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Home My WebLink AboutBLDE-24-332 2/29/24 8:29 AM / A about:blank Commonwealth of Massachusetts of •• yA.410 ToUwn of Yarmouth t *w tiT ELECTRICAL PERMIT 0 v�'� Job Address: 316 ROUTE 28 Unit: Owner Name: SIMPSON JOAN T TR Owner's Address: 500 OCEAN DR UNIT W-6-C Phone: Email: Purpose of Building Commercial Utility Authorization No.: Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-332 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 plugs &switches. No.of Receptacle Outlets: 30 No.of Switches: 8 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❑ 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 ❑ Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $ 10,000 Work to Start: February 22, 2024 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: LAWRENCE R BROWN License Number: 30708 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: CENTERVILLE, MA, 026322713 CENTERVILLE MA 026322713 Fee Paid: $100.00 Email: brownelectric@comcast.net Business Telephone: 508-221-7763 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: C4_ Lic,,,..f rs i,,,i- C.4 Ltrot. t..) cia, G-A-'- nnakraN 44.41 ct)/Nati --rociinoc-b coilizi? '47?(7-Le 0--- ' tom -ro CLn G.-- EG �ip7i"ieY) P/i 42'4)(1—'d-k E.-- 1/1 about:blank RE L`ga V. E D l ammanweal 7/// ac4,Uett Official __°^ Z 1 Permit No. 2ePa lmant ni ire Saracei r, �� r02BO R. OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked / [Rev.1/07] (leave blank) BU•LDIN •EPARTMENT •N 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: /�k a� o2B oz� City or Town Or•V1 m ou•>t�j>� To the Inspector of Wires: By this application the undersigned gives notice of is or her intention to perform�/ the electrriiiccall ww rk described below. Location(Street&Number) 3/6 if a e .28 GO- l��R '�Owner or Tenant AV/ 0,4/1�0�.V ' ,,, Telephone No'_O 1(^2�- 7 9/d P/Owner's Address 6 ,i P_ v/_gf2 CO �it Is this permit in conjunction with a/b�u�ildin permit? Yes ILd' No 0 (Check Appropriate Box) Purpose of Building eO/O/ (J 4/er Utility Authorization No. Existing Service 200 Amps /AO /e20E Volts Overhead❑ Undgrd C No.of Meters 2 New Service Amps _/ Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity VIA-) �O0/f Location and Nature of Proposed Electrical Work: S/!S TH-// J9%7-s-`SW/et„e4C-5 Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA %�. Above ln- No. Emergency Lighting aU No.of Luminaires Swimming Pool gmd ❑ �d❑ Batteryof Units No.of Receptacle Outlets 3 0 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches Si No.of Gas Burners No.of Detection and Initiating Devices h No.of Ranges No.of Air Cond. Toes No.of Alerting Devices No.of Waste Disposers Heat Pump Number. Tong 1 KW No.of Self-Contained p° Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other Connection dap No.of Dryers Heating Appliances KW Security Systems:' No.of Devices or Equivalent No.of Water No,of No.of Data Wiring Heaters KW Signs Ballasts No,of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent v OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. r•' 8 L� Estimated Value of Electrical W rk: i / Po, (When required by municipal policy.) `j Work to Start: 2'.2 spections to be requested in accordance with MEC Rule 10,and upon completion. it INSURANCE COVERAG : 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 PSI undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. z CHECK ONE: INSURANCE X 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: HE -7 ?4 /?D LIC.NO.: 3 07o S4 Licensee: Signature A/;�'S 441.1 Al LIC.NO.: t (If applicable.enter"exempt"in the license number line.) , Bus.Tel.No.•�q8-, of-7763 Address: 30 L/YY]FRL(k. el u cT reAAt A m4- 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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ OSOS 3 R3; , .