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r <br />Planning & Ruilding.Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1934 (N].19) <br />Santa Ana, CA 92702 <br />(7 14) 647 -sA00 <br />v^l iV. S aO ta.an a. o rg <br />soL-o1 c8c 20r3 <br />minimum 11' \ 17" sizs If answerinq NO to anv <br />Solar Photovoltaic (PV) Checklist for Detached SINcLE FAtlllLy RESIDENCES Only <br />Instructions: The licensed conlractor of record shail complete all sections, ans,r'/er the ten questions and <br />sign the certification section below. A copy of this form shall be attached to each of TV/O sets of plans, of <br />of the u uestions, plan check shall be required <br />Project Addres s I \LILL A. l<lV ,l <br />Co n tracto r Company Nam e: <br />Con tractor Licens e N umber: <br />V;'/;^) 9-lo.( <br />q1)15 L <br />ZB Are the following applicable tc ths proposed project? <br />\r'/ill the PV systenr Iayout provde the required threeJoot v,ride clear access pathways <br />per Section 605.1 1 of the California Fire Code, and is lhis sho,,,rn on the roof plan? <br />\ /ill the PV systsn, be installed on a roof having only one roofing layer,/'iith no <br />VVill the PV array be flush mounted to the existing roof so that the plane of the <br />modules (panels) are parallel to the plane oi the roof? <br />U/ili the PV system weigh maximum 4 pou nds per square feet or less? <br />\r'/ill the PV system be installed where the modules do not o,/erhang an.v roof edges <br />(such as ea,res, gabled ends, rrdges and hips)? <br />\r'/ill the PV syslem be installeC !,/ith a space of 2" minimum to I0" maximum betr'/een <br />the underside of modules and the surface of the roof? <br />il/ill the PV syslem be installed without using any ballast systern or counter-weight <br />system? <br />\//ill the anchors be installed with a maximum hor,zontal anchor spacing of 6 feet <br />and is this maximum horizontal spacing shown on the plans? <br />\r'/ill the minimum 5/1 6" iag screws be installed lvith a minimum ol 2-l 12 incn <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 pians stamped and sjgned by a California <br />licensed professional engineer? (ncluding project specific site plan, PV layout, <br />anchorage spacing, anchorage details and manufacturer's PV support informatjon.) <br />2 <br />3 <br />tr <br />tr <br />7 tr <br />4 <br />5 <br />I <br />I <br />tr <br />I <br />tr <br />tr10 <br />I certify under penalty of perjury under the laws of the state of california that the above is true <br />Print Name (ha S gn ature <br />Phone Number qqL 'rz't o <br />Emaii Address ar,L <br />Rev 1 l/ 19/201 5 <br />. c!(l;t r/ iuintsJz.(,r-C) <br />Date <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECI(LIST <br />6