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--sN[A <br />NAffi <br />flIY <br />Planning & Building Agency <br />Building Safety Oivision <br />20 Civic Center Plaza <br />P.O. Box 1988 (Nl-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 complete all sections, answer the ten questions and <br />sign 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 any of the q uestions. olan check shall be required <br />Contractor Company Name: <br />Contractor License Number <br />NO <br />tr <br />rtr <br />4Za \v{* <br />' V^ Y\-\ \D \-o* r <br />'11=-,a-:3e <br />2 <br />Are the following applicable to the proposed project? <br />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 />Will the PV system be installed on a roof having oniy one roofing layer with no <br />overlays? <br />Will the PV array be flush mounted to the exisling roof so that the plane of the <br />modules (panels) are parallel to the plane of the roof? <br />U/ill 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 installed with a space of 2" minimum to 10" maximum bei/veen <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 />\ /ill 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 iach <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? (inciuding project specific site plan, PV layout, <br />anchorage spacing, anchorage details and manufacturer's PV support information.) <br />I certify under penalty of per.iury under the laws of the State of California hat the ove is true <br />3 tr <br />tr <br />tr <br />tr <br />,fra <br />, rtr <br />n FEI <br />roptr <br />4 <br />5 <br />6 <br />Print Name \--E-.r-u-., G.-* wa't siJ2- qA <br />gnature <br />DatePhone Number <br />Email Address:LJ <br />za <br />.,^ vrvrslo \a-,' - (6 /-'\w\JcL <br />Rev 1 l /19i 2015 <br />sol-01 cBc 2013 <br />Project Address:(_\ <br />1