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Request for Residential Gas Service

1 Fill Form        2 Review Form        3 Submit Form

Project Information

(Required)


(Required)

(Required)

(Required)

Application Information

(Note: SS/Tax ID# will be REQUIRED once you receive your "Contract" for signature due to ratepayer funded allowance credit requirements)

Responsible Party (As it should appear on the Contract) (Required)
(Required)
Yes No
(Required)
Yes No
(w/Area Code)
( ) - -
(Required) (Include Apt/Suite, or Bldg Info - No P.O. Box)


(Required)
(Required)
(Required)
(if applicable)
(if different from street address)





Contact Name & Title (if different from applicant)
(w/Area Code)
( ) - -
(w/Area Code)
( ) - -
(Required)
(w/Area Code)
( ) - -
(w/Area Code)
( ) - -

Construction Contacts

(if different than Applicant such as Utility Consultants and/or Construction Trench Provider)

( ) - - ( ) - -
( ) - - ( ) - -

Project Timeline

(Required)
/ / (mm/dd/yyyy) / / (mm/dd/yyyy)

Construction Information

Gas Installation Requested Construction Type Installation Method
Gas Installation Requested


Construction Type


Installation Method


Load Information



Gas Appliance Quantity MBTU/Hr *
(1 MBTU = 1,000 BTU)
Gas Appliance Quantity MBTU/Hr*
(1 MBTU = 1,000 BTU)
* Common Residential Equipment Connected Load Requirements (MBTU/Hour)
Appliance Type Gas Input MBTU/Hr
Cooking - Range Top 30-80
Cooking - Oven 30-50
Water Heating - Tank 30 to 50 Gal 30-50
Water Heating - Tankless or On-Demand 120-199
Space Heating - Standard Furnace 80-120
Space Heating - Hydronic Boiler 60-100
Space/Water Heating Combo - Hydronic Unit 80-150
Laundry - Clothes Dryer 30-50
Pool/Spa Heater 250-500
Gas Fireplace 20-80
Gas BBQ 20-60
Gas Lights 2-5
    Please provide information on:

Applicant Installation Options

Applicant Install - Rule 20 section G allows the applicant to receive a competitive gas installation bid, if desired. If the AI bid option is selected, a gas line extension may be installed by the Applicant's SoCalGas certified and approved Installer and installed per SoCalGas design and installation specifications.

If selected, the Applicant is responsible for, but not limited to, all applicable permits, paving, trenching, approved material, and SoCalGas inspection. SoCalGas does not refer or recommend Applicant Installer's to Applicants due to anti-competitive preferential treatment rules.

Please Select One (Required) :      

/ / (mm/dd/yyyy)


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