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Home My WebLink AboutBLDE-22-001086 ie`'�% Commonwealth of Official Use Only ((1 Massachusetts Permit No. BLDE-22-001086 BOAR 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:8/25/2021 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) 12 SATURN LN Owner or Tenant Leann Philip Telephone No. 907--Sig—661Q'j Owner's Address 12 SATURN LN, 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: Wiring for basement bathroom. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 1 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 1 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 2 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. To No.of Alerting Devices 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 Ballasts Data Wiring: Heaters Signs 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: Wayne M Thomas Licensee: Wayne M Thomas Signature LIC.NO.: 38360 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:965 TEMPLE ST, DUXBURY MA 023322928 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 No. PERMIT FEE: $80.00 t\11 -1 d3(140,(D4 a-6 1 41 615 4-99/14) ( cad gj31 ti 170/2A .I RECEIVED Al16242021 l�ommonwealih.of Maeaachuds(fa Official Use//Onl BUILDING uEF • B 7t Permit No. � ,---(u } — 4,-..... r 2slvartnurni oi,}irs Jarvicsd 1.if- 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: q t92/02/ 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) / a SP-1-U rsN L Ai. Owner or Tenant L e N/V Q L,, II p Telephone No. Owner's Address 13 .,4-�u r-A.l i—Al Is this permit in conjunction with a building permit? Yes No El (Check Appropriate Box) Purpose of Building 13A-1-k 12 0 conn Utility Authorization No. Existing Service /Q O Amps I a Ll/ 2-,IA)Volts Overhead n Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity t 1 Location and Nature of Proposed Electrical Work: g k Se_ - 60,--0. av r'/VIP vl Completion of the followinVable my be waived by the Inspector of Wires. th No.of Recessed Luminaires No.of Ceil:Sas No.of Total r,! p.(Paddle)Fans Transformers KVA 'Z No.of Luminaire Outlets / No.of Hot Tubs Generators KVA t' 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 INo.of Zones c. No.of Switches 2 No.of Gas Burners No.of Detection and t r Initiating Devices No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers Mat Pump I Number Tons KW No.of `elf-Contained Totals:I Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW No.of Data Wiring: 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 Elecitrical Work: 1 2 (When required by municipal policy.) C0 0 Work to Start: O 1910 i 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 15] BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of p ,that the Information on this application is true and complete. FIRM NAME: (,(JQy n/( I n p LIC.NO.: F3g34.-a Licensee: (N al/V.c ---11,1.0,‘„,.13 Signature , "--- (If applicable,enter"exempt"in the license number line.) t"..."1,-.---t LIC.NO.: c —1— 1/Yvt ci 10 V,6�,^^''1� (Yy . Aja 312 Bus.Tel.No.• 1 �S Address: 9 , *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.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 a•ent. Owner/Agent Signature Telephone No. PERMIT FEE:$ '