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*-SNTA <br />NA,\W <br />Planning & Building Agency <br />Building Safety Division <br />20 Civic Cent€r Plaza <br />P.O. Bor 1988 (M-'19) <br />Santa Ana, CA 92702 <br />(714) 647.s800 <br />www.santa.ana.org <br />Solar Photovoltaic (PV) Checklist for Oetached SINGLE FAMILY RESIDENCES Only <br />lnstructions: The licensed contractor of record shall complete all sections, answer the ten questions and <br />sgn the certiflcation section below. Acopyof this form shall be attached to each of TWOsetsof plans,of <br />mrnimum 11'x 17'size. lf answerinq NO to any of the questions, plan check shall be required. <br />Project Address:2901 S Griset Pl, Santa Ana, CA 92704, USA <br />Contractor Company Name:Freedom Forever <br />Contractor License Number: C- l0# 1029644 <br />RESIDENTIAL <br />PHOTOVOLTA!C <br />CHECKLIST <br />4 <br />5 <br />YES NO <br />1 El tr <br />2 Elfl <br />3 Xtr <br />6 Etr <br />? xtr <br />I El tr <br />e Fl tr <br />10 EI EI <br />Etrtr <br />Eltr <br />Ars ths following applicable to the proposed project? <br />Will the PV system layout provide the required three-foot wide clear access pathways <br />per Section 605.1 'l of the California Fire Code, and rs 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 anay 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 systern weigh maximum 4 pounds per square feet or less? <br />Will the PV systern 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 l0" maximum between <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 lhe plans? <br />Will the minimum 5/16" lag screws be installed 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 starnped and signed by a Californta <br />licensed professional engineer? (including proiect specific site plan, PV layout, <br />anchorage spacing, anchorage details and manufacturer's PV support informatron.) <br />lcertify under penalty of periury under the laws of the State of California that the above is true <br />print Name: Freedom Forever Signature: L"rcro r€arr4/l* <br />Dare: 0zl19l2lPhone Number 800,385- 1075 <br />Emait Address: PermitsOranqe@FreedomForever.com <br />Rev 11/19/2015