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Home My WebLink Aboutblde-22-004945 unit C . a . \1N Commonwealth of Official Use Only LAMassachusetts Permit No. BLDE-22-004945 — BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:3/8/2022 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) 27 BRIAR CIR Owner or Tenant Hien Nguyen Telephone No. Owner's Address 27 BRIAR CIRCLE,SOUTH YARMOUTH, MA 02664 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: Remodel kitchen& 1 bathroom.Add 27 li111111111.1 Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 27 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- CINo.of Emergency Lighting grad. Rrnd. Battery Units No.of Receptacle Outlets 9 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 8 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges 1 No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers 1 Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers 1 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 Ballasts Data Wiring: Heaters Signs No.of Devices or Eauivalent 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: Hien V Tran Licensee: Hien V Tran Signature LIC.NO.: 50952 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:83 RICHMOND ST,APT 3,DORCHESTER MA 021245729 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 my signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone o. PERMIT FEE:$250.00 ant,...( 1 z.-z 04,t1 3I'M 0-1064ut"I* 61914121:1° q( `f s. RECIVED ► 11 �;rY�d.,� 1 1h ' [ MAR o 2 2022 A .on ronwsao` i/aeeac estis Officiase on yBUI DING D :- Permit No. ZZ � �-� - l ,, �7�soarfn•n�o �rpr�•rvice�i jo \14„.. BOARD OF FIRE PREVENTION REGULATIONS �D�'and Fee Checked [Rev. 1/07J (lave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 1 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) City or Town of: Date: YARMOUTH To the Inspector of Wires: 3y this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) dr 4 /?>i'lle_. Owner or Tenantp �o t 7 —�� Owner'sm , C .-.:---_-,4 Telephone No. Address )•/ ' • . Is this permit In conjunction with a building /L /' / Q ng permit? Yes No 0 (Check Appropriate Box)' purpose of Building Utility thorizatYon No. !slating Service //J/J Amps T2 hP¢.tGin,� Overhead tfeacnin —F�� Undgrd❑ No.of Meters _Z__ Amps / Volts Overhead 0 Undgrd Number of Feeders and Ampadty g ❑ No.of Meters Location and Nature of Proposed Electrical Work: uF i - _ p Co -'tenon. the ollowi : ta, - /�J�V No.of Recessed IC, m be waived b the/ for o Wires, U.) Luminaires p2 ,. Na of Cdl.-Sunk.(Paddle)Fans 'o.o ora No.of Luminaire Outlets Transformers KVA No.•of Hot Tubs Generators KVA 4' No.of Luminaires Swimming Pool ' ' e n- d. ❑ ❑ o.o 'mergeacy 7 '111 g 7:...4 No.of Receptacle Outlets No.of OU Burners Bette Units No.of Switches FIRE ALARMS No.of Zones No.of Gas `o.o I—ec n a, . I I! Initiatin Devices No.of Air Cond. Tons No.of Alertin • g Devices NDevices o.of Dishwashers bra Totals: ',u_Y a!_, r ons ' '' _.:. Detection/ on• a washers Space/Area Heating KW •unn n' 0 No.ofDryers Local� Connection ❑ Other Heating Appliances KW • u y ms: o.o aaeaters KW ,o, Data Wiring: o `o.o No.of Devices or ' ,uivaleat S, a Ballasts N .Hydromassage No,of Devices or ' Y e Bathtubs No.of Motors Total HP e ecommu, ; ,ns ,,uh'alent OTHER: Na of Devicesor end �j(� Attach additional detail f desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Stag: (When required by municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no the licensee provides proof of liability "completed for the performance of electrical work may issue unless ty insurance including operation"coverage or its substantial equivalent. The unassigned certifies that such coverage is in force,and has exhibited proof of same to the CHECK ONE: INSURANCE 0 BOND 0 OTHER permit issuing office.I certify,under the pains and nettles o ❑ (SPedfY') l �#ry•t &p Information on this ate,/icmfOn/S true and complete. • FIRM NAME: Licensee: ,., LIC.NO.: (If applicable.enter"exempt" license number line.) Signature INO.: LIC. o.' Address: Bus.TeL No.. _ • '�� S *Per M.G.L.c. 147,s.57-61 securitywork Alt.Tel.No.: �� blic Safety"S"License: Lic.No. -------- OWNER'S INSURANCE WAIVE : I am aware that the Licensee does nof have the liability insurance coverage n� required by law. By my signature below,I hereby waive this requirement. I am the(check one I owner • owner's a y S��/�end _ant. Telephone No. s 1