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*$NIA <br />,NAffi <br />Planning & Building Alenc y <br />Building Safety Division <br />20 Civic Center Plaza <br />P,O. Box 1988 (tul-19) <br />Santa Ana. CA 92102 <br />(7'14) 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 shall complete a I sect ons, answer the ten questions and <br />sign the certlfication section beiow A copy of this form shall be atlached to each of..TVi O sets of plans, of <br />minirnum '1 1 ' x 1 7' size. lf answerin qNOtoan of the ouestions, ola n c heck s hall be required. <br />Project Add ress *U <br />PtrqINtrNTIAI <br />PHOTOVOLTAIC <br />CHECKLIST <br />2 <br />3 <br />Contractor Company Name: <br />Contractor Licens e N umber <br />du <br />dn <br />de <br />tr <br />(u q.9 <br />Are the following applicable to the proposed pro.iect? <br />\r'/ill the PV system layout provide the requlred three-foot wide clear access pathways <br />per Section 605.'1 1 of the Caiifornia Fire Code, and is this shown on the roof plan? <br />u/i{l 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 piane of the <br />modules (panels) are parallel to the plane of the roof? <br />\ iill the PV system weigh maxlmum 4 pounds per square feet or less? <br />\ /ill the PV system be installed where the modules do not overhang any roof edges <br />(such as eaves, gabted ends, ridges and hips)? <br />Will the PV system be installed with a space of 2" minimum to 10" maximum between <br />the underside of modules and the surface of the roof? <br />Will the PV system be installed without using any ballasl syste0'l or counter-weight <br />system? <br />U/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 ol 2'112 tnch <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 proiect speciflc site plan, PV layout, <br />anchorage spacing, anchorage details and ma NU SU pport nformation. ) <br />under the laws of the State Calif rnia that the above is true <br />4 <br />5 <br />gtr <br />dn <br />ds <br />du <br />trd <br />d <br />d <br />6 <br />7 <br />9 <br />Rev 1 r/19/2015 <br />10 tr <br />Prlnt Name <br />I certify under penalty of perjury -..1- <br />q 1 <br />Slgnalure <br />Date: Q <br />o a <br />I,\.q I 19Phone Number <br />Email Address.