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-,-SANTA <br />NAJIIUI <br />Planning & Bulldlng Agoncy <br />Bulldlng Safety Dlvision <br />20 Civic Cantor Plaza <br />P.O. Box 1988 (M-19) <br />Sants Ana, CA'92702 <br />(714) 6475800 <br />www.santa-ana.org <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />Solar Photovoltalc (PV) Checkllst for Detached SINGLE FAMILY RESIDENGES Only <br />soL-o, cBc 2013 <br />licensed contractor of record shall compl6to all sections, answer the ten questions and <br />n section below. A copy of this form shall be attached to each of TWO sets of plans, of <br />size. lf answerlnq NO to anv of the questions. olan chsck shall be reouired. <br />2713 N Flower St, Santa Ana, CA 92706, US <br />lnstructlons: The <br />sign the certificatio <br />minimum 11" x 17" <br />Project Address: <br />Solar C--ity <br />tro <br />trtr <br />trtrao <br />trtr <br />Etr <br />2 <br />6 <br />7 <br />4 <br />5 <br />Contractor Company Name: <br />contractor Llcsnse Number: li ltl li I 0 I <br />YES NO Are the followlng appllcable to the proposed proiect? <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 systsm 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 €av€s, 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 systam 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 inch <br />embedment into roof raflers (with pre{rilled holes) and is this minimum embedment <br />shown on the plans? <br />Are ALL the structural pages of the plans WET stamped and signed by a Califomia <br />licensed professional engineer? (including project spscific site plan, PV layout, <br />anchorage spacing, anchorage d€tails and manufacturer's PV support information.) <br />E tr <br />s. Eltr <br />trtro <br />'10.tro <br />I cortlfy undor penalty of porjury under the laws of the Stato of C <br />print Name: Melissa Foxx Signatu <br />Phone Number .702-785-2998 <br />Ema il Address: mfoxxsarmiento@tesla.com <br />Ror.811712015 <br />Dajc. 9t11117 <br />ia that the a s tru6: <br />I <br />1.