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Home My WebLink About2030 KARREN LN; ; CBR2024-0827; Permit{"Cityof Carlsbad ( City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check ________ _ Est. Value PC Deposit Date Job Address 2030 KARREN LANE Unit: ____ _.APN: 205-260-11-00 CT/Project #:, __________________ ,Lot#: 3 Year Built: _1_96_2 _______ _ BRIEF DESCRIPTION OF WORK: ) PROPOSED MASTER PLAN POOL AND SPA (560 SF -MAX 6' DEPTH) . PROPOSED GAS & ELECTRIC TO EQUIPMENT □ New SF : Living SF, ____ Deck SF, ___ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? O Y O N New Fireplace? O YO N, if yes how many? ___ _ D Remodel: _____ .SF of affected area Is the area a conversion or change of use? 0 YO N □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ O solar:, ___ KW, ___ Modules, Mounted:0Roof0Ground, Tilt: CYON, RMA:OY ON, Battery:OvC N, Panel Upgrade: OvGN Electric Meter number: ------------ 0th er: APPLICANT {PRIMARY CONTACT) Name: JENNIFER RASMUSSEN Address· 6469 PANEL CT. City: SAN DIEGO State:,_C_A _ _.Zip: 92122 Phone: (619) 729-1198 Email: JENNIFER@SWIFT-PERMITS.COM PROPERTY OWNER Name: BRIMO, STEPHANIE & SCHOENHERR, DAVE Address: 2030 KARREN LANE City: CARLSBAD State: CA Zip:_9_2o_os ___ _ Phone: 248-302-8215 Email: ___________________ _ DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: __________________ Business Name: PREM IER POOLS & SPAS Address: Address: 5431 ENCINASAVENIDA STE B City:, ________ tate:, __ _.Zip:, ____ _ City: CARLSBAD State:_c_A _ _.Zip: 92008 Phone: ________________ _ Phone: (760) 476-0008 Email: _________________ _ Email: DPRIMAVERA@PPAS.COM Architect State License: ___________ _ CSLB License #:,_9_92_7_14 ____ class:_c_5_3 _____ _ Carlsbad Business License# (Required): _______ _ APPLICANT CERT/ FICA TION: I certify that I have read the application and state that the above information is correct and that the information of the plans is accurate. I agree ta comply with all City ordinances and State laws relating ta building construction. NAME (PRINT): JENNIFER RASMUSSEN SIGN:~~ DATE: 03/22/2024 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2 719 Email: Byjidjng@caclsbadca gov REV. 04122 THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _ A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE. {OPTION A): LICENSED CONTRACTOR DECLARATION: lherebyaffirmunderpenaltyofperjurythatlamlicensedunderprovisionsofChapter9(commencingwithSection7000)ofDivision3 of the Business and Professions Code, and my license is in full force and effect. /also affirm under penalty of perjury one of the following declarations (CHOOSE ONE}: 11]1 have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. PolicyNo._cs_,_308_100 ______________________________________ _ -OR- D1 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: _________________ 1 -OR- D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation Laws of califomia. WARNING: Failure to secure workers compensation coverage Is unlawful and shall subject an employer to crlmlnal penalties and clvil fines up to $100,000.00, In addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code, Interest and attorney's fees. CONSTRUCTION LENDING AGENCY. IF ANY: 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'sAddress: _____________________ _ CONTRACTOR CERTIFICATION: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are not approved for construction and may be required to be altered or removed. The city's approval of the application is based on the premise that the submitted documents and plans show the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed use of each building as stated is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation. All improvements existing on the property were completed in accordanc-e with all regulations in exisfc::11Le dl the:: th 111:: uf ll1t:"i1 1-u1,~11u1..1iun1 unless otherwise noted. NAME (PRINT): Jennifer Rasmussen SIGNATURE: ~ ~ DATE: __ 4/_B_/2_0_2_4 __ Note: If the person signing above Is an authorized agent for the contra t Ide =rization on contractor letterhead. -OR- {OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: DI, 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- D1, 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- D1 am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, D FORM 8-61 "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 7044of the Business and ProfesslonsCode, Is available upon request when this application Is submitted or at the following Web site: http: I lwww.leglnfo.ca.gov/calaw.html. OWNER CERT/FICA TION: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are not approved for construction and may be required to be altered or removed. The city's approval of the application is based on the premise that the submitted documents and plans show the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed use of each building as stated is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation. All improvements existing on the property were completed in accordance with all regulations in existence at the time of their construction, unless otherwise noted. NAME (PRINT): Note: If the erson sl nln above Is an authorized a ent for the ro rt owner Include form B-62 sl ned owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov 2 REV. 04/22 Building Permit Inspection History Finaled {city of Carlsbad PERMIT INSPECTION HISTORY for (CBR2024-0827) Permit Type: BLDG-Residential Application Date: 04/05/2024 Owner: Work Class: Pool Issue Date: 06/12/2024 Subdivision: Status: Closed -Finaled Expiration Date: 04/28/2025 Address: 2030 KARREN LN IVR Number: 55683 CARLSBAD, CA 92008-2726 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Re inspection Inspection Date Start Date Status 06/13/2024 06/13/2024 BLDG-SW-Inspection 251600-2024 Partial Pass Tony Alvarado Re Inspection Incomplete Checklist Item COMMENTS Passed Are erosion control BMPs Swimming pool and spa pre-inspection Yes functioning properly? requirements per City Of Carlsbad specifications lists reviewed -OK Are perimeter control BMPs Yes maintained? Is the entrance stabilized to Yes prevent tracking? Have sediments been tracked Yes on to the street? Has trash/debris accumulated Yes throughout the site? Are portable restrooms Yes properly positioned? Do portable restrooms have Yes secondary containment? BLDG-SW-Pre-Con 251592-2024 Partial Pass Tony Alvarado Re Inspection Incomplete Checklist Item COMMENTS Passed BLDG-Building Deficiency Swimming pool and spa pre-inspection Yes requirements per City Of Carlsbad specifications lists reviewed -OK 07/16/2024 07/16/2024 BLDG-51 254794-2024 Passed Tony Alvarado Complete Excav/Steel(Pools) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-52 Pool Plumbing 255085-2024 Passed Tony Alvarado Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-54 Equipotential 254795-2024 Partial Pass Tony Alvarado Re Inspection Incomplete Bond(Pools) Checklist Item COMMENTS Passed BLDG-Building Deficiency Partial pass-ground wire tails verified -OK Yes only 08/01/2024 08/01/2024 BLDG-12 Steel/Bond 256566-2024 Passed Chris Renfro Complete Beam Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes Thursday,May1,2025 Page 1 of 5 PERMIT INSPECTION HISTORY for (CBR2024-0827) Permit Type: BLDG-Residential Application Date: 04/05/2024 Owner: Work Class: Pool Issue Date: 06/12/2024 Subdivision: Status: Closed -Finaled Expiration Date: 04/28/2025 Address: 2030 KARREN LN IVR Number: 55683 CARLSBAD, CA 92008-2726 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status BLDG-SW-Inspection 256708-2024 Partial Pass Chris Renfro Re Inspection Incomplete Checklist Item COMMENTS Passed Are erosion control BMPs Yes functioning properly? Are perimeter control BMPs Yes maintained? Is the entrance stabilized to Yes prevent tracking? Have sediments been tracked Yes on to the street? Has trash/debris accumulated Yes throughout the site? Are portable restrooms Yes properly positioned? Do portable restrooms have Yes secondary containment? 10/01/2024 10/01/2024 BLDG-23 262892-2024 Passed Tony Alvarado Complete Gas/Test/Repairs Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-52 Pool Plumbing 262586-2024 Passed Tony Alvarado Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-53 262585-2024 Passed Tony Alvarado Complete Elec/Condult/Wlrlng(Po ols) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-SW-Inspection 262893-2024 Partial Pass Tony Alvarado Re Inspection Incomplete Thursday,May1,2025 Page 2 of 5 PERMIT INSPECTION HISTORY for (CBR2024-0827) Permit Type: BLDG-Residential Application Date: 04/05/2024 Owner: Work Class: Pool Issue Date: 06/12/2024 Subdivision: Status: Closed -Finaled Expiration Date: 04/28/2025 Address: 2030 KARREN LN IVR Number: 55683 CARLSBAD, CA 92008-2726 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status Checklist Item COMMENTS Passed Are erosion control BMPs Yes functioning properly? Are perimeter control BMPs Yes maintained? Is the entrance stabilized to Yes prevent tracking? Have sediments been tracked Yes on to the street? Has trash/debris accumulated Yes throughout the site? Are portable restrooms Yes properly positioned? Do portable restrooms have Yes secondary containment? 10/02/2024 10/02/2024 BLDG-21 263013-2024 Passed Tony Alvarado Complete Underground/Underflo or Plumbing Checklist Item COMMENTS Passed BLDG-Building Deficiency Gas plumbing line under a gas air pressure Yes leak test with tracer wire -OK BLDG-SW-Inspection 263014-2024 Partial Pass Tony Alvarado Re Inspection Incomplete Checklist Item COMMENTS Passed Are erosion control BMPs Yes functioning properly? Are perimeter control BMPs Yes maintained? Is the entrance stabilized to Yes prevent tracking? Have sediments been tracked Yes on to the street? Has trash/debris accumulated Yes throughout the site? Are portable restrooms Yes properly positioned? Do portable restrooms have Yes secondary containment? 10/15/2024 10/16/2024 BLDG-54 Equipotential 264091-2024 Passed Chris Renfro Complete Bond(Pools) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 10/25/2024 10/25/2024 BLDG-55 265708-2024 Cancelled Chris Renfro Re Inspection Incomplete Fence/Preplaster Checklist Item COMMENTS Passed BLDG-Building Deficiency No Thursday,May1,2025 Page 3 of 5 PERMIT INSPECTION HISTORY for (CBR2024-0827) Permit Type: BLDG-Residential Application Date: 04/05/2024 Owner: Work Class: Pool Issue Date: 06/12/2024 Subdivision: Status: Closed -Finaled Expiration Date: 04/28/2025 Address: 2030 KARREN LN IVR Number: 55683 CARLSBAD, CA 92008-2726 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Re inspection Inspection Date Start Date Status 10/29/2024 10/29/2024 BLDG-55 265943-2024 Partial Pass Tony Alvarado Re inspection incomplete Fence/Preplaster Checklist Item COMMENTS Passed BLDG-Building Deficiency 1. Fence gates an alarm inspection for Yes new swimming pool and spa -partial pass. Pending: 2. Southwest property yard block CMU existing wall is currently 4 feet high. 3. Required To be 5 feet high perimeter, rear yard safety barrier fence or wall. 4. Informed owner representative existing CMU block garden wall may be required to be 5 feet high. BLDG-SW-Inspection 266229-2024 Partial Pass Tony Alvarado Re inspection incomplete Checklist Item COMMENTS Passed Are erosion control BMPs Yes functioning properly? Are perimeter control BMPs Yes maintained? Is the entrance stabilized to Yes prevent tracking? Have sediments been tracked Yes on to the street? Has trash/debris accumulated Yes throughout the site? Are portable restrooms Yes properly positioned? Do portable restrooms have Yes secondary containment? 11/18/2024 BLDG-Final Inspection 268196-2024 Cancelled Tony Alvarado Re inspection incomplete Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No 11/20/2024 11/20/2024 BLDG-Final Inspection 268558-2024 Passed Tony Alvarado Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes Thursday,May1,2025 Page 4 of 5 True N •orth C O MPILIAN·CE SEIRV ICI S ROW-1 True N •orth C O MPILIAN·CE SEIRV ICI S New Pool and Spa 2030 Karren Ln May 2, 2024 Plan Review Comments City of Carlsbad-FIRST REVIEW City Permit No.: CBR2024-0827 True North No.: 24-018-381 Page2 [ELECTRONIC -RESJJBMJTTAL INSTRUCTIONS; Please do not resubmit plans until all departments have completed their reviews. For status, please contact building@carlsbadca.gov Please make all corrections, as requested in the correction list. Corrected sets can be submitted as follows: Email the revised plans and comment response letter(s) to building@carlsbadca.gov for continued review. Note: If this project requires FIRE PREVENTION review, ensure that you follow their specific instructions for resubmittal review. The city will not route plans back to Dennis Grubb & Associates for continued Fire Prevention review. GENERAL INFORMATION: A. The following comments are referred to the 2022 California Building, Mechanical, Plumbing, Electrical Codes, California Green Building Standards Code, and Energy Code (i.e., 2021 me, UMC, UPC, and 2020 NEC, as amended by the State of California). B. There may be other comments generated by the Building Division and/or other City departments that will also require your attention and response. This attached list of comments, then, is only a portion of the plan review. Contact the City for other items. C. Respond in writing to each comment by marking the attached comment list or creating a response letter. Indicate which details, specification, or calculation shows the required information. Your complete and clear responses will expedite the re-check. D. Where applicable, be sure to include the architect and engineer's stamp and signature on all sheets of the drawings and on the coversheets of specifications and calculations per CBPC 5536.1 and CBPC 6735. This item will be verified prior to plan approval. OCCUPANCY & BUILDING SUMMARY: Occupancy Groups: R3 Occupant Load: NI A Type of Construction: VB • Sprinklers: NIA Stories: NIA Area of Work (sq. ft.): 560 sq. ft. Shay Glass Tue, May 7, 8:32AM (3 days ago) * to me, David, Matthew • Hi David, When you re-submit you can just clarify that the drawing was not for building review. I went ahead and removed those files from the record, so they won't be viewed by True North any lonaer. I spoke with Shay Glass (Carlsbad Engineering/Land Dev). It appears the ROW ARCHITECTURAL COMMENTS: documents were sent to True North in error. She has removed the same from True Norths work load. This drawing was not for a building review. Al. Sheet ROW-1: The site plan provided shows the area of work at the front of the property and over the property line. Please review and revise. New Pool and Spa 2030 Karren Ln May 2, 2024 City of Carlsbad-FIRST REVIEW City Permit No.: CBR2024-0827 True North No.: 24-018-381 Page3 STRUCTURAL COMMENTS: Sl. Per city form B64, a soils report is required for pool built without sufficient setback from slopes or adjacent foundation. The proposed location is within 12' of a 12' high retaining wall. A Soils report is also a recommendation under General note #3 on sheet 100. a) Provide the geotechnical engineer's stamp and signature on the foundation plan and all sheets containing foundation details confirming that the foundation plan, details, and specifications have been reviewed and that it has been determined that the recommendations in the geotechnical report are properly incorporated into the plans. If you have any questions regarding the above comments, please contact Ed Dion via email edion@tncservices.com or telephone (562) 733-8030. After speaking with the Building Official, Shawn Huff, and True North representative, Amar Hasenin, it was agreed that with the new information of the retaining wall being a keystone gravity wall, this soils report is no longer required. See screenshot below: • -Amar Hasenin <amar@tncservices.com> to Shawn, me • Hello Shawn. Thank you for looping me in. 10:32AM (5 hours ago) * +--i Hi David. After reviewing your plans and your clarification of the existing keystone wall, I agree a soils report is not required. The proposed pool is located below the ,,valls and will not impact the existing walls. Please disregard the comment. Let me know if you if baYe any questions. STORM WATER POLLUTION PREVENTION NOTES 1. All NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FAOLITATE RAAD INSTALLATION OF EROSION AND SEDIMENT CON lROL BMPs WHEN RAIN IS EMINENT. 2. 11-IE OWNER/CONlRACTOR SHALL RESTORE ALL EROSION CONTRCt DE"1CES TO WORKING OODER TO THE SATISFACTION OF 11-IE CITY INSPECTOO AFTER EACH R\JN-C'ff PROOUCING RAINFALL. 3. 11-IE OWNER/CONlRACTOR SHALL INSTALL ADDITIONAL EROSION CONTRCt MEASURES AS MAY BE REQUIRED BY 11-IE CITY INSPECTOO DUE TO INCOMPLETE GRADING Cf>ERA llONS 00 UNFOOESEEN ORCUMSTANCES WHICH MAY ARISE. 4. ALL REMOVABLE PROTECTI-.£ DE"1CES SHALL BE IN PLACE AT 11-IE END Cf EACH WORKING DAY WHEN THE Fl-.£ (5) DAY RAIN PROO ABILITY FOOECAST EXCEEDS FOO TY PECEN T { 40%). SILT AND OTHER DEBRIS SHALL BE REMO-.£D AFTER EACH RAINFALL. 5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM AGGREGATE. 6. ADEQUATE EROSION AND SEDIMENT CONTRCt AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. 7. 11-IE CITY INSPECTOO SHALL HAVE THE AUTHORITY TO ALTER 11-IIS PLAN DURING 00 BEFORE CONSTRUCTION AS NEEDED TO ENSURE COMPLIANCE WITH CITY STOOM WATER QUALITY REGULA llONS. OWNER'SCERTIFICA1E: I UN:>ERSTAND AND AO<NOl'UDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES {BMPS) DUltNG CONSTRUCTI~ ACTIVITIES TO Tl-£ MAXMUM EXTENT PRACTICABLE TO AVOD THE MOBUZATI~ OF POLLUTANTS SUCH AS SEDIMENT AND TO A\l'.llD THE EXPOSURE OF STORM WATER TO CONSTRUCTION RELATED POLLUTANTS; ANO (2) ADHERE TO, AND AT ALL TIMES, COMPl Y WITH THIS OTY APPROVED TIER 1 CONSTRUCTION S'M'PP THROUGHOUT THE DURA TI~ OF THE CONSTRUCTION ACTIVITIES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY Tl-£ OTY OF CARLSBAD. DAVID JONES OWER(S)/OWNER'S AGENT NAME (PR1NT) P.wd¥s)U4, S AGENT NAME (SGNATURE) DATE E-29 STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE Erosion Corlrol Sediment Contra 81.f>s Tra:u,g Non-Stonn Weier Wasle Msnagemert ard Materials BMPs CattrolBMPs Management BMPs Pol .ton Contra 81.f>s C C C ,Q c c 'O ,Q ,Q " .. 'O ., C u u "' E C .. 'O s s _go E C " 0 .s ~ ,Q. 0 0 g :i i 'O i >, 8, ::0 -g ll "' 'i; C :, "' 0. C £ :g., ;s O' -~ 0 -~ ~i .. 'ii 'C C ..., C Best Management Practice* ~ ,!; ., e (D ~ st 8 ~ .. I! 0 c Ve ,,:; ,c; I-E .. .c: I 'O .. ::0 (BMP) Descriptia, ➔ ., u ll"' .. .!! "' '"' (D ~-~ C ~ ~ C 0 ::::, f -.. ~ 3 e u c 0 0 .,,s al~ 'il~ 0., 0"' .. ., E ·-.. 0 0 (D "' Oo ct~ ::0 0.,. 0 C .. er C> ~ .& g] ;~ 0~ "':;::, .!! :g g 15 :a: iv .!! :5 £ .. ,!; .,, Ji ~.g 'i;:.::, .D .!!.S 'C 'O 8' 'O 8. ... u 'i; -g Ii .s UC "'ls .s 15 --0 ~ 'O .. .. u 2g il :c i 'a.a •-C ~ ~~ ~ Iii .. ,,:; ,Q e Gl:5! c5\ ~£ ~F 0 ~o "-0 .s oo V, 0 ... <.!) v,cr Cl. :EV> ::0 V, v,o V, ::0 CASQA Oesg,elion ➔ ,._ ., O> .,, ... ,,, <D ,._ ., 0 N .,, ,._ ., ' N .,, ... ,,, I I I ' ' I I I I I I ' ' I ' I I I I I I I 0 0 0 0 ..., ..., ..., ..., ..., ..., ..., ..., ea ea V, V, V, V, i i i i i Conswcticn Adivitv ..., ..., ..., ..., V, V, V, V, V, V, V, V, z z z z x Grodino/Son Dlsturb<llce X X X X X X Trenchl-'Exco¥Otlon X X X X X Stocknllno Drlll--rlno CCllcrete/Asohat Sowcuttlna CCllcrete Flatwork Povlno C<lldult /Ploe lnstalatl<ll Stucco/\iortar Work Waste Dlsoosol X Staal='Lav Down Area X E~•"'ment Malnten<llce and Fuellno Hazardous Subst<llce Use /Storaoe Dewoterlna Site Access Across Ort Other 0istl: lnstructlons: 1. Check the box to the left of al appffcoble construction octlvlty {first coh.rnn) expected to occur during construction. 2. Located along the top of the BMP Toole ls a list of BMP's with it's corresponding Calfornla Stormwater QJalty Association {CASQA) deslgnotlon n,.rnber, Choose one or more BMf's you Intend to use during construction from the ffst. Check the box where the chosen octlvlty row Intersects with the BMP col,.rnn, 3. Refer to the CASQA construction hondlaak for Information Clld detals of the chosen BMPs and how to apply them to the project. PROJECT INFORMATION Site Adcress: 2030 KARREN LANE Assessor's Porcel N,.rnber: 205-260-11-00 Emergency Contact Nome: DANIEL PRIMAVERA 24 Hour Phone: (760) 476-0008 Construction Threat to Storm Woter Quoffty {Check Box) 0 MEDIUM l]l LOW .. 1;; i-C ., .. i! E 'O .. ~"' OE l!o :c ::0 <D I i .. .; o-31: ~ ., E -.. ~f 8j ., I i X X Page 1 of 1 REV 11/17