HomeMy WebLinkAbout1275 Cynthia Ln; ; CBC2018-0033; Certificate of OccupancyPrint Date: 01/23/2018
Permit Type:
Bldg Address:
Parcel No:
Occupant Name:
Contact Name:
Building Owner:
BLDG-Commercial
1275 Cynthia Ln, CARLSBAD
MARKO RADOVANOVIC
MARKO RADOVANOVIC
MARKO RADOVANOVIC
1275 Cynthia Ln
CARLSBAD,CA 92008
City of Carlsbad
1635 Faraday Av Carlsbad, Ca 92008
Certificate of Occupancy
Related Bldg Permit#: CB142077
Phone#:
Phone#:
Phone#:
Issue Date:
760-224-8443
760-224-8443
760-224-8443
Cert of Occ#: CBC2018-0033
01/23/2018
Occupancy/Use: R3.1/U Construction Type: V-B
Date Routed
Use Zone
Descripti_on of Use: RAD RESIDENTIAL CARE FACILITY
I certify that this building or portion complies with the California Building Code for the group and
division of occupancy and the use for which the proposed occupancy is classified. The above
information is true and correct, and I make this statement under penalty of perjury.
Signature of Buiidirig Official Date~
FOR DEPARTMENTAL USE ONLY
Final Inspection By: Date: t-7-J.--If Approved:
Comments:
/ Disapproved:
COMPLETE THIS SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I certify that I haYe read the application and state that the above Information is correct and that the infonnation on the plans Is accurate. I agree to c:omplyv.ith all City ordinances and State lav,s relating to building construction.
I hereby authorize representative of the City of Carlsbad toenterupJn the aOOve mentioned property bf ins~n purposes, I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING Of THIS PERMIT.
OSHA: AA OSHA pe,mlt is required hr excavations over 5'0' deep and demolltion or construction ofstruch.Jres over 3 stories in height.
EXPIRATION: Every l):!rmit issued by the Building Offcial under the provisk:Jns of this Code shall expire by limitation and OOCXJme null and void if the building or oork authorized by such pennit is notoommenced v.ilhin
180 days from the date of such pe,mit or if the building orv.ork authorized by such pem1it is susl):!nded or abandoned at any ~me after the v.ork is oommenced tJr a l):!rkxl of 180 days (Secoon 100.4.4 Uniform Building Code) .
...@S" APPLICANT'S SIGNATURE DATE
• STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed fom1 to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CONTACT NAME
2.?-1." c." w.
MAIL TO: CONTACT (Listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
OCCUPANT (Listed above)
MAIL/ FAX TO OTHER: _______________ _
A$ APPLICANT'S SIGNATURE
CO#: (Office Use Only)
C8C. ;201~ -0033
OCCUPANT NAME R-c,,-d .... -nt,· ... t C.r.::-
BUILDING ADDRESS Ji
I J-"l'S' C 11-m1"o.. l-11 ·
CITY STATE
Carlsbad CA
OCCUPANT'S BUS. LIC. No.
ASSOCIATEocif.6 J/t:Z.o:l:'.:\-
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE II
CCfloSf. V-B
OCl · '2,3. J/u.,