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rm <br />Plan n ing & Build ing Age ncy <br />Bu ilding Safety Division <br />20 Civic Ce nter Plaza <br />P.O. Box '1988 (M-19) <br />Santa Ana, CA 92702 <br />(7 14i. 647 -s8oo <br />www.s anta -a n a. o rg <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKL!ST <br />sal-i I cSl2rrJ <br />Project Address <br />C ontractor Company Name: <br />Contractor Lice nse Number: <br />YES NO <br />r \tz <br />ft+rA /JJ\n <',j<f-{O( <br />lc la e11 <br />ds <br />dn <br />ds <br />6 <br />7 <br />8 <br />9 <br />4E <br />tr <br />10 <br />tr <br />Uo <br />dt <br />du <br />6o <br />6a <br />I certify under penalty of perjury under the laws ofthe State of C <br />,lPrint Name ()( <br />6 Signature <br />Date:Phone Number t\ q.o B- e,?-7.q <br />Email Address <br />Rev: 1 l/l9/2015 <br />ItrfjI^\vtoZ-a 6 k<,,i.,r^[r,{e4e-r .C o'(\ <br />ia that the bove is true: <br />*-SNTA <br />NAJffi'ff <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 />m nimum 11" x 17'size. lf answerinq NO to anv of the ouestions, plan check shall be reouired. <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 />U/ill 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 l0" maximum between <br />the underside of modules and the surface of the roof? <br />Will the PV system be installed without usrng any ballast system or counter-weight <br />system? <br />Will the anchors be installed with a maximum horizontal anchor spaclng 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 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 />1 <br />2. <br />3 <br />4. <br />5.