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Planning & Building Agency <br />Buildlng Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647.5800 <br />www,santa-ana.org <br />:, I I iP..:.t l <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAMILY RESIDENCES Only <br />lnstructions: The licensed contractor 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 '1 1 ' x 17" size. lf answerinq NO to an v of the ouestions. olan chec k shall be required. <br />Project Address:ORST Y D4- <br />Contractor Company Name: <br />Contractor License Numberi <br />tLetdcp-,Pdz-tut/- <br />O2 <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />YES NO, Xtr <br />, Xtr <br />Are the following applicable to the proposed prolect? <br />Will the PV system layout provide the required three-foot wide clear access pathways <br />per Section 605.1 1 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 this maximum horizontal spacing shown on the plans? <br />Will the minimum 5/16" lag screws be installed with a minimum ol 2-112 it''ch <br />embedment into roof rafters (with pre-drilled holes) and is th s minimum embedment <br />shown on the plans? <br />Are ALL tho 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 />the laws of lhe State of Califo <br />3 trtr <br />Etrtrtr <br />trtr <br />EI u <br />trtr <br />trtr <br />4 <br />5 <br />6 <br />7 <br />8 <br />I <br />10 EIU <br />lcertify underlcFnally of periury under <br />Print Name H tUr) loqt, <br />Phone Number <br />Ema I Address: <br />90 r Signature <br />Date )i 0 <br />I <br />Rev 1 l,l9i2015 <br />7,. <br />i t rCtt r, (\)e /t,1 0L ..(ia (t <br />that t above is true <br />*,,SANTA <br />NA,'ffitr