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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 />2030 W Summer Wind, Santa Ana, CA 92704 <br />SYSTEM SIZE: DC STC: 6.56 / kWAC SIZE: 6.11 kWSOLAR MODULES: (16) Silfab 410W Modules (SIL-410BG) <br />INVERTER: (16) ENPHASE IQ8A MICROINVERTER (IQ8A-72-2-US (120/240V) [240] [SI1]) <br />EXISTING MSP BUS: 125A EXISTING MAIN BREAKER: _125A_ NEW PV BREAKER: 30A_ <br />16 DC STC: 6.56 / kWAC SIZE: 6.11 <br />Paul Czajka <br />2030 W Summer Wind, Santa Ana, CA 92704 Santa Ana <br />CA 92704 <br />3107174342 <br />CA Solar Group 1067781 C-10 310-402-4962 <br />7647 HAYVENHURST AVE STE #26 Van Nuys CA 91406 <br />9286543 10/22/23 State Comp. Insurance fund <br />Logan Weinberg 310-402-4962 <br />info@casolargroup.com <br />SFD <br />Residential <br />NO <br />15,000 <br />2030 W Summer <br />Wind03/28/23