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Home My WebLink AboutBLDE-23-000202 Commonwealth of Official Use Only 44, Massachusetts Permit No. BLDE-23-000202 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:7/12/2022 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) 226 ROUTE 28 Owner or Tenant SIA DEVANG LLC Telephone No. • Owner's Address 226 ROUTE 28,WEST YARMOUTH, MA 02673 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: Water heat ;>_ Aiding) :- 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 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 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or,EagIyalept _ ,__„ No.of Water 1 KW No.of No.of Ballasts Data Wiring: Heaters Sieps No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of I/evices 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: Michael J Pearson Licensee: Michael J Pearson Signature LIC.NO.: 50954 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:75 CHAPMAN STREET,QUINCY MA 021702756 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: $260.00 )/( 3/-7) i to • U Canino wv«a[h e/Keirackroaits Official Use Only :. 2t� � Permit No. —�v apa.trnsost o „dc7ims Son/ices . Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) 1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Al!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: City or Town of: To the Inspector of Wires: 3 By this application the undersigned gives notice of his or her hnteution to perform the electrical wort described below. Location(Street&Number) t C tq St (�'►n) Owner or Tenant tt �►IC( i'1 '� fit f Telephone No.6 17-7 30 Sync? ' 2 Owner's Address 12'I' wk/it/ S uj•I e 1,Ca? f,1e1 /91 02 i( Is this permit in conjunction with a building permit? ,, Yes 0 No ® (Check Appropriate Box) Purpose of BuildingC.(,�_ryil' e... C. t .102.( � ko U U. ,. Authorization No. Existing Service Amps /0 / Volts /Overhead V Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampadty Location and Nature ofapearled Work: lye hot w g f_e� /seen,ea/4.1i,- •, rail "( f fit~/ tt4tci. 1 I Completion oft dfill° table"ray be waived by the/nsiseecr r of Wires. ltal Q.b No.of Recessedna res LumiNo.of Ceti,-Susp.(Paddle)Fans To.osformen KVA G1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA ' No.of Lamininsg po Above ❑ in- ❑ NO.of Emergency nug tad. sand. _Battery Unit No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection Devices F IaffL4g DLdtvicea 11.1 No.of Ranges No.of Air Cond. Til No.of Alerting Devices ined O.of Waste Disposers Heat Pump Number Tons KW No.DDett o�n/Aler gp eviees 0 li x Dishwashers Space/Area Heating KW Local❑MA� 0 Olba' 1SecW 's k... f Dryers Heating Appliances KW N ori or Eeloivddett N Water 'No.of No.of Duh ; I N • Heaters KW Signs Ballasts No.of Devices or ,. t i Bathtubs No.of Motors Total HP of Device Teleco er e o LLd i c\-2,...4 'r��e No.of Ds or . 1 .,t („) —J tim R: w i0 n Attach additional detail if desired or as required by the Inspector of Wires. . , , ,-, Value of Electrical Work: 4 aC.7D. tW (When required by municipal policy.) Ct .' to Start: CO 131 2Z Inspections to be requested in accordance with MEC Rule 10,and upon completion. ' r ' CE VERAGE: 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 0 OTHER 0 (Specify:) I certify,under the pains and penakks of perjury,that the information on this application is true and complete. FIRM N LIC.NO.: Licensee: /K;(h Coed 7 I)e.a 'aC1 I Signature Alt... /"-er AA..,1 ,,LIC.NO.:527?51,E (If applicable.enty ,f t"in the license AntsbT line.) Bus.Tel.No.: Address: 7S-l%k �lAA.5 vI.tree` w� C�2 l71° Alt.TeL No.: 'Per M.G.L.c. 147,s.57-61,security work 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)0 owner ❑owner's agent. Owner/Agent Telephone No. I PERMIT FEE:$a6a)id) Signature