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Home My WebLink AboutBLDE-24-586 Cape Abiilities 4/10/24,8:05 AM about:blank - - - Commonwealth of Massachusetts of • YAK * ' Town of Yarmouth z �' y ELECTRICAL PERMIT -ik: f Job Address: 86 WILLOW ST UNIT 1 Unit: Q- l e -I u T G Owner Name: Owner's Address: 149 F- N Phone: Email: Purpose of Building Commercial Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-586 Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead 0 Underground❑ No. of Meters: Description of Proposed Electrical Installation: Install two emergency lights 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: 2 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 0 Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $ 1,300 Work to Start: April 8, 2024 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: DAVID G LEACH License Number: 15886 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: CENTERVILLE, MA, 026320770 CENTERVILLE MA 026320770 Fee Paid: $80.00 Email: davidleachelectrician@gmail.com Business Telephone: 774-226-6978 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: 04eC1 q( tell'tf V-E-- about:blank 1/1 Commonwealth of Massachusetts 0,- Official se Only__ Permit No.: l/ 5bilorp cc, 1-_ 1gl-ft Department of Fire Services Occupancy and Fee C iecked: C-aielm BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/2023J "'•—Ed' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 City or Town of: YARMOUTH _ Date: 1 - ' g,ii To the Inspector of Wires: By this application,the undersigned gives notices of 1.s or her intention to perform the electrical work described below. Location(Street&Number): L4 t lc9 t 6 ��1 r- I Unit No.: ic cJ.4. Owner or Tenant: ( �� $t,L.t G,�S 1/ Email: ,' L.,i- �:i � tcs to-1'J Q G.�J4I2. Owner's Address: Si�N1 Phone No.: c.:tp'"1 Is this permit in conjunction with a building permit?(Check appropriate box)Yes ❑ No--Ptsrmit No.: Purpose of Building: Cx.rem z"tke.._l/4-L Utility Authorization No.: Existing Service: ,6"" e Amps /ap/molts Overhead❑ Underground 1 No. of Meters:j New Service: Amps / Volts Overhead❑ Underground ❑ No. of Meters: Description of Proposed Electrical Installation: 7 ta.J b CA_ , t't1'7 pi fA 7 AA----, 4...5 L e cis=T�i -' ?:z 1s-c P Completion of the following tabliray be waived by the Inspector of Wires. No.of Receptable Outlets: No.of Switches: Generator KW Rating: No.Luminaires: No.of Recessed Luminaires: No. Wind Generators: Wind KW at t :E C E I V E V No.Appliances: KW: No. Water Heaters: KW: No.Transformers: Total�K ' . �� _ - Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total K ' : APR 0 n 2024 No.Heat Pumps: Total KW: Total Tons: Fire Alarm System El No.of Devices: U Swimming Pool: ln-Grnd.❑ Above-Grnd. 0 Hot-Tub❑ No.of Self-Contained Detection/Alerti i I lAC DEi'nRTMEN 1 No.Oil Burners: No.Gas Burners: Video System 0 No.of DexSces: 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 I ❑ Level 2❑ Level 3 0 Rating: OTHER: .-(';Ai a <02J t X r l/2M-, .Nel ,l,ridr ,rr Lc3.07' 4- cf3 2,a,ts6' fsl1 1 AeF 1V4 r, Attach additional detail if desired, orb required by the Inspector of Wires. Estimated Value of Electrical Work: l� .3OO (When required by municipal policy) Date Work to Start: � ''`.Zf/ Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: GG A-1 ❑ or C-1 ❑ LIC. No.: Master/Systems Licensee: LIC.No.: Journeyman Licensee: Vr40.P f' - kel4'G/Z LIC.No.: i 3 f5 ' L 2 Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC. No.: Address: Tz, D '77rZ). Ce/J t5C.4?,a.t 44 pt, 4 2-6 3 Email: T AV1 A 4'sg C I-1 .1.-eG / � 7Rt xi-el R-Al � 6-ter{-z A..-6tOtelephone No.: ."1 1 q -.2-;24, e.,i 7 I certify,undo to pains and penalties of perjury,that the information on this application is true and complete. Licensee: /( ,2 +/ic, Print Name: 1A11y D �a, 1.6 � 7h�0 Cell. No.: l'a 6. 3 G-'Z 6-05I. INSURANCt COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof of s e to the permit issuing office. CHECK ONE: INSURANCE [BOND❑ OTHER❑ Specify:A1ti jJ66,tl„ 6kRitJ z• ,o OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insSrance 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: Tel. No.: Signature: Email.: