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tr <br />tr <br />Pla rrn in g & B u ild ing Ag e ncy <br />B Uildin g Safety D ivis ion <br />20 Civic Cen ter Plaza <br />P.O. Box 1988 (lVl-19) <br />S anta An a, CA 92702 <br />(714) 647 -s800 <br />v/v/v/,s a nta -ana. org <br />RESIDENTIAL <br />Pl-iOl'OVOLT,I\lC <br />CHECKLIST <br />solar Photovoltaic (PV) checktist for Detachect sINGLE FAI\IlLy RESIDENCES onty <br />lnstructions: The licensed contractor ol recorcl shall complete all sections, ansu/er the ten q uestions andslgn the certilication section below A copy of this form shall be attached to each of rwo s <br />sol-o r cBc 2013 <br />ets of plans, oiminimum 11" x 17" size. lf answerino NO to an y of the (lu es tio n s,plan check shall be re quired <br />Project Address:Zoo s L) u)r+s*t <br />Contra ctor Company Name: <br />C o ntra cto r License N umber <br />€ <br />VDL o <br />under the laws of the State ot Cali rnia th <br />//J <br />YE7 No,fra <br />tre <br />Are the follouring applicable to the proposed project? <br />will the PV system layoutprovide the required three-foot wide ciear access path\,vays <br />per Section 605.11 of the Calitornia Fire Code, and is this sho,rn on the roof plan? <br />Will the PV system be installed on a roof having only one rcofing leye j,y/ith nc <br />\r'/ill the PV array be flr:sh mounted to the existing roof so that the plane oF the <br />rnodules (panels) are parallel to the plane of the roof? <br />\,ryill the PV system \,veigh maximum 4 pounds per square feet or jess? <br />will the PV system be insta|ed uihere the modures do not overhang any roof edges <br />(such as eaves, gabled ends, ridges and hips)? <br />rflill the PV system be installed v,/ith a space of 2,'minimum to 10,, maximum bet\,veen <br />the underside of modules and the surface of the roof? <br />wiil the PV system be instaled \r'/ithout using any ba ast system or counter-,leight <br />system? <br />will the anchors be instarred with a maximum horizontar anchor spacing of 6 feet <br />and js this maximum horizontal spacing shovrn on the plans? <br />Will the minimum 5/16" lag screyrs be installed with a minimum of 2-112 inch <br />embedment into roof rafters (with pre-drilled holes) and is this minimum embedment <br />shorln on the plans? <br />Are ALL the structural pages of the plans stamped and signed by a California <br />licensed professional engineer? (jncluding project specific site plan, pV layout, <br />anchorage spacing, anchorage details and manufacturer,s pV support information.) <br />2 <br />3 <br />4 <br />5 <br />lcertify u nde <br />Print Name: <br />nalty of per <br />o <br />Phone Numbel €6 z- ^ t129 <br />^Dater '7 <br />Email Address 9/ noM <br />Re't 11119/2A15 <br />LVO c) <br />1 <br />Qqqqq< <br />6Ee <br />,da <br />,ca <br />,/o <br />,o {a <br />Sign a turel <br />the a bove is true: