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SANIA <br />Planning t Bullding Agency <br />Building Safety Oivision <br />20 Clvlc Center Plaza <br />P.O, Box 1988 ( -19) <br />Santa Ana, CA92702 <br />(714) 647-5600 <br />www.santa-ana.org <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />sol4't csc 2013 <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAmILY RESIDENCES Onty <br />lnstructions: The licensed contractor of record shall complete all sections, answer the ten questions and <br />sign the certification seclion below. A clpy of this form shall be attach€d to each of TWO sets of plans, of <br />minimum 11" x 17' <br />Prorocl Addross: <br />size. lf answerlnq NO to anv of the ou ons, Dlan check shall be requlred. <br />,hJA ca qz-b'41o Ei**nost. <br />tal{1A tLs <br />Aro ths following appllcablo 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 Califomia Fire Code, and is this shown on the roof plan? <br />Wll the PV system be installed on a roof having only one roofing layer with no <br />overlays? <br />Wilt the PV anay 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 />be installed where the modules do not overhang any roof edges <br />(such as eaves, gabled ends, ridges and hips)? <br />Willthe PV system be installed with a space of 2" minimum to 10" maximum between <br />the undersid€ of modules and the qurface of the roof? <br />Will the PV system be installed withdJt using any ballast syst€m or counter-\ueight <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 />\Mll the minimum y16'lag screws be installed with a minimum ol2-1l2inch <br />omb€dment into roof rafters (with predrilled holes) and is this minimum €mbedment <br />shown on the plans? <br />fue ALL the structural pages of the plans stamped and signed by a Califomia <br />licensed professkrnal engineea (including projec{ specific site plan, F / layout, <br />anchorage spacing, anchorage details and manufacture/s PV support information.) <br />I certify under penalty of pedury undor the laus of tha Stato of <br />Contractor Company Name: <br />Contractor License Number: <br />YES NO1aa <br />26tr <br />3 [-d El <br />4gtr <br />10. <br />ds <br />6s <br />Ma <br />du <br />Ma <br />Print Name: <br />Phone Number: <br />'Thoraas /,abr nah,wal (st rrn aau <br />6 <br />7 <br />I <br />Signature: <br />C.tfomta thrt th€ eP.tlglltlo <br />(J?J^:t -o^* -L <br />Date; <br />Email Address <br />,d6L( ao W1,{ t- Nv.^i.Q, a vrcr l " ttm, <br />l-IL--T <br />t\t . <br />4 v-' ro'c- rt q3