HomeMy WebLinkAboutBLDE-24-1527 Commonwealth of Massachusetts Official Use
PamitNo.: c°21...1?
Department of Fire Services Occupancy and Fee Checked:
j{ y BOARD OF FIRE PREVENTION REGULATIONS [Rev.I2°231
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 port Date: Sept 16 2024
To the Inspector of Wires:By this appliatien,the undersigned gives notices of his or bet intention to perform the electrical work described below.
Location(Street&Number): 84 Homer Doric Unit No.:
Owner or Tenant: Ay., Aft—;nea Email:
Owner's Address: Same Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)(fes et No a Permit No.:
Purpose of Building: Residential 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: In-ground pool,bonding,patio mesh bonding,re-pulling this permit due to
First permit expired i-O 2 t e)
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❑ No.of Devices:
Swimming Pool:In-Gruel.I I Above-Cond.0 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❑ No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System❑ No.of D..v;ees:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Eq t. . V E D
No.of Modules Roof-Mount Cl Ground-Mount❑ Level 1❑ Level 2 ElLevel 3 0 RabeB: _
OTHER:OTHER: OCT 02 2024
Attach additional detail if desired or as required by the Inspector of Wires. 9 to i L is z ')r"H t1 T MEN T
Estimated Value of Electrical Work: 3000 (When required by of cy) -
Date Work to Start: ASAP Inspections to be requested in accordance with MEC Rule 10,and upon completion
FIRM NAME: Livewire Electric LLC A-1❑or C-10 LIC.No.: 8456
Master/Systems Licensee: John Ashe LIC.No.: 21752A
Journeyman Licensee: LIC.No.:
Security System Business requires a Division of Occupational Licensuure"S"LIC. S-LIC.No.:
Address: 68 lake st tewksbury MA 01987
Email: Jashe82@gmail.com Telephone No.: 781-315-2008
I certify,under le pains and penalties of perjury,that the information on this appffatbon is tree and complete
Licensee: I-(`� 1�^' Print Name: John Ashe Cell.No.: 781-315-2008
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 issuing office.
CHECK ONE: INSURANCE El BOND❑ OTHER❑ Specify: Liability/workman comp
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.: