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,,$ <br />NA''ffi <br />fiII <br />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 />(714) 647-s800 <br />www,santa-ana.or9 <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAMILY RESIDENCES Only <br />lnstructions: The licensed contractor of record shall compleie all sections, answer the ten questions and <br />sign the certification sectlon below. A copy of this form shall be attached to each of TWO sets of plans, of <br />o NO to anv of the questions . olan check shall be re quired.minimum 11' x 17" size. lf answertn <br />Contractor Company Name: <br />Contractor License Number <br />YE <br />Un.,-tOt> <br />,-,.,t q o\q- v <br />qa->T57. <br />No Are the following applicable to the proposed project? <br />tr Will 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 Will the PV system be installed on a roof having only one roofing layer with no <br />^\/drlar,c ? <br />tr Will the PV array be flush mounted to the existing roof so that the plane of the <br />modules (panels) are parallel to the piane of the roof? <br />tr \ /ill the PV system weigh maximum 4 pounds per square feet or less? <br />tr Will the PV system be installed where the modules do not overhang any roof eCges <br />(such as eaves, gabled ends, rldges and hips)? <br />$/ill 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 roof? <br />Will lhe 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 ot 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? (including project specific site plan, PV layout, <br />anchorage spacing, anchorage details and manufacturer's PV support information.) <br />tr <br />D <br />State of Californ the a <br />Rev 11/19/2015 <br />I certify under p <br />Print Name: <br />tr <br />fie <br />6 <br />P <br />F <br />enalty of perjury under the laws of the <br />Lq*t ^ Qvrr, u'nv.c..,", sffi ignature <br />DatePhone Number <br />Email Add ress:L-k-a \rJC\" <br />LA <br />D \4\' r - (iD ."'\ <br />sol-01 cBc 2013 <br />Project Address: <br />true: <br />1 <br />2. <br />3. <br />4. <br />5. <br />6. <br />8 <br />9. <br />10.