FOR
ATTACHMENT ON POLES / Permit #
Location # / AuroraBarrieBeetonBradford West GwillimburyMarkhamPenetanguisheneRichmond HillThorntonTottenhamVaughan
Proposed Attacher (Company): / Pole Owner: Alectra Utilities Corporation (PowerStream)
Supersedes Permit # or New Application or Pre-Design / Previous Permit # (if applicable):
Attacher Statement (not required for Pre-Design): Work instructions and drawings have been assembled using Certified Design Standards and meet the safety requirements of Section 4 of Ontario Reg. 22/04. / Owner Statement: Alectra(PowerStream) has reviewed your request and agrees your proposal to supply / install equipment on the existing Alectra(PowerStream) pole line location identified below meets Alectra(PowerStream) standards.
Signature of Competent Person: / Signature of Competent Person:
Date: / Date:
Contact Name of Applicant: / Engineering Technician (print):
Phone: / Phone: / 905-532-
Email: / Email: / @alectrautilities.com
Contact Name and Email of Attacher (company): / Fax: / 905-532-4401
Required by date for Permit Approval: / ¨ Approved ¨ Not Approved Comments:
Applicant’s Project / Reference #: / Design Supervisor (print):
Date: / Signature:
Request proposed attachments as follows (note specific quantity, size, line tension in kN and nature of proposed attachments):
Itemized below See attached (reference internal number) drawing #
New Streetlight Bracket - Yes/NoYesNo New Streetlight Circuit - Yes/NoYesNo New Traffic Light - Yes/NoYesNo New Communication Cable - Yes/NoYesNo
Other - Please Describe
Lot #’s (in or between): / Conc. / Street #’s & Street Names: / County / Municipality:
# New Pole Attachments: / # Poles Overlashed: / Pole Numbers:
Provide Detailed Design Map / Diagram: See below See attached
NOTE: A VALID ATTACHMENT AGREEMENT WITH ALECTRA (POWERSTREAM) IS REQUIRED BEFORE ATTACHMENT APPLICATIONS CAN BE ACCEPTED.
Drawings to include Title Block (name & address of Licensee, date, north point, drawing/project number and location of project), name and phone number of Project Manager, scale and dimensions: metric, scale size >= 1:1000, legend of symbols, key map and street names.
Inspection by Attacher: / Verification by Alectra (PowerStream):
This certifies that the construction work has been completed and is consistent with the application and meets the safety requirement of Section 4 of Ontario Reg.22/04. The site has been left in a condition that presents no undue hazard. / Construction Verification Site Visit (check one): ¨ Yes ¨ No
If “No”, provide sampling date:
Notes:
Name & Position:
Signature of Qualified Person: / Date: / Verification by (print): / Date:
Alectra Utilities Corporation (PowerStream), Network Services - Agreements
Email:
Postal Mail: 161 Cityview Boulevard, Vaughan, ON L4H 0A9 | Telephone: 1-877-963-6900 | Fax: 905-532-4401
/ Existing Pole Line Information
Equipment / Size / Material / Nominal Diameter (mm) / Mass / Rated Ultimate Tensile Strength (kN) / Applied Design Tension (kN) / Minimum Vertical Setting Depth (m)
Primary Conductor / 556 kcmil / ASC / 21.74 / 776 kg/km / 46.6 / 12.4
Primary Conductor / 336 kcmil / ASC / 16.90 / 469 kg/km / 29.0 / 9.4
Primary Conductor / 3/0 / ACSR / 12.75 / 344 kg/km / 29.6 / 7.8
Primary Conductor / 1/0 / ACSR / 10.11 / 216.5 kg/km / 18.9 / 7.8
Street Lighting Duplex (#4 on 3/0) / 3/0 / Al on ACSR / 19.60 / 355.2 kg/km / 27.9 / 9.6
Spun Bus Triplex (2 @ 3/0 on 3/0) / 3/0 / Al on ACSR / 28.50 / 936.7 kg/km / 27.9 / 9.6
Spun Bus Quadrplex (3 @ 3/0 on 3/0) / 3/0 / Al on ACSR / 43.10 / 1480 kg/km / 27.9 / 9.6
120/240V Secondary Conductor / 3/0 / Al / 10.80 (Bare)
16.2 (Covered) / 367 kg/km / 14.1
600V Secondary Conductor (3/0 Quadruplex) / 3/0 / Al / 10.80 (Bare)
16.4 (Covered) / 1480 kg/km / 29.7
Neutral / 3/0 / AACSR / 13.60 / 391 kg/km / 51.1 / 7.8
LIS Switch (Omni-Rupter) / 157.4 kg (347 lbs)
Scada-Mate LIS Switch / 236 kg (520 lbs)
Pole Mount Transformer - 167kVA / 680.4 kg (1500 lbs)
Pole Mount Transformer - 100 kVA / 483 kg (1065 lbs)
Pole Mount Transformer - 50 kVA
3-phase Mount Bracket for Transformer / 19.2 kg (42.24 lbs)
3-phase Cluster Mount Bracket and Switch / 25.5 kg (57 lbs)
Guy - Grade 1 Construction / 3/8" / Grade 180, Galvanized Steel / 60.0 / 37.5
Guy - Grade 2 Construction / 3/8" / Grade 180, Galvanized Steel / 60.0 / 48
Anchor Rod- 1" x 7' - Grade 1 Construction / 1" x 7' / 140.0 / 87.5
Anchor Rod- 1" x 7' - Grade 2 Construction / 1" x 7' / 140.0 / 112
Anchor - PISA Grade 1 Construction / 12" / 69
Anchor - PISA Grade 2 Construction / 12" / 88.0 / 2.0
Alectra (PowerStream) Authorization
This authorizes the Third Party Attacher to provide Alectra (PowerStream) with a design that is “unconditionally” certified by a Professional Engineer and meets the safety requirements of Section 4 of Ontario Reg.22/04.
Name & Position:
Signature of Qualified Person: / Date:
Alectra Utilities Corporation (PowerStream), Network Services - Agreements | Email:
Postal Mail: 161 Cityview Boulevard, Vaughan, ON L4H 0A9 | Telephone: 1-877-963-6900 | Fax: 905-532-4401
Rev: March 17 2017