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Home My WebLink About2510 WILSON ST; ; CBR2018-0383; Permit{City of Carlsbad Residential Permit Print Date: 06/22/2018 Permit No: CBR2018-0383 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: II Dwelling Units: Bedrooms: Project Title: Description: 2510 Wilson St BLDG-Residential 1561520100 $739.80 Work Class: Lot II: Reference II: Construction Type: Bathrooms: Orig. Plan Check II: Plan Check #: CHAVEZ: REPLACE EXISTING 60 SF PORCH W/ELECTRICAL Owner: Patio TRUST CHAVEZ FAMILY TRUST 09-30-95 2510 Wilson St BUILDING PERMIT FEE ($501-$2000) BUILDING PLAN CHECK FEE (BLDG) CARLSBAD, CA 92008 ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $116.11 Total Payments To Date: $116.11 Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Contractor: BA WORTHING INC 640 Grand Ave, G Carlsbad, CA 92008-2365 760-729-3965 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Closed -Finaled 02/15/2018 03/12/2018 TFraz 6/22/2018 12:08:48PM $0.00 $49.77 $34.84 $30.00 $1.00 so.so 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: (;] PLANNING □ ENGINEERING □BUILDING Plan Check No (~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 Date SWPPP JOB ADDRESS 2.'? IQ w ~ ,~f\S ~(ee,t SUITEf/SPACEf/UNIT# T/PR JECT # PHAS # # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet Of Affected Area(s) .WWfll«~~ er-~~l--f&f ~-I EXISTING USE GARAGE (SF) PATIOS (SF) PROPER G CITY PHONE (.f)()- EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS &4 ADDRESS l,4-0 6c CITY CITY w~~ PHONE 1 STATELIC.# 0161 <P4- STATE(Jl- FAX ZIP .q-zo FIRE SPRINKLERS vESONoO (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. oiler, Improve, demolish or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement tnathe Is licensed pursuant to the provisions of the Contractor's Ucense·Law (Chapter 9, commending with SecUon 7000 or Division 3 of the Business end Professions Code} or that he Is exempt therefrom, end the basis for the alleged exempUon. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant toe civil penally of not more than five hundred dollars ($500)). ,. • --" ~~~m'i~~.J¾-~~'iiiliS:~~~"~~vJi•,r~i""'- . ~i,N •~~~~~~~~~~~~11~ , ~ Workeli' Compensation Declaration:/ here/:rf atrlfTTI under penalty of petji,y one of /he following dec/Blalions: 0 I have and wlU maintain a certlOcata of consent to sell-Insure for wotl<ers' compensallon as provided by Section 3100 or Iha labor Code, for lhe perlormance or lhe worlc ror Ymich lhis permil Is Issued. ~ I have and will maintain workers' comoensaUon. as required by Sec;lion 3700 or !he Labor Code, for lhe performance of the work for which this permll ls Issued. My workers' compensallol) Insurance carrier and pofq numberare:lnsuranceCo~.L.:1,,1,t~::e~z..~ o/1 Co Pollcy No.~C... 0~';',BC/ ExplratlonDal' l/(/\q __ _ This secUon need nol be completed 111 rmll ls for one hundred dolla~ ($100) or less. D certlficale or Exemption: I certify lhal In lhe performance of lhe work 101 which lhls permit is Issued, I shall nol employ any person In any manner so as lo become subject 10 lhe Worlcers' Compensation laws or Calilomla. WARNING: Failure to secure workers' compensallon coverage Is unlawful, and shall subject an employer to criminal penallles and civil fines up to one hundred thousand dollars (&100,000), ln addition to the cost of compensallon, dama ~a rovld or In Se Jon fl~Hha Labor code, lnleresl and allomey's lees. Ji!{ CONTRACTOR SIGNATURE ~~~~~~~?.tx~~~~~~r;[f, □AGENT DATE 2 , o 1 ~@f,!z$J!l$.{fri~'i~fj;~~ -~::~~. ~-~ };, ·: :-,;·-~it\~«;;%.~-r~ ~~~tftf~t:~~1.:~=¼t?°~~'I.~i~W.f.il~1$·i~it~14f1c11~~~~~::~~$1l .n .. . .. )5.:. ... ~~;... .. 'f.,?~ .,.. , ,. ~f',,\;." . ...~~;~?~ : -i!~· \½r,--~11.i~~-~ .... ~.,... , ::~-.-~;,!,~~"'r~-:-~•~r,r.v.-,i~!'::~·-,-:,,,:1. ~"'.;iF--~ ... ,.~:s•:J'"~?.:lilfl•F. ;JJ!.~ ~-~""<"••~;. J~..:,. / heralrf affirm Iha/ I em exempt from Conine/or's license Lew for lhe following reaso . O 1, as owner or lhe property or my emj:loyees wilh wages as lhe~ ~&-e:o111pe lion, wiD do lhe work and the slruclure Is nor illlended or offered for sale (Sec. 7044, Business and Professlons Code: The Conlracto(s □ □ license Law does nol apply 10 an owner or property who builds or mproves thereon, and who does such worlc himself or through his own employees, provided lhal such Improvements are nol lnlended or offered ror sale. If, however, the building or lmprnvemenl Is sold wilhin one year of complellon, lhe owner-bullder will have the burden or p,'OYing lhat he did not build or Improve for Iha purpose or sale). 1, as owner or lhe property, am exdusively contracling wilh licensed contractors lo construe! lhe project (Sec. 7044, Business and Professions Code: The Conlraclo(s License Law does not appl'f lo an owner or property who builds or Improves !hereon, and conlracls for such projects wilh conlraclor(s} licensed pursuant lo lhe Conlraclo(s license Law). I am exempt under Secllon ____ ,Business and Professions Code for !his reason: 1.1 personally plan to provide lhe major labor and materials forconstrucllon or lhe proposed property Improvement OYes O No 2.1 (have/ have nol) signed an appllcalion for a building permit for lhe proposed work. 3.1 have conlracled wilh Iha roaowlng person (llrm} lo provide lhe proposed conslructlon Qndude name address I phone I contractors' license number}: t I plan 10 provide portions of Iha v,orlc, bul I have hired lhe followtng person lo coordinate, supervise and provide lhe major work [include name I address/ phone I con~aclors' ficense number): 5. 1 wil provide some of Iha work, bu! I have conlracled (hired) lhe following persons lo provide lhe work ln<ficated (include name / address I phone / lype or worlc): Ji!{ PROPERTY·OWNER SIGNATURE □AGENT DATE Is lh• appicanl or future bwdilg 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 lhe Presley-Tamer Hazardous Substance Account Ad? D Yes O No ts lhe a~nt or fulure blilding occupant required to obtain a permit from lhe air pollution control district or airquaily management district? O Yes O No Is lhe fac!Nty to be constructed within 1,000 feet of the outer boundary of a school sHe? o Yes O No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ~:~@ffl~~~;l$.mt~~!Jm$.i~~~~l~~:~f~~~f~W1ff.:~t:~~i~;1;1~·tJ}~i~}lh~;~r10t;fYti~f~:~*.tft~tt~J.~f~Jfli~1~~i~:~:: I hereby affirm that there is a conslruction leoding agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address t certify that t have read the application and state that the above information Is correct and that the lnfonnation on the plans Is accurate. I agree to comply with all Cil)' ordinances and State~ relating to building construction. I hereby autrorize rei;resentaweof lhe City of Carlsbad toenteruJX)O the above mentioned property brils~ JXJrposes. I ALSO AGREE TOSAvc, INDEMNIFY AND KEEP HAAMLESS THE CITY cr CARLSBAD AGAINST ALL UAB/UTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE cr' THE GRANTING QC THIS PERMIT. OSHA: An OSHA permit is required for excavations over SfJ deep and demoffon or constr\x:oon ol structures over 3 stories i1 height EXPIRATION: EYery permit Issued by the 0.Jiji1g aicial under lhe provisKJOs of this Code shall expre by limilalbn and become nul and YOO ~ lhe IJuiji1g or Wll1< authorized by sud1 permil is not cxxnmeoced llilM 1BO days from lhe dateofSldl peJTTiiloriflhe,~or~~msudl ITTI.' susl):llldedorabanooled atanylineal'erlhel'olll1<isoornmencedfor a period of 18'.ldays (Sectoo 103.4.4 l.kliform 0.JikjjngCooe). ,,5APPLICANT'SSIGNATURE ~~1 DATE e Permit Type: BLDG-Residential Application Date: 02/15/2018 Owner: TRUST CHAVEZ FAMILY TRUST 09-30-95 Work Class: Patio Issue Date· 03/12/2018 Subdivision: WILSONIA TRACT Status: Closed -Finaled Expiration Date: 10/23/2018 Address: 2510 Wilson St Carlsbad, CA 92008-1525 IVR Number: 9555 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 03/19/2018 03/19/2018 BLDG-84 Rough 052012-2018 Cancelled Tim Frazee Reinspection Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-14 No Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout No BLDG-34 Rough Electrical No BLDG-44 No Rough-Ducts-Dampers 03/28/2018 03/28/2018 BLDG-11 053057-2018 Passed Tim Frazee Complete Foundation/Fig/Pier s (Rebar) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 04/1012018 04/10/2018 BLDG-84 Rough 054491-2018 Passed Tim Frazee Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-34 Rough Electrical Yes 04/26/2018 04/26/2018 BLDG-17 Interior 056210-2018 Passed Tim Frazee Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 06/2V2018 06/22/2018 BLDG-Final 061862-2018 Passed Tim Frazee Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes June 22, 2018 Page 1 of 1 ✓. EsG1I A 5AFEbu,lt Company DATE: February 28, 2018 JURISDICTION: Carlsbad PLAN CHECK#.: CBR2018-0383 PROJECT ADDRESS: 2510 Wilson St. PROJECT NAME: Front Porch for Chavez SET: I 0 APPLICANT ~IS. D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. ~ The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: Brooks Worthing ~ EsGil staff did not advise the applicant that the plan check has been completed. D EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Brooks ~orthing Telephone#: 760-729-3965 Date contacted: -(;a~ Email: baworthinginc@yahoo.com Mail Telephone Fax In Person ~ REMARKS: 1. Please sign all sheets of plans.~ 2 . Remove oote on sheet 1 1ega1ding lot coverage calculat-io~ By: Kat Frankowski Enclosures: EsGil 2/20/2018 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1 468 ♦ Fax (858) 560-1576 \. [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad 0383 PREPARED BY: Kat Frankowski BUILDING ADDRESS: 2510 Wilson St. BUILDING OCCUPANCY: BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier Front Porch 60 12 .33 Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance 1997 UBC Building Permit Fee 3 1997 UBC Plan Check Fee ~ ~ Type of Review: Complete Review D Repetitive Fee ~ Repeats Comments: D Other D Hourly EsGil Fee PLAN CHECK#.: CBR2018- DATE: February 28, 2018 Reg . VALUE ($) Mod. D Structural Only 740 740 $20.601 $13.391 $11 .741 «~ ~ CITY OF CARLSBAD PLANNING DIVISION BUILDING PLAN CHECK REVIEW CHECKLIST P-28 Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.1wv DATE: 2/23/18 PROJECT NAME: PORCH REPLACEMENT PROJECT ID: CBR2018-0383 PLAN CHECK NO: 1 SET#: 1 ADDRESS: 2510 WILSON ST APN: D This plan check review is complete and has been APPROVED by the Division . By: HECTOR SALGADO A Final Inspection by the PLANNING Division is required D Yes [gJ 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. [2J 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 Comments have been sent to: BAWORTHINGINC@YAHOO.COM I 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 ~ Hector Salgado 760-602-4624 □ Hector.Salgado@carlsbag!;i;!.gov □ Gina Ruiz 760-602-4675 Gina.Ruiz@carlsbi;!gca.gov □ Rema rks: REVIEW#: 1 2 3 lZI □ □ lZI □ □ lZI □ □ lZI □ □ P-28 Pla n Check No. CBR2018-0383 Address 2510 WI LSON Date 2/23/18 Review # 1 Planner HECTOR SALGADO Phone (760) 602-4624 APN: Type of Project & Use: __ Net Project Density: DU/AC Zoning: R-1-9500 General Plan: R-4 Facilities Management Zone: __ CFO (in/out) #_Date of participation: __ Remaining net dev acres: __ (For non-residential development: Type of land use created by this permit: __ ) Legend: [8] Item Complete D Item Incomplete -Needs your action Environmental Review Required: YES □ NO lZJ TYPE DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: Discretionary Action Required: YES □ NO lZJ TYPE __ APPROVAL/RESO. NO. DATE PROJECT NO. OTHER RELATED CASES: Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval: __ Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES D NOD CA Coastal Commission Authority? YES D NO D If California Coastal Commission Authority: Contact them at -7575 Metropolitan Drive, Suite 103, San Diego, CA 92108-4402; (619) 767-2370 Determine status (Coastal Permit Required or Exempt): Habitat Management Plan Data Entry Completed? YES □ NO □ If property has Habitat Type identified in Table 11 of HMP , complete HMP Permit application and assess fees in Energov lnclusionary Housing Fee required: YES D NO lZI (Effective date of lnclusionary Housing Ordinance -May 21 , 1993.) Data Entry Completed? YES □ NO □ For construction of inclusionary units, email notification provided to HNS?: YES D NO D (Email Susan Steinkemp in HNS with project number and contact info) Page 3 of 5 07/11 Site Plan: [81 □ □ [81 □ □ [81 □ □ [81 □ □ [81 □ □ □□□ [81 □ □ [81 □ □ □□□ Housing Tracking Form (form P-20) completed: YES D NO D N/A [81 Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of- way width, dimensional setbacks and existing topographical lines (including all side and rear yard slopes). Provide legal description of property and assessor's parcel number. City Council Policy 44 -Neighborhood Architectural Design Guidelines 1. Applicability: YES □ NO 0 2. Project complies: YES D NOD Zoning: 1 . Setbacks: Front: Interior Side: Street Side: Rear: Top of slope: Required __ Shown __ Required __ Shown __ Required __ Shown __ Required __ Shown __ Required __ Shown 2. Accessory structure setbacks: Front: Required __ Shown __ Interior Side: Required __ Shown __ Street Side: Required __ Shown __ Rear: Required __ Shown __ Structure separation : Required __ Shown __ 3. Lot Coverage: SEE NOTE BELOW Required __ Shown __ 4. Height: Required __ Shown __ 5. Parking: Spaces Required __ Shown __ (breakdown by uses for commercial and industrial projects required) Residential Guest Spaces Required __ Shown __ Additional Comments PLAN CHECK #1 #1. PLEASE REVISE SCOPE OF WORK AND LOT COVERAGE CALCULATIONS INFO SITE PLAN TO CONFIRM LOT COVERAGE. OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER __ DATE __ P-28 Page 4 of 5 07111 STORM WATER POLLUTION PREVENTION NOTES 1. AU. NECESSARY EQUIPMENT AND MATERIALS SHAU. BE AVAIL.AB!.£ ON SlTE TO FACILITATE RAPID INSTAU.AllON OF EROSlON AND SEDIMENT CONTROL BMPs 'M-!EN RAIN IS EMINENT. 2. THE OWNER/CONTRACTOR SHALL RESTORE AU. 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 A0D1110NAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY INSPECTOR DUE TO INCOMPl.£TE GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES 'M-!ICH MAY ARISE. 4. AU. REMOVABLE PROTECTIVE DEVICES SHAU. BE IN PLACE AT THE END OF EACH WORKING DAY \'MEN lHE FIVE (5) DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT ( 40%). SILT ANO OTHER DEBRIS SHAU. BE REMOVED AFrrR EACH RAINF AlL 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. lHE C1TY INSPECTOR SHALL HAVE THE AUTHORITY TD ALTER lHIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED TO ENSURE COMPLIANCE WllH CITY STORM WATER QUALITY REGULATIONS. OWNER'S CERTIFICATE: I UNDERSTAND AND ACKNO\\\!DGE THAT I MUST: (1) IMPl.£MENT BEST MANAGEMENT PRAC11CES (BIIPS) OURJNG CONS1RVC110N ACTIVITIES TO THE IIAXll,IUII EXTENT PRACTICABl.E TO A VOID THE IIOBIUZAllON Of POl.lUTANTS SUCH AS SEDIIIENT AND TO AVOID THE EXPOSURE OF STORM WATER TO CONSTRUCTION RaATED POU.UTANTS; AND (2) ADHERE TO, AND AT ALL TIMES. COMPLY 111TH THIS CITY APPROVED TIER 1 CONSTRUCTION S'M'PP THROUGHOUT THE DURATION OF THE CONSTR\JC110N ACTIVITIES UNTIL THE CONSTRUCTION WORK IS COMPLElE AND APPROVED BY TH£ CITY OF CARLSBAD. ~lfw,Vt, E-29 STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 CB ___ _ SW BEST MANAGEMENT-PRACTICES (BMP) SELECTION TABLE EJ0$1onConlral Sedimenl Conlral BMPs Traci-Jog Nan-SlormWata Wasle ~ and Malenals PcUonConltd8MP$ BMPs ConlralBMPs Managtmenl BMPs ~ li ~ 5 5 .... ;; E f .... ~ .. C 1 ] C ! C Ii .; 0 ! 0 0 ::I .., .. 5 .,. " .. j ~ .,. "' C _, 8-~ s ~= .§ ~ .:r 0 C Best Management Practice' -is .!i 0 0 m '§ ~ !i ,g ,.., ] ,!: .. ~s u; i .., : ~i (BMP) Oesaiption ➔ :l ii .,.,, D ~ .. .,. .. "' m ii .. .., . 5 0 ::, ::I ii 3 ~~ Ji ii = 0 ~1 1:~ ji 6 !i l!: E :! u 0 0 m !l' O:;, ~~ .. ]' D .. ::I ~ a: ii .,.:, D 1! .. ] t ~] ~::. j .... ~-5 §. ~ 1 " ~ _f!g l s~ i-g !1 :g 3l 5 ti g' .., 0 0 iii Jl ;; u';t og .; ~ti -ls ~ i~ ·-5 i 6 ~ iii cl: -o ~cl: :iin 0 ;l!::1 w.!5 111 111> "'"' CL :I CASQA Deslgnallon ➔ ... 10 "' -.., ... Vl ., ... 10 0 N i .., ... 10 i N .., ... Vl I ~ I i ill ill ~ ~ !>I !>I !>I i i I I I I I I I I itl itl itl Ill I!: I!: "' "' "' "' i i i i i Ccnslludlon AdlYlly z z z z G<adiM/Soi Disturbance ~ Trench inn n;-wcavation . Staekoilino 1./ Drill inn 11wina Concrete/Asohalt Soweuttina Concrete Flolwork ""' Pcr.ina ConclJitJPioe lnstollatlan Stucea/Mortar Woric ""-- Waste Disposal St00inn II nv Dawn Area E,.,.,ment llaintenance and Fuelino Hazardous Substance Use/Staraoo Dewoterina SUe Access Across Dirt Other /list\: Instructions: 1. Chedc tho box to tho left of all applicable construction oclriily (fnl column) expected to aeeur durilg canstruction. 2. Located along the top of tho Bl.IP Tobie is 0 fist of BMP's with It's corresponcfw,g Califomlo Stonnwoter Ouolily Association (CASOA) designation number. Choase one or more BMPs )')II Intend lo use during canstrucllon from the risL Chedc the box where the chosen activity row intersects with the BUP column. 3. Refer lo the CASOA construcUon handbook-far lnfonnotion and detois of the chosen 811Ps and how lo apply them to the prajecl SHOW THE LOCATIONS OF ALL CHOSEN BMPs ABOVE PROJECT INFORMATION • I Sile Address: 2.';)fQ \\)\ ~~ D ., 0 ~-.. ti i!E ~g' ~5 ::C::I ., I i ON THE PROJECTS SITE PLAN/EROSION CONTROL PLAN. SEE THE REVERSE SIDE OF THIS SHEET FOR A SAMPLE EROSION CONTROL PLAN. Assessor's Pacol Number: -------- -BM P's are subject to field inspection- Page 1 of 1 Emerg=e: Contocbkh 24 Hour Phone: 1fd) 41~ - Construction Threat to Sloon Waler ()Jolity (Cheek Box) 0 IIEDIUII ~LOW ~ ~i D E ;g ~j 10 I i REV 02/16