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Advanced Energy Rebuild Program Application

This application is for the Advanced Energy Rebuild Program, a collaboration of Sonoma Clean Power, Pacific Gas and Electric, and Bay Area Air Quality Management District.

Application/Payee Information
Applicant/Payee Name:*
Applicant Federal Tax ID (or Social Security) #:*
Type:*
- Corporation
- Partnership
- Individual
Payee Address:*
Street Address Address Line 2 City State ZIP Code
Project Information
Project Address:*
Street Address Address Line 2 City State ZIP Code
County*
Other county
Project Contact:*
Contact Email:*
Contact Phone Number*
Contact Alternate Phone Number
Permitting Agency:*
Permit Date:*

(or estimated permit date)
Construction Start Date:*
Estimated Construction Completion Date:*
HERS Provider:*
HERS Rater Company:*
HERS Rater Name:*
HERS Rater Email:*
Energy Consultant (CEA) Name:*
Energy Consultant (CEA) Email:*
ADU
- This project also contains an accessory dwelling unit
Please upload the following documents:
Title 24 CF1-R documentation authored and signed by a 2016 Title 24 code CEA*
Drop files here or
Energy model file (.bld or .ribd)*
Drop files here or
Complete set of construction plans, including architectural, mechanical, and electrical pages*
Drop files here or
Letter, account statement, service application, or any documentation issued by PG&E verifying the project address is or will be receiving gas and/or electric service from Sonoma Clean Power or PG&E*
Drop files here or
A completed IRS W-9 form*
Drop files here or
Please select housing type:
Housing Type:
- Custom Home
- Production Home
- Duplexes
- Townhome
- Multifamily
Market Rate or Affordable Housing?
- Market Rate
- Affordable Housing
Is propane being provided to the project?
- Yes
- No
Is this an all-electric project?
- Yes
- No
Please check any other programs you are participating in
- NSHP
- GreenPoint Rated
- TCAC
- ENERGY STAR
- LEED
- DOE-ZERH
- Other
Other program:
GENERAL INSTRUCTIONS AND REQUIREMENTS
1. Funds are limited and will be reserved on a first-come, first-served basis to projects that meet the Programs’ requirements. No payments will be made for any energy-efficient upgrades installed without prior written approval program staff. No projects will be accepted after drywall has been installed in enrolled units.
2. Complete one form per project. Incentive payments are available only to owners, builders or developers named on this Incentive Application unless the program staff allows the submission of a Payment Release Form. Please ask program staff for details.
APPLICANT AGREEMENT
I, the undersigned, agree that:
1. I have read and understand and agree to abide to the programs’ rules, requirements and terms and conditions set forth in this Application and on the main program website.
2. The information that I have supplied on this Application is true, correct and complete.
3. This project is not receiving duplicate funding from multiple utility sponsored energy efficiency programs for the same measures and associated fuels.
4. I agree to permit the Utility to discuss all aspects of this project with my Energy Consultant and/or HERS Rater.
5. I understand that this application is valid for 36 months from date of utility acceptance.
Company Name*
Applicant Name*
Title*
Electronic Signature*
Please print your name here as an electronic signature.
Date*
Terms*
- I understand checking this box constitutes a legal signature confirming my acknowledgment and agreement to the above terms.

Phone: 1 (855) 202-2139

Email: info@sonomacleanpower.org

Address:
50 Santa Rosa Avenue, 5th Floor
Santa Rosa, CA 95404

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