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Home My WebLink About2420 CAMINO VIDA ROBLE; ; CO140038; Certificate of Occupancy07-30-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Certificate of Occupancy Cert of Occ#:CO140038 Permit Type: COFO Related BIdg Permit*: CB122513 Bidg Address; 2420 CAMINO VIDA ROBLE CBAD Parcel No: 2131101600 Issue Date: 07/30/2014 Occupant Name: PALOMAR CONG. JEH. WIT. Contact Name: GARY HULBERT Phone#: Phone#: 760-518-0422 Building Owner: PALOMAR CONGREGATION OF JEHOVAHS WITNESSES VISTA ATTN: DAVID PERPICH 2012 HARMONY WAY VISTA CA 92081 Description of Use:CHURCH/DWELLING, CARPORT Phone#: 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 Building Official Date 7k7i7 Date Routed Use Zone Inspected By Inspected By Inspected By FOR DEPARTMENTAL USE ONLY Occupancy Group: A-3/R-3 DateZ^^^fY Date Date Construction Type: 5B Approved i::;;^ Approved Approved Disapproved Disapproved Disapproved Comments: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration lorm or risls management and prevention program under Sections 25505,26533 or 25534 of the I^esley-Tanner Hazardous Sutistance 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 managemenl district? Yes No Is the facility to be constructed within 1,000 feet of the outer t30undary of 3 school site? Yes No IF ANY OF THE ANSWERS ARE YES, A HIWL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AiR POLLUTION CONTROL DISTRICT I hereby affimn that there is a coistrxidion lendirig agency for the performance of the work this permit is issued (Sec. 3097 (!) Civil Code). Lender's Name Lender's Address i ceittly that I have read the appiication and ^ate thatthe abow intbimation is conectand ttiat the infbmiation on the plans is accuiate. I asee to complvwith all Ci^ oidinances and Stale laws relating to building construction. I hereby auJiorize representative of fie Cly of Cartsbad to enter upon the above menttoned properly br inspectbn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pemiit is requined fcr excavations over 5'0' deep and demolition or cwistnidion of stmctures over 3 stories in height. EXPIRATION: Eve^ permit issued by Ihe Building Ofliciai under the provisions ofthis Code shall expire Dy iimitatlon and become null and void if the buliding or vwrt< authorized by such pernilt is not oommenced within 1K) days irom the date of such pemiit or if the buiiding or wrk authorized by such pemiit is suspen ded or abandoned at any time after the wrt< is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code). ygs*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) 602-3560, Email buildinq(S)carlSbadca.aOV or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Caitsbad, Califomia 92008. C0#: (Office Use only) CONTACT NAiVIE GARY HULBERT OCCUPANT NAME PALOMAR CONGREGATION OF JEHOVAH'S WITNESSES ADDRESS PO BOX 130845 BUILDING ADDRESS 2420 - 2430 CAMINO VIDA ROBLE CITY STATE ZIP CARLSBAD CA 92,013 CITY STATE ZIP Carlsbad CA 92009 PHONE 760-518-0422 FAX none EMAIL g a ry. h u 1 be r i @ g m a i i, c 0 m OCCUPANT'S BUS. LIC. No. N/A DELIVERY OPTIONS PICKUP: / CONTACT (Listed above) / OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAILTO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAiL/FAX TO OTHER: »et««..™r,<^r.« CB122513 CB122614 • ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION »et««..™r,<^r.« CB122513 CB122614 • ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^APPLICANT'S SIGNATURE ^^Q^ '^^'^-t}^^/^ " "^'^ ' 07-18-2014