HomeMy WebLinkAbout2653 GATEWAY RD; 103; CO120027; Certificate of Occupancy05-31-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Certificate of Occupancy Cert of Occ#:C0120027
Permit Type: COFO Related BIdg Permit*: CB120833
Bidg Address: 2653 GATEWAY RD CBAD St: 103
Parcel No: 2131912500
Occupant Name: REFORM FITNESS LLC
Contact Name: CHRISTOPHER ALLAN HOLDER
Building Owner:
REGENCY BRESSI LLC
C/O CORNERSTONE REAL ESTATE ADVIS
ICQ WILSHIRE BLVD #700
SANTA MONICA CA 90401
Description of Use: FITNESS STUDIO
Issue Date: 05/31/2012
Phone#:
Phone#: 760-602-0020
Phone#: 310-234-2525
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
tatemerrt under peni
Date Sl3ljl2-
FOR DEPARTMENTAL USE ONLY
Date Routed.
Use Zone
Inspected By
Inspected By
Inspected By
Occupancy Group:
Date ^-l/'/Z'
Date
Date
Construction Type:
Approved
Approved
Approved
Disapproved.
Disapproved.
Disapproved.
Comments:
COMi'LI^TE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is Vw appfcant or futuie buHding occupant requiied to submit a business plan, acutely hazardous materials registration torm or risk management and preventon program under Sections 2S505,25533 or 2S534 a the
Pivifey-Tanner Hazardous Substance Account Act? • Yes • No
Is the applicant or future building occupam required to obtain a permit liom Ihe air polluton control district or air quality management distiict? • Yes • No
Is the facility to be constnKted within 1,000 feet of the outer boundary Ola school site? OYes ONo
IF ANY OF THE ANSWERS ARE YES, A RNAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEEHNG THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES ANO TNE AIR PaiUnON CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCV
I hereby aflimi Ihat there is a construction lending agency fbr the performance of the worit this pennit is issued (Sec. 3097 (1) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
lcertHyihatlha»«n>adlheappllc»lkwand«WBttirtl>iaabowlnfaniwl^
I hereby aulhcrizB ispcesentatlve of tie City of Cailsbad to enter upon Ihe above mentis
AGAWST ALL UABILTTES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAD CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA pemiil is lequitBd for excavations over SV deep and demcMlon a oonstnjctim
EXPIRATION: Evory pemiit issued by Ihe BulUIng Oficial under Ihe pnwisions of th^
180 days fRxn Ihe date of such pemiit or If the buUIng or work authorized by such permit is suspe^
>Cf APPUCANT'S SIGNATURE i-yh' IX
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 www.bulldinqi^risbadca.oov or Mal the completed form to City of Carlsbad, BuMing Division 1635 Faraday Avenue, Carisbad, CaHomia 92008.
CO*: (Ofllca Uee Only)
CONTACT NAME OCCUPANTNAME
ADDRESS
cmr ^ / STATE ZIP CTTY 7 STATi
Carlsbad CA
ZIP
PHONE
EfiiAIL
FAX
OCCUPANTS BUS. UC. No.
DEUVERY OnWNS
K, PICK UP: X CONTACT (Usted above) • OCCUPANT (Usted almve)
• CONTRACTOR (On P(. 1)
• MAILTO: • CONTACT(LUedabove) • OCCUPANT (LMedabove)
• CONTRACTOR (On P|. 1)
• ASSOCIATED CB«-
• MAIL/FAX TO OTHER:
• NO CHANGE IN USE/NO CONSTRUCTION
• CHANGE OF USE/NO CONSTRUCTION
^APPUCANT'S SIGNATURE DATE