Page 249 - Solar Power in Building Design The Engineer's Complete Design Resource

Southern California
California Solar Initiative Program Return Reservation Request Form to:
EDISION Southern California Edison
2007 Reservation Request Form and Preliminaray Agreement California Solar Initiaive
213 Walnut Grove Ave. GO3, 3rd Floor B10
Reservation Number: (Administrator Use only) Rosemead, CA 91770
4 0 KW
1 Total CSI System Size: 0 KW
System Rating (KW ) PTCAC Rating
2 CEC Estimated Annual Production (kWh) : KWh
2
Obtain from online tool at www.csi-epbb.com
Project System Size: 0 Watts
Eligible CSI System Size: 0 Watts The lessor or 1,000,000 Watts or Project system Size
Total Eligible Project Cost: #DIV/01 6a
Pro-rated Eligible Project Cost: #DIV/01 #DIV/01 Simple Pro-ration to equale costs to Eligible CSI
system size
List all other non-CSI incentive sources and amount being received for eligible project
Other Financial Incentives in Addition to CSI Cost ???. See CSI Handbook for more information.
Other incentive Source Name Other Incentive Source Type Amount
#DIV/01
#DIV/01
#DIV/01
− #DIV/01 6b
Total Other Incentive Amount: $
Verify incentives Don't Exceed System Owner's Out of Pocket Expenses
Total Eligible Project Costs (6a) = $ − #DIV/01 6c
Total Other Incentive Amount (6b) = $ − #DIV/01 6d
CSI Rebate Amount (7a) = $ − #DIV/01 6e
System Owner Out of Pocket Expenses ∗ = #DIV/01 6f
∗ Verification of Amount Shown required prior to CSI Incentive Payment
Line 6c-6d-6e-6f ( if Total $'s is not equal to $1 zero please contact
your Program Administrator) =
$ − #DIV/01
7. Requested Project Incentive
CSI System Size 0 kW

CSI Incentive Amount: EPBB (<100 kw or New Construction) PBI (>100 kW or opt in)
$2.50 $/watt OR $/kWh
Requested CSI Incentive = $ 0 7a
Payment will be made to: Host Customer System Owner Third Party
Please indicate Name of Third Party above
8. Checklist for Other Requrred Documents
This Checklist must be completed. Please refer to the latest version of the CSI Program Handbook for detailed instructions on eligibility and
application requirements. The purpose of this checklist is to assist applicants in the completion of information materials required for review of
Reservation Requests and to speed processing of the applications.
Completed Reservation Request Application with Orignal Signature on CSI Program Contract
Proof of Electric Utility Service for Site
System Description Worksheet
Electrical System Sizing Documentation (New or expanded load only)
Application Fee for non-residential project over 10 kW (Requested CSI Incentive × 1%) = 0
Certification of tax-exempt status and AB1407 compliance (Goverment, Non-profit, and Public Entities only)
Documentation of an Energy Efficiency Audit (if you have not met Title 24 or other exemptions)
Printout or EPBB Tool Calculation (www.csi-epbb.com)
Additional Required Documents for Residential Customers, Commercial <10 kW, or Govenment/Non-Profit/Public Entities < 10 kW:
Copy of Executed Agreement of Solar System Purchase
Copy of Executed Altemative System Ownership Agreement (if system owner is different from host customer)
Copy of Application for Interconnection Agreement
Host Customer Certificate of Insurance
System Owner Certificate of Insurance (if different than Host Custmer)

[Please continue to program contract and provide original signatures on the following pages]
Figure 8.1 (b) Southern California Edison CSI reservation request form page 2.

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