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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, C492702 <br />(714) 647-s800 <br />www.santa-ana.or9 <br />RESIDENTIAL <br />PHOTOVOLTAIC <br />CHECKLIST <br />soL-o1 c8c 2013 <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 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. lf answerinq NO to anv of the questions, plan check shall be required. <br />Proj ect Address: 5.-,1 4 ,Sher r., L n <br />Contractor Company Name: <br />Contractor License Number: <br />D1..T. S"\*. <br />YES NO <br />1dJ <br />,da <br />3dJ <br />^{e5va <br />da <br />da <br />da <br />da <br />da <br />6 <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 605.11 of the California Fire Code, and is this shown on the roof plan? <br />\r'/ill the PV system be installed on a roof having only one roofing layer with no <br />overlays? <br />U/ill 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 />W ll the PV system weigh max.mum 4 pounds per square feet or less? <br />\ /ill 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 />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 specific site plan, PV layout, <br />anchorage spacing, anchorage details and manufacturer's PV support information.) <br />7 <br />8 <br />I <br />'10 <br />I certify under penalty of perjury under the laws of e State of Califo ia that the above is true: <br />Print Name: <br />Phone Num <br />Signature <br />ber Date <br />Emair Address: Dlrynik D .Ofrd<g ob f.Girv\El <br />Rev 1ll19/2015 <br />IIII;ilil$c <br />Qsl a,n<.