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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 />Flagship 1094787 B <br />Bakersfield CA <br />State Compensation Insurance Fund <br />Residential <br />Solar Install <br />24 8.541 AC <br />Peter Mangosing 714-745-7801 <br />118 W Stevens Ave Santa Ana CA 92707 <br />661-495-3838 <br />707 18th Street 93301 <br />9322330 8/10/24 383282 <br />John Tyler Crosby <br />Permits@flagshipsolar.co <br />661-495-3838 <br />45000 <br />1314 North McLean Drive <br />Residential roof mount PV- 14 mods, 14 micro inverters, 5.064 KW AC , Valuation: $ 34000 <br />Revisions- Layout change and changed battery from 1 Enphase Encharge 10 KW battery to 2 Enphase Encharge 5P batteries. <br />Added <br />1314 N McLean Dr- <br />20182344REV3/27/2024