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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 DESCRIPTION : <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 />1012 North King Street <br />Installation of 4.35 kW - Roof mount PV System - 1 inverter, 11 modules, (N) 125A/100A sub panel <br />4.35 <br />Rogelio Rosales 7143563576 <br />1012 North King Street Santa Ana CA 92706 <br />EnergyAid 978758 C10, C46 9094935210 <br />1715 E Wilshire Ave #715 Santa Ana CA 92705 <br />08/27/2025 WCF Select Insurance Company4067783 39006 <br />Crystel Roxas 9094935210 <br />permits@energyaid.net <br />8700 <br />1012 N King St <br />1/23/2025