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Home My WebLink AboutBLDE-19-000432 \\O �a Commonwealth of Official Use Only t'tI Massachusetts • Permit No. BLDE-19-000432 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked f Rev.1/07] 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:7/23/2018 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) 70 POINSETTIA DR Owner or Tenant QUINN ELEANOR Telephone No. Owner's Address 70 POINSETTIA DR,SOUTH YARMOUTH,MA 02664 I Is this permit In conjunction with a building permit? Yes ❑ 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace panel&wire split NC. Completion of the following table may be waived by the Inspe or of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddie)Fans No.of al Transformers / KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 ln- o No.of Emergency Lighting grnd. grnd. Batters,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. 1 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 Signs 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. 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: KUNG-PO TANG Licensee: Kung-Po Tang Signature LIC.NO.: 52286 (If applicable,enter"exempt"in the license number line.) Bus.TeL No.: Address:518 COTUIT RD,MASHPEE MA 026492351 Alt.Tel.No.: . *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety'5"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 4 A___ , (e1,9 k:gia---- icaLil chenc, EE_____ 0 Coinino. ruvealth of Massachusetts Official Use Only El,* c� Permit No.S522 -Cf-(3Z -m1-t Merriment o f gine Semicid • MIS! ' Occupancy and Fee Checked BOARD OF ARE PREVENTION REGULATIONS ev. 1ro 0 ' . . . ?1 w to w APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK k ce All work to be performed in accordance with the Massachusetts Electrics!Code(MEG),527 CMR 12.00 J 1 a(^ EASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 'fes ZO—( at c...? o City or Town of: YARMOUTH To the Inspector of Wires: U J CB this application the indersigned gives no ce of his or her intion to perform the electrical work described below. LU , • - . abon(Street&Number) 7 rOl nsert;=A_ ny, erorTenant t (ri'le' Telephone No. a • .er's Address Is this permit in conjunction with a building permit? Yes 0 No ii (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead D Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 Ni,.of Meters Number of Feeders and Ampacity / Location and Nature of Proposed Electrical Work: 6),,,,„, / rip faceintnS e J - w;rr/ otn. //9. S« ;2 s Completion of thefollowin&table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CeiL Soup.(Paddle)Fans No.of Total Transformers KVA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires swimming Pool Above 0 In- No.oftteryUEmnitergencys Lighting {;rsrd. srnd. Ba No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and • • Initiating Devices No.of Ranges No.of Air Cond. ' Tons 3 No.of Alerting Devices Na.• of Waste Disposers Heat Pump I Number ITons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local — Q Connection Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Signs 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!!desired or as required try the Inspector of Wires. Estimated Value of Electric {�°rk: (When required by municipal policy.) Work to Start 7 "17/16 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 et 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: 1 LIC.NO.: Licensee: t6t4n1.5 — FP Signature '' LIC.NO.: Z B (Ifapplicable,ente exg5mmptGG' in gestic nr ber fine CO, Bus.Tel.No.. t— 4 Address: rib COZ�1 C /A< 0 f}6ZS J `Per M.G.L. c. 147,s.57-61,securitywork requiresAlt.Tel.No.: Dep ent of Public Safety" License: Lic.No. fts — OWNER'S INSURANCE WAIVER: I ani aware that the Licensee does not have the liability insurance coverage normally Owner/Agent by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent. Signature Telephone No. ( PERMIT FEE: $