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Home My WebLink AboutBLDE-21-007123 Commonwealth of Official Use Only �` �, Massachusetts Permit No. BLDE-21-007123 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:6/8/2021 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) 5 ZEPHYR DR Owner or Tenant Glenn Martin Telephone No. Owner's Address 5 ZEPHYR DR,YARMOUTH PORT, MA 02675-2372 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrading bathroom circuits. 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 SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting No.of Luminaires grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and No.of Switches Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local ❑ Connection ❑ Other: Security Systems:* No.of Dryers Heating Appliances KW Security of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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 perjuty,that the information on this application is true and complete. FIRM NAME: LIC.NO.: 55825 Licensee: Joshua Jones Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address: 6 Pine Tree Circle,Sandwich MA 02563 *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. I Owner/Agent I PERMIT FEE: $75.00 Signature Telephone No. CO '2c l�omnnoawsa ol t s/aooac Official Use Only ,_ .� r� c�� Permit No. 2t�7i Z' ■ ? 2aparfnrsnt of giro Serviced .�� it ,� Occupancy and Fee Checked fi ' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07j (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 TY1ILL INFORMATION) Date: 6( &l �( City or Town of: a v w+ova 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) LW✓ D c IOwner or Tenant (-9 1ein ft Jittif,vk Telephone No. hG�)-77 a Owner's Address 5 2epIa - C)v k. Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. s Existing Service lee Amps / Volts Overhead❑ Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters - Number of Feeders and Ampaclty /� Location and Nature of Proposed Electrical Work: I�i.5(r i✓t ✓1.�~/ (-eedS loot fed . t v 3 n i ,�Xts� b e ^ c..J +a i. . Completion of the followingtable my be waived by the&vector of Wires. do No.of Recessed Luminaires No.of Cell-Soap.(Paddle)Fans Tran i sformers KVA No.of Luminaire Outlets No.of Hot Tubs Total Generators KVA Above In- No.of L�mergency Lighting No.of Luminaires Swimming Pool grad. ❑ grad. Battery Units 1£ No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of SwitchesNo.of Gas Burners Initiating Devices lr No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices Heat Pump Number Tons KW (No.of Self-Contained No.of Waste DisposersTotals: ____ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Connectionunicilia El Other Heating Appliances KW gecupity Systems:* Na of Dryers No.of D or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ba llasts No.of Devices or Equivalent TeleCOMMUDICai10113 WW Wi�gg:: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desire4 or as required by the Inspector of Wires. Estimated Value of El ' al Work: ((C V (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: 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 cov a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0OTHER 0tspecifyo nn is true and complete. I ctrtljy,under the pains and penalties of perjury, this LIC.NO.: b�lrf�� 3 FIRM NAME: 0-0 uc.- ase5 1-e tvi ti L Signature %�... LIC.NO.: Licensee: .1 cs '^h J�'^� / Bus.TeL No.: (If applicable,mug exempt"in the license number ling.) Address: ( f'i I G'Yde 5ev is)4y 03-663 Alt.Tel.No.: work requires Department of Public Safety"S"License: Lic.No. normally *Per M.G.L.c. 147,s.57-61,security the _see_ liability OWNER'S INSURANCE WAIVER: l I wam aware ive this requirement.tI am eth t have(chcek one)I❑�ovvner ❑owner's agent. i required by law. By my signature below, hereby r 6/18/21 To whom it may concern: I, Josh Jones, recently did electrical work in June of 2021 at 5 Zephyr dr in South Yarmouth. The work that was performed is as follows: • Ran new 20 amp circuit to bathroom plug. Wire was fished up into the wall to existing box. Circuit was brought into the panel and landed on a 20 amp arc fault breaker. • Ran new 15 amp circuit to bathroom switch. Wire was fished up into the wall to existing box. Circuit was brought into the panel and put on a 15 amp arc fault/ground fault breaker. • Replaced 2 regular breakers in panel with two 15 amp arc fault breakers for jacuzzi tub circuits that were run and installed a year prior to my arrival by another electrician. I, Josh Jones, did not perform any work at 5 Zephyr dr in South Yarmouth prior to June of 2021. I was not the electrician who did any of the previous work to this bathroom. I take no responsibility for the wires in the walls, the boxes and devices installed, the light fixture and bath fan installed or the circuits and outlets installed for the jacuzzi pumps in the bathroom. Josh Jones Glenn Martin Electrician Homeowner