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Home My WebLink About2500 CAMPBELL PL; CS; CB161764; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-27 -2016 Commercial/Industrial Permit Permit No:CB161764 Building Inspection Request Line (760) 602-2725 Job Address:2500 CAMPBELL PL CBADSt: CS Permit Type:TI Sub Type:INDUST Status:ISSUED Parcel No:2132610500 Lot #:0 Applied: 05/05/2016 Valuation:$40,000.00 Construction Type:NEW Entered By: RMA Occupancy Group:Reference #Plan Approved: 06/27/2016 Issued:06/27/2016 Inspect Area Plan Check #: Project Title:T-MOBILE-SWAP 3 ANTENNAS FOR 3 NEW APXVFWW12X-C-NA20 PANEL ANTENNAS, REMOVE 33 EXISTIN TMA'S, ADD 3 RADIO UNITS @ EQUIPMENT LEVEL ON PROPOSED UNISTRUT, ADD 1 DUS41 &1 XMU IN EXISTING CABINET Applicant:Owner: SMART LINK CARLSBAD SELF STORAGE INVESTORS L L C STE 400 C/O THOMSON REUTERS PROPERTY TAX 18401 VON KARMAN AV P 0 BOX 1368 IRVINE CA 92612 CARLSBAD CA 92018 949 933-3918 Building Permit $342.49 Meter Size Add'I Building Permit Fee $0.00 Add'I Red. Water Con. Fee $0.00 Plan Check $239.74 Meter Fee $0.00 Add'I Building Permit Fee $0.00 SDCWA Fee $0.00 Plan Check Discount $0.00 CFD Payoff Fee $0.00 Strong Motion Fee $11.20 PFF (3105540)$0.00 Park Fee $0.00 PFF (4305540)$0.00 LFM Fee $0.00 License Tax (3104193)$0.00 Bridge Fee $0.00 License Tax (4304193)$0.00 BTD #2 Fee $0.00 Traffic Impact Fee (3105541)$0.00 BTD #3 Fee $0.00 Traffic Impact Fee (4305541)$0.00 Renewal Fee $0.00 PLUMBING TOTAL $0.00 Add'I Renewal Fee •$0.00 ELECTRICAL TOTAL $0.00 Other Building Fee $0.00 MECHANICAL TOTAL $0.00 Pot.Water Con. Fee $0.00 Master Drainage Fee $0.00 Meter Size Sewer Fee $0.00 Add'I Pot. Water Con. Fee $0.00 Redev Parking Fee $0.00 Recl. Water Con. Fee $0.00 Additional Fees $0.00 Green Bldg Stands (SB1473) Fee $2.00 HMP Fee ?? Fire Expedidted Plan Review $0.00 Green Bldg Standards Plan Chk ?? TOTAL PERMIT FEES $595.43 Total Fees:$595.43 Total Payments To Date:$595.43 Balance Due:$0.00 ------ FINAL AP R VAL Inspector:Date:Cr Clearance: NCMCE Please take NOTICE that epprcual ci your preject indudes the "Irrpcsitiorr cf fees, dedcatiers, reservations, or other exactions hereafter collectively refund to as lees/exacters."You have 93 days from the date this permit was issued to protest inposition of these fees/era:tens.If you protest them, you must fdlav the protest proceclu-es set forth in GoAernment rcrt Section 6+3020(a),and file the protest and any ether required gun.et en with the City Manager for processing in accordance with Carlsbad Mxicipal rtrit.Section 3.32030.Failure to timelyfdloN that procedue will Icar any subsequent legal action to attack, review, set aside, \cid, er annul their imposition. You are 1dttiy FURTI-ERNOTIFIED that your right to pretest the spedfied fees/exactions DM NOTAPPLY to water and sewer connection fees and capadty changes, nor planning, zoning, gracing cr other sirrilar application processing or service fees in connecter'wth this project.NCR ErPS ITAPPLY to any fees/exactions of which vcu have creAouslv been riven a NOTICE sirrilar to this. or as toMich the statute of lirritatiens has creviouslv othavvise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMR ISSUANCE:Ej PLANNING ID ENGINEERING ED BUILDING Ej FIRE Ej HEALTH 0 HAZMATIAPCD ,1*7 Building Permit Application Plan Check No.Cd/I /7e yCity of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 1194497Ph: 760-602-2719 Fax: 760-602-8558Carlsbademail: building@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov 14--.Date 6 .‘)/4. JOB ADDRESS SUITEIVSPA it/U IT.APN 2500 Campbell Place, Carlsbad, CA 92009 213 -261 -05 -00 CT/PROJECT #LOT #PHASE ##OF UNITS #BEDROOMS #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP T-Mobile West, LLC DESCRIPTION OF WORK:Include Square Feet of Affected Area(s) Swapping (3) existing antenna with (3) APXVFVVVV12X-C-NA20 panel antennas (1 per sector) mounted with existing antenna mount and remove (3)existing TMAs, add (3) RRUS11 -I312 radio units at equipment level on a proposed unistrut. Add (1) dus41 and (1) XMU in existing cabinet EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS Wireless Facility Wireless Facility N/A NIA N/A YESD#NOM YES ElNO M YES E Nom APPLICANT NAME PROPERTY OWNER NAME ADDRESS Primary Contact Smartlin yi ADDRESS k, LLC on behalf of T-Mobile Carlsbad Self Storage Investors, LLC-0-LUNN"is.‘ e c v yit4/4.-/18401 Von rman Ave., Suite 400 PO Box 2034 CITY STATE ZIP CITY STATE ZIP Irvine CA 92612 Santa Monica CA 90406 PHONE FAX PHONE FAX 949-933-3918 (424) 832.1793 EMAIL EMAIL jmcconnell@smartlinkllc.com shanna@williamwarren.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAMEThomasR.Holland TBD ADDRESS ADDRESS ‘18401 Von Karman Ave., Suite 400 LAT.\1-k ko 12,EJMA evrIoN At-v( CITY STATE ZIP CITY STATE ZIP Irvine CA 92612 Te...ktAAA.L cris 525 RO PHONE FAX PHONE FAX 206-954-8658 51-36i -1-706 CS - I -30&-\.S."(- EMAIL EMAIL thomas.holland@smartlinkllc.com cy.....c)e sok.t,.,...44...\...1. wv- 1 STATE LIC. #STATE LIC.#CLASS CITY/ 03A LICji„. C21496 ti-12.\O \13/V.‘ 0 f 701e(Sec.7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires theapplicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)). WORKERS'..COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation ins rance carrier and policy number are: Insurance Co.7 ...r .c.1.Policy No.WC OVNI 12 460 Expiration Date ‘Q t /243k lo This section need not be completed if the permit is for one hundred dollars ($100) or less.0 Certificate of Exemption:Icertify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia.WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. A'S CONTRACTOR SIGNATURE —...11011... ---0 AGENT DATE Co 2.1 1 (0 OWNER -BUILDER DECLARATION I hereby affirm thatlam exempt from Contractor's License Law for the following reason:EI,as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).0 I,as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).0 I am exempt under Section Business and Professions Code for this reason: 1.I personally plan to provide the major labor and materials for construction of the proposed property improvement.EYes DNo 2.I (have (have not) signed an application fora building permit for the proposed work. 3.I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.I plan to provide portions of the work, butI have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 5.I will provide some of the work, butI have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ./ePROPERTYOWNER SIGNATURE DAGENT DATE Ia_rog ftiet.4.atinttelotxt„ --,-•','''s - Is the applicant or future bullring occupani required to stbmit a business plan, acutely hazardous materials registration form or risk management and preverbal program under Sections 26606, 25633 or 25534 of the Presley-Tamer Hazardous Substance Account Act?Yes No Is the applcart or Mare hikingoccupant rectired to obtain apent tom the air pollution cortrd &hid or an cbakty management distnct?Yes 4"No Is the facility to be constructed within 1,000 feet of the offer boundary of a schalsite?Yes 1 No F ANY OF THE ANSWERS MEYES. A FINAL CERTFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANDTIElit POLLUTION CONTROL DISTRICT. 5_.0.11S TR Sl C Y 101E E i 0111.F.•-• . `• I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address •C•VX.4414.-VAP'''1:04:E004.1i VeSieveNalised f.teak A.444.1-`XeZect ••2"•-‘' I ceittlythati have madam application mid date thatthe aboveSiameseis conectand lhatthelnlannatkon an the plena Is acciaate. !agree to comply withalCity aelnances and State lansrtiatingtobuldna conotnllon. I herbyaullicrize rapresenndIve al theClayriCrated to eider mon the *CVO mentionedpit:poly far lispedion pupcsem. I ALSO AGREE TO SAVE, INDEMNFY AND KEEP HARMLESS THE CITY OF CARL SBAD AGAINST ALL LIABILITIES,JUT:MINTS,COSTS AND EXPENSESMICHMAY IN ANY WAY ACCRUE AGAINST SAID CRY IN CONSEQUENCE OF THE GRANTING OFMSPERIAT. OSAAn OSHA permit is requiedIonexcevetions over 5'0' deep and denicilibm or conebudion d*Muresover 3 stories in height. EXPIRATICR Every permit issued by the Building01i:blunder the provisices of this CodeMel opteby Imiabon and become nut and void Ifthe bullingcc workaulhorted by suchpermit' nitcons/lensed Wain 180 daystom hedate Mauch permit or 1 thebuldreoret:kW/mixedby suchpantis suspended or abandoneddanytine*saleYakis commenced fcr e mead of1 days {Section 106.44 Unit=BullingCode). /„A6APPUCANTSSIGNATURE 7.17//...e( DATE 5 /5 /6 •TOP 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@carfsbadca.qov or Mail the completed fort to City of Carlsbad, Balding Division 1635 Faraday Avenue, Carlsbad, California 92008. CO*(office use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELNERY OPTIONS PICK UP:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR (On Pg.i) ASSOCIATED CBSMAILTO:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR (On Pg. 1)NO CHANGE IN USE /NO CONSTRUCTION MAIL/FAX TO OTHER: CHANGE OF USE /NO CONSTRUCTION AltrAPPLICANT'S SIGNATURE DATE Inspection List Permit#:CB161764 Type:TI INDUST T-MOBILE-SWAP 3 ANTENNAS FOR 3 NEW APXVFVVW12X-C-NA20 PANEL ANT Date Inspection Item Inspector Act Comments 08/03/2016 19 Final Structural -RI 08/03/2016 19 Final Structural AEK Fl Wednesday, August 03, 2016 Page 1 of 1 EsGil Corporation In (Partnership with governmentfor Budding Safety DATE:5/17/16 j AfFLICANT rt—TURIS. JURISDICTION:Carlsbad PLAN REVIEWER FILE PLAN CHECK NO.:16-1764 SET:I PROJECT ADDRESS:2500 Campbell Place PROJECT NAME:3 New T-Mobile Antenna to Replace Existing The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. The check list transmitted herewith is for your information.The plans are being held at EsGil Corporation until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. The applicant's copy of the check list has been sent to: X EsGil Corporation staff did not advise the applicant that the plan check has been completed. EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted:----Telephone #: Date contacted:)Email: Mail Telephone Fax In Person REMARKS: By:Chuck Mendenhall Enclosures: EsGil Corporation GA EJ MB PC 5/9/16 9320 Chesapeake Drive, Suite 208 San Diego, California 92123 (858) 560-1468 Fax (858) 560-1576 Carlsbad 16-1764 5/17/16 (DO NOT PAY— THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION:Carlsbad PLAN CHECK NO.:16-1764 PREPARED BY:Chuck Mendenhall DATE:5/17/16 BUILDING ADDRESS:2500 Campbell Place BUILDING OCCUPANCY:B BUILDING AREA Valuation Reg.VALUE ($) PORTION (Sq. Ft.)Multiplier Mod. Replacent Ant NA City Est 40,000 Air Conditioning Fire Sprinklers TOTAL VALUE 40,000 Jurisdiction Code cb By Ordinance Bldg.Permit Fee by Ordinance $342.49 Plan Check Fee by Ordinance $222.62 Type of Review:E Complete Review El Structural Only ERepetitive Fee Other Repeats Hourly Hr.@ * EsGil Fee $191.79 Comments:N/A In addition to the above fee, an additional fee of $is due (hour @ /hr.) for the CalGreen review. Sheet 1 of 1 macvalue.doc + PLANNING DIVISION BUILDING PLAN CHECK Development Services Planning Division /*CITY OF APPROVAL 1635 Faraday Avenue CARLSBAD P -29 (760) 602-4610 www.carlsbadca.eov DATE:5/6/16 PROJECT NAME: WCF REVISIONS PROJECT ID: PLAN CHECK NO: CB161764 SET#:ADDRESS:2500 CAMPBELL PL APN: VI This plan check review is complete and has been APPROVED by the PLANNING Division. By: GINA RUIZ A Final Inspection by the PLANNING Division is required El Yes Z No You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions. This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check APPROVAL has been sent to:JMCCONNELL@SMARTLINKLLC.COM For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING FIRE PREVENTION 760-602-4610 760-602-2750 760-602-4665 Chris Sexton Chris Glassen Greg Ryan 760-602-4624 760-602-2784 760-602-4663 Chris.Sexton@carlsbadca.gov Christopher.Glassen@carlsbadca.gov Gregory.Ryan@carlsbadca.gov Gina Ruiz ValRay Marshall Cindy Wong 760-602-4675 760-602-2741 760-602-4662 Gina.Ruiz@carlsbadca.gov ValRay.Marshall@carlsbadca.gov Cynthia.Wong@carlsbadca.gov Veronica Morones Linda Ontiveros Dominic Fieri 760-602-4619 760-602-2773 760-602-4664 Veronica.Morones@carlsbadca.gov Linda.Ontiveros@carlsbadca.gov Dominic.Fieri@carlsbadca.gov Remarks:Replacing existing, approved antennas and minor modification to existing cabinet.Consistent with MCUP 09-07. Shay Even IV t(Z.R From:Amber Ressmer Sent:Wednesday, May 11, 2016 9:39 AM To:JMCCONNELL@SMARTLINKLLC.COM Cc:Building Subject:CB161764 -T-Mobile West,LLC Good morning Jeffrey, CB161764 T-Mobile West does not require Carlsbad Fire Department fire plan review. Thank you, Amber (it'•Aty of 2oD Ccanpiadi PL.CS Carlsbad Amber Ressmer Administrative Assistant Fire Prevention City of Carlsbad 1635 Faraday Ave Carlsbad, CA 92008-7314 www.carlsbadca.gov P 760-602-4665 I F 760-602-8561 County of San Diego Department of Environmental Health Receipt #:3576536P.O. Box 129261 San Diego, CA.92112-9261 Date:05/20/2016 Phone: 858-505-6700 Cashier:HMCMURRI Receipt Record Information Record ID Record Name Site Address City APN Contact DEH2O16-HHMBP-003957 T-Mobile West 2500 CARLSBAD 213-261-05-00 LLC CAMPBELL Fee Information Invoice Date Invoice Number Record Number Fee Code Description Amount 05/19/2016 2048077 DEH2016-HHMBP-003957 6HBP2--EHO AB3205 EXEMPT FROM BUS $81.00 PLAN Payment Information Pymt Method Reference #Comments Amount Paid Check 3323 $81.00 Amount Received:$81.00 Change:$0.00 • Page 1 of 1 ............„..--.......,-, 7.•.. ,-,OFFICE USE ONLY .1';.kt1 ....4.SAN DIEGO REGIONAL,‘,.,-,*::,,,,„,,,RECORD ID 4 ..,.,•0 .4..r,...HAZARDOUS MATERIALS ._..........- PLAN CHECK-4=FL.il„__...‘- `,•:::,.. ' ---? 'QUESTIONNAIRE BP DATE I I-•••••••••• Dit-:.i...-.z.r ,.ii%I..i;.„•ii.?i.,.-.•:masc.!i -i.•;mone a'f M_West,1..l..C Joscpb Rose '.-334-6112..............,...„_......... Proiect Address City State Zip Code APNis 2500 Campbell Place Carlsbad CA 92009 213 -261 -05-00 Mailing Address City State Zip Code Plan Filed 18401 Von Kalman Ave Suite 400 Irvine CA 92612 Viejo:ft C.or;i.:lcr ArpiWaal I.-.nail mm Telephone N Jeri' McConnell Jrnk:iselmcI1fipiniarilin kllc.com 949-933-3918 ---- The following questions represent the facility's activities, NOT the specific prolect description. PARTI:FIRE DET'ARTMENT -HAZAROODS MATERIALS DIVISION) OCCUPANCY CLASSIFICATION: (not required for oroiocts within the City of San Diegr%inclii:ate by circling the item. whether your business MI use.process;or store any of the following hazardous materials.If any of the items are circled, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating:Facility's Square Footage (including proposed project): 1.Explosive or Blasting Agents 5.Organic Peroxides 9.Water Reactives 13.Corrosives 2.Compressed Gases 6.Oxidizers 10.Cryogenics 14.Other Health Hazards- 3.Flammable/Combustible Liquids 7.Pyrophorics 11.Highly Toxic or Toxic Materials 15.None of These. 4.Flammable Solids 8.Unstable Reactives 12.Radioactives PART ,II: ..MN DIEGO COUNTY DEPARTMENT OF EIWIRONMENTAL HEALTti -t1A2\ROOUS MATEMALS DIVISION IHMOK if the answer to any of thequestions is yes applicant must contact the County of San Diego Hazardous Materials Division,500 Overland Avenue, Suite 110.San Diego, CA 92123.iCall (858) 505-6700 prior to the issuance of a building .pennit.....................-. FEES ARE REQUIRED Project ComplehomDate:Expeo4ed Date of 0 upancy:0 CalARP Exempt YES NO (Tor neWronstructio or remodeling projects)/ 1.Igli al Is your business listed on the tevarse side of this form? (check all that apply).Date Initials 2.0 LP Will your business dispose of Hazardous Substances or Medical Waste in any a mini? 3,0 )4 Will your business store or handle!Fiazardous Sabstertsenimqqautities greater than or equal to 55 gallons. 500 0 CalARP RequiredSi /-'\i L u (..1.1 .Upounds and/or 200 cubic feet?iI 4.0 Will your business store or handielcaremogeosireproductive toxins in any quantit Date Initials 5.0 Will your business use an existIng!or install an underground storage IRO6,0 Will your business store or handle Regulated Substances (CalARP)70.0 CalARP Complete 7.0 Will your business use or install a cipzarpotAs Waste Tank.SystetliZ3t 22...Aruci 10)?i 8.0 g Will your business store petroleum ilsOril,'S brsontainera at yaiir auttrilatal facility storage capacity equal to Date Initials or greater than 1,320 gallons? (California's Aboveground-Petroleum Storage Ad). PART III:SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT fAPCD): Any YES* answer requires a stamp from APCD 10124 Old Grove Road, San Diets:).CA 92111 j.i •I'::.:•InC-"'.1county.:M goy (858) 586-2650). ("No stamp required if Qt Yes .g..L.13 Yes pit 04-06 Not The following questions are intended to identity the majenty of au pollution issues at the planning stage. Projects may require additional measures not identified by these questions. Foi comprehensiverequirementsc.:01-4.-..ct APr:n.Residences are typically exempt except .those with more than one buitclina'on the property:single buildings verb more than tour dwelling ones, towniemes condos; mixed-commercial use; deliberate burns. residences forming part ofa larger project ('Excludes garages 1$.small outbioldingt1 YES NO 1.0 g Will the project disturb 160 square test or more of existing building matenals7 2.0 srl Will any load supporting structural members he removed? Notification may be required 10 working days prior to commencing demolitlOn. 3.0 -A (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been perforrned by a Certified Asbestos Consultant or Site Surveillance Technician? 4.0 0 (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification may be required 10 working days prior to commencing asbestos removal. 5,0 jg1 Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet (,r.....e.:.J.e.a::...lre2wi.,.L..1...'.ser a.cF.1.1t) for typical equipment requiring an APCD permit. 6.El 0 (ANSWER ONLY IF UNE -.-;I 10t4 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet ofa school boundary Briefly describe business activities Briefly describe proposed project Wireless telecommunications Swapping antennas and adding remote radio units and cabling I declare xirkler pciriallypf permit y that to Mg best of my knowledge and belief tt es orates de .:rain are true 4rid correct. ....,(efit.ifrlf ./...1kiti 631140 4 ii.a 0'4-'114-11 -1 I 2-/(6 Na ne of Owner. or AiAborr..ted Agent Sion re crier or thorwed AReet Date FOR OF CAL USE ONLY, FIRE DEPARTMENT OCCUPANCY CLASSIFICATION- BY:_DATE:// cower oat so FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY,..................,....k......-..,..'Mit rit.1416`•I APCD COUNTY-HMD J APCD COUNTY-H MD APCD I ..•I•• I i .."Q.•'•..:. '..j . ' •rf.1 • /9/1 1 . i; .; 'A. .itariiFul tiil.1 aria cirLj exempts businesses from mill:feting or updating a Hazardous Materials business Plan. Other pertii•ding requirements may still apply. HM-9171 (08/15)County of San Diego -DEH -Hazardous Materials Division 51.51a;Ar-r{3 J- 4,riLiko SE74_6?s6-)1 - AL(-1- XIALI -Final Inspection required by. U Plan U CM&I Li Fire Li Wifftttat C - 70&Q SW ISSUED LICV. Approved Date By5/i 1/11_0 Ci—Al r-C_BUILDING 5.17.1 4:.CM PLANNING — 1(p (51 ENGINEERING if AlFIREExpedite?Y N --- /1 0((a)— )11//1)\)4/A 5/4 / 9. f hfill DIGITAL FILES Required?Y N 77(6 iii00 HazMat 5.;•/."AA- APCD Health Forms/Fees Sent Rec'd Due?By Encina Y N Fire Y N HazHealthAPCD Y N PE&M Y N School Y N Sewer Y N Stormwater Y N Special Inspection Y N CFD:Y N LandUse:Density:ImpArea:FY:Annex:Factor: PFF:Y N Comments Date Date Date Date Building Planning Engineering Fire 71?,,,.....9 ,pone fr) 7c1.4 D Iforyit one —fly Ara ;4.0/1 ji 1:1 Done Ci Done