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Home My WebLink AboutE-19-1955 ° • Commonwealth of Official Use Only �a �L Massachusetts Permit No. BLDE-19-001955 ,,eY BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.l/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:10/2/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electric I work desciW.below. Location(Street&Number) 161 CENTER ST 472- -. 4- Owner or Tenant JUAN CHIEN CHING Telephol No. Owner's Address NG WAI-SA, 161 CENTER ST,YARMOUTH PORT,MA 02675 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 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install wall charger for Tesla car charger.(60 Amp-240 Volt) 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 I 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 Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons , KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ 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 HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if 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. 1,A,C E�tD�i�'j CHECK ONE:INSURANCE 0 BOND ❑ OTHER 0 (Specify:) 77 Z70"—'1{(2‘ I ter*,under the pains and penalties of perjury,that the information on this application is true and complete. r t FIRM NAME: Michael J Leblanc Licensee: Michael J Leblanc Signature LIC.NO.: 17423 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:16 Westwind Cir,Osterville MA 026551375 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:$50.00 DS 10791(e (YUJI Al42416 XIX, , u 8. twar �N-s/t tri )Ce tDLESS POi t n qq�� ComnronweaeiL a`"/aeeaclumetia Official Use Onlyly,�� m 'teal=rt p Permit No. CLQ —� i6 t7 �ca .i Thepariment o`3iro Jarvices . �w '--_ / BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ,�j/} ' �,„. [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: 10/01/2018 City or Town of: Yarmouth To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 161 Center St. Yarmouthport Owner or Tenant Wai-Sa Ng Telephone No. 508-362-2953 Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑3� (Check Appropriate Box) Q i P rpose of Building Residential Utility Authorization No. w E I isting Service 200 Amps 120 / 240 Volts Overhead ® Undgrd❑ No.of Meters 1 o /NI Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters N N WN mber of Feeders and Ampacity 11J o �'L anon and Nature of Proposed Electrical Work: Wiring of a Tesla 60amp 240volt wall connector located in V � 'Z w O L Completion of the following table may be waived by the Inspector of Wires. C� \---' 1 N .o Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Out • No.of Hot Tubs Generators KVA No.of Luminaires immingPool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oi i • . ers FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No. n Detenand Initiatinggon Devices No.of Ranges No.of Air Cond. .Fong No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons__ __� No.of Self-Contained p Totals: : ection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local Municipal ❑ Other P . 1 nnectton No.of DryersHeating Appliances KW Security Syst • :* No.of Devices . Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Dvices or Equi : nt Bathtubs No.of Motors Total HP Telecommunications Wiring: No.Hydromassage No.of Devices or Equivalent OTHER: Attach additional detail if desirec4 or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections 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 IN BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this ap tion is true and complete. FIRM NAME: Solar Rising LLC LIC.Na:17423 A Licensee: Michael LeBlanc Signature /, — LW.NO.: 30750 E (If applicable,enter"exempt"in the license number line) Bus.Tel.No..508-744-6284 Address: 16 Westwind Circle Osterville MA 02655 Alt.Tel.No.:774-270-4125 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. 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)❑owner ❑owner's agent. Owner/Agent PERMIT FEE:$ Signature Telephone No.