HomeMy WebLinkAbout2548 CAMPBELL PL; ; CO140025; Certificate of Occupancy04-01-2014
City of Carlsbad
1635 Faraday Av Carisbad, CA 92008
Certificate of Occupancy Ceil of Occ#:CO140025
Permit Type: COFO Related Bldg Permit*: CB140528
Bldg Address: 2548 CAMPBELL PL CBAD
Parcel No: 2132611700
Occupant Name: ARROWHEAD GEN INS. AGENCY
Contact Name: VECKI MiLIJKOVIC
Building Owner:
SIR CAMPBELL PLACE INC
TWO NEWTON PL
255 WASHINGTON ST #300
NEWTON MA 02458
Description of Use: OFFICE
Phone#:
Phone#:
Phone#:
RECORD COPY
Issue Date: 04/01/2014
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 W9
Date Routed
Use Zone
Inspected By
Inspected By
Inspected By
FOR DEPARTMENTAL USE ONLY
Occupancy Group:
Date ^^2.-/¥
Date
Date
Construction Type: 5B
Approved
Approved
Approved
Disapproved.
Disapproved.
Disapproved.
Comments:
(COMPLETE THIS SECTIOI* FOB N O l\t - R E S I D E N T I A L BUILOIMG PERMITS ONLV
Is the applicant or lulure building occupanl required to submit a business plan|jcutely hazardous materials registration form or rislt management and prevention program under Sections 2S50S, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Aeff Yes ^ ^
Is the applicant or future building occupant required to obtain a pennit from therair pollution control district or air quaptv management districr? Yes (M
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes
IF ANY OF THE ANSWERS ARE YES, A FINAL 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.
CONSTRUCTION LENDING AGENCV*
I hereby affirm that there Is a construction lending agency for the performance of the wortt this pennit Is issued (Sec. 3097 (I) Civil Code).
Lender's Name Lender's Address
I APPLICANT CERTIFICATION
I cerliiy that I have lead the application arid state that the abcw infomialkm Is conect and that
I hereby authorize representalive of the City of Carisbad to enter upon the above mentioned property for inspeclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEff HARMLESS THE CITY OF CARLSBAD
AGAINST AU. UABILfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA peimit is required br excavations over SC/ deep and demolition or constmction of stuctures over 3 stories in height
EXPIRATION: Every pemiit issued by the Building Official under the piovisions of this Code shall expire by limitation and become nui and void if the building or worit aulhorized by such peimit is not commenoed wilhin
180 days fom the dale of such permit or If the buildng or vwrit authorized by such peimit is suspended or a^ BuildingCode).
JS^MVVCI ;ANT'S SIGNATURE OATE
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 buildinQ@carlsbadca.aov or Mall the completed fonn to City of Carisbad, Building Division 1635 Faraday Avenue, Carisbad, California 92008.
\f&r..k; m:/i.lfCfOUf,
C0#: (Office UM Only)
CONTACT NAME
ADDRESS
CITY STATE
9 7/^9
ZIP
OCCUPANT NAME
3UILDINQ ADDRESS ~ ~
jffY TSTATE
Carlsbad
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPnONS
PICKUP: CONTACT (Listed above) OCCUPANT (Listed above)
iNTRACTOR (On Pg. 1)
MAILTO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB#-
MAIL/FAXTOOTHER:.
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
APPUCANTS SIGNATURI DATE