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Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647.5800 <br />www.santa-ana.org <br />scL,0'CBC 2013 <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAMILY RESIDENCES Only <br />Project Add ress:47a \ v'Q-,/r- <br />\//. r/^ \r\_\ \O \_O- r <br />2 <br />3 <br />6 <br />7 <br />4 <br />5 <br />Contractor Company Name: <br />Contractor Licens e Number: <br />YE NO <br />tr <br />tr <br />tr <br />tr <br />tr <br />tr <br />tr <br />tr <br />tr <br />7 <br />76 <br />E <br />P <br />fr <br />r <br />7 <br />F <br />11-ra-<te <br />Are the following applicable to the proposed project? <br />u/ill 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 />\ /ill the PV system be installed on a roof having only one roofing layer with no <br />overlays? <br />\ /lll the PV anay 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 />VYill 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 l0" maximum betiveen <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 />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 ol 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 />hat the ve is true <br />8 <br />9 <br />10 <br />I certify under penalty of perjury under the laws of the State of California <br />Print Nane: <br />Phone Num <br />Signature <br />Date: <br />Email Address <br />het qa 2. qA L1-D ; r.^vrjt!'o \a,' - (6 /-'\ <br />Rev 1 1/19/2015 <br />\-,! <br />m$c <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />lnstructions: The licensed contractor of record shall complete all sectjons, 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 />minimurn 11'x 17' size. lf answerinq NO to anv of the ouestions, olan check shall be required. <br />1 <br />\,