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Home My WebLink AboutBLDE-23-004325 Commonwealth of Official Use Only a Massachusetts Permit No. BLDE-23-004325 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/071 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:2/6/2023 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) 416 ROUTE 28 Owner or Tenant NOGALES INC Telephone No. Owner's Address 28 REEVES ST,SUDBURY,MA 01776 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Add 2 lights,4 receptacles,&hand dryer.(EL MARIACHI) Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 2 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires 2 Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 4 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. I otal No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons , KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:" No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Sinns No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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:) 1 certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Chun W Ng Licensee: Chun W Ng Signature LIC.NO.: 50740 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:72 W WYOMING AVE,APT I,MELROSE MA 021763724 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 �j;` (� Telephone No. PERMIT FEE:$80.00 — �2Z�Z3 `� RECEIVED ,. FEB 03 2023 C ,nwea[th("Maw/mum Official Use Only " �, '/ ?Permit . t2 ING UEPARTME S of of. irr&wicsd� I-'of — Occupancy and Fee Checked .- :• 'RD •F - " PREVENTION REGULATIONS [Rev. 1/07] (leave blank) ��' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 CMR .00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 47- U g 1-•=2 2.— 3 rt., City or Town of: YARMOUTH To the Inspe for of Tres: p By this application the undersigned gives notice of,his or her intention to perform the electrical work described below. N- Location(Street&Number) �76 ��/41 S"- _ Q Owner or Tenant �Z /z/Ae//f C#� Telephone No. 5 DU 'V'17 Owner's Address 7/ 76 z_ Is this permit in conjunction with a buildiu permit? Yes ❑ No [ (Check Appropriate Box) Q, Purpose of Building r(2%f/� /G(Al Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: %j)) 2 G��y',/-5- r 4z.,V) e 7'/ I( p i/ o Completion of thefollowingtable may be waived by the In vector of Wires. Transformers.o KVA l.!` No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans Ti Total 0/ n No.of Luminaire Outlets � No.of Hot Tubs Generators KVA No.of Luminaires �!� Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting gr-nd. and. Battery Units _ No.of Receptacle Outlets 9f No.of Oil Burners FIRE ALARMS No.of Zones N= No.of Switches No.of Gas Burners "No.of Detection and Initiating Devices 113 No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tons No.of Waste Disposers Totals: Pump 14Tumber Tons KW No.of Self-Contained Totals: ' ""' ""'""""""' " Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW al❑ Municipal ❑ � Connection No.of Dryers Heating Appliances KW Security Nof Devices or Equivalent No.of Water No.of No.of KW Heaters Signs Ballasts No.of Devices Wiring: evices 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 El tric ork: �v4-'v )v)When required by municipal policy.) Work to Start: O' 07 ?� tions to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C GE: Lhfless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insu including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such covers m force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE OND ❑ OTHER 0 (Specify:) I certify,under the pains and pens es of pelury,that the infer ulyn on this application is true and complete. FIRM NAME: G C''' t/- .'� /(�C LIC.N • .7lG J Licensee: Signature IC.NO.: 77�''' (If applicable,a er"exempt"',th ense)rumber l! s7Tel.No.: '31777! .?. Address: 7 3 G47/7%Iv, � //t/k11 Q - ILYfel.No.: 'Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. C 3 P..‘ 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 I Signature Telephone No. ( PERMIT FEE: $