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CITY OF SANTA ANA <br />Planning and Building Agency <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 />RESIDE TIALApproved <br />PHOTOV LQf4i geMIT ISSUANCE <br />CHEC LIST <br />Master ID: <br />Date: <br />- SOL-01 CBC 2019 <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAMILY RESIDENCES Only <br />Instructions: 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 11" x 17" size. If answering NO to any of the questions, plan check shall be required. <br />Project Address: 1425 West River Lane Santa Ana, California - 92706 <br />Contractor Company Name: Empower Solar <br />Contractor License Number: 1057693 <br />YES No Are the following applicable to the proposed project? <br />1. ❑ 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 />2. �❑ Will the PV system be installed on a roof having only one roofing layer with no <br />overlays? <br />3. ❑ 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 />4. ❑ Will the PV system weigh maximum 4 pounds per square feet or less? <br />5. �` ❑ 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 />6. ❑ 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 />7. ❑ Will the PV system be installed without using any ballast system or counter -weight <br />system? <br />8. ❑ 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 />9. ❑ 21� Will the minimum 5/16" lag screws be installed with a minimum of 2-1/2 inch <br />embedment into roof rafters (with pre -drilled holes) and is this minimum embedment <br />shown on the plans? <br />10. ❑ Are ALL the structural 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 certify under penalty of perjury under the laws of the State of California that the above is true: <br />Print Name: Brendan Blankenship Signature: <br />Phone Number: 8003066953 Date: 6/12/2025 <br />Email Address: socalpermits@mpwrsolar.com <br />Rev: 7/15/2021 <br />