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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 />(714) 647-s800 <br />w\rrw.santa-a n a. org <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />soL-01 c8c 2013 <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAMILY RESIOENCES Only <br />lnstructions: The licensed contractor of record shall complete all sections, answer the ten questions and <br />sign the ce(ification section below. A copy of this form shall be attached to each of TWO sets of plans, of <br />minimum '1 1" x 17 <br />Project Address: <br />'' size. lf answerino NO to anv o fth o uestions, plan check shall be required. <br />lt Lo <br />V d rn tl'r$Contractor Company Name: <br />Contractor License Number:(0Z7eLlr( <br />2 <br />3 <br />YE7 Noatr <br />4a <br />da <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 ot 2-112inch <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 />4 <br />5 <br />daatr <br />da <br />ds <br />ds <br />ds <br />6 <br />7 <br />8 <br />o <br />10 trD <br />I certify under penalty of perjury under the laws of the State of Cali nia that the above is true: <br />Print Name: /'f at Ju | 1 t 17 ,,Signature <br />Date:Phone Number: J{I-z to..<-t 5 <br />Rev: 11/19/2015 <br />i <br />oY <br />o^ For(,tt{,Email Address <br />*,,SNTA <br />NAJryiffi