HomeMy WebLinkAboutBLDE-23-19798 11/7/N,12:16PM / /Ii �j about:blank
� !� Commonwealth of Massachusetts o,..• yA �,,
Town of Yarmouth
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ELECTRICAL PERMIT Y
Job Address: 4'Q (1ZAAN(/3Q (4.) (b Unit:
Owner Name: fLq .�
Owner's Address: 11 Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19798
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: Post light,Addition, Distribution panels, Heat Pump, & Exterior panel.
No.of Receptacle Outlets: 14 No.of Switches: 5 Generator KW Rating: Type:
No.Luminaires: 10 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: 1 Total KW: Total Tons: Fire Alarm System❑ 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❑ Level 1 ❑ Level 2 El Level 3❑ Rating:
Estimated Value of Electrical Work: $ 5,000 Work to Start: November 9, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: PATRICK WEEKS License Number: 54055
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Marstons Mills, MA, 026482114 Marstons Mills MA 026482114 Fee Paid: $175.00 <\
Email: pat@pwelectricllc.com Business TOO-hone: 508-967-5918
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of ectrical work may issue un s the
licensee provides proof of liability insurance including "completed operation" coverage or its s tial e ' e
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
INSURANCE:
Kam-Lei : -t cr►ouu� ( (2 tve_.:-.t.k.-- (_._ _,) ea') 1(-z-n--k '11-e tc___ , C9py• grApt097 17) 1-Jc-A--77fta- 4 e-dEr-c,aimu)
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P #d qz361( (doicro('‘ -r3 "a&' 75 114
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Commonwealth. o/Mics3aclut.lett6 Official Use Only
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s_,��� Permit No.
,+•iif +• 2spartm.nt o/.Jirs Servic.J
-,1 j— ,4' Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS (Rev. 1/07]
•„?.,-z,: (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRIOAIEVICIRKI i7_D
0 All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.
J (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 11 R/23 i' NOV 07 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 d scB 1 J U E F A R.f 2
V Location (Street & Number) 58 Rainbow Rd " -
Owner or Tenant 7 v.3c_ y Telephone No.
V Owner's Address 58 Rainbow Rd. Yarmouth MA
Is this permit in conjunction with a building permit? Yes No El (Check Appropriate Box)
W Purpose of BuildingUtilityAuthorization No.
3 r'P Residential single family
Existing Service 100 Amps / Volts Overhead ❑ Undgrd No. of Meters j
No. of Meters
New Service Amps / Volts Overhead ❑ Undgrd ❑
`, Number of Feeders and Ampacity
0., Location and Nature of Proposed Electrical Work:
p New light post out front. Addition - new bedroom, distribution panel, heat
c c pump wiring —TizEi4CHAOu0l/ �r(A- L
v Completion of the followingtable may be waived by the Inspector of Wires.
vs . Total
lb. No. of Recessed Luminaires 1 No. of Ceil:Susp. (Paddle) Fans Tf
.Trrano KVA
sformers KVA
Q No. of Luminaire Outlets /0 No. of Hot Tubs Generators KVA _
No. of Luminaires /� Swimming Pool Above ❑ In- ❑ No. of Emergency Lighting
grnd. grnd. Battery Units
`4 No. of Receptacle Outlets /'1 No. of Oil Burners FIRE ALARMS No. of Zones
s.
No. of Detection and
Z. No. of Switches .� No. of Gas Burners Initiating Devices
l 1„I No. of Ranges No. of Air Cond. Total Tans No. of Alerting Devices
No. of Waste Disposers Heat Pump Number Tons KW No. of Self-Contained
Totals: 1 _ Detection/Alerting Devices
Municipal
No. of Dishwashers Space/Area Heating KW Local ❑ Connection ❑ °filer
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 -Telecommunications Wiring:
No. of Devices or Equivalent
OTHER kTt eivK-- iZt:,vtCTI_
PDts-Tiz_t 3u n or, ID,9,0F (_
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $5000 (When required by municipal policy.)
Work to Start: 11/9/23 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 [5k BOND ❑ OTHER El (Specify:)
I certify, under the pains and penalties of perjury, that the information on this application is true and complete.
FIRM NAME: Patrick Weeks Electrician LLC LIC. NO.: 54055E
r
Licensee: Patrick W kg Signature � e0 LIC. NO.: 54055-8
(If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: co8-9R7-cg18
Address: 48 Phyttis❑r, South Yarmnuth MA n26R4 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 ❑ owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $
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