Form Center

2. Building Information
4. Building Address*
6. Major Cross Streets*
8. Applicant Name*
10. Company Name (if Applicable)
12. Applicant Information
14. Applicant Name*
16. Applicant Address*
18. Applicant Phone Number*
19. Applicant Email*
21. Owner Information
23. Owner Name*
25. Owner Address*
27. Owner Phone*
29. Architect / Engineer Information
31. Architect/Engineer Name
33. Architect/Engineer License Number
35. Architect/Engineer Address
37. Architect/Engineer Phone Number
38. Architect/Engineer Email
40. Contractor Information
42. Contractor Name
44. Contractor License Number
46. Contractor Address
48. Contractor Phone Number
49. Contractor Email
51. Description of Work
53. Description Type
    -- Select One --One/Two-Family Dwelling (R-3)ADU/JADU (R-3)Apartment/Condominium (R-2)Hotel/Motel (R-1)Assisted Living Facility (R-2.1) (R-4)Office (B)Retail (M)Restaurant (A-2) (B)Assembly (A-1) (A-2) (A-3)Parking Garage (U) (S-2)Storage/Warehouse (S-1) (S-2)Industrial/Manufacturing (F-1) (F-2)Other
55. Other
57. Number of EV Chargers
58. KW of EV Charger
60. Project Plans and Supporting Documents
62. *NOTE: ANY APPLICATION THAT IS INCOMPLETE OR INCONSISTENT WITH PLANS IS SUBJECT TO NOT BEING ACCEPTED BY THE CITY*
64. Supporting Documentation

    1. Site Plan and Floor Plan
    2. Single-Line Diagram
    3. Manufacture’s equipment specifications and installation instructions; and
    4. Electrical service load calculations STAMPED BY LICENSED DESIGN PROFESSONAL/ENGINEER for entire building, including EV unit(s); or energy management switch details.
66. NOTE: All applications and submittals for nonresidential (FORM-EV023C) and Multi-Family (FORM-EV023B) must be submitted by a licensed C-10 contractor.
68. PLEASE COMPLETE ELIGIBILITY EXPIDITED CHECKLIST FOR YOUR SPECIFIC PROJECT
70. FORM-EV023A
    One and Two-family EVCS
71. FORM-EV023B
    Multi-family EVCS
72. FORM-EV023C
    Nonresidential EVCS
73. FORM-EV023D
    Site Plan
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75. 1. Receive an email copy of this form.
76. Email address

    This field is not part of the form submission.

77. Submit

* indicates a required field