HomeMy WebLinkAbout2875 LOKER AV EAST; C; CB111061; Permit07-07-2011
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Commercial/lndustrial Permit Permit No: CB111061
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
Project Title:
Applicant:
TIM HENION
T MOBILE
STE 206
10509 VISTA SORRENTO PKWY 92121
503 519 8591
2875 LOKER AV EAST CBAD St: C
Tl Sub Type: INDUST
2090831000 Lot#: 0 Status:
$20,000.00 Construction Type: NEW Applied:
Reference #: Entered By:
TMOBILE- ENCLOSE EXISTING Plan Approved:
ANTENNAS W/FIBERGLASS PANELS AT EXISTING CELL SITE Issued:
Inspect Area:
Plan Checl<#:
Owner:
TECHBILT CONSTRUCTION CORP
ISSUED
05/19/2011
LSM
07/07/2011
07/07/2011
P O BOX 80036
SAN DIEGO CA 92138
Building Permit $208.81 Meter Size
Add'l Building Permit Fee $0.00 Add'l Reel. Water Con. Fee $0.00
Plan Check $135.73 Meter Fee $0.00
Add'l Plan Check Fee $0.00 SDCWA Fee $0.00
Plan Check Discount $0.00 CFD Payoff Fee $0.00
Strong Motion Fee $4.20 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'l 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'l Pot. Water Con. Fee $0.00 Redev Parking Fee $0.00
Reel. Water Con. Fee $0.00 Additional Fees $0.00
Green BIdg Stands (SB1473) Fee $1.00 HMP Fee ??
Fire Expedited Plan Review $0.00
TOTAL PERMIT FEES $349.74
Total Fees: $349.74 Total Payments To Date: $349.74 Balance Due: $0.00
Inspectoi r: ""^^^
FINAL APPROVAL
Date: f/fA^ Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resen/atlons, or other exactions hereafter collectively
referred to as lees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing In accordance with 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 sen/ice fees in connection with this project. NOR DOES IT APPLY to any
fees^exactions of which vou have previously be^n given a NOTICE similar to this, or as \o which ^h^ statute of limitations has previously othenwise expired.
^ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717/2718/2719
Fax 760-602-8558
www.carlsbaclca.gov
Plan Check No. G^M lO(e(
Est Value JQ^OOQ
Plan Ck. Deposit I ^/S. 7
Date 5^1 f I I SWPPP
JOB ADDRESS 2875 East Loker Ave SUtTE«/SPACE*/UNrr«
209 033 10 00
CT/PRQJECT# LQT#
503-519-8511
PHASE* #0FUNrrs # BATHROOMS TENANT aUMNESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: lncliiihSquanF—tofAfhcfdAna(*j
MCUP10-28- renewal of use permit on existing cell site, antenna to be concealed with fiberglass reinforced panels
PROMISED USE
same
PATIOS (SF)
0
EXWTINa USE
cell site on office building
GARAGE (SF)
0
DECKS (SF)
0
FIREPLACE
YESn» NcfTI
AIR CONOmONlNG
YES[J|NO[7]
FIRE SPRINKLERS
YESriNofT]
CONTACT NAME (ffOHfenntliiMiAppllOiii^ APPLICANT NAME T Mobile Tim Henion
ADDRESS ADDRESS
10509 Vista Sorrento Pkwy, suite 206
CRY STATE ZIP CfTY San Dieao STATE CA ZIP 92121
PHONE FAX PHONE
503-519-8591
FAX
EMAIL EMAIL thenion@deprattiinc.eom
PROPERTY OWNER NAME Techbilt Companies iNTRiyCTOR BUS^ME
ADDRESS
3575 Kenvon Street
ADDRESS )M Seek -sf-
crrv San Diego STATE CA ZIP 92110
CITY STATE ZIP
PHONE
619-223-1663x25
FAX
STATE LIC.# IfiLAfW a ICTTYBIK lie*
EMAIL
CLASS^ ARCH/DESIGNER NAME & ADDRESS
PCI Pacific. 32 Executive Park ste lid
(Sec. 7031.5 Business and Professions Code: Any City or 0)un^ which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to its issuaHodalso requires t applicant 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 Sectioar 7f00 of Division 3 of the Business and Professions Code) or mat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any appllcanffor a pemilt%ubjects the applicant to a civil penal^ of not more than five hundred dollars ($500)).
WORKERS' COMPEAfSATiON
in' Compwisation Declaration: / hereby affiim under penalty dperjury one olihe fblkmng dedaraSkms:
I haw and will maintain a cartificato of consent to ««lfWntiii« for workeis' compensation as provided by Sectbn 3700 of the Labor Code, for the perfbrmance of the woilt for which this permit Is Issued.
I ham and wW maintain woifean' campmsatkm, as required by Sectioii 3700 of the Labor Code, for the performance ^the work for whld^^thls permit is issued. My workers' compensation ii}suran9e canteranc
number arerlnautanctCo Co^ pou\ /ftO y trrv Policy No. Cf f At.\K ExptaHDO Date.
Ion Insurance carrier andi policy
T|i|t section need not be completed If the permit Is for one hundred dollars ($100) or less.
ri Certificate of Examptfon: I certify that in the perfbrmance of the work for which this pennit Is Issued, I shall not employ any peison in any manner so as to become subject to the Workers' Compensation Laws of
^lp)mla. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and dvil fines up to one hundred thousand dollare (&100,aW)), in
ad^on to the cost of compensation, damages as ptovi^ for ingedien iffdO etjhe Labor code, interest and attorney's fees.
MS CONTRACTOR SlGNAXl^ •AGENT
OWNER-BUILOER Die'CLARATION
; heretsy afflmi (haf; am exen^ from Contractor's License Law for the following reason:
I I I, as owner of the property or my employees with wages as their sole compensatnn, will do the work and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professfons Code: The Ckintractoi's
License Law does not apply to an owner of property who buids or Improves thereon, and who does such woric himself or through his own employees, provMed that such improvements are not intended or offered for
sale. If, however, the buldlng or impiovement is sold within one year of completion, the owne^bullde^ wHI have the burden of pnjving that he did not buid or Improve for the purpose of sale).
I I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professkins Code: The Contractor's License Law does not apply to an owner of
piopeity who buids or Improves theieon, and contracts for such projects with contradoits) lk»nsed pursuant to the Contractor's License Law).
f~| I am exempt under Section eBusiness and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for consbuctfon of the proposed property Improvement, •ves O"
2.1 (have / have not) signed an appllcatton for a buldhg permit for the proposed work.
3.1 have contracted with the following person (finn) fo provide the proposed constructfon (Include name address / phone / contractors' I Icense number):
4.1 plan to provide portions of the wort(, but I have hired the foHovylng person to coordinate, supervise and provide the major worit (Include name / address / phone / contractors' license number):
5.1 wil provide some of the work, but I have contracted (hired) the folkMring persons to provide the worfi indicated (include name / address / phone / type of worii):
I PROPERTir OWNER SIGNATURE ^GENT DATE
COMPLETE THIS SECTIOiM FOR NON-RESiOENTIAL BUILDING PERMITS ONLY
Is the applicant or future bulding occupant required to submtt a business olari. acutely hazardous materials registratbn fomi or risk management and prevention program under Sectkins 2SS05,2S533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? CD Yes I fcin
Is the applicant or future bulding occupant requiisd to obtain a pennit from the air pollution control district or air qualitv management district? LjYes Q No
Is the fadlty to be constmcted within 1,000 feet of the outer boundary of a school site? QYes flNo
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED IMLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the woii( this pennit Is issued (Sec. 3097 (I) Civil Code).
Lender's Name Lender's Address
*P P L I CANT CERTIFICATION
i cetti^r that I have lead the application and statethat the atiove infarmaOon isconect and that the int^^
I hensby authorize repiBseiiadve ofthe Ciy of Carisbad to eiiler upon the above nnent^
AGAI(«T ALL LIABILmES, JUDGMB^ COSTB AND EXPENSES VVHICHIIWY W
OSHA: An OSHA peimt Is requiiBd for excavatbns over 5V deep and dernoKon w oonstui^
EXPII^TION: E\eiy pennt issued liy Ihe BuiUirig Officii under the pravisians of Ihi^
180 days fnxn the date of such peimtorlfthe bulding orvtDikailhoiizBd by such penr^ 106.4.4 UnifonrtBuildng Code).
<€lfAPPLKANrS SIGNATURE DATE S"/ I IZol
Dept:
Plan Check #:
Permit #:
Project Name:
Address:
Contact Person:
Sewer Oist:
GiivifCiriskad
final BullUlng inspecUon
mg Engineering Planning CMWD St Lite
CB111061
TMOBILE- ENCLOSE EXISTING
ANTENNAS W/FIBERGLASS PANELS AT EXISTING CEL
2875 LOKER AV EAST #C Lot:
MICHELE Phone: 9519405941
CA Water DIst: CA
f\-ted.
Date: 08/30/2011
Permit Type: Tl
Subtype: INDUST
Inspected
By:
Inspected
By:
Inspected
By:
Date
Inspected
Date
Inspected:
Date
Inspected:
Approved: Disapproved:.
.Approved:
.Approved:
Disapproved:
Disapproved:
Comnnents:
City of Carlsbad BIdg Inspection Request
For: 08/30/2011
Permit# CB111061
Titie: TMOBILE- ENCLOSE EXISTING
Inspector Assignment:
Description: ANTENNAS W/FIBERGLASS PANELS AT EXISTING CELL
SITE
Type:TI Sub Type: INDUST
Job Address: 2875 LOKER AV EAST
Suite: C Lot: 0
Location:
APPLICANT TIM HENION
Owner: TECHBILT CONSTRUCTION CORP
Remarl<s:
Phone: 9519405941
Inspector:
Total Time:
CD Description
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Act Comments
&P.
Requested By: MICHELE
Entered By: JANEAN
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection Historv
Date Description Act Insp Comments
EsGil Corporation
In ipartnersHip with government for (BuiCtCing Safety
DATE: 6/1/11 •. APPUCANT
• JURIS.J
JURISDICTION: City of Carlsbad • PLAN REVIEWER
• FILE
PLAN CHECK NO.: 11-1061 SET: I
PROJECT ADDRESS: 2875 East Loker Ave Suite C
PROJECT NAME: T-Mobile Antenna Screening - TI
3 The plans transmitted herewith have been corrected where necessary and substantially connply
with the jurisdiction's building codes.
I I 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.
I I The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
I I The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
I I The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
I I The applicant's copy of the check list has been sent to:
Esgil Corporation staff did not advise the applicant that the plan check has been completed.
I I Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone #:
Date contacted: (by: ) Email: Fax #:
Mail Telephone Fax In Person
• REMARKS:
By: Doug Moody Enclosures:
EsGil Corporation
• GA • EJ • PC 5/23/11
9320 Chesapeake Drive, Suite 208 • San Diego, Califomia 92123 • (858)560-1468 • Fax (858) 560-1576
City of Carlsbad 11-1061
6/1/11
[DO NOT PAY- THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Carlsbad PLAN CHECK NO.: 11-1061
PREPARED BY: Doug Moody DATE: 6/1/11
BUILDING ADDRESS: 2875 East Loker Ave Suite C
BUILDING OCCUPANCY: N/A TYPE OF CONSTRUCTION: N/A
BUILDING
PORTION
AREA
( Sq. Ft.)
Valuation
Multiplier
Reg.
Mod.
VALUE ($)
Tl
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code Cb
BIdg. Permit Fee by Ordinance
Plan Check Fee by Ordinance
Type of Review:
By Ordinance
• Complete Review
$107.50
• Structural Only
D Repetitive Fee
Repeats
Based on tiourly rate
• Other
[7] Houiiy
EsGil Fee $86.00
Hr. @
$86.00
Comments:
Sheet 1 of 1
macvalue.doc +
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER Uh (1- ^Q^^ DATE
ADDRESS
RESIDENTIAL
RESIDENTIAL ADDITION MINOR
(<$20,000.00)
ENANT IMPROVEMENT
CAMINO REAL
OTHER U6U>p ID -2^ ^
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
PLANNER DATE
ENGINE DATE
Q:\CEO\LandD«rtCanMparid«ieMOnlivaro(«ir plaw*wcMng«UILO(NQ PLANCHECK CKU8T FORM - PLANNING EN6INERING APPROVALS.(loa
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CB 11-1061 DATE 5/23/2011
ADDRESS 2875 East Loker Avenue
RESIDENTIAL ADDITION-
MINOR (<17,000.00)
RETAINING WALL
POOL/SPA
TENANT IMPROVEMENT
COMPLETE OFFICE BUILDING
VILLAGE FAIRE SOLAR PANELS
OTHER: Addition of WCF screen boxes consistent witii MCUP
10-28 approval.
PLANNER Cliris Garcia DATE 5-23-2011
ENGINEER DATE
H;\ADMlN\COIINTER/PUNNlNG/ENCINEEmNC APPROVALS
Carlsbad Fire Department
Plan Review Requirements Category: TI, INDUST
Date of Report: 05-23-2011 Reviewed by^
Name:
Address:
TIM HENION
T MOBILE
STE 206
10509 VISTA SORRENTO PKWY
SAN DIEGO 92121
Permit #: CB 111061
Job Name: TMOBILE- ENCLOSE EXISTING
Job Address: 2875 LOKER AV EAST CBAD St: C
nvrgrinifm TTTF' Tinn itnr.-. yr.,i VfffYf, niibmitted for review is incomplete. At this time, this office cannoj
adequately conduct a review to determine comDlianc&jaaIPBB»BPti«d3te%uJL&' mmdfoi 'staiidaida. Please review
carefully all comments ill ii In il, I'IMIMI II' IIIIIIIII im necessary plans and/orsp5Wfi«atiijns, with changes "clouded",
to this office forrg^jfi*«r?lfi5approval.
Conditions:
Cond: CON0004641
[MET]
**** No change in battery configuration - only in concealment panels***
THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUEANCE OF A
BUILDING PERMIT.
THIS APPROVAL IS SUBJECT TO FIELD INSPECTIONS, ANY REQUIRED TESTS, FIRE DEPARTMENT
NOTATIONS,
CONDITIONS IN CORRESPONDENCE AND COMPLIANCE WITH ALL APPLICABLE CODES AND
REGULATIONS.
THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE ANY VIOLATION OF THE LAW.
Entry: 05/23/2011 By: cwong
SAN DIEGO REGIONAL
HAZARDOUS MATERIALS QUESTIONNAiRE
OFFICE USE ONLY
UPFP#
HV#
BP DATE /
Business Name
T Mobile
Business Contact
Tim Henion
Telephone #
( 503 ) 519-8591
Project Address
2875 East Loker Ave, Suite C
City State
Carlsbad CA
Zip Code
92008
APN#
209-033-10-00
Mailing Address
10509 Vista Sorrento Pkwy, San Diego,
City State
CA 92121
Zip Code Plan File#
Project Contact
Tim Henion
Telephone #
( 503 ) 519-8591
The fbilowing questions represent the facility's activities, NOT the specific project description.
PART i: FIRE DEPARTiWENT - HAZAflPOUS MATERIALS DiVISION: OCCUPANCY CI-ASSiFiCATION: Indicate by circling the item, whether your business
vvill use, process, or store any of the 1blk>wing hazardous materials. If any of the items are circled, applicant must contact the Fire Protection Agency with
jurisdiction prior to plan submittal. Facility's Square Footage (including proposed project): Occupancy Rating:
1. Expk>stve or Blasting Agents 5. Organic Peroxkles 9. Water Reactives 13. Conrosives
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 ENVIRONIWENTAL HEALTH - HAZARDOUS MATERIALS DIVISIONS WMD): If fhe answer to any of the
Questions is yes, applicant must contact the County of San Diego Hazardjous Materials Division, 5500 Overland Ave., Suite 110, San Diego, CA 92123.
Call (858) 505-6700 prior to the Issuance of a buikJing permit.
PEES ARE REQUIRED,
Is your
YES NO
1. •
2. •
3. • ea
4. •
S. •
6. •
7. • i?
suance of a butklingpermit. .
less listed on the reverse skle of this fonn'
Expected Date of Occupancy: / • CalARP Exempt
I
Date Initials
• CalARP Required
Date Initials
• CalARP Complete
J.
Date Initials
(for new construction or remodeling projects)
(check all that apply).
Will your business dispose of Hazardous Substances or Medical Waste in any amount?
Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds,
200 cubic feet, or carcinogens/reproductive toxins in any quantity?
Will your business use an existing or install an underground storage tank?
Will your business store or handle Regulated Sii)stances (CalARP)?
Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)?
Will your business store petroleum in tanks or containers at your facility with a total storage capacity equal to
or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act).
PART III: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT: If the answer to any of the questions below is yes, applicant must contact the Air
Pollution Control District (APCD), 10124 OW Grove Road, San Diego, CA 92131-1649, telephone (858) 586-2600 prior to the issuance of a building or demolition
permit. Note: if the answer to questk>ns 4 or 5 is yes, applk:ant must also submit an asbestos notificatk>n form to the APCD at least 10 wortdng days prior to
commencing demolitfon or renovation, except demolition or renovation of residential structures of four units or less. Contact the APCD for nfiore informatron.
Will the subject facility or construction activities include operatk>ns or equipment that emit or are capable of emitting an air contaminant? (See the
APCD factsheet at httD.yywww.sdaDcd.ory/info/facts/permits.Ddf. and the list of typk^l equipment requiring an APCD pennit on the reverse side
of this from. Contact APCD if you have any questions).
(ANSWER ONLY IF QUESTION 1 IS YES) Will the subject facility be k)cated within 1,000 feet of the outer boundary of a school (K through 12)?
(Search the Califomia School Directory at httD.7Awww.cde.ca.aov/re/sd/ for public and private schools or contact the appropriate school district).
Has a survey been performed to detemnine the presence of Asbestos Containing Materials?
Will there be renovatkin that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos?
Will there be demolitkm involving the removal of a load supporting structural memtier?
YES NO
1. •
2. • •
3. • •
4. • •
5. • •
Briefly describe business activities:
CELL SITE
Briefly descritse proposed project:
SCREEN ANTENNA FOR CUP RENEWAL
Ideci under peij^ty of perjury that to the best of my knowledge and belieftj3aje^y)nses made herein are true and con-ect.
Name of Owner or /Authorized Agent Signature of Owner or /Authorized Agent Date
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:.
BY:
FOR OFFICIAL USE ONLY:
DATE:
EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY-HMD* APCD COUNTy-HMD APCD COUNTY-HMD APCD
*A stamp in this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply.
HM-9171 (02/11) County of San Diego-DEH-Hazardous Materials Division
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