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Home My WebLink About2616 COLIBRI LN; ; CBR2022-0169; PermitBuilding Permit Finaled Residential Permit Print Date: 03/12/2025 Job Address: 2616 COLIBRI LN, CARLSBAD, CA 92009-4303 Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: BLDG-Residential 2155341200 $0.00 Description: NEW POOL AND SPA (470 SF) Work Class: Track#: Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Property Owner: Pool CARLTON VIVIAN LIVING TRUST 04-05-17 2616 COLIBRI LN CARLSBAD, CA 92009-4303 FEE BU ILDING PLAN REVIEW-MINOR PROJECTS (LOE) BUILDING PLAN REVIEW -MINOR PROJECTS (PLN) 581473 -GREEN BUILDING STATE STANDARDS FEE SWIMMING POOL-RESIDENTIAL SWPPP INSPECTION FEE TIER 1-Medium BLDG SWPPP PLAN REVIEW FEE TIER 1 -Medium Total Fees: $856.00 Total Payments To Date: $856.00 Permit No: Status: (cityof Carlsbad CBR2022-0169 Closed -Finaled Applied: 01/20/2022 Issued: 02/10/2022 Finaled Close Out: 03/12/2025 Final Inspection: 11/19/2024 INSPECTOR: Alvarado, Tony Contractor: BLUEWATER POOLS 1315 ENCINITAS BLVD ENCINITAS, CA 92024-2845 (760) 753-6369 Balance Due: AMOUNT $194.00 $98.00 $1.00 $228.00 $271.00 $64.00 $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest t he 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 w ith this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Building Division Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov (city of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION 8-1 Plan Check Est. Value PC Deposit Date Unit: APN:"2, \5'-S-)i_..-L ?_.-O() ·----- CT /Project #:. ________________ Lot #:, ____ Year Built: I qgo Fire Sprinklers:0,EsQNo Air Conditioning:QYESQNO Electrical Panel UpgradeOYEsQNo BRIEF DESCRIPTION OF WORK: A-1\<;c°'-'A ~~<)\.. + sf9 0 New SF : _____ Living SF, ___ Deck SF,. ___ Patio SF,, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit?QvQN New Fireplace? QvQN, if yes how many? __ D Remodel: ____ SF of affected area Is the area a conversion or change of use? Ov QN ~ool/Spa: L,{ ::}-() SF Additional Gas or Electrical Features?-----4(\~~~..__ _______ _ 0Solar:. ___ KW,. ___ Modules, Mounted0oof0round, Tilt:O vO N, RMA:QvQN, Battery:Qv O,J, Panel Upgrade: Qv ~ D Re roof: _______________________________ _ D Plumbing/Mechanical/Electrical 0 Only: Other: PRIMAR~PPLIC~T PROPERTY OWNER Name: '\J,Q......\ Rc...N.1,e:. P <!'lQ\J Name: \l \ '1 \ C.A C.::. f' l±oA Address: )'3 IS EAs--.e:-+~ ~" 4 Address: "?-I:.-. I 6 { t\L.\o n ls,A$l_ City: fu u~ U State: Cit Zip: -=\ "l..OL'·\ CitvC? "' \J kz u~ State:(A Zip: Or 'l.Ofg Phone:'"'1-,C)-)SJ-63('\ Phone:. _______________ _ Email: ~o<'.:)\/\-'\~ ck.,e-'4 ~5n.c, \•C..OC,Email: _________________ _ DESIGN PROFESSIONAL CONTRACTOR OF ~ECORD Name: C~vc..lt... Gr\)s.J~ BusinessName: v1...A b_~o ~oblf Address: \ 3 l S:: (z, C, +3±:-a ) 6\J ~ Address: \ '>I.S.. b~'-4.A+Jl·J ~\\l~ City:6,0-.,... .. -\---q,1 State:CA-Zip: 91.o).':{ City: ~~..:...4--.:;✓ State:C/l Zip: '120~ Phone: 2 b 6 .... 1Wfl '-{ 2-0 -0() S-'-1 Phone~ 6 .... -i.o--00.r<-i Email: Q oo\~AI::: c...t;...>L,V. @8"14t\.~r,Email: oo\!"'c/\ c..11\v c. l< <Q , C..ol'l-'\ Architecf State License: __________ CSLB License#: () Class:.___,=-_.,,L...;.>~-=---( Carlsbad Business License# (Required): a La 5 '2oS"6 IS" APPLICANT CERTIFICATION: lcertifythat I have read the application and state that the above information is correct and that the inf ormatian an the plans is accurate. I ag,ee tocamply with all Ci 8:ces and State laws relating to building construction. ~I). . } \ NAME (PRINT): CvtuJ.,.... Df'o.s:Je. s1GN: ~ DATE: \t~'2'1- 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov REV. 07/21 THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _ A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE. (OPTION A): LICENSED CONTRACTOR DECLARATION: I herebyaff irm under penal tyof perjury that I am licensed under provisionsof Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the following declarations (CHOOSE ONE): Q1 have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. Policy No •• _-------------------------------------- -OR- ~I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, fo e pe ormance o thew k for hich this permit· is ~ workers' compensation insurance carrier and policy number are: Insurance Company Name: JL ~ Policy No. ON I O 2 :s:c lo 1 Expiration Date: --~,otl·H1'--lb..,__,_t..,:z.:~~------- -O~ I 0 Certificate of Exemption: I certify that in t he performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the l abor Code, interest and attorney's fees. CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm t hat there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). l ender's Name:. ____________________ lender'sAddress: ___________________ _ CONTRACTOR CERTIFICATION: /certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. /agree to comply with all City ordinances and State laws relating to building construction. Ca.--,o ~~ .. c. l,... 6 ro,S.K.-/J J NAME (PRINT): --'~--.;.__ _____ SIGNATURE:L<l.JC----DATE: 1 { I q ( z-z.. Note: If the person signing above is an authorized agent for the contractor provide a letter of authorization on contractor letterhead. -OR - {OPTION B): OWNER-BUILDER DECLARATION: I hereby aff irm that I am exempt from Contractor's License Law f or the following reason: Q 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). -OR-O 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). -OR-O I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, D FORM B-61 "Owner Builder Acknowledgement and Verification Form" is required for any permit issued to a property owner. By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors./ understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is availoble upon request when this application is submitted or at the following Web site: http:Ilwww.leginfo.ca.gov/calaw.html. OWNER 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. NAME (PRINT): _________ _ SIGN: __________ DATE: ______ _ Note: If the person signing above is an authorized agent for the property owner include form B-62 signed by property owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov 2 REV. 07/21 PERMIT INSPECTION HISTORY for (CBR2022-0169) Permit Type: BLDG-Residential Application Date: 01/20/2022 Owner: TRUST CARL TON VIVIAN LIVING TRUST 04-05-1 7 Work Class: Pool Issue Date: 02/10/2022 Subdivision: CARLSBAD TCT#73-29 Status: Closed -Finaled Expiration Date: 11/14/2022 Address: 2616 COLIBRI LN IVR Number: 381 79 CARLSBAD, CA 92009-4303 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status Wednesday, March 12, 2025 Page 4 of 4 PERMIT INSPECTION HISTORY for (CBR2022-0169) Permit Type: BLDG-Residential Application Date: 01/20/2022 Owner: TRUST CARL TON VIVIAN LIVING Work Class: Pool Status: Closed -Finaled TRUST 04-05-17 Issue Date: 02/10/2022 Subdivision: CARLSBAD TCT#73-29 Expiration Date: 11/14/2022 IVR Number: 38179 Address: 2616 COLIBRI LN CARLSBAD, CA 92009-4303 Scheduled Date Actual Inspection Type Start Date Inspection No. Inspection Primary Inspector Reinspection Inspection 04/26/2022 05/17/2022 11/19/2024 Checklist Item BLDG-Building Deficiency BLDG-Building Deficiency Status COMMENTS 2/14/2022-electrical conduit for swimming pool and spa not ready. April 6, 2022: 1. Underground Swimming pool Plumbing lines-approved. 2. Underground Swimming pool Electrical conduit-approved. 3. Underground swimming pool and spa gas line-approved. 04/26/2022 BLDG-54 Equipotential 181338-2022 Passed Tony Alvarado Bond(Pools) 05/17/2022 BLDG-55 182849-2022 Partial Pass Tony Alvarado Fence/Preplaster Checklist Item BLDG-Building Deficiency COMMENTS may 17th, 2022: 1. Partial pass -fence, safety pool barrier, Would fence post not structurally sound and leaning to neighbors Properties yard. 2. Informed contractor representative Chuck and homeowner, will provide fix/repair at final inspection. 11/19/2024 BLDG-Final Inspection Checklist Item 268542-2024 COMMENTS Passed Tony Alvarado BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final BLDG-SW-Inspection Checklist Item 268541-2024 COMMENTS Are erosion control BMPs functioning properly? Are perimeter control BMPs maintained? Is the entrance stabilized to prevent tracking? Have sediments been tracked on to the street? Has trash/debris accumulated throughout the site? Are portable restrooms properly positioned? Do portable restrooms have secondary containment? Passed Tony Alvarado Wednesday, March 12, 2025 Passed No Yes Complete Reinspection Incomplete Passed Yes Passed Yes Yes Yes Yes Yes Passed Yes Yes Yes Yes Yes Yes Yes Complete Complete Page 3 of 4 Building Permit Inspection History Finaled {cityof Carlsbad PERMIT INSPECTION HISTORY for (CBR2022-0169) Permit Type: BLDG-Residential Application Date: 01/20/2022 Owner: TRUST CARL TON VIVIAN LIVING Work Class: Pool Status: Closed -Finaled TRUST 04-05-17 Issue Date: 02/10/2022 Subdivision: CARLSBAD TCT#73-29 Expiration Date: 11/14/2022 IVR Number: 38179 Address: 2616 COLIBRI LN CARLSBAD, CA 92009-4303 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 02/11/2022 02/11/2022 BLDG-SW-Pre-Con 176488-2022 COMMENTS Passed Tony Alvarado Checklist Item BLDG-Building Deficiency February 11, 2022: 1. Discussed with Chuckpools contractor representative, regarding preconstruction requirements and all conditions intact, in-place and observed. 02/14/2022 02/14/2022 BLDG-23 176683-2022 Failed Tony Alvarado Wednesday, March 12, 2025 Gas/Test/Repairs Checklist Item BLDG-Building Deficiency COMMENTS 2/14/2022-: 1. electrical conduit for swimming pool and spa not ready-failed. 2. Steel reinforcement for pool and spa-approved. 3. Swimming pool and spa plumbing lines under water leak pressure test-approved. 4. Swimming pool and spa gas line not ready -failed. BLDG-51 Excav/Steel(Pools) 176595-2022 Passed Tony Alvarado Checklist Item BLDG-Building Deficiency COMMENTS 2/14/2022-: 1. electrical conduit for swimming pool and spa not ready-failed. 2. Steel reinforcement for pool and spa-approved. 3. Swimming pool and spa plumbing lines under water leak pressure test-approved. 4. Swimming pool and spa gas line not ready -failed. BLDG-52 Pool Plumbing 176596-2022 Passed Tony Alvarado Checklist Item BLDG-Building Deficiency COMMENTS 2/14/2022-: 1. electrical conduit for swimming pool and spa not ready-failed. 2. Steel reinforcement for pool and spa-approved. 3. Swimming pool and spa plumbing lines under water leak pressure test-approved. 4. Swimming pool and spa gas line not ready -failed. Complete Passed Yes Relnspectlon Incomplete Passed No Complete Passed Yes Complete Passed Yes Page 1 of 4 PERMIT INSPECTION HISTORY for (CBR2022-0169) Permit Type: BLDG-Residential Application Date: 01/20/2022 Owner: TRUST CARL TON VIVIAN LIVING Work Class: Pool Status: Closed -Finaled TRUST 04-05-17 Issue Date: 02/10/2022 Subdivision: CARLSBAD TCT#73-29 Expiration Date: 11/14/2022 IVR Number: 38179 Address: 2616 COLIBRI LN CARLSBAD, CA 92009-4303 Scheduled Date Actual Inspection Type Start Date Inspection No. Inspection Primary Inspector Reinspection Inspection Status BLDG-53 Elec/Conduit/Wiring(Po ols) 176597-2022 Failed Tony Alvarado Checklist Item BLDG-Building Deficiency COMMENTS 2/14/2022-electrical conduit for swimming pool and spa not ready. 04/06/2022 04/06/2022 BLDG-23 180021-2022 Passed Tony Alvarado Wednesday, March 12, 2025 GasfTest/Repalrs Checklist Item BLDG-Building Deficiency BLDG-Building Deficiency COMMENTS April 6, 2022: 1. Underground Swimming pool Plumbing lines-approved. 2. Underground Swimming pool Electrical conduit-approved. 3. Undergroun_d swimming pool and spa gas line-approved. 2/14/2022-: 1. electrical conduit for swimming pool and spa not ready-failed. 2. Steel reinforcement for pool and spa-approved. 3. Swimming pool and spa plumbing lines under water leak pressure test-approved. 4. Swimming pool and spa gas line not ready -failed. BLDG-52 Pool Plumbing 179862-2022 Passed Tony Alvarado Checklist Item BLDG-Building Deficiency COMMENTS April 6, 2022: 1. Underground Swimming pool Plumbing lines-approved. 2. Underground Swimming pool Electrical conduit-approved. 3. Underground swimming pool and spa gas line-approved. BLDG-53 Elec/Conduit/Wiring(Po ols) 179861-2022 Passed Tony Alvarado Reinspection Incomplete Passed No Complete Passed Yes No Complete Passed Yes Complete Page 2 of 4 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. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING RAINFALL. 3. THE OWNER/CONTRACTOR SHALL INSTALL ADDlllONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. 4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE AT THE END OF EACH WORKING DAY WHEN THE FIVE (5) DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT ( 40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL. 5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM AGGREGATE. 6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. 7. THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY REGULATIONS. OWNER'S CERTIFICATE: I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO AVOID THE EXPOSURE OF STORM WATER TO CONSTRUCTION RELATED POLLUTANTS; AND (2) ADHERE TO, AND AT ALL TIMES, COMPLY WITH THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE CON STRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD. Clc.r k. j 6r0 SJA- 'OWNER'S AGENT NAME (PRINT'. SIGNATURE --z...! i ~ I -z..,, .,___ ~ E-29 STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCT ION SWPPP BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE Erosion Control Sediment Control BMPs Tracking Non..stonn Water Waste Management and Materials BMPs Control BMPs Management BMPs Pollution Control BMPs C: C: C: 0 ..... ..... 0 0 :;:; C: C: "'Cl :;:; :;:; o> 0 Q) "'Cl Q) "'Cl en C: u u C: C: o> E C: E ..... 0 :, :, 0 ·c 0 C: 0 E ..... L.. L.. '6 a. Q) 0 ~ -c, en o> L.. Q) ..... ...... :;:; C: L.. :, >, o> C: Q) L.. C: Q) C: en en en 0 ·c "-er L.. 0 C: o> a. Q) ·c C: > L.. Q) 0 Best Management Practice* ~ C: o-a 0 ·a. -c: en L.. <.!) w > C: CD ... 0 Q) 0 Q) :;:; ..c: en 3:: en ·~ Q) 0 C: u ... u Q) ..... Q) 0 ..... (BMP) Description en u Q) V) C: E o> Q) o> CD ·a c: o> en -c, en 0 "'Cl Qi en ~ C: Q) C: ➔ ·e Q) en C: == C: Cl :::, ~ ..... Q) Q) :5 = Q) ..... 0 0 3:: C: ... 0 -c,W "'Cl >, o en C: C: 0 l3 E u 0 Q) :;:; C: Cl CD V) •-o> Cl:;; Q)' ~ 0 u Q) Oo o> Q) X ~ Cl o> 0 C: Q) IY E 0 N en u en:;:; Q) Q) C: c Q) c ·a. .__ 3:: Q) Q) 0 Q) E ..!£ Qi ..... :, .c E g =~ = 3:: .... -Li u ·c ·-o> ·c 11. e o> ..., "'Cl ..c: C: Q) u.. u ... Q) :, "'Cl ·-"'Cl Q) t, C: 0 ... 0 Q) ..!£ "'Cl 0 ...,,_ 0. '6 > ... ..., .c ... .c 0 -~ ~ 0 ·-0 Q) ... u _ ...... 0 0 Q) Q) Q) u C: -+-' C ..... ...... 0 ...... ·-C: ~ ... 0 0 ...... .c 0 .!:;o 0 0 0 o> .Bo ..c: Q) 0 = C: oo Q) 0 L.. Q) ..c: ... 0 ..... .... C ._ 0 ~u o..., 0 ..... a. 0 <.!) WCI V'i in V) u G: <.!) VJ> V) V) 11. ci, C: VJIY == 11. 11.0 11. ~V) ~ V) V)() V)~ CASQA Designation ➔ r--CX). CTl ..-I") v lO <D r--CX) 0 N I") r--CX) 'T N ,.,., v lO 'T ..-..-..-'T I I I I I I I I I I I I I I I I I I I I u u u f:;3 w w w w w w w w ~ ~ V) (/) (/) V) ~ ~ ~ ~ ~ Construction Activity w w w V) V) V) V) V) (/) V) V) z z z z 3:: == == 3:: 3:: Gradinq/Soil Disturbance I">< I">< ..,..... ">(._ ; ""'>< r'K X I),;._ X Trenchina /Excavation II • I Stockpilinq Drillina/Borina Concrete/Asphalt Sawcuttina Concrete Flatwork Pavinq Conduit/Pipe Installation Stucco/Mortar Work Waste Disposal Staaina/Lav Down Area Eauioment Maintenance and Fuelina Hazardous Substance Use/S~oraae Dewaterinq Site Access Across Dirt Other (list): Instructions: 1. Check the box to the left of all applicable construction activity (first column) expected to occur during construction. 2. Located along the top of the BMP Tobie is a list of BMP's with it's corresponding California Stormwater Quality Association (CASQA) designation number. Choose one or more BMPs you intend to use during construction from the list. Check the box where the chosen activity row intersects with the BMP column. 3. Refer to the CASQA construction handbook for information and details of the chosen BMPs and how to apply them to the project. PROJECT INFORMATION , Site Address: "2.-6 L 6 C..,c:, l \ b r ~ (c;-,Aj)-. Assessor's Parcel Number: 2( £-S--3~ ,-I 'l..-0 0 Emergency Contact: Nome: a,t I J-_ 24 Hour Phone:"7&o-'j '1...0 -Ot\~L\_ Construction Threat to Storm Water Quality (Check Box) 0 MEDIUM O LOW Q) ..... en 0 == ...... C: en a, :, E 0 Q) ~ o> oO N C: oc :c ~ <D . I ~ 3:: Q) ..... en o ..... == C: Q) Q) E ..... Q) e o> u o C: C: oo u~ CX) I ~ == Page 1 of 1 REV 11 /17