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Home My WebLink About2110 VUELTA CT; ; CB150121; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-21-2015 Pool Permit Permit No: CB150121 Bu ilding Inspecti on Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 21 10 VUELTA CT CBAD POOL Lot #: 0 2164921700 $31 ,720.00 Construction Type: SB Status: Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: PRESTON: 620 SF POOL 620 SF POOL Applicant: Owner: Issued: Inspect Area: CALIFORNIA POOLS INC OBA CALIFORNIA POOLS & SPAS PRESTON JEREMY 3106 E GARVEY AVES WEST COVINA CA 91791-2344 760-7 44-8868 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Plumbing Fee Strong Motion Fee Green Bldg Standards (SB1473) Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES 211 0 VUELTA CT CARLSBAD CA 92009 ISSUED 01 /13/2015 JMA 01/21/2015 01/21/2015 $291.01 $0.00 $203.71 $0.00 $33.00 $33.00 $4.12 $2.00 $0.00 $0.00 $0.00 $0.00 $566.84 Total Fees: $566.84 Total Payments To Date: $566.84 Balance Due: Inspector: FINAL Ar2 Date: L ../ Is Clearance: $0.00 NOTICE: Please take N approval of your project includes the "Imposition· of fe , dedications, reservations, or other exactions hereafter collectively referred to as ·tees/exactions." 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 lhe 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 f / I T i 1 f i i i City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-21-2015 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW150021 Job Address: Permit Type: Parcel No: Reference #: CB#: Project Title: 21 10 VUELTA CT CBAD SWPPP 2164921700 CB151021 PRESTON: 620 SF POOL Lot#: 0 Applicant: Owner: Status: Applied: Entered By: Issued: Inspect Area: Tier: Priority: CALIFORNIA POOLS INC OBA CALIFORNIA POOLS & SPAS PRESTON JEREMY 3106 E GARVEY AVES WEST COVINA CA 91791-2344 760-7 44-8868 Emergency Contact: MIKE WELCH 760 7 44-8868 SWPPP Plan Check SWPPP Inspections Additional Fees TOTAL PERMIT FEES 2110 VUELTA CT CARLSBAD CA 92009 ISSUED 01/13/2015 JMA 01/21/2015 1 M $53.00 $224.00 $0.00 $277.00 Total Fees: $277.00 Total Payments To Date: $277.00 Balance Due: $0.00 F \N AL APPROVAL ,A 1ol~,1~£~AANCtL---- DA1£~- S\GNI\ 1URE ___,lfl--.f/tT- , THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE 4( City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEt/SPACEI/UNIT# Plan Check No. Est. Value Plan Ck. Date l # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Atrected Area(s) /+opored Paci ~zo¢ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) PROPERTY OWNER NAME ADDRESS -z.., 10 Vuelc t,_ ZIP PHONE t'J /f rob -(p60-7 :> EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL EMAIL STATE UC.# STATE UC.# I 5/o Q.. □HEALTH O HAZMAT/APCD ZIP SWPPP $°~ 2 ,, -oo ONSTR. TYPE OCC. ROUP FIRE SPRINKLERS YES0 N00 fov, ~ l<\0"7 CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair ant structure, prior to its issuance, also reQuires the applicant for such permit to file a signed statement that he 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 is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). r -·~ ~-"'"". ~ ·-• , .., • .. • • ~ ~ • ~ i...~.!!l!;J}. ~-f!~!,'... . .E.'?~ f?,E_'_I_I.~. ~"'!.!£ ":' ··--· ... =-·-·· =-=---· __ J ,=.• .. s •. ~~ •• ~-~ ___ •.. ,-~..:~---•. ···--•· _ . .. -~ --~c....J Worl<ers' Compensation Declaration: I hereby affirm under penally of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance ot the wor1< for which this permit is issued. ~ I have and will maintain worl<ers' compensation. as reQuired by Section 3700 of the Labor Code, for the performance of the wor1< f~ ~ich this permit is issued. My wor1<ers' compensation 7uran earner and policy numberare:lnsuranceCo. (/Je'J{O PolicyNo. IJ/Wl."1,0'1 "28e, ExpirationDate ~ / /,{ • This section need not be completed n the permit Is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the wor1< for which this permit is issued, I shall not employ any person in any manner so as to become subject lo the Worl<ers' Compensation Laws of California. WARNING: Failure to secure worl<ers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. _KS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the wor1< and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply to an owner of property who builds or improves thereon, and who does such work himsen 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 ot completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects wi1h contractor(s) licensed pursuant to the Contractor's License Law}. I am exempt under Section _____ Business and Professions Code for this reason: 1. I personalty plan E provide the major labor and materials tor construction of the proposed property improvemenl O Yes 0 No 2. I (have / have not) signed an application for a building permit for the proposed wor1<. 3. I have contracted with the following person (firm} to provide the proposed construction (include name address/ phone I contractors· license number}: 4. I plan to provide portions of the wor1<, but I have hired the following person to coordinate, supervise and provide the major wor1< (include name I address I phone / contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the wor1< indicated (include name/ address I phone I type of wor1<): _KS PROPERTY OWNER SIGNATURE □AGENT DATE Is lhe 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 Hazatdous Substance Accoont Act.? 0 Yes O No Is lhe applicant or future building occupant required to obtain a permit from lhe air pollution control disllict. or air quality management district.? D Yes D No Is the facifity to be constructed within 1,000 feet of the outer boundary of a school site? O Yes □ No IF AHY 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. I hereby affirm that there is a construction lending agency for the performance of the worll this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certifythatl have read the application and state that the abolle inbnnatioo is conectand that the lnbnnation on the plans is accurate. I agree ID comply\\tth all Cityordinanoes and State laws relating ID building construction. I hereby autholize representative of the City of Cal1sbad kl enter upon the aboYe menooned ,:roperty hr i1spedi)n purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSIW) AGAINST ALL l.WllUTIES, JUc:x;MENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SIIID CITY IN COOSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: lvl OSHA permn is required br excavations over 5'0' deep and demolioon or oonstruction of structures over 3 sb'es ri he,Jht. EXPIRATION: EYery permn issued by the Buicling OffK:ial under the provisons of lhis Code shall expie by frnitaoon and beoo!re nul and voo if the ooilding or v.orll aulhorized by such permt is not CXJmlll8llred wilhri 100days from the dale of sldt permn oc if the ooikli'lg ocv.orll aulhorized by such permit is suspended ocabandoned at anytime a~ the v.orll is OO'Ml8l100d bra peood of 100days (Secoon 100.4.4 Unibrm Suiting Code). ~ APPLICANT'S SIGNATURE DATE Inspection List Penn it#: CB150121 Type: POOL Date Ins ection Item ----- 12/08/2015 59 Final Pool 12/08/2015 59 Final Pool 05/19/2015 55 Fence/Pre-Plaster 05/19/2015 59 Final Pool 04/08/2015 51 Excav/Steel/Bonding/Fence 02/25/2015 23 Gas/T esURepairs 02/25/2015 31 Underground/Conduit-Wirin 02/19/2015 51 Excav/Steel/Bonding/Fence Wednesday, December 09, 2015 Inspector Act RI PY AP MC AP MC NR PRESTON: 620 SF POOL 620 SF POOL Comments PY AP eco bond PY PY PY AP AP AP Page 1 of 1 .,. . ' «, ~ C ITY OF CARLSBAD PLAN CHECK REVIEW TRANSMITTAL Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov DATE: 01/21/2015 PROJECT NAME: Preston Family Pool PROJECT ID: CB15-0121 APN: 216-492-17 PLAN CHECK NO: 1 SET#: 1 ADDRESS: 2110 VUELTA CT VALUATION/SCOPE OF WORK: POOL PROJECT ~ This plan check review is complete and has been APPROVED by the ENGINEERING ~ { -Division. ~ ,.\ By: \, I/; A Final Inspection by the Division is required Yes ✓ No "-/~plan check review is NOT COMPLETE. Items missing or incorrect are listed on the ,A -~t-t~ched checklist. Please resubmit amended plans as required. NOTE: ONLY ITEMS THAT NEED CORRECTION/CLARIFICATION ARE MARKED X. Plan Check Comments have been sent to: CARRIEJONES@HOTMAIL.COM You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions. For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING FIRE PREVENTION 760-602-4610 760-602-2750 760-602-4665 Chris Sexton Kathleen Lawrence Greg Ryan 7b0 602 4624 760-602-2741 760 602 46 J Qhril!,S~xton@carlsbag~9.gov Kathleen.L9wrence@carls!;ls:!l:!~i:!-gQv Qr~gor~.R~an@!;9rll!bagca.gov t,tna Rutz Linda Ontiveros Cindy Wong 7o0 602~., o 75 760-602 2773 7 60-602 -4662 Gina.Ruiz@~arll!Qi:!d~i:!-gQv Linda.0ntiverol!@carll!bi:!dC9.gov C~nthi9.WQng@~9rlsbadca.gov ✓ ValRay Marshall Dominic Fien 760-602-2773 760-602 4664 ValRay.Marsha ll@ca rlsbadca .gov Domini!;;.Fi~ri@carls!;l9g!:;9.gQv Remarks: E-37 Any oulstamling issues will /Je marked wit-h an [X] Make the necessary corrections for compli,mce 1pi//1 ar•plicab/e codes and sl11ndards. 511/,mit corrected 11/a11s and/or ~pccificatio11s to the Buildi11g tlivisio11 for re-s11lm1ittal to the E11gi11eering divisions. lte111s 1-hal conjimn to 71ermit requirements are marked with [ZJ 1. SITE PLAN Provide a fully dimensioned site plan drawn to scale. Show: ✓ North arrow ✓ Existing & proposed structures ✓ Property line dimensions ✓ Easements Show on site plan: Drainage patterns Existing & proposed slopes Existing topography Retaining Walls (location and height) Indicate what will happen with soil excavated from pool area. Include on title sheet: ✓ Site address ✓ Assessor's parcel number ✓ Legal description/lot number Grading: Quantities of Cut Fill Import Export Project does not comply with the following engineering conditions of approval for project no: Conditions were complies with by: LOT NO. 137 MAP NO. 8379 REF. NO. Page 2 of 4 Date: REV 6/2012 • 1 RW 15-14 HAS BEEN ISSUED WITH THIS PROJECT E-37 1 2. GRADING PERMIT REQUIREMENTS The conditions that require a grading permit are found in Section 11 .06.030 of the Municipal Code. Inadequate information available on site plan to make a determination on grading requirements. Include accurate grading quantities in cubic yards (cut, fill , import, export and remedial). This information must be included on the plans. If no grading is proposed write: "NO GRADING" Grading Permit required. NOTE: The grading permit must be issued and rough grading approval obtained prior to issuance of a building permit. A separate grading plan prepared a registered civil eng ineer must be submitted together with the completed application form attached. ✓ No grading permit required. 3. MISCELLANEOUS PERMITS ✓ ✓ RIGHT-OF-WAY PERMIT is required to do work in city right-of-way and/or private work adjacent to the public right-of-way. A separate right-of-way issued by the engineering division is required for the following: RW 15-14 Please complete attached right-of-way application form and return to the engineering department together with the requirements on the attached right-of-way checklist, at the time of resubmittal. Right-of-way permit and pool permit will be issued simultaneously. Page 3 of 4 REV 6/2012 . . 1 STORM WATER COMPLIANCE ASSESSMENT B-24 FORM NEEDS TO BE SIGNED. E-37 1 4. STORM WATER X Construction Compliance (JV¥ i Project Threat Assessment Form complete incomplete X . ✓ Requires Tier 1 Storm Water Pollution Prevention Plan. Please complete attached form and return (SW 1s-121 ) Requires Tier 2 Storm Water Pollution Prevention Plan. Requires submittal of Tier 2 SWPPP, payment of processing fee and review by city. Post-Development (SUSMP) Compliance ✓ Storm Water Standards Questionnaire complete ✓ incomplete Project is subject to Standard Storm Water Requirements. See city Standard Urban Storm Water Management Plan (SUSMP) for reference. http://www.carlsbadca.gov/business/building/Documents/EngStandsw-stds-vol4-ch2.pdf Project needs to incorporate low impact development strategies throughout in one or more of the following ways: Rainwater harvesting (rain barrels or cistern) Vegetated Roof Bio-retentions cell/rain garden Pervious pavemenUpavers Flow-through planter/vegetated or rock drip line Vegetated swales or rock infiltration swales Downspouts disconnect and discharge over landscape Other: 5. ADDITIONAL COMMENTS Page 4 of 4 REV 612012 «~ ~ CITY OF CARLSBAD PLANNING DIVISION BUILDING PLAN CHECK APPROVAL P-29 DATE: 1/14/15 PROJECT NAME: POOL PROJECT ID: Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.11ov PLAN CHECK NO: CB150121 SET#: ADDRESS: 2110 VUELTA CT APN: IZ] This plan check review is complete and has been APPROVED by the PLANNING Division. By: GINA RUIZ A Final Inspection by the PLANNING Division is required □ Yes [:gl No You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions. D This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check APPROVAL has been sent to: CARRIEJONES@HOTMAIL.COM Fo r questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING FIRE PREVENTION 760-602-4610 760-602-2750 760-602-4665 □ Chris Sexton □ Kathleen Lawrence □ Greg Ryan 760-602-4624 760-602-27 41 760-602-4663 Qhri:il.S~x1Qn@1;2rl:ilQl:!Q!;;2.gQv K21hl~~□.L2wren1;~~!;;2[l:ilQ2Q!;;2.gQv ~rMQ!Y.Rl£2n@1;2rl:ilQ2d!;;2.gQv □ Gina Ruiz □ Linda Ontiveros □ Cindy Wong 760-602-4675 760-602-2773 760-602-4662 ~in2.B!JiZ~!,;9rl~b9gca.gov linda.Ontiveros~!,;9rlsbs1g!,;g.gQv Qynth is!, W QnE!@!,;9 rls!2ag!,;2.gQv □ □ □ Dominic Fieri 760-602-4664 Domini!,;.Fi~ri~!,;arlsbadca.gQv Remarks: POOL ONLY -SHOWS SETBACK FROM THE TOP OF SLOPE «,~ ~ C I TY OF CARLSBAD STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 STORM WATER COMPLIANCE CERTIFICATE ✓ My project is not in a category of permit types exempt from the Construction SWPPP requirements ✓ My project is not located inside or within 200 feet of an environmentally sensitive area with a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s}. ✓ My project does not require a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code} ✓ My project will not 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 that 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 April 30). I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT ALL OF THE ABOVE CHECKED STATEMENTS ARE TRUE AND CORRECT. I AM SUBMITTING FOR CITY APPROVAL A TIER 1 CONSTRUCTION SWPPP PREPARED IN ACCORDANCE WITH THE REQUIREMENTS OF CITY STANDARDS. I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS} DURING CONSTRUCTION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO MINIMIZE THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO MINIMIZE 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 CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD. OWNER(S)/OWNER'S AGENT NAME (PRINT} ~a.z OWNER(S)JOWNER'SAGE'FITNAME(s1GNATURE) 1/l'J/tS DATE E-29 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 ENGINEER AFTER EACH RUN-OFF PRODUCING RAINFALL. 3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY ENGINEERING OR BUILDING INSPECTOR DUE TO UNCOMPLETED 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 PERCENT (40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL. 5. ALL GRAVEL BAGS SHALL BE BURLAP TYPE WITH 3/4 INCH MINIMUM AGGREGATE. 6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. SPECIAL NOTES Page 1 of 3 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov PROJECT INFORMATION Site AddressQ {( D Vu.J-cJfu- Assessor's Parcw~--..,.0-1 'l.-T-:rl--- Project ID: S(,,J.) Construction Permit No : @,l S-• OD 2-l Estimated Construction Start Date ____ _ Project Duration 3 Months ' \,_,..\.('. Emergency Contact: (\0. \.,e \.Ut" '()17 Name: (41vv(~ef 24 hour Phone: f{b/ q ) 89 4-SBG\T 7LRo -7tt~a, Perceived Threat to Storm Water Quality 8 Medium D Low If medium box is checked, must attach a site plan sheet showing proposed work area and location of proposed structural BMPs For City Use Only REV 4/30/10 «'~ ~ CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 STEP3 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPEMENT PROJECTS ONLY our redevelo ment ro·ect: YES 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 reviousl existin develo ment? If you answered "yes," the structural BM P's required for Priority Development Projects apply only to the creation or replacement of impervious surface and not the entire development. Go to step 4, check the "my project meets PDP requirements" box and complete applicant information. If you answered "no," the structural BMP's required for Priority Development Projects apply to the entire development. Go to step 4, check the "m ro·ect meets PDP re uirements" box and com lete a licant information. STEP4 CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION D My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must comply with additional stormwater criteria per the SUSMP and I understand I must prepare a Storm Water Management Plan for submittal at time of application. I understand flow control (hydromodification) requirements may apply to my project. Refer to SUSMP for details. Iii My project does not meet PDP requirements and must only comply with STANDARD STORMWATER REQUIREMENTS per the SUSMP. As part of these requirements, I will incorporate low impact development strategies throughout my project. Applicant Information and Signature Box Accessor's Pare.el N~er{s): "2,."i,-'-'/Z-IJ-tXJ Applicant Title: Applicant Signature: ~ Date: tjt3/ If This Box for City Use Only City Concurrence: NO By: • Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired 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 quivalent under the Multi Species Conservation Program within the Cities and County of San Diego; and any other equivalent environmentally sensitive areas which have been identified by the Copermittees. E-34 Page 3 of 3 Effective 6/27/13 Erosion Control Tracking Non-Storm Water Waste Management and Materials BMPs Sediment Control BMPs Control Management BMPs Pollution Control BMPs BMPs C C C c c ,Q 0 ,Q "C u en c6 Q) "C Q) C t3 C E C E "C "' ,Q C en "' C c6 "' 2 2 '6 'E 0. Q) "' 2 "' E en Q) al "' "' c6 C ·5 ~ en "' Q) ::i!: en "C Q) 0. Q) C :S "' C: ·c 'E: O' Q) "' C ~ "' Best Management Practice C c--~ C C C 0 ell "' "' "' CD ·5. 0 "' 0 Q) (!) Q) w -~ 7E ~ ~ :.c "' ,: "' Q) Q) "' C .= E a, en C u~ (.) "' c6 "C ai Q) (BMP) Description ➔ "' u en CD "C "' ::i!: Q) "' "' Q) Cl) -~ !!! f .5 "cij C ~~ C 3: C 0 :::i .!!/ :i Q) "' "' "C >, 0 C > :, ~ Q) u c 0 0 CD en ~ 0 Q) "' "' "' j .!!/ ,~ "' 0 Q) ~ ::i!: o en 0 C Q) a:: Cl) E "' 0::: Nu, ~ ,: (.) en Q) .!!/. )J 'iii ·5. 3: 'E ~ Q) "' Q) E .>< ai -:, .0 E~ = Cl) ~-:0 ·c '8 .C C Q) lL u Q) Q) :, "C :o~ :o~ C ~ 2 .>< :2 "' u 0 t:: ·-0. '6 Q) > Q) u C ·;;; "' u N C Q) ~ "' ~ 0 Q) .c .0 ~ ;; "' "' £ e ~ g, .l!!o ~ "' 0 "' 0 0 "' 0 (!) WO u5 ci5 Cl) (.) u: (!) Cl)> Cl) Cl) 0.. Cl) -Cl) a:: 0.. 0.. ><.. ::i!: en Cl) • J: (.) CASQA Designation ➔ ,.._ co a, r r (") "t I{) <D ,.._ co 0 ~ N r (") ,.._ co i N (") "t i i i (.) (.) (.) r UJ UJ UJ UJ UJ UJ r rr. ch ch ch ch ~ ~ (.) w UJ ~ w w w Cl) Cl) Cl) Cl) Cl) Cl) Cl) ..... ..... z z z z 3: 3: Construction Activity w Cl) Gradinci/Soil Disturbance ..... Trenching/Excavation "'!WJ' >< • StockpilinQ >< 1............, Drillina/Borina Concrete/Asphalt Saw cutting ' Concrete flatwork SC: ">,,c ~ ' Pavina ,..__ >< ..... ConduiUPioe Installation X ><- ' Stucco/Mortar Work I;<: ~ X" ':::.<" " Waste Disoosal >< >< -><:::: Staging/Lay Down Area Equipment Maintenance and Fuelinci Hazardous Substance Use/Storaae Dewatering Site Access Across Dirt Other (list): Instructions: Begin by reviewing the list of construction activities and checking the box to the left of any activity that will occur during the proposed construction. Add any other activity descriptions in the blank activity description boxes provided for that purpose and place a check in the box immediately to the left of the added activity description. For each activity descrribed, pick one or more best management practices (BMPs) from the list located along the top of the form. Then place an X in the box at the place where the activity row intersects with the BMP column. Do this for each activity that was checked off and for each of the selected BMPs selected from the list. For Example -If the project includes site access across dirt, then check the box to the left of "Site Access Across Dirt". Then review the list for something that applies such as "Stabilized Construction Ingress/Egress" under Tracking Control. Follow along the "Site Access Across Dirt" row until you get to the "Stabilized Construction Ingress/Egress" column and place an X in the box where the two meet. As another example say the project included a stockpile that you intend to cover with a plastic sheet. Since plastic sheeting is not on the list of BMPs, then write in "Cover with Plastic" in the blank column under the heading Erosion Control BMPs. Then place an X in the box where the "Stockpiling" row intersects the new "Cover with Plastic" column. To learn more about what each BMP description means, you may wish to review the BMP Reference Handout prepared to assist applicants in the selection of appropriate Best Management Practice measures. The reference also explains the California Stormwater Quality Association (CASQA) designation and how to apply the various selected BMPs to a project. E-29 Page 2 of 3 REV 4/30/10