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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 />www,santa-ana.org <br />soL--or cBC 2!tl <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 />TWO sets of plans, of <br />all be required. <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />sign the certification section below <br />minirnum 11' x 17" size. lf answe <br />. A copy of this form s <br />rinq NO to any of the <br />hall be atlached to each of <br />ouestions. olan check sh <br />Pro,iect Add ress:)2t:'Ga' <br />Contractor Company Name: <br />Contractor License Number: <br />,sJ\riL C <br />2 <br />3 <br />6 <br />7 <br />4 <br />5 <br />\t>o 3\^\l) <br />Are the foltowing applicable to the proposed project? <br />Will the PV system layout provlde the required threejoot wide clear access pathways <br />per Section 605.1 1 of the California Fire Code, and is this shown on the roof plan? <br />Wlll the PV system be installed on a roof havlng 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 />\l/ill the PV system weigh maximum 4 pounds per square feet or less? <br />U/iil the PV system be installed where the modules do not overhang any roof edges <br />(such as eaves, gabled ends, ridges and hips)? <br />VVill the PV system be installed with a space of 2" minimum to l0" 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 wilh 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 />icensed professional englneer? (including project specific V layout, <br />anchorage spacing, anchorage details and manufacturer'n rmation.) <br />I certify under penalty of periury under the laws of the State of California <br />Print Name }:a"cc N\oQ\.J Signature <br />bs\ <br />AeEtr <br />flu <br />hs <br />6s <br />6u <br />.du <br />fur <br />ftn <br />6a <br />8 <br />9 <br />10 <br />Dare; \D- \b -Phone Number <br />Email Address: <br />the <br />a <br />V suppo <br />Rev 11/19/2015 <br />tsto6 cc r.-\vJ\rE. CrrM <br />true <br />1