Please provide accurate identification details for your organization and the specific parking spaces requiring EV charging infrastructure installation.
Legal Company Name
Trade Name (if different from legal name)
Registered Business Address
Primary Contact Person Full Name
Contact Person Job Title
Contact Email Address
Contact Phone Number
Alternative Contact Person (optional)
Alternative Contact Email
Lease Commencement Date
Lease Expiration Date
Total Number of Parking Spaces Leased
Number of Parking Spaces Requiring EV Charging Infrastructure
Are the requested parking spaces contiguous (adjacent to each other)?
Parking Space Location Type
Ground Level
Below Grade (Basement)
Multi-Level Deck
Rooftop
Other
Do you currently have any existing EV charging infrastructure installed?
Is there existing electrical conduit or raceway available near the requested parking spaces?
Provide detailed technical specifications for the EV charging equipment you intend to install. This information is critical for electrical load calculations and infrastructure planning.
EV Charging Unit Specifications
Unit Identifier | Charger Type | Quantity of Identical Units | Voltage Rating (VAC) | Amperage Rating (A) | Power Output (kW) | Connector Type(s) | |
|---|---|---|---|---|---|---|---|
Unit-01 | Level 2 AC (Dual Port) | 5 | 208 | 40 | 16.6 | Type 2 (Mennekes) | |
Unit-02 | DC Fast Charge (CCS) | 2 | 480 | 200 | 150 | CCS Combo 2 | |
Will the charging equipment support dynamic load management or load balancing across multiple units?
Total Simultaneous Peak Power Demand (kW)
Estimated Annual Energy Consumption (kWh)
Network Connectivity Requirement
Cellular (4G/5G)
WiFi
Ethernet (Hardwired)
Multiple/Redundant
No Connectivity (Standalone)
Do you require integration with building management systems (BMS) or energy management platforms?
Additional Hardware Features Required (select all that apply)
RFID/Card Reader Authentication
Mobile App Integration
Touchscreen Display
Cable Management System
Environmental Protection (IP65+)
Heated Connectors (Cold Climate)
Solar Panel Integration Ready
Battery Storage Integration
Vehicle-to-Grid (V2G) Capable
LED Lighting
Security Camera Integration
Do you anticipate future expansion of charging infrastructure beyond this initial request?
Special Installation Requirements or Constraints
Provide comprehensive details about the existing electrical infrastructure and requirements for sub-metering to ensure accurate billing and load management in this shared facility.
Nearest Electrical Room or Panel Designation
Current Main Service Panel Capacity (Amperes)
Estimated Available Spare Capacity (Amperes)
Is a new dedicated electrical panel required for this installation?
Assess the following electrical infrastructure components for compatibility and condition
Inadequate | Marginal | Adequate | Optimal | Unknown | |
|---|---|---|---|---|---|
Existing conduit pathways adequacy | |||||
Panel busbar capacity for additional breakers | |||||
Grounding system compliance | |||||
Arc-fault protection availability | |||||
Surge protection adequacy | |||||
Thermal management (cooling/ventilation) | |||||
Accessibility for maintenance |
Will you require dedicated electrical sub-metering for tenant billing purposes?
Sub-Meter Communication & Data Requirements (select all that apply)
Pulse Output
Modbus RTU
Modbus TCP/IP
BACnet MS/TP
BACnet/IP
M-Bus
Wireless (LoRaWAN/Sigfox)
Cloud API Integration
Local Display Only
Interval Data Logging (15-min)
Real-Time Monitoring
Does your organization require utility-grade meter certification (e.g., MID, ANSI C12.20)?
Describe any existing power quality issues or voltage fluctuations observed in the facility
Will this installation require utility company involvement for service upgrade or new service drop?
Estimated Distance from Electrical Panel to Farthest Parking Space (meters)
Are there any asbestos-containing materials (ACM) or other hazardous materials present in the installation path?
Coordinate installation timeline and establish safety protocols to minimize disruption to shared garage operations and ensure compliance with facility safety standards.
Preferred Installation Start Date
Required Installation Completion Date
Installation Phasing Preference
Single Phase (All at once)
Two Phases (50% each)
Three Phases (33% each)
Four or More Phases
As Soon As Possible (No Preference)
Can installation work be performed during normal business hours (08:00-18:00)?
Will installation require temporary closure of parking spaces or traffic lanes?
Safety Protocols & Compliance Measures (select all that apply)
Arc Flash Hazard Analysis
Lockout/Tagout (LOTO) Procedures
Hot Work Permit (Welding/Cutting)
Confined Space Entry Permit
Fire Watch During Hot Work
Emergency Lighting Maintained
Ventilation System Operation
Hazardous Material Handling Plan
Personal Protective Equipment (PPE) Zones
First Aid Station Proximity
Evacuation Route Clearance
Rate the anticipated disruption level for each facility operation during installation (1 = Minimal, 5 = Severe)
Vehicle traffic flow | |
Pedestrian access | |
Elevator operation | |
Lighting systems | |
Security systems | |
Fire suppression systems | |
HVAC operation | |
Tenant access to spaces |
Will you provide a dedicated safety supervisor on-site during all installation activities?
Describe your noise mitigation plan for installation activities
Will installation require core drilling, concrete cutting, or structural modifications?
Installation Milestone & Communication Plan
Milestone Phase | Scheduled Date | Affected Areas | Tenant Notification Plan | Requires Facility Approval? | |
|---|---|---|---|---|---|
Electrical Rough-In | 8/15/2025 | Electrical Room 3B, Parking Level 2 | Email notice 48 hours prior | Yes | |
Conduit Installation | 8/20/2025 | Parking Level 2, Zones A-C | Signage 72 hours prior + email | Yes | |
Charger Mounting | 8/25/2025 | Parking Spaces A101-A110 | Individual space notices 1 week prior | ||
Final Connection & Testing | 9/1/2025 | Electrical Room 3B | Email notice 24 hours prior | Yes | |
Do you agree to restore any disturbed surfaces to original condition upon completion?
Additional coordination requirements with other tenants or facility operations
Define long-term asset management responsibilities and obtain required engineering approvals to ensure safe, compliant, and maintainable installation.
Post-Installation Maintenance Responsibility
Tenant assumes full responsibility
Vendor service contract (5 years)
Vendor service contract (10 years)
Shared responsibility with facility management
Third-party maintenance provider
Will you provide 24/7 emergency response for charger malfunctions or safety incidents?
Monitoring & Reporting Requirements (select all that apply)
Real-time status dashboard
Monthly energy consumption reports
Quarterly performance reports
Annual maintenance reports
Automated fault alerts
Uptime/availability metrics
Carbon emission savings calculation
Integration with corporate sustainability reporting
Required Equipment Warranty Period (Years)
Will you maintain liability insurance covering the charging infrastructure?
Has a licensed electrical engineer reviewed and approved the electrical design?
Will you provide as-built electrical drawings and single-line diagrams upon completion?
Do you agree to indemnify the facility owner against damages arising from defective installation or equipment?
Confirm compliance with the following engineering standards (Rate as Fully Compliant, Partially Compliant, Non-Compliant, or Not Applicable)
Non-Compliant | Partially Compliant | Fully Compliant | Not Applicable | |
|---|---|---|---|---|
IEC 61851 (EV Conductive Charging) | ||||
IEC 62196 (Plugs & Sockets) | ||||
IEC 60364 (Electrical Installations) | ||||
ISO 15118 (Vehicle-to-Grid Communication) | ||||
Local Electrical Code Compliance | ||||
Fire Safety Standards | ||||
Accessibility Standards (Universal Design) | ||||
Cybersecurity Requirements |
Describe your end-of-life equipment disposal and recycling plan
Will you participate in a facility-wide load management consortium if established?
Tenant Authorized Representative Signature - Acknowledgment of Terms and Accuracy of Information
Signature Date
Printed Name and Title
Upload Electrical Engineer Stamped Drawings (PDF format)
Upload Equipment Technical Specifications & Data Sheets
Upload Insurance Certificate of Coverage
I confirm that all information provided is accurate and complete to the best of my knowledge