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*-SANTA <br />NA <br />tlr\ll\c <br />$ettDt\c <br />lGIUl <br />Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Sanla Ana, CA 92702 <br />(714) 647-s800 <br />www.santa-ana.org <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKL!ST <br />sol-o1 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 certification section below. A copy of this form shall be attached to each of TWO sets of plans, of <br />minimum 1 '1" x 17' size. lf answerino NO to anv of the ouestions. ol an check shall be required. <br />Project Address 4\1 3 \.L L <br />Contractor Company Name: <br />ContractorLicenseNumber: Im/Hrru <br />Are the following applicable to the proposed project? <br />Will the PV system layout provide the required three{oot wide clear access pathways <br />per Section 605.1 'l 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 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 lnstalled with a minimum ol 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 />licensed professional engineer? (including project speciflc site plan, PV layout, <br />anchorage spacing, anchorage details and manufacturer's PV support information.) <br />;;14\11 (nl{r <br />YES NO1dtr <br />2(tr <br />3da <br />4da <br />5 gtr <br />6dD <br />7 ETtr <br />8 dtr <br />e Ertr <br />10 d tr <br />I certify under penalty of perjury under the laws of the State of Califo ia that the above is true <br />Print Name SignatureItl, <br />Phone Number 7)Dater I <br />Email Address Anlht:rtq O Z//rt"+ fil!.,//fr Q- Or., <br />Rev 11i 19/20'15 <br />U xo t,a,c <br />Z