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#ANTA <br />NA,'ffi <br />Planning & Building Agency <br />Building Safety Oivision <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 />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAMILY RESIDENCES Onlv <br />sol-o1 cBc 2013 <br />,4 q)10 <br />lnstructions: The licensed contractor of record shall complete all sections, answer the ten questions and <br />Signthecertificationsectionoerow-.ecopyofthisformSl.,allbe.attachedtoeachofTWosetsofplans,of <br />Vc.n"e S",e +Project Address: <br />Contractor ComPanY Name: <br />Contractor License Number: <br />YES NOr4tr <br />,{O <br />tr <br />C\ <br />3 <br />Are the following applicable to the proposed proiect? <br />Will the PV system layout provide the required three-foot wide clear access pathways <br />per Section 605.1 1 oi the California Fire Code, and is this shown on the roof plan? <br />WillthePVsystembeinstalledonaroofhavingonlyoneroofinglayerwithno <br />ovedays? <br />U/ill 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 l0" 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 instalted 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 of 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 California <br />ticensed professional engineer? (including project specific slte, plan' PV layout' <br />"n"noi"g" <br />.p""ing, anchorage oetaits an-o minutacturers PV support information') <br />4gtr <br />5 Ertr <br />6wa <br />?. qa <br />sWJ <br />e Ertr <br />VA10 <br />Print Narne <br />Phone Number <br />Email Address: <br />5t-1 fl,9 440 <br />I certify under Pen ofp erI ury under the laws of t State of California that the above is true <br />Signature <br />Date: <br />6 <br />0 <br />Rev 1 1/19/2015 <br />I