HomeMy WebLinkAbout2519 PALOMAR AIRPORT RD; 100; CO140014; Certificate of Occupancy02-13-2014
Permit Type COFO Related Bldg Permit* CB122502
Bldg Address 2519 PALOMAR AIRPORT RD CBAD St. 100
Parcel No 2130201800
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Certificate of Occupancy Cert of Occ#:CO140014
RECORD COPY
Occupant Name. FIVE GUYS BURGER & FRIES
Contact Name SANDY DECERBO
Building Owner
COUNTY OF SAN DIEGO
Issue Date- 02/13/2014
Phone#
Phone#. 858-546-3000
Phone#-
PUBLIC AGENCY 00000
Descnption of Use RESTAURANT
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 statemenJ?under penalty of perjury
Signature of Building Official Date
FOR DEPARTMENTAL USE ONLY
Date Routed.
Use Zone
inspected By.
Inspected By.
inspected By
Occupancy Group. A2
Date ^7^'//
Date
Date
Construction Type 5B
Approved ^
Approved
Approved
Disapproved
Disapproved
Disapproved.
Comments:
Is the applicant or future building occupant required to submit a business plan, acutely tiazardous matenals registration form or risk management and prevention program under Sections 25505,25533 or 25534 of ttie
Presley-Tanner Hazardous Substance Account Act? Yes No
is tlie applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management distnct? 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.
I hereby affirm that there is a construction lending agency for the performance of the work this permi: is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
I certify ttiat I have read the applicaton and state that the above infbmiation Is coirect and that the infonnation on the plans is accurate. I agiee to comply with all Cityonlinances and State lavis relatingto building construction.
I hereby aulhonze representative of the City of Carisbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARIWLESS THE CITY OF CAI^SBAD
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 construction of structures over 3 stones in height
EXPIRATION. Every pemiit issued by the Building Oflicial under the provisions of this Code shall expire by limitaton and become null and void if the building or wort< authonzed by such pemiit Is not commenced within
180 days liDm the date of such petmit onf the building or vra* authorized by such permit is suspended or abandoned at any time after the vw)it< is commenced for a penod of 180 days (Section 106 4 4 Unifomi 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.
OF OCCI I ProjecSs OnSyl
Fax (760) 602-8560, Email bulldinq(5)carlsbadca.qov or Mail the completed form to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, California 92008
C0#: (Office Use Only)
CONTACT NAIVIE OCCUPANT NAIVIE
BUILDING ADDRESS ~ \ ADDRESS
STATE ZIP cmr STATE
Carlsbad CA
ZIP
FAX
EMAIL 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)
MAIL / FAX TO OTHER:
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
^eS"APPLICANT'S SIGNATURE DATE