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Home My WebLink About1755 VALLEY PL; ; CBR2018-3159; PermitPrint Date: 12/13/2019 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: It Dwelling Units: Bedrooms: Project Title: 1755 Valley Pl BLDG-Residential 2050803300 $115,469.36 Residential Permit Work Class: Addition Lot It: Reference It: Construction Type: Bathrooms: Orig. Plan Check It: Plan Check It: ( City of Carlsbad Permit No: CBR2018-3159 Status: Applied: Issued: Permit Fina led: Closed -Finaled 11/15/2018 06/07/2019 Inspector: PBurn Final Inspection: 12/13/2019 10:35:39A Description: KAMINSKI: 287 SF ADDITION ABOVE GARAGE+ 63 SF ENTRY+ 112 SF DECK// 318 SF ADDITION ON 1ST FLOOR (TOTP ADDITION AREA 668 SF) BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) Owner: CASEY P KAMINSKI 1755 Valley Pl CARLSBAD,CA 92008 ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION MECHANICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL 581473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL SWPPP INSPECTION FEE TIER 1 -Medium BLDG SWPPP PLAN REVIEW FEE TIER 1 -MEDIUM Total Fees: $1,999.77 Total Payments To Date: $1,999.77 Balance Due: $0.00 $682.80 $477.96 $66.00 $175.00 $92.00 $182.00 $5.00 $15.01 $246.00 $58.00 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 Ave nue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.ca rlsbadca.gov ( City of Carlsbad Job Address 1755 VALLEY PLACE RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check CBf<.~()\3--315~ Est. Value 1b f I 5, ~ /.;<f. ,2,l_..., PC Deposit Date _____,_I __,_I /--=--=='5~/....,:._I 8'~ Suite: ____ APN: __ 2_5_0-_0_80_-_33_-_oo ____ _ CT /Project #:_v_s ___ R_-3 _____ Lot#: ____ Fire Sprinklers: yes 0§) Air Conditioning: ~ no BRIEF DESCRIPTION OF WORK: ADDITIONS TO, AND REMODELING OF, AN EXISITNG ONE-STORY SINGLE FAMILY RESIDENCE. ADDITION TO THE REAR OF THE BACK BEDROOM AND RELOCATION OF HOME OFFICE. ONE-STORY ADDITION AT THE FRONT OF THE RESIDENCE TO CREATE AN ENTRY AND ENLARGE THE DINING ROOM. SECOND STORY GUEST ADDITION OVER THE GARAGE. g Addition/New: ~ Living SF, 112 Deck SF, ___ Patio SF, ___ Garage SF Is this to create an Accessory Dwelling Unit? Yes ;([c;" New Fireplace? Yes /~fyes how many? __ D Remodel: ____ SF of affected area Is the area a co nversion or change of use ? Yes ~ D Pool/Spa: ____ SF ",t;,c., Additional Gas or Electrical Features? __ ..:..._1r_, ________ _ D Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground , Tilt: Yes / No, RMA: Yes/ No, Battery: Yes/ No Panel Upgrade: Yes/ No D ;Reroof: ____________________________________ _ r::f Plumbing/Mechanical/Electrical Only: _________________________ _ D Other: -------------------------------------- APPLICANT (PRIMARY) PROPERTY OWNER Name: BART SMITH, DZN PARTNERS Name: CASEY KAMINSKI Address: 682 SECOND STREET Address: 1755 VALLEY PLACE City: ENCINITAS State: CA Zip: 92024 City: CALRSBAD State: CA Zip: _ _;9,..2.,.0""'08,.___ Phone: 760-753-2464 Phone: 760-586-2451 Email: b.smith@dznpartners.com Email: kaminski.casey@gmail.com DESIGN PROFESSIONAL Name: BART SMITH, DZN PARTNERS Address: 682 SECOND STREET City: ENCINITAS State: CA Zip: _9_20_2_4 __ Phone: 760-753-2464 Email: b.smith@dznpartners.com Architect State License: __ C_;._-_2_2-'-55:....;7 ______ _ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires t he applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he/she is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov 8-1 Page 1 of 2 Rev. 06/18 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury one of the following declarations: D 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. D I have 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 policy number are: Insurance Company Name: _____________________ _ Policy No. ______________ Expiration Date: __________ _ ~ertificate 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 be come jsu~ect 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, :::::::::•;l<Gfu~:TURE: ~ a)~ □AGENT DATE: (, // / { 9 z: ~ I ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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 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-builder will have the burden of proving that he did not build or improve for the purpose of sale). D I, 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). DI am exempt under Section ________ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes D No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work): OWNER SIGNATURE: □AGENT ---------------------------DATE: _____ _ CONSTRUCTION LENDING AGENCY, IF ANY: I 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: _____________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes O No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 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 is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST 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. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if th uilding or k authoriz by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 10 . niform Buildin Code). APPLICANT SIGNATURE:~ J--,1+-----rn:--DATE: // It '5/t B 1635 Faraday Ave Carlsbad, CA 92008 B-1 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of 2 Email: Building@carlsbadca.gov Rev. 06/18 Permit Type: BLDG-Residential Application Date: 11/15/2018 Owner: Work Class. Addition Issue Date: 06/07/2019 Subdivision: Status: Closed -Finaled Expiration Date: 03/23/2020 Address: IVR Number: 15419 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector December 13, 2019 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS CASEY KAMINSKI PARADISE ESTS UNIT# 1 1755 Valley Pl Carlsbad, CA 92008-1 150 Reinspection Passed Yes Yes Yes Yes Yes Complete Page 2 of 2 Permit Type: BLDG-Residential Application Date: 11/15/2018 Owner: CASEY KAMINSKI Work Class. Addition Issue Date: 06/07/2019 Subdivision: PARADISE ESTS UNIT# 1 Status: Closed -Finaled Expiration Date· 03/23/2020 Address: 1755 Valley Pl IVR Number: 15419 Carlsbad, CA 92008-1 150 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date 08/21 /2019 BLDG-13 Shear 101710-2019 Passed Paul Burnette Complete Panels/HD (ok to wrap) Checklist Item COMMENTS Passed BLDG-Building Deficiency No 06/10/2019 06/10/2019 BLDG-SW-Pre-Con 094187-2019 Passed Paul Burnette Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 07/08/2019 07/08/2019 BLDG-11 096822-2019 Passed Paul Burnette Complete Foundation/Fig/Pier s (Rebar) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 08/21/2019 08/21/2019 BLDG-15 101490-2019 Passed Paul Burnette Complete Roof/ReRoof (Patio) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 09/10/2019 09/10/2019 BLDG-84 Rough 103522-2019 Failed Michael Collins Reinspection Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency See card No 09/12/2019 09/12/2019 BLDG-84 Rough 103924-2019 Passed Michael Collins Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency See card No BLDG-14 See card for pick up. Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 09/25/2019 09/25/2019 BLDG-17 Interior 105410-2019 Passed Tony Alvarado Complete Lath/Drywall 12/13/2019 12/13/2019 BLDG-Final 113687-2019 Passed Paul York Complete Inspection December 13, 2019 Page 1 of 2 EsGil Corporation In <Partnersfiip witfi (]overnment for (}Jui{aing Safety DATE: 3/11/2019 JURISDICTION: Carlsbad PLAN CHECK NO.: CBR2018-3159 PROJECT ADDRESS: 1755 Valley PLACE SET: II PROJECT NAME: Addition & Remodel for Kaminski Residence □ APPLICANT ~URIS. □ PLAN REVIEWER □ FILE ~ 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 reso lved 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 Corporation 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: BART SMITH ~ EsGil Corporation staff did not advise the applicant that the plan check has been completed. D EsGil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: BART ~ Telephone#: 760-753 2464 Date contacted: ~<¥) Email: B.SMITH@DZNPARTNERS.COM Mai l Telephone Fax In Person 0 REMARKS: By: BERT DOMINGO EsGil Corporation □ GA □ EJ □ MB □ PC Enclosures: 3/4/2019 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92 123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 EsGil Corporation In Partnersliip witli (Jovemment for <Bui{aing Safety DATE: 11/27/2018 JURISDICTION: Carlsbad PLAN CHECK NO.: CBR2018-3159 PROJECT ADDRESS: 1755 Valley PLACE SET: I PROJECT NAME: Addition & Remodel for Kaminski Residence □ APPLICANT □ JURIS. □ PLAN REVIEWER □ FILE D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's 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. ~ The check list transmitted herewith is for your information. The plans are being held at EsGil Corporation 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. ~ The applicant's copy of the check list has been sent to: BART SMITH D EsGil Corporation staff did not advise the applicant that the plan check has been completed . ~ EsGil Corporation staff did advise the applicant that the plan check has been completed . Person contacted : BART Telephone#: 760-753 2464 Date contacted: (by: ) Email: B.SMITH@DZNPARTNERS.COM Mail Telephone Fax In Person □ REMARKS: By: BERT DOMINGO Enclosures: EsGil Corporation 0 GA 0 EJ O MB 0 PC 11/16/2018 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1 576 · Carl~bad CBR2018-3159 ,11/27 /2018 PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES PLAN CHECK NO.: CBR2018-3159 JURISDICTION: Carlsbad PROJECT ADDRESS: 1755 Valley PLACE FLOOR AREA: Addition = 730 SF Storage = 231 SF Deck = 325 SF REMARKS: DATE PLANS RECEIVED BY JURISDICTION: DATE INITIAL PLAN REVIEW COMPLETED: 11/27/2018 FOREWORD (PLEASE READ): STORIES: HEIGHT: DATE PLANS RECEIVED BY ESGIL CORPORATION: 11/16/2018 PLAN REVIEWER: BERT DOMINGO This plan review is limited to the technical requirements contained in the California version of the International Residential Code, International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation , noise attenuation and access for the disabled. This plan review is based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinance by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building permit. Present California law mandates that construction comply with the 2013 edition of the California Code of Regulations (Title 24), which adopts the following model codes: 2012 IRC, 2012 IBC, 2012 UPC, 2012 UMC and 2011 NEC. The above regulations apply, regardless of the code editions adopted by ordinance. The following items listed need clarification, modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 105.4 of the 2012 International Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck process. please note on this list (or a copy) where each correction item has been addressed. i.e., plan sheet number. specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. • Carlsbad CBR2018-3159 -11/27 /2018 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: BERT DOMINGO BUILDING ADDRESS: 1755 Valley PLACE BUILDING OCCUPANCY: R 3 BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier Addition 668 169.50 Deck 112 20.03 Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance Bldg. Permit Fee by Ordinance Plan Check Fee by Ordinance Type of Review: 0 Complete Review D Repetitive Fee _3 Repeats □ Other □ Hourly EsGil Fee PLAN CHECK NO.: CBR2018-3159 DATE: 11/27/2018 Reg . VALUE Mod. D Structural Only 1------IHr @ • ($) 113,226 2,243 115,469 $682.861 $443.861 $382.401 Comm ents: In addition to the above fee, an additional fee of$ is due (hour@ /hr.) for the CalGreen review. Sheet 1 of 1 macvalue.doc + . Carlsbad CBR2018-3159 11/27/2018 Please make all corrections, as requested in the correction list. Submit FOUR new complete sets of plans for commercial/industrial projects (THREE sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 1. Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring TWO corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning , Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. • PLANS 1. All sheets of plans must be signed by the person responsible for their preparation. The structural portions and the structural calculations must be signed and sealed by the California state licensed engineer or architect responsible for their preparation. (California Business and Professions Code). 2. Provide a statement on the Title Sheet of the plans stating that this project shall comply with the 2016 California Residential Code, which adopts the 2015 IRC , 2015 UMC, 2015 UPC and the 2014 NEC. Section R106.1. • GENERAL RESIDENTIAL REQUIREMENTS 3. Glazing in the following locations should be shown on the plans as safety glazing material in accordance with Section R308.4: a) Glazing in doors. Notes are great, but please show the affected doors on the schedule b) Shower enclosures should be safety glazing. 4. Sleeping rooms shall have a window or exterior door for emergency escape. Section R310. It seems that the window 88 may not meet the required egress requirement. Please submit justification. a) Windows must have an openable area of at least 5. 7 square feet, with the minimum openable width 20" and the minimum openable height 24". . Carlsbad CBR2018-3159 11/27/2018 EXITS, STAIRWAYS, AND RAILINGS 5. Guards (Section R312): The southwest elevation shows guardrails and stairs. Are these existing? 6. Please show how many stringers for the stairs. Please show the size also. ROOFS/DECKS/BALCONIES 7. Specify on the plans the following information for the deck/balcony surfacing materials, per Section R106 .1.1: a) Manufacturer's name and product name/number. b) ICC approval number, or equal. 8. Specify roof material and application. Chapter 9. a) In California, roofing shall be a fire-retardant roof covering that is at least Class C. Section R902.1.3. 9. Specify on the plans the following information for the roof materials, per Section R106.1 .1: a) Manufacturer's name and product name/number. b) ICC approval number, or equal. 10. Show the required ventilation for attics (or enclosed rafter spaces formed where ceilings are applied directly to the underside of roof rafters). The minimum vent area is 1/150 of attic area (or 1/300 of attic area if at least 40% (but not more than 50%) of the required vent is located no more than 3' below the ridge). Show on the plans the area required and area provided. Section R806.2. a) When using a radiant barrier, California energy design affects the attic ventilation area requirement: If using the Prescriptive method for energy compliance, then the attic vent area must be at the 1/150 area: If using the Performance method, either the 150 or 300 areas may be used, as documented on the energy forms. Section RA4.2.1 . 11 . Enclosed rafter spaces do not require venting if the following specific insulation design is used , per Sections R806.5/EM3.9.6: • If the insulation is air-permeable and it is installed directly below the roof sheathing with rigid board or sheet insulation with a minimum R-4 value installed above the roof sheathing. (or) • If the insulation is air-impermeable and it is in direct contact with the underside of the roof sheathing. (or) • If two layers of insulation are installed below the roof sheathing: An air- impermeable layer in direct contact with the underside of the roof sheathing and an additional layer of air permeable insulation installed directly under the air- impermeable insulation. : Carlsbad CBR2018-3159 11/27/2018 12. Where eave vents are installed, insulation shall not block the free flow of air. A minimum of 1" of air space shall be provided between the insulation and the roof sheathing. To accommodate the thickness of insulation plus the required 1" clearance, member sizes may have to be increased for rafter-ceiling joists. Section R806.3. 13. Note on the plans: "Attic ventilation openings shall be covered with corrosion-resistant metal mesh with 1 /16" minimum to ¼" maximum openings. Section R806.1. GARAGE AND CARPORTS 14. The garage shall be separated from the residence and its attic area by not less than ½" gypsum board applied to the garage side (at walls). Garages beneath habitable rooms shall be separated by not less than 5/8" Type X gypsum board. Section R302.6. • PLUMBING 15. Specify on the plans whether the existing house was built before or after 1994. For additions or improvements to a residence built before 1994, note on the plans that existing "noncompliant" fixtures (toilets that use more than 1.6 gallons of water per flush, urinals that use more than one gallon of water per flush, showerheads that have a flow capacity of more than 2.5 gallons of water per minute, and interi or faucets that emit more tha n 2.2 gallons of water per minute) shall be replaced. Certification of compliance shall be given to the bu ilding inspector prior to fi nal permit approval. California S8407. • RESIDENTIAL GREEN BUILDING STANDARDS The California Building Standards Commission has adopted the Green Building Standards Code which became effective January 1, 2011 and must be enforced by the local building official. The following mandatory requirements for residential construction must be included on your plans. CGC Section 101.3. The Standards apply to newly constructed residential buildings, along with additions/alterations that increase the building's conditioned area, volume or size. CGC Section 303.1.1. Provide a sheet on the plans labeled "Green Building Code Requirements" and include the following notes as applicable. 16. Recycling . Note on the plans that a minimum of 65% of construction waste is to be recycled. CGC 4.408.1. .'Carlsbad CBR2018-3159 11/27/2018 • MISCELLANEOUS 17. The calculations submitted seems for another project. 18. A complete structural plan check will be made. To speed up the review process, note on this list (or a copy) where each correction item has been addressed , i.e., plan sheet, note or detail number, calculation page, etc. • Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes, please briefly describe them and where they are located in the plans. • Have changes been made to the plans not resulting from this correction list? Please indicate: Yes □ No □ • The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact BERT DOMINGO at EsGil Corporation. Thank you. :carlsbad CBR2018-3159 11/27/2018 «~~ ~ CITY OF CARLSBAD SPECIAL INSPECTION AGREEMENT B-45 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov In accordance with Chapter 17 of the California Bulldlng Code the following must be completed when work being performed requires special Inspection, structural observation and construction material testing. ,reject/Permit: __________ _ Project Address· __________________ _ A. THIS SECTION MUST BE COMPLETED BY THE PROPERTY OWNER/AUTHORIZED AGENT. Please check~ you are Owner-Builder □. (If you checked as owner-builder you must also complete Section B of this agreement.) Name: (Please print,_ ________________________________ _ (Forst) (M,1) (I.est) Mailing Addres-· _________________________________ _ Email_· ________________________ Phone_· _________ _ I am: □Property ONner □Property ONner's Agent of Record □Architect of Record □Engineer of Record State of California Registration Numbe~·------------Expiration Date: _______ _ AGREEMENT: I, the undersigned, declare under penalty of perjury under the laws of the State of California, that I have read, understand, acknowledge and promise to comply with the City of Carlsbad requirements for special inspections, structural observations, construction materials testing and off-site fabrication of building components, as prescribed in the statement of special Inspections noted on the approved plans and, as required by the California Building Code. Signatur..._ ______________________ Date: ___________ _ B. CONTRACTOR'S STATEMENT OF RESPONSIBILITY (07 CBC, Ch 17, Section 1706). This section must be completed by the contractor I builder/ owner-builder. Contractor's Company Name: __________________ Please check If you are Owner-Builder D Name: (Please print) _________________________________ _ (Forst) (M.11 (I.est) Mailing Address: _________________________________ _ Email: ________________________ Phone· __________ _ State of California Contractor's Ucense Number_· _________ Expiration Date: _______ _ • I acknowledge and, am aware, of special requirements contained in the statement of special inspections noted on the approved plans; • I acknowledge that control will be exercised to obtain conformance with the construction documents approved by the building official; • I will have in-place procedures for exercising control within our (the contractor's) organization, for the method and frequency of reporting and the distribution of the reports; and • I certify that I will have a qualified person within our (the contractor's) organization to exercise such control. • I will provide a final report/ letter in compliance with CBC Section 1704.1.2 prior to requesting final Inspection. Signature~· _______________________ Date: __________ _ B-45 Page 1 of 1 Rev. 08/11 C cityof Carlsbad CERTIFICATION OF SCHOOL FEES PAID This form must be completed by the City, the applicant, and the appropriate school districts and returned to the City prior to issuing a building permit. The City will not issue any building ffE:~oE \'.tEB school fee form . Project No. & Name: Plan Check No.: CBR2018-3159 Project Address: 1755 VALLEY PL Assessor's Parcel No.: 2050803300 MAR 2 2 2019 CITY OF C \PLSBAD BUILO,Nt, ' '\JI ;c:101'iJ ---------------------- Project Applicant: CASEY KAMINSKI (Owner Name) ---------------------- Residential Square Feet: New/Additions: 668 Second Dwelling Unit: ---------------------- Commercial Square Feet: New/Additions: City Certification: City of Carlsbad Bu ilding Division Date: 03/13/2019 Certification of Applicant/Owners. The person executing this declaration ("Owner") certifies under penalty of pe~ury that (1) the information provided above is correct and true to the best of the Owner's knowledge, and that the Owner will file an amended certification of payment and pay the additional fee if Owner requests an increase in the number of dwelling units or square footage after the building permit is issued or if the initial determination of units or square footage is found to be incorrect, and that (2) the Owner is the owner/developer of the above described project(s), or that the person executing this declaration is authorized to sign on behalf of the Owner. ..-------------------, @ Carlsbad Unified School District 6225 El Camino Real Carlsbad CA 92009 Phone: (760) 331-5000 D Encinitas Union School District 101 South Rancho Santa Fe Rd Encinitas, CA 92024 Phone: (760) 944-4300 x1166 D San Dieguito Union H.S. District 684 Requeza Dr. Encinitas, CA 92024 Phone: (760) 753-6491 Ext 5514 (By Appt. Only) D San Marcos Unified Sch. District 255 Pico Ave Ste. 100 San Marcos, CA 92069 Phone: (760) 290-2649 Contact: Katherine Marcelja (By Appt.only) D Vista Unified School District 1234 Arcadia Drive Vista CA 92083 Phone: (760) 726-2170 x2222 SCHOOL DISTRICT SCHOOL FEE CERTIFICATION (To be completed by the school district(s)) THIS FORM INDI CATES THAT THE SCHOOL DISTRICT REQUIREMENTS FOR THE PROJECT HAVE BEEN OR WI LL BE SATISFIED. The undersigned, being duly authorized by the applicable School District, certifies that the developer, builder, or owner has satisfied the obligation for school facilities. This is to certify that the applicant listed on page 1 has paid all amounts or completed other applicable school mitigation determined by the School District . The City may issue building permits for this project. Signature of Authorized School District Official: '\:)A , 't3 , ~\ ; ::'5' ~A f~ L c::_, G<.-t_" \ \JV'h, .. (\, --- Title: S ~-Q 1: ', :f\\------i?<:OC1---e0".\::k Date: :1 -a()-/ 2' Name of School District: Building Division CARLSBAD UNIFIED SCHOOL DISTRICT 6225 EL CAMINO REAL CARLSBAD, CA 92009 1635 Faraday Avenue I Carlsbad, CA 92008 I 760-602-2719 I 760-602-8558 fax I building@carlsbadca.gov STORM WATER POLLUTION PREVENTION NOTES 1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN IS EMINENT. 2. lHE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO WORKING ORDER TO lHE SATISFACTION OF lHE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING RAINFALL. 3. lHE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY lHE CITY INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. 4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE AT lHE END OF EACH WORKING DAY WHEN lHE FIVE (5) DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT ( 40%). SILT AND OlHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL. 5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM AGGREGATE. 6. ADEOUA TE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. 7. lHE CITY INSPECTOR SHALL HAVE lHE AUlHORITY TO ALTER lHIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED TO ENSURE COMPLIANCE V.,lH CITY STORM WATER QUALITY REGULATIONS. OWNER'S CERTIFICATE: I UNDERSTAND AND ACKNOv.tEDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO A VOID THE MOBILIZATION Of POLLUTANTS SUCH AS SEDIMENT AND TO A VOID THE EXPOSURE Of STORM WATER TO CONSTRUCTION RELATED POLLUTANTS; ANO (2) ADHERE TO, ANO AT All TIMES, COMPLY V.,TH THIS CITY APPROVED TIER 1 CONSTRUCTION SVil'PP THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY or CARLSBAD. ~NZ-, t--\ . s ~ "1 "'. STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-.29 CB RJ0\8-3159 SW BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE Erosion Control Sediment Control BMPs Tracking Non-Storm Wale< Wasle Management and Materials BMPs ControlBMPs Management BMPs Polulioo Control BMPs C C § 0 C 0 C ., -g ~ ~ g' " 1! -g i -g " ~ .2' 0 " ~ ., 2 .E ~ t:: ·i 0 ., ::,; --g :? g' :;; £ 1~ ~ g ? i 0 C ., .:,i O> Oo 0.. ·2-.§ 8 uJ 5 ~ 0 Best Management Practice' ·" ., 0 al ~ -3'-£ ~~ "' C u~ u ~ ~ ~ (BMP) Description ➔ ., ·" ~ ., O> ., O> al -~ § 'O ., 'O ::,; i, .! ~ C 0 ~ §., 6 0 :, .,., ~ '5 ~ 8, 0 0 ~-~ il~ ]f 6 § ~ ~-:g E 5E ::,; 0 ii 0 al g-O:;:; u ~ ., g' "' N., C'I:;:; ., ~ 8, 0 3' g. 'O ., ., :z .£ .!'. E i 1 .0 E ~ :.: VI ~~ :g ]'§ ~ 0.. ll,. 0 ~ O> 0 'O ., a; ., " -g :g ~ ~g ~j :;; e 8 ==] 'O 0 0" 0 ~ 0 g. 'i5 .0 0 ~g ao ~~ 0 -o ~~ NC ., £ o~ tn ., ~ <3 ~ inn: V> C ~u "-vi ~(.) oo c:, WO iii Vl u G: Vl> Vl 0: ll,. ::,; Vl ::,; :x:::,; CASOA Deslgnalioo ➔ ,._ <O "' ..., ... "' "' ,._ <O 0 N ..., ,._ <O ' N ..., ... "' "' I I I ' ' I I b(~ I I ' ' I ' I I I I I I I I u u u u t,j t,j t,j t,j t,j t,j ~ ~ Vl Vl Vl Vl i i i i i i I Construclioo Activity uJ uJ uJ uJ z z z z 1, Gradina/Soi Disturbance V Trench inn /F'xcavotian I, Stacknuinn ..... Drllinn /Barino ·r~crete/Asohalt S,,wcuttinn \ 'toncrete Flatwar'.< Pollina '-' Conduit JP.,e Installation V Stucco/Mortar War'.< V \, Waste Disoasal I/ Stanin" 11 av Dawn Area E~•"'ment Maintenance and Fuelinn Hazardous Substance Use/Staraae Dewaterina Site Access Across Dirt Other /list\: Instructions: 1. Check the box ta the left of all applicable construction activity (f~st column) expected to occur during construction. 2. Located along the tap of the BMP Table is a list of BMP's with it's corresponding Colifamia Starmwater ()Jality Association (CASOA) designation number. Choose one or mare BMPs yoo intend ta use during construction from the list. Check the box where the chosen activity raw intersects with the BMP column. 3. Refer ta the CASOA construction handbook far information and detais of the chosen BMPs and haw to apply them ta the project. SHOW THE LOCATIONS OF ALL CHOSEN BMPs ABOVE ON THE PROJECTS SITE PLAN/EROSION CONTROL PLAN. SEE THE REVERSE SIDE OF THIS SHEET FOR A SAMPLE EROSION CONTROL PLAN. -BMP's are subject to field inspection- PROJECT INFORMATION Site Address: \ 1$'7 \/ AU..f:'( PLA<,E. Assessor's Parcel Number: 2,C::,Q. 08Q• ~-0 Emergency Contact: Name: C~~ 'i ~ N51!-\ 24 Hour Phone: 1Cob • ~(o •,<.~f.,\ i-3' i, ., E ~g c c 0" u :::> <O I i , ..... L .,- OWNE~(S)/OWNff'S1~~RIN~ -½2vYY' 'fl\ 0 u / ro/ 2ct8 ~ Construction Threat ta Storm Water ()Jality (Check Bax) □MEDIUM ~W • E-29 Page 1 of 1 REV 02/16 ·( City of Carlsbad I INSTRUCTIONS: STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue (760) 602-2750 www.carlsbadca.gov To address post-development pollutants that may be generated from development projects, the city requires that new development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (BMPs) into the project design per Carlsbad BMP Design Manual (BMP Manual). To view the BMP Manual, refer to the Engineering Standards (Volume 5). This questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of storm water standards that must be applied to a proposed development or redevelopment project. Depending on the outcome, your project will either be subject to 'STANDARD PROJECT' requirements or be subject to 'PRIORITY DEVELOPMENT PROJECT' (PDP) requirements. Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City staff has responsibility for making the final assessment after submission of the development application. If staff determines that the questionnaire was incorrectly filled out and is subject to more stringent storm water standards than initially assessed by you, this will result in the return of the development application as incomplete. In this case, please make the changes to the questionnaire and resubmit to the city. If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, please seek assistance from Land Development Engineering staff. A completed and signed questionnaire must be submitted with each development project application. Only one completed and signed questionnaire is required when multiple development applications for the same project are submitted concurrently. PROJECT INFORMATION PROJECT NAME: CA.$c'f ~l'-..\.\N.E:.fi PROJECT ID: ADDRESS: \7$$ VAu...e.'I PLAet:: c.A~&~D ,, ~,A q2.00B APN: .2-vo-o~o -~~-oo The project is (check one): D New Development $ Redevelopment The total proposed disturbed area is: 0 ft2 ( ) acres The total proposed newly created and/or replaced impervious area is: -bo3 ft2 ( ) acres If your project is covered by an approved SWQMP as part of a larger development project, provide the project ID and the SWQMP # of the larger development project: Project ID SWQMP#: Then, go to Step 1 and follow the instructions. When completed, sign the form at the end and submit this with your application to the city. E-34 Page 1 of 4 REV 02/16 STEP1 - TO BE COMPLETED FOR ALL PROJECTS To determine if your project is a "development project", please answer the following question: YES NO Is your project LIMITED TO routine maintenance activity and/or repair/improvements to an existing building or structure that do not alter the size (See Section 1.3 of the BMP Design Manual for guidance)? □ ~ If you answered "yes" to the above question, provide justification below then go to Step 5, mark the third box stating "my project is not a 'development project' and not subject to the requirements of the BMP manual" and complete applicant information. Justification/discussion: (e.g. the project includes only interior remodels within an existing building): If you answered "no" to the above question, the project is a 'development ~roject', go to Step 2. STEP2 TO BE COMPLETED FOR ALL DEVELOPMENT PROJECTS To determine if your project is exempt from PDP requirements pursuant to MS4 Permit Provision E.3.b.(3), please answer the following questions: Is your project LIMITED to one or more of the following: YES NO 1. Constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria: a) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non- erodible permeable areas; □ f b) Designed and constructed to be hydraulically disconnected from paved streets or roads; c) Designed and constructed with permeable pavements or surfaces in accordance with USEPA Green Streets quidance? 2. Retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in □ cp' accordance with the USEPA Green Streets guidance? 3. Ground Mounted Solar Array that meets the criteria provided in section 1.4.2 of the BMP manual? □ r{r If you answered "yes" to one or more of the above questions, provide discussion/justification below, then go to Step 5, mark the second box stating "my project is EXEMPT from PDP ... " and complete applicant information. Discussion to justify exemption ( e.g. the project redeveloping existing road designed and constructed in accordance with the USEPA Green Street guidance): If you answered "no" to the above questions, your proiect is not exempt from PDP, go to Step 3. E-34 Page 2 of 4 REV 04/17 STEP3 TO BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECTS To determine if your project is a PDP, please answer the following questions (MS4 Permit Provision E.3.b.(1 )): YES NO 1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces collectively over the entire project site? This includes commercial, industrial, residential, mixed-use, □ ~ and public development projects on public or private land. 2. Is your project a redevelopment project creating and/or replacing 5,000 square feet or more of impervious surface collectively over the entire project site on an existing site of 10,000 square feet or □ E¢ more of impervious surface? This includes commercial, industrial, residential, mixed-use, and public development projects on public or private land. 3. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface collectively over the entire project site and supports a restaurant? A restaurant is a facility that sells prepared foods and drinks for consumption, including stationary lunch counters and □ m' refreshment stands selling prepared foods and drinks for immediate consumption (Standard Industrial Classification (SIC) code 5812). 4. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a hillside development project? A hillside □ ;tJ development project includes development on any natural slope that is twenty-five percent or greater. 5. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface collectively over the entire project site and supports a parking lot? A parking lot is □ 1{1 a land area or facility for the temporary parking or storage of motor vehicles used personally for business or for commerce. 6. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious street, road, highway, freeway or driveway surface collectively over the entire project □ ¢ site? A street, road, highway, freeway or driveway is any paved impervious surface used for the transportation of automobiles, trucks, motorcycles, and other vehicles. 7. Is your project a new or redevelopment project that creates and/or replaces 2,500 square feet or more of impervious surface collectively over the entire site, and discharges directly to an Environmentally ~ Sensitive Area (ESA)? "Discharging Directly to" includes flow that is conveyed overland a distance of □ 200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an isolated flow from the project to the ESA (i.e. not commingled with flows from adjacent lands).* 8. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square ~ feet or more of impervious surface that supports an automotive repair shop? An automotive repair □ shop is a facility that is categorized in any one of the following Standard Industrial Classification (SIC) codes: 5013, 5014, 5541, 7532-7534, or 7536-7539. 9. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious area that supports a retail gasoline outlet (RGO)? This category includes □ J11 RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily Traffic (ADT) of 100 or more vehicles per day. 10. Is your project a new or redevelopment project that results in the disturbance of one or more acres of land □ ~ and are expected to generate pollutants post construction? 11 . Is your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of r impervious surface or (2) increases impervious surface on the property by more than 1 0%? (CMC □ 21 .203.040) If you answered "yes" to one or more of the above questions, your project is a PDP. If your project is a redevelopment project, go to step 4. If your project is a new project, go to step 5, check the first box stating "My project is a PDP ... " and complete applicant information. If you answered "no" to all of the above questions, your project is a 'STANDARD PROJECT.' Go to step 5, check the second box stating "My project is a 'STANDARD PROJECT' ... " and complete applicant information. E-34 Page 3 of 4 REV 04/17 . STEP4 . TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPMENT PROJECTS (PDP) ONLY Complete the questions below regarding your redevelopment project (MS4 Permit Provision E.3.b.(2)): YES NO Does the redevelopment project result in the creation or replacement of impervious surface in an amount of less than 50% of the surface area of the previously existing development? Complete the percent impervious calculation below: Existing impervious area (A) = sq. ft. □ f Total proposed newly created or replaced impervious area (B) = sq . ft. Percent impervious area created or replaced (B/A)*100 = % If you answered "yes", the structural BMPs required for PDP apply only to the creation or replacement of impervious surface and not the entire development. Go to step 5, check the first box stating "My project is a PDP ... " and complete applicant information. If you answered "no," the structural BM P's required for PDP apply to the entire development. check the first box stating "My proiect is a PDP ... " and complete aoolicant information. Go to step 5, check the STEPS CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION D My project is a PDP and must comply with PDP stormwater requirements of the BMP Manual. I understand I must prepare a Storm Water Quality Management Plan (SWQMP) for submittal at time of application. rp My project is a 'STANDARD PROJECT' OR EXEMPT from PDP and must only comply with 'STANDARD PROJECT' stormwater requirements of the BMP Manual. As part of these requirements , I will submit a "Standard Project Requirement Checklist Form E-36" and incorporate low impact development strategies throughout my project. Note: For projects that are close to meeting the PDP threshold, staff may require detailed impervious area calculations and exhibits to verify if 'STANDARD PROJECT' stormwater requirements apply. D My Project is NOT a 'development project' and is not subject to the requirements of the BMP Manual. Applicant Information and Signature Box Applicant Name: B-A J2-. I M .S:-~ H Applicant Title: A l?\:Qt )1 b:G+ Applicant Signature: fi~ ~ b Date: l I I I 5 L?_ 0} 8 .. .. Environmentally Sens1t1ve Areas include but are not limited to all Clean Water Act Section 303(d) Impa1red water bodies; areas designated as Areas of Special Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); areas designated as preserves or their equivalent under the Multi Species Conservation Program within the Cities and County of San Diego; Habitat Management Plan; and any other equivalent environmentally sensitive areas which have been identified by the City. This Box for City Use Only YES NO City Concurrence: □ □ By: Date: Project ID: E-34 Page 4 of4 REV 04/17 ( City of Carlsbad DETERMINATION OF PROJECT'S SWPPP TIER LEVEL AND CONSTRUCTION THREAT LEVEL E-32 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov I'm applying for: D Grading Permit Project Name: t'--iA M, N .sf.. \ Address· p5S V~\./ Puce :¢_Building Permit D Right-of-way permit D Other Project ID: _____ DWG #/CB# _____ _ APN 2.So·OSO · 53 ~ Disturbed Area· o Ac .....,,..., Section 1: Determination of Project's SWPPP Tier Level (Check applicable criteria and circle the correspondina SWPPP Tier Level, then ao to section 2) Exempt -No Threat Project Assessment Criteria My project is in a category of permit types exempt from City Construction SWPPP requirements. Provided no significant grading proposed, pursuant to Table1 , section 3.2.2 of Storm Water Standards, the following permits .. are.exempt.from.SWPPP .. requirements: .......................................................................................................................... . l ► Electrical : ► Patio : ► Mobile Home : ► Plumbing : ► Spa (Factory-Made) • t·················· .. ···························· ...... +·········· .. ········· ......................... +········· .............................................. ; ........................................... + ........................................................................................ ; l...~ ...... '...i.r.: .. ~~!.i.~~1.:r. .... L~ ... ~:~.~8.~.i.~8.1 .... L.~ ...... ~8.~.~?.?.~.n..~ ...... .L~ .... ~.i~·~·················L.~ ....... ~?.?.t.~.~?.~.n..t:.~ .. ~.?.1.a.r..~.r.r.a.x. .J Tier 3-Significant Threat Assessment Criteria -(See Construction General Permit (CGP) Section 1.8)* □ My project includes construction or demolition activity that results in a land disturbance of equal to or greater than one acre including but not limited to clearing, grading, grubbing or excavation; or, □ My project includes construction activity that results in land disturbance of less than one acre but the construction activity is part of a larger common plan of development or the sale of one or more acres of disturbed land surface or, □ My Project is associated with construction activity related to residential, commercial, or industrial development on lands currently used for agriculture; or □ My project is associated with construction activity associated with Linear Underground/overhead Projects (LUP) including but not limited to those activities necessary for installation of underground and overhead linear facilities (e.g. conduits, substructures, pipelines, towers, poles, cables, wire, towers, poles, cables, wires, connectors, switching, regulating and transforming equipment and associated ancillary facilities) and include but not limited to underground utility mark out, potholing, concrete and asphalt cutting and removal, trenching, excavation, boring and drilling, access road, tower footings/foundation, pavement repair or replacement, stockpile/borrow locations. □ Other oer CGP Tier 2-Moderate Threat Assessment Criteria: My project does not meet any of the Significant Threat Assessment Criteria described above and meets one or more of the following criteria: □ Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code}; or, □ Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • located within 200 feet of an environmentally sensitive area or the Pacific Ocean; and/or, • disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical; and/or • disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse; and/or • construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through Apr. 30). Tier 1-Low Threat Assessment Criteria ~ My project does not meet any of the Significant or Moderate Threat criteria above, is not an exempt permit type per above and the project meets one or more of the following criteria: • results in some soil disturbance; and/or • includes outdoor construction activities (such as roof framing, saw cutting, equipment washing, material stockpiling, vehicle fuelina, waste stockpiling) SWPPP Tier Level Exempt Tier 3 Tier2 Tier 1 • Items listed are excerpt from CGP. CGP governs cntena for triggers for Tier 3 SWPPP. Developer/owner shall confirm coverage under the current CGP and any amendments, revisions and reissuance thereof. E-32 Page 1 of 2 Rev. 2/16/16 SWPPP Section 2: Determination of Project's Construction Threat Level Tier (Check applicable criteria under the Tier Level as determined in section 1, circle Construction Level the corresponding Construction Threat Level, then complete the Threat Level sianature block below) Exempt -Not Applicable -Exempt Tier 3 -High Construction Threat Assessment Criteria: My'. Project meets one or more of the following: D Project site is 50 acres or more and grading will occur during the rainy season D Project site is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA High D Soil at site is moderately to highly erosive (defined as having a predominance of soils Tier3 with USDA-NRCS Erosion factors kf greater than or equal to 0.4) D Site slope is 5 to 1 or steeper D Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 -April 30). D Owner/contractor received a Storm Water Notice of Violation within past two years Tier 3 -Medium Construction Threat Assessment Criteria Medium D All projects not meeting Tier 3 High Construction Threat Assessment Criteria Tier 2 -High Construction Threat Assessment Criteria: My'. Project meets one or more of the following: D Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA D Soil at site is moderately to highly erosive (defined as having a predominance of soils High with USDA-NRCS Erosion factors kr greater than or equal to 0.4) Tier2 D Site slope is 5 to 1 or steeper D Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1-Apr. 30). D Owner/contractor received a Storm Water Notice of Violation within past two years D Site results in 10,000 sq . ft. or more of soil disturbance Tier 2 -Medium Construction Threat Assessment Criteria Medium D My project does not meet Tier 2 High Threat Assessment Criteria listed above Tier 1 -Medium Construction Threat Assessment Criteria: My'. Project meets one or more of the following: D Owner/contractor received a Storm Water Notice of Violation within past two years Medium D Site results in 500 sq. ft. or more of soil disturbance Tier 1 D Construction will be initiated during the rainy season or will extend into the rainy season (Oct.1-April 30) Tier 1 -Low Construction Threat Assessment Criteria Low ,:f. My project does not meet Tier 1 Medium Threat Assessment Criteria listed above I certify to the best of my knowledge that the above statements are true and correct. I will prepare and submit an appropriate tier level SWPPP as determined above prepared in accordance with the City SWPPP Manual. I understand and acknowledge that I must adhere to and comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards at all times during construction activities for the permit type(s) checked above. The City Engineer/Building Official may authorize minor variances from the Construction Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher SWPPP Tier Level is warranted. Owner/Owner's Authorized Agent Name: Title: City Concurrence: Yes No 5 AIL-"i H.. SM-t7H P..&U:.H-t1'~, (For City Use Only) 13:; .. ~··~~ Date: \\ /1 'f:J / 2...0, 5 By: Date: Project ID: E-32 Page 2 of 2 Rev. 2/16/16