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Home My WebLink AboutBLDE-22-006434 #321 Commonwealth of official Use Only or �' Massachusetts Permit No. BLDE-22-006434 ....) 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:5/9/2022 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 des ibed below. Location(Street&Number) 90li I'ia OT 1TIO1i&V6 32,i 1✓tl o m j) Owner or Tenant St. Pius Church School Telephone No. Owner's Address CIO ST PIUS X PARISH, CLARA ST,SOUTH YARMOUTH, MA 02664 e y:" Is this permit in conjunction with a building permit? Yes 0 No CI (Check. p1opnate"$tlx)',7 Purpose of Building Utility Authorization No. ", 'kr Existing Service Amps Volts Overhead ❑ Undgrd ❑ Io,,of;Meters ,` ) New Service Amps Volts Overhead 0 Undgrd 0 No.'',Meters 4 Number of Feeders and Ampacity , , Location and Nature of Proposed Electrical Work: Replacement RTU Completion of the following table may be waived b hhe Inspector of Wire No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of ` _'Tot 1 Transformers 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 Switches No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. 1 TTotal No.of Alerting Devices No.of Waste Dis posers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wi; 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 woof 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Kung-Po Tang Licensee: Kung-Po Tang Signature LIC.NO.: 21928 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:518 COTUIT RD, MASHPEE MA 026492351 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:$80.00 A _ Commonwealth mowealth of Maddachudettd Official Use Only �` �[J t ' Permit No. ECZ2 ' il Sq ePartmenl o� ire Serviced OccuR E C 7. C ll CARD OF FIRE PREVENTION REGULATIONS [Rev. l 07]Y and Fee Checked "`�• (leave blank) MAY OAPPLI TION FOR PERMIT TO PERFORM ELECTRICAL WORK Al work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 BU ILt N- (WAlinIVRT NINK OR TY E LL INFORA TION) Date: S — —2. Z aY -- --- -- i or own of: (A-vyn.el 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) 2,( UiLG,c )17-" , C, tin Owner or Tenant 4 74'. i lit, 61 6i� ('4Telephone No. Owner's Address Is this permit in conjunction with abuilding permit? Yes ❑ No En (Check Appropriate Box) Purpose of Building LJ L-itb e UtilityAuthorization nzatton No. Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 9. 7 ( ' re,4 9,76 Completion of thefollowin&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- 0 No.of li mergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS !No.of Zones 1 No.of Switches No.of Gas Burners / 'No.of Detection and t Initiating Devices No.of Ranges No.of Air Cond. TonsTota • s 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 0 Municipal. Connection ❑ "her No.of Dryers Heating Appliances KW Security Systems:* No.of Water KW No.of No.of Devices or Equivalent Heaters No.of Data Wiring: Signs Ballasts 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:4-- 30` .1— Inspections 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 NA E• --- LIC.NO.: 2 ( 2.&iAt Licensee: c- - 0 C Si natur ��---t'�� -� g e�---".- LIC.NO.:S'2-2 J C (If applicable,ent. "er t' a the icense rt t l' e)1 Address: �f ( /r tLi tiLA P L'�'� } C}2 t� Bus.Tel.No.:-7 ��C is ?Sa' *Per M.G.L.c. 47,1 s.57-61,securitywork requires e t ,� y Alt.Tel.No.: OWNER'S qu.res Department of'Public Safety S"License: 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 agen Owner/Agent Signature Telephone No. I PERMIT FEE: $ g--U T CA6+( .