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CI IYOF�ANTA <br />Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />ANAPLAN�ING <br />&BUILDING <br />AGENCY <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAMILY RESIDENCES Only <br />Instructions: 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 t o each of TWO sets of plans, of <br />minimum 11 " x 1 7" size. If answering NO to an y of the questions, plan check shall be required. <br />Project Address: ___________________________ _ <br />Contractor Company Name: __________ _____________ _ <br />Contractor License Num ber: _______________________ _ <br />YES NO <br />1.□□ <br />2.□□ <br />3 .□□ <br />4.□□ <br />5.□□ <br />6.□□ <br />7.□□ <br />8 .□□ <br />9.□□ <br />1 0.□□ <br />Are the followin g applicable to the proposed project? <br />W ill the PV system layout provide the required three-foot wid e clear access pathways <br />per Section 605.11 of the California Fire Code, and is this shown on the roof plan? <br />W ill the PV system be installed o n a roof having only one roofing layer with no <br />overlays? <br />W ill the PV array be flush mounted to the existing roof so that the plane of the <br />modules (panels) ar e parallel to the plan e of the roof? <br />W ill the PV system weigh maximum 4 pounds per square feet or less? <br />Will the PV system be installed where th e modules do not overhang any roof edges <br />(such as eaves, gabled ends, ridges and h ips)? <br />W ill the PV syste m be installed with a space of 2" minimu m to 1 O" maximum between <br />the underside o f 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 />W 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 />W ill the minimum 5/16 " lag screws be installed wit h a minimum of 2-1/2 inch <br />embedment into roof raſters (with pre-drilled holes) and is this minimu m embedment <br />shown on the plans? <br />Are ALL th e structural pages of the plans stamped and signed b y 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 />I certify under penalty of perjury under the laws of the State of California that the above is true: <br />Print Name: ______________ Signature: ___________ _ <br />Phone Number: ____________ _ Date: _____________ _ <br />Email Address: _____ ____ ___________________ _ <br />Rev: 11/19/2015 <br />2621 RAMONA DR <br />LARSUN SOLAR <br />1043108 <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />CATHY STEVENS <br />626-221-7236 8/23/22 <br />permits@mcpe.group <br />Cathy Stevens <br />2621 S Ramona Dr <br />08/29/22