HomeMy WebLinkAbout1966 OLIVENHAIN RD; ; CBC2022-0152; PermitBuilding Permit Finaled
(city of
Carlsbad
Commercial Permit
Print Date: 07/25/2023
Job Address: 1966 OLIVENHAIN RD, ENCINITAS, CA 92024-5676
Permit No:
Status:
CBC2022-0152
Closed -Finaled
Permit Type: BLDG-Commercial Work Class: Tenant Improvement
Parcel#: 2550405900 Track#:
Valuation: $3,000.00 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: AT&T MOBILE: MODIFY EXISTING CELL SITE
Applicant: Property Owner:
CORE ONE CONSULTING US LTD
BRETT COFFELT
OLIVEN HAIN MUNICIPAL WATER DISTRICT
1966 OLIVEN HAIN RD
4515 S MCCLINTOCK DR, # 217
TEMPE, AZ 85282-7376
FEE
BUILDING PLAN CHECK
ENCINITAS, CA 92024
(760) 753-6466
BUILDING PLAN REVIEW-MINOR PROJECTS (LDE)
BUILDING PLAN REVIEW -MINOR PROJECTS (PLN)
ELEC: OTHER COMPLEX ELECTRICAL
FIRE Special Equipment (Ovens, Dust, Battery)
SB1473-GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION -COMMERCIAL (SMIP)
Total Fees: $1,431.64 Total Payments To Date: $1,431.64
Applied: 05/11/2022
Issued: 08/12/2022
Finaled Close Out: 07/25/2023
Final Inspection: 06/26/2023
INSPECTOR: de Roggenbuke, Dirk
Cheung, Nathaniel
Contractor:
BECHTEL INFRASTRUCTURE AND POWER
CORPORATION
12245 KIRKHAM RD, # STE 100
POWAY, CA 92064-6162
(949) 372-4503
Balance Due:
AMOUNT
$267.80
$194.00
$98.00
$412.00
$458.00
$1.00
$0.84
$0.00
Please take NOTICE that approval of your project includes the 11lmposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Building Division Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
( City of
Carlsbad
Year Built:___ Occupancy: t1
BRIEF DESCRIPTION OF WORK: ~'T ~
COMMERCIAL
BUILDING PERMIT
APPLICATION
B-2
Plan Check
Est. Value
PC Deposit
Date
Construction Type: __ Fire sprinklers()YE5$NO A/C:()vES.O
{\,y,hL·4 0~4~ -fo~ .-,,i e,1t,J;':sfk:J G:1l,~/41 ,~ '!:,:;,
0 Addition/New: ___________ New SF and Use, _________ New SF and Use
______ SF Deck, SF Patio Cover, SF Other (Specify) ___ _
0Tenant Improvement: ____ SF, Existing Use: ______ Proposed Use: _____ _
____ SF, Existing Use: Proposed Use: _____ _
Oother: ----------------------------------
DESIGN PROFESSIONAL CONTRACTOR OF 6=f0Rp I .,1
Name: J.1 kb,.,.,( S:t¼ ec•b~ e Business Name: .J)em tek£~~ f r.,~(-,1
Address:f1ffr_• ~,~~ Address: eJi. I/ ~ /&<-
Citv:~~ tateC~ Zip: ?'26Y Citv: &,i ;___ State: A2-: Zip: fr:S-3 05
Phone: _ _____::__ ___:::: _/___ Phone: f:rf;--;;,';,f;• '75&.
Email: ______ ----::---c-,,-------Email:q __ e _,. Ce.+ '
Architect State License: C -I 'f 212 CSLB License#: '?I 3tJ1/.<:: Class: c~~-
,. (,<-~ Carlsbad Business License# (Required): ,;;s • r •
~
APPLICANT CERTIFICATION: I certify that I have read the applicationandstate 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.
NAME (PRINT):
1635 Faraday Ave Carlsbad, CA 92008
SIGN.6
Ph: 442-339-2719
REV. 04122
THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _
A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON
SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO
PERMIT ISSUANCE.
(OPTION A): LICENSED CONTRACTOR DECLARATION:
I hereby affirm under penal tyof perjury that I am I icensed 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):
01 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, PolicyNo. ______________________________________________ _
-OR-
~I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, fo
My workers' co policy number are: Insurance Company Name:
Policy No . ...ll!.!'.'.~~'...ILA._!..lC¥.il:4--L _____________ _
-OR-
O 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:
l hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name: _______________________ Lender's Address: _______________________ _
CONTRACTOR CERT/FICA TJON: The applicant certifies that all documents and plans clearly and accurately show o/1 existing and proposed buildings, structures, access roads, and
utilities/utility easements. All proposed modifications and/or additions ore clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent wfth the site plan are not
approved for construction and may be required ta be altered or removed. Tile city's approval of the application 1s based on the premise that the submitted documents and plans show the correct
dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed use of each building
as stated is true and correct; oil easements and other encumbrances to development have been accurately shown and labeled as we// as a// on-site grading/site preparation. All improvements ::~~·~;:::ie:e completed io ocwdooce with o// "'"'"''"' io e,/,teoce" the timeo el, "'"""''" ""'"' othecwi,e ~ DATE: O lp,/'tt'z;z
n contractor letterhead.
(OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intend offered for sale (Sec.
704 , usiness and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or improve eon, and who does such
lf or through his own employees, provided that such improvements are not intended or offered for sale. If, how , the building or improvement is sold
rof completion, the owner-builder will have the burden of proving that he did not build or improve fo purpose of sale).
-OR-
~I, as owner of the operty, am exclusively contracting with licensed contractors to construct the R t (Sec. 7044, Business and Professions Code: The
Contractor's License La es not apply to an owner of property who builds or improves there , nd contracts for such projects with contractor(s) licensed
pursuant to the Contractor's · ense Law).
-OR-O I am exempt under Business and P
AND,
By my signature below I acknowledge that, e t for my person sidence in which l must have resided for at least one year prior to completion of the
improvements covered by this permit, not legally sell a structure I have built as an owner•builder if it has not been constructed in its entirety by licensed
contractors. I understand that a c f the applicable law, Section 7044of usiness and Professions Code, is available upon request when this application is
submitted or at the folio · g Web site: http: I lwww.leginfo.ca.gov!cala . l.
ease ificatians and/or additions are clearly labeled an the site plan. Any pa
y be required to be altered or removed. The city's approval of the application i>
, uildings, structures and their setbacks from property lines and from one another; ac
ct; all easements and other encumbrances to development hove been accurately sha
were completed fn accordance with all regulations in existence at the time of their construction, u ----=•
NAME (PRINT): ]At-:h: &,:/4(,1--::: SIGN:
Note: If the person signing above Is an authorized agent for the property owner in
1635 Faraday Ave Carlsbad, CA 92008 Ph: 442·339-2719
2
wall existing and proposed buildings, structures, access roads, and utilities/utility
· within these plans inconsistent with the site plan ore not approved for
he submitted documents and plans shaw the correct dimensions of;
. The existing and proposed use of each building as stated is true
All improvements existing an the property
Email: Building@carlsbarlca gQY
REV. 04/22
Building Permit Inspection History Finaled
(city of
Carlsbad
PERMIT INSPECTION HISTORY for (CBC2022-0152)
Permit Type: BLDG-Commercial Application Date: 05/11/2022 Owner: OLIVENHAIN MUNICIPAL WATER
DISTRICT
Work Class: Tenant Improvement Issue Date: 08/12/2022 Subdivision: RANCHO LAS ENCINITAS
Status: Closed -Finaled Expiration Date: 12/26/2023 Address: 1966 OLIVENHAIN RD
ENCINITAS, CA 92024-5676 IVR Number: 40561
Scheduled Actual Inspection Type Inspection No.
Date Start Date
06/0912023 06/09/2023 BLDG-Fire Final 213669-2023
COMMENTS Checklist Item
FIRE-Building Final
06/26/2023 06/2612023 BLDG-34 Rough 215348-2023
Tuesday, July 25, 2023
Electrical
Checklist Item COMMENTS
BLDG-Building Deficiency
BLDG-Final Inspection 215349-2023
Checklist Item
BLDG-Building Deficiency
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Inspection Primary Inspector
Status
Passed Nathaniel Cheung
Passed Dirk de Roggenbuke
Passed Dirk de Roggenbuke
Reinspection Inspection
Passed
Yes
Passed
Yes
Passed
Yes
Yes
Yes
Complete
Complete
Complete
Page 1 of 1
Business Name
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
Core One Consulting US LTD
Business Contact
Sylvia Tello
Project Address
1966 OlivenHain RD
Applicant
Brett Coffelt
City
Carlsbad
State
CA
Applicant E-Mail
Brett.coffelt@coreoneconsultants.com
Record ID#: DEH2015-HUPFP-002164
Plan Check#: DEH2022-HHMBP-012091
Balance Due: $87 .OD
Telephone#
Zip Code
92009
Applicant Telephone#
(760) 233-9679
Plan File#
APN#
255-040-57-00
The followlng questions represent the facility's activities, NOT the specific project description.
PART I· FIRE DEPARTMENT -HAZARDOUS METERIALS DIVISION: OCCUPANCY CLASSIEJCATIQN:(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: U Facility's Square Footage (including proposed project): 200
D Explosive or Blasting Agents D Organic Peroxides □ Water Reactives D Corrosives
D Compressed Gases D Oxidizers D Cryogenics □ Other Health Hazards
□ Flammable/Combustible Liquids D
D
Pyrophorics D Highly Toxic or Toxic Materials D None of These
D Flammable Solids Unstable Reactives D Radioactives
PART 11· SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH· HAZARDOUS MATERIALS DIVISION (HMO):lf 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: 8/31/2022
YES
1. li'l
2. D
3. D
4. D
5. D
6. D
7. D
8. D
NO
D .,
li'l
D .,
li'l
li'l
Iii
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 1 O)?
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).
D
D
D
CalARP Exempt
Ca1ARP Required
CalARP Complete
Review Date:
PART Ill; 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 APCO prior to the issuance of a building or demolition permit. If any answer to Questions #3, #M, 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
D Iii
D D
D D
D Iii
D
D
la
D
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 toad 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.c;ci.gov/relsd/ for public and private schools or contact the appropriate school district.
Briefly describe business activities: Briefly describe proposed project:
Wireless cellular facility transmitting and receiving data modification to existing cell site by removing and adding antennas,RRU, and
add battery modules to existing battery rack.
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: l&I
Brett Coffelt
Name of Owner or Authorized Agent
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:
BY:
EXEMPT OR NO FURTHER INFORMATION
REQUIRED
COUNTY-HMO• APCD
FOR OFFICIAL USE ONLY
RELEASED FOR BUILDING PERMIT BUT NOT FOR
OCCUPANCY
COUNTY•HMD APCD
8/2/2022
Date
DATE: ___________ _
RELEASED FOR OCCUPANCY
COUNTY-HMO APCD
*A stamp in this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other perm1ttIng requirements may Still apply.
DEHQ_HMD_HMBP _Questionnaire v 2.0 (8/2021)
Printed on: 8/11/2022@ 5:06 PM