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18204 59th Dr Ne_BLD6619_2026
i COMMERCIAL BUILDING PERMIT APPLICATION fe Community and Economic Development City of Arlington• 18204 59th Ave NE•Arlington,WA 98223 •Phone(360)403-3551 The following information is required for Commercial,Multi-Family,and Mixed-Use Building Permit Applications. Mark each box to designate that the information has been provided.Please submit this checklist as part of the submittal documents.See ASSISTANCE BULLETIN#30 for detailed design requirements. EACH BUILDING OR STRUCTURE REQUIRES A SEPARATE SUBMITTAL. SUBMIT ELECTRONIC FILES FOR EACH OF THE FOLLOWING;Incomplete applications will not be accepted. REQUIRED DOCUMENTS ✓ Site Plan ✓ Architectural Plans Structural Plans Structural Calculations Mechanical System Modifications,(if applicable) Plumbing System Modifications, (if applicable) Project Specification Manuals,(if applicable) WSEC Compliance Forms,(ifapplicable) https://waener codes.com Special Inspection and Testing Agreement Deferred Submittal Request Airport Property Lease (if building is located within the Arlington Airport Property Boundary) 1. Plan Review fee is due at time of submittal and remaining balance will be due at time of issuance. 2. The City of Arlington does not review or inspect electrical systems.Contact Labor and Industries at lni.wa.gov or 360-416-3000. A. DEFERRED SUBMITTALS If the project requires any of the following,a Deferred Submittal Request MUST be completed.Deferred submittals require separate applications,plans and plan review. 1. Mechanical Plans(if not included in the plan set) 2. Plumbing Plans(if not included in the plan set) 3. Fire Sprinkler 4. Fire Alarm S. Signage B. SPECIAL INSPECTION AND TESTING AGREEMENT A Special Inspection Firm is required to perform special inspections for the following type of work. *The Special Inspection and Testing Agreement MUST be submitted with the Building Application. ❑ Reinforced Concrete ❑ Structural Steel and Welding ❑ Bolting in Concrete ❑ High-Strength Bolting ❑ Pre-stressed Concrete ❑ Spray-Applied Fireproofing ❑ Shotcrete ❑ Smoke-Control Systems ❑ Structural Masonry ❑ Other-Specify: [f I acknowledge that all items designated as submittal requirements must accompany my Commercial Building Permit Application to be considered a complete submittal. COMMERCIAL BUILDING INSTALLATION,MODIFICATION OR REMOVAL MAY REQUIRE A SEPARATE PERMIT SUBMITAL *CHECKALL THAT APPLY ❑ Automatic fire extinguishing systems ❑ Compressed gas systems ❑ Fire pumps ❑ Flammable and combustible liquids(tanks,piping etc.) ❑ Standpipe systems ❑ Hazardous materials ❑ Private fire hydrants ❑ Industrial ovens/furnace ❑ Fire alarm and detection systems ❑ Spraying or dipping operations ❑ High piled/rack storage ❑ Temporary membrane structure,tents(>200 sq.ft.)or canopies(>400 sq.ft.) ❑ Provide details on any of the above checked items: Type of Permit: n Commercial ❑ Mulit-Family ❑ Mixed-Use Property Address: 18204 59th Dr NE, Arlington, WA 98223 Project Valuation: Lot#: Parcel ID No.: 00448200000100 Subdivision: Project Scope of Work: Install EV Charging Station IBC Construction Type: IBC Occupancy Type: Building/Space Square Footage: Number of Stories: Square Footage Per Floor: 1st 2nd 3rd 4th 5th 6th Primary Contact: X Owner ❑ Architect ❑ Engineer ❑ Contractor Owner Name: City of Arlington Office No.: Email Address: Irobinson@arlingtonwa.gov Cell No.: 360-322-0286 MailinR Address: 18204 59th Dr NE City:Arlington State: WA Zip: 98223 Architect Name: Office No.: Email Address: Cell No.: Mailing Address: City: State: Zip: Professional License Number: Expiration Date: Engineer Name: Office No.: Email Address: Cell No.: Mailing Address: City: State: Zip: Professional License Number: Expiration Date: Primary Contractor: Washington Electrical Contracting, LLC Office No.: Ste J23 Email Address: JonIZZ,washingtonec.com Cell No.: (360) 590-4345 Mailing Address: 2715 62nd Ave E City: Fife State: WA zip: 98424 L&I Contractor License Number: WASHIEL776C3 Expiration Date:02/21/2027 REV03.2022 Page 2 of 6 COMMERCIAL BUILDING MECHANICAL SYSTEM INFORMATION Type of Permit: ❑ New Installation ❑ Gas Piping Mechanical Contractor: Office No.: Email Address: Cell No.: Mailing Address: City: State: Zip: L&I Contractor License Number: Expiration Date: • New gas piping requires a pressure test hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured per IFGS,Section 415 • Proper Combustion air and venting required for all appliances • A shut-off valve is required within 6 feet of each appliance Gas Piping Specification and complete Schematic PAGE 4 ❑ Not Applicable Proposed Piping Material: ❑CSST ❑ Brass ❑ Black Steel ❑ Galvanized Steel ❑ Other Proposed Piping Size: ❑ 1/2 ❑ s/8 ❑ 3/4" ❑ 1" ❑ 11/2 ❑ 2" Inlet Pressure: Pressure Drop: Specific Gravity: MECHANICAL PERMIT FEES (per unit) Type of Fixture No. of Units Cost per Unit Subtotal Additional Plan Review fees x $ 75.00 = $ Air Cond.Unit<_100Btu h x $ 15.00 = $ Air Cond.Unit>10013tu h x $ 25.00 = $ Air Cond.Unit>50013tu h x $ 50.00 = $ Air Handling Units x $ 15.00 = $ Base Mechanical Fee $ 25.00 $ 25.00 Boiler<10013tu h>3h x $ 15.00 = $ Boiler>1 million Btu/h<50hp x $ 25.00 = $ Boiler>1.5 million Btu/h<50hp x $ 50.00 = $ Boiler>10013tu h 3-15h x $ 15.00 = $ Boiler>50013tu h 15-30hp x $ 25.00 = $ Diffusers x $ 15.00 = $ Dryer Ducting x $ 15.00 = $ Ductwork Cdrawings required) x $ 25.00 = $ Evaporative Coolers x $ 15.00 = $ Exhaust Ventilation Fans x $ 15.00 = $ Fireplace/Ins ert Stove x $ 15.00 = $ Forced Air Heat 5100 Btu h x $ 15.00 = $ Forced Air Heat>100 Btu h x $ 25.00 = $ Gas Clothes Dryer x $ 15.00 = $ Gas Fired AC s100 Btu h x $ 15.00 = $ Gas Fired AC >100 Btu h x $ 25.00 = $ Gas Fired AC > 500 Btu h x $50.00 = $ Gas Pi in <_ 5 units x $ 15.00 = $ REV03-2022 Page 3 of 6 COMMERCIAL BUILDING MECHANICAL PERMIT FEES (per unit) Gas Piping> 5 units (plus<5 units x $2.00 = $ Heat Exchangers x $ 15.00 = $ Heat Pump-Condensing Unit x $25.00 = $ Hot Water Heat Coils x $ 15.00 = $ Miscellaneous Appliance-regulated by x $ 15.00 = $ mechanical code,not otherwise specified -Pkg.Units<_100btu x $25.00 = $ Pkg.Units>100btu d x $50.00 = $ Range/Cook top-Gas Fired _ x $ 15.00 = $ Refrigeration Unit<_100Btu h l x $ 15.00 = $ Refrigeration Unit>100Btu h x $25.00 = $ Refrigeration Unit>500Btu h x $50.00 = $ Re-inspection fee all x $75.00 = $ Unit Heaters<_ 100 Btu h x $ 15.00 = $ Unit Heaters>100 Btu h x $25.00 = $ VAV Boxes (Variable Air Volume,part of air x $ 10.00 = $ conditioning system) Wall Heaters-Gas Fired x $25.00 = $ Water Heater-Gas Fired x $25.00 = $ Permit Fee $ Table 4-8; Plan Review Fee $ Processing/Technology Fee $25.00 Total $ PRESSURE PIPING SCHEMATIC COMPLETE FOR GAS PIPING ONLY-USE A SEPARATE SHEET, IF NECESSARY ❑ SCHEMATIC IS TO SCALE ❑ SCHEMATIC NOT TO SCALE Show Pipe Size(s)and Length(s) from meter to all appliances NOTE:Any interior pressure regulators must be indicated REV03.2022 Page 4 of 6 COMMERCIAL BUILDING PLUMBING SYSTEM INFORMATION Plumbing Contractor: Office No.: Email Address: Cell No.: Mailing Address: City: State: zip: L&I Contractor License Number: Expiration Date: The following items need to be specified on the plans: O Fixture specifications and equipment with locations. O Location and type of all backflow assemblies for each fixture. O Calculations for Grease Interceptor. O Pipe size and location of sanitary and potable water systems. O Riser diagram of waste,vent,and rain water systems,including sizes. O Medical gas piping riser diagram,type of gas,storage room and size of piping. PLUMBING PERMIT FEES (per fixture) Commercial plumbing permits are required to submit line drawings.A plan review fee of 65%per Table 4-6 for plumbing permits will be assessed at time of submittal. Includes two 2 ins ections with permit. Type of Fixture No.of Fixtures Cost per Fixture Subtotal Additional Plan Review fees x $ 75.00 = Alteration/repair piping x $ 15.00 = Backflow Assembly x $25.00 = Base Plumbing Fee $ 25.00 $25.00 Bath/Shower Combo x $ 15.00 = Building Main Waste x $ 25.00 = Clothes Washer x $ 15.00 = Dishwasher x $ 15.00 = Drinking Fountain x $ 15.00 = Floor Drains x $ 15.00 = Grease Interceptor x $ 75.00 = Grease Trap x $25.00 = Hose Bibb x $ 15.00 = Icemaker/Refri erator x $ 15.00 = Irrigation—per meter x $ 25.00 = Kitchen Sink&Disposal x $ 15.00 = Laundry Tray x $ 15.00 = Lavatory x $ 15.00 = Med Gas Pi in <— 5 inlets outlets x $ 60.00 = Med Gas Piping> 5 inlets/outlets (plus <_ 5 x $ 5.00 = inlets outlets Miscellaneous—regulated by plumbing x $ 15.00 = code,not otherwise specified Pretreatment Interceptor x $ 15.00 = REV03-2022 Page 5 of 6 COMMERCIAL BUILDING PLUMBING PERMIT FEES (per fixture) Re-inspection Fee all x $75.00 = Roof Drains x $ 15.00 = Shower(only) x $ 15.00 = Sink bar,service,etc. x $ 15.00 = Toilets x $ 15.00 = Urinal x $ 15.00 = Vacuum Breakers x $25.00 = Water Heater x $ 25.00 = Water Heater-Tankless x $ 25.00 = Permit Fee Table 4-6; Plan Review Fee Processing/Technology Fee $25.00 Total PROPOSED BUILDING USE ❑ New ❑ Retail ❑ Medical ❑ Automotive Based ❑ Industrial ❑ Office ❑ Restaurant ❑ Machine Shop ❑ Other: CROSS CONNECTION Please check all appliances that are proposed or permanently connected to the water supply. ❑ Ice Machine ❑ Dialysis Equip. ❑ Air washers ❑ Coffee Urn/Espresso ❑ Hydrotherapy Equip. ❑ Steam Generators ❑ Carbonated Bev. ❑ Dental Equip. ❑ Dye Vats ❑ Fume Hoods ❑ Laboratory Equip. ❑ Pressure Washers ❑ Degreasers ❑ Autoclave/Sterilizers ❑ Cooling Towers ❑ Hot Tub/Spa ❑ Decorative Fountain ❑ Fire Sprinkler ❑ Aquarium ❑ Swimming Pools ❑ Sprinkler w/chemicals ❑ Lawn Irrigation ❑ Well on property ❑ Other: WASTEWATER DISCHARGE Does the plumbing system currently have a grease interceptor? ❑ Yes ❑ No ❑ Don't Know Does the plumbing system currently have an oil/water ❑ Yes ❑ No ❑ Don't Know separator? Is water used in the business process (washing,rinsing, ❑ Yes ❑ No ❑ Don't Know coolin ? Does your business require a NPDES permit? ❑ Yes ❑ No ❑ Don't Know I hereby certify that the above information is correct and that the construction on,and the occupancy and the use of the above-described property will be in accordance with the laws,rules and regulation of the State of Washington. �� L Lorene Robinson -4 Signature Print Name Date REV03.2022 Page 6 of 6 I zc WASHINGTON ELECTRICAL CONTRACTING,LLC WASHIEC784D1 Proposal#250331 Date: 7-7-25 Customer: City of Arlington Address:18204 59' Dr. NE Arlington,wa 98223 Contact: Lorene Robinson Phone: 360.403.3472 Site:Arlington Airport Operations Job Name: Chargepoint installation Please accept this proposal for the above-referenced job. Our pricing is valid for 30 days and our work will be protected by a one- year warranty. Detailed scope of work: ■ Provide and install (1) 200 amp mainbreaker panel with built-in meter socket ■ Provide and install Conduit and wire between Vault and Meter ■ Coordinate with PUD for Penetration into vault ■ Provide and install (1) 60 amp breaker to feed Charge point ■ Provide and install Conduit and wire between breaker and Charge point ■ Include electrical permit with L&I ■ Coordinate with Chargepoint for getting system online ■ Exclude bollards ■ Exclude Trenching ■ Exclude concrete work (Dan Foster said they will do concrete pads when they pour bollards) ■ Include prevailing wage Base Proposal Price .......................................................... $4,180.00 9.3% sales tax .................................................................................$388.74 Total Price ...................................................................................$4,568.74 Jon Novy 360.590.4345 '�Kzc WASHINGTON ELECTRICAL CONTRACTING,LLC ion@washingtonelectricolcontracting.com I ZC WASHINGTON ELECTRICAL CONTRACTING,LLC EXCLUSIONS: • Items Not Listed in Inclusions • Security,Communications,and AV Quotes • Overtime and Shift Work ■ All Door Hardware Excluded • Unforeseen conditions • Painting and Patching of Existing Surfaces ■ Any and All Code Upgrades to Existing Equipment • Existing Load Study • Temporary Power and Lighting • Dumpster and Disposal Fees • Commissioning of Equipment • Performance and Payment Bonds • Control Work ■ Utility Fees and Monthly Charges • Civil Work and Concrete Patching • Scanning and coring • Security,Communications,and AV Quotes • Roof penetrations CLARIFICATIONS: • Washington Electrical Contracting LLC.(WEC)reserves the right to negotiate specific items of the subcontract if awarded this project. ■ Notwithstanding any provision herein to the contrary,if in the event that,during the performance of this agreement,the price of raceway,fittings,wire and/or any other necessary commodities significantly increases,through no fault of WEC,the price of any materials,components,or goods to be furnished under this agreement shall be equitably adjusted by an amount reasonably necessary to cover any significant price increases. As used herein,a significant price increase shall mean any increase in price exceeding five percent(5%)experienced by WEC from the date of the execution of this agreement. Such price increases shall be documented through commercial quotes,invoices,receipts or other such documentation. Where the delivery of materials, components,or goods required under this agreement is delayed,through no fault of WEC,as a result of the shortage or unavailability of commodities,raw materials,components and/or products,WEC shall not be liable for any additional costs or damages associated with such delay(s). ■ WEC shall not be held liable for errors or omissions in designs by others,nor inadequacies of materials and equipment specified or supplied by others. ■ WEC reserves the rights to recover additional compensation as a result of additional costs incurred due to pandemic or natural disaster. ■ Hard copies of purchase order or contract with all related contract documents shall be issued to WEC prior to mobilization. • Anything(verbal or written)expressed or implied elsewhere,which is contrary to these conditions shall be null and void. ■ Equipment and materials supplied by WEC are warranted only to the extent that the manufacturer warrants the same. • Idle time incurred by WEC due to absence of required escorts,clearances,inability to enter the workspace,or other factors beyond our control will be considered a change to the Contract. • This proposal price is based on a maximum of 5%retention. No retention shall be held for time and material proposals,proposals with a billing cycle of less than 30 days or proposals of less than$50,000. ■ This proposal is void after 30 days. 2 I Site Plan Cover Sheet City of Arlington Electric Vehicle Install Project File# Site Address: 18204 59t"Dr. Ne,Arlington,WA 98223 Zoning Classification: GI Airport Protection District: Subdistrict A Use Classification: Business Offices Tax Parcel ID Number: 00448200000100 SE quarter portion of NW quarter, section 22 township 31, range 5 Lot size: 177.56 acres Proposed Project area: 24ft by 10 ft(shown in green/red is ev charger location) Building Setback from CED Office:42 ft from pad Date plans were prepared: 7/8/2025 Contact Information: City of Arlington Lorene Robinson lrobinson(a)arlingtonwa.gov 360-403-3472 18204 59th Dr NE Arlington,WA 98223 Washington Electrical Contracting, LLC Jon Novy ion washingtonec.com (360) 590-4345 2715 62nd Ave E,Ste J23 Fife,WA 98424 Site Plan Sheet e- --o it Ism • - i G' �G,u 2PIK, ��• .1 i f Legend: • Project area shown in green • Red is Ev charger location Proposed Project area: 24 ft by 10 ft Building Setback from CED Office: 42 ft from pad Location of EV Charger: Located between stall 2 and 3, behind beam, northwest side of CED parking lot • Install a single Electric Vehicle Charging Station Pedestal(pedestal mount) in CED parking lot(see site plan for location) • Vac trucking trench for footing of pedestal(15-20 ft) • Install a 2'x 2' concrete pad that is 6"thick • Pad installed 2 ft from the edge of the asphalt • Install EV Charger with the mounting kit provided with the purchase of EV Charger(install per the specifications) • Install four bollards around the unit(buried 30 inches with concrete 12 inches around bollards) • Refer to attached proposal for electrical scope of work • Additional information shown below: o Installing a pedestal mount(not wall mount)on page 6 of manual. Pedestal mount will be behind the curb. o Wiring method from page 13 of manual will be the 240v single phase o Grounding requirements from page 15 of manual will be based on 120- 240 volts • Coordinating with PUD for transformer connection • Install signage EXAMPLE: OF SIGNAGE INSTALLAHON E E V ao FXCFPT FOR ELECTRIC VEHICLE CHARGING '.klem a,•sutQxt ,o �cr.aao .,es n Z GHbGE EV PARKING STALL SIGNAGE SCAM: 1-1/2"=r-e" LAND USE APPLICATION G1�Y ��' SITE PLAN CHECKLIST �+PLING�o� COMMUNITY & ECONOMIC DEVELOPMENT 18204 5911 Avenue NE . Arlington, WA 98223• Main Line 360.403.3551 COVERSHEET ❑ Title Block(centered at top of drawing) that includes the following: ❑ City of Arlington El Name of Proposed Development El File No. (call for correct number) ❑ Section,Township,&Range ❑ Site Information: ❑ Site Address (use block#if no bldg. #) El Zoning Classification ❑ Airport Protection District Subdistrict ❑ Use Classification (from AMC 20.40) El Legal Description ❑ Tax Parcel ID Number El Density&Dimensional Calculations El Lot(s) Size (both in acreage and square feet) El Lot Dimensions (length,width) ❑ Lot Number Labels (if applicable) ❑ Number of Lots (if applicable) ❑ Proposed Residential Density(if applicable) 0 Building Setback(for existing,proposed, &relocated bldgs.on site) ❑ Building Height(for existing,proposed,&relocated bldgs. on site) ❑ Total Lot Coverage (impervious surface) ❑ Recreational&Open Space Calculations (if applicable) ❑Adjacent Street Names &Classifications ❑ Required Parking Space Calculations (required&proposed) ❑ Required Bicycle Rack Spaces ❑ Screening Types Provided (indicate for each lot line) ❑ Utility Provider (sewer&water) ❑ Critical Area Types Located On-Site and Associated Buffers (if applicable) ❑ Shoreline Classification (if applicable) ❑ FEMA Flood Zone Designation (if applicable) ❑ Sheet Index El Date Plans Were Prepared ❑Vicinity Map (Include North Arrow,Scale,and pinpoint site location) ff] Name,Address, Phone Number,&Email Address of the Applicant,Owner, Engineer,Surveyor,& Landscape Architect Site Plan Checklist Page 1 of 2 Rev11/2021 SITE PLAN SHEET ❑ Title Bar (locate along right edge of sheet) that includes the following: ❑ Date Drawing was Prepared or Revised ❑ Project Name&Location ❑ Name,Address,&Phone Number of Applicant, Owner, Engineer, &Surveyor 0 North Arrow, Graphic Scale (1" = 50'or larger) and Legend ❑ Existing Lot Lines Within or Adjacent to the Project Site ❑ Existing and Proposed Rights-of-Way(include dimensions&street name) ❑ Existing and Proposed Easements (include dimensions) ❑ Existing Critical Area Boundaries and Associated Buffers On-Site and Within 150ft.of Site per AMC 20.93 ❑ Existing and Proposed Native Growth Protection Areas 0 Building (whether proposed,expanded,retained, or relocated) Setbacks From All Lot Lines ❑ Building (whether proposed,expanded,retained,or relocated) Dimensions and Square Footage ❑ Building Elevations (all sides for proposed or expanded buildings only-color renderings preferred) 0 Parking Stall, Loading Stall, Driveway,&Isle Locations &Dimensions 0 Electric Vehicle Parking Space Locations &Dimensions ❑ Refuse Bin Location (including screening details) ❑ Lighting Details (building exterior, site, &parking area) ❑ Site Ingress/Egress (existing and/or proposed) ❑ Frontage Improvements with Dimensions (if required) ❑ Proposed Right-of-Way Dedication (include dimensions &square footage) ❑Adjacent Parcels with Parcel Numbers LANDSCAPE PLAN SHEET ❑ Title Bar (locate along right edge of sheet) that includes the following: ❑ Date Drawing was Prepared or Revised ❑ Project Name&Location ❑ North Arrow and Graphic Scale ❑ Name,Address,&Phone Number of Applicant, Owner,&Landscape Architect ❑ Plant Schedule and Legend Showing Scientific and Common Names for Each Type of Tree,Shrub,and Ground Cover and their Quantity, Planting Size Mature Size,and Symbol. ❑ Tree, Shrub,and Lawn Planting Details ❑ Location and Spacing of all Trees,Shrubs,and Plants (including existing trees to be preserved) ❑ Irrigation Details (if required) ❑ Parking Area Shading Calculation (see AMC 20.76.130) ❑ Dimensions and Square Footage for Each Landscape Area, Including Frontage, Lot Boundary,and Vehicle Accommodation Area Landscaping ❑ Percentage of Total Lot Landscaping ❑ Location of Existing Significant Trees (signify which significant trees will be removed) ❑ Location of Where Replacement Trees are to be Planted (if applicable) ❑ Table including the Number of Trees and Species to be Removed Site Plan Checklist Page 2 of 2 Rev11/2021 —chargepoin+ CT4000 Networked Charging Station Site Design Guide I i � N �yi��._��d I IMPORTANT SAFETY INSTRUCTIONS: SAVE THESE INSTRUCTIONS WARNING: A1.Read and follow all warnings and instructions before installing and operating the ChargePoint®Charging Station.Install and operate only as instructed. Failure to do so may lead to death, injury,or property damage, and will void the Limited Warranty. 2.Only use licensed professionals to install your ChargePoint*Charging Station and adhere to all national and local building codes and standards.Before installing the ChargePoint"Charging Station,consult with a licensed contractor,such as a licensed electrician,and use a trained installation expert to ensure compliance with local building and electrical codes and standards,climate conditions,safety standards,and all applicable codes and ordinances. Inspect the Charging Station for proper installation before use. 3.Always ground the ChargePoint®Charging Station.Failure to ground the Charging Station can lead to risk of electrocution or fire.The Charging Station must be connected to a grounded,metal,permanent wiring system,or an equipment grounding conductor shall be run with circuit conductors and connected to the equipment grounding terminal or lead on the Electric Vehicle Supply Equipment(EVSE).Connections to the EVSE shall comply with all applicable codes and ordinances. 4.Install the ChargePoint®Charging Station using a ChargePoint approved method.Failure to install on a surface that can support the full weight of the Charging Station can result in death,personal injury,or property damage. Inspect the Charging Station for proper installation before use. S.This charging station is not suitable for use in hazardous locations. 6.This device should be supervised when used around children. 7.Do not put fingers into the electric vehicle connector. 8.Do not use this product if the flexible power cord or EV cable is frayed,has broken insulation,or any other signs of damage. 9.Do not use this product if the enclosure or the EV connector is broken,cracked,open,or shows any other indication of damage. 10.Use 750C or 900C wire copper conductors only. Important:Under no circumstances will compliance with the information in this manual relieve the user of his/ Oher responsibility to comply with all applicable codes or safety standards.This document describes the most ■ commonly-used installation and mounting scenarios. If situations arise in which it is not possible to perform an installation following the procedures provided in this document,contact ChargePoint,Inc.ChargePoint,Inc.is not responsible for any damages that may result from custom installations that are not described in this document or for any failure to adhere to installation recommendations. Product Disposal Follow proper disposal methods according to local authorities.Re-using,recycling,or correctly processing obsolete devices is an important contribution to environmental protection.Product materials are recyclable as marked. No Accuracy Guarantee • Commercially reasonable efforts were made to ensure that the specifications and other information in this manual are accurate and complete at the time of its publication.However,the specifications and other information in this manual are subject to change at any time without prior notice. Copyright and Trademarks ©2013-2019 ChargePoint,Inc.All rights reserved.This material is protected by the copyright laws of the United States and other countries.It may not be modified,reproduced or distributed without the prior,express written consent of ChargePoint, Inc.CHARGEPOINT is a U.S.and European Union registered trademark and service mark of ChargePoint, Inc.and cannot be used without the prior written consent of ChargePoint. ii Symbols Used in This Document This guide and product use the following symbols: DANGER: Risk of electric shock. Af WARNING: Risk of personal harm or death. CAUTION: Risk of equipment or property damage. 1 Important:Crucial step for installation success. 1 Read the manual for instructions. Ground/protective earth. iii IV Contents -chargepoin+ 1 Site Design Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Initial Site Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 Charging Station Placement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 Civil and Mechanical Design. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Wall Mount Stations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Pedestal Mount Stations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Drainage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Clearances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Accessibility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 3 Electrical Design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Upstream Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 Conduit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Wiring Requirements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Wiring Diagram. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Grounding Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Cellular Connectivity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 4 CT4000 Pedestal Mount Concrete Preparation. . . . . . . . . . . . . . . . 19 Concrete Mount Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Installation into New Concrete. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Installing on Existing Concrete. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 IV —chargepoin+ Site Design Guidelines 1 This document describes how to design a project site for the ChargePoint" CT4000 networked charging station for electric vehicles. This includes guidelines and best practices for electrical infrastructure and capacity planning, construction and concrete work required prior to installation of charging stations, and cellular signal requirements. For full specifications and certifications for CT4000 charging stations, refer to the CT4000 Data Sheet found online at: chargepoint.com/products/guides. Initial Site Guidelines ChargePoint recommends that you plan to install charging stations for 5-10% of parking spaces at commercial buildings, or 10-20%for high EV adoption areas like California. Designing electrical infrastructure to support current and future needs for EV charging helps avoid costly upgrades later as demands for EV charging grows. Electrical Requirements An onsite evaluation is needed to determine conduit and wiring requirements from the panel to the proposed parking spaces, construction and concrete requirements for mounting the charging stations, as well as to measure cellular signal levels and identify suitable locations for any necessary cellular signal booster equipment. Review the CT4000 Data Sheet at chargepoint.com/products/guides. Each Level 2 charging port requires: • a dedicated single-phase electrical circuit (32 A at 208/240 V). • a new dual pole breaker 40 A circuit breaker at the electrical panel. (Used breakers can damage equipment and cause a fire risk.) • Conductor wiring sized in accordance with the National Electric Code requirement for 125% capacity for continuous load for all branch circuits from panel to stations via raceway or conduit. Consequently, a CT4000 charging station with two charge ports requires two circuits and two new dual pole 40 A circuit breakers. If power capacity is limited at a site or to reduce costs for electrical infrastructure, consider ChargePoint Power Management options for power sharing at the circuit level, panel level, transformer, or site level. 1 Cellular Connectivity The CT4000 charging station needs strong cellular connectivity to allow ChargePoint to communicate with the station. A connection is needed for station owners and operators to access these features: • User authentication, access control, and billing • Energy usage reporting • Charging station utilization and charging session details for analytical reporting • Real-time charging status to drivers using the ChargePoint mobile app or web portal • Ability for drivers to use the ChargePoint mobile app and Tap to Charge, Apple Pay, or Android Pay on their smartphone to start and stop sessions • Text or email notifications to drivers when vehicle battery is full or stops charging • Notifications to drivers prior to pricing increases for overstay of parking at EV spots • Station fault alarms and remote diagnostic capability • Over-the-air software upgrades for new station features or enhancements If you have preexisting infrastructure or are using your own preferred electrical contractor to prepare your site, a Site Validation by a ChargePoint Operations and Maintenance (0&M) partner is required to certify compliance with electrical specification requirements, and to ensure everything was prepared to ChargePoint specifications. Important:Always check local codes or consult an engineer to ensure the site is prepared • in compliance with all applicable regulations. Local authorities might not allow a unit to operate if it is not installed to code. Charging Station Placement To help minimize costs, choose station locations that are as close as possible to the available electrical infrastructure. Selecting these types of locations helps minimize long conduit and wire runs, as well as any trenching work. AWARNING:The ChargePoint Charging Station must be installed on a level concrete base or attached to a flat wall. Asphalt cannot support the full weight of the Charging Station. Failure to install the ChargePoint Charging Station on a level concrete base or a flat wall may cause the Charging Station to tip over, resulting in death, personal injury, or property damage. Layout Considerations • Identify station locations for EV charging spots. • To help minimize costs, choose station locations that are as close as possible to the available electrical infrastructure. • Consider locations where it will be easy to add future stations. 2 • Consider how easily drivers can find the stations they need to access. • Identify suitable locations with smooth, plumb surfaces for wall mount stations or suitable floor surfaces for pedestal mount stations. • Determine raceway or conduit runs for electrical wiring from the electrical panel. Consider a layout to minimize linear conduit costs to all proposed EV parking spaces. If possible, avoid or minimize trenching requirements, especially more costly trenching to run conduit under asphalt surfaces. • Consider ADA compliance. The charging station should not block ramps or pathways and the bottom of the screen cannot be more than 48 inches above the level of the parking stall. • Choose adjacent parking spaces in an area with adequate lighting. • For stall parking, ChargePoint prefers using perpendicular parking stalls to better accommodate EVs with front and rear charge ports. Note:While ChargePoint tests charging stations with a majority of upcoming vehicles, ChargePoint cannot guarantee the port locations of future vehicles and cannot warrant the configurations proposed will work for all vehicles. • Use dual-port pedestal mount stations where possible in open areas for adjacent parking or adjoining parking spaces. • Consider protective bollards and wheel blocks where appropriate, especially for open tandem parking spaces. Electrical Considerations • Evaluate existing electrical infrastructure to determine if the existing utility service and electrical panel capacity is sufficient. Ensure the electrical wiring, overcurrent circuit protection, and metering (if required) is in place by reviewing the data sheet, as well as the wiring diagram and grounding requirements in this document. • Ensure the electrical wiring, overcurrent circuit protection, and metering (if required) is in place by reviewing the data sheet, as well as the wiring diagram and grounding requirements in this document. • Ensure that you use 16 mm2 (6 AWG) or 10 mm2 (8 AWG) wire to the station. If you will be feeding the station with larger wire (like 25 mm2(4 AWG), you will need to splice the wire for 16 mm2 (6 AWG) or 10 mm2 (8 AWG). For each charging port, only three wires are required: LI, L2, and Ground. For dual port stations, only five wires are required as both ports share the same Ground wire. Note: Neutral must be bonded to Ground upstream at the transformer or panel for each separately derived system. • Identify costs for any necessary upgrades and/or a new dedicated electrical panel. Size all conduit and electrical wiring in accordance with the National Electric Code requirements. 3 ChargePoint recommends using a certified electrician to evaluate available capacity and identify any upgrades that may be required. • If a dedicated EV electrical panel is required, choose a panel location in close proximity to the existing electrical supply. Additional Considerations • Determine appropriate mounting type: wall mount vs. pedestal mount. • Use dual-port pedestal mount stations where possible in open areas for adjacent or tandem parking spots. Establish the quantity of each type of charging station in the initial order. • Measure cellular signal levels using professional cellular test equipment to ensure adequate cellular coverage at the station installation location. To ensure adequate signal strength in underground or enclosed parking structures, cellular repeaters may be required. Use an indoor antenna located near EV parking spaces and an outdoor antenna typically located at the garage entrance ceiling or on the rooftop where cellular signals are best. • Determine cost budget options for electrical infrastructure to satisfy current needs and future needs. Prioritize charging stations locations based upon immediate and future needs, construction timelines, and costs. Plan for the Future Keep in mind not only current EV charging needs, but future needs as EV adoption grows. • Consider running raceway or conduit to all planned EV parking spots, but pulling electrical wiring from the panel to meet current needs. • Consider installing a dedicated electrical panel for EV charging, then leverage ChargePoint Power Management to efficiently use available power at a site to support more EV charging ports than would otherwise be possible without power management. 4 —chargepoin+ Civil and Mechanical Design 2 Use the guidance below to design the civil and mechanical aspects of the site. The station can be installed attached to a wall, or on a concrete pedestal. The pedestal can be a newly poured pad or an existing concrete surface. Wall Mount Stations For wall mounted stations, the wall must be smooth, stable, and plumb. The minimum height of the wall must be 1250 mm (49 in). Place wheel stops (a) 90 mm (3 ft) from the wall. The arc shows the usable reach of the two charging cable lengths available, 5.5 m (18 ft) (b) and 7 m (23 ft) (c). OImportant: Ensure the wall supports the station. If mounting to a hollow wall, bridge at ■ least two studs using a 41 mm (1-5/8 in) channel strut. 5 AWARNING: If not installed correctly, the ChargePoint" Charging Station may pose a fall hazard, leading to death, personal injury, or property damage. Always use the provided Concrete Mounting Template or a ChargePoint-approved surface mounting solution to install the ChargePoint Charging Station and install in accordance with applicable codes and standards using licensed professionals. Non-approved installation methods are performed at the risk of the contractor and void the Limited Warranty. Pedestal Mount Stations For newly poured pedestal mounted installations, the mounting surface must be smooth and cannot exceed a slope of 6 mm per 300 mm (0.25 in per ft). The concrete base must measure at least 600 mm (2 ft) on all sides. For installations in existing concrete, epoxy anchors can be used. Consult a civil engineer to ensure sufficient volume and strength of concrete. There are three basic pedestal base designs: • In front of a curb (a) 900 mm (3 ft) x 2 (b) Area: 0.42 m2 (4.5 ft2) Volume: 0.26 m3 (9 ft3) • Behind a curb (a) in a planter or berm 600 mm (2 ft) on each side Area: 0.37 m2(4 ft2) Volume: 0.23 m3 (8 ft3) + Note:Use a retaining wall as needed to prevent dirt from accumulating on the pad. • Two stations back to back, centered between four spaces 900 mm (3 ft) on each side Area: 0.84 m2 (9 ft2) + + + Volume: 0.51 m3 (18 ft3) + + 6 The pedestal base design can be configured in a variety of ways to serve different parking arrangements. Ensure a sufficient volume of concrete to provide anchoring for the charging station. • Place the station in a planter or berm between spaces with wheel stops 900 mm (3 ft) from B the front of each stall. CURB 0 • Place the station against the curb between spaces with wheel stops 900 mm (3 ft) from the front of each stall. The base of the charging station can be flush with the parking spaces or at curb level. 7 • Place two stations back to back centered on four spaces with wheel stops 900 mm (3 ft)from the front of each stall. The base of the charging station can be flush with the parking spaces or at curb level. • Place a dual holster station centered on the right space. The charging a cables reach two vehicles. Place a wheel stop(a)1220 mm (4 ft)from the center of the charging station. The arc shows the usable reach of the two charging cable lengths available: 5.5 m (18 ft) (b) and 7 m (23 ft) (c). The 7 m (23 ft) cord option is recommended for this configuration. The base of the charging station can be flush with the parking spaces or at curb level. Be sure to install EV Charging Station signs on both spaces. 8 • Place a dual holster station centered • between two parallel parking spaces (a), each 6 m (20 ft) long. Place the station (b) 450 mm (18 in) from the curb. A 7 m (23 ft) charging cable is recommended. • Place a single holster station for a ' single parallel _ parking space 6 m (20 ft) long. Place the station (a) 450 mm(18 in)from the curb, and 1.8 m (6 I1 n ft)from the front of the parking space (b). Drainage Ensure any site slopes, walls, or fencing do not trap water around the charging station installation site. The system is only built to withstand water to the height of the conduit stub-up. AWARNING: Exposing the ChargePoint° Charging Station to water above the height of the conduit stub-up could create an electrocution, shock, or fire hazard. Cut power to the Charging Station if it has been exposed to standing water and contact ChargePoint before the Charging Station is powered on. Clearances For pedestal installations, the conduit stub up must be a minimum of 230 mm (9 in) from any obstructions to the rear. This includes other charging stations.Check applicable codes for any additional clearance requirements. 9 Accessibility The CT4000 touchscreen and charging cables are centered at 1143 mm (45 in) to comply with American Disability Act (ADA) requirements. If your installation must comply with ADA standards, or the disability access regulations for other regions, consider this height when designing the height of the pad or when planning a wall-mounted installation. Also consider site design factors such as placement of pedestals or other vehicle obstacles. The placement must not obstruct ramps or pathways. 10 —chargepoin+ Electrical Design 3 The wall mount CPF50 installation uses surface mount wiring. The pedestal mount CT4000 installation requires service wiring installed underground. (If a site requires surface mounting, contact ChargePoint before beginning work, to obtain an approved installation method.) Conduit and wire size are determined based on the length of runs from the electrical panel to the station location. Service wiring must be run through conduit to comply with local electrical codes. Consult national and local codes or a project engineer to determine the grade,quality,and size of the conduit or cable. The CT4000 Concrete Mount Kit accommodates service wiring through the flare, conduit, or locally appropriate wiring method. Note:All wiring and conduit is supplied by the contractor unless otherwise indicated. Upstream Components Charging stations are considered continuous load devices (EVs draw maximum load for long durations); therefore, electrical branch circuits to EV chargers must be sized at 125% of the load for North American installations, in accordance with National Electric Code (NEC) requirements. (For other regions, refer to local code.) This means that for a maximum 32 A load at 208/240 V output to an electric vehicle, 40 A breakers are required. Wiring must be sized in accordance with NEC code for continuous load devices. Typically, 16 mm2 or 10 mm2 (6 AWG or 8 AWG) insulated electrical wiring is used, depending upon the distance between the electrical panel and the charging station. The terminal block accepts a maximum of 16 mm2 (6 AWG) wire. When planning multiple EV charging stations, it is best practice to segment non-continuous and continuous loads, with all branch circuits for EV charging on a dedicated electrical panel assembly with adequate circuit breakers. When sizing new electrical panels dedicated for EV charging, all branch circuits must support continuous load, and the panel rating must be sized for at least 125% of the total load on each leg of a 3-phase panel. ACAUTION:The CT4000 charging station is tested to IEC 61000-4-5, Level 5 (6 kV @ 3000 A) standards. In geographic areas that experience frequent thunderstorms, appropriate supplemental surge protection is recommended to guard against product damage. 11 OImportant:ChargePoint stations are UL 916 listed as Energy Management devices and are • networked for real time communication to ensure they operate within the provisioned load allowance. Conduit The outer diameter of conduit must not exceed the sizes called out in the conduit layout drawing: 63 mm (2.5 in). Conduit stub-ups cannot extend higher than 660 mm (26 in). For wall mounted stations, flex conduit must be used to bring the wire to the station. Wiring Requirements For full product specifications, refer to the CT4000 Data Sheet. Using that data, ensure that the installation location is equipped with service wiring that supports the CT4000's power requirements: • AC conductors (LI, L2) • Ground conductor When pulling electrical wiring via conduit for CT4000 pedestal mount, ensure at least 900 mm (3 ft) of coiled wire remains above conduit stub up. When pulling electrical for wall mounted stations, the conduit and wire must be brought to the location where the stations will be mounted. Flex conduit must be used to bring the wire to the station. Wiring is brought in via the bottom of the CT4000. Oj Important:The AC terminal blocks on the CT4000 accept a maximum size of 16 mm2 (6 • AWG) solid or stranded wires. If using a larger gauge wire to accommodate a long run, reduce the wire size at the disconnect. 12 Wiring Diagram 240 VAC Single Phase Panel i1 F ® 61 ---1 1. Main Breaker 7. Left L1 13. Terminal Block Left 19. Strip wire 13 mm (1/2 in) 2. Neutral Bus 8. Left L2 14. Terminal Block Right 20. Local Service or Subpanel 3. Ground Bus 9. Right Ll 15. Left Ll 21. 120/240 VAC 10 4. Neutral 10. Right L2 16. Right Ll Bonded Neutral Required 5. L2 11 240 VAC 17. Left L2 6. L1 12. Ground 18. Right L2 Left and right refers to the left and right ports on the charging station. 13 208 VAC Three Phase Panel © o0000 1. Main Breaker 8. Left L1 15. Right Ll 120/208 VAC 30 2. Neutral Bus 9. Left L2 16. Left L2 Bonded Neutral Required 3. Ground Bus 10. Right Ll 17. Right L2 Each 40 A, 2-Pole Neutral 11. Right L2 18. Terminal Block Right breaker may be connected z). L3 12. 208 VAC 19. Terminal Block Left to any two lines. 6. L2 13. Ground 20. Strip wire 13 mm (1/2 in) 7. Ll 14. Left Ll 21. Local Service or Subpanel Left and right refers to the left and right ports on the charging station. 14 Grounding Requirements The CT4000 must be connected to a grounded, metal, permanent wiring system. An equipment- grounding conductor must be run with circuit conductors and connected to an equipment- grounding terminal or lead on the CT4000. A grounding conductor that complies with applicable codes must be grounded to earth at the service equipment or, when supplied by a separate system, at the supply transformer. Ensure that a grounding conductor that complies with all applicable codes is properly grounded to earth at the service equipment or, when supplied by a separate system, at the supply transformer. The voltage of either line, relative to ground, must not fall below 80 volts or a Floating Line Connection error occurs. Because the voltage of either line relative to ground must not be allowed to fluctuate, use only center-grounded systems. Neutral is not used to power the station but must be properly connected to ground, at the panel or transformer, to provide the necessary voltage reference relative to ground. • In a Wye system, connect the station to any two lines, as shown. • In a Delta system, connect the station to a center-tapped secondary only, where the center tap is bonded and the station is connected to the Ll and L3. This allows voltages to remain constant regardless of other loads that may be using the lines. Connect To These Systems • 120/240 VAC, 10 Bonded Neutral Station is connected to Ll and L2 Lz Neutral is not used 1 120 VAC 1 NEU 1 240 VAC NC 120 VAC 1 L1 GND 15 • 120/208 VAC, 30 Wye Bonded Neutral L3 Station may be connected to any two lines } Neutral is not used 208 VAC 1 L2 208 VAC 208 VAC 1 L1 1 120 VAC �NELI NC GND • 120/240 VAC, 30 Delta L3(HIGH LEG) Center tap grounded NC Bonded neutral Station must be connected to L1 and L2 only Do not connect any part of the system to L3 Neutral is not used Not recommended for new construction L2 120 VAC NEU 240 VAC 240 VAC GND 120 VAC NC Do Not Connect to These Systems • 120/208 VAC 3 phase Wye, ungrounded Floating neutral Voltage of either line to ground is undetermined 1 Neutral is not grounded 208 VAC 1 L2 208 VA VAC L GND GND 16 • 120/240 VAC 3 phase Delta, corner-grounded Voltage of any line is not 120 V nominal relative to groundNN. • Any system where the center point of the AC power source is not grounded. 40 VAC GND 17 Cellular Connectivity A consistently strong cellular signal is needed before installers can activate the station. Do not rely on cell phone applications to measure cellular signals when conducting site surveys. Take cellular readings at the exact location of each proposed EV charging station location. Ensure the Reference Signal Receive Power(RSRP) is -100dBm or better. (Note that these numbers are all negative,so-80 dBm is stronger than-100 dBm,and -120 dBm is weaker.) Use a cellular signal detection device (such as an OctopusTM or Snyper-LTE GraphyteTM (USA) by Siretta)to take signal strength readings at the exact proposed Gateway location. If the test tool is capable of measuring the RSRQ value, ensure the value is higher than -10. (Again, where this is measured in negative numbers, so that -9 is higher than -10). If the RSRP signal is below-100 dBm or the RSRQ value is below-10,take cellular readings at location where a cellular signal booster outdoor antenna will be installed to ensure enough signal exists to be boosted. Install repeaters to boost the strength of the cellular signals. Repeaters are often required when installing the charging station in an underground garage or enclosed parking structure. We recommend using a multi-carrier cellular repeater system. Here are some options for cellular signal boosters: • WeBoost 4G-X for all carriers in North America, supports voice, 3G and 4G, max gain of 70 dB for up to 10,000 square feet of coverage area • SureCall Fusion 5 for all carriers in North America, supports voice, 3G and 4G, average gain of 65 dB & max 72 db for up to 6,000 square feet of coverage area • SureCall Force 5 for all carriers in North America for up to 20,000 square feet of coverage inside parking structure Consult an expert in the cellular repeater industry for additional guidance. ChargePoint 0&M partners can validate acceptable cellular signal strength at the site using a cellular strength reader. 18 —chargepoin+ CT4000 Pedestal Mount 4 Concrete Preparation The ChargePoint charging station pedestal mount can be installed either into new concrete or onto an existing concrete surface (on an intermediate floor only). The kit components you need to use, the tools required, and the installation steps vary depending on the type of installation: installation on new concrete or installation on existing concrete. AWARNING: Do not use expanding anchor bolts. Do not install the CT4000 on an asphalt surface. Concrete Mount Kit ChargePoint offers an optional CT4000 Concrete Mount Kit for purchase. The kit contains all parts needed to install the CT4000 pedestal mount into new or existing concrete. OAP � Kit Contents qzwo;pr 1 9 galvanized washers 2e 2 3 hot-dipped galvanized threaded bolts ....g<P�n,.I� .1821 .hargepointcom [e,.9.3] BOIIMD BOLT FODIPWINf 3 1 plastic bolt installation template "'°" DIS MCIRCLE TD WILL 3108 `- 4 12 hex nuts w ER �eoii�•co �` 5 CT4000 installation template with CMK footprint F� \,wcWOR \ugn v / JJ ,�, Note:The Concrete Mount Kit contains 12 hex nuts "'' � and 9 galvanized washers. You need only 6 of each XO for installation on existing concrete pad. m .K. m'o �I.M.104-0,� Installation into New Concrete Before casting new concrete, review the site for suitability to install a CT4000. The CT4000 requires space behind the power stub-up for the Cable Management Kit(CMK).To ensure adequate clearance, 19 refer to the illustrations below and to the CT4000 Installation Template (75-001094-01) included in the Concrete Mount Kit. Note: If the original copy of the installation template is lost, a new one can be printed at: https://chargepoint.box.com/v/CT4000-bpt-enus. Ensure the PDF version of the mounting template is accurate by printing at 100% scale on 11x17 paper and verifying at least one dimension. • Always check applicable codes to ensure compliance.You may need to adjust these instructions to comply with codes that apply at your installation location. • The concrete block must measure at least 600 mm (2 ft) on all sides. • The bolt threads must extend 75 mm (3 in) above the concrete. • The conduit must extend 300 to 600 mm (12 to 24 in) above the concrete. Installation Instructions 1. Install two nuts, with two washers captured between them, onto each of the three bolts. Lock them together so the lower end of the upper nut is located 150 to 160 mm (6 to 6-1/4 in) from one end of the bolt. This sets the length of the exposed threads. 2. Place the plastic bolt installation template over the three bolts. This ensures the relative position of 150-160 mm the bolts and that the flange of the pole fits over 6-6 1/4 in the bolts. 3. On the opposite end of each bolt, install a nut, a washer, and a nut. Lock the two nuts together so that the lower nut aligns to the bottom of the bolt. This provides retention for the bolt in the concrete. 4. Immediately after pouring the concrete, push the bolts into the concrete 150 mm (6 in) deep. • Ensure correct alignment, with the two bolts 75 mm 3 in facing forward and the third bolt to the rear. • Ensure that the top 75 mm (3 in) of the bolts ' mm 6 in remains exposed. • Use a bubble level to ensure the bolts are plumb. OImportant: Rotate the bolts as you insert them. • This allows the concrete to fully coat the threads of the bolts, reducing the amount of trapped air. Note:The plastic bolt installation template can be left in place. 20 CT4000 Pedestal Mount Concrete Preparation When the concrete is fully set, remove the upper nuts and the washers to install the pedestal's mounting post. You are now ready to install the CT4000 pedestal mount charging station. Installing on Existing Concrete Review the site for suitability to install a CT4000. The CT4000 requires space behind the power stub-up for the Cable Management Kit (CMK). To ensure adequate clearance, refer to the CT4000 Installation Template (75-001094-01) included in the installation kit. Minimum Requirements • Always check local codes to ensure compliance. You may need to adjust these instructions to comply with codes that apply at your installation location. • Review the dimensions of the existing concrete slab. To safely mount a CT4000 charging station, the concrete must be at least 150 mm (6 in) thick. At this thickness, all of the CT4000 mounting bolts must be positioned at least 380 mm (15 in) from the front edge, at least 300 mm (12 in) from the side edges, and at least 150 mm (6 in) from the rear edge of the concrete slab. • If an existing charging station is already in place at the installation site, turn off all power to the station and disassemble according to the original manufacturer's instructions. Cut away any existing bolts or non-power conduit stub-up to ground level. You may need to plug cut-away conduits at the slab end, and disconnect wiring at the other end. Tools Required Electric hammer drill with 12 mm (1/2 in) or larger chuck. Consumables Required The following table lists and describes consumable items that you will need. The quantity listed in the table is based on installation of one charging station. Note:The consumption rate of these products varies depending on conditions at the installation site. Quantity Description Purpose 1 Epoxy adhesive for concrete such as Hilti RE-500. Fill drilled holes. 1 Electrical cleaning and maintenance aerosol, any Clean drilled holes. angle spray duster, 235 ml (8 oz) Note: Compressed air will work. 1 Slow spiral round-shank masonry drill bit, 25 mm Drill 25 mm (1 in) holes in concrete. (1 in) diameter,12.5 mm (1/2 in) shank, 255 mm (10 Note: The holes must be at least 150 mm in) drill depth, 300 mm (12 in) length overall (6 in) deep. 21 Quantity Description Pur 1 Drill bit for concrete embedded rebar,round 25 mm Drill 25 mm (lin) hole through rebar. (1 in) bit size,12.5 mm (1/2 in) shank diameter, 300 mm (12 in) length overall 1 Nylon loop handle brush, 25 mm (1 in) brush Clean drilled holes. diameter, 75 mm (3 in) length brush,215 mm (81/2 in) length overall 3 Push-on round cap,fits 16 mm (5/8 in) -17.5 mm Keeps the epoxy inside the drilled holes in (11/16 in) OD,1/2 in inside height situations where the slab is only 150 mm (6 in) deep. Installation Instructions Install two nuts, with two washers captured between them. Lock them together so the lower end of the upper nut is located 150 to 160 mm (6 to 61/4 in) from the bottom of the bolt. This sets the length of the exposed threads. 2. Place the plastic bolt installation template 150-160 mm to mark the hole locations. 6-6 1/4 in I 3. Remove the template and drill three 25 mm (1 in) diameter holes 150 mm (6 in) 75 mm deep into the concrete. 3 in • When locating the template, consider the charging station's total footprint. • It is important that the bolts are parallel after installation. Ensure the drill holes are plumb by using a level to check the angle of the drill after drilling 25 to 38 mm (1 to 1 1/2 in). • If installing over existing buried conduit, position the center of the template around the conduit stub-up. • You may need two drill bits: one for the concrete (with the pilot) and another for the rebar (without the pilot). Always start the hole using the standard drill bit, then switch to the rebar drill bit only if drilling through rebar. Remove all dust from inside the drilled holes using compressed air, a vacuum, and/or a brush. 22 CT4000 Pedestal Mount Concrete Preparation 5. If the concrete slab is only 150 mm (6 in) deep, insert a plug (such as McMaster product #9753K56) in each hole to keep the epoxy in place until it hardens. Place the plug over the long end of a bolt and then use the bolt to push the plug to the bottom of the hole. Fill each hole with epoxy to about 65 to 75 mm (21/2 to 3 in) below the top. Continue immediately to the next step because the epoxy sets quickly. Note: Inserting the threaded bolts displaces the epoxy, causing it to fill the holes to the grade level. If the epoxy is below grade level after the next step, add more epoxy. 7. Place the plastic concrete bolt installation template over the holes. This ensures the relative position of the bolts and that the flange of the pole fits over the bolts. Insert the bolts through the template, into the holes. OImportant: Rotate the bolts as you insert them. This allows the epoxy to fully coat the threads of the bolts, reducing the amount of trapped air. Note:The installation template can be left in place. 9. If needed, top the holes with epoxy to grade level. 10. Use a bubble level to ensure the bolts are plumb. - 11. Allow the epoxy to cure (depending on cure times recommended by the epoxy manufacturer) before removing the top nuts and washers. 12. Allow the epoxy to fully cure (depending on cure times recommended by the epoxy manufacturer) before applying torque to the nuts. You are now ready to install the CT4000 pedestal mount charging station. 23 24 Warranty Information and Disclaimer The Warranty you received with your Charging Station is subject to certain exceptions and exclusions. For example,your use of, or modification to,the ChargePoint®Charging Station in a manner in which the ChargePoint°Charging Station is not intended to be used or modified will void the limited warranty.You should review your warranty and become familiar with the terms thereof.Other than any such limited warranty,the ChargePoint products are provided "AS IS,"and ChargePoint, Inc. and its distributors expressly disclaim all implied warranties, including any warranty of design, merchantability,fitness for a particular purposes and non-infringement,to the maximum extent permitted by law. Limitation of Liability CHARGEPOINT IS NOT LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL,SPECIAL, PUNITIVE OR CONSEQUENTIAL DAMAGES, INCLUDING WITHOUT LIMITATION LOST PROFITS, LOST BUSINESS, LOST DATA, LOSS OF USE, OR COST OF COVER INCURRED BY YOU ARISING OUT OF OR RELATED TO YOUR PURCHASE OR USE OF,OR INABILITY TO USE, THE CHARGING STATION, UNDER ANY THEORY OF LIABILITY, WHETHER IN AN ACTION IN CONTRACT,STRICT LIABILITY,TORT(INCLUDING NEGLIGENCE)OR OTHER LEGAL OR EQUITABLE THEORY, EVEN IF CHARGEPOINT KNEW OR SHOULD HAVE KNOWN OF THE POSSIBILITY OF SUCH DAMAGES. IN ANY EVENT,THE CUMULATIVE LIABILITY OF CHARGEPOINT FOR ALL CLAIMS WHATSOEVER RELATED TO THE CHARGING STATION WILL NOT EXCEED THE PRICE YOU PAID FOR THE CHARGING STATION.THE LIMITATIONS SET FORTH HEREIN ARE INTENDED TO LIMIT THE LIABILITY OF CHARGEPOINT AND SHALL APPLY NOTWITHSTANDING ANY FAILURE OF ESSENTIAL PURPOSE OF ANY LIMITED REMEDY. FCc CAN ICES-3(A)/NMB-3 (A) --chargepoin+ chargepoint.com/support 75-001375-01 r2 -chargepoin+ CT4000 Make-Ready Requirements Specification Introduction This document provides best practices and guidelines for preparing a site to install EV charging stations (Make-Ready). "Make-ready" means that all necessary electrical infrastructure to operate the charging stations, all conduit and wire is pulled to the station location(s), all concrete work is completed properly so the stations can be mounted and any cellular repeaters are installed if required. ChargePoint recommends that you plan for 5%-10%of parking spaces and 10%-15%for high EV adoption areas like California for future planning. Consideration of electrical infrastructure that supports current and future needs for EV charging will help avoid costly upgrades later as demands for EV charging grows. Regardless of the specific type of CT4000 charging station you will be installing, these high level Make Ready specification will be the same. ChargePoint recommends using a certified electrician to evaluate available capacity of existing electrical panels and to identify any electrical panel upgrades that may be required to support EV charging for multiple make-ready parking spaces. An onsite evaluation is necessary to determine conduit and wiring requirements from panel to proposed "make-ready" parking spaces, as well as to measure cellular signal levels and identify suitable locations for placement of any necessary cellular signal booster equipment. Station Location To help minimize costs you will want to choose station locations that are somewhat close to the available electrical infrastructure. In selecting these types of locations it helps minimize long conduit and wire runs as well as any trenching work. You should also consider locations where it will be easy to add future stations. You also need to ensure that station locations have strong 3G cellular connectivity to allow ChargePoint to communicate with the stations. If there is a weak signal at the station location a cellular signal booster(repeater)will need to be installed (See the Cellular Signal Levels section later in this document). Finally, consider how easy the stations are to find for drivers needing to access them. EV Make-Ready Construction All construction must conform to all local codes that are designated by the state, local municipality or authorities of where you are performing the construction. Conduit and wire size will need to be determined based on the length of runs from electrical panel to the station location. The National Electrical Codes and local codes will help determine appropriate sizing. © 2016 ChargePoint, Inc. Page 1 of 14 Each Level 2 charging port requires a dedicated single-phase electrical circuit (32A @ 208/240V) with 40A circuit breaker at the electrical panel. A certified electrician must install all electrical circuits in accordance with local and National Electric Code requirements. General guidelines for"make-ready' include: 1) Evaluation of existing electrical infrastructure to determine if there is sufficient existing utility service and electrical panel capacity and identify costs for any necessary upgrades and/or a new dedicated electrical panel. 2) For installation of dedicated EV electrical panel, choose panel location in close proximity to existing electrical supply. 3) Identify station locations for EV charging that are in close proximity to an electrical room with common area electrical panel; reduce distance for conduit runs and electrical wiring from electrical panel to all proposed EV parking spaces. 4) Determine the appropriate mounting location. 5) Ensure the wiring, circuit protection and metering is in place at the station installation location by reviewing the specification, wiring diagram and grounding requirements later in this document. 6) Ensure that you are using 6 or 8 gauge wire to station. If you will be feeding the station with larger wire like 4 gauge then you will need to splice the wire for 6 or 8 gauge. 7) If possible, avoid or minimize trenching requirements, especially more costly trenching to run conduit under asphalt surfaces. 8) Choose adjacent parking spaces in an area with adequate lighting and identify suitable locations with flat surface for wall mount stations or suitable floor surface for pedestal mount stations (no asphalt surfaces). 9) Use dual-port pedestal mount stations where possible in open areas for adjacent or tandem parking spaces. 10) Determine optimum conduit layout to minimize linear conduit costs to multiple EV parking spaces and size all conduit and electrical wiring in accordance with National Electric Code requirements. 11) Measure cellular signal levels for 3G Verizon and 3G AT&T carriers and identify optimum location for placement of ChargePoint gateway devices. 12) Ensure that adequate CDMA (Verizon, Sprint) or GSM (AT&T, Rogers) cellular coverage is available at the station installation location. To ensure adequate signal strength in underground or enclosed parking structures, cellular repeaters may be required. (See the Cellular Signal Levels section later in this document) 13) For below ground-level or enclosed parking garages, installation of a cellular signal booster often is required with indoor antenna located near gateway device and EV parking spaces and outdoor antenna typically located at the garage entrance ceiling or on the rooftop where cellular signal levels are optimum. 14) Determine cost budget options for make-ready electrical infrastructure to satisfy current needs and future needs. Prioritize locations for installation of charging stations based upon immediate and future needs, construction timelines, and costs. For bollard mount charging stations, prepare the installation site by following the instructions in the Preparing Concrete Pad chapter. The mounting template for the bollard can be found at www.chargepoint.com/support-installation-guides.php. Ensure the PDF version is accurate by printing it © 2016 ChargePoint, Inc. Page 2 of 14 --chargepoin+ at 100%scale on 11" x 17" paper and then verify at least one dimension. (See also the Prepare the Installation Site for Bollard Mount later in this document) Review the CT4000 Data Sheet(available at www.chargepoint.com/support-product-data-sheets.php). It is recommended that only new 40A dual pole breakers are to be used. Used breakers can damage equipment and cause a fire risk. Always check local codes to ensure compliance. You may need to adjust this specification to comply with codes that apply at your installation location. If you have pre-existing infrastructure or are using your own preferred electrical contractor to prepare your site for charging, a Site Validation by a ChargePoint Operations and Maintenance (O&M) partner will be required to certify compliance with electrical specification requirements and to ensure that everything was prepared to ChargePoint specifications. Cellular Signal Levels ChargePoint charging stations communicate over the ChargePoint network via 3G cellular carriers to provide the following features to property managers and EV drivers: ■ User authentication, access control, & billing ■ Energy usage reporting • Charging station utilization and charging session details for analytical reporting ■ Real-time charging status to drivers using the ChargePoint mobile app or web portal ■ Ability for drivers to start&stop charging sessions using the ChargePoint mobile app ■ 24-hr driver support to remotely start charging sessions (ChargePoint cards also start& stop sessions) ■ Text notifications to drivers when vehicle battery is full or stops charging ■ Station fault alarms and remote diagnostic capability ■ Over-the-air software upgrades for new station features or enhancements (future proof) General guidelines when measuring cellular signal levels: ■ Do not rely on cell phone apps to measure cellular signals when conducting site surveys ■ Take 3G AT&T&3G Verizon signal strength readings at exact proposed charging station locations ■ Take cellular readings at location of where a cellular signal booster antennae will be installed to ensure there is enough signal to boost Requirements for acceptable 3G AT&T and 3G Verizon cellular coverage are: ■ Weakest acceptable signal levels at gateway device without using a signal booster are -85 dbm for 3G AT&T WCDMA& -90 dbm for 3G Verizon EVDO (ECLO>-10 using Squid Pro 3G); ■ For a cellular signal booster solution inside parking garages, the weakest acceptable signal level at outside antenna location should be between -95 dbm and -100 dbm (the weaker the signal the less coverage area inside using a signal booster); Below are a few suggested options for cellular signal boosters: © 2016 ChargePoint, Inc. Page 3 of 14 ■ WeBoost 4G-X for all carriers in North America, supports voice, 2G, 3G and 4G, max gain of 70 db for up to 10,000 square feet of coverage area; ■ SureCall Fusion 5 for all carriers in North America, supports voice, 2G, 3G and 4G, average gain of 65 db & max 72 db for up to 6,000 square feet of coverage area; ■ SureCall Force 5 for all carriers in North America to provide up to 20,000 square feet of coverage inside parking structure. ChargePoint O&M partners will validate acceptable cellular signal strength at the site using a cellular signal strength reader. We recommend using a Squid Pro 3G M2M signal meter from Berkeley Varitronics Systems to distinguish 2G vs 3G cellular carrier frequencies. For details concerning acceptable cellular signal levels and signal booster solutions, please reference Make-Ready Specifications section at the end of this document. Electrical Panel Level 2 charging stations are considered continuous load devices (EVs draw maximum load for long durations); and therefore, electrical branch circuits to EV chargers must be sized at 125%of the load in accordance with National Electric Code requirements.This means that for a maximum 32A @208/240V output to an electric vehicle,40A breakers are required and wiring conductor ampacity sized in accordance with NEC code for continuous load devices.Typically, 6 AWG or 8 AWG insulated electrical wiring is used depending upon distance between the electrical panel and the charging station. When planning for multiple EV charging stations, it is best practice to segment non-continuous and continuous loads,with all branch circuits for EV charging on a dedicated electrical panel assembly with 40A circuit breakers.When sizing new electrical panels dedicated for EV charging, all branch circuits will support continuous load, and the panel rating sized for at least 125%of the total load on each leg of a 3- phase panel. @ 2016 ChargePoint, Inc. Page 4 of 14 --chargepoin+ Specifications Electrical Input SINGLE PORT PORT AC Voltage 20W240VAC 208/240VAC Required Service Required Service Current Input PowerConnectir,�� Current inr•�itn�w�, v Standard 30A One 40A branch circuit 40A dual pole 30A x 2 Two independent 40A branch 40A dual pole (non GFCI type) circuits (non-GFCI type)x 2 Standard Power Share n/a n/a n/a 32A One 40A branch Circuit 40A dual pole (non-GFCI type) Power Select 24A 24A One 30A Branch circuit 30A d 24A z 2 ual pole Two independent 30A branch 30A dual pole (non-GFCI type) circuits (non-GFCI type)x 2 Power Select 24A n/a n/a n/a 24A One 30A branch circuit 30A dual pole Pourer Share (non-GFCI type) Power Select 16A 16A One 20A Branch circuit 20A dual pole 16A x 2 Two Independent 20A branch 20A dual pole (non-GFCI type) circuits (non-GFCI type)x 2 Power Select 16A 20A dual pole Power Share n/a n/a n/a 16A One 20A branch circuit (non-GFCI type) Service Panel GFCI Do not provide external GFCI as it may conflict with internal GFCI(CCID) Wiring-Standard 3-wire(Ll,L2,Earth) 5-wire(Ll,Ll,L2,L2,Earth) Wiring-Power Share rVa 3-wlre(LI L2,Earth) Station Power 8W typical(standby),15W maximum(operation) I ctrical Output Standard 7.2kW(240VAC@30A) 7.2kW(240VAC@30A)x 2 7.2kW(240VAC@30A)x 1 OR Standard Power Share n/a 3.8kW(240VAC(&16A)x 2 Power Select 24A 5.8kW(240VAC(d24A) 5.8kW(240VAC@24A)x 2 Power Select 24A 5.8kW(240VAC@ 24A)x 1 OR Power Share n/a 2.9kW(240VAC@12A)x 2 Power Select 16A 3.8kW(240VAC(h)16A) 3.8kW(240VAC@%A)x 2 Power Select 16A n/a 3.8kW(240VAC(016A)x 1 OR Power Share L9kW(240VAC(&BA)x 2 Functional Interfaces Connector(s)Type SAE JI772' SAE J1772'x 2 Charging Cable Length 18'(5.5 meters) 18'(5.5 meters)x 2 Overhead Cable Yes Management System LCD Display 5.7"full color,64Ox480,30fps full motion video,active matrix,UV protected Card Reader ISO 15693,14443.NFC Locking Holster Yes Yes x 2 Safety and Connectivity Features Ground Fault Detection 20mA CCID with auto retry Open Safely Ground Detection Continuously monitors presence of safety(green wire)ground connection Plug-Out Detection Power terminated per SAE J1772'specifications Power Measurement Accuracy -/-2%from 2%to full scale(30A) Power Report/Store Interval 15 minute,aligned to hour Local Area Network 2.4 GHz Wi-Fi(802.11 b/g/n) Wide Area Network 3G GSM,3G CDMA t "r,c rational Ratings Enclosure Rating Type 3111 per UL 50E Safety Compliance UL listed for USA and cUL certified for Canada;complies with UL 2594,UL 2231-1,UL 2231-2,and NEC Article 625 Surge Protection 6kV @ 3000A.In geographic areas subject to frequent thunder storms,supplemental surge protection at the service panel is recommended. EMC Compliance FCC Part 15 Class A Operating Temperature -22°F to 122°F(-30°C to*50°C) Storage Temperature -40°F to 122°F(-40°C to-50°C) Operating Humidlty up to 85%@•50°C 02rF)non-oondensing Non-Operating Humidity up to 95%@•50°C(12rF)non-condensing Terminal Block Temperature Rating 221°F(1050C) Maximum Stations per 80211 Radio Group 10.Each station must be located within 150 feet"line of sight"of a gateway station- © 2016 Charge Point, Inc. Page 5 of 14 -chargepoin+ Dual Circuit Wiring Diagram The following illustration describes the wiring for installing a CT4000 on a dual circuit.wring for a single circuit installation is described on the next page.Grounding requirements are described on page 1-6. NOTE:Requires two dedicated circuits,each with its own two pole 40 A breaker.See Appendix B for lower power operation options. EACH 40. 2 POLE BREAKER 120/208 vAC JO MAY BE CONNECTED TO ANY 8ONOED NEUTRAL TWO Lots, REOUAM LOCAL SERVICE OR SUB PANEL ZN&EULI m a a Ll Of aU" W Q , n _ 0 0 1 O� N � u •ion. m 0 5 � z c� tK208*VA4C 208 VAC, THREE PHASE PANEL 120/240 VAC 14 BODED NEUTRAL REOURED- LOCAL SERVICE OR SUB PANEL (1.33 L1 MAIN REAKER rt.ow w«s < ` O IR l W L Z �l low t O — _ N � pp ott. m � qgq p � E Z 0 240 VAC — Un 240 VAC, SINGLE PHASE PANEL -chargepoin+ Single Port or Shared Power Wiring Diagram The following illustration describes the wiring for installing a dual port CT4000 on a shared single circuit.For this installation, you will need the power shanng kit to allow both ports to share a two pole 40A circuit breaker.Wiring connections are provided in Appendix B.Grounding requirements are described on page 1-6.See Appendix B for lower power operation options. Wiring for a dual circuit installation,see the previous page. IQS. 2 POLE BREAKER 120/209 WC 34 MAY BE CONNECTED BONDED NEUTRAL TO AW TWO LNES REQUIRED. LOCAL SERRIACE OR SUB PANEL NEU LS L1 MAIN V) BREAKER IFR14NAI AIEK.KWFIH F(WR SHARING AIMPFRS RLAAI I FD J Q Q EC O O W ILE Z nTI� Ain in.. O o Z 268 VAC a 208 VAC, THREE PHASE PANEL 120/240%ftC +# BONDED NEUTRAL fEQURRED. LOCAL SERL+CE OR SUB PARR. 2 0 MAIN Ln BREAKER IMMINALBLOCKWIIH O KM'I%AMNG A1MI)L 1415 INSTALLED in a O j d W _ Z , m � I O � J Z 0 240 VAC ROI 240 VAC, SINGLE PHASE PANEL --chargepoin+ Grounding Requirements The voltage of either line,relative to ground,must not fall below 80 volts or a Floating Line Connection error occurs(see page 5-3). Because the voltage of either line relative to ground must not be allowed to fluctuate,use only center- grounded systems. Neutral is not used to power the station but must be properly connected to ground,at the panel or transformer,to provide the necessary voltage reference relative to ground. Connect to these systems In a wye system,connect the station to ANY two lines,as shown below. In a delta system,connect the station to a center-tapped secondary only,where the center tap is bonded and the station Is connected to Ll and L3. This allows voltages to remain constant regardless of other loads that may be using the lines. 120/240 VAC, 30 DELTA 120/240 VAC, 10 120/208 VAC, 30 WYE CENTER TAP GROUNDED BONDED NEUTRAL BONDED NEUTRAL BONDED NEUTRAL L2 L3 W1101dN1 W INSIAI I AIIDNS L3 (HIGH LEG) NC 00 NCT CONNECT ANY 120 WC 20Y1 vAC PART Cf TEE S�'STEW TD THIS WINE. r I` NEU 240 VAC L2 Xd VAc (� "` I L,2 wuC 206,� L 1 I L 1 µAAAA +to +2olpu� a GND I NC L2 240IW �w+C I NEU _ 1201V 1 L1 NC 1 GND STATION 6 CONNECTED TO L1 GND STATION WAY BE CONNECTED TO STATION MUST SE CONNECTED TO L1 AND L2 ONLY AND Lz. ANY TWO LINES DD NOT CONFECT ANY PART of TIE SYSTEW TO L3NEUTRAL IS NOT USED. NEUTRAL IS NOT USED. (NIA+» LEG) Do not connect to these systems Do not connect ChargePolnt stations to the following types of power sources: • 120/208 VAC 3 phase wye,ungrounded • 1201240 VAC 3 phase delta,comer-grounded • Any system where the center point of the AC power source is not grounded 208 VAC, 30 WYE 120/240 VAC, 30 DELTA FLOATING NEUTRAL CORNER GROUNDED _ L3 _ I 208 VAC T IL2 240 vac 1 208 VA m VAC VAC _1 k A C L 24o v GND 2 JGND GND VOLTAGE OF EITHER LINE TO VOLTAGE OF ANY LINE IS NOT 120V GROUND IS UNDETERMINED. NOMINAL RELATIVE TO GROUND. NEUTRAL IS NOT GROUNDED. --chargepoin+ Preparing the Installation site for a Wall mount Station When preparing the site for wall mounted stations,the conduit and wire must be brought to the location of the where the stations will be mounted. Below, are a couple images of sites showing how the conduit and wire was brought to the location where a wall mounted station will be installed. Flex conduit must be used to bring the wire to the station. 1 r 3 © 2016 ChargePoint, Inc. Page 9 of 14 -chargepoin+ Preparing - Installation Site • Bollard Mount Before You Start The ChargePointo Charging Station's bollard mount can be Installed either: • into the ground • onto an existing concrete surface(on an intermediate floor only) the kit components you need to use,the tools required,and the installation steps vary depending on the type of installation. This appendix provides basic guidelines for both types of installations. I& IMPORTANT:Always check local codes to ensure compliance.You may need to adjust the guidelines provided in this appendix to comply with codes that apply at your installation location_ Installation Overview To install the CT4000 bollard mount into the ground,you will need the components shown below.These components can be purchased from ChargePoint by ordering a CT4000 Concrete Mount Kit. Plastic Bolt Installation Template(1) Galvanized Washers(ASTM F436)(9) — 35"-Heavy Galvanized Hex Nuts (DH Rated)(12) 11 x 9"FIS54 Grade 55 hot-dipped galvanized threaded bolts(3) CT4000 Installation Template ChorgePoint, Inc 95.67 e with CMK Footprint(1) gepofnt coin 1° ■w■cnar [et49 2] BOLWID BOLT FOOTPRINT 11.00 CIRCLE T [279 4] DSTANCE -TO WALL 6 15 228 6 .2.50 2.54 7 (64,6] j CORD [015.9) CO ND_ / • �0 7 MANAGER J-BOIT _ i FOOTPRINT OR WArrt�MAN 1'HI ANCHOR J 7 _ _ 2.54 294 1.47 (74.6] [37.3] J 7.58 1.42 [192.6] 4,41 11191 DR£rD(36.0] 17.42 SCALE DMENSXJNS ARE IN "ES[mint [3t55] vNNt 1 1 ON n'■ v"P-1 a IN 1 2 3 ♦ s c 1 e ANCHOR BOLT PATTERN DO MW 9CAU ■NC4 ONNTNO 75-OOt094-01 REV 4 0 CM � 10 15 20 'NOTE:When installing onto an existing concrete surface,you will need only 6 Galvanised Hex Nuts and 6 Galvanised Washers. But you will need several consumables as described on page A-3. -chargepoin+ Casting Into New Concrete Before casting into new concrete,review the site for suitability to Install a CT4000. The CT4000's Clean Cord Technology requires space behind the power stub-up for the Cord Management Kit(CMK).To ensure adequate space,refer to the illustra- tions below and to the CT4000 Installation Template(75 001094-01)included in this installation kit. ZK IMPORTANT. • Always check local codes to ensure compliance.You may need to adjust these instructions to comply with codes that apply at your installation location. • The concrete block must measure at least 24"on all sides. • The bolt threads must extend 3"above the concrete. • The conduit must be at least 1'h"in diameter and extend 12"to 24"above the concrete. • Refer to the CT4000 Installation Guide for detailed installation instructions. Kit Components Needed You will need the entire contents of the CT4000 Concrete Mount Kit. Follow These Steps 1 Install two nuts,with two washers captured between them,onto each of the three bolts,as Illustrated.Lock them together so the lower end of the upper nut is located 6-6!/t"from the bottom of the bout.This sets the length of the exposed threads. 2. Insert the three bolts through the Plastic Bolt Installation Template. This ensures the relative position of the bolts and that the flange or the pole fits over the bolts. 3. On the bottom of each bolt, install a nut,a washer,and a nut. Inser.tbenW(s Lock the two nuts together so that the lower nut aligns to the into trePlastic 6-61/4" Bolt I"SWIR400 (150-164 min) bottom of the bolt. Ternpetebeforc attad•ity tilt 4. Immediately after pouring the concrete,push the bolts into the lowws',.Asard concrete 6"deep,as Illustrated.Ensure correct alignment and waJ: that the top 3"of the bolts remain exposed.Rotate the bolts as T you insert them to draw concrete into the threads. BOLT PREPARATION NOTE: • It is important to rotate the bolts as you insert them.This allows the concrete to hilly coat the threads of the bolts, reducing the amount of trapped air. • The Plastic Bolt Installation Template template can be left 3'{75 rrmj in place. t t 5. When the concrete is fully set,remove the up per nuts and one c150l>w„> washer to install the bollard's mounting post. I + You are now ready to install the CT4000's bollard mount. Refer to 2a-( the CT4000 Installation Guide. d00rrm} I -chargepoin+ Installing on Existing Concrete If installing on existing concrete,perform the following tasks: • Review the site for suitability to install a CT4000.The CT4000's Clean Cord Technology requires space behind the power stub-up for the Cord Management Kit(CMK).To ensure adequate space,reference the CT4000 Installation Template (75-001094-01)included in this installation kit • Review the dimensions or the existing concrete slab. To safely mount a CT4000 charging station,the concrete must be at least 6"thick.At this thickness,all of the CT4000's mounting bolts must be positioned at least 15"from the front edge, at least 12"from the side edges,and at least 6"from the rear edge of the concrete slab. • If an existing charging station is already in place at the Installation site,turn off all power to the station and disassemble according to the original manufacturer's instructions.Cut away any existing bolts or non-power conduit stub-up to ground level.You may need to plug cut-away conduits at the slab end,and disconnect wiring at the other end. /.� � IMPORTANT:Always check local codes to ensure compliance.You may need to adjust these instructions to comply with codes that apply at your installation location. Kit Components Needed The CT4000 Concrete Mount Kit contains 12 Heavy Galvanized Hex Nuts and 9 Galvanized Washers.You will need only 6 of each. Tools Required Electric drill or Hammer drill(%"chuck may be required depending on drill bits used)(1) Consumables Required These consumables can be ordered online directly from McMaster(McMaster Product As are included in the Gable below). Delete any items you already have,and change quantities to accommodate the number of stations you are installing. NOTE:The consumption rate of these products will vary depending on conditions at the installation site. Md4a ter Quantity Roduct 0 Description Purpose 1' 7505A55 Epoxy Adhesive for Concrete.9.3 Ounce Cartridge Filling drilled holes. (includes two mixing nozzles) 1• 7505A56 Mixing Nozzles for 9.3 Ounce Epoxy Adhesive for Filling drilled holes.NOTE:You may need extra Concrete mixing nozzles to accommodate delays of over three minutes when applying epoxy. 1 7622123 Ratclwt Rod Caulk Gun with Half-Barrel Frame for 10-13 Filling drilled holes.NOTE:Any standard Caulk Ounce Cartridge,6:1 Thrust gun will work. 1 7437K35 Electrical Clearing and Maintenance Aerosol.Any Angle Clearing drilled holes. Spray Duster,8 Ounce Net Weight 1 296OA22 Slow Spiral Round-Shank Masonry Drill Bit,-%"diameter. Drilling U"holes In oonaete.NOTE The holes lei"Shank,10"Drill Depth,12'Length Overall must be at least 6"deep. 1 296SSA25 Drill Bit for Concrete Embedded Rebar,Round,U"hit size, Drilling N"hole through rebar. W'Shank diameter,12"Length Overall 1 7221T13 Nylon Loop-Handle Brush,W'Brush Diameter,3"Length Cleaning drilled holes- fir ush.81k"Length Overall 1 9753K47 Push-on Round Cap,fits'A"-"/ib OD,Ili-Inside Height, Keeping the epoxy inside the drilled holes in Packs of 100 situations where the slab is only 6"deep. Owntily based on instarfatron o/one diurgvrg st uion --chargepoin+ Follow These Steps 1. Install two nuts with two washers captured between them.Lock them together so the lower end of the nut Is located 6"from the bottom of the bolt. This sets the length of the exposed threads. 2. Use the Plastic Concrete Bolt Installation Template to mark the hole locations. 3. Remove the template and drill three V diameter holes 6"deep into the concrete.When locating the template,consider the charging (150-160mm) station's total footprint.For reference,a template for the CT4000 charging station with CMK is included in this kit. NOTE: • It is important that the bolts are parallel after installation. BOLT PREPARATION Therefore,ensure the drill holes are plumb by using a bubble level to check the angle of the drill after drilling 1 to I%". • If installing over existing buried conduit,position the center of the template around the conduit stub-up. • You may need two drill bits-one for the concrete(with the pilot)and another for the rebar(without the pilot).Always 37(75 mm) start the hole using the standard drill bit,then switch to the rebar drill bit only if drilling through rebar. (150 min) 4. Remove all dust from inside the drilled holes using compressed air,or a vacuum and/or a brush. S. If the concrete slab is only 6"deep,insert a plug(McMaster 24'(0W LI Product#9753K56)in each hole to keep the epoxy in place until ►i it hardens.Place the plug over the long end of a bolt and then use the bolt to push the plug to the bottom of the hole. 6. Fill each hole with epoxy to about 2%*to 3"below the top. Continue immediately to the next step because the epoxy sets within about eight minutes. NOTE: Inserting the threaded bolts displaces the epoxy,causing It to nil the holes to grade level.If the epoxy is below grade level, you can add more after the next step. 7. Place the Plastic Concrete Bolt Installation Template over the holes. This ensures the relative position of the bolts and that the flange of the pole fits over the bolts. 8. Insert the bolts through the template,Into the holes.Rotate the bolts as you insert them to draw epoxy into the threads. IMPORTANT: The epoxy is very thick Therefore,it Is important to rotate the bolts as you insert them. This allows the epoxy to fully coat the threads of the bolts,reducing the amount of trapped air. NOTE:The installation template can be left in place. 9. If needed,top up the holes with epoxy to grade level. 10, Allow the epoxy to cure for at least 15 minutes'before removing the top nuts and washers. 11. Allow the epoxy to cure for 45 minutes'before applying torque to the nuts. 'Epoxy cure Ones assurne you are uskV epoxy ordered from McMaster(Product 4 7505455).d using a different type of epoxy you may need to a*nt these times Refer to the awe times provided with the epoxy You are now ready to install the CT4000's bollard mount(see Chapter 2). -chargepoin+ z Y r r, (Proper concrete pad with anchor bolts and conduit stub-up) © 2016 ChargePoint, Inc. Page 14 of 14 —chargepoin+ CT4000 Level 2 Commercial Charging Station Specifications and Ordering Information Ordering Information Specify model number followed by the applicable code(s). The order code sequence is:Model-Options.Software,Services and Misc are ordered as separate line items. Hardware • Description Order Code Model 1830 mm(6 ft)Single Port Bollard Mount CT4011-GWI 1830 mm(6 ft)Dual Port Bollard Mount CT4021-GW1 1830 mm(6 ft)Single Port Wall Mount CT4013-GW1 1830 mm(6 ft)Dual Port Wall Mount CT4023-GWI — 2440 mm(8 ft)Dual Port Bollard Mount CT4025-GW1 ` 2440 mm(8 ft)Dual Port Wall Mount CT4027-GWI Included Integral Modem-North America -GW1 Misc Power Management Kit CT4000-PMGMT Bollard Concrete Mounting Kit CT4001-CCM Note:All CT4000 stations include Intergral Modem-GW1. Software & Services Description Order Code ChargePoint Commercial Service Plan CPCLD-COMMERCIAL-n* ChargePoint Enterprise Plan CPCLD-ENTERPRISE-n* ChargePoint Assure CT4000-ASSUREn* Station Activation and Configuration CPSUPPORT-ACTIVE ChargePoint Station Installation and Validation CT4000-INSTALLVALID Note:All CT4000 stations require a network service plan per port. *Substitute n for desired years(1,2,3,4,or 5 years). Order Code Examples orderIf ordering this the .. 1830 mm(6 ft)Dual Port Bollard Networked Station CT4021-GW1 with Concrete Mounting Kit CT4001-CCM ChargePoint Commercial Service Plan, CPCLD-COMMERCIAL-5 3 Year Subscription ChargePoint Station Installation and Validation CT4000-INSTALLVALID 1 III- 3 Years of Assure Coverage CT4000-ASSURE5 1830 mm(6 ft)Single Port Wall Mount Networked CT4013-GWI CT4021 Station CPCLD-COMMERCIAL-5 ChargePoint Commercial Service Plan, r� The First 5 Year Subscription CT4000-ASSURE5 i ENERGY STAR" 5 Years of Assure Coverage CPSUPPORT-ACTIVE Certified EV Charger Station Activation and Configuration ® ChargePoint CT4000 Family CT4021 1830 mm (6') CT4023 1830 mm (6') CT4025 2440 mm (8') CT4027 2440 mm (8') Bollard Wall Mount O 289 mm 302 mm 470 mm 483 mm (18.5") (19.011) 347 mm 347 mm (13.7") (13.7") 233 mm 233 mm (9.2") (9.2") ��Ililiui�ul�\\ L�rIIIIII u.l' %/Illlll;ll';\ I li ili ~IOii�ljilll II IIN A.� H l�iinij i�l H llu ii II I�Ill�lilll II ills 11 il.jl IIO�II�lilll I Bill II.I 11 li Bill II i1:4 I1!1, II �ii li ii Bill II Illlli II.I1 II hill I ilia Dili 1 II II1111 Ij iV��l I liii�ii II i�I lilll II Illlll 3.11 I I iJiiil j llu ii II II lilll it 111111 II.11 IN iiii li ilnl II Illlil Ili II �iinl 11 II ip II II CT4025 CT4027 2426 mm 2426 mm (95.5") o0000 (95.511) 000ao CT4021 CT4023 1811 mm 1811 mm (71.3") (71.3") 1186 mm 1184 mm (46.7") (46.6") 2 chargepoint.com --chargepoin+ CT4000 Family Specifications Single Port (AC Voltage 208/240V AC) Dual Port (AC Voltage 208/240V AC) Electrical Input Input Input Power Required Service input Input Power Required Service Current Connection Panel Breaker Current Connection Panel Breaker Standard 30A One 40A branch circuit 40A dual pole 30A x 2 Two independent 40A 40A dual pole (non-GFCI type) branch circuits (non-GFCI type)x 2 Standard Power Share n/a n/a n/a 32A One 40A branch circuit 40A dual pole (non-GFCI type) Power Select 24A 24A One 30A branch circuit 30A dual pole 24A x 2 Two independent 30A 30A dual pole (non-GFCI type) branch circuits (non-GFCI type)x 2 Power Select 24A Power Share n/a n/a n/a 24A One 30A branch circuit 30A dual pole (non-GFCI type) Power Select 16A 16A One 20A branch circuit 20A dual pole 16A x 2 Two independent 20A 20A dual pole (non-GFCI type) branch circuits (non-GFCI type)x 2 Power Select 16A Power Share n/a n/a n/a 16A One 20A branch circuit 20A dual pole (non-GFCI type) Service Panel GFCI Do not provide external GFCI as it may conflict with internal GFCI(CCID) Wiring-Standard 3-wire(1-1,L2,Earth) 5-wire(1-1,L1,L2,L2,Earth) Wiring-Power Share n/a 3-wire(1-1,L2,Earth) Station Power 8 W typical(standby),15 W maximum(operation) Electrical Output Standard 7.2 kW(240V AC @ 30A) 7.2 kW(240V AC @ 30A)x 2 Standard Power Share n/a 7.2 kW(240V AC @ 30A)x 1 or 3.8 kW(240V AC @ 16A)x 2 Power Select 24A 5.8 kW(240V AC @ 24A) 5.8 kW(240V AC @ 24A)x 2 Power Select 24A Power Share n/a 5.8 kW(240V AC @ 24A)x 1 or 2.9 kW(240V AC @ 12A)x 2 Power Select 16A 3.8 kW(240V AC @ 16A) 3.8 kW(240V AC @ 16A)x 2 Power Select 24A Power Share n/a 3.8 kW(240V AC @ 16A)x 1 or 1.9 kW(240V AC @ 8A)x 2 Functional Interfaces Connector(s)Type SAE J17721" SAE J17721^x 2 Cable Length-1830 mm(6 ft) 5.5 m(18 ft) 5.5 m(18 ft)x 2 Cable Management Cable Length-2440 mm(8 ft) n/a 7 m(23 ft) Cable Management Overhead Cable Yes Management System LCD Display 145 mm(5.7 in)full color,640 x 480,30 fps full motion video,active matrix,UV protected Card Reader ISO 15693,ISO 14443,NFC Locking Holster Yes Yes x 2 chargepoint.com 3 ChargePoint CT4000 Family Safety and Connectivity Features Ground Fault Detection 20 mA CCID with auto retry Open Safety Ground Detection Continuously monitors presence of safety(green wire)ground connection Plug-Out Detection Power terminated per SAE J1772TM specifications Power Measurement Accuracy +/-2%from 2%to full scale(30A) Power Report/Store Interval 15 minute,aligned to hour Local Area Network 2.4 GHz WiFi(802.11 b/g/n) Wide Area Network LTE Category 4 Safety and Operational Ratings Enclosure Rating Type 3R per UL 50E Safety Compliance UL listed and cUL certified;complies with UL 2594,UL 2231-1,UL 2231-2,and NEC Article 625 Surge Protection 6 kV @ 3,000A.In geographic areas subject to frequent thunder storms,supplemental surge protection at the service panel is recommended. EMC Compliance FCC Part 15 Class A Operating Temperature -40°C to 50°C(-40°F to 122°F) Storage Temperature -400C to 600C(-40°F to 140°F) Non-Operating Temperature -400C to 60°C(-40°F to 140°F) Operating Humidity Up to 85%@ 500C(122°F)non-condensing Non-Operating Humidity Up to 95%@ 50°C(122°F)non-condensing Terminal Block Temperature Rating 105°C(221°F) Network All stations include integral LTE modem and will be automatically configured to operate as gateway or non-gateway as needed ChargePoint,Inc.reserves the right to alter product offerings and specifications at any time without notice,and is not responsible for typographical or graphical errors that may appear in this document. Contact Us QVisit chargeaoint.com 0 Call+1.408.705.1992 QEmail sales(d�chargeaoint.com --chargepoin+ ChargePoint,Inc. Copyright©2019 ChargePoint,Inc.All rights reserved.CHARGEPOINT is a U.S.registered trademark/service mark,and an EU 240 East Hacienda Avenue registered logo mark of ChargePoint,Inc.All other products or services mentioned are the trademarks,service marks,registered Campbell,CA 95008-6617 USA trademarks or registered service marks of their respective owners.DS-CT4000-07.March 2019.PN 73-001020-03-1. +1.408.841.4500 or r, +1.877.370.3802 US and Canada toll-free Listed by Underwriters c �L us Q chargepoint.com Laboratories Inc. LISTED Vicinity Map 04 �.•I • ,' S !. .,R• ,it�,jti� 'per � = ^ u %' d EV Charging } Station-shown in red Elm v. r • I — I - h • o • •o U1:nc c� ©. _ • °�i r Narrative Plan • Install a single Electric Vehicle Charging Station Pedestal(pedestal mount) in CED parking Lot (see site plan for location) • Vac trucking trench for footing of pedestal(15-20 ft) • Install a 2'x 2' concrete pad that is 6"thick o Pad installed 2 ft from the edge of the asphalt • Install EV Charger with the mounting kit provided with the purchase of EV Charger(install per the specifications) • Install four bollards around the unit(buried 30 inches with concrete 12 inches around bollards) • Refer to attached proposal for electrical scope of work o Additional information shown below: o Installing a pedestal mount(not wall mount) on page 6 of manual. Pedestal mount will be behind the curb. o Wiring method from page 13 of manual will be the 240v single phase o Grounding requirements from page 15 of manual will be based on 120-240 volts • Install signage (see site plan for additional details) • Coordinating with PUD for transformer connection I I � Site Plan Cover Sheet City of Arlington Electric Vehicle Install Project File#PLN#1378 City of Arlington Site Address: 18204 59`h Dr. Ne,Arlington,WA 98223 Building Department APPROVED Zoning Classification:AF Kevin Olander- 01/12/2026 Airport Protection District: Subdistrict A No changes authorized unless approved by the Building Official Use Classification: Business Offices Tax Parcel ID Number: 00448200000100 SE quarter portion of NW quarter, section 22 township 31, range 5 Lot size: 177.56 acres Proposed Project area: 15ft by 6ft Building Setback from CED Office:41 ft from pad (additional information provided below) Date plans were prepared: 7/8/2025 Contact Information: City of Arlington Lorene Robinson Robinson@arlingtonwa.gov 360-403-3472 18204 59th Dr NE Arlington,WA 98223 Washington Electrical Contracting, LLC Jon Novy 0on(@washingtonec.com (360) 590-4345 2715 62nd Ave E, Ste J23 Fife,WA 98424 Site Plan Sheet Legend: White spray paint indicates project area Yellow circles represent bollards Blue boxes indicate signage(see below) Blue line(infiltration system) More information provided below in pictures i I Spray paint shown in picture-concrete pad boxes not to scale(distance from concrete pad to infiltration is accurate) _ ausos Sign Sign yr• + z '.F .max- � s '� ♦ ,y o"�r `:a .. Vt Infiltration line shown in blue See notes below s 7. a.- 9 h .3s J ,- �r Intl ayV r F Road sign (see below) f Infiltration System b m=e A 6z� 0 — n z .D TT N F�1 ' I 1 I - A I I g I�I yLI -o �NZ L' ym O I I z rN 1i7��f !4�O m I I I I I I I i I I I I . 0 G \ C 0 a f l I I I I u �I 5 a e � I I 71 .T7 • \ \ _ I I I I ' I I ' O o I I m a pC �yi D \ C I I 1 I I I I I I \ I I z I J f z \ c. -- - T T�I c"w C �e I n \ -fi ,nl�o mo: yo =o Rio os Aoc 's lti fz o� z o ri c O �C � C p Z y o O 'h T F , D0 yy x VY Z ..•1H I-. NE i e� �0�nv Cs z� q' ARLINGTON MUNICIPAL AIRPORT(AWO) [. �rz -E�E„III, PROPOSED CARPORT AND SOLAR PANEL INSTALLATION •, Q Q W L — �' CARPORT DRAINAGE SITE PLAN rnocK pow rro.wr xo N go— imprMp.-"W? Location of EV Charger • Located between stalls 2 and 3 (a total of 6 stalls on the north side of CED parking lot, located behind the beam) o Stall size 20 ft by 9 ft • No changes to the existing parking stalls layout Proposed Project area: 15 ft by 6 ft • Building Setback from CED Office:41 ft from pad • 24 ft from building to parking lot curb • 17 ft from curb to concrete pad • 12 ft from PUD transformer to concrete pad Scope of Work • Install a single Electric Vehicle Charging Station Pedestal(pedestal mount) in CED parking lot(see site plan for location) • Trench for footing of Ev charging pedestal pad (section 1,btwn two pads) 2.5 ft • Vac trucking trench meter/panel concrete pad (section 2, run btwn pad and PUD transformer) 13ft • Install a 2'x 2' concrete pad that is 6"thick for Ev charger pedestal • Install a 3'x 3' concrete pad that is 6"thick for meter and panel • Ev charging pad installed 30 inches from the edge of the parking lot asphalt • Ev charging pedestal pad installed 10 inches from infiltration system • Infiltration system to edge of parking lot pavement 20 inches • Project northernmost area is 14 ft from sewer line • Install Ev Charger with the mounting kit provided with the purchase of Ev Charger(install per the specifications) • Install four standard bollards on each corner of the Ev charger pedestal concrete pad (buried 30 inches with concrete 12 inches around bollards) • No striping required • Locates have been called in • Refer to attached proposal for electrical scope of work • Additional information shown below: o Installing a pedestal mount(not wall mount)on page 6 of manual. Pedestal mount will be behind the curb. o Wiring method from page 13 of manual will be the 240v single phase o Grounding requirements from page 15 of manual will be based on 120- 240 volts • Coordinating with PUD for transformer connection • Install signage(see diagram below) o One Directional off-street parking lot sign and arrow sign installed on the further north parking island at the entrance of CED parking lot(1ft away from curbs and light pole) • Electrical vehicle charging station sign and EV no parking sign installed in parking stalls (one in each stall, as the diagram below shows, and the site plan indicates). Each parking stall will have two signs on one pole. ELECTRIC VEHICLE 12"x 12" Directional—Off-Street Parking CHARGING Lot or Parking Garage STATION 6"x 12" Note_The directional sign for an on-site parking lot or parking garage should be used in the parking facility with a directional arrow at all decision points. ELECTRIC VEHICLE 12"x 12" CHARGING STATION OtY Street EV Parking—Parking 12"x 18" Space with Charging Station EXCEPT FOR Equipment ELECTRJC VEHICLE CHARGING S13i3HS NVId 31lS 8LEZ# 'ON 103f021d oy�N/�d, A8 NOISIA3a ON 31d0 3 30 d 133HS S21392 VHJ 1210d2iIV /�'3 12iOd211V N019NI12iV al Aa NMvaO XXX XXX S1N3WW0J M31A38 ONZ Z# SZOZ/£/Zi v/N 3O N019NIlaV 30 AlIJ N3a333a 3N 3AV H16S t,OZ8Z :1J3fOUd wo A3�7 al :A9CON91S30 XXX XXX S1N3WWOJ M31A3a lSi Z# SZOZ/LZ/Oi 0 JNI`J2lt/H� 66 66v 10-1 ONIN1 Wd Ob OZ 0 313IFt3A ivawdmbg 03Add 'X3 N 1333 A3AHns sn NI 31VDS 012i1O313 uogel$8mojeyJ yliA%aasds U04 1.d30X3 2urtl3,ed-SUPPud A3 mans DO — _ N Vl d 31l S ..81 X..ZI ('dAl)0Nb'l51 0 9NIdVDSONVl lv 9ano 1vouIBA'X3L( NOUViS m T m m T m T m T m 3 T T T m m T T m X ZI X..ZI3101H3AI _ m T _ v T m m m T T T 0 T I I I �� I I I T T m T _ T It, m_ o -slwod uom.,W pu to-roue luuonouip m m v T T u ql!,,+,SI!pauj 9uriied."ui pwn aq pinogs iffumR 9uT3jred io Ioj 9un*md aUs-uo ue ioj e9 5:Jeuonov!p aq,l:J1oN T I I I I I I m T Cil NOUViS m m � m T agmw!)8uppud ao 10-1 = ♦ T T 3uPPud P-IRS 110—Ieuo!Pw!c1 C 101`JND121vd X m z 'X 03Avd 3 r m ..Z[ X..ZI 3131H3A m ^ z m z 'S CO T W m m vF,41\ >T39VN91SllV1S 9NDIUVd n3 (zx)Silvis m'A'3'doad T < m m m m m m°° T It, m 310d 3N0 NO SNJIS OMl 3Ab'H 111M llv1S HOv3'MO139 Wb2iJVIO 113d 3E)VNJIS lTd1SNl • T m 3 * T T 'NOU33NNOO a3W2iOdSN"-L WJ and H11M 31VNI0a000 Ol £Z m S110A ObZ-M NO O3Sv8 13 111M S-LN3W38in0321 ONIONnoO jo 3SVHd 310NIS AObZ OOH13W ONNIM • ��� �}w 1 S u �� `^j3 `�o" Q� m m m m T It, T m SNOI1vOId103dS m �.rb+�an�9 w.� ,�)�, T r, m aid 11M JN11NnOW H11M 1Nnow 1v1S3O3d'8 2IE101- 'HO A3 1lv1SN1 • X 'i} • as as as— - - os ° .£6=0`dd 3132iONOO l3Nt/d/2i313W HON3a1 JNINOfIal OVA • � �� ��Z /b3 - r „S'Z=0vd Td1S303d JN1J2ivHO A3 d0 9NIlOOd aOd HON32i1 • rPd '03SOdOad \ \ 1v1S303d ONIE)WHO A3 0b'3H lvna'Z 13A31 3-10NIS v d0 NOI1v7v1SN1 • 3 'L Ovd NO X08 �S310N � \ Alllllfl'X3 lep,40 6uip�m8 eql e� 1v1S3O3d 'A Aq panoidde ssajun paziaoglne sa6uego ON ,9 x,SL:v3av 113FOad \ ��Z- O3SOdOad C 9ZOZ/Z[/�0 -lapuelpUTAE)N e b 1JIa a3AOMddV 3`d:9NINOZ l6 lL XOaddt/ }ueuapedea 6uippn8 00100000Z8bb00:ON 130avd Xvl O3dO13A30Nn gjl uOIBUII V 10 Aj!3 k7s ZL17£-£0ti-09£ 9b£b-069-09£ A09'VMN019NIlavONOSNNl80al bZ786 vM`3dld £ZZ86 `dM'N019NIlav £Zr91S'33Ab'0WZ996LZ 3N3AvH16S17OZ81 'W'N\ '3 S '2l N ZE '1 ZZ NOU33S ti/Z MN AAONNOr:Nlly NOSN190H3N3a01:N1Lb' NOlJNIHSVM 'N019NMJV 30 AiD 0l1'9NI-LOva1NOO1vORi10313NOlJNIHSVM la0da1dN019NI1ad 3N 3nV H16S 170Z8Z :aOlOb'a1NOO :a3NMO/1NV31ldd d 8LEZ#Nld `S213EMVH0 'n'3 i2lOdUIV ��� CITY OF ARLINGTON 18204 59th Avenue NE,Arlington,WA 98223 INSPECTIONS:360-403-3417-Pen-nit Center:360-403-3551 BUILDING PERMIT 18204 59TH DR NE Permit#: 6619 Parcel#:3]052200200]00 PERMIT EXPIRES 180 DAYS AFTER DATE OF ISSUANCE. Scope of Work:See attached Valuation:4568.70 OWNER APPLICANT CONTRACTOR Arlington Municipal Airport City of Arlington/Lorene Robinson Washington Electrical Contracting LLC 18204 59th Avenue NE,#A 18204 59th Dr NE 628 199th St Sw Arlington,Washington 98223 Arlington Lynnwood,WA 98036 360-403-3470 3604033472 3605904345 LTC:604 885 364 EXP:03/31/2026 LIC:WASHiEC784D] EXP:03/21/2026 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: COMMERCIAL BUILDING CODE YEAR: 2021 STORIES: 0 CONST.TYPE: VB DWELLING UNITS: OCC GROUP: B;Business BUILDINGS: OCC LOAD: PERMIT APPROVAL The issuance or granting of this permit shall not be construed to be a permit for,or approval of,any violation of this Code or any other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance advice or decision of the Governor of this State,this permit shall not authorize such work and shall not be valid.The building official is authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this jurisdiction or any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation,guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,inaccurate or incomplete information,or in violation of any City ordinance,regulation or order,state or federal law,or any order,proclamation,guidance or decision of the Governor. I AGREE TO COMPLY WiTH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED iN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THiS APPLICATION iS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTiL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.iBCi IO/iRC110. SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. �Z — Z--,/to� Z� G�-�"0����� 02/19/2026 Applicant Signature Date Building Official Date CONDITIONS Adhere to approved plans.Permit shall be onsite for inspections. Call for inspections. The property owner shall ensure that the construction project complies with all applicable zoning codes and regulations.The property owner shall also ensure that the construction project does not cause any adverse impact on the surrounding environment or community.The property owner shall be responsible for obtaining all necessary pen-nits and approvals from the relevant authorities before commencing construction.The property owner shall ensure that the construction project complies with all applicable design review requirements. THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY.ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS, MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 02/19/2026 Building Plan Review $107.67 02/19/2026 Processing/rechnology $25.00 02/19/2026 Building Permit $156.57 02/19/2026 State Surcharge-Commercial $25.00 Total Due: $314.24 Total Payment: S314.24 Balance Due: $0.00 CALL FOR INSPECTIONS Call by 3:30 pm 1br next day inspection,allow 48 hours for Fire Inspections When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon INSPECTION INFORMATION I Pass/Fail 18204 59th Avenue NE Arlington,Washington 98223 /lip 0 to tt Phone: 360-403-3551 ING1 WASHINGTON 'y l Commercial - Miscellaneous Permit Parcel:00448200002301 Permit#:26-0161 Permit Address:18204 59TH DR NE Date Issued:February 19,2026 Description of Work:Removing 68'of existing PERMIT EXPIRES 180 DAYS fence and replacing with new.Fence height is 8'+ AFTER DATE OF ISSUANCE. 1' Valuation:$ Code Year: OWNER APPLICANT CONTRACTOR NE ARLINGTON, (AIRPORT) CITY OF ARLINGTON(AIRPORT) Premier Fence CITY OF 18204 59TH DR NE ARLINGTON,WA,98223 4508 136th St Ne,Marysville,WA 98223 18204 59TH DR NE ARLINGTON,WA,98223 360-403-3472 000-000-0000 Lrobinson@arlingtonwa.gov info@premierfenceinc.com registration-number:PREMIFI997DT PERMIT APPROVAL The issuance or granting of this permit shall not be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of the City, of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law, or order, proclamation, guidance advice or decision of the Governor of this State, this permit shall not authorize such work and shall not be valid.The building official is authorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this jurisdiction or any other ordinance or executive order of the City, or of any state or federal law, or of any order,proclamation, guidance advice or decision of the Governor.The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect, inaccurate or incomplete information, or in violation of any City ordinance,regulation or order, state or federal law, or any order, proclamation, guidance or decision of the Governor. It is unlawful to use or occupy a building or structure until a final inspection has been made and approval or a Certificate of Occupancy has been granted.This permit authorizes only the work noted and covers work to be done on private property only.Any construction on public domain (curbs, sidewalks, driveways, marquees, etc.)will require a separate permit.The property owner shall ensure that the construction project complies with all applicable zoning codes and regulations. The property owner shall also ensure that the construction project does not cause any adverse impact on the surrounding environment or community.The property owner shall be responsible for obtaining all necessary permits and approvals from the relevant authorities before commencing construction.The property owner shall ensure that the construction project complies with all applicable design review requirements. CONDITIONS 1.) Adhere to approved plans. 2.) Call for inspection. INSPECTIONS Inspection Line: 360-403-3417 Call for inspections by 3:30 pm for next day inspection. Please allow 48 hours for Fire Inspections. Please provide the following information when leaving a message: Permit Number,Type of Inspection, and provide preference of morning or afternoon inspection. Inspection Portal: Please login to customer portal and submit for the desired inspection type for the permit. Kevin Olander Building Official ASSOCIATED FEES Date Description Paid Date Amount Paid Balance February 17, Fence Over Height(006.345.83.00.02) $100.00 2026 February 17, Processing/Technology(320.341.43.00.02) $25.00 2026 February 17, Inspection(006.322.10.00.01) $75.00 2026 TOTAL: Permit Fees $200.00 $200.00 Invoice Interfund Transfer February 19, 2026 $200.00 $0.00 Date: 08/31/2026 Permit#: 6619 Permit Date: 07/14/2025 Review Date: 09/10/2025 Permit Type: COMMERCIAL BUILDING Review Type: COMMERCIAL BUILDING Target Date: 10/08/2025 Scheduled Time: 00:00 Completed Date: Description: Review Status: Approved Assigned To: BUILDING Time In: 00:00 Time Out: 00:00 Hours: 0.5 Notes 07/21/2025 Need better detailed site plan, location appears to be over top of existing drainage system for roof downspouts 09/10/2025 Resubmittal Property Information Parcel#: 31052200200100 Arlington Municipal Airport Arlington Municipal Airport 18204 59th Avenue NE, #A 18204 59TH DR NE Arlington,Washington 98223 Zoning: 910 UNDEVELOPED (VACANT) LANDLot: Block: 360-403-3470 Permit#: 6619 Permit Date: 07/14/25 Permit Type: COMMERCIAL BUILDING Project Name: Electric Vehicle Install Project Applicant Name: City of Arlington/Lorene Robinson Applicant Address: 18204 59th Dr NE Applicant, City, State, Zip: Arlington Contact: Lorene Robinson Phone: 3604033472 Email: Irobinson@arlingtonwa.gov Scope of Work: See attached Valuation: 4568.70 Square Feet: 240 Number of Stories: 0 Construction Type: VB Occupancy Group: B; Business ID Code: CIC Permit Issued: 02/20/2026 Permit Expires: 08/20/2026 Form Permit Type: COMMERCIAL BUILDING Civic Plus Number: Status: COMPLETE Assigned To: Hannah Hardwick Property Parcel# Address Legal Description Owner Name Owner Phone Zoning 910 31052200200100 18204 59TH DR NE Arlington Municipal 360-403-3470 UNDEVELOPED Airport (VACANT)LAND Contractors Contractor Primary Contact Phone Address Contractor Type License License# Washington Electrical 3605904345 628 199th St Sw ELECTRICAL UBI 604 885 364 Contracting LLC CONTRACTOR Washington Electrical 3605904345 628 199th St Sw ELECTRICAL Electrical WASHIEC784131 Contracting LLC CONTRACTOR Contractor Plan Reviews Date Review Type Description Assigned To Review Status 09/10/2025 COMMERCIAL BUILDING In Review BUILDING 07/14/2025 COMMERCIAL AIRPORT In Review BUILDING 07/14/2025 COMMERCIAL No civil comments Development Approved BUILDING Services Manager 09/10/2025 COMMERCIAL No land use concerns. PLANNING Approved BUILDING Zoning Permit PLN#1378 issued 12.23.2025. Fees Fee Description Notes Amount Building Plan Review Table 4-2 $107.67 Processing/Technology $25.00 Building Permit Table 4-1 $156.57 State Surcharge-Commercial Commercial Only $25.00 Total $314.24 Attached Letters Date Letter Description 02/19/2026 Building Permit 07/14/2025 Web Form-Building Application Payments Date Paid By Description Payment Type Accepted By Amount 02/19/2026 Lorene Robinson Hannah Hardwick $314.24 Outstanding Balance $0.00 Notes Date Note Created By: 12/29/2025 Contractor needs to add COA to UBI Hannah Hardwick 08/29/2025 sent building review comments.Jen sent the planning review comments with the zoning permit. Hannah Hardwick Uploaded Files Date File Name 02/20/2026 30897760-2026 BLD6619 Issued Permit.pdf 01/12/2026 30235958-20251219 BLD6619 Approved Site Plan.pdf 01/12/2026 30235959-20251219 BLD6619 Approved Site Plan Drawing.pdf 12/19/2025 29984476-20251219 BLD6619 Revised Site Plan.docx 12/19/2025 29984477-20251219 BLD6619 Revised Site Plan Drawing,pdf 12/12/2025 29905612-20251212 BLD6619 Revised Site Plan.docx 09/10/2025 28194736-20250909 BLD6619 Revised Site Plan.docx 07/14/2025 89c7ld7lle84ab4e53163aOa22baf8c6 revised site plan checklist 005 .pdf 07/14/2025 lf108e7c2040ebd65aa7ll459ea53eOde site plan.docx 07/14/2025 9099ac7c49lb8e4ab434a22f5b377ba6 vicinity rn .docx 07/14/2025 87ff639a9al2efab33bc7c05b7bf50b3 04000 site guide 3-13-20.pdf 07/14/2025 fbb42e2fa4bla850f96069e8le66b3a4 ds-ct4000.pdf 07/14/2025 bdel7b33259a75f7da96fO9de0febc4a make-ready-requirements-specification.pdf 07/14/2025 clf9806ffc8ef02d95ed504e64a60ae0 narrative plan.docx 07/14/2025 dfce009bcl82e9c740684e5389cbf655 arlington airport charging station proposal 7-7-25.pdf 07/14/2025 le35971bfad5c6475c9153eOc982aaa1 commercial building_permit application - signed.pdf 07/14/2025 dfce009bcl82e9c740684e5389cbf655 arlington airport charging station proposal 7-7-25.pdf Date: 08/31/2026 Permit#: 6619 Permit Date: 07/14/2025 Review Date: 09/10/2025 Permit Type: COMMERCIAL BUILDING Review Type: COMMERCIAL BUILDING Target Date: 10/08/2025 Scheduled Time: 00:00 Completed Date: 12/23/2025 Description: No land use concerns. Zoning Permit PLN#1378 issued 12.23.2025. Review Status: Approved Assigned To: PLANNING Time In: 00:00 Time Out: 00:00 Hours: 0.0 Notes 08/29/2025 Review comments issued for PLN#1378/BLDG#6619 concurrently on 8.29.2025. 09/10/2025 resubmittal Property Information Parcel#: 31052200200100 Arlington Municipal Airport Arlington Municipal Airport 18204 59th Avenue NE, #A 18204 59TH DR NE Arlington,Washington 98223 Zoning: 910 UNDEVELOPED (VACANT) LANDLot: Block: 360-403-3470