of the State of Californ the a <br />4 <br />5 <br />6 <br />,fia <br />,6J <br />, Ptr <br />rcFJ <br />lcertify under <br />Pr nl Name. <br />Phone Number <br />Email Add ress: <br />nalty of perjury <br />ra, <br />414 L- \ 4 <br />L-E <br />C! <br />-\2 <br />Signatu re <br />\.r'r CL <br />L1 <br />b \_o, r - cD r^ <br />Rev 1l/19/2015 <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAMILY RESIDENCES Only <br />lnstructionsr The licensed contractor of record shall complete all sections, answer the ten questions and <br />s gn the certification section below. A copy of this form shall be attached to each of TWO sets of plans, of <br />minimum 11'x 17' size lf answerinq NO to anv of the questions, plan check shall be required. <br />Project Address: <br />1 <br />true: <br />Date: <br />flIYUUIUIUI <br />,,NA'ffi