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*-SANTA <br />NAJIiH} <br />Plannlng & Bulldlng Agency <br />Bulldlng Safety Dlvision <br />20 Clvic Conter Plaza <br />P.O. Box 1988 (ll-19) <br />Santr Ana, CA 92702 <br />(714) 047-5E00 <br />www.aanta-ana.org <br />soL{l cBc 2013 <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAMILY RESIDENCES Only <br />lnstructlons: The licensed conlraclor 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 to each of TWO sets of plans, of <br />minimum 11" x 17" size. lf answe rinq NO anv of the ouestions. olan check shall be reouired. <br />ProJect Address:617 S Huron Dr, Santa ana, CA 92704, US <br />2 <br />Contractor Company Name:Solar City <br />contractor License Number: 888104 <br />YES NO Are the followlng applicabla to the proPosed proiect? <br />Will the PV system layout provide the required three-foot wide clear access pathways <br />per Section 605.11 of the California Fire Code, and is this shown on the roof plan? <br />Will the PV system be installed on a roof having only one roofing layer with no <br />overlays? <br />Will 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 />Will the PV system weigh maximum 4 pounds per square feet or less? <br />Will the PV system be installed where the modules do not overhang any roof edges <br />(such as eaves, gabled ends, ridges and hips)? <br />Will th€ 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 ballast syst€m or counter-weight <br />system? <br />Will 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 th€ minimum 5/16" lag screws be installed with a minimum o12-112 inch <br />emb€dment into roof rafters (with predrilled holes) and is this minimum embedment <br />shown on the plans? <br />Are ALL the structural pages of the plans WET stamped and signed by a Califomia <br />licens€d professional engineer? (including proiect specific site plan, PV layout, <br />anchorage spacing, anchorage details and manufacturer's PV support information.) <br />Etr <br />I @tr <br />trtr <br />ao <br />trtrEtr <br />trtr <br />ao <br />4 <br />5 <br />6 <br />7 <br />I EI E] <br />'10 trtr <br />Phone Number 702-785-2998 <br />Emait Address: mnoriega@tesla.com <br />DarF- t/25/2018 <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />I cortlfy under penalty of poriury undor the laws of the State oI Callforni. that the above 13 truc: <br />print Name: MAURICIO NORIEGA Signature: Vaurici. \oriega ll.il'il,i:il',1','l'1",i ,1"'lli' <br />Rev: 8/1712015