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,-,,SANTA <br />ANAqilH <br />Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA92702 <br />(714) 647-s800 <br />www.santa-ana.org <br />sol41 C8C 2013 <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAMILY RESIDENCES Only <br />lnstructions: The licensed contraclor of record shall complete all sections, answer lhe 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" x17" size. lf answerinq NO to any of the questions, plan check shall be required. <br />Project Address: <br />Contractor Company Name: <br />Contractor License Number <br />YES NOotr <br />trtr <br />trtr <br />trtr <br />10 @tr <br />ZTVB /-? <br />-S.iZ t,/a 'r-..r22--9{zfz /7 <br />4 <br />2 <br />3 <br />6 <br />7 <br />9 <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 605.1'1 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 />Will 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 wilh 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 oI2-112 inch <br />embedment inlo 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 California <br />licensed professional engineer? (including project specific site plan, PV layout, <br />anchorage spacing, anchorage details and manufacturer's PV support information.) <br />I cerlify under pen alty of perjury under the laws of the State of Ca <br />Btr <br />trtrtrtr <br />trtr <br />Dtr <br />Print Name: c ,/'rrrra-, /Zr-q,/o, <br />t:t*ytryr:fry" above is true <br />3ta ?22-?a36 <br />Signature <br />Date:2 ,7Phone Number: <br />Email Address:-a4t' ., <br />Rev: 11/19/2015 <br />zt/Z2a,7-pu ! u/,oz'rz :2 t'aa.--t <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST