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Home My WebLink AboutE-18-4895 a c1\42 Commonwealth of Official Use Only fin Massachusetts Permit No. BLDE-18-004895 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:3/5/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 59 GLENWOOD ST Owner or Tenant SHINE JAMES P Telephone No. Owner's Address SHINE BARBARA A,59 GLENWOOD ST,WEST YARMOUTH,MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel kitchen and master bathroom. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total _Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Imtiatino Devices No.of Ranges No.of Air Cond. Taal No.of Alerting Devices No.of Waste Disposers Ileat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Siens Ballasts ,No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total IIP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail()desired,or as required by the Inspector of Wires, Estimated Value of Electrical Work: (When required by municipal policy.) Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: WELLINGTON R SOARES Licensee: Wellington R Soares Signature LIC.NO.: 21075 (Ifapplicable,enter'exempt"in the license number line.) Bus.Tel.No.: Address: 110 BREEDS HILL RD,UNIT 5,HYANNIS MA 026011864 Alt.Tel.No.: "Per M.G.L.c. 147,s.57.61,security work requires Department of Public Safety"S"License: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 SO (167 � eommonw•S.o`t/tassachusslls is se Only M.tlig^ci c7 Permit No. (' -41741F� Theparlmenl of..tirs Services ;Dm:: 3 Occupancy and Fee Checked —,,,a BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 0), ,$ ( 13 City or Town of: �{A R M a (1 rf/ To the Inspector of ires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 5 q G L E N W 0P'D STP PET- w EST N A R An ini Owner or Tenant GOR lit/ F N Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps / Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: K [ TG H EM AND MAs7PR S<J7'H 6'o 944 Completion of the following table may be waived by the Inspector of Wires. oTotal No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tos` TraannEVAsformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- 0 No.at t mergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: ""' —""'" '— Detection/Alerting Devices No.of Dishwashers Space/Area Heating KWLocal 0 Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Syystems:* No.of Water No.of No.of No.of Devices or Equivalent KW Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirin : No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as requir hnmt n c Estimated Value of Electrical Work: (When required by municipal policy.) i k a V E D Work to Start: Inspections to be requested in accordance with MEC Rule 10,and o completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electri 1 oriM ippe 9firs the licensee provides proof of liability insurance including"completed operation"coverage or its subs ant al equiJaidn7 IT undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issu ng i ' r- , I rS l►, CHECK ONE: INSURANCE V) BOND 0 OTHER 0 (Specify:) btii1- T 1 I certify,under the pains and penalties of perjury,that the information on this application is true and complete I FIRM NAME: Wellington R Soares, Inc. LIC.NO.: 21075A Licensee: Wellington R Soares Signature 1.,1LIC.NO.: 113768 (If applicable, minae mepetdsi-(i�f�{ct�uni�ugbrryanr�is, MA Bus.Tel.No. 508 778_MG Address:Address: Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. !74 830�tst t OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent I PERMIT FEE: $ I C Signature Telephone No. r