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Home My WebLink About2714 Loker Ave W; Cs; CBC2018-0089; Permit{City of Carlsbad Commercial Permit Print Date: 11/14/2018 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2714 Loker Ave W, Cs BLOG-Commercial 2090813200 $18,000.00 Work Class: Tenant Improvement Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: AT&T: REPLACE 6 OUT OF 12 ANTENNAS AND NEW POWER CABINET Applicant: OE PRATI I INC TIM HENION 1264 Basswood Ave Carlsbad, CA 92008-1901 503-519-8591 BUILOING PERMIT FEE ($2000+) BUILOING PLAN CHECK FEE (BLOG) Owner: C8L LLC LUCIA SHAMSHOIAN 5800 Armada Dr, 200 Carlsbad, CA 92008-4611 ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL FIRE Special Equipment (Ovens, Dust, Battery) MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $806.10 Total Payments To Date: $806.10 Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. lf you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance wlth Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Permit No: CBC2018-0089 Closed -Finaled 02/15/2018 05/16/2018 11/14/2018 11:13:54AM $0.00 $185.92 $130.14 $41.00 $404.00 $39.00 $1.00 $5.04 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov '· it ; Vb:b.V'f"YiN~ Ai 'f ·iiVYAi.~ i'\L.~Vii~~i.i ~~i'\i:ID i O i .. t.;,;,;;C:;~~Ai,:.,L: • ,-.L,;i-iiiifm r i.i'tG:i;s:J'\i!,~ d (_ City of Building Permit Application Plan Check No. rAc'J.fJ If -(X)8q 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value T It.~(). oo Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@car1sbadca.gov www.cartsbadca.gov Date .!J / I 5 7/? lsWPPP JOB ADDRESS SUITEt/SPACH/UNITt IAPN 20~ 2714 Loker Road -oa1 -Ji -00 CT/PROJECT# ILOT# I PllASE # I # or UNITS I # BEDROOMS r I BATHROOMS ,·~·--1~-~ I occ.~OUP Office Buildinq DESCRIPTION OF WORK: Include 5q.,..,. Feet ol A/tecfJtJd AIH(s) AT&T is proposing to modify an existing wireless facility SOW replacing 6 of 12 existing facade mounted antennas and installing new remote radios and ancillary equipment. New Power cabinet in equipment area Original MCUP 07-15x1 $ ( 'g I O DD. 00 EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPI.ACE • I AIR CONDITIONING I FIRE SPRINKLERS Airport No change YESQ N<Q YES•No• YES•NO• APPLICANT NAME AT&T Mobility· Tim Henion PROPERTY OWNER NAME C.B.L. LLC, Lucia Shamshoian Primary Oonlact ADDRESS ADDRESS 1264 Basswood Ave 5800 Armada Drive, Ste# 200 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 Carlsbad CA 92008 PHONE !FAX PHONE !FAX 503-519-8591 760-931-1134 EMAIL EMAIL thenion@.deprattiinc.com DESIGN PROFESSIONAL DCI Pacific CONTRACTOR BUS. NAME TBD ADDRESS ADDRESS 32 Executive Park. Suite 110 CITY STATE ZIP CITY STATE ZIP irvine CA 92614 PHONE rAX PHONE !FAX 949 4751000 EMAIL EMAIL bok(@dcipacific.com ISTATELIC. # STATE UC.# 1= I CllY BUS. UC.# C-3309/ .. (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 ,ts issuance, also requires the applicant for such permit to file a signed statement that he Is lieensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commending with Section 7000 of DMsion 3 of the Business 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 a civil penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration:/ hereby afflnn lllde<pens/tyci perjury one of the following dee/am/ions: D I have and wlll maintain a certiftcata of consent to $811-insure for wor1oor,· compensation as provided by Section 3700 of the Labo< Code, tar the pertoonance of the WOfk for which this pennit Is issued. D I have and wlll maintain workers' compensation. as 1'8Quired by Section 3700 of the Labor Code, for the performance of the WOfk for which this IJ8ITTlil is issued. My wor1<ers' compensation Insurance canier and policy number are: Insurance Co. Policy No. ____________ Expiration Dale _______ _ l]!§.seclion need nol becompleled tt the perm~ Is for one hundled dollars ($100) o, less. LJ Cenificate of E.emplion: I certify lhal in the pelfomlance of the WOik for which this pennit is issued, I shaU nol ~ any person in any mamer so as IO become subject to the Winers' Compensation Laws of CalWomla. WARNING: Failure to secure wor1<8fS' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and cMI fttMS up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, dam.iges as provided for in Section 3706 of the Labor code, lnt8fVSI and attorney's fffs. JES CONTRACTOR SIGNATURE •AGENT DATE f heraby llffinn fhaf f am exempt from Contractors License Law for the foloWlng reason: O I, as owner of lhe property o, my employees with wages as their sole compensalion, will do the work and lhe strudllre is not intended o, otlen,d for safe (Sec. 70«, Business and Professions Code: The Cmlractx's License Law does not apply lo an owner of prnperty who btlitds Of improves thereon, and who does such work himself Of through his own employees, provided that such improYemenls an, not lnlended o, ol!ered for sale. If, however, the building or improvemeni Is sold within one year of completion, the owner-builder will have the burden of proving lhal he did not build °' Improve for the putp058 of sale). D I, as owner of the property, am exwsively (X)fllracling with licensed conlraclors to construc1 the prnject (Sec. 70«, Business and Prciessions Code: The Contraclol's License Law does nol apply to an owner of property who builds or Improves thereon, and oontracls for such prnjecls wi1h (X)fllractor{S) licensed pursuant to the Q)n1raet)(s License Law). • I am exempl under Seclion ---~Business and Professions Code for this reason: 1. I personally plan to provide the major lab0f and malerials for oonslruction of the prnposed prnperty improvement []Yes Do 2. I (have/ have not) signed an application for a building pennit for the prnposed work. 3. I have contracted wi1h the foilowlng person (firm) to provide the proposed (X)flstruclion (Include name address I phooe / oormaclors' license numb«): 4. I plan lo provide portions of the WOik, but I have hif!ld the followlog person lo coordinale, su1)81Yise and provide the major WOik (inclJde name/ address I phooe / oomaci>rs' license number): 5. I will provide some of lhe won<, bul I have conlracled (hired) lhe following persons to provide lhe wol1< indicated (Include name I address/ phone I type of work): Ji$ PROPERTY OWNER SIGNA T\JRE '2JAGENT DATE 2/15/2018 Is the applicant or future building ocC1Jpant required to submit e business plan, acutely hazaroous materials reglstretion form or risk management and preventi<Jn program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Al;t? Yes No Is the applicant or future building occupant required to obtain a pem,i1 from the air pollution control district or air ouality management district? Yes No Is the faciHty to be conslructed within 1,000 feet of the outer boundaiy of a school site? Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING TllE 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 perfonnance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lenders Address I certify that I have read the application and state that the above infomlation is correct and that the lnfonnation on the plans Is ac:curate.I agree to comply with all CilY ordinances and Stale laws relating to building construc:tion. I hefllby authaize~IM! of theCilyolCa!lsbad to enterl4)00 theabow mentilned property for inspection puiposes. lALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM..ESS TIE CITYOFCARLS8AD AGAINST ALL LIABll.mES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF lliE GRANTING OF THIS PERMIT. OSHA: An OSHA pem,it Is required for excavations rNer 5'0' deep and demolition or coostrucliln ol structures over 3 stores In height """'"'"'""-"""''",7!.""" ........... .,.. .... ___ ..,_., ................. -.... -... --180 days from lhe date of sud1 pemit or W the · or U7sldl pennit is suspended rx abcl1doned at a,y tire$ the .,.o1( is cmmenced u a ~/ 180 days (Sedion 100.4.4 lkfum ~ Code). ,.g APPLICANrs SIGNATURE J DATE J... / 5' / ( <{ / ~ -0 ....., STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY /Commerc,al Projects 0 n I y l Fax (760) 602-8560, Email build1ng@cansbadca .gQ_v or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Ca~sbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT"S BUS. UC. No. DEUVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) ASSOCIATED CBIII CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION A! APPUCANrS SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBC2018-0089) Permit Type: BLDG-Commercial Application Date: 02/15/2018 Owner: CBL LLC LUCIA SHAMSHOIAN Work Class: Tenant Improvement Issue Date: 05/16/2018 Subdivision: PARCEL MAP NO 18720 Status: Closed -Finaled Expiration Date: 05/13/2019 Address: 2714 Loker Avew, Cs Carlsbad, CA 92010-6642 IVR Number: 9568 Scheduled Actual Complete Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Relnspection 11/14/2018 11/14/2018 BLDG-34 Rough 076996·2018 Passed Andy Krogh Complete Electrical BLOG-Final 076997-2018 Passed Andy Krogh Complete Inspection Checklist Item COMMENTS Passed BLDG-Structural Final Yes BLDG-Electrical Final Yes November 14, 2018 Page 1 of1 - DATE: 3/1/2018 JURISDICTION: City of Carlsbad PLAN CHECK#.: CBC2018-0089 ✓• EsG1I A s.t,Flbu\t Con1pany SET: I PROJECT ADDRESS: 2714 Loker Ave. West PROJECT NAME: AT&T SD0428(LTE 3C 4C 5C) Raceway •_J,PPLICANT .....-c:f JURIS. ~ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D 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. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: ~ EsGil staff did not advise the applicant that the plan check has been completed. D EsGil staff did advise the applicant that the plan check has been completed. Person contacted:___ Telephone#: Date contacted: ~ Email: Mail Telephone Fax In Person 0 REMARKS: By: David Yao EsGil 2/20/18 Enclosures: 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 City of Carlsbad CBC2018-0089 3/1/2018 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PREPARED BY: David Yao PLAN CHECK#.: CBC2018-0089 DATE: 3/1/2018 BUILDING ADDRESS: 2714 Loker Ave. West BUILDING OCCUPANCY: BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier cell site revisions Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance 1997 UBC Building Permit Fee 1997 UBC Plan Check Fee ~I .! Type of Review: 0 Complete Review Reg. VALUE Mod. per city D Structural Only D Repetitive Fee ..,.J Repeats • Other D Hourly EsGil Fee 1------11 Hr. @ * Comments: ($) 18,000 18,000 $185.551 $120.61 I $105.1s1 Sheet of 7VVi '-'C> SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE Business Name AT&T Mobilit Project Address (include suite) 2714 Loker Ave, Carlsbad, CA 92010 Mailing Address (include suite) 7337 Trade Street Business Contact Tim Henion City City San Die o Telephone# 503-519-8591 State Zip Code State Zip Code CA 92121 Project Contact Tim Henion Applicant E-mail Telephone# thenion@de rattiinc.com 503-519-8591 BU/LDI The following questions represent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT -HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION; (not required for projects within the City of San Diego): Indicate by circling the item, whether your business wrll 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. 8 4, J_ aJ ~frr,fh..J... Occupancy Rating: Facility's Square Footage (including proposed project): no change (j jlE 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 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: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH HAZARDOUS MATERIALS DIVISION (HMO): If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 11 O, San Diego, CA 92123. Call (858) 505-6700 prior to the issuance of a building permit. FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy: 0 CalARP Exempt 1. 2. * 3. 4. 5. 6. 7. 8. YES NO (for new construction or remodeling projects) Is your business listed on the reverse side of this form? (check all that apply). ISi • • ISi Will your business dispose of Hazardous Substances or Medical Waste in any amount? ISi ISi Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? • • • • • 181 Will your business store or handle carcinogens/reproductive toxins in any quantity? 18] Will your business use an existing or install an underground storage tank? 18] Will your business store or handle Regulated Substances (CalARP)? 1:81 Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? t8I Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). Date Initials 0 GalARP Required I Date Initials 0 CalARP Complete I Date Initials PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCDl: The following questions are intended lo identify the majority of air pollution issues at the planning stage. Your project may require additional measures not identified by these questions. Some residential projects may be exempt from APCD requirements. For more comprehensive requirements, please contact APCD at z,p,:;,::;c0,,-1;:;;(~-.au,x1d;1t,.c:a.,y,·,1; (858) 586-2650; or 10124 Old Grove Road, San Diego, CA 92131. 1. 2. 3. 4. 5. 6. YES NO • ISi Will the project disturb 100 square feet or more of existing building materials? • ISi Will any load supporting structural members be removed? If yes, contact APCD prior t notification may be required at least 10 working days prior to commencing demolition. • • (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been perform building inspector course? ISi (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Based on the survey results, will the contact APCD prior to the issuance of a building or demolition permit. A notification ma commencing asbestos removal. 18] Will the project or associated construction equipment emit air contaminants? See the r APCD permit. If yes, contact APCD prior to the issuance of a building permit. COSD DEH • CASHIER issuance of a build~IP demolition pennit. A by an indivil;l'A\f'f '2'sttl'fged an EPA-proved 1ect disturb any asbestos containing materi I? If yes, A8tt!Jir8q. at ~ast 10 working days prior t HEC!(: . ' equiring an • • ISi (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment bounda ? Briefly describe business activities: Briefly describe proposed project: WIRELESS COMMUNICATION FACILITY Replacing 6 antennas, addin new remote radios & new power cabinet I declare under penalty of perjury that to the best of my knowledge and belief t e responses made herein are! true and correct. TIM HENION Name of Owner or Authorized Agent Signature of Owner or Authorized Agent FOR OFFICAL USE ONLY: I Date FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:.~-------------------------------~ BY: DATE: I I RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY APCD COUNTY-HMO APCD COUNTY-HMO APCD "<:.:.;:!!:::!!~P"-" exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply County of San Diego -DEH -Hazardous Materials Division LIST OF BUSINESSES WHICH REQUIRE REVIEW AND APPROVAL FROM THE COUNTY OF SAN DIEGO DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION Check all that apply: AUTOMOTIVE D Battery Manufacturing/Recycling D Boat Yard D Car Wash D Dealership Maintenance/Painting D Machine Shop D Painting 0 Radiator Shop D Rental Yard Equipment D Repair/Preventive Maintenance D Spray Booth D Transportation Services D Wrecking/Recycling CHEMICAL HANDLING D Agricultural supplier/distributor D Chemical Manufacturer D Chemical Supplier/Distributor 0 Coatings/Adhesive 0 Compressed Gas Supplier/Distributor D Dry Cleaning 0 Fiberglass/Resin Application 0 Gas Station 0 Industrial Laundry D Laboratory D Laboratory Supplier/Distributor 0 Oil and Fuel Bulk Supply D Pesticide Operator/Distributor CHEMICAL HANDLING D Photographic Processing D Pool Supplies/Maintenance D Printing/Blue Printing D Road Coatings D Swimming Pool D Toxic Gas Handler D Toxic Gas Manufacturer METAL WORKING D Anodizing D Chemical Milling/Etching D Finish-Coating/Painting D Flame Spraying D Foundry D Machine Shop-Drilling/Lathes/Milts 0 Metal Plating D Metal Prepping/Chemical Coating D Precious Metal Recovery D Sand Blasting/Grinding D Steel Fabricator D Wrought Iron Manufacturing AEROSPACE D Aerospace Industry D Aircraft Maintenance D Aircraft Manufacturing MISCELLANEOUS D Asphalt Plant D Biotechnology/Research D Co-Generation Plant 0 Dental ClinidOffice D Dialysis Center D Emergency Generator D Frozen Food Processing Facility 0 Hazardous Waste Hauler D Hospital/Convalescent Home D Laboratory/Biological Lab D Medical Clinic/Office D Nitrous Oxide (NOx) Control System 0 Pharmaceuticals 0 Public Utility D Refrigeration System D Rock Quarry D Ship Repair/Construction 181 Telecommunications Cell Site D Veterinary Clinic/Hospital D Wood/Furniture Manufacturing/Refinishing ELECTRONICS D Electronic Assembly/Sub-Assembly 0 Electronic Components Manufacturing D Printed Circuit Board Manufacturing NOTE: THE ABOVE LIST INCLUDES BUSINESSES, WHICH TYPICALLY USE, STORE, HANDLE, AND DISPOSE OF HAZARDOUS SUBSTANCES. ANY BUSINESS NOT INCLUDED ON THIS LIST, WHICH HANDLES, USES OR DISPOSES OF HAZARDOUS SUBSTANCES MAY STILL REQUIRE HAZARDOUS MATERIALS DIVISION (HMD) REVIEW OF BUSINESS PLANS. FOR MORE INFORMATION CALL (858) 505-6880. LIST OF AIR POLLUTION CONTROL DISTRICT PERMIT CATEGORIES Businesses, which include any of the following operations or equipment, will require clearance from the Air Pollution Control District. CHEMTCAL 47 -Organic Gas Sterilizers 32 -Acid Chemical Milling 33 -Can & Coil Manufacturing 44 -Evaporators, Dryers & Stills Processing Organic Materials 24 -Dry Chemical Mixing & Detergent Spray Towers 35 -Bulk Dry Chemicals Storage 55 -Chrome Electroplating Tanks COATINGS & ORGANIC SOLVENTS 27 -Coating & Painting 37 -Plasma Arc & Ceramic Deposition Spray Booths 38 -Paint, Stain & Ink Mfg 27 -Printing 27 -Polyester Resin/Fiberglass Operations METALS 18 -Metal Melting Devices 19 -Oil Quenching & Salt Baths 32 -Hot Dip Galvanizing 39 -Precious Metals Refining ORGANIC COMPOUND MARKETING (GASOLINE. ETC) 25 -Gasoline & Alcohol Bulk Plants & Terminals 25 -Intermediate Refuelers 26 -Gasoline & Alcohol Fuel Dispensing COMBUSTION 34 -Piston Internal -Combustion Engines 13 -Boilers & Heaters (1 million BTU/hr or larger) 14 -Incinerators & Crematories 15 -Burn Out Ovens 16 -Core Ovens 20 -Gas Turbines, and Turbine Test Cells & Stands 48 -Landfill and/or Digester Gas Flares ELECTRONICS 29 -Automated Soldering 42 -Electronic Component Mfg FOOD 12 -Fish Canneries 12 -Smoke Houses 50 -Coffee Roasters 35 -Bulk Flour & Powered Sugar Storage SOLVENT USE 28 -Vapor & Cold Degreasing 30 -Solvent & Extract Driers 31 -Dry Cleaning ROCK AND MINERAL 04 -Hot Asphalt Batch Plants 05 -Rock Drills 06 -Screening Operations 07 -Sand Rock & Aggregate Plants 08 -Concrete Batch, CTB, Concrete Mixers, Mixers &Silos 1 0 -Brick Manufacturing OTHER 01 -Abrasive Blasting Equipment 03 -Asphalt Roofing Kettles & Tankers 46 -Reverse Osmosis Membrane Mfg 51 -Aqueous Waste Neutralization 11 -Tire Buffers 17 -Brake Oebonders 23 -Bulk Grain & Dry Chemical Transfer & Storage 45 -Rubber Mixers 21 -Waste Disposal & Reclamation Units 36 -Grinding Booths & Rooms 40 -Asphalt Pavement Heaters 43 -Ceramic Slip Casting 41 -Perfite Processing 40 -Cooling Towers -Registration Only 91 -Fumigation Operations 56 -WWTP (1 million gaVday or larger) & Pump Station NOTE: OTHER EQUIPMENT NOT LISTED HERE THAT IS CAPABLE OF EMITTING AIR CONTAMINANTS MAY REQUIRE AN AIR POLLUTION CONTROL DISTRICT PERMIT. IF THERE ARE ANY QUESTIONS, CONTACT THE AIR POLLUTION CONTROL DISTRICT AT (858) 586-2600. HM-g171 (12/17) County of San Diego -DEH -Hazardous Materials Division .,,,,.-,, .. • ... ~ J'"' 11"""1, • r" ... l. J·\K I .''lt'.!A! J STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov I am applying to the City of Carlsbad for the following type(s) of construction permit: a Building Permit • Right-of-Way Permit D My project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan {SWPPP) because ii only requires issuance of one or more of the following permit types: Patio/Deck Photo Voltaic Re-Roofing Sign Spa-Factory Sprinkler Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria !!:I My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the ~no threat" assessment aiteria oo the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tier 1 -Low Threat Assessment Criteria • My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt pem,it type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities (such as saw cutting, eqUipment washing, material stockpiling, vehicle fueling, waste stockpiHng). Tier 2 • Moderate Threat Assessment Criteria • My project does not meet any of the Significant Threat assessment Criteria described below and meets one or moo, of the following criteria: • Project requires a grading plan pursuant to the Cartsbad Grading Ordinance (Chapter 15.16 of the Carlsbad ~ Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following aiteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be Initiated during the rainy season or will extend into the rainy season (Oct. 1 through Aplil 30). ner 3 -Slgnfflcant Threat Assessment Criteria • My project indudes doming, grading or other dstur1lances to the ground resulting in soil disturbanoe-ing one or more acres induding any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or • My project is part of a phased development plan thet will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, • My project is located inside or within 200 feet of an en~ronmenteHy sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non.storm water discharge(s). I cerofy lo the best of my knowledge that the above checked statemenls are true and correct. I understand and acknowledge that even though this project does not require preparatton of a construction SWPP, I must sttll ad,.,,., lo, and at all times during construction activities for the penntt type(s) chedr above comply with the slonn water best management practices pursuant lo Title 15 of the Carlsbad Municipal Code and lo Cltv Standanls. Project Address: Assessor Pwcel No. ·Ttie Clly Engineer may aulhorize minor varimlces rrom lhe Storm Water Threat Assessment Criteria in special circumslances 'Mlere it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. B-24 2714 loker Ave West C>No&r/Owner's Authorized Agenl Name: Tm Henion OWner/Owner's AuNloriz8d Agent ~re: --ll ~ CllyC-: By. •YES •NO Page 1 of 1 209-081-32 Title: AT&T Agent Date: 2/15'2018 -_,., Rev.03/09 --~, . . .. i I Y () !- :-~An I C'D An '\.....r\l'\L.JUJ-1.LI CONSTRUCTION THREAT ASSESSMENT WORKSHEET FOR DETERMINATION OF PROJECT'S PERCEIVED THREAT TO STORM WATER QUALITY E-33 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov Construction Perceived SWPPP Tier Construction Threat Assessment Criteria* Threat to Storm Water Level Qual"" Tier 3 High Cgnsyygion Threat Ass~sm~nt Criteria • Project site is 50 acres or more and grading will occur during the rainy season • Project site is 1 acre or more in size and is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA High • Soil at site is moderately to highly erosive (defined as having a predominance of soils with Tier3 • USDA-NRCS Erosion factors k, greater than or equal to 0.4) Site slope is 5 to 1 or steeper • Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 • through April 30). Owner/contractor received a Storm Water Notice of Violation within past two years Ti~r ~ -M~diym QQn§t!],!~iQn Threat B§~s§m~nt Qrit~ria Medium • All projects not meeting Tier 3 High Construction Threat Assessment Criteria Ii~[ Z High QQn§l!],!£tiQ• Threat Ass~ssm~•t Qci1~dii1 • Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA • Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kt greater than or equal to 0.4) High • Site slope is 5 to 1 or steeper Tier 2 • Construction is initiated during the rainy season or wilt extend into the rainy season (Oct. 1 through April 30). • Owner/contractor received a Storm Water Notice of Violation within past two years • Site results in one half acre or more of soil disturbance Ii~r2 Medium Construction Thre~t A§:se~ment Criteria Medium • All projects not meeting Tier 2 High Construction Threat Assessment Criterta Tier 1 -Medium lnsi;@ction Threat Assessment Criteria • Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, within or directly adjacent to an environmentally sensitive area (ESA) or discharges directly to an ESA • Soil at stte is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors k, greater than or equal to 0.4) Medium • Stte slope is 5 to 1 or steeper Tier 1 • Construction is initiated during the rainy season or will extend into the rainy season (Oct 1 through Aprtl 30). • Owner/contractor received a Storm Water Notice of Violation within past two years • Site results in one half acre or more of soil disturbance Tier 1 -!:.,QW ln§(2~gion Thr§m A§s~ssment Crit~ri~ Low • All projects not meeting Tier 1 Medium Construction Threat Assessment Criterta Exempt • Not Applicable • Exempt •the city engineer may authonze mmor vanances from the ronstruct1on threat assessment crttena m specsal circumstances where it can be shown that a lesser or higher amount of storm water compliance inspection is warranted in the opinion of the city engineer E-33 Page 1 of 1 REV 4/30/10 STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov INSTRUCTIONS: To address post-development pollutants that may be generated from development projects, the City requires that new development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (BMP's) into the project design per the City's Standard Urban Stormwater Management Plan (SUSMP). To view the SUSMP, refer to the Engineering Standards (Volume 4, Chapter 2) at >1,wl/v ,,di 1-.;,,1,l,,,1 '..!uv,:-.;,1,., i.,1, ;,,. Initially this questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of storm water standards that must be applied to a proposed development or redevelopment project. Depending on the outcome, your project will either be subject to 'Standard Stormwater Requirements' or be subject to additional criteria called 'Priority Development Project Requirements'. Many aspects of project site design are dependent upon the storm water standards applied to a project. Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City staff has responsibility for making the final assessment after submission of the development application. If staff determines that the questionnaire was incorrectly filled out and is subject to more stringent storm water standards than initially assessed by you, this will result in the return of the development application as incomplete. In this case, please make the changes to the questionnaire and resubmit to the City. If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, please seek assistance from Land Development Engineering staff. A separate completed and signed questionnaire must be submitted tor each new development application submission. Only one completed and signed questionnaire is required when multiple development applications for the same project are submitted concurrently. In addition to this questionnaire, you must also complete, sign and submit a Project Threat Assessment Form with construction permits for the project. / Please start by completing Step 1 and follow the instroctions. When completed, sign the form at the end and submft this with your applica~on to the city. STEP1 TO BE COMPLETED FOR ALL PROJECTS To determine if your project Is a priority development project, please answer the following questions: YES NO 1. Is your project LIMITED TO constructing new or retrofitting pavad sidewalks, bicycle lanes or trails that meet the following criteria: ( 1) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non-erodible permeable areas; OR (2) designed and constructed to be hydraulically disconnected from X paved streets or roads; OR (3) designed and constructed with permeable pavements or surfaces in accordance with USEPA Green Streets auidance? 2. Is your project LIMITED TO retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in accordance with the USEPA Green Streets guidance? X If you answered "yes" to one or more of the above questions, then your project is NOT a priority development project and therefore is NOT subject to the storm water criteria required for priority development projects. Go to step 4, mark the last box stating "my project does not meet PDP requirements" and complete applicant lnfonnatlon. If vou answered "no" to both auestions, then ao to Steo 2. E-34 Page 1 of 3 Effective 6127/13 ------.. ·------··-------- . .. STORM WATER STANDARDS QUESTIONNAIRE E-34 STEP2 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov TO BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECTS To determine if your project is a priority development project, please answer the following questions: YES 1, Is your project a new development that creates 10,000 square feet or more of impervious surfaces collectively over the entire project site? This includes commercial, industrial, residential, mixed~use, and public develooment oroiects on oublic or orivate land. 2. Is your project creating or replacing 5,000 square feet or more of impervious surface collectively over the entire project site on an existing site of 10,000 square feet or more of impervious surface? This includes commercial, industrial, residential mixed-use. and oublic develooment oroiects on oublic or orivate land. 3. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project stte and supports a restaurant? A restaurant is a facility that sells prepared foods and drinks for consumption, including stationary lunch counters and refreshment stands selling prepared foods and drinks for immediate consumotion. 4. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a hillside development project? A hillside development project includes development on any natural slope that is twenty-five percent or greater. 5. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a parking lot. A parking lot is a land area or facility for the temoorarv 1Jarkinn or storaae of motor vehicles used oersonallv for business or for commerce. 6. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a street, road, highway freeway or driveway? A street, road, highway, freeway or driveway is any paved impervious surface used for the transportation of automobiles trucks, motorcvcles. and other vehicles. 7. Is your project a new or redevelopment project that creates or replaces 2,500 square feet or more of impervious surface collectively over the entire site, and discharges directly to an Environmentally Sensitive Area (ESA)? "Discharging Directly to" includes flow that is conveyed overland a distance of 200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an isolated flow from the oroiect to the ESA /i.e. not commingles wffh flows from adjacent lands).• 8. Is your project a new development that supports an automotive repair shop? An automotive repair shop is a facility that is categorized in any one of the following Standant Industrial Clessitication {SIC) codes: 5013, 5014, 5541 7532-7534, or 7536-7539. 9. Is your project a new development that supports a retail gasoline outlet (RGO)? This category includes RGO's that meet the following crfferia: /a) 5,000 square feet or more or /b) a project Average Daily Traffic {ADT) of 100 or more vehicles oar dav. 10. ls your project a new or redevelopment project that results in the disturbance of one or more acres of land and are expected to generate pollutants post construction? 11. ls your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of imoervlous surface or (2\ increases impervious surface on the property by more than 10%? NO X X X X X X X X X X X If you answered "yes" to one or more of the above questions, you ARE a priority development project and are therefore subject to implementing structural Best Management Practices (BMP's) in addition to implementing Standard Stonn Water Requirements such as source control and low impact development BMP's. A Stonn Water Management Plan (SWMP) must be submitted with your application(s) for development. Go to step 3 for redevelopment projects. For new projects, go to step 4 at the end of this questionnaire, check the "my project meets PDP requirements" box and complete applicant information. If you answered "no" to all of the above questions, you ARE NOT a priority development project and are therefore subject to implementing only Standard Storm Wat.er Requirements such as source control and low impact development BMP's required for all development projects. A Stonn Water Management Plan (SWMP) is not required with your apptication(s) for development. Go to step 4 at the end of this questionnaire, check the "my project does not meet PDP requirements" box and complete applicant Information. E-34 Page 2 of 3 Effective 6/27/13 '-." I I •~J 0 STORM WATER STANDARDS QUESTIONNAIRE E-34 STEP3 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPEMENT PROJECTS ONLY Comolete the auestions below reaardina vour redevelooment oroiect: YES NO Does the redevelopment project result in the creation or replacement of lmpeivious surface in an amount of less than I Ix 50% of the surface area of the oreviouslv existina develooment? If you answered "yes," the structural BMP's required for Priority Development Projects apply only to the creation or replacement of impervious surface and not the entire development. Go to step 4, check the "my project meets PDP requirements" box and complete applicant information. If you answered "no." the structural BMP"s required for Priority Development Projects apply to the entire development. Goto step 4, check the "mv oroiect meets PDP reauirements" box and comolete annlicant infonnation. STEP4 CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION • My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must comply with additional stormwater criteria per the SUSMP and I understand I must prepare a Storm Water Management Plan for submittal at time of application. I understand flow control (hydromodification) requirements may apply to my project. Refer to SUSMP for details. ~ My project does not meet PDP requirements and must only comply with ST AND ARD STORMWA TER REQUIREMENTS per the SUSMP. As part of these requirements, I will incorporate low impact development strategies throughout my project. Applicant Information and Signature Box Address: 2714 Loker Ave West Accessor's Parcel Number(s): 209-081-32 Applicant Name: Applicant Hie: AT&T Mobility/ Tim Henion Agent for AT&T Mobilty Applicant Signature: Date: 2/15/2018 This Box for City Use Only City Concurrence: I YES I NO I I By: Date: Project ID: * Environmentally Sensitive Areas indude but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas designated as Areas of Special Biological Significance by the State Water Resources Control Board 0Nater Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources Control Board 0Nater Quality Control Plan for the San Diego Basin (1994) and amendments); areas designated as preserves or their quivalent under the Multi Species Conservation Program wnhin the Cities and County of San Diego; and any other equivalent environmentally sensitive areas which have been identified by the Copermittees. E-34 Page 3 of 3 Effective 6/27/13