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,^O'SANTA <br />ANA-Iffi <br />Planning & Building Agency <br />Building Safety Division <br />20 Civic Conter Plaza <br />P.O. Box 1988 (M-'19) <br />Santa Ana, CA92702 <br />(714) 647-s800 <br />www.santa-ana.org <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />sol-01 c8c 2013 <br />Project Address:')rr(tt.r I Dr <br />Contractor Company Name: <br />Contractor License Number <br />YES NOEo <br />Ertr <br />trtr <br />I otr <br />10 trtr <br />\ar eve I <br />q l -:,1 ., <br />4 <br />5 <br />2 <br />3 <br />6 <br />7 <br />8 <br />Ertr <br />No <br />tstr <br />utr <br />Ertr <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 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 />Will the PV system be installed where lhe 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 lhe 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 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 structural pages of the plans stamped and signed by a Califomia <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 perjury under the laws of the State of California that the aboye ir true: <br />Print Name oer . Y ^rr\...Signature <br />Email Address: r'", t ew v I hl <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 11" x 17" size. lf answerinq NO to any ofthe questions. Dlan check shall be required. <br />\a' <br />Phone Number: .-L I 1i I l? T - Oate'. q/\i/ t ) <br />Rev: 11/'19/2015