non-residentail service request/load sheet form

advertisement
NON-RESIDENTAIL SERVICE REQUEST/LOAD SHEET FORM
To provide you with timely and accurate service, please complete all five sections of this form.
Duke Energy Carolinas will assess a nonrefundable $15 connect fee for all newly activated electric accounts.
The Delivery Information and Load/Equipment information sections are needed by our engineering group to accurately
meet your electrical requirements. Please be aware that a load sheet is required for each meter. If this information
is not available at this time, please complete the Billing Information, Service (Site) Address Information and Additional
Contact Information sections so we can initiate your service request.
Please email, fax or mail this information to:
Email - loadsheets@duke-energy.com • FAX - 800.943.6910
Mail - Duke Energy, Attn: Business & Industry, 9700 David Taylor Drive, Charlotte, NC 28262-2683
1) BILLING INFORMATION – Complete applicable fields
Customer’s Legal Billing Name (Should match Federal Tax ID):
Form of Ownership:
Sole Proprietor
Partnership
Corporation
Limited Liability Partnership
Doing Business As (DBA):
Mailing Address:
City:
Additional Mailing Info:
Billing Contact Name:
Daytime Phone #:
Email:
Property Ownership:
Name of Property Owner:
Limited Liability Corporation
Federal Tax ID / SS#:
State:
Zip Code:
Title:
FAX #:
Own
Rent / Lease
Have you ever had non-residential service with Duke Energy?
If yes, list other Duke Energy account # or service address:
If no, provide Dunn & Bradstreet (D&B) number if applicable:
Yes
No
2) SERVICE (SITE) ADDRESS INFORMATION – Complete applicable fields.
New Service (No Existing Service Lines)
Existing Service (Existing Service Lines)
Upgrade Existing Service (Existing Service Lines)
Provide Duke Energy account # or Meter #:
Service Address/Location:
City:
County:
Directions from the main road:
State:
Zip Code:
What type of business or facility will this meter serve? (e.g. Plastic Extrusion Plant, High School, Retail Shoe Store, EV
Charging Station, etc.)
Actual Hours of Operation: M - F:
Requested by:
Daytime Phone #:
Email:
Alternate Phone #:
Weekends:
Other:
Title:
FAX #:
Date Service Needed:
NOTE: A final inspection may be needed to complete your service request. Check with the appropriate City or
County Inspections Dept. to determine their communication procedures with Duke Energy.
3) ADDITIONAL CONTACT INFORMATION – Complete applicable fields.
General Contractor/Builder Name:
Electrician/Engineer Name:
Daytime Phone #:
Daytime Phone #:
Alternate Phone #:
Alternate Phone #:
FAX #:
FAX #:
Email:
Email:
4) DELIVERY INFORMATION – Complete applicable fields. (We do not except electrical schematics in place of
the form)
Note: Please have your Contractor, Engineer or Electrical Contractor access Duke Energy Carolinas’
Service Requirements Manual
Total (kW) Load:
Additional (kW) Load Only:
Check box if this service will be service to a shell space:
Check Service Desired:
Overhead
Customer wire type:
Aluminum
Check Phase Desired:
Single Phase
Delivery Voltage:
Service Panel Size:
# Conductors Per Phase:
# Neutral Conductors:
(Volts)
(Amps)
Underground
Copper
Three Phase
Number of wires:
3
4
Size of Conductors:
Size of Neutral:
NOTE: If underground 3 Phase Service is required, the maximum number of conductors per phase varies
based on wire size. (For example: 8 for 700MCM to 750MCM and 10 for 600 MCM or smaller.)
Gross Square Footage:
Duke Energy Work Request #:
Send Confirmation FAX to:
Conditioned Square Footage:
FAX #:
5) LOAD / EQUIPMENT INFORMATION – Complete applicable fields:
LIGHTING / RECEPTACLE
Interior Lights
(Total kW)
Exterior Lights
(Total kW)
Receptacles
(Quantity)
Receptacles
(Total kW)
WATER HEATING
Domestic
Sanitary
Booster
Instant / Tankless
Quantity
Quantity
Quantity
Quantity
Gallons
Gallons
Gallons
Total kW
Total kW
Total kW
HEATING / COOLING
Type of Heat / Cooling
QTY
List heat / cooling source below. (Examples heat pump,
strip heat, electric furnace, chiller, water source heating)
SIZE
(Tons or kW
Preferred)
Total kW
kW
(per unit)
Back – up heating source (if applicable)
Provide Starting/Lock rotor Amps for the largest unit:
. If this unit has starting compensation, provide a
description:
Note: Starting compensation required on units greater than 5 tons (7.5 kW)
Type of Equipment
(Cooking, Refrigeration,
Other)
Description of Each Motor
(Motors not included elsewhere
on this form)
FOOD SERVICE EQUIPMENT
Description
(Range, Refrigeration, Freezer,
Microwave, etc.)
QTY
QTY
MOTOR DATA
HP
Starting Frequency
(Per Unit)
# Times / Interval
kW
(per unit)
3 Phase
Y/N
Provide Starting/Lock rotor Amps for the largest unit:
. If this unit has starting compensation, provide a
description:
Note: Starting compensation required on units greater than 5 tons (7.5 kW)
Type of Equipment
(Welder, X-Ray, MRI,
EV Charging Station)
OTHER EQUIPMENT
QTY
Amps
Volts
(Per Unit)
(Per Unit)
kW
(Per Unit)
3 Phase
Y/N
Provide Starting/Surge rotor Amps for the largest unit:
. If this unit has starting compensation, provide a
description:
Note: Starting compensation required on units greater than 5 tons (7.5 kW)
Special Instructions: Please copy load equipment page additional equipment that was not captured above.
Questions? Please call: 800.653.5307
©2015 Duke Energy Corporation 13-014LU 5/15
Download