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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) 647-5800 <br />www.santa-ana.org <br />RES!DENT!AL <br />PHOTOVOLTAIC <br />CHECKLIST <br />sol 01 cBC 2016 <br />Solar Photovoltaic (PV) Ghecklist 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. If answerinq NO to anv of theques tions. olan check shall be reouired. <br />Project Address:larth rlrr \\ cr 1 <br />Contractor Company r'rame' €R.lb AlrJr-IZt\J IUE s <br />contractor License Number, 8(r15 i3 <br />1 <br />YES/ NO6o <br />da <br />da <br />dada <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 605.1 1 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 of 2-112 tnch <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 ofthe plans stamped and signed by a California <br />licensed professional engineer? (including project speciflc site plan, PV layout, <br />anchorage spacing, anchorage details and manufacturer's PV support information.) <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />9 <br />da <br />da <br />da <br />da <br />{a10 <br />I certify under penalty of perjury under the laws of th <br />Print Name: l-[ tK{ FLO g(S California-lDat the above is true: <br />( <br />e State of <br />Signature <br />Phone Number:502- +tS - 30 ts D <br />Emair Address: \t-cr 0 rnnE qv v\cr\L a, v rnc,loA.o(q <br />Rev: 8/29l19