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Home My WebLink AboutBLDE-22-004150 Cape Physicians Commonwealth of Official Use Only 1. Massachusetts Permit No. BLDE-22-004150 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 CM 12< (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:1/26/2022 /,,, City or Town of: YARMOUTH To the Inspector of Wires: l`,�° "\ By this application the undersigned gives notice of his or her intention to perform the electrical work described below. �', Location(Street&Number) 714 ROUTE 6A `'/ , Owner or Tenant OLOUGHLIN JOSEPH V TRS Telephone No. 'V_ , Owner's Address OLOUGHLIN ALMA C TRS,2 HAROLD ST,HARWICHPORT,MA 02646-1517 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 Met /�/'//n .� New Service Amps Volts Overhead 0 Undgrd 0 No.of Met s/'r .: Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade Iightin9(CAPE PHYSICIANS) Completion of the fallowing 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 No.of Luminaires 11 Swimming Pool Above ❑ In- ElNo.of Emergency Lighting grnd. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Imtiatine Devices No.of Ranges No.of Air Cond. Tot No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tool KW No.of Self-Contained Totals: Detection/Alertino 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 Equivalent No.of Water ICy No.of No.of Ballasts Data Wiring: Heaters Sions No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total Ill' 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:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Evandro R Sousa Licensee: Evandro R Sousa Signature LIC.NO.: 53191 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:202 N QUINSIGAMOND AVE,SHREWSBURY MA 01545 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:1 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:$80.00 REC E. ED /� //,�� ('-�� 2r _....._ � - Coesnronweattll►o1 Maeeac��d Official use Onl}� �l-, c� �2- `� • rlPermtNo. JAN / ti�Et BARD OF FIRE PREVENTION REGULATIONS eev. 1/roa7ncy and Fee Checked BUILDING D:.--;a' ENl (leave blank) By ------- --------- , • • ATION 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: 01/242022 £ City or Town of: Yarmouth-Ma To the Inspector of Wires: By this application the undersigned gives notice of 's or her ilttentipn to perform the electrical work described below. Location(Street&Number) 718 Main St t/ t�{v i Owner or Tenant Cape Physicians Uc Telephone No. 508 362-0044 -+- ci Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead ElUndgrd ❑ No.of Meters Number of Feeders and Ampacity Zt Location and Nature of Proposed Electrical Work: Lighting upgrade'multiple rooms V) Completion of the followingtable maybe waived by the Inspector of Wires. ‘11Total I )) No.of Recessed Luminaires No.of Ceil.-Susp.(Piddle)Fans No.of ZTransformers KVA VA C) No.of Luminaire Outlets No.of Hot Tubs Generators KVA k No.of Luminaires ii Swimmin Pool Above ❑ In- ❑ No.of Emergency cy Lighting g gni& grad Battery Units -4 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners -No.of Detection and FInitiating Devices III No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tons HeatSelf-Contained No.of Waste Disposers Pump Number Tons KW o _ ...._ Detection/Alerthalpevices No.of Dishwashers Space/Area Heating KW Local 0 Muniection 0 Other Conn No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications W No.of Devices or Equivalent _ OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 34°7.00 (When required by municipal policy.) Work to Start: Inspections 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 R BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of pedury,that the information on this application is true and complete. FIRM NAME: BAY STATE ELECTRICAL SOLUTIONS CORP LIC.NO.: 22277 ' Licensee: Evandro R Sousa Signature Evw,ru7r'�$i?Gt4R. LIC.NO.: 53191 i (If applicable,enter "exempt"in the license number line.) Bus.TeL No.: 7203 TIMBERVIEW Address: WAY,Marlborough ma 01752 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)❑owner 0 owner's agent. Owner/Agent I PERMIT FEE: $eo-� 1 Signature Tp1en rune Na_