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Home My WebLink AboutBLDE-23-004275 Commonwealth of Official Use Only E� Massachusetts Permit No. BLDE-23-004275 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.I/07l 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:2J2/2023 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 described below. Location(Street&Number) 443 STATION AVE Owner or Tenant JEORGE MENDOZA Telephoo Owner's Address O Is this permit in conjunction with a building permit? Yes 0 No 0 ` eck Tay'.. 4Purpose of Building Utility Authorizaitatt o. o Existing Service Amps Volts Overhead 0 Undgrd . 4,e New Service Amps Volts Overhead 0 Undgrd ❑ ///i�� Number of Feeders and Ampacity .6 Location and Nature of Proposed Electrical Work: Installation of fire alarm system. �VrJ ///,��f Completion of the following table may be wai (Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of \J Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grad. 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 16 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices 12 Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:• No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Sinns 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: 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 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 NAME: David Canuel Licensee: David Canuel Signature LIC.NO.: 20686 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:35 HERITAGE DR,ATTLEBORO MA 027035403 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:$115.00 q IA 24 31- G I c.._) • J ECEIVED JAN A! Commonwealth of Massachusetts ' Official Use Only ' : 't Department of Fire Services Permit No. BUILDING': r ,' EN&O4RD OF FIRE PREVENTION REGULATIONS eY '� --' ase add zip codes& electrician's cell II; Occupancy and Fee Checked [Rev. l/07J (leave blank) contract# & bid permit#if applicable.) 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: 1/30/23 City or Town of: Yarmouth Ma 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) 443 Station Ave Owner or Tenant Jeorge Mendoza Telephone No. 617 957 2099 Owner's Address PO Box 142 West Dennis Ma 02670 Is this permit in conjunction with a building permit? Yes ❑ No 1 (Check Appropriate Box) Purpose of Building Bakery/Eatery Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Full Install of new commercial fire alarm system Completion of the followingtable may be waived by the Inspector of Wires. o.of Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transsformers KVA p 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 16 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices 12 Tons No.of Waste Disposers Heat Pump Number Tons K_ W No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑117un Connection [ Other HeatingAppliancesSecurity ystems:* No,of Dryers pp KW No.of Devices or Equivalent No.of Water Kam, 'No.of No.of Data Wiring: Heaters 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: 8,500 (When required by municipal policy.) Work to Start: 2/6/23 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 NAME: Encore Fire Protection LIC.Na: 2204A1 Licensee ]Avg Signature LIC.NO.: 20686a/11623b (If applicable.enter "exempt"in the license number line./ Bus.Tel.No.: 8UU 96"1 U) Address: Alt.Tel.No.: 508 259 9453 *Security System Contractor License required for this work;if applicable,enter the license number here: 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 PERMIT FEE: $ 115 Signature Telephone No. 508 259 9453 .,•_. 1 ._ .f• ` ice: COS t4A1,