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MO'SNTA <br />NA.ffi <br />Planning & Building Agency <br />Building Safety Division <br />20 Civic Cente. Plaze <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 />i <br />sl- 'll c8a 2ll t <br />Solar Photovoltaic (PV) Checklist for 0etached SINGLE FAMILY RESIDENCES Only <br />lnstructions: The lrcensed contractor of record shall complete all sections answer the ten questions and <br />s gn Ihe certificatron section below. A copy of this form shall be ailached to each of TUi O sets of p ans. of <br />rnlnimum 'l 1 ' x 17' size. lf answerinq NO to anv of the questions, plan check shall be required. <br />Project Address 2123 Atona Slreet. Santa Ana CA 92706 <br />Contractor Company Name: <br />Contractor License Number <br />Freedom Forever <br />c-10 #1029644 <br />Are the following applicable to the proposed project? <br />Will the PV systern layout provide the requrred threejoot wide clear access pathways <br />per Sectron 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 lhe 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 beh,veen <br />the underside of modules and lhe 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 2-112 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 specific site plan, PV layout, <br />anchorage spacing. anchorage details and manufacturer's PV support information.) <br />2 <br />3 <br />tr tr <br />, ED <br />8 Etr <br />9 Etr <br />roEE <br />El n <br />Etrtr <br />EtrEo <br />EIc <br />4 <br />5 <br />6 <br />I certify under penalty of periury under the laws of the State of California that the above is true <br />print Name Lucio Reveles Signature <br />phone Number: 949-228-1173 s26 111312021 <br />Emart Address lel'rnitsOranqe@FreedomForever.com