HomeMy WebLinkAboutBLDE-21-001245 0 ` Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-21-001245
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:9/10/2020
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. J
Location(Street&Number) 176 BEACON ST f C 1 3 p`"J l
Owner or Tenant TAI CHAN Telephone No.
Owner's Address 176 BEACON ST, 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 i%`eLMeters
New Service Amps Volts Overhead 0 Undgrd t
Number of Feeders and Ampacity pJfO
Location and Nature of Proposed Electrical Work: Remodel kitchen. Six lights in living room. L4P
Completion of the following table ma) e • ‘ ector of Wires.
it
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of O tal
Transformers A
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
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 ❑ 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:53 FALMOUTH SANDWICH RD, MASHPEE MA 026494307 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 Cl owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $50.00
r* 7/7A 1-
4\j 64 4 1 4
L Commonwealth / 1 h Els Officialr Use my
o as�ac ude l l
*_ c� Permit No.
�_ 3eparlmenl o/. ire Service9
,=: Occupancy and Fee Checked
3�(= BOARD OF FIRE PREVENTION REGULATIONS
< - [Rev.1/071 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code EC) 527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: O� I 7-0
City or Town of:rr'LMuLAlt 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) l 77FAC 3er' 50u N- Nf oSts't G'irN1
nn
Owner or Tenant TA\ C IATelephone No � ��6} � r 1 '-I CI
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: ���G "��?�' '� L. 1 ` PL t,G S
g-evuldty ANC) t.Flih1 Prof LACtvCti5 \ (0 1N/J i-t ( tirS 1NJ LAv.NG i2.14."
Completion of the following table may be waived by the Inspector of Wires.
No.of Total
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above In- No.of Emergency Lighting
J No.of Luminaires Swimming Pool wild. ❑ grnd Battery Units
V No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
I.11No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
Municipal
No.of Dishwashers Space/Area Heating KW Local ID Municipal
❑ Other
C Security Systems:*No.of Dryers Heating Appliances KW No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring
Heaters KW 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 lect 'cal Work: (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 [ BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: MP$C A- S.D P- LIC.NO.: 1/707176—b
Licensee: SAW %9Naec Signature LIC.NO.: 7-1.4'41--A
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:-nil-yAt- 1aY631
Address: 1.(1 wDuc)Wt1-tt.(6 C t.^ LN. S Ri•411r1i ct OP' G 6'5 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 PERMIT FEE: $
Signature Telephone No.
3: -
_ �'."fi`-f. d {. `F-'j -'# ;tic, .. -i:. ...1 l..ri �F i s #
r -. ,I,..: %tea N44*).s4 Y*l.
Lr
r '_...:i'�e,ss � :.._�_a_Y_.. �::«}a•,.,s,:e:;c,:....� --- « ia3 t, - i. - .ylyM. -
'.Tw_.:: , .may
_"+--....-. `,.i.....; ..�._ - ! .ram--:,,z,..._ .. _,:... - .. -'.Yt
�.. ix
4i
tY
,t, . J ,:nnr ts t. , -y� J ��sd' . �y _ _
._._..ems k. --- , - - - • _ • ., '..c,: .z 'N"T' t.7z,
may.
tL ,
.
1.f.V.• ' .- -
- - -
Y
f
:
F
tea=4 ... _ - f'..,
•T... -ev..tl4y.M6II _ ..,,,.v ._ri ,.. ... .wa{.r -u-:. _ Yf>l'�` __—_ icv�+aa-� '��. -
- -
v r' w
F .