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an0r$AIrlA <br />NA,lffiI <br />Contractor Company Name: <br />Contractor Licens e N umber:(u q.r a <br />4 <br />5 <br />YES NO1 Mtr <br />, dtr <br />3 dtr <br />dn <br />ds <br />du <br />ds <br />dt <br />gD <br />do <br />Are the following applicable to the proposed proiect? <br />U/iil the PV syslem 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 />\l/ill the PV system be installed on a roof having only one roofing layer with no <br />overlays? <br />u/ill the PV array 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 />\ iill the PV system weigh rnaxjmum 4 pounds per square feet or less? <br />\l/ill the PV system be installed where the modu es do not overhang any roof edges <br />(such as eaves, gabled ends, ridges and hips)? <br />\l/ill the PV system be installed with a space of 2" minimurn to '10" maximum befween <br />the underside of modules and the surface of the roof? <br />\ /ill the PV system be inslalled without using any ballasi systern or counter-weight <br />system? <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 tach <br />embedment inlo 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 />0 <br />7 <br />I <br />I <br />10 <br />anchorage spacing, anchorage details and manufac geis\uoOort information. ) <br />I certify under penalty of perjury under the laws of the Sta of Ca lif at the above is true.--< <br />Prinl Name <br />Rev 1l/r 9/2015 <br />GC <br />1 <br />9naS <br />q Date arNg lt9 <br />o\,.. <br />Planning & Building A!ency <br />Building Safety Division <br />20 Civic Center Pla2a <br />P.O. Box 1988 (lvl.19) <br />Santa Ana, CA92702 <br />(714) 647.s800 <br />www,santa-ana.org <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAMILY RESIDENCES Only <br />lnstructions: The llcensed contractor of record sha I complete all sect ons, answsr the ten quest ons anC <br />s gn the certification section below. A copy of this form shall be attached to each of..TU/O sets of plans, of <br />rninimum 11' x 17" size. lf answerinq NO to anv of the questions, plan check shall be required. <br />ProjectAddress:J<o-1 rO ?ottse-\ttc^- St *c.^t". I+rc^ , Crt 9J1O6 <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />Phone Numberl <br />Email Address:ilC,vd