The URL can be used to link to this page

Home My WebLink About2731 YORK RD; ; CB161149; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-05-201 6 Pool Permit Permit No: CB161 149 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2731 YORK RD CBAD POOL 1673912800 Lot#: 0 $32,998.00 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: PC#: PICKARD RES-640 SF POOL/SPA, Project Title: APPROX 338 SF RETAINING WALL-PER SD REGIONAL Applicant PICKARD MICHAEL 2731 YORK RD CARLSBAD CA 92010 949 887-4987 Building Permit Add'! Building Permit Fee Plan Check Add'! 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 Owner: PICKARD MICHAEL 2731 YORK RD CARLSBAD CA 92010 Issued: Inspect Area: ISSUED 03/24/2016 RMA 04/05/2016 04/05/2016 $297.69 $0.00 $208.38 $0.00 $35.00 $35.00 $4.29 $2.00 $0 .00 $0.00 $0.00 $0.00 $582.36 Total Fees: $582.36 Total Payments To Date: $582.36 Balance Due: Inspector: AttJL.. FINA L Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition' Ii fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 00 days from the date this perm! was issued to protest ilTl)Osition 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 infonnation with the City Manager for processing in accordance with Gar1sbad 11/unicipal 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 oonnection fees and capacity changes, nor planning, zoning, grading or other simlar application processing or servioe fees in oonnection with this project. NOR DOES IT APPLY to any i • t st t • • • City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-05-2016 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW160146 Job Address: Permit Type: Parcel No: Reference #: CB#: Project Title: Applicant: PICKARD MICHAEL 2731 YORK RD CBAD SWPPP 1673912800 CB161149 PICKARD RES-POOL/SPA 2731 YORK RD CARLSBAD CA 92010 949 887-4987 Emergency Contact: MIKE PICKARD 949 887-4987 SWPPP Plan Check SWPPP Inspections Additional Fees TOTAL PERMIT FEES Lot #: 0 Owner: PICKARD MICHAEL 2731 YORK RD CARLSBAD CA 92010 Status: Applied: Entered By: Issued: Inspect Area: Tier: Priority: ISSUED 03/24/2016 RMA 04/05/2016 1 M $54.00 $228.00 $0.00 $282.00 Total Fees: $282.00 Total Payments To Date: $282.00 Balance Due: FINAL APPROVAL DATE~CLEARANCE __ _ SIGNATURE ~IL $0.00 1~ME FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD ·c cicy of Carlsbad JOB ADDRESS 2 73/ Yor- CT/PROJECT # LOT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEI/SPACEI/UNITI Plan Check No. Est. Value l:/.-/ , Plan Ck. Deposit J PHASE# # OF UNITS # BEOROOMS # BATHROOMS TENANT BUSINESS NAME SWPPP CONSTR. 1YPE DESCRIPTION OF WORK: Include Square Feet of Affected Area(s). propc,t;-ed. ~ J-Sf G\ • jO.S -h:,{ f..,'re f ,·+ L,:.J.y g-~ s)cp,r-j Q.~.J.aihj Wo.\\ r C-2 EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) EPLACE AIR CONDITIONING NoCJ YES APPLICANT NAME PROPERTY OWNER !U( en ~,i-r Primary Co ADORE ADDRESS R~. I ..... YorA CITY STATE ZIP A-tt>lo FAX Ft>:X EMAIL Ci iwlo.11 \ • ( \:;) IA-1 EMAIL Co...vr ,·c +vt-tet.1' ·Ct, CONTRACTOR BUS. ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL STATE UC.# STATE UC.# CLASS CllY BUS. UC.# -DO OCC. GROUP (Sec. 7D31.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair anl 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 (Cha'f.ter 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 703 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5DO)) . • Workers' Compensation Declaration: / hereby affirm under penalty of perjul'f one of the following declara6ons: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 oft/le Labor Code, for the performance oft/le work for which t/lis permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for t/1e performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. _____________________ Policy No. ______________ Expiration Date _________ _ ~ section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which t/lis permit is issued, I shall not employ any person in any manner so as to become subject to t/1e Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensatioo 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. 2:f CONTRACTOR SIGNATURE DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: IR'.I □ □ I, as owner oft/le property or my employees with wages as their sole compensation, will dot/le work 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 t/lereon, and who does such work himse~ or through his own employees, p,ovided 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 p,oving 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 t/lerecn, and contracts for such projects wit/1 contractor(s) licensed pursuant to the Contracto(s License Law). I am exempt under Section _____ ,Business and Professions Code for t/lis reason: 1. I personally plan to provide the major labor and materials for construction of the proposed p,operty improvement. O ves 0 No 2. I (have f have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractorn' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (inctude name/ 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 work indicated (include name/ address I phone I type of work): Je5 PROPERTY OWNER SIGNATURE fflAGENT Is the 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 Hazardous Substance Account Acf? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district:? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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. I certifythatl 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 la...s relating to building construction. I hereby aulholize representative of the City of Carlsbad to enter upon the above mentioned property for ins~ pur!X)OOS. I ALSO AGREE TO SAVE, INDEMNIFY M--ID KEEP HARMLESS THE CITY OF CARLSBIID AGAINST A1..L LIABILITIES, JUDGMENTS, COSTS M--ID EXPENSES WHICH MAY IN /WY WAY ACCRUE AGAINST SAID CITY IN CONSEQJENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA perm~ is requred for excavations over 5'0' deep and demolition ()( oonstrudion of structures over 3 stories i1 height EXPIRATION: Every permit issued by the Building Offi::ial under the provisions of this Code shall expire by limitation and become null and vod ~ lhe building or y,()(I( aulholized by such permit is not commenoed Y-ilhin 180days 1iom the date of such permit()( if the buildilg ()(y,()fl( aulholized by such perm~ is suspended or abandoned at any time afterlhe y,()(I( is commenoed for a period of 180 days (Section 100.4.4 Uniform Building Code). ,/1:S APPLICANT'S SIGNATURE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CONTACT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL DELIVERY OPTIONS 0 PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) D MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) □ MAIL/ FAX TO OTHER: _________________ _ AS APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. UC. No. o ASSOCIATED CB#·------------- 0 NO CHANGE IN USE / NO CONSTRUCTION o CHANGE OF USE / NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB1611 49 Type: POOL Date Inspection Item 08/02/2016 59 Final Pool 08/02/2016 59 Final Pool 08/02/2016 89 Final Combo 07/22/2016 55 Fence/Pre-Plaster 07/22/2016 55 Fence/Pre-Plaster 06/01/2016 51 Excav/Steel/Bonding/Fence 05/05/2016 66 Grout 05/04/2016 66 Grout 04/27/2016 61 Footing 04/26/2016 61 Footing 04/08/2016 23 Gas/T esURepairs 04/08/2016 51 Excav/Steel/Bonding/Fence 04/08/2016 52 Underground Plumbing 04/08/2016 53 Electric/Conduit/Wiring Wednesday,August03, 2016 Inspector Act RI AEK Fl AEK Fl RI PD AP AEK AP AEK AP AEK NR AEK AP AEK PA AEK AP AEK AP AEK AP AEK AP PICKARD RES-640 SF POOUSPA, APPROX 338 SF RETAINING WALL-PERS Comments ECO BOND FROM P/L TO POOL EQUIP RETAINING WALL Page 1 of 1 «,~ ~ CITY OF CARLSBAD PLAN CHECK REVIEW TRANSMITTAL DATE: 04-04-2016 PROJECT NAME: PICKARD RESIDENCE POOL/SPA/FIRE PIT PLAN CHECK NO: SET#: 1 ADDRESS: 2731 YORK RD. VALUATION/SCOPE OF WORK: $41,186 Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov PROJECT ID: CB16-1149 APN: ✓ This plan check review is complete and has been APPROVED by the ENGINEERING Division. By: CG4/4/16 A Fina! Inspection by the Division is required Yes ✓ No This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached 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 ✓ Chris Glassen Greg Ryan 760-602-4624 760-602-2784 760-602-4663 Qhris.S~xtQn~carlsba!:!ca.gQv ChristQgh~r.~la~~n~i:;arlsgagi:;a.gQv Gr~gQQ'..R~an~carl:ibadca.gQv Gina Ruiz Linda Ontiveros Cindy Wong 760-602-4675 760-602-2773 760-602-4662 ~ina,BYii ~carls!2a!:!ca.gQv Ling2.Qntiveros~carlsbadca.gov C~nthia.Wong@carlsbadca.gov Dominic Fieri 760-602-4664 DQminic.Ei~ri~i:;arls!2a!:!ca.gQv Remarks: 340 SQ. FT. E-37 A11y 011tsta11dillg issues w ill be marked w it/r a11 [X] Make tire necessary correctio11s for co111plia11ce w it/r applicable codes a11d standards. Submit corrected plans a11d/or specifications to the B11ildillg division f or re-submittal to tlte E11gi11eeri11g div isions. Items that conform to permit requirements are marked w it/r [ZJ 1. SITE PLAN Provide a fully dimensioned site plan drawn to scale. D D D D Show: ✓ North arrow .L.] Existing & proposed structures ✓ Property line dimensions ._ 7 Easements Show on site plan: D r7J Drainage patterns D L Existing & proposed slopes D r Existing topography D ru Retaining Walls (location and height) D m Indicate what will happen with soil excavated from pool area. Include on title sheet: C lJ Site address D 77 Assessor's parcel number D I/ ] Legal description/lot number D Cl Grading: Quantities of Cut D Fill LJ Import L J ExportD D C7 Project does not comply with the following engineering conditions of approval for project no: D c_, Conditions were complies with by: LOT NO.60 MAP NO. 8585 REF. NO. CT 74-14 Page 2 of 4 Date: REV 6/2012 ,. 1 2. GRADING PERMIT REQUIREMENTS The conditions that require a grading permit are found in Section 11.06.030 of the Municipal Code. D L j 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" D C"J 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 engineer must be submitted together with the completed application form attached. DG C ✓ ] No grading permit required. 3. MISCELLANEOUS PERMITS MATERIALS AND --:) L RIGHT-OF-WAY PERMIT is required to do work in city right-of-way and/or private work EQUIPMENT TO adjacent to the public right-of-way. BE KEPT OUT OF PUBLIC RIG HT-OF-WAY. E-37 D L l A separate right-of-way issued by the engineering division is required for the following: D L 7 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 I . ' E-37 1 4. STORM WATER Construction Compliance D [Z] Project Threat Assessment Form complete[Z] incomplete D . D [Z] Requires Tier 1 Storm Water Pollution Prevention Plan. Please complete attached form and return (SW 16-146 ) D D 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 D W Storm Water Standards Questionnaire complete [Z] incomplete D . D D 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 D D Project needs to incorporate low impact development strategies throughout in one or more of the following ways: D Rainwater harvesting (rain barrels or cistern) D Vegetated Roof D Bio-retentions cell/rain garden D Pervious pavement/pavers D Flow-through planter/vegetated or rock drip line D Vegetated swales or rock infiltration swales D Downspouts disconnect and discharge over landscape □~ 5. ADDITIONAL COMMENTS Page 4 of 4 REV 6/2012 «~'» ~ CITY OF CARLSBAD PLANNING DIVISION BUILDING PLAN CHECK REVIEW CHECKLIST P-28 Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.1rnv DATE: 3/25/2016 PROJECT NAME: POOL/SPA, FIREPIT, RETAINING WALL PROJECT ID: N CHECK NO: CB161149 SET#: 1 ADDRESS: 2731 YORK RD APN: his plan check review is complete and has been APPROVED by the lanning Division. By: Veronica Morones A Final Inspection by the Planning Division is required D Yes [8J 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. ~ 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: carriejones@jotmail.com 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 □ Chris Glassen □ Greg Ryan 760-602-4624 760-602-2784 760-602-4663 Chris.Sexton@carlsbadca.gov Christo12her.Glassen@carlsbadca.gov Grego!J'..Ryan@carlsbadca.gov □ Gina Ruiz □ ValRay Marshall □ Cindy Wong 760-602-4675 760-602-27 41 760-602-4662 Gina.Ruiz~carlsbadca.gQv ValRay.Marshall@carlsbag!;;9.gQv Cyn!hia.Wone:@carlsbadca.gov ~ Veronica Morones □ Linda Ontiveros □ Dominic Fieri 760-602-4619 760-602-2773 760-602-4664 Veronica.Morones@carlsbadca.gov Linda.Ontiveros@carlsbadca.gov Dominic.Fieri@carlsbadca.gov P-28 Page 1 of 4 07/11 «t~ ~ CITY OF PLANNING DIVISION BUILDING PLAN CHECK REVIEW CHECKLIST P-28 Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.eov CARLSBAD REVIEW#: 1 2 3 IX! □ □ IX! □ □ IX! □ □ IX! □ □ P-28 Remarks: PLANS DO NOT SHOW A SLOPE PROFILE OF RETAINING WALL, BUT STATE NTE 6' HEIGHT AND A MAX CUT OF 5'. Plan Check No. CB161149 Address 2731 YORK RD Date 3/25/2016 Review# 1 Planner Veronica Morones Phone (760) 602-4619 APN: Type of Project & Use: Net Project Density: DU/AC Zoning: R-1-9000 General Plan: R-4 Facilities Management Zone: 2 CFO (in/out) #_Date of participation: __ Remaining net dev acres: __ (For non-residential development: Type of land use created by this permit: __ ) Legend: [8J Item Complete D Item Incomplete -Needs your action Environmental Review Required: YES O NO O TYPE DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action . Conditions of Approval: Discretionary Action Required: YES O NO O 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 NO 181 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 O NO 0 If property has Habitat Type identified in Table 11 of HMP, complete HMP Permit application and assess fees in Permits Plus (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, HMP Fees, Enter Acres of Habitat Type impacted/taken, UPDATE!) lnclusionary Housing Fee required: YES □ NO □ Page 2 of 4 07/11 «~~ ~ C IT Y OF PLANNING DIVISION BUILDING PLAN CHECK REVIEW CHECKLIST P-28 Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.1wv CARLSBAD P-28 (Effective date of lnclusionary Housing Ordinance -May 21 , 1993.) Data Entry Completed? YES O NO 0 (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE!) Housing Tracking Form (form P-20) completed: YES D NOD N/A D 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 -~umber. \.,. .. City Council Policy 44 -Neighborhood Architectural Design Guidelines 1. Applicability: YES O NO 0 2. Project complies: YES D NOD Zoning: 1. Setbacks: Front: Interior Side: Street Side: Rear: Top of slope: Required 20' Shown NONE Required 1Q'. Shown NONE Required __ Shown __ Required 20' Shown NONE 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: NIA: NO STRUCTURE ADDITION Required __ Shown __ 4. Height: RET. WALL Required 6' MAX Shown 6' STATED ON PLANS 5. Parking: Spaces Required __ Shown __ (breakdown by uses for commercial and industrial projects required) Residential Guest Spaces Required __ Shown __ 6. Floor Area Ratio: Required __ Shown __ Page 3 of 4 07/11 «~ ~ C I TY OF PLANNING DIVISION BUILDING PLAN CHECK REVIEW CHECKLIST Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.1mv CARLSBAD · P-28 Addition ~omments: 1) Please provide an updated site plan that shows listed setbacks on plans.✓1 ~ 2) The slope present on property is shown as a hillside • ' Hillside Develo ment Guidelines. Per the Hillside Dev e can onl be cut into 6 vertical feet. Please rovide a slo depicting height of wall and total feet cut (plans say ma 3 Please denote structure and the fe icted on lans is existin e write NAP for not a rmit or remove fully fr OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER ~ATE 3f1 P-28 Page 4 of 4 07/1 1 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 EMIN ENT. 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 ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY INSPECTOR DUE TO IN COMPLETE GRADING OPERATIONS OR UNFORESEEN CIRCUMSTAN CES 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 REM OVED AFTER EACH RAINFALL. 5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM AGGREGATE. 6. ADE QUA TE 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 DURI NG OR BEFORE CONSTRUCTION AS NEEDED TO ENSURE COMPLIANCE WI TH CITY STORM WATER QUALITY REGULATIONS. OWNER'S CERTIFICATE: I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1 ) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTI VITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID THE MOBILIZATION OF POLLUTANTS SUCH AS SED IMENT AND TO AVOID THE EXPOSURE OF STORM WATER TO CONSTRUCTION RELATED POLLUTANTS; AND (2) ADHERE TO, AND AT ALL TIMES, COMPLY WI TH 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. ])~ ,1t ·d To""-~ ~/OWN E~'S AGEN NAME (PRINT) OWNERS E-29 STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE SW ll!> Erosion Control Sediment Control BMPs Tracking Non-Storm Water Waste Management and Materials BMPs Control BMPs Management BMPs Pollution Control BMPs C C C 0 ...., ...., 0 .Q :;:; C C "O :;:; ...., O> 0 Q) "O Q) "O 2 C u u C -~ O> E C E C 0 ::, ::, ,Q ·;:: .9-0 0 0 § ...., b b "O Q) :::::;; "O en O> I... Q) 0 C ~ ::, >, O> C V C -~ ~ en en en ·;:: O" I... 0 C O> 0. Q) ·o.. C en C > I... w Q) C 0 Best Management Practice* ~ s Oc, 0 CD I... 0 Q) 0 I... C) 2 .:::-: :;:; en Q) Q) 0 ...., ..c en 3= C ~ Q) 0 -~ u I... u en 0 "O ci3 en :::::;; C Q) C (BMP) Description ➔ en u Q) er, ·o E en O> Q) O> CD 0 C O> C "O en 3 C 0 :::> Q) ...., Q) :5 3 ~ Q) Q) ...., 0 0 3: C I... 0 "OW "O >, o en C C 0 Q) > ~ E 0 u 0 0 CD er,·-O> 0--Q) ........_ u Q) 0 0 O> Q) :::::;; 0 O> C C E ...., ~ 0 Q) ~ ~ 0 1...-3 Q) X Q) Q) a: 0 E ~ N en u en:,µ V C 0. Cl. 0 0 ..., ::, .0 :.= en :.= 3: L...:.;:; ::0 u·c ·;:: O> Q) u... E ~ ci3 C 0 I... 0 ~ b ..., "O :5 -~ Q) u I... Q) ::, "O ·-Q) ·-"O Q) u 0 Q) I... 2 u "O 0 > ..__..., .0 I... .0 0 ·-I... ·-0 0 0 I... 0 0. ...., '6 Q) Q) 0 Q) u C 0 0 0 O> ..., 0 > Q) ..., ..c Q) ...., 0 0 := C •-C Q) 0 0 I... 0 Q) ..c .0 I... bo 0 ..., I... ...., C .80 0 I... 0 0. 0 Q)_ o..., 0 ..., 0. 0 o o C) 3 WO V'i vi er, u Li: C) r.ri> er, (/) Cl. er,_ er, a: 3 Cl. Cl.O Cl. >u :::::;; er, :::::;; er, r.r,u er,:::::;; CASQA Designation ➔ r---00 ~ v U) r---00 0 N ~ n r---00 ~ N n v LO 0) ~ n <D ~ I I I I I I I I I I I I I I I I I I I I I I I u u u u w w w w w w w w g: g: er, er, er, er, i :::::;; :::::;; :::::;; :::::;; Construction Activity w w w w er, er, er, er, er, er, er, er, z z z z 3 3 3 3 I~ Gradinq/Soil Disturbance '>< )S" X X' X Trenchinq/Excovotion 0 ;K". ')l i5 X Stockpilinq Drillinq/Borinq Concrete/ Asphalt Sowcuttinq IX Concrete Flotwork >< >( ~ Povinq ). Conduit/Pipe Installation ,< X t( Stucco/Mortar Work ',( ~ j. Waste Disposal '>< )"':,_ y X: ,X Stoqinq/Loy Down Area K >< )< >< Equipment Maintenance and Fuelinq Hazardous Substance Use/Storoqe Dewotering 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 Storm water 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 th e BMP column. 3. Refer to the CASQA construction handbook for information and details of the chosen BMPs and how to apply ~hem to the project. PROJECT INFORMATION Site Address: Z..731 Yovk ~- Assessor's Parcel Number: / lt]-J'f(-zi-Go Emergency Contact: J Nome: A,-JK, P,i{Qrfl_ 24 Hour Phone: qqf-fg7-l.{Cf 17 Construction Threat to Storm Water Quality (Check Box) ~ MEDIUM 0 LOW Q) ...., en 0 3...., C en v ::, E 0 Q) ~ O> O 0 NC 0 0 :r::::::;; <D I :::::;; 3 2 en 0-+-' 3 C Q) v E ..., Q) Q) O> b o CC 0 0 u :::::;; CXJ I :::::;; 3 .x .x Page 1 of 1 REV 02/16 { City of Carlsbad DETERMINATION OF PROJECT'S SWPPP TIER LEVEL AND CONSTRUCTION THREAT LEVEL E-32 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov I'm applying for: El Building Permit □ Right-of-way permit □ Other Project Name:=--''---'--'"'-"'--'-'--"'...._.,...._=,-c----Project ID: _____ DWG #/CB# ______ _ Address: ·'2.1 3 1 APN !!#r -3'J/-'"l..s-oa Disturbed Area: _____ Ac Section 1: Determination of Project's SWPPP Tier Level (Check applicable criteria and circle the corresponding SWPPP Tier Level, then ao to section 2) Exempt -No Threat Project Assessment Criteria My project is in a category of permit types exempt from City Construction SWPPP requirements. Provided no significant grading proposed, pursuant to Table1 , section 3.2.2 of Storm Water Standards, the following perm.its .. are. exempt.from .. SWPPP .. requirements: ........................... _ ..................................................................................... . ! ► Electrical ! ► Patio ! ► Mobile Home : ► Plumbing : ► Spa (Factory-Made) : ...................................................... J, .............................................. J, ....................................................... = ........................................... = ...................................................................................... • i...~ ...... ~ir.: .. ~~·r·i·~~l:r. ..... i ... ~ ..... ri-.1:~~~~·i·~~l·····L ~ .... ~:~~?.?.~~.9 ...... i ► ... ?i~-~ .............. J ~. .~.?.?.~~~.o~.~.t~?.. ?0.1.~r. .. ~.r.r.a.X. .. ! Tier 3-Significant Threat Assessment Criteria -(See Construction General Permit (CGP) Section I.B)* □ My project includes construction or demolition activity that results in a land disturbance of equal to or greater than one acre including but not limited to clearing, grading, grubbing or excavation; or, □ My project includes construction activity that results in land disturbance of less than one acre but the construction activity is part of a larger common plan of development or the sale of one or more acres of disturbed land surface; or, □ My Project is associated with construction activity related to residential, commercial, or industrial development on lands currently used for agriculture; or □ My project is associated with construction activity associated with Linear Underground/overhead Projects (LUP) including but not limited to those activities necessary for installation of underground and overhead linear facilities (e.g. conduits, substructures, pipelines, towers, poles, cables, wire, towers, poles, cables, wires, connectors, switching, regulating and transforming equipment and associated ancillary facilities) and include but not limited to underground utility mark out, potholing, concrete and asphalt cutting and removal, trenching, excavation, boring and drilling, access road, tower footings/foundation, pavement repair or replacement, stockpile/borrow locations. □ Other per CGP Tier 2-Moderate Threat Assessment Criteria: My project does not meet any of the Significant Threat Assessment Criteria described above and meets one or more of the following criteria: □ Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, □ Project will 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 and project 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 throuQh Apr. 30). Tier 1-Low Threat Assessment Criteria ~ My project does not meet any of the Significant or Moderate Threat criteria above, is not an exempt permit type per above and the project meets one or more of the following criteria: • results in some soil disturbance; and/or • includes outdoor construction activities (such as roof framing, saw cutting, equipment washing, material stockpilinq, vehicle fuelinq, waste stockpilinq) SWPPP Tier Level Exempt Tier 3 Tier 2 Tier 1 * Items listed are excerpt from CGP. CGP governs cntena for triggers for Tier 3 SWPPP. Developer/owner shall confirm coverage under the current CGP and any amendments, revisions and reissuance thereof. E-32 Page 1 of 2 REV. 02/16 SWPPP Section 2: Determination of Project's Construction Threat Level Tier (Check applicable criteria under the Tier Level as determined in section 1, circle Construction Level the corresponding Construction Threat Level, then complete the Threat Level signature block below) Exempt -Not Applicable -Exempt Tier 3 -High Construction Threat Assessment Criteria: Ml£ Project meets one or more of the following: □ Project site is 50 acres or more and grading will occur during the rainy season □ Project site is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA High □ Soil at site is moderately to highly erosive (defined as having a predominance of soils Tier3 with USDA-NRCS Erosion factors k1greater than or equal to 0.4) □ Site slope is 5 to 1 or steeper □ Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 -April 30). □ Owner/contractor received a Storm Water Notice of Violation within past two years Tier 3 -Medium Construction Threat Assessment Criteria Medium □ All projects not meeting Tier 3 High Construction Threat Assessment Criteria Tier 2 -High Construction Threat Assessment Criteria: Ml£ Project meets one or more of the following: 0 Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA □ Soil at site is moderately to highly erosive (defined as having a predominance of soils High with USDA-NRCS Erosion factors kt greater than or equal to 0.4) Tier 2 □ Site slope is 5 to 1 or steeper □ Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 -Apr. 30). □ Owner/contractor received a Storm Water Notice of Violation within past two years □ Site results in 10,000 sq. ft. or more of soil disturbance Tier 2 -Medium Construction Threat Assessment Criteria Medium □ My project does not meet Tier 2 High Threat Assessment Criteria listed above Tier 1 -Medium Construction Threat Assessment Criteria: Mll Project meets one or more of the following: □ Owner/contractor received a Storm Water Notice of Violation within past two years ~ ~ Site results in 500 sq. ft. or more of soil disturbance Tier 1 ~ Construction will be initiated during the rainy season or will extend into the rainy season (Oct.1 -April 30) Tier 1 -Low Construction Threat Assessment Criteria Low 0 My project does not meet Tier 1 Medium Threat Assessment Criteria listed above I certify to the best of my knowledge that the above statements are true and correct I will prepare and submit an appropriate tier level SWPPP as determined above prepared in accordance with the City SWPPP Manual. I understand and acknowledge that I must adhere to and comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards at all times during construction activities for the permit type(s) checked above. The City Engineer/Building Official may authorize minor variances from the Construction Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher SWPPP Tier Level is warranted. Emergency Contact Name: AA . /rt/ e Owner/Owner's Authorized Agent Na~/( e Owner/Owner's Authorized Agent Signature: E-32 Telephone No: ql{ -~-ttcr r7 Page 2 of 2 City Concurrence: Yes No (For City Use Only) 'f By: c,G,... Date: Lj -Lf -/(, Project ID: (~ IS -II~~ REV. 02/16