HomeMy WebLinkAbout1350 POINSETTIA LN; ; CO150040; Certificate of OccupancyCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-12-2015 Certificate of Occupancy Cert of Occ#:C0150040
RECORD COPY
Permit Type: COFO Related Bldg Permit#: CBI 02519 ^ • •
Bldg Address: 1350 POINSETTIA LN CBAD
Parcel No: 2150704900 Issue Date: 05/12/2015
Occupant Name: NORTH COAST CALVARY CHAPEL
Contact Name: JACK SHUBIN
Phone#:
Phone#: 760-929-0029
Building Owner:
CALVARY CHAPEL NO COAST Phone#:
1330 POINSETTIA LN
CARLSBADCA 92011
Description of Use: YOUTH CENTER/ASSEMBLY CHAPEL
I certify that ttiis 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 Building Official Date
FOR DEPARTMENTAL USE ONLY
Date Routed
Use Zone Occupancy Group: A3 Construction Type: 3A
Inspected By If^' UMAA^
Inspected By
Inspected By
Date ^ HAt" "Z^t^ Approved.
Date Approved
Date Approved
Disapproved
Disapproved
Disapproved
Comments:
COMPtETE THIS SECTION FOR N O N - R E S I D E N T i A L BUItDING PERMITS ONtY
Is Iiie applicam or future building occupant required to subnM a business plan, ac^
Presley-Tanner Hazanlous Substance Account Acr? Yes No
Is the applicant or future building occupaM requirBd to obtain a perrnit froin the air pollutton control district or ai^ Yes No
Is the facility to be conskuded vrithin 1,000 feet of the outer boundaiy of a school site? Yes No
IF ANY OF THE ANSWERS ARE YES. A RNAL CERTMCATE OF OCCUPANCY HAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POaUTKM CONTROL DISTRICT.
CONSTRUCTION tENDING AGENCY
I hereby aflinn that there is a constnidion lending agency for Ihe
Lender's Name
APPtlCANT CERTIFICATION
of the woik this pennit is issued (Sec 3097 (i) CMI Code).
Lender's Address
IcerWyihatlheiiB wad the appHcalfcw and ilate thatthe abowlnlDmialloii Is coiwctand^
I heietv authotizB lepresentafive of the City of Carlstjad to entar e^ Ihe alx»ie
AGAINST AU. UABIUTES, JUDGMENtS, COSTS AND EXPBISES WHICH MAY IN ANY WAY ACCf^E AGAINST SAD OnriN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pemii is iBcMred for excavations over 5V'deep and demoilion or crxistiuc^
EXHRAIXXl: Every pernnit issued by the Building Oficial under Ihe piimsi^
180 days him tie dalB of such permit or If Ihe buikfing or work aulhoiizBd t^ such pemiit i^
^eTAPPUCANrS 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) 6024560, Email buildinq^carlsbadca.QOV or Man the completed fbmi to City of Carisbad, Buikling Diviswn 1635 Faraday Avenue, Carisbad, Califomia 92008.
COf: (OHIoaUM Oniy)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
cmr STATE ZIP crrY STATE ZIP
Carlsbad CA ^Z^O [j
J>HONE FAX
/^bo) ^Z'n. O\(o°l
"EMAIL • ' OCCUPANTS BUS. UC. No.
DQJVERYOPnONS
PICKUP: CONTACT (Ustad above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
OCCUPANT (Listed above) MAILTO: CCONTACT (Usted aboveO
CONTRACTOR (On Pg. 1)
MAIL / FAX TO OTHER: \
OCCUPANT (Listed above)
OCCUPANT (Listed above)
NO CHANGE IN USE / NO CONSTRUCnON
CHANGE OF USE / NO CONSTRUCHON
——\ \
NO CHANGE IN USE / NO CONSTRUCnON
CHANGE OF USE / NO CONSTRUCHON
>efA^J5Airr'8 SIGNATURE J\ DATE •••