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Commonwealth of Massachusetts of • Y4
* Town of Yarmouth � �, �� 0
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ELECTRICAL PERMIT
Job Address: 4 TELEVISION LN Unit:
Owner Name: PEKRAN CINAR PEGGY TRS CINAR KAYA TRS
Owner's Address: 225 CALIFORNIA ST Phone: Email: (p L Env L •i!tteesv on_L
Purpose of
Building Residential Utility Authorization No.:. 15985964
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24 .
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: t z��f
New Service Amps 200/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: New residence
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❑ 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❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $25,000 Work to Start: January 9, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: NEIL SCHOENER License Number: 13949
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: W YARMOUTH, MA, 026733333 W YARMOUTH MA 026733333 Fee Paid: $180.00
Email: neileileen@comcast.net Business Telephone: 508-776-1857
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:
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Commonwealth of Massachusetts Official Use O I
Permit No.: Fj24 �
►-_*.41_-f Department of Fire Services Occupancy and Fee Checked:
r `�1,
t.- If BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
%'=c,1' 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: / -- it/ —.)-0 d-t
To the Inspector of Wires: By this ap lication,the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number): " /—e le V'i S t V.l LA) LA) lath Unit No.:
Owner or Tenant: /(4 4 .%'>�'AR. Email:
Owner's Address: / one No.:
Is this permit in conjuncti n with a building permit?(Check appropriate box) Yes No ❑ Permit No.:
Purpose of Building: Mit/ IS-& Utility Authorization No.: 0-`-15- 7 e3 7�i
Existing Service: Amps / Volts Overhead❑ Underground❑ No. of Meters:
New Service: )- a O Amps /2✓ /.qo Volts Overhead❑ Underground` [I� No. of Meters: /
Description of Proposed
)Electrical
Installation:► p1y;'v/+z'1 vi lV e.✓`0 /i7) 'iPi
k/ 6 4/t " ..,.e—f„1 0,/[L 1� . ( �.L •Q t/4-c—
Completion of the following table may be'(vaived by the Inspector of Wires.
No.of Receptable 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❑ No.of Devices:
Swimming Pool: In-Grnd. ❑ Above-Gmd. ❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices:
No.Air Conditioners: Total Tons: Telecom System 0 No. of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System 0 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 0 Level 3 ❑ Rating:
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: Oct 0 (When required by municipal policy)
Date Work to Start: / ' - 2-024 Inspections to be requested in accordance with MEC Rule 10, and upon completion.
! V ~
FIRM NAME: t. L S C kI p e�i c? — ��//J U cj
A-1 0 or C .❑ LIC. No.: 'T / 3 qI /
Master/Systems Licensee: LIC.No.:
Journeyman Licensee: LIC. No.:
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 1-1 t'1 `Tr GCLeil bi 1/1/e ST- '7ge PIO t49't
Email: ?lei ( e i( Q t( ('c=, g . -i t. 1-' Telephone No.: 5 cg'- 7 iv '—/11 S
I certify, r t le pains and penalties of perjury,that the information on this application is true and complete.
Licensee: l,(A/ ti.,.� Print Name: /�/t t / S�l�t� 1.t c pst(/� '1 Li S-Cell.No.: 7G / S 7
INSURANCE 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 sa e to the permit issuing office.
CHECK ONE: INSURANCE[BOND❑ OTHER❑ Specify:
P fY:
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: Tel.No.:
Signature: Email.: