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Home My WebLink AboutBLDE-23-15989 6/5/23,3:06 PM about:blank Commonwealth of Massachusetts 1 Yq * Town of Yarmouth ° 7 O NI ELECTRICAL PERMIT ` , � �' Job Address: 961 ROUTE 28 Unit: Owner Name: HUYNH NGHIA H TRS KIEU MINH-NGUYET TRS Owner's Address: 2 MILTON RD Phone: Email: Purpose of q�7; •gyp \r"6JQO b illofa2.JJ4 Building Commercial Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15989 Existing Service Amps/Volts Overhead 0 Underground 0 No.of Meters: New Service Amps/Volts Overhead 0 Undergroun No.of Me e • Description of Proposed Electrical Installation: Upgrade service that was rte without permits No.of Receptacle Outlets: No.of Switches: Generator Ra ng: Type: No.Luminaires: No.of Recessed Luminaires: No.Wind Generator No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW: No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices: Swimming Pool: ln-Grnd.0 Above-Grnd.0 Hot Tub 0 No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices: No.Air Conditioners: Total Tons: Telecom System CI No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount 0 Ground-Mount 0 Level 1 0 Level 2 E Level 3 0 Rating: Estimated Value of Electrical Work: $ 10,000 Work to Start: June 5, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: ROY A RECORE License Number: 12565 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: DOUGLAS, MA, 015162122 DOUGLAS MA 015162122 Fee Paid: $450.00 Email: royrecore(cr�gmail.com Business Telephone: 401-225-9661 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. INSURANCE: 1 - (iZ (el kLk(4--- K -- Sbaotce..,<- pitezivvtztr 0_ .00 keti5(."3 (atz.,c.coree&- ADOtc -e,A 1/1 about:blank ` g= Common:mattk o///lasdacka4s11.4 Official Use Only c� _/c� )5j8, f� ,` Apart `7 gire Services Permit No. �.7J� '' 1 l! t! Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. (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 4i INFORMATION) Date: 6 /—p(3j City or Town of: 301 y(,i,rn,ati To the Inspector of Wires: By this application the undersigned gives no' e of his or her intention to perform the electrical work described below. Location(Street&Number) (16(- 1- Owner or Tenant /G►l U Wt.Cevi cif-S Telephone No. 50 8—gO/ 21J2C Owner's Address 76 7 $ o'u-s1-,i,5?--Sk f/z- t MA-- 6 276 a Is this permit in conjunction spity building permit? Yes ❑ No Eit (Check Appro note Boa Purpose of Building ff Utility Authorization No. /d 93 �X 7 3 Existing Service a) Amps /2 a 2 dVolts Overhead IS Undgrd❑ No.of Meters 2 New Service Amps I Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: CJtlt$i j 14-- L-{/,vyr— W.,.,® Or, ""+n° Completion of the following_table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tf Trr ano KVAsformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool gA��e ❑ In- ❑ Na of Emergency Lighting grad. Battery Units 1 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 AlertingDevices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Y Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local El Connection ❑ Other Connection 1 No.of Dryers Heating Appliances Iy 'Security Systems:* No.of Water No.of Na of No.of Devices or Equivalent 'Heaters Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirin No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value Electrica Work (When required by municipal policy.) Work to Start: —7- 3 lions 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 El OTHER ❑ (Specify:) I certify,under the ins and penal' of pesimy,that the information on this application is true and complete. FIRM N LIC.NO.: Licensee: Signature LIC.NO.: S (If applicable,ent "exempt"in the license number line.) Bus.Tel.No.• j — r2 5 —g COlO/ Address: 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 Signature Telephone No. I PERMIT FEE:$ RECEIVED [ o3rr yr,eLore BUILDING DEPARTMENTrivx-/"/ , C DIA_ By - LM) — C, a'7 ) 9'