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Home My WebLink AboutBLDE-23-15916 5/23/23,7:28 AM �t rL� about:blank Commonwealth of Massachusetts of •Y * Town of Y • armouth ' ELECTRICAL PERMIT 9',` Job Address: 100 WHITE CEDAR RD Unit: Owner Name: BRADLEY TIMOTHY P TR THE ELIOT NOLEN 2010 RESIDENCE TRUST Owner's Address: 162 CLINTON ST Phone: Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15916 Existing Service Amps/Volts Overhead 0 Underground 0 No.of Meters: New Service Amps 400/Volts Overhead 0 Underground M No. of Meters: Description of Proposed Electrical Installation: Extend primary& install U/G secondary to 400 amp meter on studio. 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 ❑ 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 0 Level 2 0 Level 3❑ Rating: Estimated Value of Electrical Work: $ 1 Work to Start: May 22, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: JAYA DONNELLY License Number: 15717 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: RAYNHAM, MA, 027671121 RAYNHAM MA 027671121 Email: donnelly-.jay34@gmail.com Business Telephone: 774-259-6468 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: C51(--- slieLc ( ) Sint. L 3/Lh1/` fJ 1/1 about:blank A') RECEIVED s -AY 2 210131 . , „ ,,rrlaatac 1 official use Only( / _�,/_� c�7'r nn Permit No.-2 '6 !1 (O \ ..� Y• ,GDEPARTMENT a yarGn„�of.}ir.J.rvic.s '---.__--- Occupancy and Fee Checked .�" a o• -. " "E PREVENTION REGULATIONS [Rev.I/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK (� All work to be performed in accodance with the Marachmetta Elcenical Code(MEC).527 CMR 12.00 �v (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: S 3 m City or Town of: YAeuttlU�{ To the Inspector of Wires: By this application the undersigned gives notice of his or ha intention to perform the electrical work described below. Location(Street&Number)/ /,tJi. r / Ate.. ED. Owner or Tenant Telephone No. Owner's Address o ' l- / 1 Is this permit unction in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) .5 L✓ Purpose of Building nZa Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters ]Vow Service % Amps /2:)/,210Volts Overhead Ekr Undgrd❑ No.of Meters _.. _ Number of Feeders and Ampacity a -- ye,A Location and Nature of Proposed Elechial Work: • Ij I !) IGICI �Itl AJU.Q.,i&cTh4ll U NJIi GQL&A O.5 - .I)A !1 rvA&cat'All Ale:T/&Ii1l 1/040 Completion of be waived by the Inector of thefolt ay sp lit No.of Recessed Laaninaires No.of Ce l-Susp.(Paddle)Fans awingtable m To.of T Wires. Z Transformers KVA Qi No.of Luminaire Outlets No.of Hot Tubs Generators KVA a 't No.of Luminaires Swimming Pool Above ❑ In-r ❑ Bat a EmergencyUitsLighting tlr'nd. 1� Battery Units `l No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No of Detection and Initiating Devices I14 No.of Ranges No.of Air Cond. Totals No.of Alerting Devices No.of Waste Dhuposen Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Ale Devices No.of Dishwashers Space/Area Heating KW Local 0 Munnnecition ci 0 �• Co No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water Kw No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Tekammaolea Wiig� No.of Device es 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 Sta t5,Z s 3 Inspections to be requested in accordance with MEC Rule l0,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 cov9age is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Oir BOND 0 OTHER 0 (Specify:) I certify,under the�pal and�naldes of perjr ,that the information on this application is true and complete. 1, FIRM NAME: `J` pnucE()�E lec j LIC.NO.: �5 o?G_ Licensee: iiAl 0001 , ,ay Signaturee�JQ.t ,Is'f- LIC.NO.: 157/ (If applicable,enter 'in the lic e r li tr! n Bus.Tel.No.' Address: Jj �2IE�% )�4/09 1j( a76 j Alt.TeL No.: *Per M.G.L.c.147,s.57.61,security work requires Department of Public Safety"S"License: Lic.No. 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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ ESCS w `F,7A l(�y 't, .ia^: ♦ is - _ y• `q pw ��FSSS��. r r L t '...I.� 1 : �_' A _ 1, 1"l L;�.X 11 r . • • t • , \"� '1 .