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For service points fed by PG&E's distribution grid, and due to PG&E’s Primary Service requirements outlined in the Wholesale Distribution Tariff (WDT, Version 3), SFPUC is no longer able to accept any non-Primary applications for Permanent service interconnections to PG&E’s distribution grid, regardless of load, as of 4/15/2021.

Temporary or Construction Power applications can continue to be designed with the most appropriate service interconnection.

Refer to the Application Checklist to complete this form. Submit separate forms for temporary construction power and permanent power.

Project Information

Project Name

Address

Nearest cross street

City	Other City

Supervisorial District

Project Type

Date Electrical Service Requested	Construction Start Date	Shutdown Date (on or after)
Anticipated Contractor Bid Date	Number of Buildings	Number of Stories
Total Building Area	Existing Meter No.	Meter Room No. and Location
Number of Independent Electric Services	Number of Residential Units	Avg. Sq. Foot per Residential Unit

	Hours /Day	Days/Week	Months/Year	Business Hours
Summer Operating Hours

	Hours /Day	Days/Week	Months/Year	Business Hours
Winter Operating Hours

Description

Brief description of the project and electric load type below. Please include the supply details, such as "irrigation pump" or "temporary construction power for new affordable housing development."

Electric Load Information

Complete one Load Summary for each Service Point. Add additional service points to Notes

Service Equipment Rating (amps)

Meter Disconnect Rating (amps)

Specify Other:

Single Phase Circuit

Service Point Description/Location

	Quantity	Load Each (kVA)	1ϕ Load Total (kVA)	CALCULATIONS FOR INTERNAL USE: Reserve Capacity (kVA)
Lighting
Receptacles
Electric Water Heating
Electric Heating
Commercial Cooking
Refrigeration
Resistance Welders
Arc Welders (Largest Unit)
EV Charging Station
Other 1 (Describe)
Other 2 (Describe)
Total (kVA)

"Other 1" Description

"Other 2" Description

Single Phase Horsepower
(Note: hp will be converted to kVA at 0.746)

	Quantity	Load Each (hp)	1ϕ Load Total (kVA)	CALCULATIONS FOR INTERNAL USE: Reserve Capacity (kVA)
Air Conditioning
Elevators
Fire Pump
Other (Describe)
Total (hp)

"Other" Description

	Largest Motor:	Motors 40 hp & above:
Type
Rated hp
Locked-rotor current (amps)
Motor Use

Three Phase Circuit

Service Point Description/Location

	Quantity	Load Each (kVA)	3ϕ Load Total (kVA)	CALCULATIONS FOR INTERNAL USE: Reserve Capacity (kVA)
Lighting
Receptacles
Water Heating
Electric Heating
Commercial Cooking
Refrigeration
Resistance Welders
Arc Welders (Largest Unit)
EV Charging Station
Other 1 (Describe)
Other 2 (Describe)
Total (kVA)

"Other 1" Description

"Other 2" Description

Three Phase Horsepower
(Note: hp will be converted to kVA at 0.746)

	Quantity	Load Each (hp)	3ϕ Load Total (kVA)	CALCULATIONS FOR INTERNAL USE: Reserve Capacity (kVA)
Air Conditioning
Elevators
Fire Pump
Other (Describe)
Total (hp)

"Other" Description

	Largest Motor:	Motors 40 hp & above:
Type
Rated hp
Locked-rotor current (amps)
Motor Use

Ramp Up Schedule

When will the load reach the below percentages of total forecast?

	Estimated Week from Service Energization:
25% of Electrical Load
50% of Electrical Load
75% of Electrical Load
100% of Electrical Load

Street/Sidewalk Improvement

Does the project include any street/sidewalk improvement along public streets?

NoYes

If yes, contact slengineering@sfwater.org .

Customer Self Generation and Net Energy Metering

This Application form is for electric service only. The installation and interconnection of self-generation equipment, including photovoltaic systems, requires the submission of an interconnection application and SFPUC approval. Please contact hhpower@sfwater.org for more assistance.

Do you plan to install onsite self-generation equipment?

YesNo

Generation type:

Total output in kWAC

Attachments

A. Site Plan(s)

Drawn to scale, indicating proposed locations of electric metering (including any sprinkler controller meter), switchgear, and (if applicable) transformers. Show easements, rights-of-way, property lines, grading, roads, road names, sidewalks, driveways. Indicate location of fire hydrants and other structures, drains (water, sewer, storm) and proposed future improvements. Minimum 300 dpi, include relevant directional, scale, legend, and context information.

For permanent shutdown/service removals, if site plan is unavailable, upload map with electrical room denoted in reference to nearby streets. Clear pathway identifying access to existing panel must be shown on site plan or map.

B. Building floor plans and exterior elevations

Minimum 300 dpi, Include relevant directional, scale, legend, and context information.

C. Electrical Drawings

Electrical drawings and schedules with complete breakdown of equipment, including electric switchboard drawings. Minimum 300 dpi, include relevant directional, scale, legend, and context information. Upload at least one file.

D. Single Line Diagrams

Single line diagram showing the meter, customer main service panel (and its main switch size), transformers (if any), poles, vaults, and /or junction boxes (if any). Minimum 300 dpi, include relevant directional, scale, legend, and context information. Upload at least one file.

E. Street Light and Traffic Signal Plans (if applicable)

If applicable. Minimum 300 dpi, include relevant directional, scale, legend, and context information.

F. Department of Building Inspection permit (if applicable)

G. Request for Unmetered Service (if applicable)

H. Proposed Joint Trench Agreement (if applicable)

I. Meter (for Permanent Shutdown/Service Removals only)

Photo of the meter and surrounding area

Close-up photo of the meter face

Other Notes or Requests

Additional information, such as existing active WDT Application

Acknowledgement

The applicant hereby applies to the SFPUC for electric service. Applicant acknowledges that this Application is subject to the SFPUC's Rules and Regulations Governing Electric Service that can be found at https://sfpuc.org/ElectricRules.

By clicking "Submit" below, I agree that the information contained in this Application is correct to the best of my knowledge. I understand that any changes made to the above information or attached documents may increase the time and costs required for SFPUC to provide electric service at the requested service address and that I will be responsible for any increased costs resulting from such changes.

I understand that service will be engineered and installed based in part upon the information provided here. The SFPUC will provide the Applicant with a service agreement estimating the Applicant’s cost responsibility. Subject to entering into a service agreement with the SFPUC, I agree to pay SFPUC for all work SFPUC performs and all costs SFPUC incurs to provide the service requested by this Application. SFPUC may cancel this project if I do not proceed with the project and it becomes inactive for 12 months. If the project is cancelled, by either party, I will pay SFPUC for all such work and costs incurred by SFPUC prior to the cancellation.

I have read and agree to the terms above.

Contact Name & Title

Hidden Fields for Record Transfer to Salesforce (INTERNAL USE)

This is the default information for the required fields in Salesforce.

Opportunity Type

Close Date

Stage

Total Connected

Reserve Capacity

Summer Demand

	Residential	Light Commercial	Commercial	Industrial
1:00 AM
2:00 AM
3:00 AM
4:00 AM
5:00 AM
6:00 AM
7:00 AM
8:00 AM
9:00 AM
10:00 AM
11:00 AM
12:00 PM
1:00 PM
2:00 PM
3:00 PM
4:00 PM
5:00 PM
6:00 PM
7:00 PM
8:00 PM
9:00 PM
10:00 PM
11:00 PM
12:00 AM

Winter Demand

	Residential	Light Commercial	Commercial	Industrial
1:00 AM
2:00 AM
3:00 AM
4:00 AM
5:00 AM
6:00 AM
7:00 AM
8:00 AM
9:00 AM
10:00 AM
11:00 AM
12:00 PM
1:00 PM
2:00 PM
3:00 PM
4:00 PM
5:00 PM
6:00 PM
7:00 PM
8:00 PM
9:00 PM
10:00 PM
11:00 PM
12:00 AM

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Contact Information

Load Type ResidentialLight CommercialCommercial (industrial secondary)Industrial (industrial primary)Mixed UseOther	Service Type UndergroundOverhead	Service Duration PermanentTemporary
Will property be all electric? YesNo	Buy America Requirements/Federal Funding Restrictions? YesNo

120/208 Volt, 3-wire, 1ϕ	120/240 Volt, 3-wire, 1ϕ	208/120 Volt, 4-wire, 3ϕ
240/120 Volt, 4-wire, 3ϕ	480/277 Volt, 4-wire, 3ϕ	Primary Voltage (>or equal 2,400 Volts)
Other