HomeMy Public PortalAbout5440 WELLAND AVE_Electrical__ APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING A""A
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE,COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LaGALiTY
FOR-APMLICAWN!T! TO F=lLL NEAREST..
PERMIT FM
OWNER
ITEM NUMBER EACH FEE MAIL
OUTLET
9 a-p-Ta?z 10 ADDRESS
LIGHTS
.
LIGHTING FIXTURES JCITY TELNO.
o =3 /0
ELEC.Romess CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRFESS�7/z4l�.p
gLEM spAcZ JITRIL DISHWASHERS CITY
a"BAe4DwP.szAUTO.- STATE
WASHERS STA.COOKING UNITS I .125 LICENSE NO. 41e
P
MOTORS, OVERINC. H.P. IV: DISTRIC T-N JOOCE55 Ng 10 'Fq t5Y
0— va .25 its,
.50 INSPECTION RECORD r
2— 0 1.00
a— is 1.50
to— 50 2.50
so—Roo 5.00
NO.TRANS.SIGNS: NO.LAMPS
SERVICE O-GOOV Loo
SERVICE OVER GOOV 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL.FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND sT,,kT% THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR L-
LICENSED As REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM TH-Fll LEGAL OF THE ASO.
OF T,
DESCRIBED RESIDENTS ra POWER ci
SIGNATURE UTILITY CO.NOTIFIED
OF PERM iTTr= I WIMAT
ARTHUR C.VEIT,
SUPERVISING ELzomr-AL ENGINEER
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"am-CE6oelo-6I, APPLICATION F ELE RIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER '
UILDING
BUILDING AND SAFETY DIVISION ADDRESS 5410 Welland
JOHN A. L.AMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN.SUP'T OF BUILDING LOCALITY Temple Cit
FOR APPLICANT TO FILL IN CROSS T Da ime s
PERM FEES
ITEM NUMBER I EACH FEE OWNER Norman Zeller
OUTLETS: $ $ MAIL
LIGHTS RECEPT. Sw. .10 ADDRESS
LIGHTING FIXTURES .10 CITY TEL.NO.
- ELEM RANGES1 CLO.DRYERS ELECTRICIAN C onl e e 1�r- bon Electric
WATER HEATERS �- .50 , ® 0 ADDRESS 1030 ' . Grandview Ave,
ELEC.SPACE HTRS. DISHWASHERS cm80.o San Gabr ie lTEL.NoAt 0-2 00
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS .25 LICENSE No. 137 67 C-10
MOTORS: OVER INC. H.P. DISTRICT'NO. P I Z E PR ESSED B
0— I/2 .25 .Jam+ /
Va— 2 •50 INS CTION RECORD
2— 5 1.00
1.50
15— so 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-000V 1 1.00 l 0 0
t SERVICE OVER SOOV 5.00
. MISC.
WIRING PERMIT 1.00 1. 00 .
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT 50
TOTAL FEE S 2 0 0
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT .1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED OS GELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT AM TH GA NER O THE ABOVE
DESCRIBED RESIDENT PR P POWER ` t
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE
FINA
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ASH SUPERVISING ELECTRICAL O CASH ENGINEER
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