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Rev: 7/15/2021 <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />S OL-01 C BC 2019 <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAMILY RESIDENCES Only <br />Instructions: Th e licensed contractor of record sh all com plete all sections, answer the ten qu estions and <br />sign the certification section below. A copy of th is form shall be attach ed to each of TWO sets of plans, of <br />m inim um 11” x 17” size. If answering NO to any of the questions, plan check shall be required. <br />Project Address: <br />Contractor Company Name: <br />Contractor License Number: <br /> YES NO Are the following applicable to the proposed project? <br />1. Will th e PV system layou t provide the required three -foot wide clear access pathways <br />per S ection 605.11 of th e C alifornia Fire C ode, and is this sh own on the roof plan? <br />2. Will th e PV system be installed on a roof having only one roofing layer with no <br />overlays? <br />3. Will the PV array be flu sh m ounted to the existing roof so that the plane of th e <br />m odules (panels) are parallel to th e plane of th e roof? <br />4. Will the PV system weig h m axim um 4 pounds per squ are fee t or less? <br />5. Will th e PV system be installed where the m odules do not overh ang any roof edg es <br />(such as eaves, g abled ends, ridg es and hips)? <br />6. Will th e PV system be installed with a space of 2” m inim um to 10” m axim um betwee n <br />th e underside of m odule s and th e surface of the roof? <br />7. Will the PV system be installed without using any ballast system or counter-weight <br />system ? <br />8. Will th e anchors be installed with a m axim um horizontal anch or spacing of 6 feet <br />and is this m axim um h orizontal spacing sh own on the plans? <br />9. Will th e m inim um 5/16” lag screw s be installed with a m inim um of 2-1/2 inch <br />em bedm ent into roof rafters (with pre-drilled holes) and is this m inim um em bedm en t <br />shown on the plans? <br />10. Are ALL th e structu ral pages of th e plans stam ped and signed by a C alifornia <br />licensed professional eng ineer? (including project specific site plan, P V layou t, <br />anchorage spacing , anchorage details and m anufactu rer’s PV support inform ation.) <br />I certify under penalty of perjury under the laws of the State of California that the above is true: <br />Print Nam e: S ignatu re: <br />P h one Num ber: Date: <br />Em ail Address: <br />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 />Powur, PBC Inc <br />1060243 <br />Mike Felber <br />541-891-6175 <br />mike.felber@powur.com <br />301 N Bewley St <br />6/12/2023 <br />301 N Bewley S t <br />07/28/23