HomeMy WebLinkAboutBLDE-21-006926 Commonwealth ofNI Official Use Only
Permit No. BLDE-21-006926
. �€ 7 , Massachusetts
` BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
LRev.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:5/30/2021
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) 66 HASTING AVE
Owner or Tenant Leonard Loo Telephone No.
Owner's Address 66 HASTING AVE, WEST YARMOUTH, MA 02673-2665 n,,Q,p �S
Is this permit in conjunction with a building permit? Yes 0 No 0 `kwAl ite-Box) QJl5,.4f tOY `�
Purpose of Building Utility Authorizatio ,,,;;,, _ e f l 1
Existing Service 200 Amps Volts Overhead 0 Undgrd ? T' • t egi'
New Service 200 Amps Volts Overhead 0 Undgrd ■ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Replacement service.
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- ElNo.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 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 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: NATHAN A ASHE
Licensee: Nathan A Ashe Signature LIC.NO.: 21136
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 166 Hunt Rd, Chelmsford MA 018243747 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
W 1 V ito it,--re. 776P911 Vfill,
enwa nI of 2 aal e
Offial Use Onlyc Q 2/
r• E l Pe nN� _^' ime ofJLIL�fwksa— /1 IF _[j=5' Oocu ncy and Fee Checked
•,,,- - BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/ 7] ,1 avk woo,
APPLICATION FOR PERMIT TO PERFORM E , - CTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Co y(N1E�C),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 5/ 512 2"t——..
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) 66 HASTING AVE.
Owner or Tenant LEONARD LOO Telephone No.310-365-8404
Owner's Address 11062 RHODA WAY CULVER CITY, CA, 90230
Is this permit in conjunction with a building permit? Yes Fl No ❑ (Check Appropriate Box)
Purpose of Building RESIDENTIAL Utility Authorization No. 5808484
Existing Service 200 Amps 120 / 240 Volts Overhead ❑ Undgrd 7 No.of Meters 1
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: SERVICE REPLACEMENT/ DISCONNECT-RECONNECT
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf T
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires SwimmingPool 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
g Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
p 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 Kam, 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: $2,100 (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 0 BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on thi application is true and complete.
FIRM NAME: Sunrun InstallationServices, Inc. J LIC.NO.: 21 136 A
70--Licensee: Nate Ashe LIC.NO.: 11361B
(If applicable,enter "exempt"in the license number line) Bus.Tel.No.• (978)594-3519
Address: 734 Forest Street,Suite 400,Marlborough,MA 01752 Alt.Tel.No.:
*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
Signature Telephone No. 1 PERMIT FEE: $