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*,,SANTA <br />NA <br />Itr\$c <br />&ult0t\[ <br />$trt1 <br />Planning & Building Agency . <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />soL-01 cBc 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 certiflcalion section below. A copy of this form shall be attached to each of TWO sets of plans, of <br />mrnimum 'l '1 'x 17' size. lf answerinq NO to anv of the questions. plan check shall be required. <br />Project Address:V'Lt S Corl"r Y <br />Contractor Company Name: <br />Contractor License Number: <br />r the laws of the State of Ca rnia t at the above is true: <br />so luj 'Lv <br />Are the following applicable to the proposed project? <br />Wll the PV system layout provide the required three-foot wde 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 />Wll 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 rooP <br />Wll 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, ndges and hips)? <br />Wll lhe 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 />Wll the anchors be installed wth a maximum horizontal anchor spacing of 6 feet <br />and is this maximum horizontal spacing shown on the plans? <br />Wll the minimum 5/16" Iag 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 slruclural pages of the plans stamped and signed by a Califomia <br />licensed professional engineer? (including pro.iect specific site plan, PV layout, <br />anchorage spacing, anchorage details and manufaclurels PV supporl information.) <br />I certify under penalty of pedury unde <br />print Name tl la, I Q, lll H <br />YES o <br />1 trrt <br />-4a <br />da <br />.-z a <br />EA <br />6a <br />2 <br />3 <br />7 <br />8 <br />tr <br />tr <br />tr <br />4E <br />10 <br />qrl Ct2@ //71o <br />Signature <br />Date:?-Phone Number: <br />Email Address: <br />Rev 11/ 19/2015 <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />v1a <br />4 <br />q <br />6 <br />I <br />|4c <br />{t