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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 />17141647-5800 <br />wvw.santa-ana.org <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />soL-01 cBc 2016 <br />Solar Photovoltalc (PV) Checkllstfor Detached SINGLE FAfrlLY RESIDENCES Only <br />lnstructlons: 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. lf answerlnq NO to anv of the ouestlons. olan check shal! be requlred. <br />ProJect Address:915 112W Myrtle St., Santa Ana, CA 92703 <br />Contractor Company Name. Patriots Electric <br />Contractor License Number: 1017612 <br />1 <br />Are the followlng appllcable to the proposed project? <br />Wilt 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 />Wil! 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 />Willthe 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 />Willthe 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 />Willthe minimum 5/16" lag screws be installed with a minimum ot2-112inch <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 />! certify under penalty of perjury under the laws of the State of ia that the above is true: <br />Print Name. Mary Valencia Signature: <br />-Tfu <br />Phone Number: 951-236-0113 <br />Email Address: <br />YES NOtrtr <br />trtr <br />trtr <br />trtr <br />trtr <br />trtr <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10 <br />Eltr <br />Eltr <br />tru <br />trtr <br />Rev: 8129119 <br />marv(@desiqns.solar <br />Date:0510512021