HomeMy WebLinkAboutBLDE-23-16043 6/12/23,6:56 AM about:blank
Commonwealth of Massachusetts :-ov • YA
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Town of Yarmouth 3, ,. . c
ELECTRICAL PERMIT I` cr
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Job Address: 5 CORPORATION RD Unit:
Owner Name: WATKINS JASON S TRS WATKINS JENNIFER W TRS
Owner's Address: 5 CORPORATION RD Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number:BLDE-23-16043
Existing Service Amps/Volts Overhead 0 Underground ❑ No.ofMeter6:
New Service Amps/Volts Overhead❑ Underground 0 No.of Mew
Description of Proposed Electrical Installation: Upgrade lighting ` '' N°''
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type:
No. Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: s,
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: ln-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 Cl 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 0 Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1 Work to Start: June 7, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: RAUL R BATALLAS License Number: 20262
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Westminster, MA, 014731212 Westminster MA 014731212 Fee Paid: $80.00
Email: raulbatallaselectric@verizon.net Business Telephone: 978-400-5291
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 myy
Permit No.: 2,�� (,a G 3
t; --'10-:-::at Department of Fire Services Occupancy and Fee Checked:
61 * BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
.''`'_ 4 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC),i527 CMR 12.00
City or Town of: VoWniet401/00 Date: li/V..1 3
To the Inspector of Wires:By this application.the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number): 5- empoR,afj'pn Read Unit No.:
Owner or Tenant: pi" Cod (uric gthe-S Email:
Owner's Address: Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No "Permit No.:
Purpose of Building: ; Utility Authorization No.:
Existing Service: Amps / Volts Overhead❑ Underground❑ No. of Meters:
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: `.L 16iit// A4'c i jf'1t,jill
Completion of the following table may be waived 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 0 No.of Devices:
Swimming Pool:In-Grnd.0 Above-Grad.❑ Hot-Tub 0 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 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 0 Level 3 0 Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: gib?i'.Jy (When required by municipal policy)
Date Work to Start: t+/N3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: $itht//(SEkchv , AA-• A:1 Q/or C-1 0 LIC. No.: 001
Master/Systems Licensee: Q/altl �►a 'gt.5 LIC.No.: OA * .4.
1 Journeyman Licensee: t4.L4 $ h!/4 5 LIC.No.: 3 RAH
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC. No.:
Address: AY ()We R4 `�£ W€5 m 41Sf"a, met o/Y93
Email: rail/bAlkll/a$L/LG i e W f ri 2,4•it itt Telephone No.: booze 97f•20 4/
I certify, u e�p in and p ties of perjury, that the information on
this application is true and complete.
14.3.7.41e1
Licensee: 7E�"4 ' Print Name: �&id hi -u 45 Cell.No.: 44.139'"WY
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 same to the permit issue fl't�,�.
CHECK ONE: INSURANCE al. BOND 0 OTHI � E E�p&�ify' 1 f edh W 191,
OWNER'S INSURANCE WAIVER: I am aware th4t t e Licensee does'not have a liability insurance coverage normally
required by law.By my;signature below,I hereby waiv this re t�wog.29the (Check one)Owner❑ Owner's agent 0
Owner/Agent: Tel.IJo:
Signature: ( B UI BUILDING D E t-ART 11T: i
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