B08_Attach_27_MEVE_218998_FIO_Empire_Electric_Service_2023_09_22.pdf
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- Solicitation number
- 140P2025R0094
About this file
This document contains Empire Electric Association's Commercial Data Sheet and multiple Residential Data Sheets for electrical service applications at Mesa Verde National Park in Colorado. The commercial application is for the Mesa Verde Museum project, with the National Park Service as the owner and Jason Matheis as the electrical engineer contractor. The commercial facility requires a 225-amp main disconnect with 3-phase, 480-volt service at 81.2kW estimated demand, serving an 11,597 square foot building with various electrical loads including lighting (17.2kW), receptacles (17.6kW), water heating (9.0kW), cooking equipment (6.0kW), servers/UPS (2kW), and a 5HP pump motor.
The residential data sheets cover eight separate residence units, each requiring 200-amp main disconnect service with single-phase 240-volt electrical systems. The residential units have estimated demands ranging from 22.7kW to 35kW and include standard residential electrical loads such as electric ranges (8kW), water heaters (2.5-12.3kW), dryers (6kW), heat pumps (2.8-9.6kW), washers (1.5kW), and Level 2 EV chargers (6.6kW). All applications are marked as service upgrades rather than new installations, with "Future PV" noted as an alternate energy source, suggesting planned solar installations. The forms were completed by Jason Matheis on September 22, 2023, and require completion before any electrical design work can begin.
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Empire Electric Association, Inc.
P.O. Drawer K Cortez, Colorado 81321 Phone: 565-4444 COMMERCIAL DATA SHEET
Project:
Site Location (Street) (City)
Owner: (Name) (Telephone)
(Mailing Address) (City, State, Zip)
Architect, Engineer, or Contractor (Name)
(Address) (Telephone)
Individual or Company responsible for electrical usage billing: (Name)
(Address) (Telephone) Please provide an electronic/hardcopy of the plans (site plans, electrical (E) one-line drawing, and load calculations).
ELECTRIC LOAD INFORMATION:
Main Disconnect (UL Listed) Size Amps
Type of Service Desired:
(Phasing) (Voltage) (Wire size/number) Est. Demand (amps/kW)
Lighting (type(s) & total amps/kW per type) 1Ø Air Conditioner* (amps/kW)
3Ø Air Conditioner* (amps/kW) Receptacles (count per voltage & total amps/kW)
1Ø Heat Pumps (amps/kW)
Water Heating (amps/kW) 3Ø Heat Pumps (amps/kW)
Duct Air Heaters (amps/kW) Aux. Strip Heaters (kW)
Cooking (amps/kW) 1Ø Misc. Motors** (HP)
X-Ray* (phasing/voltage/resting load/momentary line current) 3Ø Misc. Motors** (HP)
Resistance Heat (amps/kW)
Welders* (type(s) & total amps/kW) Servers/UPS (amps/kW)
Other - specify (amps/kW)
EV Charger(s) (Level, phasing, voltage, amps/kW, provide data sheet if requested)
Compressor (amps/kW)
* Additional information may be required on this equipment if flicker problems are anticipated.
** For motors larger than 10 HP, or using a three-phase converter and/or VFD, name plate data is required, as well as the type and size of the converter/VFD.
Total Building Square Footage:
Largest Motor (HP) Use of Largest Motor
Alternate Energy Source(s) Use(s) of Alternate Energy
NOTE: This form must be completed before any design work can be initiated.
Signature: Date:
jasonm Text Box National Park Service (Allan Loy) jasonm Text Box 1 Mesa Verde jasonm Text Box Mesa Verde National Park, CO 81330 jasonm Text Box Jason Matheis (Electrical Engineer) jasonm Text Box 100 SW Main Street, Suite 1600 jasonm Text Box 503-544-9527 jasonm Text Box 1 Mesa Verde jasonm Text Box Mesa Verde National Park, CO 81330 jasonm Text Box National Park Service (Allan Loy) jasonm Text Box 1 Mesa Verde jasonm Text Box Mesa Verde Museum jasonm Text Box jasonm Text Box Jason Matheis (Electrical Engineer) jasonm Text Box 9/22/2023 jasonm Text Box 6.0kW jasonm Text Box N/A jasonm Text Box N/A jasonm Text Box N/A jasonm Text Box N/A jasonm Text Box jasonm Text Box jasonm Text Box 11,597 jasonm Text Box N/A jasonm Text Box N/A jasonm Text Box 9.0kW jasonm Text Box 17.2kW jasonm Text Box 17.6kW jasonm Text Box 300kcmil/4 jasonm Text Box N/A jasonm Text Box N/A jasonm Text Box
5 HP
jasonm Text Box
PUMP
jasonm Text Box N/A jasonm Text Box N/A jasonm Text Box N/A jasonm Text Box N/A jasonm Text Box
12.5 HP
jasonm Text Box 2kW jasonm Text Box N/A jasonm Text Box N/A jasonm Text Box 81.2kW
Empire Electric Association , Inc.
Phone: 565-4444
RESIDENTIAL DATA SHEET
Owner: (Name) (Telephone)
Address (Site) (City)
Address (Mailing) (City)
Contractor (Name) (Telephone)
(Address) (City, State, Zip)
Provide a sketch of the proposed building site on the back of this page, including: north arrow; quarter-section, township, and range, or subdivision name , lot, and block number; location of nearest neighboring residence; and preferred location of electricity meter on the sketch of the residence (EEA will have final say on meter location, but we will take the Consumer’s preferences into consideration as long as they meet the conditions of our policy).
New Service:
Frame or Log Home Mobile Home/Modular Square Footage (total – includes any space with outlets and/or heating/AC) Service Upgrade Service Relocation
ELECTRIC LOAD INFORMATION:
Main disconnect size amps Type of Service Desired:
(Phasing) (Voltage) (Wire-size/number) Est. Demand (amps/kW) [Check () items as gas or electric power source; use a number in place of a check mark if there is more than one. FOR SERVICE UPGRADES note existing appliances, etc. by ( )].
Gas Electric (Provide amps/kW only if source is electric) Check if these are included
Range/Oven: Amps/kW EV Charger: See be low* Water Heater (tank): Amps/kW Washer Amps/kW Water Heater (on-demand): Amps/kW Dryer Amps/kW Heat (Indicate amps/kW for all (electric source) that apply) :
Heat Pump (amps/kW**) Forced Air (amps/kW†) Heat Tape (amps/kW) In-Ceiling Heat (amps/kW) Boiler System (Baseboard, Radiators, etc.) (amps/kW)
* For EV chargers please indicate Level, amps/kW, voltage, and/or provide a data sheet with these specifics) ** For heat pumps, provide number and kW/amps of auxiliary heat strips † For forced air, please do not provide BTUs. This is a unit of energy, not demand.
If applicable, list shop equipment, size of irrigation motors, welders, engine heaters, stock water heaters, etc.
List extra appliances and pumps not shown above (i.e. jacuzzi, hot tub, sauna, pool filters or heating, etc.):
Alternate energy sources (i.e. natural gas, propane, coal, solar, etc.) type(s):
Use(s) of alternate energy:
Text Box National Park Service (Allan Loy) jasonm Text Box 1 Mesa Verde jasonm Text Box Mesa Verde National Park, CO 81330 jasonm Text Box x jasonm Text Box 1 Mesa Verde jasonm Text Box Mesa Verde National Park, CO 81330 jasonm Text Box Jason Matheis (Electrical Engineer) jasonm Text Box 503-544-9527 jasonm Text Box 100 SW Main Street, Suite 1600 jasonm Text Box Portland, OR 97204 jasonm Text Box jasonm Text Box jasonm Text Box x jasonm Text Box x jasonm Text Box x jasonm Text Box x jasonm Text Box x jasonm Text Box Service sized for future EV Level 2 6.6kW jasonm Text Box jasonm Text Box 8kW jasonm Text Box 12.3kW jasonm Text Box 6kW jasonm Text Box 35kW jasonm Text Box x jasonm Text Box 1.5kW jasonm Text Box 9.6kW jasonm Text Box Future PV jasonm Text Box Jason Matheis (Electrical Engineer) jasonm Text Box 9/22/2023 jasonm Text Box 250kcmil/3 jasonm
Residence 1
Address (Mailing) (City)
Contractor (Name) (Telephone)
(Address) (City, State, Zip)
Provide a sketch of the proposed building site on the back of this page, including: north arrow; quarter-section, township, and range, or subdivision name , lot, and block number; location of nearest neighboring residence; and preferred location of electricity meter on the sketch of the residence (EEA will have final say on meter location, but we will take the Consumer’s preferences into consideration as long as they meet the conditions of our policy).
New Service:
Frame or Log Home Mobile Home/Modular Square Footage (total – includes any space with outlets and/or heating/AC) Service Upgrade Service Relocation
ELECTRIC LOAD INFORMATION:
Main disconnect size amps Type of Service Desired:
(Phasing) (Voltage) (Wire-size/number) Est. Demand (amps/kW) [Check () items as gas or electric power source; use a number in place of a check mark if there is more than one. FOR SERVICE UPGRADES note existing appliances, etc. by ( )].
Gas Electric (Provide amps/kW only if source is electric) Check if these are included
Range/Oven: Amps/kW EV Charger: See be low* Water Heater (tank): Amps/kW Washer Amps/kW Water Heater (on-demand): Amps/kW Dryer Amps/kW Heat (Indicate amps/kW for all (electric source) that apply) :
Heat Pump (amps/kW**) Forced Air (amps/kW†) Heat Tape (amps/kW) In-Ceiling Heat (amps/kW) Boiler System (Baseboard, Radiators, etc.) (amps/kW)
* For EV chargers please indicate Level, amps/kW, voltage, and/or provide a data sheet with these specifics)
If applicable, list shop equipment, size of irrigation motors, welders, engine heaters, stock water heaters, etc.
List extra appliances and pumps not shown above (i.e. jacuzzi, hot tub, sauna, pool filters or heating, etc.):
Text Box National Park Service (Allan Loy) jasonm Text Box 1 Mesa Verde jasonm Text Box Mesa Verde National Park, CO 81330 jasonm Text Box x jasonm Text Box 1 Mesa Verde jasonm Text Box Mesa Verde National Park, CO 81330 jasonm Text Box Jason Matheis (Electrical Engineer) jasonm Text Box 503-544-9527 jasonm Text Box 100 SW Main Street, Suite 1600 jasonm Text Box Portland, OR 97204 jasonm Text Box jasonm Text Box jasonm Text Box x jasonm Text Box x jasonm Text Box x jasonm Text Box x jasonm Text Box x jasonm Text Box Service sized for future EV Level 2 6.6kW jasonm Text Box jasonm Text Box 8kW jasonm Text Box 2.5kW jasonm Text Box 6kW jasonm Text Box 24.4kW jasonm Text Box x jasonm Text Box 1.5kW jasonm Text Box 4kW jasonm Text Box Future PV jasonm Text Box Jason Matheis (Electrical Engineer) jasonm Text Box 9/22/2023 jasonm Text Box 250kcmil/3 jasonm
Residence 2
Address (Mailing) (City)
Contractor (Name) (Telephone)
(Address) (City, State, Zip)
Provide a sketch of the proposed building site on the back of this page, including: north arrow; quarter-section, township, and range, or subdivision name , lot, and block number; location of nearest neighboring residence; and preferred location of electricity meter on the sketch of the residence (EEA will have final say on meter location, but we will take the Consumer’s preferences into consideration as long as they meet the conditions of our policy).
New Service:
Frame or Log Home Mobile Home/Modular Square Footage (total – includes any space with outlets and/or heating/AC) Service Upgrade Service Relocation
ELECTRIC LOAD INFORMATION:
Main disconnect size amps Type of Service Desired:
(Phasing) (Voltage) (Wire-size/number) Est. Demand (amps/kW) [Check () items as gas or electric power source; use a number in place of a check mark if there is more than one. FOR SERVICE UPGRADES note existing appliances, etc. by ( )].
Gas Electric (Provide amps/kW only if source is electric) Check if these are included
Range/Oven: Amps/kW EV Charger: See be low* Water Heater (tank): Amps/kW Washer Amps/kW Water Heater (on-demand): Amps/kW Dryer Amps/kW Heat (Indicate amps/kW for all (electric source) that apply) :
Heat Pump (amps/kW**) Forced Air (amps/kW†) Heat Tape (amps/kW) In-Ceiling Heat (amps/kW) Boiler System (Baseboard, Radiators, etc.) (amps/kW)
* For EV chargers please indicate Level, amps/kW, voltage, and/or provide a data sheet with these specifics)
If applicable, list shop equipment, size of irrigation motors, welders, engine heaters, stock water heaters, etc.
List extra appliances and pumps not shown above (i.e. jacuzzi, hot tub, sauna, pool filters or heating, etc.):
Text Box National Park Service (Allan Loy) jasonm Text Box 1 Mesa Verde jasonm Text Box Mesa Verde National Park, CO 81330 jasonm Text Box x jasonm Text Box 1 Mesa Verde jasonm Text Box Mesa Verde National Park, CO 81330 jasonm Text Box Jason Matheis (Electrical Engineer) jasonm Text Box 503-544-9527 jasonm Text Box 100 SW Main Street, Suite 1600 jasonm Text Box Portland, OR 97204 jasonm Text Box jasonm Text Box jasonm Text Box x jasonm Text Box x jasonm Text Box x jasonm Text Box x jasonm Text Box x jasonm Text Box Service sized for future EV Level 2 6.6kW jasonm Text Box jasonm Text Box 8kW jasonm Text Box 2.5kW jasonm Text Box 6kW jasonm Text Box 23kW jasonm Text Box x jasonm Text Box 1.5kW jasonm Text Box 3.2kW jasonm Text Box Future PV jasonm Text Box Jason Matheis (Electrical Engineer) jasonm Text Box 9/22/2023 jasonm Text Box 250kcmil/3 jasonm
Residence 3
Address (Mailing) (City)
Contractor (Name) (Telephone)
(Address) (City, State, Zip)
Provide a sketch of the proposed building site on the back of this page, including: north arrow; quarter-section, township, and range, or subdivision name , lot, and block number; location of nearest neighboring residence; and preferred location of electricity meter on the sketch of the residence (EEA will have final say on meter location, but we will take the Consumer’s preferences into consideration as long as they meet the conditions of our policy).
New Service:
Frame or Log Home Mobile Home/Modular Square Footage (total – includes any space with outlets and/or heating/AC) Service Upgrade Service Relocation
ELECTRIC LOAD INFORMATION:
Main disconnect size amps Type of Service Desired:
(Phasing) (Voltage) (Wire-size/number) Est. Demand (amps/kW) [Check () items as gas or electric power source; use a number in place of a check mark if there is more than one. FOR SERVICE UPGRADES note existing appliances, etc. by ( )].
Gas Electric (Provide amps/kW only if source is electric) Check if these are included
Range/Oven: Amps/kW EV Charger: See be low* Water Heater (tank): Amps/kW Washer Amps/kW Water Heater (on-demand): Amps/kW Dryer Amps/kW Heat (Indicate amps/kW for all (electric source) that apply) :
Heat Pump (amps/kW**) Forced Air (amps/kW†) Heat Tape (amps/kW) In-Ceiling Heat (amps/kW) Boiler System (Baseboard, Radiators, etc.) (amps/kW)
* For EV chargers please indicate Level, amps/kW, voltage, and/or provide a data sheet with these specifics)
If applicable, list shop equipment, size of irrigation motors, welders, engine heaters, stock water heaters, etc.
List extra appliances and pumps not shown above (i.e. jacuzzi, hot tub, sauna, pool filters or heating, etc.):
Text Box National Park Service (Allan Loy) jasonm Text Box 1 Mesa Verde jasonm Text Box Mesa Verde National Park, CO 81330 jasonm Text Box x jasonm Text Box 1 Mesa Verde jasonm Text Box Mesa Verde National Park, CO 81330 jasonm Text Box Jason Matheis (Electrical Engineer) jasonm Text Box 503-544-9527 jasonm Text Box 100 SW Main Street, Suite 1600 jasonm Text Box Portland, OR 97204 jasonm Text Box jasonm Text Box jasonm Text Box x jasonm Text Box x jasonm Text Box x jasonm Text Box x jasonm Text Box x jasonm Text Box Service sized for future EV Level 2 6.6kW jasonm Text Box jasonm Text Box 8kW jasonm Text Box 2.5kW jasonm Text Box 6kW jasonm Text Box 22.9kW jasonm Text Box x jasonm Text Box 1.5kW jasonm Text Box 2.8kW jasonm Text Box Future PV jasonm Text Box Jason Matheis (Electrical Engineer) jasonm Text Box 9/22/2023 jasonm Text Box 250kcmil/3 jasonm
Residence 4
Address (Mailing) (City)
Contractor (Name) (Telephone)
(Address) (City, State, Zip)
Provide a sketch of the proposed building site on the back of this page, including: north arrow; quarter-section, township, and range, or subdivision name , lot, and block number; location of nearest neighboring residence; and preferred location of electricity meter on the sketch of the residence (EEA will have final say on meter location, but we will take the Consumer’s preferences into consideration as long as they meet the conditions of our policy).
New Service:
Frame or Log Home Mobile Home/Modular Square Footage (total – includes any space with outlets and/or heating/AC) Service Upgrade Service Relocation
ELECTRIC LOAD INFORMATION:
Main disconnect size amps Type of Service Desired:
(Phasing) (Voltage) (Wire-size/number) Est. Demand (amps/kW) [Check () items as gas or electric power source; use a number in place of a check mark if there is more than one. FOR SERVICE UPGRADES note existing appliances, etc. by ( )].
Gas Electric (Provide amps/kW only if source is electric) Check if these are included
Range/Oven: Amps/kW EV Charger: See be low* Water Heater (tank): Amps/kW Washer Amps/kW Water Heater (on-demand): Amps/kW Dryer Amps/kW Heat (Indicate amps/kW for all (electric source) that apply) :
Heat Pump (amps/kW**) Forced Air (amps/kW†) Heat Tape (amps/kW) In-Ceiling Heat (amps/kW) Boiler System (Baseboard, Radiators, etc.) (amps/kW)
* For EV chargers please indicate Level, amps/kW, voltage, and/or provide a data sheet with these specifics)
If applicable, list shop equipment, size of irrigation motors, welders, engine heaters, stock water heaters, etc.
List extra appliances and pumps not shown above (i.e. jacuzzi, hot tub, sauna, pool filters or heating, etc.):
Text Box National Park Service (Allan Loy) jasonm Text Box 1 Mesa Verde jasonm Text Box Mesa Verde National Park, CO 81330 jasonm Text Box x jasonm Text Box 1 Mesa Verde jasonm Text Box Mesa Verde National Park, CO 81330 jasonm Text Box Jason Matheis (Electrical Engineer) jasonm Text Box 503-544-9527 jasonm Text Box 100 SW Main Street, Suite 1600 jasonm Text Box Portland, OR 97204 jasonm Text Box jasonm Text Box jasonm Text Box x jasonm Text Box x jasonm Text Box x jasonm Text Box x jasonm Text Box x jasonm Text Box Service sized for future EV Level 2 6.6kW jasonm Text Box jasonm Text Box 8kW jasonm Text Box 2.5kW jasonm Text Box 6kW jasonm Text Box 24.3kW jasonm Text Box x jasonm Text Box 1.5kW jasonm Text Box 4kW jasonm Text Box Future PV jasonm Text Box Jason Matheis (Electrical Engineer) jasonm Text Box 9/22/2023 jasonm Text Box 250kcmil/3 jasonm
Residence 5
Address (Mailing) (City)
Contractor (Name) (Telephone)
(Address) (City, State, Zip)
Provide a sketch of the proposed building site on the back of this page, including: north arrow; quarter-section, township, and range, or subdivision name , lot, and block number; location of nearest neighboring residence; and preferred location of electricity meter on the sketch of the residence (EEA will have final say on meter location, but we will take the Consumer’s preferences into consideration as long as they meet the conditions of our policy).
New Service:
Frame or Log Home Mobile Home/Modular Square Footage (total – includes any space with outlets and/or heating/AC) Service Upgrade Service Relocation
ELECTRIC LOAD INFORMATION:
Main disconnect size amps Type of Service Desired:
(Phasing) (Voltage) (Wire-size/number) Est. Demand (amps/kW) [Check () items as gas or electric power source; use a number in place of a check mark if there is more than one. FOR SERVICE UPGRADES note existing appliances, etc. by ( )].
Gas Electric (Provide amps/kW only if source is electric) Check if these are included
Range/Oven: Amps/kW EV Charger: See be low* Water Heater (tank): Amps/kW Washer Amps/kW Water Heater (on-demand): Amps/kW Dryer Amps/kW Heat (Indicate amps/kW for all (electric source) that apply) :
Heat Pump (amps/kW**) Forced Air (amps/kW†) Heat Tape (amps/kW) In-Ceiling Heat (amps/kW) Boiler System (Baseboard, Radiators, etc.) (amps/kW)
* For EV chargers please indicate Level, amps/kW, voltage, and/or provide a data sheet with these specifics)
If applicable, list shop equipment, size of irrigation motors, welders, engine heaters, stock water heaters, etc.
List extra appliances and pumps not shown above (i.e. jacuzzi, hot tub, sauna, pool filters or heating, etc.):
Text Box National Park Service (Allan Loy) jasonm Text Box 1 Mesa Verde jasonm Text Box Mesa Verde National Park, CO 81330 jasonm Text Box x jasonm Text Box 1 Mesa Verde jasonm Text Box Mesa Verde National Park, CO 81330 jasonm Text Box Jason Matheis (Electrical Engineer) jasonm Text Box 503-544-9527 jasonm Text Box 100 SW Main Street, Suite 1600 jasonm Text Box Portland, OR 97204 jasonm Text Box jasonm Text Box jasonm Text Box x jasonm Text Box x jasonm Text Box x jasonm Text Box x jasonm Text Box x jasonm Text Box Service sized for future EV Level 2 6.6kW jasonm Text Box jasonm Text Box 8kW jasonm Text Box 2.5kW jasonm Text Box 6kW jasonm Text Box 23.2kW jasonm Text Box x jasonm Text Box 1.5kW jasonm Text Box 3.2kW jasonm Text Box Future PV jasonm Text Box Jason Matheis (Electrical Engineer) jasonm Text Box 9/22/2023 jasonm Text Box 250kcmil/3 jasonm
Residence 6
Address (Mailing) (City)
Contractor (Name) (Telephone)
(Address) (City, State, Zip)
Provide a sketch of the proposed building site on the back of this page, including: north arrow; quarter-section, township, and range, or subdivision name , lot, and block number; location of nearest neighboring residence; and preferred location of electricity meter on the sketch of the residence (EEA will have final say on meter location, but we will take the Consumer’s preferences into consideration as long as they meet the conditions of our policy).
New Service:
Frame or Log Home Mobile Home/Modular Square Footage (total – includes any space with outlets and/or heating/AC) Service Upgrade Service Relocation
ELECTRIC LOAD INFORMATION:
Main disconnect size amps Type of Service Desired:
(Phasing) (Voltage) (Wire-size/number) Est. Demand (amps/kW) [Check () items as gas or electric power source; use a number in place of a check mark if there is more than one. FOR SERVICE UPGRADES note existing appliances, etc. by ( )].
Gas Electric (Provide amps/kW only if source is electric) Check if these are included
Range/Oven: Amps/kW EV Charger: See be low* Water Heater (tank): Amps/kW Washer Amps/kW Water Heater (on-demand): Amps/kW Dryer Amps/kW Heat (Indicate amps/kW for all (electric source) that apply) :
Heat Pump (amps/kW**) Forced Air (amps/kW†) Heat Tape (amps/kW) In-Ceiling Heat (amps/kW) Boiler System (Baseboard, Radiators, etc.) (amps/kW)
* For EV chargers please indicate Level, amps/kW, voltage, and/or provide a data sheet with these specifics)
If applicable, list shop equipment, size of irrigation motors, welders, engine heaters, stock water heaters, etc.
List extra appliances and pumps not shown above (i.e. jacuzzi, hot tub, sauna, pool filters or heating, etc.):
Text Box National Park Service (Allan Loy) jasonm Text Box 1 Mesa Verde jasonm Text Box Mesa Verde National Park, CO 81330 jasonm Text Box x jasonm Text Box 1 Mesa Verde jasonm Text Box Mesa Verde National Park, CO 81330 jasonm Text Box Jason Matheis (Electrical Engineer) jasonm Text Box 503-544-9527 jasonm Text Box 100 SW Main Street, Suite 1600 jasonm Text Box Portland, OR 97204 jasonm Text Box jasonm Text Box jasonm Text Box x jasonm Text Box x jasonm Text Box x jasonm Text Box x jasonm Text Box x jasonm Text Box Service sized for future EV Level 2 6.6kW jasonm Text Box jasonm Text Box 8kW jasonm Text Box 2.5kW jasonm Text Box 6kW jasonm Text Box 25.4kW jasonm Text Box x jasonm Text Box 1.5kW jasonm Text Box 4kW jasonm Text Box Future PV jasonm Text Box Jason Matheis (Electrical Engineer) jasonm Text Box 9/22/2023 jasonm Text Box 250kcmil/3 jasonm
Residence 7
Address (Mailing) (City)
Contractor (Name) (Telephone)
(Address) (City, State, Zip)
Provide a sketch of the proposed building site on the back of this page, including: north arrow; quarter-section, township, and range, or subdivision name , lot, and block number; location of nearest neighboring residence; and preferred location of electricity meter on the sketch of the residence (EEA will have final say on meter location, but we will take the Consumer’s preferences into consideration as long as they meet the conditions of our policy).
New Service:
Frame or Log Home Mobile Home/Modular Square Footage (total – includes any space with outlets and/or heating/AC) Service Upgrade Service Relocation
ELECTRIC LOAD INFORMATION:
Main disconnect size amps Type of Service Desired:
(Phasing) (Voltage) (Wire-size/number) Est. Demand (amps/kW) [Check () items as gas or electric power source; use a number in place of a check mark if there is more than one. FOR SERVICE UPGRADES note existing appliances, etc. by ( )].
Gas Electric (Provide amps/kW only if source is electric) Check if these are included
Range/Oven: Amps/kW EV Charger: See be low* Water Heater (tank): Amps/kW Washer Amps/kW Water Heater (on-demand): Amps/kW Dryer Amps/kW Heat (Indicate amps/kW for all (electric source) that apply) :
Heat Pump (amps/kW**) Forced Air (amps/kW†) Heat Tape (amps/kW) In-Ceiling Heat (amps/kW) Boiler System (Baseboard, Radiators, etc.) (amps/kW)
* For EV chargers please indicate Level, amps/kW, voltage, and/or provide a data sheet with these specifics)
If applicable, list shop equipment, size of irrigation motors, welders, engine heaters, stock water heaters, etc.
List extra appliances and pumps not shown above (i.e. jacuzzi, hot tub, sauna, pool filters or heating, etc.):
Text Box National Park Service (Allan Loy) jasonm Text Box 1 Mesa Verde jasonm Text Box Mesa Verde National Park, CO 81330 jasonm Text Box x jasonm Text Box 1 Mesa Verde jasonm Text Box Mesa Verde National Park, CO 81330 jasonm Text Box Jason Matheis (Electrical Engineer) jasonm Text Box 503-544-9527 jasonm Text Box 100 SW Main Street, Suite 1600 jasonm Text Box Portland, OR 97204 jasonm Text Box jasonm Text Box jasonm Text Box x jasonm Text Box x jasonm Text Box x jasonm Text Box x jasonm Text Box Service sized for future EV Level 2 6.6kW jasonm Text Box jasonm Text Box 8kW jasonm Text Box 2.5kW jasonm Text Box 22.7kW jasonm Text Box 5.8kW jasonm Text Box Future PV jasonm Text Box Jason Matheis (Electrical Engineer) jasonm Text Box 9/22/2023 jasonm Text Box #2/0/3 jasonm
Residence 8
| SERVICE REQUEST MUSEUM COMMERCIAL DATA SHEET |
| Empire Electric Association, Inc. |
| ELECTRIC LOAD INFORMATION: |
| Signature: Date: |
| Page 1 |
| SERVICE REQUEST RESIDENTIAL 1 DATA SHEET |
| SERVICE REQUEST RESIDENTIAL 2 DATA SHEET |
| SERVICE REQUEST RESIDENTIAL 3 DATA SHEET |
| SERVICE REQUEST RESIDENTIAL 4 DATA SHEET |
| SERVICE REQUEST RESIDENTIAL 5 DATA SHEET |
| SERVICE REQUEST RESIDENTIAL 6 DATA SHEET |
| SERVICE REQUEST RESIDENTIAL 7 DATA SHEET |
| SERVICE REQUEST RESIDENTIAL 8 DATA SHEET |
File details come from the government source that posted it. Updated .