The URL can be used to link to this page

Home My WebLink AboutBLDE-21-005888 '� Commonwealth of Official Use Only E \N. ' t ' Massachusetts Permit No. BLDE-21-005888 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:4/13/2021 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. � Location(Street&Number) 18 RAINBOW RD S u8_ 3 _ p n t €Z_ Owner or Tenant Frank Vargas Telephone No. Owner's Address 18 RAINBOW RD, 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 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Relocate kitchen&upgrade service. 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 ElIn- ElNo.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 In►tiating 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 0 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: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT F : $75.00 r s " / i § a 1 S •‘;,. : -e^ooiglittaf Maeeaeheelte Official Use Only e.i2.--I —5008 ' 3 a�s , r.. `2 .tin.. mic smirk 1 Permit No. OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in acconlance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 S (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / l 7 - Q. City or Town of: iti At) To the I : �� L/ Inspector of?fires: By this application the undersigned gi es notice of his or her intention to perform the electrical work described below. Location(Street&Number) it At;g.4 r weg,z yxierlia,4- ' S Owner or Tenant ,eG(O✓I ev- Telephone No. Owner's Address dal) /0/#-1 SA /19i1, e le-1 c7/d 4_ a.2 D '-i,e' Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building A 7,,eSe — Utility Authorization No. Existing Service /p0 Amps / Volts Overhead Undgrd❑ No.of Meters ( 1 New Service o2OO Amps / Volts Overhead Er Undgrd❑ No.of Meters / \Z Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: M It€ lit.tc4 e N , &tcL L,r/rtis -4504 t Completion of thefollowing table maw be waived by the Inspector of Wires. o.ofTotal No.of Recessed Luminaires No.of Cell.-Snsp.(Paddle)Fans Transformers ICVA Trformers KVA 4 No.of Luminaire Outlets No.of Hot Tubs Generators KVA 't No.of Luminaires Swimming Pool Above ❑ IIn"nd. ❑ BBatberEmergency U� Lighting • No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones sC No.of Switches No.of Gas Burners No.of Detection and Initiating Devices IQ No.of Ranges No.of Air Cond. TotalNo.of Alerting Devices TnsNo.of Waste DisposersHeat Pump Number Tons KRI 'No.of Self-Contained Totals: 1.__..____ Detection/ Devices No.of Dishwashers Space/Area Heating KW Local Munn ❑ Conection 0 °ther No.of Dryers ys * No.of Water , No. AppliancesNo.off Data Securftyf Devices or Equivalent Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP 'Teleco ofunications Devices or q7�t OTHER: ' Attach additional detail if alesired or as required by the Inspector of Wires. Estimated Value of Electrical Work: ,j,k —7,r; (When required by municipal policy.) Work to Start: —01 II—,2 to be Inspections 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 cereth',under the pains and penaltks ofpe ,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: Signature LIC.NO.: Of applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: Alt.Tel.No.: ' *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. F xer.,,,o.� OWN ' URANCE W IVER: I am aware that the Licensee does not have the liability i coverage nornially required bylaw. B m ' t low,I hereby waive this requirement. I am the(check one) ❑owner's agent. Owner/ I PERMIT FEE:$ Signatu Telephone �;hone No. 3 VgoZ