HomeMy WebLinkAboutBLDE-24-69 1/16/24,6:16 AM about:blank
Commonwealth of Massachusetts do,Y4
* Town of Yarmouth
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ELECTRICAL PERMIT v �
Job Address: 11 PORTSMOUTH TERR Unit:
Owner Name: ANGELA L. HARRIS/DOUGLAS K HARRIS
Owner's Address: 11 PORTSMOUTH TERR Phone: 617-751-6463 Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-69
Existing Service Amps I Volts Overhead❑ Underground 0 No. of Meters:
New Service Amps/Volts Overhead 0 Underground 0 No. of Meters:
Description of Proposed Electrical Installation: service upgrade, hot tub, sauna, recessed lights in other parts of the house.
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 0 No.of Devices:
Swimming Pool: In-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 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❑ Rating:
Estimated Value of Electrical Work: $f,000 Work to Start: January 15, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: JACK W GRIFFIN License Number: 418
Security System Business requires a Division of Occupational Licensure -
"S" LIC. License Numbe
Address: S YARMOUTH, MA, 026641339 S YARMOUTH MA 026641339 Fee Paid: $7 .00
Email:jackgriffinelectricl@a comcast.net Business Te ephone: 9784792521
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of ele ' al work may issue nless the
licensee provides proof of liability insurance including"completed operation"coverage or its substan I n .The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
INSURANCE: Hartford Underwriters ins co
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GFCI Unwanted Tripping
Report
Name
jg jack griffin
First Name Last Name
Electrician's License Number
418 M
Address
26 JOANNA DR
Address Line 1
Address Line 2
South Yarmouth Massachusetts 02664
City State ZIP Code
Telephone
9784792521
Role/Title
owner
Email
jackgriffinelectric@comcast.net
jackgriffinelectric@comcast.net
GFCI Product Information at
your installation
GFCI Manufacturer Part/Model Number
siemans 2 pole 50
GFCI Type
Breaker
Other (Type)
7
Select Amperage of GFCI
50
Other (Amperage)
Select Poles of GFCI
2 Pole
Select the Manufacturer/Brand Name of GFCI
Siemens
7
Select Amperage of GFCI
50
Other (Amperage)
Select Poles of GFCI
2 Pole
Select the Manufacturer/Brand Name of GFCI
Siemens
Please select location type:
Residence
Image
No File Chosen
GFCI Installation Location
Date of Occurrence
Jul 15, 2024
Date of Installation
Feb 05, 2024 C°'
Siemens
Please select location type:
Residence
Image
Choose File Remove File No File Chosen
GFCI Installation Location
Date of Occurrence*
Jul 15, 2024 n
Date of Installation*
Feb 05, 2024
Installation Location (if different)
11 Portsmouth ter.
Address Line 1
Yarmouth port Massachusetts 02664
City State ZIP Code
Trip Incident
Describe the Tripping Incident--
as i have been experiencing when the oven runs for about 20
minutes the breaker trips. I have been finding this on all the
ranges and wall oven problems are due to the oven.
/.
What Equipment Is
Connected To The Circuit
That Is Tripping The GFCI?
Equipment Manufacturer Name-
whirlpool
Equipment Model Number-
rf2621xsb3
Other Equipment on the circuit
none
Type of Residence/ Room
Affected
Residence Type*
kitchen
Please describe room(s) affected by trip*
oven in kitchen doesn't work.
/,
Other Information
Have you contacted the GFCI manufacturer?
O Yes
O No
If no, would you like to be contacted by them?
O Yes
O No
Have you contacted the Equipment manufacturer?
O Yes
O No
Did the equipment manufacturer provide any recommendations?
O Yes
O No
Attach pictures of the installation and equipment nameplates.
-hoose File Remove File No File Chosen
I hereby affirm that I have notified the inspector of wires as
required in 527 CMR 12.00, Rule 11 and acknowledge that my
review included, but was not limited to, field cord connections and
equipment grounding return paths. Further, I hereby affirm that
•
All infnrmatinn nrniirlArl nn thic fnrm is tri is and arri iratt to the
O Yes
O No
Did the equipment manufacturer provide any recommendations?
O Yes
O No
Attach pictures of the installation and equipment nameplates.
loose Hoe Remove Hie No File Chosen
I hereby affirm that I have notified the inspector of wires as
required in 527 CMR 12.00, Rule 11 and acknowledge that my
review included, but was not limited to, field cord connections and
equipment grounding return paths. Further, I hereby affirm that
all information provided on this form is true and accurate to the
best of my knowledge and is submitted under the pains and
penalties of perjury.
Signature
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Use your mouse or finger to draw your signature above
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Submit
1/16/24,6:16AM about:blank
Commonwealth of Massachusetts a --v—17:�°° ,
* 5 Town of Yarmouth �� � Boa
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ELECTRICAL PERMIT rop
Job Address: 11 PORTSMOUTH TERR Unit:
Owner Name: ANGELA L. HARRIS/DOUGLAS K HARRIS
Owner's Address: 11 PORTSMOUTH TERR Phone: 617-751-6463 Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-69
Existing Service Amps/Volts Overhead 0 Underground 0 No. of Meters:
New Service Amps/Volts Overhead❑ Underground 0 No. of Meters:
Description of Proposed Electrical Installation: service upgrade, hot tub, sauna, recessed lights in other parts of the house.
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 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 0 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❑ Level 1 0 Level 2 0 Level 3 0 Rating:
Estimated Value of Electrical Work: $ 6,000 Work to Start: January 15, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: JACK W GRIFFIN License Number: 418
Security System Business requires a Division of Occupational Licensure
"S" LIC.
License Numbe •--' \
Address: S YARMOUTH, MA, 026641339 S YARMOUTH MA 026641339 Fee Paid: $7 .00
Email:jackgriffinelectric@comcast.net Business Te ap hone: 9784792521
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of ele ' al work may issue nless the
licensee provides proof of liability insurance including "completed operation"coverage or its substan iar nt. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
INSURANCE: Hartford Underwriters ins co
5 A until
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