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Icm OF <br />PLWi^G <br />IM( <br />AGE\CV <br />Pfanning & 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 />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />SOL-01 CBC2019 <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 anv of the questions, plan check shall be required. <br />Project Address: I4sg N. my sr. ama ca Wo <br />Contractor Company Name: I Tp kOUr <br />Contractor License Number: 563 LfS? <br />YES NO <br />1- ^ □ <br />2. lEi □ <br />3. ^ □ <br />4. ]^ □ <br />5. 5^ □ <br />6. ^ G <br />7. <br />8. 0 G <br />9. G <br />10. G <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 605.11 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 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 />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 Callfoj^ <br />Print Name: Signature: <br />Phone Number: Date: _ <br />Email Address: <br />lat the above is true: <br />Rev: 7/15/2021