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Home My WebLink About2875 LOKER AVE E; CS; CBC2021-0076; PermitPERMIT REPORT (city of Carlsbad Commercial Permit Print Date: 04/29/2022 Permit No: CBC2021-0076 Job Address: 2875 LOKER AVE E, # CS, CARLSBAD, CA 92010-6626 Status: Closed -Finaled Permit Type: BLDG-Commercial Work Class: Tenant Improvement Parcel#: 2090831000 Track#: Valuation: $85,000.00 Lot#: Occupancy Group: Project#: #of Dwelling Units: Plan#: Bedrooms: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Project Title: Description: T-MOBILE: MODIFICATIONS TO EXISTING CELL SITE Property Owner: TECH Bl LT CONSTRUCTION CORPORATION 3575 KENYON ST SAN DIEGO, CA 92110 FEE STRONG MOTION -COMMERCIAL (SMIP) SB1473 -GREEN BUILDING STATE STANDARDS FEE BUILDING PLAN CHECK FEE (BLDG) FIRE Special Equipment (Ovens, Dust, Battery) CELL SITE -RADIO OVER 30 FT. HIGH Total Fees: $1,484.54 Total Payments To Date: $1,484.54 Applied: 03/09/2021 Issued: 02/14/2022 Fina led Close Out: 04/29/2022 Inspector: Final Inspection: Contractor: DAVIES ELECTRIC CO INC 9085 KENAMAR DR TAlva 01/24/2022 SAN DIEGO, CA 92121-2421 (858) 578-7454 Balance Due: AMOUNT $23.80 $4.00 $392.74 $417.00 $647.00 $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. 1635 Faraday Avenue I 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 Date CBC2021-0076 10/22/2021 REVISED Job Address 2875 Loker Avenue East Carlsbad, CA 92008 Suite: ____ ~APN: ____________ _ Tenant Name#: T-mobile Lot#: Year Built: __________ _ ------------------------ Year Built: 1989 Occupancy:_n_ia __ Construction Type: wcF Mod Fire sprinklers0ES0NO A/C:QYES@No BRIEF DESCRIPTION OF WORK: Existing WCF. Remove (6) existing panel antennas, remove (1) cabinet, relocate (1) antenna, install (6) new antennas, install (3) new radios, Install (6) mounting pipes, install (1} new battery cabinet & (1) new equipment cabinet along with associated cabling and equipment. Project valuation: $85,000 D Addition/New: ____________ New SF and Use, __________ New SF and Use _______ SF Deck, _______ SF Patio Cover, SF Other (Specify) ____ _ [{]Tenant Improvement: _2_00 ____ SF, Existing Use: ________ Proposed Use: _______ _ _____ SF, Existing Use: Proposed Use: _______ _ D Pool/Spa: _____ SF Additional Gas or Electrical Features? _____________ _ D Solar: ___ KW, ___ Modules, Mounted:ORoofOGround D Re roof: ________________________________________ _ D Plumbing/Mechanical/Electrical I ✓ I Other: Modifying an existing Wirelss Communication Facility PRIMARY APPLICANT Name: Vanessa Bybee, SAC wirelss OBO T-Mobile Address: 9020 Activity Rd. City: San Diego Phone: 619-602-9085 State:_C_A __ .Zip:92126 Email: vanessa.bybee@sacw.com DESIGN PROFESSIONAL Name: Eder Campos Nestor T. Popowych/ SAC Wireless Address: 9020 Activity Rd. City: San Diego Phone: 619-642-2410 State:_C_A __ .Zip:92122 Email: eder.campos@sacw.com Architect State License: C-27496 PROPERTY OWNER Name: Techbilt Construction Corp., a California corporation (Ted Tchang) Address: 3575 Kenyon St. City: San Diego State:_C_A __ Zip:92110 Phone: ____________________ _ Email: vanessa.bybee@sacw.com CONTRACTOR OF RECORD Business Name: Davie's Electric -Ron Doster Address: 9085 Kenamar Drive City: San Diego State:,_C_A __ ,Zip: 92121-2421 Phone: 619-200-8336 Email: rdoster@daviesec.com -------------CSLB License #:_1_68_6_7_7 _____ Class:_B_c_1_0 _____ _ Carlsbad Business License# {Required): _______ _ APPLICANT CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the information on the plans isaccurate. /agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT): Vanessa Bybee 1635 Faraday Ave Carlsbad, CA 92008 SIGN: t/~f3pu (/ Ph: 760-602-2719 Fax: 760-602-8558 DATE: 10/21/2021 Email: Building@carlsbadca.gov REV. 07/21 {cicyof Carlsbad COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check _______ _ Est. Value PC Deposit Date ________ _ Job Address 2875 Locker Avenue East Ca~sbad, CA 92008 Sulte: ____ APN: __________ _ Tenant Name:_T_-M_o_b_il_e _____________ _ Lot#: Year Built: _1_98_9 ___ Occupancy:.;.;ni.;.• ___ _ Construction Type· WCF Mod FlreSprlnklers:~,u.: 1A/C:~10: 1 BRIEF DESCRIPTION OF WORK: Exlsling WCF. Remove (6) existing panel antennas, remove (1) cabinet, relocate (1) antenna, install (6) new antenna, install (3) new radios, install (6) mounting pipes. install (1) new battery cabinet and (1) new equipment cabinet along with associated cabling and equipment. Project valuation: $85,000 D Additlon/New: ___________ New SF and Use, ___________ New SF and Use, ____ Deck SF, Patio Cover SF (not including flatwork) [!l Tenant lmprovement:._2_o_o ____ SF, Existing Use WlreieH C,;mrm,~lc,tlon Fae~~ ... Proposed Use WlreJse11 Communica~l)l'I F8cllity _____ SF, Existing Use ______ Proposed Use ______ _ D Pool/Spa:,_n_ia ____ SF Additional Gas or Electrical Features? ____________ _ □□ □□ □□ D Solar: n/a KW, Modules, ____ Mounted, Tilt: '?es /No. RMA: Yes/ No, Panel Upgrade: Yes/ No D Plumbing/Mechanical/Electrical Only: ________________________ _ @ other: Modifying an existing Wireless Communication Facility This permit Is to be issued In the name of the Property owner as Owner-Bullder, licensed contractor or Authorized Acent of the owner or contractor. The person listed as the Applicant below will be the main point of contact throughout the permit process. PROPERTY OWNER APPLICANT O PROPERTY OWNERS AUTHORIZED AGENT APPLICANT Ill Name: Techbilt Construction Corp., a California corporation (Ted Tchang) Name: Vincent Voss, SAC Wireless OBO T-Mobile (Applicant) Address: 3575 Kenyon St Address: _4_23_o_4_2_nd_s_1re_e1 ______________ _ City: San Diego State:_C_A __ .Zip: 92110 City: San Diego State:._C_A __ .Zlp: 92105 Phone: ________________ Phone: (630) 220-8156 Email: Vincent.voss@sacw.com Email: Vincent.Voss@sacw.com DESIGN PROFESSIONAL APPLICANT D Name: NESTOR T. POPOWYCH/SAC Wireless, LLC Address: 9020 Activity Rd. City: San Diego State:_C_A _ _.Zlp: 92122 Phone: (619) 736-3766 X105 Email: dennis.yoshli@sacw.com Architect State License: _c_-2_7_4_s_s _______ _ CONTRACTOR BUSINESS APPLICANT 0 Name: ro ~\l\t.~ ~\ e...vfr, ·\.: Address: C\.0'6 '5 11,.l..""-""'c :D rw'- Clty:S,,,.." V,t.';jll State: CA Zip: O\o-\g-1 Phone: ~<,'6-S:"1 'i ~ t'\5j Email: ___________________ _ State License: \lo$ Ip 1 J Bus. License: _____ _ 1635 Faraday Ave Carlsbad, CA 92008 B-2 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov Page 1 of 2 Rev. 08/20 DocuSign Envelope ID: 251FF7CB-A46A-413D-AF18-AF56323EAB28 OWNERS AUTHORIZED AGENT FORM B-62 OWNER'SAUTHORIZED AGENT FORM Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov Only a property ownerJ 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 for what jobs s/he may obtain permits. The farm must be completed in its entirety to be accepted by the City for each separate permit application. Note: The following Owner's Authorized Agent form Is required to be completed by the propertY owner only when designating an agent to apply for a 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. . . . . Modifying an Existing WCF Scope of Construction ProJect (or Descnpt,on of Work):-------=---------=----- 2875 Locker Avenue East Carlsbad, CA 92008 Project Location or Address: _____________________________ _ Vince Voss, SAC Wireless obo T-Mobile (630) 220-8156 Name of Authorized Agent: __________________ Tel No. ________ _ Address of Authorized Agent: 4230 42nd Street San Diego, CA 92105 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. 1t:r~ Ted Tchang President 3/3/2021 Property Owner's Signature: ,._L_,.,.00.,,_,99""EE'<'e""re,;s4.,.,,.._.. _____________ Date: ______ _ 1 Building Permit Inspection History Finaled (city of Carlsbad PERMIT INSPECTION HISTORY for (CBC2021-0076} Permit Type: BLDG-Commercial Work Class: Tenant Improvement Status: Closed -Finaled Application Date: 03/09/2021 Owner: TECHBILT CONSTRUCTION CORPORATION Issue Date: 02/14/2022 Subdivision: PARCEL MAP NO 15563 Expiration Date: 08/15/2022 IVR Number: 31983 Address: 2875 LOKER AVE E, # CS CARLSBAD, CA 92010-6626 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 01/24/2022 01/24/2022 BLDG-33 Service 175169-2022 Passed Tony Alvarado Change/Upgrade Checklist Item COMMENTS BLDG-Building Deficiency January 24, 2022: Friday, April 29, 2022 BLDG-Final Inspection Checklist Item BLDG-Electrical Final 1. Existing T-Mobile Cell site electrical upgrade modifications. 2. Electrical modifications include; panel upgrade from 60 amp to new 100 amp service, new disconnect blade-switch, and new updated back up battery panel board assembly, per electrical engineer's plans and detail specifications-approved. 175170-2022 COMMENTS Passed January 24, 2022: Tony Alvarado 1. Existing T-Mobile Cell site electrical upgrade modifications. 2. Electrical modifications include; panel upgrade from 60 amp to new 100 amp service, new disconnect blade-switch, and new updated back up battery panel board assembly, per electrical engineer's plans and detail specifications-approved. Complete Passed Yes Complete Passed No Page 1 of 1 DATE: 3-31-21 JURISDICTION: Carlsbad PLAN CHECK#.: CBC2021-0076 ✓• EsG1I A SAFEbu1lt Company SET: I PROJECT ADDRESS: 2875 Loker Avenue East PROJECT NAME: T-Mobile Cell Site Modifications □ APPLICANT □ JURIS. cg] The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: cg] EsGil staff did not advise the applicant that the plan check has been completed. D EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Date contacted: {by: Telephone#: ) Email: Mail Telephone Fax In Person 0 REMARKS: By: Scott Humphrey EsGil Enclosures: 3-11-21 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Scott Humphrey PLAN CHECK#.: CBC2021-0076 DATE: 3-31-21 BUILDING ADDRESS: 2875 Loker Avenue East BUILDING OCCUPANCY: BUILDING AREA Valuation Reg. PORTION ( Sq. Ft.) Multiplier Mod. Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code 1 7 B Buildin g Permit Fee ... I 1997 UBC Plan Check Fee Type of Review: r Complete Review VALUE I Structural Only r Repetitive Fee I .i:J Repeats 1 Other r Hourly EsGil Fee E==]Hrs.@• Comments: In addition to the above fee, an additional fee of$ $ /hr.) for the CalGreen review. ($) $135.ooJ is due ( hour@ Sheet of SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE Business Contact Project Address (include suite) 10505 Sorrento Valley Rd City San Diego Mailing Address (include suite) 10505 Sorrento Valley Rd City San Diego OFFICE USE ONLY RECORD ID # __________________ I PLAN CHECK # _________________ I T-Mobile State CA State CA Telephone# Zip Code 921211618 Zip Code 921211618 BP DATE APN# 340-081-04-00 Plan File# Project Contact Vanessa Bybee Applicant E-mail Vanessa.bybee@sacw.com Telephone# 619-602-9085 The following questions represent the facility's activities, NOT the specific project description. PART I: FIRE DEPARTMENT -HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: (not required for projects within the City of San Diego): Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are circled, applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: Facility's Square Footage (including proposed project): 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives 2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards 3. Flammable/Combustible Liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These. 4. Flammable Solids 8. Unstable Reactives 12. Radioactives PART 11: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH HAZARDOUS MATERIALS DIVISION (HMDl: If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 170, San Diego, CA 92123. Call (858) 505-6700 prior to the issuance of a building permit. □ CalARP Exempt I FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy: 1. 2. 3. 4. 5. 6. 7. 8. YES NO (for new construction or remodeling projects) Is your business listed on the reverse side of this form? (check all that apply). Ix] □ □ IX] Will your business dispose of Hazardous Substances or Medical Waste in any amount? □ ~ Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? □ □ □ □ □ D Will your business store or handle carcinogens/reproductive toxins in any quantity? !XI Will your business use an existing or install an underground storage tank? Ix] Will your business store or handle Regulated Substances (CalARP)? ~ Will your business use or install a Hazardous Waste Tank System (Title 22, Article 1 0)? ~ Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act). Date Initials □ CalARP Required I Date Initials □ CalARP Complete I Date Initials PART 111: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT (APCDI: The following questions are intended to identify the majority of air pollution issues at the planning stage. Your project may require additional measures not identified by these questions. Some residential projects may be exempt from APCD requirements. If yes is answered for either questions 1, 2 or 5 or for more comprehensive requirements, please contact APCD at apcdcomp@sdcounty.ca.gov; (858) 586-2650; or 10124 Old Grove Road, San Diego, CA 92131. 1. 2. 3. 4. 5. 6. YES NO □ IX] □ □ □ □ □ Will the project disturb 100 square feet or more of existing building materials? Will any load supporting structural members be removed? (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by an individual that has passed an EPA-approved building inspector course? (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Based on the survey results, will the project disturb any asbestos containing material? If yes, a notification may be required at least 10 working days prior to commencing asbestos removal. Additionally, a notification may be required prior to the removal of a load supporting structural member(s) regardless of the presence of asbestos. □ □ D Will the project or associated construction equipment emit air contaminants? See the reverse side of this form for typical equipment requiring an APCD permit. If yes, contact APCD prior to the issuance of a building permit. □ (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school boundarv? Briefly describe business activities: Briefly describe proposed project: Wireless Telecom Facility Modify wireless telecom facility by upgrading antennas with screening and equipment I declare under penalty of perjury that to the best of my knowledge and belie};f t e responses ma~ he,t;ein are true and correct. -_k'._,::i-~ejl4-',,i'~-~i2.1p~1'~ -_____ _ Vanessa Bybee on behalf of I-Mobile /.., Name of Owner or Authorized Aaent Sianature of Owner or Aut~orized Anent 10 / 21 / 2021 Date FOR OFFICAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: ________________________________ _ BY I I EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMO* APCD COUNTY-HMO APCO COUNTY-HMO 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 (9/18) County of San Diego -DEH -Hazardous Materials Division □ □ □ □ □ □ □ □ □ □ 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: 3/8/2021 Business Name: T-Mobile,tenant of Techbilt Construction Corp street Address: 2875 Locker Avenue East Carlsbad, CA 92008 Email Address: vincent.voss@sacw.com PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT (ON REVERSE SIDE CHECK TYPE OF BUSINESS) □ Check all below that are present at your facility: Acid Cleaning 0 Food Processing 0 Metal Powders Forming Assembly 0Glass Manufacturing 0 Nutritional SupplementNitamin Automotive Repair 0 Industrial Laundry 0 Manufacturing Battery Manufacturing O Ink Manufacturing O Painting/Finishing Biofuel Manufacturing O Laboratory O Paint Manufacturing Biotech Laboratory 0 Machining/Milling 0 Personal Care Products Bulk Chemical Storage D Membrane manufacturing 0 Manufacturing Car Wash O (i.e. waterfilter membranes) O Pesticide Manufacturing/ Packaging Chemical Manufacturing O Metal Casting/Forming D Pharmaceutical Manufacturing Chemical Purification 0 Metal Fabrication 0 (including precursors) 0 Dental Offices O Metal Finishing 0 Porcelain Enameling D Dental Schools O Electroplating D Power Generation O Dental Clinics 0 Electroless Plating 0 Print Shop O Dry Cleaning 0 Anodizing 0 Research and Development 0 Electrical Component 0 Coating (i.e. phosphating) 0 Rubber Manufacturing □ Manufacturing D Chemical Etching/Milling D Semiconductor Manufacturing □ Fertilizer Manufacturing O Printed Circuit Board 0 Soap/Detergent Manufacturing □ Film/ X-ray Processing O Manufacturing O Waste Treatment/Storage New Business? YesONo(:J SIC Code(s) if known: ______ Date operation began/will begin: 6/15/2021 Tenant Improvement? YesE)NoO If yes, briefly describe improvement. Modifying an existing wireless communication facility Description of operations generating wastewater (discharged to sewer, hauled or evaporated):_n_/_a ________ _ Estimated volume of industrial wastewater to be discharged (gal/ day) n/a Listhazardouswastesgenerated(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: 760-4 76-9852 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/ Motels (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 autorepair/film developing) Theaters (Movie/Live) CERTIFICATION STATEMENT I ceriif.i' that the information above is true and correct to the best <d'my knowledge. t/~t/~44, Signature: _____________ _ Vince Voss, SAC Wireless obo T-Mobile Print Name: ____________ _ 3/8/2021 Date: ____ _ Facility Contact Ted Tchang Title President ENCINA WASTEWATER AUTHORITY 6200AVENIDA ENCINAS, CARLSBAD, CA Phone: 760-43&-3941 Fax: 760-476-9852 Page 2 of 2 PURPOSE CLIMATE ACTION PLAN CONSISTENCY CHECKLIST B-50 Building Division 1635 Faraday Avenue (760) 602-2719 www.carlsbadca.gov This checklist is intended to assist building permit applicants identify which Climate Action Plan (CAP) ordinance requirements apply to their projects. The completed checklist must be included in the building permit application. It may be necessary to supplement the completed checklist with supporting materials, calculations or certifications, to demonstrate full 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. NOTE: The following type of permits are not required to fill out this form ❖ Patio I ❖ Decks I ❖ PME (wlo panel upgrade) I ❖ Pool ,. If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required by ordinance, an explanation must be provided to the satisfaction of the Building Official. ,. Details on CAP ordinance requirements are available on the city's •i',· 1--.. ,. A CAP Building Plan template (form B-55) shall be added to the title page all building plans. This template shall be completed to demonstrate project compliance with the CAP ordinances. Refer to the building application • ',, and download the latest form. Application lnfonnation Project Name/Building Permit No. T-Mobile Anchor Tech bi It Warehouse BP No. ~~<'.'.,2!~0~2\~_-_:D~0::_7~\.!) PropertyAddress/APN: -z_q-:i--( L,b A-vb /f1,J • )o~ -oi$-I 0 Applicant Name/Co.: Vince Voss obo T-Mobile Applicant Address: 4230 42nd Street, San Diego, CA 92105 Contact Phone: (630) 220-8156 ContactEmail: vincent.voss@sacw.com Contact information of person completing this checklist (if different than above): Name: Company name/address: Vince Voss SAC Wireless obo T-Mobile Contact Phone: Contact Email: t/~t,/1744, Applicant Signature: _______________ Date: B-50 Page 1 of6 (630) 220-8156 vincent. voss@sacw.com Revised 06/18 DocuSi~n Envelope ID: 251FF7CB-A46A-413D-AF18-AF56323EAB28 February 15, 2021 VIA E-MAIL, Recipient ted@techbilt.com Techbilt Construction Corp., a California corporation 3575 Kenyon Street #200, San Diego, CA 92110 Attn: Ted Tchang Re: Site Number: Site Address: Dear Mr. Tchang: Communications Site Lease Site Lease Agreement (this "Lease") dated July 8, 1999 duly amended by its Amendment 1 and 2 dated October 1, 2018 and August 4, 2020 respectively by and between Techbilt Construction Corp., a California corporation, ("Landlord") and T-Mobile West LLC, a Delaware limited liability Company, LLC, ("T-Mobile") SD06377A 2875 Locker Avenue East, Carlsbad, CA 92008 (the "Property") T-Mobile is in the process of updating certain equipment that supports its wireless telecommunications network. As part of this effort, T-Mobile will need to perform work at the above- referenced Property. In order to update the equipment, T-Mobile is requesting Landlord to review the attached construction drawings which depict the work to be performed (the "CDs") and then provide your consent for that work ("Consent"). In accordance with the lease and Paragraph 6 (b) of the Agreement -"In connection therewith, Lessee has the right to do all work necessary to prepare, add, maintain and alter the Premises for Lessee's communications operations and to install utility lines and transmission lines connecting to antennas to transmitters and receivers, subject to lessor's right to approve plans pursuant to Section 6(h)". Please signify your approval by signing and dating one (1) original of this Consent in the space provided below and signing the enclosed CDs. Kindly return the Consent along with the CDs duly signed by Landlord via email to Vincent.Voss@sacw.com. Sprint OocuSign· Envelope ID: 251FF7CB-A46A-4130-AF 18-AF56323EAB28 Should you have any questions about this consent request, please contact Vince Voss, SAC Wireless, at Vincent.Voss@sacw.com or (630) 220-8156. Please note that signing this consent to does not alter, waiver or modify your existing rights under the Lease with respect to the Site. As such, we appreciate your prompt attention to this request. If you have other questions about the Site, those can be addressed separately at Ve'. ,icJ·-; .U ::;:>:: , :1·: ·: • ,, , .: ""· Thank you in advance for your cooperation in this matter. Very truly yours, Wendy Urquiza Acknowledged, Accepted and Agreed: Techbilt Construction Corp., a California corporation Bv:CY~~:~ Ted Tchang President Date: 3/3/2021 Please provide a contact name and telephone number, so T-Mobile can schedule the necessary work. Contact Name & Number Ted Tchang ----------------------------- Sprint