HomeMy WebLinkAbout2478 IMPALA DR; ; CO140006; Certificate of OccupancyCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-24-2014 Certificate of Occupancy Cert of Occ# CGI40006
RECORD COPY
Permit Type COFO Related BIdg Permit* CB111103
BIdg Address 2478 IMPALA DR CBAD
Parcel No 2090412800 Issue Date 01/24/2014
Occupant Name LA POSODA MEN'S SHELTER Phone#
Contact Name BRIAN LEAMAN Phone# 619-952-1173
Building Owner
CATHOLIC CHARITIES DIOCESE OF SAN DIEGO Phone#
349 CEDAR ST
SAN DIEGO CA 92101
Descnption of Use SHELTER/STORAGE/DINNING
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
FOR DEPARTMENTAL USE ONLY
Date Routed
Use Zone Occupancy Group B/R2/S1 Construction Type 5B
Inspected By ^ CfJUi^S Date I A Approved^x-"'^ Disapproved
inspected By Date Approved Disapproved.
Inspected By Date Approved Disapproved
Comments
Is the applicant or future building occupant required to submit a business plan, acutely liazardous matenals registration form or risk management and prevention program under Sections 25505,25533 or 255341_
Presley Tanner Hazardous Substance Account AcP Yes No
Is the applicant or future building occupant required to obtain a pemiit from the air pollution control district or air quality management district' Yes No
Is Ihe 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
I hereby affirm that there is a construction lending agency for the performance of the work this pemnit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
I certify thati have lead theapplicatonandstatethattheabove intbimatonlscoirectandthattheinformabonon the plans I agree tocomply with all Cityondlnancesand State laws relatingtobuildmgconstruction
I hereby authonze representative of the City of Carlsbad to enter upon the above mentioned property for inspection 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 CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA permit is required for excavations over 5'0' deep and demolition or constmction of structures over 3 stones in height
EXPIRATION Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or wo* authonzed by such permit is not commenced within
180 days fiom the date of such permit or if the building or work authoreed by such permit is suspended or abandoned at any time after the vwik is commenced for a penod of 180 days (Section 106 4 4 Unifonn Building Code)
APPUCANT'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.
(jects Only!
Fax (760) 602-8560, Email buildinq(S)Carlsbadca gov or Mail the completed fomi to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008
C0#. (Office Use Only)
CONTACT NAME
ADDRESS
OCCUPANT NAME
BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE
ttf '^s'^- ins
FAX
ElVIAIL OCCUPANT'S BUS LIC No
DELIVERY OPTIONS
PICK UP CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg, 1)
MAIL TO CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg 1)
IVIAIL/FAX TO OTHER
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
^APPLICANT'S SIGNATURE ]j ^ f^VOfi^ C^^U^ ^ DATE