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CITY OF SANTA ANA <br />SOLAR PERMIT APPLICATION WORKSHEET <br /> PLEASE PRINT REV: 8/29/19 <br />PROJECT ADDRESS:SUITE:SAPIN # <br />USE OF BUILDING: RESIDENTIAL COMMERCIAL INDUSTRIAL OTHER <br />MASTER ID# <br />NATURE OF WORK: SOLAR P.V. SYSTEM SOLAR WATER HEATING/COLLECTOR SYSTEM OTHER <br /> JOB DESCRIPTIO N : <br />________________________________________________________________________________________________________________ <br />________________________________________________________________________________________________________________ <br />________________________________________________________________________________________________________________ <br />________________________________________________________________________________________________________________ <br />________________________________________________________________________________________________________________ <br />________________________________________________________________________________________________________________ <br />________________________________________________________________________________________________________________ <br />BUILDING OWNER’S NAME: PHONE NO: <br />ADDRESS: CITY: STATE: ZIP: <br />TENANT’S NAME (Comm/Ind):PHONE NO: <br />CONTRACTOR’S NAME: STATE CONTR. #:LICENSE CLASS: PHONE NO: <br />ADDRESS: CITY: STATE: ZIP: <br />WORKERS COMP. POLICY#: EXP. DATE:INSURANCE COMPANY: SANTA ANA BUS. LIC. #: <br />ARCHITECT/ENGINEER:STATE LICENSE #:PHONE NO: <br />ADDRESS:CITY:STATE:ZIP: <br />CONTACT NAME:PHONE NO: <br />E-MAIL ADDRESS: <br />BLDG. FEE $ <br />OCC. GROUP:P/C FEE PD $ <br /> VALUATION: $SUBMITTAL DATE:____________________TYPE OF CONSTR: <br /> FLOOD ZONE:___________________PROCESSED________________________ <br /> PLANNING OK TO CHECK & DATE:__________________________ BLDG. DEPT. APPROVAL & DATE:___________________________ <br />PLNG CONDITIONS: _________________________________________________________________________________________________ <br />NUMBER OF PANELS: ___________________ SYSTEM kWA:_________________________ <br />2210 W Avalon Ave. Santa Ana CA 92706 <br />x <br />x <br />Roofmounted PV System Installation with 5.10 kW DC System Size <br />15 5.1 <br />2210 W Avalon Ave. Santa Ana CA 92706 <br />Abel Marica <br />anna@casolargroup.com <br />Armen Vahanyan <br />California Solar Group <br />7647 Hayvenhurst Ave., Unit 26 Van Nuys CA 91406 <br /> 1067781 <br />VB <br />R3 6000 01/11/2021 <br />323 208 1768 <br />801 941 0582 <br />CRUM & FORSTER INDEMNITY COMPANY10/08/2022 BAK86710