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*,,SANTA <br />NA <br />tL[\]NC <br />Ill,lutic <br />rcfifi <br />t <br />Planning & Building Agency <br />Building Safety Oivision <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana. CA 92f02 <br />(714) 647.5800 <br />www,santa-ana.org <br />s :i it :t;.t t,)r', <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 certiflcation 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 answorinq NO to any of the questions, plan check shall be required. <br />Project Add ress:2029 BARCLAY COURT <br />Contractor Company Name: <br />Contractor License Number: <br />FREEDOM FOREVER LLC <br />t029644 <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />4 <br />5 <br />2 <br />3 <br />6 <br />7 <br />8 <br />tstr <br />Eltr <br />atr <br />Etr <br />trtr <br />trtr <br />YES NO <br />E tr <br />Eltr <br />Etr <br />Ars 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 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 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 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 speciflc site plan, PV layout, <br />anchorage spacing, anchorage details and manufacturer's PV support information.) <br />I <br />10 Etr <br />I cartify under perElty of periurv und,etlhe lflls <br />Prinr Na.na: ( a,rz t,/// 4/) l- l, l,'" <br />of the Stat€ of C iat the <br />ar(L,<t/- <br />ts <br />O L/-\ <br />Signature <br />l0/ r l/ l9phone Number: 800-385- 1075 <br />Rev 1 1/19/2015 <br />6a t <br />Dale <br />Email Address: