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Planning & Building Aifencv . <br />Bullding Safety Division <br />20 Civic Center plaza <br />P.O. Box 1988 (M-.tg) <br />Santa Ana, CA 92202 <br />.(714, 047-5E00 <br />wlYw-santa-ana.org <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />soL 0t cBc 2013 <br />sorar phorovortaic pv) cm*list for Dctached STMGLE FAMIL' RESIDENCES onry <br />lnstructions: The licensed contractor of record shall complete all sectio ns,answer the ten questtbns andsign the certification section below. A copy of this form shall be attached to each of TWO sets of plans, ofminimum 11' x 17,, size- <br />Proj ectAddress:80 ?tct J CI <br />Contractor Company Llame: <br />Contractor License lrlumbec <br />YES NOtru <br />tf ivin)-la) r <br />ct1 i1 \d <br />I <br />Are the foflowing applicable to the proposed proiect? <br />Mll the PV system layout provide lhe required thre+.foot wide clear access pathwaysper section 605.1 1 0f the carifomia Fire code, and is this shown on the roof pran? <br />Wilt the PV system be installed on a roof having only one roofing tayer with nooverlays? <br />Will the PV an:ay be flush mounted to the existing roof so that the ptane of themodules (panels) are parallel to the plane of the <br />-roof? <br />Will the PV system weigh maximum 4 pounds per square feet or less? <br />Will the PV s'ystem be installed where the modules do not overhang any roof edges(such as eaves, gabled ends, n:dges and hips)? <br />will the PV system be installed with a space of 2" minimum tc 10" maximum betweenthe underside of modules and the surfuce of th6 roof.) <br />Will the PV system be installed without using any ballast system or counter-weightsystem? <br />will the anchors be instared wittr a maximum honzontat anchor spacing of 6 feetand is this maximum horizontal spacing shown on the plans? <br />will the minimum sr16" rag screw.s be instafled with a minimum or 2-1t2 inchembedment into roof rafters (with p,*drifled hores) and is this minimum embedmentshown on thE plans? <br />Are ALL the structural pages of the ptans stamped and signed by a Califomialicensed professional engineer? (including project sp""mJritu p"n, pV layout,anchorage spacing, anchorage detaits ant'minura-&,rer-r-pV lrpport inbrmation.) <br />2 Ptr <br />Ptrpa <br />FE <br />Etr <br />3. <br />4- <br />5. <br />o- <br />7.Ptr <br />GItr <br />Ertr <br />10. N El <br />I certify under penalty of <br />Print Name: OC^Y, if <br />9 <br />ury und€r the laws of the State of Cal <br />Signature: <br />Phone Numbec b /au z'\1,-ro Date:;t -/rq <br />Rev: l1119l2O1S <br />.dwt t ,otqv <br />)6/zt <br />Email Address: <br />,,SANTA <br />AXIA,ipili <br />0n