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HomeMy WebLinkAboutBLDE-23-003725 ,��v Commonwealth of Official Use Only E ct'� Massachusetts Permit No. BLDE-23-003725 BO 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:1/10/2023 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) 27 BRIAR CIR Owner or Tenant HIEU NGUYEN Telephone No. Owner's Address 27 BRIAR CIRCLE, 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: Rewire 2 bathrooms&kitchen. Hardwire smoke detectors. (UNIT B) 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 10 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 10 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges 1 No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 4 Totals: Detection/Alerting Devices No.of Dishwashers 1 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 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 ofperjury,that the information on this application is true and complete. FIRM NAME: Hien V Tran Licensee: Hien V Tran Signature LIC.NO.: 50952 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:83 RICHMOND ST,APT 3,DORCHESTER MA 021245729 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$75.00 12k- ee-4,1 t (26 )2.777 Ile" ry e , z,3 RECEIVED - , JAN 0 9 2023 yyy�jj Memeachuaaile Official Use Only nwsa "I'° frING GEPARTMEn �] �\J Permit No. Z-3 -37 I . mica 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: 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 el ctrical ork described below. Location(Street&Number) - 6 j`,et r CI r Ci a, Owner or Tenant j e ert 4/14--1/��n Telephone No. ./.7 e 9 Owner's Address 3 pe/2-i vI-L •S F Dn� ) Dd_J�� Is this permit in conjunction with a building permit? Yes !rJ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service /d d Amps l.2d /.KO Volts Overhead Undgrd 0 No.of Meters f New Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters Number of Feeders and Ampadty Location and Nature/ of Proposed Electrical Work: �2 i,y'�F F . ,Qr, X��2 s i _� /'i�? '�O.rl . ice?a��ii/i%.i'L i, ...bi i'v�T O Q Completion of thefollowinktable mD,be waived by the In vector of Wires. Lb No.of Recessed Luminaires No.of Cell.-Swap.(Paddle)Fans No.o Inspector Transformers KVA ). No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires 9 Swimmingpool Above In- No.of Emergency Lighting grad. ❑ �rnd. 1-1 Battery Units Zzl No.of Receptacle Outlets /d No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Detection and j�: No.of Cas Burners >� 11•f No.of Ranges No.oAir Conti. Total Initiating Devices `� Tons No.of Alerting Devices Na of Waste Disposers Heat Pump Number 1 ons . .KW No.of Self-Contained Totals:l.. ...... '1.""..-..-.-.. Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Munielpaf Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters ' Signs Ballasts Data Wiring: No.of Devices or Equivalent Na 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: 7-009. GU(When required by municipal policy.) Work to Start: 1—0`7 (2.3 Inspections to be requested in accordance with MEC Rule 10,and INSURANCE COVERAGE: Unless waived bythe owner,no upon completion. 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�g a' is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE C9' 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: //i 7 // 7�.005L-,tj LIC.NO.: Licensee: Signature \ LIC.NO.:[� (If applicable,enter" mat' in lie license number line.) 1� O Address: ,.71 .h r AOei-Z, j ) 1&.Iiyd irk- /�"rBus.TeL No.: /�&R.p ©f/,f'�G� *Per M.G.L.c. 147,s.57-61,security work wires Department of Public Safety"S"License: AIL 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 Signature Telephone No. I PERMIT FEE:$ I