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Home My WebLink AboutBLDE-23-004982 Of b Commonwealth of Official Use Only ,� Massachusetts Permit No. BLDE-23-004982 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] 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:3/10/2023 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) 194 UNION ST Owner or Tenant GLADIS AQUINO Telephone No. Owner's Address 194 UNION ST,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 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: Miscellaneous work per attached. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 32 No.of Ceil.-Susp.(Paddle)Fans No.of Total ,Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ I :ieu5cy Lighting grnd. tery Units _ _ No.of Receptacle No.of 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. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* N• o.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs N• o.of Devices 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 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjuty,that the information on this application is true and complete. FIRM NAME: Licensee: Josue Morataya Signature LIC.NO.: 57824 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 18 Hillcrest Drive, Milford MA 01757 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 Telephone No. PERMIT FEE: $100.00 (mac RECEIVED ~ 1 MAR 0 9 1023 O ttcial use Onl O m.nwealth of Massachusetts Permit No.:�`$� - a GEPAR1 Mr .artment of Fire Services Occupancy and Fee Checked: ` .jlc =•• - —'RE PREVENTION REGULATIONS [Rev.1/20231 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 7 12.00 City or Town of: YARMOUTH Date: e/ . To the Inspector of Wires:By thin plication,$e undersigned gives notices of his or her intention to perform the electrical woe described below. Location(Street&Number):�+ I'-(4 L',1; .s 4 5•�`. Unit No.: Cj Owner or Tenant: I c,c l', 4, A 9.,,ti-D ' Email: Owner's Address: Phone,No.: Is this permit in conjunction with a building permit?(Check appropriate box)Yes 0 No l[reNormit No.: Purpose of Building: Utility Authorization No.: Existing Service: I op Amps 12 c/211C/olts Overhead 0-1Tn-derground 0 No.of Meters: ` . ' New Service: Amps_/— Volts Overhead❑ Underground❑ No.of Meters: Description of Proposed Electrical Installation: ? C�'..4trC, L\U-ta> 3 0�Qoct-s I.,v:wcz aooe., Div,tvcs k k'.hQ-' ' 2- E4 t 'Ze ,-c'Tx,c�...--- -111,5)'d:° Completion of the following table may be waived by the Inspector of Wires. L No.of Acceptable Outlets:ZZ. No.of Switches: Generator KW Rating: Type:. No.Luminaires: j No.of Recessed Luminaires: '?j 2_ - 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 0 No.of Devices: Swimming Pool:In-Grid.0 Above-Gmd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: 1 No.Gas Burners: Video System 0 No.of Devices: No.Air Conditioners: •Q 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 0 Ground-Mount 0 Level 1 0 Level 2❑ Level 3 0 Rating: OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value ofEllep cal Work: 12.POO' (When required by municipal policy) Date Work to Start:,•ry 2--I Z-3' Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: JCbL l `` — A 0'"V�T�/ A-1 0 or C-1 0 LIC.No.: Master/Systems Licensee: LIC.No.: Journeyman Licensee: \t •V'� PI-O32.k1747...I\. LIC.No.: 1 p Z 4 - A. Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: 10'i\W.C—c,s+bi • )', \ ice• c, 'CY\. •Email: LA_t Jp---. it. ,—)-&fyk.,_ , C-.tj : Telephone No.: �?Ct-Z4t-14--q-!n 4-{o, I certify,under the pains and penalties of perjury,that the information on this ipeication is true and complete. Licensees ..--'4,(-- j A Print Name:_ \ ,D 1 a-Le'FUl4 Cell.No.'s y=Z kik--ij1'j'eiz INSURANCE COVERAGE:Unless{vaived by the owner,no penni the performance of electrical work may issue unless the licensee . provides proof of liability including"complet peration"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof of o the permit issuing office. CHECK ONE: INSURANCE BOND❑ OTHER❑ Specify:c As L. —tAi_C . 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 0 Owner's agent❑ Owner/Agent: Tel.No.: Signature: Email.: