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Pla nn ing & B uilding Agency <br />B u ilding Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-1 9) <br />Santa Ana, CA 92702 <br />(7't4l 647-s800 <br />www.sa nta-ana.org <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />soL,o1 cBC 2013 <br />Solar Photovoltaic (PV) Checktist for Detached STNGLE FAMtLy RESTDENCES Onty <br />lnstructions: The licensed contractor of record shall complete all sections, answer the ten q uestions and <br />sign the certification section below. A copy of this form shall be attached to each of rwo s ets of plans, of <br />mlnimum 11" x 17" size. lf answerinq NO to anv of the questions. plan ch eck sha ll be required. <br />Pro)ect Address: )))o a; d./i64rrpa.Di.u <br />Contractor Company Name: <br />Contractor License Number: <br />EL. <br />"" I .s- ln{,rn, <br />1 <br />2 <br />3 <br />6 <br />7 <br />4 <br />5 <br />1s-,r lxi <br />Are the following applicable to the proposed project? <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 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 ballast system or counter-weight <br />system? <br />Will the anchors be installed with a maximum horizontal anchor spacing of 6 feet <br />and is lhis maximum horizontal spacing shown on the plans? <br />Will the minimum 5/16" lag screws be installed with a minimum of 2-112 inch <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 project specific site plan, pV layout, <br />anchorage spacing, anchorage details and manufacturer's pV support information.) <br />I certify under penalty of perj under the laws of the State of C <br />YES,AO <br />EItr <br />{e <br />{a <br />d" <br />{a <br />da <br />tr <br />tr <br />B <br />I <br />10 tr <br />Print Name <br />Phone Number <br />Email Address: <br />"'sryu at t <br />4 ;r,\ <br />3'32-<3t- 7313 Date: ?'.1 V 'l'l <br />Rev: 11l19/2015 <br />.<D n Q- ELn 1.."./..1:.-- <br />true: <br />Signatu re: