HomeMy WebLinkAbout2175 SALK AVE; 140; CO160007; Certificate of OccupancyCity of Carlsbad RECORD COPY
1635 Faraday Av Carlsbad, CA 92008
03-10-2016 Certificate of Occupancy Cert of Occ#:CO160007
Permit Type: COFO Related Bldg Permit#: CB152532
Bldg Address: 2175 SALK AV CBAD St: 140
Parcel No: 2120210800 Issue Date: 03/02/2016
Occupant Name: SPEC SUITE
Contact Name: ERICA KERRIN
Building Owner:
BROOKWOOD CB I & II LLC
138 CONANT ST
BEVERLY MA 01915
Description of Use: VACANT OFFICE
Phone#:
Phone#: 760-494-9620
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 ~ •• e ~
Date Routed ___ _
Use Zone ____ _
Inspected By---==-.----
Inspected B~l -st}
Inspected By ______ _
FOR DEPARTMENTAL USE ONLY
Occupancy Group: B
Date ____ _
Date ] ·(-(V
Date ____ _
Construction Type:
Approved __
Approved __
Approved __
Disapproved __
Disapproved __
Disapproved __
Comments: ____________________________________ _
·---~-----------.--· .. ···•·1---
•
, -,·
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business f!-!l), acutely hazardous materials regislration form or risk management and prevention program under Sections 25505, 25533 or25534 of the
Presley-Tanner Haz<K'dous SubstarM:Et Account Acn Ii Yes ~ No .
Is the applicant or future building occupant required to obtain a permit from the air pollution control disbict or alr_~allty management district? ' Yes If· No
Is the facility to be constructed wllhln 1,000 feet of the outer boundary of a school site? Eves Ba,No
IF ANY OF THE ANSWERS ARE YES, A ANAL 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 POLLUTlON CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 ~) CMI Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I haw 188d the appllcatlon and state lhatlheabowe lnbmatlon Is coff8Ctand lhatlhe lnbrmatlon on the plans Is aa:urata. I agme ID comply'Mlh all Cllyordlnarx:es end State klws relating ID building construcllon.
I helel>; au1horiz!l represenlaliveof the Cilyof Carlsbal10enterupon the above mentioned property ilrinspecoon pulJ)OOlS. IALSO AGREE TOSAVE, INDEMNIFY mo KEEP HARMLESS THE CITY OF CARLSBAD
ACAINST All LJABILJIIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AN'/ WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANT~G OF THIS PERMIT.
OSHA: AA OSHA penni is requred for excavations over SCJ deep and demoitm or construction of structures O'.'el" 3 stories i1 he(lhl.
EXPIRATION: Every pennlt issued by the Buikilng Oft'cial under the IJC)Visbns of fllis Cooe shall expire by lmitalbn and berome nun and YOO if the buil:ling or Wl'k authorized ~ such permit is not oornmencsd 'Mlhin
1IIO dais from the date of such pem,lorilthe buUdilg or-aulhorizl!d by such pennl • suspended or abandoned atanytirre all,rthe-• oommenc8d !Jr a period of 180 dais (Secoon 100.4.4 Unifoon Buikiiig Code) .
..fS'APPUCANT'SSIGNAl\lRE ~ 1,J'.,,;.._ DAlE 6/4/2015
• 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 building@carlsbadca.gov or Mail lhe completed fonn to City of Cailsbad, Building Division 1635 Faraday Avenue, Cailsbad, California 92008.
CONTACT NAME Erica Kerrin
ADDRESS 2175 Salk Avenue, Suite 180
CITY
Carlsbad
STATE
CA
PHONE FAX
ZIP
92008
(760) 494-9620 (760) 494-9617
EMAIL ekerrin@brookwoodfinancial.com
DELIVERY OPIIONS
PICK UP: CONTACT (Listed above)
CONTRACTOR (On pg. 1)
✓ MAIL TO: .t CONTACT (listed above)
CONTRACTOR (On Pg. 1)
OCCUPANT (Listed above)
OCCUPANT (listed above)
MAIL/FAXTOOTHER: _______________ _
A$APPUCANT'SSIGNAT\JRE ~
CO•: (Office UN Only)
{!,()/~000
OCCUPANT NAME
BUILDING ADDRESS
CITY STATE
Carlsbad CA
OCCUPANT'S BUS. UC. No.
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE B/4 /2.01!;
ZIP