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nrlui <br />IUTfiJfi; <br />lirt\0AI\IA <br />-,-SANTA <br />Plannlng & Bulldlng Agcncy <br />Bulldlng Sai.ly Dlvlslon <br />20 Clvlc Cantar Phra <br />P.O. Box llEo (tl.lo, <br />Sant An.. CA e2702 <br />o14' C4t-5C00 <br />I}vtv.8tntlEte.otg <br />RESIDENTI,AL <br />PHOTOVOLTAIC <br />CHECKLIST <br />Solar Photoyoltdo (PV) ChooHlct for Detaohod Stl{GLE FAlltLy RE8IDENCES Onty <br />lnstsucdo[e: The liconsod corftac{or of record shall oomdeto all s€ctionB, answEr ths ien qu€stlons ard <br />sign f|o cefificatlon s€cfion be&rfl. A copy of thh form BMll b€ attacfiod to eadl of TWO sets of plan8, ol <br />minimum 1 1' x 17' gize. !f answ.dno l{O b anv of tha ouestiom. olan chck rhalt bo r€aulrBd. <br />Prolscl Addaoss:Zf 3 L Valzn r)o ,n-..+ fJ,Sr. ?ztot <br />1 <br />Contractor Company Name;PETERSENOEAN <br />contraclor u.arB6 Numb€l: 468117 <br />Aro lho folbwlng appllcablo to the prcpo.€d proioc{il <br />Wll the PV systam layout proyido lhe rsquirod thre€-foot wide dear accoss pathvya)G <br />p€r S€cdon 005.11 of the Calibmia Fire Code, end ls thl6 Ehourn on tie roof plan? <br />Will he PV system b€ instsllod on a mof tEving only one roofing layor !flith no <br />overlays? <br />Will he PV anay be f,ush mounted b lhe existing rod ao that th6 plaflo of the <br />modules (psnels) ars parall€l to the plane of the roof? <br />Will the PV Et stem wslgh maxlmum 4 pounds p€r Bquata H or l6ss? <br />Will the PV system be Installed wlror€ ha modul€s do nol o\rerhang any roof odg€s <br />(auch as eaves, gablod €fids, ridg€6 and hip6)? <br />Wll the PV sy6t6m b€ inst8llod wih a Bpe of t minlrxJm b 10' rnaximum bet$/een <br />the urdersid€ of modules end the surfaca of lh6 roo? <br />Will th6 PV system b€ install€d without using any bellast system or counbHvdght <br />9y6tem? <br />Will he encflor8 b€ instE sd wih a maxlmum horizonlal anchor spacing of 6 ftet <br />and ld lhls rnaximum horizontal spacing shorm on the plan8? <br />Wllth6 minin m 5/16'leg Bcr*B be jnstElled with a mtntmum ol Z-1lZ inch <br />embedment into roof rafters (with predrill€d holas) end 16 thls mlnlnum emb€dment <br />Bhown on ths plans? <br />ArE ALL the strucbral pages of the plans WET Btamp€d and etgned by a Califomia <br />licGnsed prsfesslonal €ngln€or? (induding project sp€oifc sit€ phn, pV lay t, <br />androrage spadng, ancfiorage details and manufacturafs P\/ support lrlbrm€flon.) <br />YES NO-go <br />tr <br />tr <br />g <br />'El4. <br />5. <br />,"\tr tr <br />3.tstr <br />6.'-El tr <br />7. Eltr <br />s. EIfl <br />e. <br />-'El tr <br />10. El D <br />I csltily undor penalty of pedury under the lawg of t,l6 Stste of <br />Print Name JIM PETERSEN <br />0 <br />Slgnatur€ <br />Oate: 5 <br />tfiat th. 6ova ls fuo: <br />^S-€4 €_C o rv-\e <br />Phone Number: <br />Email Address: <br />RoYr&172015