EP-89585 ,to TOWN OF DARTMOUTH - BUILDING DEPARTMENT RECEIPT a 958
, NE 508 910,1820 FAX• 508 610.1838
,.r; s . .{ II; 3jr
rCneDat4R//Name: LU (� Qd xeHe3Owner. tir
Job Location: 93 ,/ iL c te--) Map: t) Lot: 1 3— j�,
Description eneral Ledger#'s Ref. # Amount
4t\OF DARB/O _
Building& Buildi 4 isc. jp G,t 000-44105
Electrically 01 00-44106
® /:— }( —7-5-
Nun-thin 01 00-44.107' p'
,Trench Safety TOki/ 6 EC�pQ` 000-44129 N®
Other Department Revenue 01900-42420 BETTERM r' TS
/1 White-CollectorsOfice Yellow Copy-Customer's Receipt Pink Copy-Building Department Received By � U.oCL ,j$
THIS IS NOT A PERMITILICENSE FOR BUILDING, ELECTRICAL, PLUMBING OR GAS
emunonwealth o`Illassaclucuetto Offici Ouly
V t)' _ 'lccyy, cc77 Pemut No.
'•' ! :!�' dJepartment o�.}ire Serviced �j
a,' `I j =' Occupancy and Fee Checked is �"
BOARD OF FIRE PREVENTION REGULATIONS ev. 1/07] leave blank 7 j
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code ) 527 CMR 12.00
(PLEASE PR!NT1N INK OR TYPE ALL INFORMATION Date: 2 26/t
City or Town of: h1)R7-Mou rii 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) TO NI I j p ff cj it A y
Owner or Tenant 9%e k an t ttlP/2-- Telephone No.
Owner's Address 5CIe
Is this permit in conjunction with a building permit? Yes 0 Nod (Check Appropriate Box)
Purpose of Building U ' ' uthorization No.
Existing Service 7.00) Amps 120/ .,NO Volts Overhead Undgrd Er No.of Meters j
New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: 2Tp ,jeetc,ic..aiLinv '�
Completion of the following table may be waived by the Inspector of Wires.
No.oTotal
No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires swimmingPool Above ❑ In- 0 No.of Emergency Lighting
grnd grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Detection and
No.of Switches No.of Gas Burners Initiating Devices
No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices
No.of Waste Disposers Beat Pump Number_Tons__KW_ _ No.ofSelf-Contained
Totals: — Defection/Alerting Devices
No.of Dishwashers Space/Area Heating KW i,el❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water IC�V No.of No.of Data Wiring.
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring
No.of Devices or Equivalent
OTHER:
IP Attach additional detail if desired or as required by the Inspector of Wires.
Estimated Value Qo�f,Electrical Work: �tje7.00 (When required by municipal policy.)
Work to Start: 'I�r_ ' . 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 BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties ofperjury,that the information on this application is true and complete.
FIRM NAME: WALTER PACHECO ELECTRICIAN y // {CCF LIC.NO.:35882E
Licensee: WALTER PACHECO Signature r 'AD 4'I-P eD LIC.NO.:35882E
(If applicable,enter "exempt"in the license number line) Bus.Tel.No:774-263-4034
Address: 1130 OLD FALL RIVER RD DARTMOUTH MA 02747 Mt 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)0 owner ❑owner's ent.
Si gent ( PERMIT FEE:$ J5d2
Signature Telephone No. ,
1
x \ :
I e e
31 . ► ; `
•
Optional Calculation SINGLE FAMILY DWELLING OR GENERATOR-
!.General Lighting Loads
30 Length 40 lAfidth X 3 VA X# UVING SPACE 1 3,600.00 VA
Length Width X VA X# LMNG SPACE 2 VA
Length Width X VA X# LIVING SPACE 3 VA
Length Width X VA X# LMNG SPACE 4 VA
Small appliance and Laundery Loads-22032(B)(1)
1,500 VA x#of small appliance circuits x 3 4,500.00 VA
Special Loads
Dishwasher 1= 800 VA BATH EXHAUST FAN 2 VA
Central vac VA pick Appkmce VA
Dryer Electric1= 5,500 VA PickAppeance VA
Fridge= 1,800 VA PckAppliance VA
Gar.Door-1I3 HP= VA Pick Appliance VA
Microwave 1= VA Pick Appliance VA
Hood Exhaust l= VA Pia Applance VA
Range 1= VA Pick Appliance VA
Water Heater 1= VA Pick Appliance VA
Well Pump-12 HP= VA Pia Appliance VA
Gar.Door-1/3 HP= VA Pia Appliance VA
Television 1= VA Pick Appliance VA
Television 2= VA Pia Appliance VA
i Television 3= VA Pick Appliance VA
BATH EXHAUST FAN I VA Fick Appliance VA
8,100 VA
ITOTAL VA 16,200 I
Applying Demand factors
FIRST 10,000 VA AT 100%= t0,OW VA PHASES
REMAINING VA 6,200 AT40%= 2,480 VA
TOTAL DEMAND VA I 12,480 VA I 12,480
Heating or afc Loads-220-82(0)
No.of Heating units
Pick Heat WATTS Pick Heat WATTS
Pick Heat WATTS Pick Heat WATTS
Pick Heat WATTS Pick Heat WATTS
Pick Heat WATTS Pick Heat WATTS
Pick Heat WATTS Rio Heat WATTS
Pick Heat WATTS Pick Heat WATTS
Pick Heat WATTS Pick Heat WATTS
Pick Heat WATTS Pick Heat WATTS
Pick Heat WATTS Pick Heat WATTS
TOTAL BASEBOARD WATTS
ONE UNIT ONLY
ELECTRIC HEAT UNIT WATTS
Heating unit= VA TOTAL x65%less than 3 units,40%more than 3 units. HEAT VA
NC VA
A/C unit = VA X 100% HEAT PUMP VA
Con clensor Unit 1 WATTS Pick NC Unit WATTS
Condensor Unit 2 WATTS Pick NC Unit WATTS
AIR HANDLER 01 WATTS Pick NC Unit WATTS
AIR HANDLER 02 WATTS Pick NC Unit WATTS
TOTAL Alt LOAD WATTS
SUPPLEMENTARY HEAT I NO
Heat noire= VA X 100%
Largest Load = VA _ VA
Phase VA = 12,480.00
Largest Voltage = 240 Total Phases = 12,480 VA I
PHASE I=VAN AMPS= 52
ACTUAL MEASURED AMPS AT PEAK USAGE 33.25AMPS
SERVICE TOTAL AMPS 52.00
SERVICE SIZE 100.00