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,--SANTA <br />NA'tffi <br />Plan ning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA927Oz <br />(714) 647-s800 <br />www.santa-ana.org <br />RES!DENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />sol-o1 cBc 2013 <br />Solar Photovoltaic (PV) Checklist for Oetached 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 answerin o NO to anv of the ouestions ,D lan check shall be required, <br />2-o5 s'L^)11 c lrctfProject Address: <br />Contractor Company Name: <br />Contractor License Number: <br />.1 C n e,l I uel c <br />,ar/t*odn <br />{a <br />(e)9ctt0L r <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 />-{Vill 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 thls maximum horizontal spacing shown on the plans? <br />Will the minimum 5/'16" lag screws be installed with a minimum ot 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 slructural pages of the plans stamped and signed by a California <br />licensed professional engineer? (including project speciflc site plan, PV layout, <br />anchorage spacing, anchorage details and manufaclurer's PV support information.) <br />Ity of perjury under the laws of the State of Californ that the above is true <br />2 <br />3 <br />6 <br />7 <br />4 <br />5 <br />tr <br />EItr <br />tr <br />gtr <br />10 tr <br />I certify unde <br />Print Name:Signature <br />PhoneNumber: g}r-1LL'B o>Datel <br />Email Address <br />8 <br />9 <br />\| ^ tt'-1 (/q \ <br />ZI <br />15q1rr.r (@ rnaqrc {,4 Jc iqr inc , ao rn <br />Rev 11/19/2015 <br />-7'r---) <br />gtr <br />da <br />gtr <br />t1