Page 248 - Solar Power in Building Design The Engineer's Complete Design Resource

Southern California's
California Solar Initiative Program Return Reservation Request Form to:
EDISION Southern California Edison
2007 Reservation Request Form and Preliminary Agreement California Solar Initiaive
Reservation Number: (Administrator Use only) 213 Walnut Grove Ave. GO3, 3rd Floor B10
Rosemead, CA 91770
Instructions: Please confirm you are using the current Reservation Request From by going to your Program Administrator's website. Please
refer to your CSI Program Handbook for instructions, and please include all required attachment with your submittal. Incomplete Reservation
Request will be returned to the sender.
1. Host Customer
Customer Name:
(Residential only)
Company or Government:
(Commmercial & Govt. only)
Tax Payer ID:
Contact Person Name: Title:
Mailing Address: (Suite/Apt. Street)
(City. State, Zip)
Phone: Secondary Phone
Email: Public Entity: (Certification of AB107 Compliance must be attached)
2. Applicant if not Host Customer
Applicant Name:
Installer: License Number: Seller: License Number:
Contact Person Name: Title:
Mailing Address: (Suite/Apt. Street)
(City. State, Zip)
Phone: Secondary Phone
Email:
3. System Owner (if not Host Customer)
Owner Name:
(Residential only)
Company or Government:
(Commmercial & Govt. only)
Contact Person Name: Title:
Mailing Address: (Suite/Apt. Street)
(City. State, Zip)
Phone: Secondary Phone
Email:
4. Project Site Information
Project Type: Retrofit New Construction or New Construction or Expanded
Residential Commercial Government, Non-profit or Public
IncentiveType:
Site Address: (Street)
(City. State, Zip)
County:
Est. Building Sq.Ft:
Electric Utility Service
Meter Number
Account Number:
TOU Account Number:
5. Proposed Equipment Information
PTC Rating Number of
Array Number PV Manufacturer PV Model Number
(Watts/Unit) Units
1
2
3
4
Number of
Array Number Inverter Manufacturer Inverter Model Number Inverter Eifficiancy
Units
1
2
3
4
6. Project Incentive Calculation and Cost Information
Array Number System Rating (SR) kW csc EPSS Design Factor (DF) 2 CSI System Size (SR × DF)
1 0 kW
2 0 kW
3 0 kW
Figure 8.1 (a) Southern California Edison CSI reservation request
form page 1.
218