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Home My WebLink AboutR23390F - SCE Electric Svc FormsContract No. R23390F C_ PALM DESERT REDEVELOPMENT AGENCY STAFF REPORT REQUEST: AUTHORIZE THE EXECUTIVE DIRECTOR TO SIGN THREE (3) SOUTHERN CALIFORNIA EDISON APPLICATIONS AND CONTRACTS FOR ELECTRIC SERVICE FORMS FOR THE SIX STREETLIGHTS TO BE INSTALLED AT THE FALCON CREST AND LA ROCCA VILLA DEVELOPMENTS SUBMITTED BY: CATHERINE WALKER, SENIOR MANAGEMENT ANALYST CONTRACTOR: SOUTHERN CALIFORNIA EDISON P.O. BOX 11982 SANTA ANA, CA 92711 DATE: FEBRUARY 8, 2007 CONTENTS: 1) NEW STREET LIGHT AUTHORIZATION FORMS AND LETTER AUTHORIZATION 2) SC EDISON APPLICATIONS AND CONTRACT FOR ELECTRIC SERVICE FORMS Recommendation: By Minute Motion, that the Agency Board authorize the Executive Director to sign the Southern California Edison Applications and Contract for Electric Service forms. Executive Summarv: The attached contracts allow for the installation and all service associated with six streetlights to be located at the La Rocca Villas and Falcon Crest developments. Four of the streetlights will be located directly in the Falcon Crest development, and the Homeowners Association will pay for all energy costs. The remaining two are located at the La Rocca Villas development, and the property owner, the Housing Authority, will pay for all energy costs associated with them. Submitted by: Catherine Walker Senior Management Analyst Approval: McCarthy, ACM elopment Department Head: /Dave Yr' en ° Direc f Re velopment/Housing U orr Paul S. Gibson, Director of Finance m Q c6 Carlos L. Ort, Executive Director P. ° 4 w c Z ct ,as O > O G:\rda\Cathy Walker\Word Data\STAFF REPORTS\Staff Streetlights Falcon Crest and La Rocca Villas.doc I I I Y Of PRIM UESERi 73-510 FRED WARING DRIVE PALM DESERT, CALIFORNIA 92260-2578 TEL- 760 346-o6n FAX: 760 341-7098 info@palm-deserc.org January 5, 2007 Mr. Bertram Williams Southern California Edison P.O. Box 11982 Santa Ana, CA 92711 Dear Mr. Williams: Re: New Streetlight Authorization Forms — Tract 30795 (Falcon Crest) This letter authorizes the installation of six streetlights within the above -reference tract. Attached please find the signed Streetlight Authorization forms and a map for all six streetlights. Once these lights are installed, the .energy costs will be paid for by the homeowners' association or the property owner. Thank you for your assistance with this matter. If you have any questions, please feel free to contact me at your convenience at (760) 346-0611, Extension 448. Sincerely, Martin Alvarez Senior Management Analyst ma cc: Catherine Walker, Senior Management Analyst Stephen Roberts, Community Dynamics Copy To._Q_ • W al K P-C Date i — S -o'r 1 t) MM a IMU nru EDISON* DEVELOPER/APPLICANT MUST PROVIDE THIS FORM An EDISON INTERNATIONAL' Company COMPLET TSEPrTBLICAUTfIORITY ED BY FOR ANY SCE -OWNED STREETLIGHT, INSTALLATION, REMOVAL OR CHANGE REQUESTS Incomplete forms will be returned and not processed - PUBLIC AUTHORITY NAME: r l�L.•- f ,,/ S,(-� r BuildedDeveloper Name:�u-m Dqt-y f `` � �il�,� '�J",Phtine k ")10 Tract/Ref # ' VW ,a � 1 Streetl(ght Location ,tom Please Check one: Number of Imp(s) P-Fnstailation ❑ Removal ❑ Change — -Builder/DeveloperAdvanced- Energy Payment -collected -by -:—{chock one) - SCE X or *Government Agency *Date collected by Government Agency (if applicable) When is the Public Authority responsible for streetlight energy charges ? Lamp_Ty7 Upon EnergWn§ At a Future date : *Public Authority Is not responsible *Permanent party responsible for energy charges if "Public Authority Is not responsible" was checked. _Developer_ Homeowners Assoc. Private Party Other Public Authority Terms of Acceptance or Special Notes (By Government Agency): Energy Billing: Establish new account T, v &Pd1& L 3 Print name DAte Authorized Public Authority Agent Phone Ad s X rT Existing SERV ACCT # (ac unt #) J Signaturi M M 109 11M AN = R'. �A,B r`nUR ST G 8Y SCE _.... _ ._ - - -77 _ .: . - �g� ..0 }ri_n:. -r..r i -i--r Z.i.- -- t: �_ iGb. ,- i.:•: i::u:,r r:3 � . _S4Y: � .v _ i . - _ _ .. -.-♦. ry .r.wT4::� fi—i-:ie :'rt' —'i(} � _ v _'ti--4��.� _ : f.' ._t. _— ACTION: ENTER TRACT/REF# ON STREETLIGHT WORK ORDER FACEPLATE- W. o. g:: PLANNER NAME. (PRINT) �16100 Mcnil'ce Ad. 'FORWARD THIS FORM WITH MAP AND APPLICATION TO Romoland.-CA 9,26s§.9752 "Streetliaht Oraanizatian"Sida. D. Santa Ana E D 1 S O N ' `zVELOPERIAPPLICANT MUST PROL-; THIS FORM An EINSON fNTMATlONAL" Cowpwy COMPLETED BY THE PUBLIC AV MORITY FOR ANY SCE -OWNED STREETLIGHT. INSTALLATION, REMOVAL OR CHANGE REQUESTS Incomplete forms wX be returned and not processed - BuildaMeveloperN=&: -y'' w-f-a �.Phone#- /►,,,,�, Tract/Ref #�� 1Streedlght toeat(an U `� ! t�C'Jk �� Please Check arts,• Number of Lfmp(s) 'P-frtsWadan ❑ Removal Q Chwige ButidwMaveloperAdvancad-EnerMtPayment collected -by :—(check one)- . --- --- - SCE. or *Government Agency *Dab collected by Government Agency (If applicable) When Is the Public Authority responsible for strwtilght onergy charges ? Upon Energizing At a Future date , -2 ,'Public Authority is not responsible *Permanent party responsible for energy charges Ff "Public Authority is not responsible" was checked _Developer _ Homeowners Assoc. _Private Party ]�.Olher Public Authority Terms of Acce tance or Spa ctal Notes (By GovernmentA Energy Billing: Establish now account Existing SERV ACCT # —qoq7N &"V- Print name Authorized Public Authority //Agent f, Phon4/It:) 't✓(PL� w TO S.f C1CMPL��-D' S Y SCP_ ccaunt � 4? Ia�7 aDa Signature .mot • �T S T" Teti ACTION: ENTER TRA�•-C--T,i�R,EF# ON STRE_EMGHT WORK/ aRDER FFAACCEPLE �A7 W.O. # �. 1 f'"1 t Aid i 1.� :' 1 Ll .11 fi rns _ PLANNER NAME' =610O Menirce Rd. FORWARD THIS FORM WITH MAP AND APPLICATION TO Romoland. CA 92585-9752 "Streetliaht Organization"Slda. D. Santa Ana SOUTHERN CALIFORNIA EDISON STREET LIGHT AUTHORIZATION DEVELOPER/APPLICANT MUST PROVIDE THI$ FORM COMPLETED BY THE PUBLIC A UTHORITY FOR ANY SCE -OWNED STREETLIGHT INSTALLATION, REMOVAL OR CHANGE REQUESTS Incomplete forms will be returned and not processed PUBLIC AUTHORITY NAME: City of Palm Desert Builder/Developer Name: Palm Desert Redevelopment Agency Phone#: 760-320-8773 Tract/Ref#: 30795 Street light Location: Hovley Ln / Cook St., Palm Desert Please Check One: Installation Removal Number of Lamp(s) Lamp Size 3 5,800 Builder/Developer Advanced Energy Payment collected by: (check one) SCE ),-- or *Government Agency *Date collected by Government Agency (if applicable) When is the Public Authority responsible for street light energy charges? Upon Energizing At a Future date Change Lamp Type HPSV K *Not Applicable *Permanent party responsi le for energy charges if "NOT APPLICABLE" was checked. Developer Homeowners Assoc. Private Party Other Public Authority Terms of Acceptance or Special Notes (By Government Agency): Energy Billing: Establish new account N Z _I 1:2,1'07- Print Name Date Authorized Public Authority Agent Existing SERV ACCT# account #) Signature Phone#( ) 3V6 x �yT> Title To s>. CobWLETEDrBYsc :�e: :; :;�fi 's f<i `.1r.. L•6 .."Y .i; �?r NS �c�rroN rENT &ift" oN b RFjaUG vvoR c R IER Acy �I .. - .. _ _ �,fi :4iy"�`2\.'!., `��:*r.�;"a-5 '6 '�.i `a'r_ y'`'ywTv'k='�.J `..'•'�+, W.O# .. ' 6579 ' 4215 PLANNER NAME (PRINT) T-' SOUTHERN CALIFORNIA EDISON STREET LIGHT AUTHORIZATION DEVELOPER/APPLICANT MUST PROVIDE THIS FORM COMPLETED BY THE PUBLIC AUTHORITY FOR ANY SCE -OWNED STREETLIGHT INSTALLATION, REMOVAL OR CHANGE REQUESTS Incomplete forms will be returned and not processed PUBLIC AUTHORITY NAME: City of Palm Desert Builder/Developer Name: Palm Desert Redevelopment Agency Phone#: 760-320-8773 Tract/Ref#: 30795 Street light Location: Hovley Ln / Cook St., Palm Desert Please Check One: Number of Lamp(s) yt, Installation Lamp Size 5,800 Removal Change Builder/Developer Advanced Energy Payment collected by: (check one) SCE_ or *Government Agency *Date collected by Government Agency (if applicable) When is the Public Authority responsible for street light energy charges? Upon Energizing Lamp Type HPSV At a Future date *Not Applicable *Permanent party responsible for energy charges if "NOT APPLICABLE" was checked. Developer -,V.— Homeowners Assoc. Private Party Other Public Authority Terms of Acceptance or Special Notes (By Government Agency): Energy Billing: Establish new account NIP,?-nN hmta Z- t1-6 la -I - Print Name L Date Authorized Public Authority Agent Existing SERV ACCT# ` ac nt #) Signature Phone4(7fi O� -3�w cv !/ y-/g Title SP- • 41*7— 7— TO BE COMPLETE>QY`S"'Cl$ ?•ys. _4: k.,�:r�: 'fp �',., .i..' ;:'(^, •N '.dn�','1i s' is }i, - ' ":;J�.,,�..,.,.`t; ACTION: ENTER TItACT/U## 0* STREETLIGHT WORK ORDER FA,CEPL�iTB W.O.# 6579 4218,' ` 64003 j Bertram Wilfii�n�s v PLANNER NAME (PRINT) O Transmission Report l DaterTime 01-05-2007 01:53 13 p.m Transmit Header Text Local ID 1 760 7766417 Local Name 1 Palm Desert - Plannig Local ID 2 Local Name 2 This document: Confirmed (reduced sample and details below) Document size: 8.5"x11 " Clf Y Of PRIM OHERI 73-71a FRED WAXI"G DIIIve PALM DesaaT. CALVOMNIA 92a6o-a578 Tn: 76o 546-o61 i WAX: 760 34I-7099 r.hYNlm.dwnsry FAX TRANSMiS K TO: l aA*A 11 1(14* Aa DATE: A -A! iC0![PAIYY:� Gam- FAX FROM- MARTIN ALVAREZ Ocv0D --n&e • 6YgS Message: M of Pages Including (Cover Page): A 2 DEFT.: DeVC100ment Services Total Pages Scanned : 7 Total Pages Confirmed : 7 No. Job Remote Station Start Time Duration Pages 9 Line Mode Job T e YP Results 1001 165110 1917147969899 101:50:05 P.M. 01-05-2007 1 00:02:23 1717 1 IEG IHS I CP21600 Abbreviations: HS Host send PL: Polled local M P. Mailbox print TU. Terminated by user HR Host receive PR: Polled remote CP: Completed TS: Terminated by system G3 Group 3 WS: Waiting send MS: Mailbox save FA: Fail RP Report EC: Error Correct Transmission Report Dat61T1me 01-05-2007 02:20 33 p.m Transmit Header Text Local ID 1 760 7766417 Local Name 1 Palm Desert - Plannig Local ID 2 Local Name 2 This document: Confirmed (reduced sample and details below) Document size: 8.5"x11 " CITY OF PALM DESERT 73-510 Fred Waring Drive Palm Desert, California 92260 Tel: (760) 346-0611 Fax: (760) 779-1044 achavez(g?cl.palm-desert.Ca. us FACSIMILE Date: January 5.2007 To: Mr. Stephen Roberts, Project Manager Company: Community Dynamics Fax No: (310) 399.9555 Phone No: (310) 399.9777 No. of Pages: 7 (including cover sheet) From: Angelica Chavez for Martin Alvarez Senior Management Analyst City of Palm Desert Subject: New Strwtilght Autfi %stlon Form —Tact 30795 (Falcon Crest) Comments: Please we the attached. It you have any questions, kindly contact Martin Alvarez, Senior Management Analyst, at (760) 346.0611 Ext. 448. Originals will follow. Total Pages Scanned : 8 Total Pages Confirmed 8 I No. Job Remote Station Start Time Duration 1001 1614 1913103999777 102:17:38 p m 01-05-2007100:02 02 Abbreviations HS: Host send PL: Polled local MP: Mailbox print HR: Host receive PR: Polled remote CP: Completed WS: Waiting send MS: Mailbox save FA: Fail Pages Line Mode Job Type Results 8!8 1 I EC HS CP24000 TU: Terminated by user TS Terminated by system G3. Group 3 RP: Report EC: Error Correct LETTER OF TRANSMITTAL ATTENTION: Catherine Walker Palm Desert Redevelopment Agency 73510 Fred Waring Drive Palm Desert, CA 92260 (760) 346-0611 - Ph. (760) 341-6372 - Fax FROM: Stephen Roberts (310) 399-9555 x204 - Ph. (310) 399-9777 - Fax DATE: Tuesday, January 23, 2007 e. RECEIVED +AN 24 2c Desert RDA REFERENCE: SC Edison - Application and Contract for Electric Service Forms REMARKS: Cathy: Enclosed with this cover letter are three (3) SC Edison Application and Contract for Electric Service forms. These are for the streetlights at Falcon Crest. There are no costs to the Agency associated with these forms. An authorized Agency Representative needs to sign and date each of these forms, but only in the areas marked with an 'Y'. Once completed, please return the original signed forms to my attention and I will distribute to the appropriate parties. Please let me know if you have any questions. Thank you. A AB NId NB 0313ldw31Y0OJ O1313 0313Id WOO 31 YO AY 1Y N3NWI N30N0 Asd - r IlV WN03NI IYNOIl100V 103tl In03tl SV 130W100A 3tlY0OS YN 3d0 dOfY � J/ O' ' 'ON 'O'M'O ON dn-NOOI 135 M3 J3NJ IO03NJ5 OYOI 'ON tl30tl0 N33l33/W I tl3M0d Iw I I 1NOIl S SSOtlO 153tlV3N 3 031NVM 31YO IVAOtlddV'ld3O 1103U3 'ONY3bv I '0100Y ro'S'i Ol ,13N IVIIINI S.INYJIlddY 31Y0 1N3AisnrOY O1 Loarens SI lIS0d30 301AN3S SIHI T` NIIOWV IISOd30 I tl3BWf N LISOd30 OJ NJ ,/OI-JC� fAA00B LSIO 1310A. �3itl15 OOV 30IA83S 3WYN 3WYN Stl3JIl30 NO—WOdtlOJ NO S63NIUVd 3wVN Y6O 3WYN S.IVf101A IONI tl 31V�O�NOJ J NOt1YtlOdtlOJ ❑ '310N 131tl Otl1 3lOC INVONO SS3NISOG 30 WWOJ - NO1IVWNOANI 1103NO APPLICATION AND CONTRACT FOR ELECTRIC SERVICE (ESM 12. AND 14. SERIES) TO SOUTHERN CALIFORNIA EDISON COMPANY: The undersigned Applicant hereby requests you to supply electric service and to deliver electric energy to and for the equipment hereinafter described, at the location shown on the reverse side hereof, in accordance with the applicable rates and rules of the Utility. Applicant hereby agrees to the following: 1. The Utility has made available for inspection its applicable rates and rules. Applicant agrees to comply therewith, and with any changes or modifications thereof which may be authorized from time to time by the Public Utilities Commission of the State of California. 2. Applicant's attention has been directed tot a rVe schedules applicable to the service herein described, and Applicant has elected to take and pay for service under Schedule _ for a minimum period of months. As specified in this schedule, Applicant elects the following optional provisions: 3. Applicant hereby grants to the Utility a right of way for any electric lines which it may be necessary to build in, on, under, or over applicant's premises for the purposes of making delivery hereunder. Where Applicant requests facilities which are in addition to, or in substitution for, the standard facilities which the Utility normally would install, the extra cost thereof shall be paid by Applicant. 4. In the event Applicant within the initial 36 months of this contract materially increases or decreases his electric service requirements from those installed hereunder and a change is made in the Utility's facilities, settlement shall be made for the installation and removal cost of the facilities removed. A new agreement shall be entered into providing for the modified service required by applicant. 5. This contract shall at all times be subject to such changes or modifications by the Public Utilities Commission of the State of California as said Commission may, from time to time, direct in the exercise of its jurisdiction. 6. Where applicable — Contract Demand (kW). 7. Where applicable — Excess Transformer Capacity (kVa). LIGHTING r POWER EQUIPMENT TO BE SERVED PHASE K.V.A. K.W. M.P. SERVICE CONNECTED EST. MAX. VOLTAG/ I0kn 'OEMANA CORPORATE OR INDIVIDUAL'S NAME DATErf-�'- D. e. A. a Y -V TITLE_ WITNES- nFFICE OF ORIGIN APPROVED AND ACCEPTED FOR SOUTHERN CALIFORNIA EDISON COMPANY JJCII CSD 272 REV 11/82 (CW) RY DISTRICT MA NAG [A CREDIT INFORMATION - FORM OF BUSINESS ORGANIZATION PROPRIETORSHIP ❑ CORPORATION ❑ pARTNERSH/IP F] CO-PARTNERSHIP:OTHER ORATE OR IN�UAL'S NAME D PARTNERS OR CORPORATION OFFICERS TYjW BUSINE S-P OCES NG. MFG_ ETC. BUSINESS TELEPHONE NUMBER NAME ADDRESS TITLE NAME ADDRESS TITLE SE VICE ADD SS STREET SEE ADDRESS POST O�V�`/J (jr,V,r�/I,^rw\ CYCLE DIST BOO FOLIO CR CD FORMER BUSINESS SERVICE ADDRESS DEPOSIT NUMBER DEPOSIT AMOUNT APPLICANT'S RESIDENCE ADDRESS ^^ '1'1n OWNER OF PREMISES THIS SERVICE DEPOSIT IS SUBJECT TO ADJUSTMENT NAME DATE ADDRESS APPLICANT'S INITIAL RET. TO I F.S.R. ACCTG. 11 AREA NO. CREDIT DEPT. APPROVAL DATE WANTED SCHEDULE NEAREST CROSS ST LIGHT ORDER N POWER METER O. I LOAD CHECK LOOK -UP (O -I VVV C.W.O./C.J.O. NO. HOURS OF OPERAT SQUARE FOOTAGE (AS REQUIRED ADDITIONAL INFW�TI ORDER TAKEN DATE COMPLETED FIELD COMPLETED BKPING Sv DATE IGY TELEPHONE NUMBER TELEPHONE NUMBER TELEPHONE NUMBER APPLICATION AND CONTRACT FOR ELECTRIC SERVICE (ESM 12. AND 14. SERIES) TO SOUTHERN CALIFORNIA EDISON COMPANY: The undersigned Applicant hereby requests you to supply electric service and to deliver electric energy to and for the equipment hereinafter described, at the location shown on the reverse side hereof, in accordance with the applicable rates and rules of the Utility. Applicant hereby agrees to the following: 1. The Utility has made available for inspection its applicable rates and rules. Applicant agrees to comply therewith, and with any changes or modifications thereof which may be authorized from time to time by the Public Utilities Commission of the State of California. 2. Applicant's attention has been directed r'ate schedules applicable to the service h e' described, and Applicant has elected to take and pay for service under Schedule1 for a minimum period of months. As specified in this schedule, Applicant elects the following optional provisions: 3. Applicant hereby grants to the Utility a right of way for any electric lines which it may be necessary to build in, on, under, or over applicant's premises for the purposes of making delivery hereunder. Where Applicant requests facilities which are in addition to, or in substitution for, the standard facilities which the Utility normally would install, the extra cost thereof shall be paid by Applicant. 4. In the event Applicant Within the initial 36 months of this contract materially increases or decreases his electric service requirements from those installed hereunder and a change is made in the Utility's facilities, settlement shall be made for the installation and removal cost of the facilities removed. A new agreement shall be entered into providing for the modified service required by applicant. 5. This contract shall at all times be subject to such changes or modifications by the Public Utilities Commission of the State of California as said Commission may, from time to time, direct in the exercise of its jurisdiction. 6. Where applicable — Contract Demand (kW). 7. Where applicable — Excess Transformer Capacity EQUIPMENT TO BE SERVED LIGHTING - J "� `�'�nj V co+fP5V POWER SERVICE CONNECTED VOLTAOF LOAD CORPORATE OR INDIVIDUAL'S NAM' OATF^ ' D.S.A 8Y� (kVa). PHASE K.V A. WfTNES- ^OFFICE OF ORIGIN APPROVED AND ACCEPTED FOR SOUTHERN CALIFORNIA EDISON COMPANY K. W EST. MAX. 'IEMANr TITLE.,._ PE CSO Z72 REV Il fe2 (Cw) SY DISTRICT MANAGER H.P. CREDIT INFORMATION - FORM OF BUSINESS ORGANIZATION ❑ CORPORATION GENER �PPAARTNERSHP O❑ OTHER TN RPROPRRIETC95H ��V�I�IIDUNO r4�(4(� OBAME (�I�❑•C i`AT O��E/ •C"��/L) �(E I/ PARTNERS OR CORPORATION OFFICERS NAME ADDRESS NAME ADDRESS SERVICE A O SS SIRE T� CYCLE IS J BOOK I IfFoLio I CA CO FORMER BUSINESS SERVICE ADDRESS DEPOSIT NUMBER DEPOSIT AMOUN('T117n/n APPLICANT'S RESIDENCE ADDRESS I '__ OWNER OF PREMISES THIS SERVICE DEPOSIT IS SUBJECT TO ADJUSTMENT NAME DATE ADDRESS APPLICANT'S INITIAL MET. TO F.S.R. ACCTG. AREA NO. CREDIT DEPT. APPROVAL DATE WANTED SCHEOU LE NEAREST CROSS ST LIGHT i J POWER IMETER ORDER NO. LOAD CHECK EW SET LOOK -UP NO. D.W.O. N I.RDD DIN C.W.O./C.J.O. NO HOURS OF OPERAT SQUARE FOOTAGE IAS REQUIRED) ADDITIONAL INFORMATI ORDER TAKEN DATE COMPLETED FIELD IC OM PLETED BKPING ev DATE TITLE TITLE SERVI ADD SS POST OFF) .. TYPE OF USINE S-FROCESSSS�II,G. M-�\F G.. ETC. BUSINESS TELEPHONE NUMBER TELEPHONE NUMBER TELEPHONE NUMBER TELEPHONE NUMBER APPLICATION AND CONTRACT FOR ELECTRIC SERVICE (ESM 12. AND 14. SERIES) TO SOUTHERN CALIFORNIA EDISON COMPANY: The undersigned Applicant hereby requests you to supply electric service and to deliver electric energy to and for the equipment hereinafter described, at the location shown on the reverse side hereof, in accordance with the applicable rates and rules of the Utility. Applicant hereby agrees to the following: 1. The Utility has made available for inspection its applicable rates and rules. Applicant agrees to comply therewith, and with any changes or modifications thereof which may be authorized from time to time by the Public Utilities Commission of the State of California. 2. Applicant's attention has been directed tqq th ratf schedules applicable to the service herei described, and Applicant has elected to take and pay for service under Schedule =4r 3 1 for a minimum period of — months. As specified in this schedule, Applicant elects the following optional provisions: 3. Applicant hereby grants to the Utility a right of way for any electric lines which it may be necessary to build in, on, under, or over applicant's premises for the purposes of making delivery hereunder. Where Applicant requests facilities which are in addition to, or in substitution for, the standard facilities which the Utility normally would install, the extra cost thereof shall be paid by Applicant. 4. In the event Applicant within the initial 36 months of this contract materially increases or decreases his electric service requirements from those installed hereunder and a change is made in the Utility's facilities, settlement shall be made for the installation and removal cost of the facilities removed. A new agreement shall be entered into providing for the modified service required by applicant. 5. This contract shall at all times be subject to such changes or modifications by the Public Utilities Commission of the State of California as said Commission may, from time to time, direct in the exercise of its jurisdiction. 6. Where applicable — Contract Demand (kW). 7. Where applicable — Excess Transformer Capacity (kVa). EQUIPMENT TO BE SERVED LIGHTING POWER SERVICE CONNECTED VOLTAO- _ 'OAr CORPORATE OR INDIVIDUAL'S NAMF DATE � D.S.A. SYX--- PHASE K.V.A. K.W. H.P. WITNES- 1FFICE OF ORIGIN APPROVED AND ACCEPTED FOR SOUTHERN CALIFORNIA EDISON COMPANY EST. MAX. TIT% JIpCE CSD 272 RaV If/82 (Cw) SY DI[TRIC7 MANAG [A 401 CREDIT INFORMATION - FORM OF BUSINESS ORGANIZATION PGENERAL ROPRIETORSHIP ❑ CORPORATION PARTNERSHIP ❑ CO•PARTNERSMIPa OTHER COR PCFATE OR INCIVIDUAL'S NAME ALH ae1 c i R eQrur(Q , T �ep � e NAME PARTNERS OR CORPORATION OFFICERS NAME ADDRESS NAME ADDRESS SERVICE ADDRESS STREET CYCLEI DIST FOLIO CR CO FORMER BUSINESS SERVICE ADDRESS DEPOSIT NUMBER DEPOSIT AMOUNT APPLICANT'S RESIDENCE ADDRESS 1F1M n OWNER OF PREMISES THIS SERVICE DEPOSIT IS SUBJECT TO ADJUSTMENT NAME DATE ADDRESS APPLICANT'S INITIAL RET. TO F.S.R. ACCTG. I AREA NO. CREDIT DEPT. APPROVAL DATE WANTED / SCHEDULE NEAREST CROSS ST LIGHT ^ / POWER METER ORDER NO. LOAD CHECK NEW SET LOOKUP NO. D.W.O. NO. f - NU ( �- G C.W.O./C.J.O. NO. HOURS OF OPERAT SQUARE FOOTAGE (AS REQUIRED ADDITIONAL INFOgMATI ORDER TAKLN DATE COMPLETCO FIELD COMPLETED BKPING ev DATE IB♦ TYPED B s S�OCEI ING, IF ., ETC. BUSINESS TELEPHONE NUMBER TITLE TELEPHONE NUMBER TELEPHONE TITLE NUMBER SERVICE ADDRESS POST OFFICE DIAL f-7 12 Ki nt7- TELEPHONE NUMBER APPLICATION AND CONTRACT FOR ELECTRIC SERVICE (ESM 12. AND 14. SERIES) TO SOUTHERN CALIFORNIA EDISON COMPANY: The undersigned Applicant hereby requests you to supply electric service and to deliver electric energy to and for the equipment hereinafter described, at the location shown on the reverse side hereof, in accordance with the applicable rates and rules of the Utility. Applicant hereby agrees to the following: 1. The Utility has made available for inspection its applicable rates and rules. Applicant agrees to comply therewith, and with any changes or modifications thereof which may be authorized from time to time by the Public Utilities Commission of the State of California. 2. Applicant's attention has been directed o Oe rat9 schedules applicable to the service herein described, and Applicant has elected to take and pay for service under Schedule , N' I for a minimum period of months. As specified in this schedule, Applicant elects the following optional provisions: 3. Applicant hereby grants to the Utility a right of way for any electric lines which it may be necessary to build in, on, under, or over applicant's premises for the purposes of making delivery hereunder. Where Applicant requests facilities which are in addition to, or in substitution for, the standard facilities which the Utility normally would install, the extra cost thereof shall be paid by Applicant. 4. In the event Applicant within the initial 36 months of this contract materially increases or decreases his electric service requirements from those installed hereunder and a change is made in the Utility's facilities, settlement shall be made for the installation and removal cost of the facilities removed. A new agreement shall be entered into providing for the modified service required by applicant. 5. this contract shall at all times be subject to such changes or modifications by the Public Utilities Commission of the State of California as said Commission may, from time to time, direct in the exercise of its jurisdiction. 6. Where applicable — Contract Demand (kW). 7. Where applicable — Excess Transformer Capacity (kVa). EQUIPMENT TO BE SERVED PHASE K.V.A. K.W. H.P. LIGHTING POWER SERVICE CONNECTED EST. MAX. VOLTAOF ' OAF` nEMAN^ CORPORATE OR INDIVIDUAL'S NAMF DATED fr-0_ D.a.AA aY ^ TITI r WITNESS 1)FFICE OF ORIGIN APPROVED AND ACCEPTED FOR SOUTHERN CALIFORNIA EDISON COMPANY CSD 272 REV 11/[2 �Cw) !s aY DISTRICT MANAGER