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Home My WebLink AboutBLDE-23-15874 5/23/23,7:53 AM about:blank Commonwealth of Massachusetts m-o1 4 ", Town of Yarmouth •sky ELECTRICAL PERMIT ` � � � Job Address: 14 ELM LN Unit: Owner Name: PERRY COURTNEY E Owner's Address: 309 HOLLAND LAND UNIT 317 Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15874 Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: changed kitchen appliances, kitchen recessed lights, changed vanity light& exhaust fan in two bathrooms (857-465-0613 No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type: No. Luminaires: No.of Recessed Luminaires: 8 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: ln-Grnd.❑ Above-Grnd.❑ 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❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $ 1,500 Work to Start: May 17, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: CAIO . PEREIRA License Number: 56752 Security System Business requires a Division of Occupational Licensure "S" LIC. es-7 (p�= 0 6(5 License Number: Address: East Boston, MA, 021284543 East Boston MA 021284543 Email: cpereora1995 Business Telephone: 857-465-0613 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: 47-t(l (5- 30A44) ap_ 7-DP-AticuiPy 1A -P.� 0`1,7 u& L Ct C�4 citl /V A c o 7 vv . Dcn r 477 ,t , A4(K-1) . i (7/'-i173 e cc about:blank 1/1 Commonwealth of Massachusetts of 1A *uTown of Yarmouth � c`� ELECTRICAL PERMIT A .r'T Job Address: 14 ELM LN Unit: Owner Name: PERRY COURTNEY E Owner's Address: 309 HOLLAND LAND UNIT 317 Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15874 Existing Service Amps/Volts Overhead ❑ Underground ❑ No.of Meters: New Service Amps/Volts Overhead❑ Underground ❑ No,of Meters: Description of Proposed Electrical Installation: changed kitchen appliances, kitchen recessed`lights,changed it ht& exhaust fan in two bathrooms(857-465-0613 No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type; No.Luminaires: No.of Recessed Luminaires: 8 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: ln-Grnd.❑ Above-Grnd.❑ Hot Tub❑ 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 ❑ 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❑ Ground-Mount 0 Level 1 ❑ Level 2 0 Level 3❑ Rating: Estimated Value of Electrical Work: $ 1,500 Work to Start: May 17, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: CAIO . PEREIRA License Number: 56752 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: East Boston, MA, 021284543 East Boston MA 021284543 Email: cpereora1995 Business Telephone: 857-465-0613 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: aaII y� y�Otficial Use Only �y.� �ommonuraaa'th o`///as�ac�uuoEfs Permit No. Bar 23 ��Sd y 'b'.'-3 .- 2epariment o`J'ire&&rued 1 t Occupancy and Fee Checked "{_�' BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 (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 05 Date: 1 oI (PLEASE PRINT IN INK TYPE ALL INFORMATION) I lI City or Town of:f: Ycbf yn ptt+1q 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) I LI r,l rh 1 o.n e Telephone No. .J Owner or Tenant .y \ tC Owner's Address ' Yes r No (Check Appropriate Box) Cr. Is this permit in conjunction with a building permit? KJ �" l tv+ Utility Authorization No. Purpose of Building I��` Existing Service Amps / Volts Overhead E Undgrd❑ No.of Meters SJ New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity I U; Location and Nature of1 Proposed Electrical Work: CY\ l?eA XrtGLige rp� ees1Kil:ttt trikss4o, j1nl,.fre I f. 9aa Vans}Y light ! PYhaCComplitsi eionof the falloTwvngtable m kolV pbewaivedby the InspectorofWires. 7 J No.of% Total No.of Recessed Luminaires $ No.of Ceii.-Soap.(Paddle)Fans Transformers KVA Generators KVA • No.of Luminaire Outlet No.of Hot Tubs Above No.of Emergency Lighting No.of Luminaires Swimming Pool grnd- ❑ In- mod, ❑ Battery Units No.of Receptacle Outlets No.of OB Burners FIRE ALARMS INo.of Zones No.of Detection and .. No.of Switches No.of Gas Burners Initiating Devices Z Total No.of Alerting Devices No.of Ranges No.of Air Cond. Tony Heat Pump I N Iumber Tons IKW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Municipal ❑Other No.of Dishwashers Space/Area Heating KW Local❑ niei al --�" I HealingAppliances Kw Security Systems:* r No of Dryers pp No.of Devices or Equivalent 0 z No.of No.of Data Wiring: ��w No.of Water KW Ballasts No.of Devices or Equivalent • {y{i N I Heaters Signs Telecommunications Whin >1 N 2 No.Hydromassage Bathtubs No.of Motors Total HP No.No. Devices or Equivalent — °�° Q OTHER: _1 r ;'2 Attach additional detail if desired,or as required by the Inspector of Wires. (� sC Z 00 (When required by municipal policy.) p Estimated Value of Electrical Work: 115 1• i=_j Work to Start:Oss Ly,'3A13 Inspections to be requested in accordance with MEC Rule 10,and upon completion. L��m 9 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 coyerage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 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: CO GobriPa PerriYa ' te.C.i 1GiiaV LIC•NO.:\ LIC.NO•: 5695a-B Licensee: COAR PP.YeirIL Signature / Bus.TeL No: (If applicable,enter"exempt"in the!'vens umber line.) Alt,TeL No.: Address: a work requires Department of Public Safety S License Lie.No. *Per M.G.L.c. s.561,security OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability itisuranwne coverage agent.l ally required by law.By my signature below,I hereby waive this requirement. I am the(check one)❑ 0 Owner/Agent Telephone No.�—I PENT FEE:S Sienature