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Home My WebLink AboutE-19-159 ifi0. l% Commonwealth of Massachusetts Official Use Only Permit No. BLDE-19-000159 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:7/10/2018 City or Town of: YARMOUTH To the Inspector of Wires: • 69 By this application the undersigned gives notice of his or her intention to perform the eiecfncai work described below. t/ Location(Street&Number) 111 WHARF LN Q Owner or Tenant WARD RICHARD R Telepho 6/1, ' Owner's Address WARD SUSAN E,511 PINE TREE DR NE,ATLANTA, GA 30305 Qo Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Q 4,... Purpose of Building Utility Authorization No. O 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: Replace recessed lights&fan in 2nd floor bathroom. Kitchen under counter lights. Receptacle in pantry. 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 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 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 Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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: Marcelo R Soares Licensee: Marcelo R Soares Signature LIC.NO.: 13036 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:53 FALMOUTH SANDWICH RD, MASHPEE MA 026494307 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 •4 , , 4 Cominonwsa/h of///addac fis Official Use Only • = Gig- (S9 �{== Permit No. •1 _ = �5aparlananf off ,,.Serviced zo ' Occupancy and Fee Checked ' 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: 01 110 , Ise) 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) 1-;1- i W I4N-F LN . Owner or Tenant M kv-E Ni q;)-7 \L1 (c t tvilLACrc,R-. Telephone No. QOwner's Address' Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) P� Purpose of Building y�, Utility Authorization No. 7` Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: C � _ I. �N t� F L�(t- 3 R'p1 LbGc�,Sn7 Jt�.,p C-11A r4-1)LPcti \ 1L t x c i tt.l u>J l t 2- C ike-)tit- L t G it,[5 it►v;? v l.v(,s /r� -) thi pica-,-t Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Celt.-Susp.(Paddle)Fans No.of Total Transformers KVA J No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- 'No.of Emergency Lighting grnd. arnd. Battery Units 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 No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number I Tons I KW 'No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Lora!EiMunicipal Connection ❑ otter No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of Heaters KW No.of Data Wiring; Signs Ballasts No.of Devices or Equivalent No.Hydromass age 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: 01 I to I i L 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 M BOND ❑ OTHER 0 (Specify:) Pe fY:) I certify, under the pains and penalties of perjury,that the information on this application is true and complete.. FIRM NAME: IJ -C-e L.J V .. 9A-{ S (L-L C70L k G i t4t\l LIC.NO.: 11))"1)(3-{) Licensee: ►,/k Nit-celr0 %.J 046 Signature (Ifapplicable,enter"exempt"in the license number line.) _ LIC.NO.: Address: Bus.Tel.No.:� y. Address. �O � N5 �i? VASE-,et......,.-. Mp 64, 1 J "Per M.G.L.c. 147,s.57-61,security work requires Department of Public SafetyAlt.Tel.No.: P "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)0 owner ❑owner's agent. Owner/Agent . l Signature Telephone No. I PERMIT FEE: $ 7�-- I