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Home My WebLink AboutBLDE-23-000474 Commonwealth of Official Use Only i,A. tirrt . Massachusetts Permit No. BLDE 23 000474 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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:7/29/2022 City or Town of: YARMOUTH To the Inspector of Wires: ey By this application the undersigned gives notice of his or her intention to perform the electrical work described below. ® /G Location(Street&Number) 11 SIERRA WAY Owner or Tenant EDSON DEMOURA Telephon O Owner's Address 11 SIERRA WAY,WEST YARMOUTH, MA 02673 at`e /� 0 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Approp I3oz Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meter S I New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel basement 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 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 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 HeatingKW Space/Area No.of Dishwashers P Local 0 Municipal ❑ Other:Connection HeatingAppliances KW Security Systems:* No.of Dryers PP No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Eauivalent 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: WELLINGTON R SOARES Licensee: Wellington R Soares Signature LIC.NO.: 21075 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 110 BREEDS HILL RD,UNIT 5,HYANNIS MA 026011864 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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 � FI ED 1)(1I cal) whe �'.cic1 JUL 2 912022 i Commonwealth.o`/Ilaedachusajfe Official Use Only BUILDING DEPI;, L i a, 1 i By — ,>g; r c7 Permit No. - 7 — o4 7 4 ,_,;,..,; h �sparjmsnj o�,}irs�irwcse ,'1,I 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: 7 2, , Z2, City or Town of: YARMOUTH To the Inspectdr of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) t'1 51£S-14 (fj){ry WeSf *4V/7 Oift l'7 Owner or Tenant 6(4SU fl V y,. Telephone No. 5O 36 o 9237 Owner's Address Is this permit in conjunction with a building permit? Yes 1 .. No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd g El No.of Meters New Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters Number of Feeders and Ampacity I Location and Nature of Proposed Electrical Work: f kli.V ity, ex1' -) ;viva Ewa-Ufa,(. N W l'3�-h , In rer40c ,1 vl f u Completion of the following table my be waived by the Inspector of Wires. U. No.of Recessed Luminaires No.of Ceil.-Susp. No.of Total U. p (Paddle)Fans Transformers KVA 'Z1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA ,t No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grad. grnd. ❑ Battery Units �' No.of Receptacle Outlets No.of OH Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 'No.of Detection and t r Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number Tons KW 'No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* , No.of Water No.ofNo.of Devices or Equivalent Heaters ' N0 of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires, Estimated Value o Electrical Work: (When required by municipal policy.) Work to Start: __ 32, Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C V 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE El BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties operjury, jthat the information on this application is true and complete. FIRM NAME: W'PPII/N p £',,s /4,6 6le4v j LI 04 l iC LIC.NO.: v2/.02: } Licensee: (Vole f 'hi) R. SOii r Signature ilt(If applicable,ent "exe t."in the license number line.) LIC.NO.: �I376�' Address: fit (�?.t S 11( d IrOi (%N' r` llf)4S 00,fj0l Bus.Tel.No.:tiS^R ,G Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt Lic.No. __ _3b 9777 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. ` PERMIT FEE:$ 7 _ I