Commercial Plan Submittal Form Utility Service Requirements

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1 Commercial Plan Submittal Form Utility Service Requirements City s Electrical Required: In order to proceed with a design for new service, modified service or additional service to a commercial or multifamily customer please complete the appropriate Electric Load Analysis & Information forms. These forms including the electric load analysis must be completed along with the submittal of required construction drawings in order to begin our designs or calculations for initial or modified electric service design. Delays in submitting all requirements will delay in our efforts to deliver service. ELECTRIC BILLING INFORMATION Service fees are calculated based on multiple methods and can come as a single fee or two separate fees. Those fees are called out as Electric Connect Fees and Contribution in Aid of Construction (CIAC Fees). At times these fees must be calculated through an engineered designed estimate or can come as a flat fee depending on service size and type requested. CIAC fees must be paid in order to order materials and schedule project for installation. Connect fees must be paid prior to energizing service and meter set. Please indicate below the party responsible for these items. Connect Fee: CIAC: Billing Billing By my signature below I certify that I am the owner or legally authorized agent of the owner for purposes of obtaining the permit requested and all subsequent communications and business related thereto. I further certify that all of the information included above and in accompanying documents is true and complete. I understand that application for a permit and payment of fees does not guarantee approval of a permit, and that if said permit is issued it does not constitute permission to violate any provision of the technical codes governing the work, whether identified pursuant to plan review or not. Any false statement related to this application can render the permit void. Contractor or Owner Signature / Date Inspection Representative Receiving Application Revised Jan 2012 Page 1 of 6

2 General Project Information Date: Project Owner Information Site Engineer Information Electrical Engineer Information General Contractor Information Civil Contractor Information Project Street Revised Jan 2012 Page 2 of 6

3 ELECTRIC REQUIREMENTS FOR DESIGN Electronic Site Plan in AutoCAD indicating all easements, existing site utilities and structures, desired meter location and desired pad transformer location. Additional surveys or plat information may be required to make other determinations. All existing and proposed primary conductor installations require developer provided utility easements either by the plat process or separate instrument easements. Electric one line and riser diagram Civil, Landscape & Architectural construction plans (Arch. To show building face and elevations) Hours of Operation: 8am to 5pm 24 Hr other One Electrical Meter for structure Main Disconnect Capacity in AMPS Number of Electrical Meters for structure Sizes of multiple disconnect capacities in Amps,,,,, Main Service (customer provides two hole compression spade lugs): Wire Size Conductors/Phase Requested service type: - Overhead - Underground Requested date for temporary service to site / / Requested date for permanent service to site / / Will gas service be utilized on this project? Yes No If above yes indicate gas meter location in relation to electric meter location. Electric Service Notes: All information requested by this document must be provided to the City prior to commencing with service design. Allow up to 15 business days for preliminary cost estimate and an additional 3 weeks (Minimum) for crew scheduling. Required permits, utility easements and site surveying will necessitate additional design time. All three-phase pad transformers will require a 14 to 18 week lead-time. Other equipment for project may have similar lead time. Service designs will be made based on least cost design method. Additional design changes through customer requested changes or site plan changes may result and additional engineering fees. Changes in site development plans, delivery to site or non standard service methods will necessitate additional design time. Customer requested excess facilities over and above City s least cost design may result in additional charges to the customer. It is the customer s responsibility to clear right-of-way, bring site to grade and provide timely transmittal information requested for the installation of electric distribution facilities. Total Connected Load: Estimated connected load: kw amps Estimated future load: kw amps Building Square Footage: conditioned total Number of metered tenants: Type of Service: New Construction Remodel Tennant Finish out New Tennant Space Largest Motor Load: HP (Motors in excess of 50HP will require assisted start equipment. Excessive motor load may require additional customer installations to protect system harmonics.) Revised Jan 2012 Page 3 of 6

4 Detailed Electric Load Analysis Form Project/Customer Project Location: Select desired service voltage: - 1 Phase 120/240-3 Phase 120/208Y - 3 Phase 277/480Y - 3 Phase 120/240-3 Phase Other Indicate only one: - New Load - Adding Load to an Electrically Energized Service INITIAL ELECTRICAL LOAD REQUIREMENTS: HVAC LOAD INFORMATION: Quantity Phase Volts Tons SEER Connected kw-each Heat kw-each MOTOR LOAD INFORMATION: Quantity Phase Volts HP-Each Start Type Equipment Description LIGHTING & MISCELLANEOUS LOAD INFORMATION: Quantity Phase Volts Connected kw-each Equipment Description Signature-required Date-required Name-printed Contact Number Revised Jan 2012 Page 4 of 6

5 FUTURE ELECTRICAL LOAD REQUIREMENTS: HVAC LOAD INFORMATION: Quantity Phase Volts Tons SEER Connected KW-Each Heat kw-each MOTOR LOAD INFORMATION: Quantity Phase Volts HP-Each Start Type Equipment Description LIGHTING & MISCELLANEOUS LOAD INFORMATION: Quantity Phase Volts Connected KW-Each Equipment Description Signature-required Date-required Name-printed Contact Number Revised Jan 2012 Page 5 of 6

6 Project/Customer Project Location: - Tennant Finish-Out - New Tennant - Upgrade Service Select desired service voltage: - 1 Phase 120/240-3 Phase 120/208Y - 3 Phase 277/480Y - 3 Phase 120/240-3 Phase Other Existing Load: (acquired from utility billing) Peak Summer Demand: kw Peak Winter Demand: kw Existing Main Disconnect Size: amps Proposed Main Disconnect Size: amps Service Conductor Size/Quantity: / existing / proposed Service Delivery Point: Individual Overhead Service Shared Overhead Service Individual Underground Service Shared Underground Service Shared Building Gutter ADDED ELECTRICAL LOAD REQUIREMENTS: HVAC LOAD INFORMATION: Quantity Phase Volts Tons SEER Connected kw-each Heat kw-each MOTOR LOAD INFORMATION: Quantity Phase Volts HP-Each Start Type Equipment Description LIGHTING & MISCELLANEOUS LOAD INFORMATION: Quantity Phase Volts Connected kw-each Equipment Description Signature-required Date-required Name-printed Contact Number Revised Jan 2012 Page 6 of 6

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