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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 />3429 S. LOWELL ST <br />DARREN WELLS <br />3429 S. LOWELL ST SANTA ANA CA 92707 <br />ILUM SOLAR 1009260 C46 909-748-1300 <br />4135 NORTHGATE BLVD. STE 9 SACRAMENTO CA 95834 <br />C699830BA 12/01/2022 ACE AMERICAN INSURANCE COMPANY <br />SHERRY MANLEY <br />sherrymanley@visionce.com <br />909-748-1300 <br />PV <br />714 200-5121 <br />15 5.400 <br />15000 <br />REVISION TO ADD 2 MODULES TO PERMIT #101111888 <br />3429 S Lowell St <br />11/16/22