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Home My WebLink AboutBLDE-21-001979 A I Commonwealth of Official Use Only E"' Massachusetts Permit No. BLDE-21-0019790 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:10/15/2020 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) 36 PEQUOD CIR 9a6--3G0- `P`�4 k Owner or Tenant ANA PAULA Telephone No. Owner's Address 36 PEQUOD CIR,YARMOUTH PORT, MA.02675-1918 p 4 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check r • i ,/ Purpose of Building Utility Authorization No. C Existing Service Amps Volts Overhead 0 Undgrd 01%1' • s A New Service Amps Volts Overhead 0 Undgrd 0 No. i, '/tab liar Number of Feeders and Ampacity O v Location and Nature of Proposed Electrical Work: Remodel Kitchen, living room, master bath,&hall bath.Add lighting bedrooms. Completion of the following table may be waived by the : Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of To Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- CINo.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 Initiatine 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/Alertine 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 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: Marcelo R Soares Licensee: Marcelo R Soares Signature LIC.NO.: 13036 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 Brewster Rd, Mashpee MA 026492920 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 L wogc� w(o tinar7oA/5 541F/7iP r Commonwealth of///assachusatts Official Use Only L ,� c7 n _ Vii- = 1JaParfinent o f biro Jerczces Permit No -- -19,7C)‘---- - ' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked '`�.` rRev. 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: lU f 14 l 2—° 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) �lC> 'PE UOn Lt i-C, L- Owner or Tenant IkNA pAtJVA Telephone No. (.'6-�I .C2-1C� Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check AppropriateMBozho)-tc�5 VI 19"P Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Voltsd El No.of Meters 21. ,i_-_]Overhead❑ Und>;rNumber of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �Muo�1 , AonO) w1*fi S �N �f-oc.S^ � + rP'14.1-14"1 '3 t+Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cer7.-Susp.(Paddle)Fans No.of Total Transformers KVA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmia pool Above In- ❑ Ivo.of l.mergency Lighting - g Srnd. ❑ srnd. Battery Units No.of Receptacle Outlets No.of Ort Burners FIRE ALARMS JNo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating_Devices Total 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 Local❑ Municipal ,- Connection ❑ � No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent No.of Heaters KW Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent k Attach additional detail if derirea;or as required by the Inspector of Wires. Estimated Value of Electrical Wor (When required by municipal policy.) Work to Start: tU Ilo 1% 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 BOND ❑ OTHER. 0 (Specify:) I certify, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: M It tZC t 1,,� R. 5';e.I.,--g l,t-Ly{L tc t tol�j Licensee: LIC.NO.:_ J_ I2)Signature ,eLIC.NO.: 22_ (If applicable,enter"exempt"in the license number line.) Address: Bus.Tel.No.: 1--44-, -27' ,J Per M.G.L. c. 147,s.57-61,security work requires Department of Public SafetyAlt TeI.No.: <x — OWNER'S INSURANCE WAIVER: 1 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/Agent0 owner's a eat. Signature. Telephone No. PERMIT FEE: $