HomeMy WebLinkAboutAMEND 2021-0014; JOHNSTON ADU AMENDMENT; Coastal Development Permit (CDP)( City of
Carlsbad
DISCLOSURE STATEMENT
P-1(A)
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
Applicant's statement or disclosure of certain ownership interests on all applications which will
require discretionary action on the part of the City Council or any appointed Board, Commission
or Committee.
The following information MUST be disclosed at the time of application submittal. Your project
cannot be reviewed until this information is completed. Please print.
Note:
Person is defined as "Any individual, firm, co-partnership, joint venture, association, social club, fraternal
organization, corporation, estate., trust, receiver, syndicate, in this and any other county, city and county,
city municipality, district or other political subdivision or any other group or combination acting as a unit."
Agents may sign this document; however, the legal name and entity of the applicant and property owner
must be provided below.
1.
2.
P-1 (A)
APPLICANT (Not the applicant's agent)
Provide the COMPLETE, LEGAL names and addresses of ALL persons having a
financial interest in the application. If the applicant includes a corporation or partnership.
include the names, titles, addresses of all individuals owning more than 10% of the
shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE
INDICATE NON-APPLICABLE (NIA) IN THE SPACE BELOW. If a publicly-owned
corporation, include the names, titles, and addresses of the corporate officers. (A
separate page may be attached if necessary.)
Person r.A.t1i ::i)\,,VJ\J\A) Corp/Part ~a\\-tw 1'Dhn\lDW
Title (f¼,rl\l,Vt--Title {)\~
Address 40, l,Q Nt~hNa}l~.. Address!¼it»il,~l1V\Jd~
OWNER~~~.~'{ ClW~idlktl 't1.00't
Provide the COMPLETE, LEGAL names and addresses of ALL persons having any
ownership interest in the property involved. Also, provide the nature of the legal
ownership (i.e., partnership, tenants in common, non-profit, corporation, etc.). If the
ownership includes a corporation or partnership, include the names, titles, addresses of
all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE
THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (NIA) IN THE
SPACE BELOW. If a publicly-owned corporation, include the names, titles, and
addresses of the corporate officers. (A separate page may be attached if necessary.)
Person ~M~ vr-,.__, Corp/Part /L.Jrw.i &h n (ti, I'\
T1tle_...;Q11,,,iwL._JL!E~~::::11111:;.-~=-----T1tle_....:0==:;..1,t..._J,1-2&.10.1oof.C ________ _
Address ¥f I D N-llolM.tn o/ Address 4 q 10 !Jeh f ,.._e; ]2,.--
Carl~ at\ l\1.t~ CAclsbo ~ CA q.200&:
Page 1 of2 Revised 07/10
{cityof
Carlsbad
PROJECT DESCRIPTION
P-1(8)
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www .carlsbadca.gov
PROJECT NAME: _::1.J.L..X..o \t\..:....:....&-n;~\.....!-~---'NL..--....L..h ...... \J~~,L_------
APPLICANT NAME: ~UJ.,C.U. ..... v...&...\'l-'111---.,-.,, __ l)...-O~.a...JlLL..n_.__~IL..!.~_;a__--------
Please describe fully the proposed project by application type. Include any details necessary to
adequately explain the scope and/or operation of the proposed project. You may also include
any background information and supporting statements regarding the reasons for, or
appropriateness of, the application. Use an addendum sheet if necessary.
Description/Explanation:
ln,'5 pKl}t t-r LOV\)\ &lSct ~ C)h..L
~~ rh .. Ja.clv.d AUo--u-z.4 &q -f--\ .
P-1(8) Page 1 of 1 Revised 07/10
15.
16.
17.
18.
19.
P-1 (D)
If res~ential~~i of:!~:~ unit sizes
If commercial, indicate the type, whether ne,hborhood, city or regionally oriented, square footage
of sales area, and loading facilities: _ _.~ .... v ... ,,.t-1-G+A~,..-----------------
If industrial, indicate type, estimated employment per shift, and loading facilities: nlv\_
If institutional, indicate the major function, estimated employment per shift, estimated occupancy,
loading facilities, and community benefits to be derived from the project: .... J,1,.......{1-+C.11-\------
If the project involves a variance, conditional yse ol rezoning applications, state this and indicate
clearly why the application is required: ---1-'t\-H-l-'G.,./\'--t---------------Y 'C
Page 3 of 4 Revised 07/10
( City of
Carlsbad
MINOR
COASTAL DEVELOPMENT PERMIT/
SINGLE FAMILY RESIDENCE
APPLICATtON
Development Services
Planning Division
1635 Faraday Avenue
{760) 602-4610
www .carlsbadca.gov P-6
A proposed project requiring application submittal must be submitted by appointment*.
Please contact the appointment specialist at (760) 602-2723 to schedule an appointment.
*SAME DAY APPOINTMENTS ARE NOT AVAILABLE
All joint application exhibits, i.e. Tentative Map and Planned Development Site Plan should be prepared
at the same scale. (Use a scale no smaller than 1" = 40'.)
I. GENERAL BACKGROUND
A. Estimated Cost of Development:
Development costing $60,000 or more does not qualify as a Minor Coastal Development Permit.
The City Planner shall make the final determination regarding a project's cost of development.
The primary basis for determining cost of development will be the application of dollar costs per
square foot for different types of residential construction. These costs are set by the
International Conference of Building Officials (ICBO) and are applied throughout San Diego
County.
Please complete the following information to assist in the determination of this project's cost of
development (Contractor proposals may also be submitted for consideration by the City
Planner). Please refer to the current fee schedule for the appropriate $/square foot fee rate.
⇒
⇒
New ~ejidW1tial Square Footage: I'} ,,..,--rCt,-, ~ Lo·~~ square feet X $ ~ ':, /sq. ft.= $ _ _,,~,.__.=_l_...., ___ v~~.,__ __ _
Residential Addition Square Footage:
______ square feet x $ ___ ~/sq. ft. = $ ________ _
⇒ Any Garage Square Footage:
______ square feet x $ ____ ./sq. ft. = $ ________ _
⇒ Residential Conversion Square Footage:
______ squarefeetx$ ___ """"/sq.ft. =$ ________ _
⇒ Please contact the City of Carlsbad Building Division for current fee rate for Non-
Residential uses (i.e. Retail/Store; Restaurants; Office; and Manufacturing/Warehouse
uses.)
______ square feet x $_--'/sq. ft. = $ __________ _
COST OF DEVELOPMENT ESTIMATE: $. ___________ _
B. Do you wish to apply for:
1. A Minor Coastal Development Permit (Under $60,000 cost estimate)~
2. A Coastal Development Permit ($60,000 or more cost estimate) D
C. Street address of proposed development
L.\'1\~ Ntb~010. dt\L:
P-6 Page 1 of7 Revised 08/19
P-6
B. Parking: Number of existing spaces 1 _
Number of new spaces proposed _1},...""''------
Existing/Proposed TOTAL: ~
Number of totaJ spaces required __ 1 .. __, ____ _
Number of covered spaces
Number of uncovered spaces _______ _
Number of standard spaces
Number of compact spaces
Is tandem parking existing?
Is tandem parking proposed?
O Yes#_O No
OYes#_O No
C. Grade Alteration: '11 i
Is any grading proposed? D Yes 1' No
If yes, please complete the following:
1. Amount of cut __________________ cu. yds.
2.
3.
4.
5.
Amount of fill ___________________ cu. yds.
Maximum height of fill slope feet
Maximum height of cut slope feet
Amount of import or export cu. yds.
6. Location of borrow or disposal site _______________ _
Page 3 of7 Revised 08/19
The following materials shall be submitted for each single family residence/minor coastal development
permit application.
If you have any questions regarding application submittal requirements (i.e., clarification regarding
a specific requirement or whether all requirements are necessary for your particular application)
please call (760) 602-4610.
I. REQUIRED PLANS (All required plans shall be collated into complete sets, stapled together,
then folded to 9" x 12" with lower right-hand corner of plan visible.)
P-6
A. SITE PLAN -Four (4) copies for a Minor Coastal Development Permit, four (4) copies for a
Single Family Coastal Development Permit on 24" x 36" sheet(s). Five (5) copies if landscape
review is required. Each site plan shall contain the following information:
1. GENERAL INFORMATION
O a. Name, address, and phone number of registered civil engineer, licensed surveyor,
landscape architect or land planner who prepared the maps/plans.
O b. Location, size and use of all easements. De. Dimensions and locations of: access, both pedestrian and vehicular, showing service
areas and points on ingress and egress, off-street parking and loading areas showing
location, number and typicaJ dimension of spaces, and wheel stops.
O d. Distance between buildings and/or structures.
O e. Building setbacks (front, rear and sides).
O f. Location, height and materials of walls and fences.
O g. Dimensions/location of ground-mounted signs.
Oh. Indicate location and layout of Photovoltaic (PV) systems as required per Ordinance No.
CS-347. Show locations for roof mounted and ground mounted systems-and include power
(KWdc) of each separate PV system.
Di. Indicate location and layout of Electric Vehicle parking spaces/charging stations. Callout
EV Charging Stations, EV Ready, EV Capable as required per CMC Title 18.21 .120-150. O . Indicate method (PV-heat pump, solar) that satisfies hot water heating requirements per
Ordinance No. CS-347.
O k. A summary table of the following (if applicable to the application):
0(1) Street address and assessor's parcel number.
0(2) Site acreage.
0(3) Existing Land Use Designation and Zoning.
0 (4) Proposed land use.
0 (5) Total building coverage (in square feet and as a percent).
0 (6) Percent of site to be landscaped.
0(7) Number of parking spaces required/provided.
0(8) Square Footage of open or recreational space (if applicable).
0(9) Cubic footage of storage space (if applicable).
0(10) Climate Action Plan (CAP) Compliance (results from Section 11.D below)
(a) Consistent with existing General Plan Land Use and Zoning -yes/no
i. GHG Study required? -yes/no
(b) Energy Efficiency requirement -yes/no
(c) Photovoltaic requirement -yes/no
i. ___ KW-de roof mounted
ii. ___ KW-de ground mounted
iii. ___ KW-de total project
(d) Electric Vehicle Charging requirement yes/no
i. ____ # EV Chargers
ii. ____ # EV Ready
iii. ____ # EV Capable
(e) Hot Water Heating requirement yes/no
(f) Traffic Demand Management Required yes/no
Page4 of7 Revised 08/19
01. All applicable Fire Suppression Zones as required by the City's Landscape Manual.
B. GRADING AND DRAINAGE PLANS: Grading and drainage plans must be included with this
application. In certain areas, an engineering geology report must also be included. Please
consult the Planning Division and Land Development Engineering Division representatives for
a determination on any grading plan geotechnical requirements if the project is in an overlay
zone. The following information shall be submitted at a minimum:
01. Approximate contours at 1' intervals for slopes less than 5%; 2' intervals for slopes
between 5% and 10%; and 5' intervals for slopes over 10% (both existing and proposed).
Existing and proposed topographic contours within a 100-foot perimeter of the boundaries
of the site. Extend contours sufficiently out from the site to adequately show the adjacent
floodplain (if applicable).
02. Earthwork volumes: cut, fill, import and export.
03. Spot elevations at the corners of each pad.
04. Method of draining each lot. Include a typical cross section taken parallel to the frontage
for lots with less than standard frontage.
Os. Location, width and/or size of all watercourses and drainage facilities within and adjacent
to the proposed subdivision; show location and approximate size of any proposed
detention/retention basins.
0 6. Clearly show and label the 100 year flood line for the before and after conditions for any
project which is within or adjacent to a FEMA flood plain.
C. BUILDING ELEVATIONS AND FLOOR PLANS -Four (4) copies for a Minor Coastal
Development Permit and four (4) copies a Single Family Coastal Development Permit prepared
on 24" x 36" sheet(s). Each building elevation and floor plan shall include the following
information:
01. Location and size of storage areas.
0 2. All buildings, structures, wall and/or fences, signs and exterior lights.
03. Existing and proposed construction.
04. Provide documentation demonstrating compliance with City Council Policy 44 -
Neighborhood Architectural Design Guidelines (if applicable).
05. Building Heights of all structures (top of roof and top of roof projections)
D. CONCEPTUAL LANDSCAPE PLANS -Five (5) copies of the site plan shall be submitted if
applicable. To determine if a landscape plan is required, consult Chapter 1 -Applicabilfty in the
Landscape Manual.
COLORED SITE PLAN AND ELEVATION PLAN -Not required with first submittal. It is the Applicant's
responsibility to bring one (1) copy of a colored site plan and one (1) set of colored elevations to the
Planning Division by 12:00 noon, eight (8) days prior to the Planning Commission meeting. Do
not mount exhibits.
II. REQUIRED DOCUMENTS AND SUBMITTAL ITEMS
D A A completed Land Use Review Application Form.
O B. Completed Coastal Development Permit Application.
D C. Environmental Impact Assessment Part 1 with Coastal Development Permits. Check with
Planning staff regarding Minor Coastal Development Permits and Single Family Coastal
Development Permits for any environmental review requirements.
O D. Climate Action Plan (CAP) Checklist -See form P-30 -Complete form to demonstrate project
compliance with the CAP. Applicable measures identified in checklist must be incorporated into
project design features and data incorporated into the Summary Table.
P-6
1. If project meets employee ADT thresholds per checklist, include 2 (two) copies of a
Transportation Demand Management (TOM) Plan with submittal. Refer to
http://carlsbadca.gov/services/building/tdm.asp for information, guidelines and templates.
Page 5 of 7 Revised 08/19
OE.
OF.
OG.
OH.
OJ.
OK.
Disclosure Statement.
Two (2) copies of the Preliminary Title Report (current within the last six (6) months).
Completed "Project Description/Explanation" sheet.
Two copies of a completed and signed "Storm Water Standards Questionnaire» (form E-34).
This form can be found on the City's website. (Distribute copy to Land Development
Engineering).
If, when completing the Storm Water Standards Questionnaire, the project is subject to
"Standard Project," requirements, submit a completed and signed "Standard Project
Requirement Checklist" (form E-36) in accordance with the City BMP Design Manual per the
City of Carlsbad Engineering Standards, latest version.
If, when completing the Storm Water Standards Questionnaire, the project is defined as a
"Priority Development Project," submit a preliminary Storm Water Quality Management Plan
(SWQMP) prepared in accordance with the City BMP Design Manual per the City of Carlsbad
Engineering Standards, latest version. Refer to the city's SWQMP template (form E-35).
Property Owner's List and Addressed Labels:
Minor Coastal Development Permit -required with application submittal
1. A typewritten list of the names and addresses of all property owners within a 100' radius of the
subject property (including the applicant and/or owner), all occupants within a 100' radius of the
subject property, and any applicable Homeowners/Property Owners Association (H0A/POA). The
list shall include the San Diego County Assessor's parcel number from the latest assessment rolls.
2. Two (2) separate sets of mailing labels of the property owners within a 100' radius of the subject
property, all occupants within a 100' radius and the applicable HOA/POA. The list must be typed
in all CAPITAL LETTERS, left justified, void of punctuation. For any address other than single-
family residence, an apartment, suite or building number must be included on a separate line • DO
NOT include it on the street address line. DO NOT TYPE ASSESSOR'S PARCEL NUMBER ON
LABELS. DO NOT provide addressed envelopes -PROVIDE LABELS ONLY.
Sample labels are as follows:
UNACCEPTABLE
Occupant
123 Magnolia Ave., Apt. #3
Carlsbad, CA 92008
UNACCEPTABLE
Mrs. Jane Smith
123 Magnolia Ave., Apt. #3
Carlsbad, CA 92008
UNACCEPTABLE
Occupant
123 Magnolia Ave.
Apt. #3
Carlsbad, CA 92008
UNACCEPTABLE
Mrs. Jane Smith
123 Magnolia Ave.
Apt. #3
Carlsbad, CA 92008
ACCEPTABLE
OCCUPANT
APT3
123 MAGNOLIA AVE
CARLSBAD CA 92008
ACCEPTABLE
MRS. JANE SMITH
APT3
123 MAGNOLIA AVE
CARLSBAD CA 92008
3. 300' Radius Map: A map to scale not less than 1 "=200' showing each lot within 300' of exterior
boundaries of the subject property. Each of these lots shall be consecutively numbered and
correspond with the property owners list. The scale of the map may be reduced to a scale
acceptable to the City Planner if the required scale is impractical.
P-6 Page6 of 7 Revised 08/19
' Coastal Development Permit-Single-Family Residence/Appealable Area -When the application
is tentatively scheduled to be heard by the decision-making body, the project planner will contact the
applicant and advise him to submit the radius map, two sets of the property owners list and labels.
The applicant shall be required to sign a statemeot certifying that the information provided
represents the latest equalized assessment rolls from the San Diego County Assessor's Office.
The project will not go forward until this information is received.
1. A typewritten list of the names and addresses of all property owners within a 600' radius of the
subject property (including the applicant and/or owner), all occupants within a 100' radius of the
subject property, and the applicable Homeowners Association (HOA). The list shall include the San
Diego County Assessor's parcel number from the latest assessment rolls.
2. Two (2) separate sets of mailing labels of the property owners within a 600' radius of the subject
property, all occupants within a 100' radius and the applicable HOA. The list must be typed in all
CAPITAL LETTERS, left justified, void of punctuation. For any address other than single-family
residence, an apartment, suite or building number must be included on a separate line. DO NOT
include it on the street address line. DO NOT TYPE ASSESSOR'S PARCEL NUMBER ON
LABELS. DO NOT provide addressed envelopes -PROVIDE LABELS ONLY. Acceptable fonts
are:
Arial 10, Enterprise TM or Courier NEW (TT) no larger than 11 pt. Sample labels are as follows:
UNACCEPTABLE
Occupant
123 Magnolia Ave., Apt. #3
Carlsbad, CA 92008
UNACCEPTABLE
Mrs. Jane Smith
123 Magnolia Ave., Apt. #3
Carlsbad, CA 92008
UNACCEPTABLE
Occupant
123 Magnolia Ave.
Apt. #3
Carlsbad, CA 92008
UNACCEPTABLE
Mrs. Jane Smith
123 Magnolia Ave.
Apt. #3
Carlsbad, CA 92008
ACCEPTABLE
OCCUPANT
APT3
123 MAGNOLIA AVE
CARLSBAD CA 92008
ACCEPTABLE
MRS. JANE SMITH
APT3
123 MAGNOLIA AVE
CARLSBAD CA 92008
3. 600' Radius Map: A map to scale not less than 1 "=200' showing each lot within 600' of exterior
boundaries of the subject property. Each of these lots shall be consecutively numbered and
correspond with the property owners list. The scale of the map may be reduced to a scale
acceptable to the City Planner if the required scale is impractical.
P-6 Page 7 of 7 Revised 08/19
F:· 760-602-8558
chris.garcia@carlsbadca.gov
SUBMITTALS: Please visit the following link o nfor,natIon regarding instructions on submittals available electroni
1b11 ':ca s submittal appointments and more Planning
DEVELOPMENT INQUIRIES: The Faraday Center Is open to the public beginning June 15 2021 for inquiries
reqr1rding development and for questions regarding application submittals. If you have questions walk-ms are
accepted however, to hm,t wait times at the permitting counter appointments are suggested To schedule an in
person Planning inquiry appointment with Comm 11: Development pleac;e contact the Development Appointment
system at (760) 602-2723 or email your request t, devappt@carlsbadca.gov.
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'='J Scan_09222021122100.pdf
13795K
Development Services
Planning Division
1635 Faraday Avenue
760-602-4610
www.carlsbadca.gov
PURPOSE
-
CLIMATE ACTION PLAN
CONSISTENCY CHECKLIST
P-30
( City of
Carlsbad
In September 2015, the City of Carlsbad adopted a Climate Action Plan (CAP) that outlines actions that
the city will undertake to achieve its proportional share of state greenhouse gas (GHG) emissions
reductions. This checklist contains measures that are required to be implemented on a project-by-project
basis to ensure that the specified emissions targets identified in the Climate Action Plan (CAP) are
achieved. Implementation of these measures will ensure that new development is consistent with the
CAP's assumption for relevant CAP strategies toward achieving the identified greenhouse gas (GHG)
reduction targets. In this manner, a project's incremental contribution to a cumulative GHG emissions
effect may be determined not to be cumulatively considerable if it complies with the requirements of the
CAP, in accordance with CEQA Guidelines Sections 15064(h)(3), 15130(d), and 15183(b).*
*City staff are currently not assessing the greenhouse gas impacts of California Environmental Quality Act
projects by using the Climate Action Plan as a qualified GHG reduction plan under CE-QA section
15183.S(b). Please consult with the Planning Department for further guidance. Additional information
may be found on the Climate Action Plan Update and Vehicle Miles Traveled calculations staff report.
This checklist is intended to assist project applicants in identifying CAP ordinance requirements and
demonstrate how their project fulfills those requirements. This checklist is to be completed and included
in applications for new development projects that are subject to discretionary review or require a building
permit.
APPLICATION SUBMITTAL REQUIREMENTS
• The completed checklist must be included in the project submittal package or building permit
application. Application submittal procedures can be found on the City of Carlsbad website. This
checklist is designed to assist the applicant in identifying the minimum CAP-related requirements
specific to their project. However, it may be necessary to supplement the completed checklist with
supporting materials, calculations or certifications, to demonstrate full compliance with CAP
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.
• 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 Planning Division
or building official.
• The requirements in the checklist will be included in the project's conditions of approval or issuance
of building permit.
• Details on CAP ordinance requirements are available on the city's website.
P-30 Page 1 of7 Revised 07/21
City of Carlsbad Climate Action Plan Consistency Checklist
D 8PV <! $200,000 or additions <! 18,5
1,000 square feet
D 8PV <! $1,000,000 18, 28 and 5 Building alterations of<! 75% existing gross floor area
D <! 2,000 sq. ft. new roof addition 2B and 5 18 also applies if 8PV ~ $200,000
CAP Ordinance Compliance
Clleddlst .....
Check the a~boJCes,eiplalrl al notappllalbleand ..... Items; andpO!lldesupportfrCCllcillticll1Sandcklcumenbllfon11S
necessary.
L £neray Eftldenc.y
Please refer to carlsbad Ordinance No. CS--347 and the california Green Building Standards Code (CALGreen} for more information when completing this section.
A. D Residential addition or alteration ~ $(,0,000 build~ permit valuation.
See Ord. CS-347,.Sedion 8.
Year Built Single-family Requirements
□ Before 1978 Select one:
□ OUctsealing □ Attic insulation □C.oolroof
□ 1978 and later select one:
□ lighting package □ Water heating package
□ Between 1978 and 1990
□ 1991 and later
B. D Nonresidential* new construction or alterations ~ $200,000 building permit valuation,
or additions~ 1,000 square feet
See CAL.Green Appendix AS, Discussion AS.2, as amended in CS--347, Section 3.
AS.203.1.ll
□ Outdoor lighting: .90 Allowed Outdoor lighting Power
AS.203.1.1.2
0 N/A _________ _
□ Exception: Home energy score~ 7
(attach certification}
l\llfti.family Requirements
D Attic insulation
$elect one:
□ Attic insulation □ Duct sealing
$elect one:
D Cool roof
□ Lighting package □ Water heating package
D N/A _________ _
0 N/A
D Restaurant service water heating (comply with california Energy Code Section 140.5, as amended) D N/A
AS.203.1.2.1
Choose one as applicable: □ .95 Energy budget D .90 Energy budget 0 N/A
AS.211.1°
D On-site renewable energy □ N/A
AS.2113**
D Green power (if offered by local utifrty provider, 50% minimum renewable sources} 0 N/A
AS.212.1
□ Elevators and escalators 0 N/A
AS.213.1
□ Steel framing
P-30 Page4 of7 Revised 07/21
City of Carlsbad Climate Action Plan Consistency Checklist
*Major alterations are: (1) for one and two-family dwellings and townhouses with attached garages, alterations have a building permit valuation~ $Ei0,000 or
include an electrical service panel upgrade; (2) for multifamily dwellings (three units or more without attached garages), alterations have a building permit
valuation~ $200,000, interior finishes are removed and significant site work and upgrades to structural and mechanical, electrical, and/or plumbing systems
are proposed.
B. 0 Nonresidential new construction [mdudes hotels/motels) □ Exception •
Total Parking Spaces EVSE Spaces
Proposed capable Ready Installed Total
Calculation-Refer to the table below·
Total Number of Parkine: Soaces orovided Number of reauired EV Spaces Number of required EVSE Installed Spaces
□ 0-9 1 1
□ 10-25 2 1
□ 26-50 4 2
□ 51-75 6 3
□ 76-100 9 5
□ 101-150 12 6
□ 151-200 17 9
□ 201 and over 10 percent of total SO oercent of Required EV Spaces
t s. □ TraiSPWtallonDIIMndMa'l ... Jllllt[RJM)
A. list each proposed nonresidential use and gross floor area {GFA) allocated to each use.
B. Employee ADT/1,000 square feet is selected from the aty of Carlsbad Employee ADT Table.
Use GFA Employee ADT/1,000 S.F. Total Employee AOT
Total
If total employee AOT is greater than or equal to 110 employee AOT, a TOM plan is required.
*NOTE: Notwithstanding the 110 employee ADT threshold above, General Plan Mobility Element Policy 3-P.11 requires new development that adds vehicle traffic
to vehicle LO~empt street facilities to implement TOM and transportation system management strategies. Please consult with 0ty of Carlsbad land Development
Engineering (LOE) staff to determine whether this policy applies to your project.
TOM plan required: Yes D No'$
LOE Staff Verification: □. _____ (staff initials)
P-30 Page 7 of7 Revised 07/21
-----STEP1
TO BE COMPLETED FOR ALL PROJECTS
To determine if your project is a "development project", please answer the following question:
YES +.JOJ
Is your project LIMITED TO routine maintenance activity and/or repair/improvements to an existing building □ t~ 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 6, mark the box stating "my proj ~
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 project', 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; OR □ b) Designed and constructed to be hydraulically disconnected from paved streets or roads; OR
C) Designed and constructed with permeable pavements or surfaces in accordance with USEPA
Green Streets i:iuidance? .
2. Retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in □ ~ 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? □ -ff
If you answered "yes" to one or more of the above questions, provide discussion/justification below, then go to Step 6, 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 project is not exempt from PDP, go to Step 3.
E-34 Page 2 of 4 REV 09/21
STEP3
TO BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECT8
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 □ qi 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 1 impervious surface collectively over the entire project site on an existing site of 10,000 square feet or □ 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
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
development proiect includes development on anv natural slope that is twentv-five percent or areater.
5. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more 1 of impervious surface collectively over the entire project site and supports a parking lot? A parking lot is □ 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 -1 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
transr:,ortation 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 □ 1 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 adiacent 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. j
9. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square 4 feet or more of impervious area that supports a retail gasoline outlet (RGO)? This category includes □ 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 □ 1--.b impervious surface or (2) increases impervious surface on the property by more than 10%? (CMC
21.203.040) ,.,
J
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 6, 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, complete the
trash capture Questions .. .. • Environmentally Sensitive Areas include but are not hmIted to all Clean Water Act Section 303(d) ImpS1red 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.
E-34 Page 3 of 4 REV 09/21
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. fl □ □
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 6, 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. Go to step 6, check the first
box stating, "My project is a PDP ... • and comolete aoolicant information.
STEPS
TO BE COMPLETED FOR STANDARD PROJECTS
Complete the question below regarding your Standard Project (SDRWQCB Order No. 2017-0077):
YES NO
Is the Standard Project within any of the following Priority Land Use (PLU) categories?
R-23 (15-23 du/ac), R-30 (23-30 du/ac), Pl (Planned Industrial), CF (Community Facilities), GC (General □ □ Commercial), L (Local Shopping Center), R (Regional Commercial), V-B (Village-Barrio), VC (Visitor
Commercial), O (Office), VC/OS (Visitor Commercial/Open Space), Pl/O (Planned Industrial/Office), or
Public Transportation Station
If you answered "yes", the 'STANDARD PROJECT is subject to TRASH CAPTURE REQUIREMENTS. Go to step 6,
check the third box stating, "My project is a 'STANDARD PROJECT' subject to TRASH CAPTURE REQUIREMENTS
... " and complete applicant information.
If you answered "no", your project is a 'STANDARD PROJECT. Go to step 6, check the second box stating, "My project is
a 'STANDARD PROJECT ... • and complete aoolicant information.
STEP&
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) per E-35 template for submittal at time of application.
~
My project is a 'STANDARD PROJECT' OR EXEMPT from PDP and must only comply with 'STANDARD PROJECT'
tormwater 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.
□ My project is a 'STANDARD PROJECT' subject to TRASH CAPTURE REQUIREMENTS and must comply with
TRASH CAPTURE REQUIREMENTS of the BMP Manual. I understand I must prepare a TRASH CAPTURE Storm
Water Quality Management Plan (SWQMP) per E-35A template for submittal at time of application.
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 Title: 0 ~ / Applicant Name: ~~ ~~hn\fYv\L
Applicant Signature: Dd A / Date: ~.pl:11, w L1 -o ...,___.
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