HomeMy WebLinkAbout2382 FARADAY AVE; CS; CBC2021-0058; PermitBuilding Permit Finaled
(city of
Carlsbad
Commercial Permit
Print Date: 10/25/2022 Permit No: CBC2021-0058
Job Address: 2382 FARADAY AVE, # CS, CARLSBAD, CA 92008-7219 Status: Closed -Finaled
Permit Type: BLDG-Commercial Work Class: Tenant Improvement
Parcel#: 2120621800 Track#:
Valuation: $50,000.00 Lot#:
Occupancy Group: Project#:
#of Dwelling Units: Plan#:
Bedrooms: Construction Type:
Bathrooms: Orig. Plan Check#:
Occupant Load: Plan Check#:
Code Edition:
Sprinkled:
Project Title:
Description: REPLACE 6 EXISTING ANTENNAS
Property Owner:
CEI OFFICE FUND 8 LLC
16870 W BERNARDO DR, # 360
SAN DIEGO, CA 92127
FEE
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
BUILDING PLAN REVIEW-MINOR PROJECTS (LDE)
BUILDING PLAN REVIEW-MINOR PROJECTS (PLN)
ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL
MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-COMMERCIAL
Total Fees: $1,086.20 Total Payments To Date: $794.20
Applied: 02/23/2021
Issued: 05/17/2021
Finaled Close Out: 09/01/2021
Final Inspection: 09/01/2021
INSPECTOR: Kersch, Tim
Contractor:
X3 MANAGEMENT SERVICES INC
PO BOX 460669
ESCONDIDO, CA 92046-0669
(760) 658-7455
Balance Due:
AMOUNT
$406.00
$284.20
$194.00
$98.00
$43.00
$45.00
$2.00
$14.00
$292.00
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. If 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 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 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.
Building Division Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
COMMERCIAL
BUILDING PERMIT
APPLICATION
B-2
Job Address 2382 FARADAY AVE. CARLSBAD, CA 92008 Suite:, ____ ~APN: 212-062-17 & 212-062-18
Tenant Name: T-Mobile -----------------lot#:
Ye a r Built: 1986 Occupancy:_"_'•----Construction Type· WTF-Mod. Fire Sprinklers:~ QJA/C:Q 'J1
,,,;.;1 ! Df ',.f ,,;:·1 ii n:! O! 11•.10111-, Existing Wireless Communication Facility.Remove (6) Panel Antennas and Install (6)
New T-Mobile Antennas with (9) New Antenna skirts along with associated new cabling
and equipment. No new batteries, Project Valuation; $50,000
D Addition/New:. ____________ ,New SF and Use, ___________ New SF and Use,
____ Deck SF, Patio Cover SF (not including flatwork)
~ Tenant lmprovement:_20_o ___ ~SF, Existing Use wireless Tefecom facility Proposed Use wireless telecom facility
_____ SF, Existing Use _______ Proposed Use ______ _
D Pool/Spa:_n_ia ____ SF Additional Gas or Electrical Features? _n_o __________ _
DD DD DD D Solar: n/a KW, Modules, ____ .Mounted, Tilt: Yes/ No, RMA: Yes/ No, Panel Upgrade: Yes/ No
0 Plumbing/Mechanical/Electrical Only: ----------------------------
~ Other: . . . . . . .. Mod1f1cat1on to ex1st1ng Wireless Telecom Facility
This permit Is to be issued in the name of the Property Owner as Owner-Bullder, licensed contractor or Authorized Agent of the
owner or contractor. The person listed as the Applicant below will be the main point of contact throughout the permit process.
Name: CEI Office Fund 8 LLC Name: Vince Voss obo T•MobJle
Address:16870 W Bernardo Dr Suite 360 Address: 9020 Activity Rd., San Diego, CA 92126
City: San Diego State:_C_a __ .Zip: 92127 City: San Diego State: Ca Zip:_9_21_2_a __ _
Phone: 760-931-1134, ext. 19 Phone: 630) 220-8156
Emait: vincent.voss@sacw.com Email: vincent. voss@sacw.com
Name: NESTOR T. POPOWYCH/SAC Wireless, LLC
Address: 9020 Activity Rd.
Name: TBD X3 MANGEMENT SERVICES
Address: 325 Market Pl.
City: San Diego State:_c_a_..1Zip: 92122 City: Escondido state: CA Zip: 92029
Phone: (619) 736-3766 X105 Phone: 760.224.4224
Email: dennis.yoshli@sacw.com Email· john.dykes@x3corp.net
Architect State license: C-27496 State License: 933263 Bus. license: BLOS1234785 -----------
1635 Faraday Ave Carlsbad, CA 92008
B-2
Ph: 760-602-2719 Fax: 760-602-8558
Page 1 of 2 Rev. 08/20
I hereby affirm under penalty af perjury that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. I also 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 provided by Section 3700 of the labor Code, for the performance of
the work which this permit Is issued. Polley No, ________________________ _
~ave and will maintain worker's 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 Insurance carrier and pollcy number are: Insurance Company Name: -•"~•~'~'•-h-;re_H_•_th_•_w_•Y;... __________ _
Policy No. xrwc100454 E><plration Date: __ 1_0._1_.2_0_2_1 _______________ _
D Certificate of Exemption: I certify 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 Callfomla. WARNING: Failure to secure workers compensation coverage ls unlawful and shallsubJec.t an
employer to criminal penalties and civil fines up to $100,000.00, In addition the to the cost of compensation, damages as provided for In Section 3706 of the
labor Code, interest and attorney's fees.
! hereby affirm that there ls a construction lending agency for the performance of the work this permit Is Issued (Sec. 3097 (J} Civil Code).
Lender'sName: _____________________ ,Lender's Address: ____________________ _
CONTRACTOR PRINT: ...;.Jo,;,;h.;;.n;.;D;;.,y""k.c.es'------
u;
SIGN: rD& 2i'
I hereby affirm that Jam exempt from Contractor's license Law for the foflowlngreoson:
DATE: _5_._17_._2_1 __ _
0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure ls 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-bu!lder will have the burden of proving that he d!d not build or Improve for the purpose of sale).
DI, 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)
llcensed pursuant to the Contractor's License Law).
0 I am exempt under Business and Professions Code Division 3, Chapter 9, Artide 3 for this reason:
■ "Owner Builder acknowledgement and verification form" has been filled out, signed and atrached to this ilpJ1lication, Proof of Identification attached.
■ Owners "Authorized Agent form" has been filled out, signed and ,1ttathed to this oppllr:at1on glviog the agent authority to o/Jtain t/ie permit on tile owner' behalf.
Proof of ldt!ntlfication attached.
By my sign.iture below r acknowledge th ill, except for my personal residence in which I rnust have resided for at least one year prior to completion of thP
improvements covered by this pNrnit, I cannot legally sell a structure that! have built ;,s an owner -builder If lt h<!s not been constructed in its entirety by licensed
contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is avatlab/e upon request when this application is
submftted or at the following Web site: http://www.legln/o.co.gov/caJaw.html,
OWNER PRINT: see attached LOA SIGN: _________ ,DATE: _____ _
r: /' i
By my signature below, I certify that: I am the property owner or State of California Licensed Contractor or authorized to act an the property
owner or contractor's behalf. I certify that I have read the appUcation and state that the above information is correct and that the
information an the plans is accurate. I agree to comply wfth all City ordinances and State laws relating to building construction.
J hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SA VE,
INDEMNIFY AND KEEP HARMlESS THE CITY OF CARISBADAGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY
ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0'
deep and demolition or construction of structures over 3 stories In height.
APPLICANT PRINT: Vince Voss obo T-Mobile SIGN: _½..;.~_,· ;;;.;;;.;..;;_//,_,t,..;.4.4--.;..__,DATE: 2/17/2021
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email:
8-2 Page 2 of 2 Rev. 08/20
Building Permit Inspection History Finaled
( City of
Carlsbad
PERMIT INSPECTION HISTORY for (CBC2021-0058)
Permit Type: BLDG-Commercial
Work Class: Tenant Improvement
Status: Closed -Finaled
Application Date: 02/23/2021
Issue Date: 05/17/2021
Expiration Date: 01/10/2022
IVR Number: 31715
Owner: GEi OFFICE FUND 8 LLC
Subdivision: PARCEL MAP NO 16317
Address: 2382 FARADAY AVE, # CS
CARLSBAD, CA 92008-7219
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
07/12/2021 07/12/2021 BLDG-14 161608-2021 Passed Tim Kersch
08/27/2021
09/01/2021
Frame/Steel/Bolting/We
lding (Decks)
Checklist Item
BLDG-Building Deficiency
COMMENTS
Walked roof for rough electrical inspection.
Proceed to final.
08/27/2021 BLDG-Final Inspection 165222-2021 Failed Tim Kersch
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Unable to make contact.
09/01/2021 BLDG-Final Inspection 165670-2021 Passed
Checklist Item
BLDG-Building Deficiency
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Unable to make contact.
Tim Kersch
Tuesday, October 25, 2022
Complete
Passed
Yes
Reinspection Incomplete
Passed
No
No
No
No
No
Passed
Yes
Yes
Yes
Yes
Complete
Page 1 of 1
e Hazardous Materials Questionnaire
County of San Diego, Department of Environmental Health and Quality
PO Box 129261, San Diego, CA 92112-9261
(858) 505-6700 (800) 253-9933 www.sdcdeh.org
Record ID #: Not in System
Plan Check #: DEH2021-HHMBP-
009945
Business Name Business Contact Telephone# Plan File#
T-Mobile Joey Rose, Esq. 8583346112
Project Address City Zip Code APN#
2382 Faraday Ave Carlsbad
I State
CA 920087221 212-062-17-00
Applicant Applicant E-Mail Applicant Telephone#
Vincent Voss Vincent.Voss@sacw.com 8583346112
The following questions represent the facility's activities, NOT the specific project description.
PART I· FIRE DEPARTMENT -HAZARDOUS METERIALS DIVISION: OCCUPANCY CLASSIFICATIQN:(Not required for projects within the City of San Diego.)
Indicate by selecting the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are selected, Applicant must
contact the Fire Protection Agency with jurisdiction prior to plan submittal.
Occupancy Rating: Facility's Square Footage (including proposed project): 200
□ Explosive or Blasting Agents □ Organic Peroxides □ Water Reactives "' Corrosives
□ Compressed Gases □ Oxidizers □ Cryogenics □ Other Health Hazards
□ Flammable/Combustible liquids □ Pyrophorics □ Highly Toxic or Toxic Materials □ None ofThese
□ Flammable Solids □ Unstable Reactives □ Radioactives
PART 11-SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEAL TH -HAZARDOUS MATERIALS DIVISION (HMDl~f the answer to any of the questions is
yes, applicant must contact the County of San Diego Hazardous Materials Division, in person at 5500 Overland Ave., Suite 110, San Diego, CA 92123, or by phone at(858)
505-6700 prior to issuance of a building permit. FEES ARE REQUIRED.
Project Completion Date: 10/29/2021
1.
2
3.
4.
5.
6.
7.
8.
YES NO
"' □ □ "'
□ "' □ "' □ "' □ "' □ "' □ "'
Is your business listed on the reverse side of this form? (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, or 200 cubic feet?
Will your business handle carcinogens or reproductive toxins in any quantity?
Will your business use an existing, or install an underground storage tank?
Will your business stori:l or handle Regulated Substances (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).
□ CalARP Exempt
□ CalARP Required
□ CalARP Complete
Review Date:
PART 111· SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCD): If the answer to Question #1 is 'Yes' and the answer to Question #2 is 'No', the applicant
must contact the APCD prior to the issuance of a building or demolition permit. If any answer to Questions #3, #4, or #5 is 'Yes', the applicant must contact the APCD prior to
the issuance of a building or demolition permit. If the answer to Question #3 or #4 is 'Yes', the applicant may need to submit an asbestos notification form to the APCD at
least 10 working days prior to commencing demolition or renovation (some residential projects may be exempt from the notification requirements). Contact the APCD at
10124 Old Grove Road, San Diego, CA 92131 or telephone (858) 586-2600 for more information.
1
2.
3.
4.
5
6.
YES NO
□ "' □ □ □ □ □ "'
□ "'
□ □
Will any existing building materials be disturbed as part of this project? (If the answer is 'Yes', an asbestos survey may be required.)
Has a survey been performed to determine the presence of asbestos containing materials?
Will the project involve handling or disturbance of any asbestos containing materials?
Will the project involve the removal of any load supporting structural member?
Will the subject facility or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the APCD
factsheet at http:l/www.sdapcd.org/info/facts/perm1ts.pdf
(ANSWER ONLY IF QUESTION 5 IS 'YES') Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 12)?
Search the California School Directory at http://www.cde.ca.gov/re/sdl for public and private schools or contact the appropriate school district.
Briefly describe business activities: Briefly describe proposed project:
Remove (6) existing panel antennas, remove (6) existing dummy panel
antennas, install (9) new panel antennas, install (6) new radios, install (1) battery
Modifying existing Wireless Communication Facility.
I declare under penalty of perjury that to the best of my knowledge and belief, the responses made herein are true and correct. l!I; Fees Acknowledged: 1&1
Vincent Voss 4/15/2021
Name of Owner or Authorized Agent Date
FOR OFFICIAL USE ONLY
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:
BY: DATE: __________ _
EXEMPT OR NO FURTHER INFORMATION
REQUIRED
RELEASED FOR BUILDING PERMIT BUT NOT FOR
OCCUPANCY
RELEASED FOR OCCUPANCY
COUNTY-HM□• APCD COUNTY-HMO APCD COUNTY-HMO APCD
*A stamp in this box !ID.!y_ exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply.
DEHQ HMO HMBP Questionnaire v 1.34 (212021)
Printed-on: 5/14/2021@ 8:40 AM
□ □ □ □ □ □ □ □ □ □
ENCINA WASTEWATER AUTHORITY
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
SCREENING SURVEY
6200 Avenida Encinas, Carlsbad, CA 92011
Phone: 760-438-3941 Fax: 760-476-9852
SourceControl@encinajpa.com
Date: 2/17/2021
Business Name: T-Mobile, tenant of CEI Office Fund_ 8, LLC
street Address: 2382 Faraday Ave, Carlsbad, CA 92008
Email Address: vincent.voss@sacw.com
PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT (ON REVERSE SIDE CHFCK TYPE OF BUSINESS) □
Check all below that are present at your facility:
Acid Cleaning D Food Processing D Metal Powders Forming
Assembly D Glass Manufacturing D Nutritional SupplementNitamin
Automotive Repair D Industrial Laundry D Manufacturing
Battery Manufacturing D Ink Manufacturing D Painting/Finishing
Biofuel Manufacturing D Laboratory D Paint Manufacturing
Biotech Laboratory D Machining/Milling D Personal Care Products
Bulk Chemical Storage D Membrane manufacturing D Manufacturing
Car Wash D (i.e. waterfilter membranes) D Pesticide Manufacturing/ Packaging
Chemical Manufacturing D Metal Casting/Forming D Pharmaceutical Manufacturing
Chemical Purification D Metal Fabrication D (including precursors)
D Dental Offices D Metal Finishing D Porcelain Enameling
D Dental Schools D Electroplating 0 Power Generation
D Dental Clinics D Electroless Plating D Print Shop
D Dry Cleaning 0Anodizing D Research and Development
D Electrical Component D Coating (i.e. phosphating) D Rubber Manufacturing
□ Manufacturing □chemical Etching/Milling D Semiconductor Manufacturing
□ Fertilizer Manufacturing D Printed Circuit Board D Soap/Detergent Manufacturing
□ Film/ X-ra y Processing D Manufacturing D Waste Treatment/Storage
New Business? YesONo[:] SIC Code(s) if known: ______ Date operation began/will begin: approx 6/1/2021
Tenant Improvement? Yes E]NoO If yes, briefly describe improvement Modifying an existing wireless communication facility.
Description of operations generating wastewater (discharged to sewer, hauled orevaporated):_n_/_a ________ _
n/a Estimated volume of industrial wastewater to be discharged (gal/ day) : ____________________ _
List hazardous wastes generated (type/volume) _n_/a __________________________ _
Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? YesODate: _____ ,No[!]
Page 1 of 2
ENCINA WASTEWATER AUTHORITY
INDUSTRIAL WASTEWATER DISCHARGE PERMIT
SCREENING SURVEY
6200 Avenida Encinas, Carlsbad, CA 92011
Phone: 760-438-3941 Fax: 760 476-9852
SourceControl@encinaJpa.com
The commercial enterprises listed below are a partial listing of businesses that are exempt from industrial wastewater discharge
permitting under normal operating conditions They are exempt because (a) they discharge no process wastewater (i. e., they
only discharge sanitary wastewater with no pollutants exceeding any local limits). and (b) they have no potential to negatively
impact the EWPCF or other wastewater treatment plants in the ESS. Any questions regarding exemptions should be referred
to EWA Source Control staff.
D Automobile Detailer s
D Barber/Beauty Shops
D Business/Sales Offices D Cleaning Services
D Carpet/Upholstery D Childcare Facilities
D Churches D Community Centers
D Consulting Services
D Contractors
D Counseling Services
□ □ □ □ □ □ □ □ ~
Hotels/ Motels (no laundry)
Laundromats
Libraries
Medical Offices (no x-ray developing)
Mortuaries
Museums
Nail Salons
Nursing Homes
Office Buildings (no process flow)
Optical Services
D Educational Services (no auto repair/film developing)
D Financial Institutions/Services
□ □ □ □ □ □ □
Pest Control Services (no pesticide repackaging for sale)
Pet Boarding/Grooming Facilities
Postal Services (no car wash/auto repair)
Public Storage Facilities D Fitness Centers
D Gas Stations (no car wash/auto repair)
D Grocery Stores (no film developing)
D Residential based Businesses
CERTIFICATION STATEMENT
□
Restaurants/Bars
Retail/Wholesale Stores (no auto repair/film
developing)
Theaters (Movie/Live)
I certify that the i,!fi:Jrmation above is true and correct to the hest (~(my knowft>dg!!.
Vince Voss, SAC Wireless obo T-Mobile 2/17/2021
Signature: ____________ _ Print Name: ___________ _ Date: ____ _
Charlotte Coseo Facility Contact: __________ _ Real Estate Operations Title: _____________ _
ENCINA WASTEWATER AUTHORITY
6200AVENIDA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852
Page 2 of 2