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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 />1017 N WRIGHT ST 400-293-04 <br />ROOF MOUNT PV SYSTEM 10KW 25 PANELS 25 MICROINVERTERS NEW 225A MAIN PANEL UPGRADE <br />25 10 <br />RODOLFO MORENO 714-614-6951 <br />1017 N WRIGHT ST SANTA ANA CA 92701 <br />GUYOU CONSTRUCTION INC 997054 C10 C46 657-224-2652 <br />9880 INDIANA AVE STE 2 RIVERSIDE CA 92503 <br />82-538346-01-02 4/4/25 Continental Indemnity Company <br />DAVID VITELA 657-224-2652 <br />permits@guyouconstruction.com <br />PV $30000 <br />1017 N Wright St <br />11/4/2024