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Home My WebLink About1015 CHESTNUT AVE; CS; CBC2021-0237; PermitBuilding Permit Finaled Commercial Permit Print Date: 07/25/2023 Job Address: 1015 CHESTNUT AVE, # CS, CARLSBAD, CA 92008-2564 Permit Type: BLDG-Commercial Work Class: Tenant Improvement Parcel#: Track#: Valuation: $35,000.00 Lot#: Occupancy Group: Project#: #of Dwelling Units: Plan#: Bedrooms: Construction Type: Bathrooms: Orig. Plan Check#: Occupant Load: Plan Check#: Code Edition: Sprinkled: Project Title: Permit No: Status: (_ City of Carlsbad CBC2021-0237 Closed -Finaled Applied: 07/01/2021 Issued: 06/02/2022 Fina led Close Out: 07/25/2023 Final Inspection: 07/06/2023 INSPECTOR: de Roggenbuke, Dirk Description: SPRINT: MODIFICATION TO EXISTING WIRELESS FACILITY (SITE ID SD03XC/SD082344) Applicant: SPRINT MARK PHILLIPS 2014 GRANADA AVE SAN DIEGO, CA 92104-5520 (619) 379-3473 FEE BUILDING INSPECTION FEE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) Property Owner: ARO PARTNERS 1015 CHESTNUT AVE CARLSBAD, CA 92008 (760) 434-6054 BUILDING PLAN REVIEW-MINOR PROJECTS (LDE) BUILDING PLAN REVIEW -MINOR PROJECTS (PLN) ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL FIRE Plan Review (per hour -Regular Office Hours) MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL 581473-GREEN BUILDING STATE STANDARDS FEE STRONG MOTION -COMMERCIAL (SMIP) Total Fees: $1,570.80 Total Payments To Date: $1,570.80 Balance Due: AMOUNT $516.00 $310.00 $217.00 $194.00 $98.00 $43.00 $136.00 $45.00 $2.00 $9.80 $0.00 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 \._ City of Carlsbad COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check Est. Value PC Deposit CBC-"2/ft/-02 a7 Job Address 1015 Chestnut Ave Tenant Name: Sprint ---------------- Date Suite: APN: 205-190-25 -----· Lot#: Year Built:_1_99_o ___ Occupancy:_u_-2 ___ _ Construction Type-· V_•N~---Fire Sprinklers:S? 9A/c:S? 9 BRIEF DESCRIPTION OF WORK: Modification to existing wireless telecommunication facility D Addition/New: ___________ New SF and Use, ___________ New SF and Use, ___ Deck SF, Patio Cover SF (not including flatwork) D Tenant Improvement: 200 (+/-) SF, _____ SF, Existing Use Unmanned Wireless Feclltty Proposed Use Unmanned Wireless Facil/ly Existing Use ______ Proposed Use ______ _ D Pool/Spa: _____ SF Additional Gas or Electrical Features? __ -=-==------==- □ Solar: ___ KW, ___ ,Modules, ___ ,Mounted, Tilt:~/~ RMA: 'v?s /i;?o, Panel Upgrade:~s /i;?a D Plumbing/Mechanical/Electrical Only: -------------------------- [!] 0ther: M d fi · · d . II . f d" / I . I . o i ,cation to existing antennas an insta atton o new ra 10 e ectnca eqwpement This permit is to be issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the owner or contractor. 'TURN 1;,J PA Gt p•··n or rH!'r J\PPUL/\: 1or,: Uf-:'(YJ :·i1JtY,iVHT1 H\H1 Fl 1\r·h P/\Cf-1 vvo r~1 w-:oumr-.u I, r !'fr:tr\,1il lSSl.l/\NO. PROPERTY OWNER Name: Johnathan Preacher Address: 1015 Chestnut Ave APPLICANT O PROPERTY OWNERS AUTHORIZED AGENT Name: PWC LLC (Mark Phillips) on Behalf of Sprint Address: mlphilllps@pwc-ca.com APPLICANT Ill City: Carlsbad State:_C_A __ Zip: 92008 City: San Diego State: CA Zip:_9_2_10_4 __ _ Phone: ________________ Phone: 619.379.3473 Email:, _________________ Email: ___________________ _ DESIGN PROFESSIONAL APPLICANT O CONTRACTOR BUSINESS APPLICANT llJ ::::~~ ~~~;~:,:~:~~:ado ::::~:~LJ~dt (l~t;.4f~tf £bJ- City: San Clemente State:CA Zip:92673 Citv:kM,e eel< State: /7,A-Zip: ~;:s:fO Phone: 949.391,6824 Phone: 0 I -O ?.... Email:, _________________ Email: O,,\f1 Architect State License: State License: 94 "ljf/ i 1635 Faraday Ave Carlsbad, CA 92008 B-2 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov Page1of2 Rev. 08/20 . IDEN) IFY THE PERMIT APPLICANT BELOW BY COMPLETING (OPTION A) (OPTION B) OR (OPTION C) (APPLICANT OPTION A): LICENSED CONTRACTOR DECLARATION: I hereby affirm under penalty of perjury that I om 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 (CHOOSE ONE): DI 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. Policy No. _________________________________________ _ R.J have and wilt maintain worker's compensation, as required by Section 3700 of the Labor Code, fo/r t pe or_r.riance of the war or which is permit is issued. 'ti;"~orkers' compensation insurance carrier and policy number are: Insurance Company Name: V I 1'--f--G/: · ," Policy No.5 lJ ;3 i QJ O .l.. Expiration Date: ...J.-LL--_,_..:~-'--'""''-------- 0 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 California. WARNING: Failure to secure workers compensation coverage is unlawful and shall subject 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. CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency tor the performance of the work this permit is issued (Sec. 3097 (1) Civil Code). Lender's Name: ______________ ~ _______ Lender's Address:----~--------------~------ CONTRACTOR PR1NT:~ta4d ~01-CV'lt_GN: D 4 4".d,Y-j;;;;= 6-:2-:J, ;J__ (APPLICANT OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: [g I, 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 wch 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). 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) licensed pursuant to the Contractor's License Law), 0 I am exempt under Business and Professions Code Divis.ion 3, Chapter 9, Article 3 for this reason: D FORM 8-61 "Owner Builder acknowledgement and verification form" ha, bren tilled out, signed ,ind dttached to th1<; dpplication 0 FORM B-62 "Owners Authorized Agent Form" ha~ been filled out, signr~d and attached to this oppl1cat1on q1ving lhe agent authonty to obtain the permit. By my 51gnc1ture below I c1cknowll'dge that, except for my personul residence in which I must have resided for at least one ypar prior to completion of the improvernentc, covered by this permit, I cannot legally sell d structure that I have built as an owner-builder 1r 1t ha', not bePn constructed in its entirety by llcensnl contractors. / understand that a copy of the app/icobfe law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: http://www.leginfo.ca.gov/calaw.html. OWNER PRINT: __________ _ SIGN: ___________ DATE: ______ _ (APPLICANT OPTION C) OWNER OR CONTRACTORS AUTHORIZED AGENT: By my signature below, I certify that: I am authorized to act on the property owner or contra's behalf I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. - AGENT PRINT: Mark Phillips ~ATE: 6/21/21 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: ~u1.ldmg.@carlsbadcd:R_ov 2 REV. 08/20 \..._ City of Carlsbad OWNERS AUTHORIZED AGENT FORM B-62 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov OWNER'S AUTHORIZED AGENT FORM Only a property owner, contractor or their authorized agent may submit plans and applications for building permits. To authorize a third-party agent to sign for a building permit, the owner's third party agent must bring this signed form, which identifies the agent and the owner who s/he is representing, and far what jobs s/he may obtain permits. The form must be completed in its entirety to be accepted by the City for each separate permit application. Note: The fol/owing Owner's Authorized Agent form is required to be completed by the property owner only when designating an agent to apply for o construction permit on his/her behalf. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Property Owner Acknowledgement, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner-Builder Permit for my project. Scope of Construction Project (or Description of Work): .,.M.~..cl~J---'_t"l)~'---+f3,tL..,<)~~-U._E~J~t~tL$,.,.___fug~~~•~/L117L· F- Project Location or Address: ___cl_t1_/'---J __ a=-'--'-'-l_.s'-"f-_,..,_..J_,t-~~liv~'---"------------- Name of Authorized Agent: 4/4.---t ~ ffeµ Tel No. G:,/ :t 's?y' '3'/ 7 3 Address of Authorized Agent: 2G / i c~.L't: /4 (. C/h..J' 1---==-tt~--) a. 9 '21 c#V I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Property Owner's Signat~-===-=~,,,.--...~~s~~=="~~==-=,..oa,~_6::'..'./2::__:1..'._/:2:_1:__ 1 Building Permit Inspection History Finaled ( City of Carlsbad PERMIT INSPECTION HISTORY for (CBC2021-0237) Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Closed -Finaled Application Date: 07/01/2021 Owner: ARO PARTNERS Issue Date: 06/02/2022 Subdivision: Expiration Date: 12/27/2023 IVR Number: 34318 Address: 1015 CHESTNUT AVE, # CS CARLSBAD, CA 92008-2564 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 06/22/2023 06/22/2023 BLDG-34 Rough 214987-2023 Passed Dirk de Roggenbuke 06/30/2023 Electrical Checklist Item BLDG-Building Deficiency NOTES Created By Angie Teanio COMMENTS 6/22/23 meter cabinet install ok. Disco/reconnect pending TEXT 951-801-0282 Brandon BLDG-33 Service Change/Upgrade 216156-2023 Passed Dirk de Roggenbuke Checklist Item COMMENTS BLDG-Building Deficiency 6/30/23 disco/reconnect OT inspection 07/06/2023 07/0612023 BLDG-Final Inspection 216410-2023 Passed Dirk de Roggenbuke Tuesday, July 25, 2023 Checklist Item BLDG-Building Deficiency BLDG-Structural Final BLOG-Electrical Final NOTES Created By Seta Levanduski COMMENTS TEXT BRANDON 951-801--0282 Passed Yes Created Date 06/21/2023 Passed Yes Passed Yes Yes Yes Created Dale 07/05/2023 Complete Complete Complete Page 1 of 1 Site Name Site Number Client Proposed Carrier Site Location Structure Tvpe Structural Usa(!e Ratio Overall Result Structural Analysis Sprint \1ay I, 2021 CHESTNUT PLAZA SD08234A I SO0JXC 149 PWC Sprint 1015 CHESTNLJ AVE CARLSBAD, CA 92008 33.15784722 N NAD83 -117.33858330 W NAD83 E(lui])lnent Anchoral!e 11. 7'½, Pass CITY Upon reviewing the results of this analysis, it is our opinion that the structure does meet the specified IBC/ASCE/TIA code requirements. The equipment anchorage is therefore deemed adequate to support the existing and proposed loading as listed in this report. * * ... M SQYl:\~!f·2, 1387 CALLE AVANZADO. SAN CLEMENTE. CA 92673 949-391-6824 Summary of Contents Introduction Opening Statement Project Description Criteria Conclusion Calculations Appendix A Design Tables & Resources Used Assumptions and Limitations Our strnctural calculations are completed assuming all information provided to M SQUARED WIRELESS is accurate and applicable to this site. For the purposes of calculations, we assume an overall structure condition of "like new" and all members and connections to be free of corrosion and/or structural defects. The structure owner and/or contractor shall verify the structure's condition prior to installation of any proposed equipment. If actual conditions differ from those described in this report M SQUARED WIRELESS should be notified immediately to complete a revised evaluation. Our e,aluation is completed using standard TIA, AISC, ACI, and ASCE methods and procedures. Our structural results are proprietary and should not be used by others as their own. M SQUARED WIRELESS is not responsible for decisions made by others that are or are not based on our supplied assumptions and conclusions. Page I INTRODUCTION At the request of Sprint, M SQUARED WIRELESS has performed a structural analysis for the proposed modifications. All supporting documents have been obtained from the client and are assumed to be accurate and applicable at this site. Supporting Documentation Antenna Loading M.SQUARED WIRELESS, Construction Drawings, Dated: 03/30/2021 Analvsis Code Requirements Wind Speed 96 mph (Vult) Wind Speed w/ ice 30 muh (3-Second Gust) w: 0" ice TJA Revision ANSJ!TlA-222-H Adooted JBC 2018 !BC/ 2019 CBC Structure Class 2 Exuosure Cateuorv C Topograuhic Category I Calculated Crest Height 0 CONCLUSION Upon reviewing the results of this analysis, it is our opinion that the structure does meet the specified IBC/ASCE/TIA code requirements. The equipment anchorage is therefore deemed adequate to support the existing and proposed loading as listed in this report. Page2 Existing and Reserved Loading Mount Qty. Appurtenance Mount Type Carrier Height (ft) Equipment I Telco Cabinet -Sprint Arca To Be Removed Loading Mount Qty. Appurtenance Mount Type Carrier Heid1t (ti) Equipment I Telco Cabinet -Sprint Area Proposed Loading Mount Qty. Appurtenance Mount Type Carrier I !eight ( ti) Equipment I 6160 Cabinet (4) 3/8" A307 Bolts Sprint Area I B 160 Cabinet (4) 3/8" A307 Bolts Final Configuration 'vlount Qty. Appmtenance Mount Type Carrier Hci~ht (ft) Equipment I 6 I 60 Cabinet ( 4) 3/8" A307 Bolts Sprint Arca I BI 60 Cabinet ( 4) 3/8" J\307 Bolts Structure Usages 318" A307 Bolt .073 3/8" A307 Bolt .117 RATII\G= 11. 7'1/., Page 1 Equipment Anchorage Eqnipment Data: Name: Width Lc11g1h: Height: Min Dist. bt1,,v anchors: Cc11ter or Gravity: Weight: Total Anchor Qty: Tension Anchor Qty: Lateral Loads: Wind Load Seismic Load Wind Anchorage V O.\t R.O. Upliti Tension per Anch01 Shear per Anchot 61 (10 Cabinet 26.0 rn 26.0 lll 62 0 ll1 2.1.0 In 31.0 In 900 lbs 4 ca. 2 ca. 2(,.!> psf -----04117 ·w ----- 2()~ lbs 769 lb·ti :il8 lb ft 1.11 lbs (i5.7 lbs 74.4 lbs Interaction Equatior + 74 14'!0 2240 Seismic AnchoraQe V J6(, lbs 0.\-1. 94(1 lb fr R.O. :il8 lb ft Upliti 224 lbs Tension per Aneho1 111.9 lbs Shear per Anchor 91.6 lbs lnkraction Equatior ! 12 92 + 14')11 2240 0.052 <. 1.2 Ok 0 073 < 1.2 Ok *:\ew (4) four 3/8" Diam. Threaded A307 Bnlts oi Equipment Anchorage Equipment Data: Name: Width Length: Height: B 160 Cabinet 26.0 Ill 26.0 ll1 63.0 ll1 Min Dist. bt\v anchors: 23 0 ll1 Center or Gravity: \Vcight: Total Anchor Qty: Tension Anchor Qty: Lateral Lpad_;;~ Wind Load Seismic Load Wind Anchorage: V 0.'v1. R.O. Uplift Tension per Anch01 Shear per Ancho, 21.0 Ill 2100 lbs 4 CJ. 2 ca. 2Ci.6 psf -----11.4117 ·w 3113 lbs 530 lb ft 1208 lb Ji () lbs 0.11 lbs 75 (, lbs Interaction Equatior 0 76 + 3490 22411 Seis1nic AnchoraS?:e V S55 lbs O.'v1. 14% lb ft R.O. 1208 lb fl Uplift 150 lbs Tension per Ancho, 75.2 lbs Shear per Anchrn 2Ll.7 lbs Interaction Equatior 75 214 + 3490 2240 0.034 < 1.2 Ok 0.117 < 1.2 Ok *:\ew (4) four 3/8" Diam. Threaded A307 Bolts 0~ APPE'.'IDIXA Design Tables & Resources Page4 Seismic Loads Latitude and longitude were determined from existing as-builts. Sprint records, and confinncd using Google Earth, Design spectral acceleration parameters were optained using NSHiv1P Hazard. a program by USGS for determining seismic values within the continental US. Input dma and program output arc provided at the end of this report Latitude: 33.157847" Longitude -117.3386" s = ' 1.061 Fa= 1.20 Svrs = U73 Sus= 0.849 S,= 0.(HJ0 F .. = 0.00 S,11 = 0.000 Srn = 0.000 Site Class: D Occupancy Category: [I lmportancc Factor, l: 1.00 Seismic Design Cat;igory D Amplification Factor, a,: 1.0 ' Response Factor, RP: 2.5 z= 1.0 ft h~ 1.0 ft Telecommunication cabinets and radio equipment arc non-structural components to be designed under the provisions of ASCE 7-16 chapter 13. (ASCE 7-16 13.3-3) F = 0.3S,,JJV,, 0 255 w,1, l f! t\llil (ASCE 7-16 1.l3-IJ 0.4a. Sn, W ( -I (),4()7 WI' F = 1) 1' l 2 -I + -, I' 1>l \ h) Use F,, 0.407 w I' ' p (ASCE 7-16 13.J-2) I· 1.6S'Mlp1f'P !.J.58 H'/1 ! 'I !ll:<\ _, ASCE. AMERICAN SOC'ETY Of CML ENGIMERS Address: No Address at This Location Wind Results: Wind Speed: 10-year MRI 25-year MRI 50-year MRI 100-year MRI Data Source: Date Accessed: ASCE 7 Hazards Report Standard: . ASCE/SEI 7-16 Risk Category: 11 Soil Class: 96 Vmph 66 Vmph 72 Vmph 77 Vmph 82 Vmph D -Default (see Section 11 .4.3) Elevation: 77.9 ft (NAVO 88) Latitude: 33.15784 7 Longitude: -117.338583 ASCE/SEI 7-16, Fig. 26.5-18 and Figs. CC.2-1-CC.2-4, and Section 26.5.2 Sat May 01 2021 F n,n Value provided is 3-second gust wind speeds at 33 ft above ground for Exposure C Category, based on linear interpolation between contours. Wind speeds are interpolated in accordance with the 7-16 Standard. Wind speeds correspond to approximately a 7% probability of exceedance in 50 years (annual exceedance probability = 0.00143, MRI = 700 years). Site is not in a hurricane-prone region as defined in ASCE/SEI 7-16 Section 26.2. https.//as~?hazardtool.online/ Page 1 of 3 Sat May 01 2021 ASCE. AMERICAN SOCEIY Of CML ENGl~EfRS Seismic Site Soil Class: Results: D -Default (see Section 11.4.3) 1.061 So1 0.384 TL 1.2 PGA: N/A PGAM : N/A 8 0.467 0.561 1.273 f PGA SMs 1.2 SM1 N/A le : 1 S os 0.849 Cv : 1.312 Ground motion hazard analysis may be required. See ASCE/SEI 7-16 Section 11 .4.8. Data Accessed: Sat May 01 2021 Date Source: USGS Seismic Design Maps https //as~ 7hazardtool. online/ Page 2 of 3 Sat May 01 2021 ASCE. AMEPJCAN SOC ElY Of CML ENGlhEERS The ASCE 7 Hazard Tool is provided for your convenience, for informational purposes only, and is provided "as is" and without warranties of any kind. The location data included herein has been obtained from information developed, produced, and maintained by th ird party providers; or has been extrapolated from maps incorporated in the ASCE 7 standard. While ASCE has made every effort to use data obtained from reliable sources or methodologies, ASCE does not make any representations or warranties as to the accuracy, completeness, reliability, currency, or quality of any data provided herein. Any third-party links provided by this Tool should not be construed as an endorsement, affiliation, relationship, or sponsorship of such third-party content by or from ASCE. ASCE does not intend, nor should anyone interpret, the results provided by this Tool to replace the sound judgment of a competent professional, having knowledge and experience in the appropriate field(s) of practice, nor to substitute for the standard of care required of such professionals in interpreting and applying the contents of this Tool or the ASCE 7 standard. In using this Tool, you expressly assume all risks associated with your use. Under no circumstances shall ASCE or its officers, directors. employees, members, affiliates. or agents be liable to you or any other person for any direct, indirect, special, incidental, or consequential damages arising from or related to your use of, or reliance on, the Tool or any information obtained therein. To the fullest extent permitted by law, you agree to release and hold harmless ASCE from any and all liability of any nature arising out of or resulting from any use of data provided by the ASCE 7 Hazard Tool. https.//asce 7hazardtool on line/ Page 3 of 3 Sat May 01 2021 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.sdcdehq.org Record ID#: Not in System Plan Check#: DEH2022-HHMBP-011709 Balance Due: $73.00 Business Name Business Contact Brandon kieth stone Telephone # Plan File # Solex Contracting Inc. (951) 801-0282 Project Address City CARLSBAD State CA Zip Code 92008-2563 APN# 205-190-25-01 1015 CHESTNUT AVE A2 Applicant Applicant E-Mail Applicant Telephone# Brandon kieth stone bstone@solexcontracting.com (951) 801-0282 The following questions represent the facility's activities, NOT the specific project description. PART I· FIRE DEPARTMENT-HAZARDOUS METERIALS DIVISION: OCCUPANCY CLASSIFICATION: (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: O Facility's Square Footage (including proposed project): 300 □ 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 of These □ Flammable Solids □ Unstable Reactives □ Radioactives PART II· SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION (HMD}: If 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: 5/25/2022 YES NO 1. ., □ 2. □ "' 3. □ "' 4. □ □ 5. □ "' 6 □ "' 7. □ "' 8. □ "' 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 store 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 Iota! 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 Ill· $AN DIEGO COUNTY AIR POLLUTION CQNTRQL DISTRICT fAPCD): If the answer to Question #1 is 'Yes' and the answer to Question #2 is 'No', the appl'lcant 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 bui!ding 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. YES 1. □ 2 □ 3. □ 4. □ 5. □ 6 □ 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://www.sdapcd.org/info/facts/permits.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/sd/ for public and private schools or contact the appropriate school district. Briefly describe business activities: Briefly describe proposed project: General Contractor Modification to an existing cell site (T-Mobile)(12 existing batteries/ 12 New batteries.= 9.999 Gallons Max) I declare under penalty of perjury that to the best of my knowledge and belief, the responses made herein are true and correct. ~; Fees Acknowledged: Iii Brandon Stone 5/16/2022 Name of Owner or Authorized Agent Date FOR OFFICIAL USE ONLY FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: BY: DATE: __________ _ EXEMPT OR NO FURTHER INFORMATION RELEASED FOR BUILDING PERMIT BUT NOT FOR RELEASED FOR OCCUPANCY REQUIRED OCCUPANCY COUNTY-HMO• APCD COUNTY-HMO APCD COUNTY-HMO APCO fJP' OF s,,,;; ll)'°o u REVIEWED 0 M. Martinez SIGNATURE 5/26/2022 OAT£ ~,~ *A stamp in this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permitting requirements may still apply. DEHO_HMD_HMBP _QuestIonna1re v 2 0 (8/2021) Printed on: 5/2612022@ 10:05 AM □ □ □ □ B □ □ □ □ Date: 6/21/21 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 Business Name: Sprint ______________________________________ _ Street Address: 2014 Granada Ave Email Address: mlphillips@pwc-ca ,com ------ PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT (ON REVERSE SIDE CHECK TYPE OF BUSINESS) !✓I Check all below that are present at your facility: Acid Cleaning D Food Processing D Metal Powders Forming Assembly D Glass Manufacturing D Nutritional SupplementN1tamin Automot'rve Repair D Industrial Laundry D Manufacturing Battery Manufacturing D Ink Manufacturing D Painting/Finishing Biofuel Manufacturing B Laboratory B Paint Manufacturing Biotech Laboratory Machining/Milling Personal Care Products Bulk Chemical Storage D Membrane manufacturing 0 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 D Power Generation D Dental Clinics D Electroless Plating D Print Shop D Dry Cleaning D Anodizing D Research and Development □ Electrical Component D Coating (i.e. phosphating) D Rubber Manufacturing □ Manufacturing D Chemical Etching/Milling 0 Semiconductor Manufacturing □ Fertilizer Manufacturing D Printed Circuit Board D Soap/Detergent Manufacturing □ Film/ X-ray Processing D Manufacturing D Waste Treatment/Storage New Business? Yes0No0 SIC Code(s) if known Date operation began/will begin: ______ _ Tenant Improvement? Yes 0No0 If yes, briefly describe improvement: __________________ _ Description of operations generating wastewater (discharged to sewer, hauled or evaporated): __________ _ Estimated volume of industrial wastewater to be discharged (gal/ day) : _____________________ _ List hazardous wastes generated (type/volume): ____________________________ _ Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? YesODate: 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. □ Automobile Detailer s □ Barber/Beauty Shops □ Business/Sales Offices □ Cleaning Services □ Carpet/Upholstery □ Childcare Facilities □ Churches □ Community Centers □ Consulting Services □ Contractors □ Counseling Services □ Educational Services (no auto repair/film □ Financial Institutions/Services □ Fitness Centers □ Gas Stations (no car wash/auto repair) □ Grocery Stores (no film developing) □ Residential based Businesses developing) □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ Hotels/ Mot els (no laundry) Laundromats Libraries Medical Offices (no x-ray developing) Mortuaries Museums Nail Salons Nursing Homes Office Buildings (no process flow) Optical Services Pest Control Services (no pesticide repackaging for sale) Pet Boarding/Grooming Facilities Postal Services (no car wash/auto repair) Public Storage Facilities Restaurants/Bars Retail/Wholesale Stores (no autorepairifilm developing) Theaters (Movie/Live) CERTIFICATION STATEMENT I certil\1 thal the informution ilhove is true and correct fO the hes! of'ntl' knmdedl!;t.:, Signa~~ I ~ame Mark Phillips 6/21/21 Date: ____ _ Facility Contact: __________ _ Land Use Consultant Title: ______________ _ ENCINA WASTEWATER AUTHORITY 6200AVENIDA ENCINAS, CARLSBAD, CA Phone: 760-438-3941 Fax: 760-476-9852 SourceControl@encinajpa.com Page 2 of 2 \..._ (~ityof Carlsbad PURPOSE CLIMATE ACTION PLAN CONSISTENCY CHECKLIST B-50 Dey_ e_ / Q.P{71 e_r1 {_ ;,_er_ Vi re S Building Division 1635 Faraday Avenue (760) 602-2719 www.carlsbadca.gov This checklist is intended to help building permit applicants identify which Climate Action Plan (CAP) ordinance requirements apply to their project. This completed checklist (B-50) must be included with the building permit application for all projects that require CAP compliance. The Carlsbad Municipal Code (CMC) can be referenced during completion of this document by clicking on the provided links to each municipal code section. NOTE: The following type of permits are not required to fill out this form ❖ Patio I ❖ Decks I ❖ PME (w/o panel upgrade) I ❖ Pool Consultation with a certified Energy Consultant is encouraged to assist in filling out this document. Homeowners should not attempt to fill this out without consultation. Appropriate certification includes, but is not limited to: Licensed, practicing Architect, Engineer, or Contractor familiar with Energy compliance, IECC/HERS Compliance Specialist, ICC GB Energy Code Specialist, RESNET HERS rater certified, certified ICC Residential Energy Inspector/Plans Examiner, ICC Commercial Energy Inspector and/or Plans Examiner, ICC CALgreen Inspector/Plans Examiner, or Green Building Residential Plan Examiner. If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required by ordinance, check NIA and provide an explanation or code section describing the exception. Details on CAP ordinance requirements are available at each section by clicking on the municipal code link provided. The project plans must show all details as stated in the applicable Carlsbad Municipal Code (CMC) and/or Energy Code and Green Code sections. Project Name/Building Permit No.: BP No.: Property AddresSIAPN 1015 Chestnut Ave/ 205-190-25-00 Applicant Name/Co.: PWC LLC (Mark Phillips) on behalf of Sprint Applicant Address: 2014 Granada Ave, San Diego CA 92104 Contact Phone: 619.379.3473 Contact Email: mlphillips@pwc-ca.com Contact information of person completing this checklist (if different than above): Name: Company name/address: Mark Phillips Contact Phone: 619.379.3473 PWC LLC Contact Email mlphillips@pwc-ca.com Applicant Signature:_-----;,,--;:,~ .. ::::========:;;J;;;;::"t::.===~==D:.:a=.,._.,_2_112_1 ______ _ B-50 Page 1 of 7 Revised 04/21 Use the table below to determine which sections of the Ordinance checklist are applicable to your project. For alterations and additions to existing buildings, attach a Permit Valuation breakdown on a separate sheet. Building Permit Valuation (BPV) $ breakdown _______ _ Construction Type V•N ! Complete Sectlon(s) j Notes: Residential D New construction D Additions and alterations: □ BPV < $60,000 □ BPV;, $60,000 □ Electrical service panel upgrade only □ BPV;, $200,000 @ Nonresidential D New construction [iJ Alterations: [iJ BPV" $200,000 or additions" 1,000 square feet □ BPV;, $1,000,000 □ ;, 2,000 sq. ft. new roof addition Checklist Item A high-rise residential building is 4 or more stories, including a Low-rise High-rise mixed-use building in which at least 20% of its conditioned floor area is residential use 2A', 3A', 18, 28, 'Includes detached, newly constructed ADU 4A', 38,4A NIA NIA All residential additions and alterations 1A, 4A 4A 1-2 family dwellings and townhouses with attached garages only. 'Multi-family dwellings only where interior finishes are removed 1A, 4A' 18,4A' and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems are proposed 1 B, 28, 38, 4B and 5 1B, 5 Modification cost approx $50,000 18, 28, 5 Building alterations of;, 75% existing gross floor area 28, 5 1 B also applies if BPV" $200,000 Check the appropriate boxes, explain all not applicable and exception items, and pro'lide supportlng calculations and documentation as neoessary. 1, Energy Efficiency Please refer to Carlsbad Municipal Code (CMC) 18.21.155 and 18.30.190,and the California Green Building Standards Code (CALGreen) for more information. Appropriate details and notes must be placed on the plans aocording to selections dlosen in the design. A D Resldentialadditionoralteration.!$60,000buildingpenmitvaluation. □ N/A _________ _ Detailsofselectionchosenbelowmustbe placedontheplansreferencingCMC □ Exception: Home energy score;, 7 18.30.190, (attach certification) Year Built 1990 Single-family Requirements Multi-family Requirements D Before 1978 Select one option: D Ductsealing D Attic insulation □Cool roof D Attic insulation D 1978 andlater Select one option: D Lighting package D Water heating Package D Between 1978and 1991 Select one option: D Oudsealing D Attic insulation □Cool roof D 1992 and later Select one option: D Lighting package D Water heating package Updated 4116/2021 3 8. [!] Nonresidential' new construction or alterations~ $200,000 building pennlt valuation, or additions 21,000 square feet See CMC 18.21.155and CALGreen Appendix AS ~ N/A AS.203.1.1 Choose one:□ .1 Outdoorlighting □ .2 Restaurant service water heating (CEC 140.5) □ .3Warehousedocksealdoors. □ .4 Daylight design PAFs □ .5 Exhaustairheatrecovery I!! NIA AS.203.1.2.1 Choose one: □ .95 Energy budget (Projects with indoor lighting OR mechanical) □ .90 Energy budget (ProjectswithindoorlightingANDmechanical) I!! NIA AS.211.1 · □ On-site renewable energy: □ NIA AS.211.3., □Green power (If offered by local utility provider, 50% minimum renewable sources) □ NIA AS.212.1 □ Elevators and escalators: (ProJectwith more than one elevator or two escalators) □ NIA AS.213.1 □ Steel framing: (Provide details on plans for options 1-4 chosen) □ NIA • Includes hotels/motels and high-rise residential buildings · ' For alterations~ $1,000,000 BPVand affecting> 75% existing grossfloorarea, OR alterations th at add 2,000square feet of newroofaddition: comply with CMC 18.30.130 (section 28 below) instead. 2. Photovoltaic Systems A. D Residential new construction (for low-rise residential building pennit applications submitted after 1/1/20). Refer to 2019 California Energy Code section 150.1(c)14 for requirements. If project includes installation of an electric heat pump water healer pursuant to CAP section 38 below(low-rise residential Water Heating), increase system size by .JkWdc if PV offset option is selected. Floor Plan ID (use additional CFA #d.u. Calculated kWdc' sheets if necessary) Total System Size: kWdc = (CFAx.572) / 1,000 + (1.15 x #d.u.) 'Formula calculalion where CFA = conditional floor area, #du= number of dwellings per plan type If proposed system size is less than calculated size, please explain. kWdc Exception □ □ D □ 8. D Nonresidential new construction or alterations ~$1,000,000 8PV AND affecting 275% existing floor area, OR addition that increases roof area by 22,000 square feet Please refer to CMC 18.30.130 when completing this section. 'Note: This section also applies to high-rise residential and hotel/motel buildings. Choose one of the following methods: □ Gross Floor Area (GFA)Method GFA: □ If< 10,000s.f. Enter:5kWdc Min. System Size: □ if;, 10,000s.f. calculate 15 kWdcx (GFN10,000)" kWdc "Round building size factor to nearest tenth, and round system size to nearest whole number. lJ pdated 4/16/2021 4 D Time-Dependent Valuation Method Annual TDV Energy use:**• ______ x .80= Min. system size: ______ kWdc ***Attach calculation documentation using modeling software approved by the California Energy Commission. 3. Water Heating A. 0 Residential and hotel/motel new construction. Refer to CMC 18.30.170 when completing this section. Provide complete details on the plans. □ For systems serving individual dwelling units choose one system: □ Heat pump water heater AND Compact hot water distribution AND Drain water heat recovery (low-rise residential only) □ Heat pump water heater AND PV system .3 kWdc larger than required in CMC 18.30.130 (high rise residential hotel/motel) or CA Energy Code section 150.1 (c) 14 (low-rise residential) □ Heat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higher □ Solar water heating system that is either .60 solar savings fraction or 40 s.t. solar collectors □ Exception: □ For systems serving multiple dwelling units, install a central water-heating system with ALL of the following: □ Gas or propane water heating system □ Recirculation system per CMC 18.30.150(8) (high-rise residential, hotel/motel) or CMC 18.30.170(8) (low- rise residential) □ Solar water heating system that is either: □ .20 solar savings fraction □ .15 solar savings fraction, plus drain water heat recovery □ Exception: B. 0 Nonresidential new construction. Refer to CMC 18.30.150 when completing this section. Provide complete details on the plans. D Water heating system derives at least 40% of its energy from one of the following (attach documentation): □ Solar-thermal □ Photovoltaics □ Recovered energy □ Water heating system is (choose one): □ Heat pump water heater □ Electric resistance water heater(s) □Solar water heating system with .40 solar savings fraction □ Exception: It may be necessary to supplement the completed checklist with supporting materials, calculations or certifications, to demonstrate lull compliance with CAP ordinance requirements. For example, projects that propose or require a performance approach to comply with energy-related measures will need to attach to this checklist separate calculations and documentation as specified by the ordinances. Updated 4116/2 I 5 4. Electric Vehicle Charging A O Residential New construction and major alterations• Please refer to CMC 18.21.140 when completing this section. □ One and two-family residential dwelling or townhouse with attached garage: □ One EVSE Ready parking space required □ Exception : □ Multi-family residential· □ Exception · Total Parking Spaces EVSE Spaces Proposed EVSE (10% of total) Installed (50% of EVSE) Other "Ready" Other "Capable" Calculations: Total EVSE spaces= .10x Total parking spaces proposed (rounded upto nearest whole number) EVSE Installed= Total EVSE Spaces x .50 (rounded up to nearest whole number) EVSE other may be "Ready" or "Capable" 'Majoralterationsare: ( 1) for one and two-family dwellings and townhouses with attached garages, alterations have a building permit valuation;,$60,000 or include an electrical service panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), alterations have a building permit valuation;, $200,000, interiorfinishesare removed and significant site work and upgrades to structural and mechanical, electrical,and/orplumbing systems are proposed. 'ADU exceptions for EV Ready space (no EV ready space required when)· (1) The accessory dwelling unit is located within one-half mile of public transit. (2) The accessory dwelling unit is located within an architecturally and historically significant historic district. (3) The accessory dwelling unit is part of the proposed or existing primary residence or an accessory structure. (4) When on-street parking permits are required but not offered to the occupant of the accessory dwelling unit. (5) When there is a car share vehicle located within one block of the accessory dwelling unit. B. 0 Nonresidential new construction (includes hotels/motels) □ Exception: _____________ _ Please refer to CMC 18.21.150 when completing this section Total Parking Spaces Proposed EVSE (10% of total) I Installed (50% of EVSE) I Other "Ready" I Other "Capable" I I I Calculation· Refer to the table below· Total Number of Parking Spaces provided Number of required EV Spaces Number of required EVSE Installed Spaces □ 0-9 1 1 □ 10-25 2 1 □ 26-50 4 2 □ 51-75 6 3 D 76-100 9 5 □ 101-150 12 6 □ 151-200 17 9 □ 201 andover 10 percent of total 50 percent of Required EV Spaces Calculations: Total EVSE spaces= .10 x Total parking spaces proposed (rounded up to nearest whole number) EVSE Installed = Total EVSE Spaces x .50 (rounded up to nearest whole number) EVSE other maybe "Ready" or"Capable" ll pdatcd 411612021 6 5. O Transportation Demand Management (TDM): Nonresidential ONLY An approved Transportation Demand Management (TOM) Plan is required for all nonresidential projects that meet a threshold of employee-generated ADT. City staff will use the table below based on yoursubmitted plans to determinewhetherornoryourpermit requires a TOM plan. If TOM is applicable to your permit, staff will contact the applicant to develop a site-specific TOM plan based on the permit details. Acknowledgment: Employee ADT Estimation for Various Commercial Uses Use EmpADTfor first 1,000 s.f. EmpADTI 1000 s.f., Office ( all)2 20 Restaurant 11 Retaib 8 Industrial 4 Manufacturing 4 Warehousing 4 1 Unless otherwise noted, rates estimated from !TE Trip Generation Manual, tOthEdition 13 11 4.5 3.5 3 1 , For all office uses, use SAN DAG rate of 20 ADT/1,000 sf to calculate employee ADT 3 Retail uses include shopping center, variety store, supermarket, gyms, pharmacy, etc. Other commercial uses may be subject to special consideration sample calculatiooa· Office: 20,450 sf 1. 20,450 sf/ 1000 x 20 = 409 Employee ADT Retail: 9,334 sf 1. First 1,000 sf= 8 ADT 2. 9,334 sf -1,000 sf= 8,334 sf 3. (8,334 sf/ 1,000 x 4.5) + 8 = 46 Employee ADT I acknowledge that the plans submitted may be subject to the City of Carlsbad's Transportation Demand Management Ordinance. I agree to be contacted should my permit require a TOM plan and understand that an a roved TDM plan is a condition of permit issuance. Applicant Signature: Person other than Applicant to be contacted for TDM compliance (if applicable): N (p . t d) Mark Phillips ame nn e : ___________________ _ E .!Add mlphillips@pwc-ca.com ma1 ress: ___________________ _ lJ pdated 4116/2021 Date 6/21 /21 619. $79. $475 Phone Number ------ 7