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Home My WebLink AboutBld-19-006984 Commonwealth of Official Use Only i Massachusetts Permit No. BLDE-19-006984 ` /r BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [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:6/11/2019 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) 167 RIVER ST Owner or Tenant CUNNINGHAM JAMES JOSEPH Telephone No. Owner's Address 3126 SCOTT ST UNIT 5,SAN FRANCISCO, CA 94123 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 ❑ 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: Replacement boiler. _ 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. Batten'Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 1 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/Alertinc Devices No.of Dishwashers Space/Area Heating KW Local 0 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: Jesse R Ling Licensee: Jesse R Ling Signature LIC.NO.: 15646 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO BOX 1200,WEST CHATHAM MA 026691200 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 11 R- (067,10 Vim. g4 Commonwealth of Massachusetts Official U Only ��Permit No. % D 1 s - 24 Department of Fire Services Occupancy and Fee Checked - BOARD OF FIRE PREVENTION REGULATIONS tRev.9/05] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code&MEC) 7 CMR wo., (PLEASE PRINT IN INK OR TYZAALL INFORMATION) Date: ((�D City or Town of: / &v z be To the Inspector of Wires: By this application the undersigned gives notice of or hintentio9.to perform the electrical work described below. Location(Street&Number) I(.0 7 L o J T . Owner or Tenant S A V-Q- Telephone No. Owner's Address -S "..Y-Q Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriat z) Purpose of Building !b -sz a.t c Utility Authorization No. A Existing ServiceaCC)Amps i l U /A-a'CiVolts Overhead❑ Undgrda No.of Meters i New Service )C/,1-1 Amps / Volts Overhead 0 Undgrd❑ No.of Meters Number of Feeders and Ampacity 4 Location and Nature of Proposed Electrical Work: 66 t Leo c& S;v AP Completion of thefollowin2 table may be waived by the ctor of Wires. of Recessed Luminaires No.of Ce4LSusp.(Paddle)Fans Transformers VAA No.of Lummaue Outlets No.of Hot Tubs - Generators ' No.of Luminaires �� SwimmingPool Above ❑ grad. ❑ ' a Batteryof- units g grad. Units No.of Receptacle Outlets --------it of Oil Burners I• .wr • No.of Zones No.of Switches •No.of i Bur rs o.of Detection and Initiating Devices No.of Ranges No.of Air Cond. T No.of Alerting Devices No.of Waste Disposers Heat Pump ons � 'No.of Self-Contained Totals: \�)etection/Alertipa Devices No.of Dishwashers Sp Heating KW M nn n ❑ °ther No.of Dryers Heating Appliances KW .tecuNa of ices* quivalent _ No.of Water No.of No.off' Data wiring: Heaters Signs Ballasts No.of Devices or Egnivajent No.Hydro a e Bathtubs No.of Motors 'Total HP Telecommunications qung No.of Devices or Equivalent O3'BER: l Attach additional"'Pfeil if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: 4 I O o (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 t5 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties ofperjury,that the informatio on this application is true and complete. FIRM NAME: L II-Lb (LC - t''Ce4-eiA-).-taCA-j LIC.NO.A-i664b Licensee: J - 'T.?... l-,0c6 Signature �--. y LIC.NO.: 3aq31i (If applicable enter"exempt"in the l e number line.) Bus.TeL No.:SOB -Ad 33 Address: ' O?C %Zoo bk R7 � MkA� ,CO. Alt.Tel.No.: *Security System Contractor License required for this work;if app le,enter the license number here: 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 �u Signature Telephone No. - PERMIT FEE:$ S� V ' � 7 GQ 0 6�