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Planning & Building Agency <br />Buildin g Safety Divi$j{ni- <br />20 Civic Center Plazff ''' <br />P.O. Box 1988 (M-19I i <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />p <br />- RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />soL-o1 cBC 2016 <br />Solar Photovoltaic (PV) Checklist for Detached SINGLE FAMILY RESIDENCES Only <br />lnstructions: 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 answerinq NO to anv of the questions, plan check shall be required. <br />^c{€rProject Address:t2-L6 ru 2 <br />tstr <br />tstr <br />Etr <br />tstr <br />tstr <br />Etr <br />2 <br />3 <br />4 <br />5 <br />Contractor Company Name: <br />Contractor License Number <br />YES NO <br />Eltr <br />8 Ettr <br />I tstr <br />10 mtr <br />+T4-krl €LZTR- (AL- TEC4+NA L-t'c.y <br />i60 20tL <br />Are the following applicable to the proposed project? <br />Will the PV system layout provide the required threejool 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 5/1 6" 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 stamped and signed by a California <br />licensed professional engineer? (including project specrfic 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 Califo <br />Print Name: Mr&ew Tp-y'oJ Signature <br />Phone Number: 1t+ - gr+ - 417 I <br />6 <br />7 <br />Rev 8/29/19 <br />D <br />t the above is true: <br />Email Address <br />C11I, 1/E <br />JUL 16 RICD <br />1 <br />Date: