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Home My WebLink AboutBLDE-23-19435 23, 1:06 PM about:blank Commonwealth of Massachusetts o YAK * 4 Town of Yarmouth gil -p y ELECTRICAL PERMIT ‘ ' Job Address: 4 TELEVISION LN Unit: Owner Name: PEKRAN CINAR PEGGY TRS CINAR KAYATRS Owner's Address: 225 CALIFORNIA ST Phone: Email: Purpose of Building Residential Utility Authorization No.: 14389093 Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19435 Existing Service Amps/Volts Overhead 0 Underground❑ No. of Meters: //�11 New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters( y Description of Proposed Electrical Installation: Temporary service g0R-C No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type: No. Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: 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❑ No.of Devices: Swimming Pool: In-Grnd.❑ Above-Grnd.Cl Hot Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices: No.Air Conditioners: Total Tons: Telecom System ❑ No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System ❑ 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❑ Level 1 ❑ Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $ 1 Work to Start: September 1, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: NEIL SCHOENER License Number: 13949 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: W YARMOUTH, MA, 026733333 W YARMOUTH MA 026733333 Fee Paid: $50.00 Email: neileileen@comcast.net Business Telephone: 508-776-1857 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: I i about:blank 1/1 .1.,-_--- RECEIVED ,;:, Use Only P 01 2 m • wealth of Massachusetts Official_� �, Permit No.: I: i'vv-!-= t D pi,rtment of Fire Services Occupancy and Fee Checked: .. N8OAR®TO FI 'E PREVENTION REGULATIONS [Rev. 1/2023] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 M 12.00 City or Town of: YARMOUTH - Wes. \ Qc1 Date: I Z r�'zTo the Inspector of Wires:By this application,the undersigned gives noticeo his or er tention to perform the electrica woescribed below. Location(Street&Numb r): i--/ -e i ° n No.: Owner or Tenant: 1's. s4'/i (''1 AM/2, Email: Owner's Address: // Phone No.: Is this permit in conjunction with a building,permit?(Check appropriate box)Yes El No❑Permit No.: Purpose of Building: ��se7'1/0 TV'iL2 Utility Authorization No.: / T 3 19c 73 Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: New Service: /0 (,'�) Amps/2O / �l/ Volts Overhead❑ Underground No.of Meters: Description of Proposed Electrical Installation: f 00 4744, t1it'„2.0_, 41,y„ f 711'4-iii Sc)ctizce, Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type: No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: 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❑ No.of Devices: Swimming Pool:In-Grnd.❑ Above-Grnd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices: No.Air Conditioners: Total Tons: Telecom System❑ 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❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3 0 Rating: OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electri al Work: 5 �at) (When required by municipal policy) Date Work to Start: 51/;/70"'e.-3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: /0r.7,i �CAt pe.le- r A-I ❑or C-1 ❑LIC.No.: ,1C3 5 I? Master/Systems Licensee: LIC.No.: Journeyman Licensee: LIC.No.: Security System Business requires a Division of O cupational Licensure"S"LIC. S-LIC.No.: Address: I ` rg-A-1)-eitS ttiA37 Ll' ./7464,Jf Email: A e t 1 e.t 1.e e'A Q� a,e.,xs-r , ( - f Telephone No.: )r- ) ` /TS'—7 p � � � I certi unde the pains a pe aides of perjury,that the infor lion on this application is true and complete. Licensee: l rint Name: SG QC,Z eCell.No.: ��S "7) , `W.5'7 INSURANCE COVERAGE: Unless wai by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability including"coin 1 ted operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof of s e to the permit issuing office. CHECK ONE: INSURANCE BOND El OTHER❑ Specify: 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: Tel.No.: Signature: Email.: