HomeMy WebLinkAbout1257 Belleflower Rd; ; CBR2020-0081; PermitPERMIT REPORT
Print Date: 03/05/2020
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1257 Belleflower Rd
BLDG-Residential
2145412300
$ 0.00
Residential Permit
Work Class: Pool
Lot#:
Reference #:
Construction Type
Bathrooms:
Orig. Plan Check#:
Plan Check #:
Description: SAN DEV LLC: DEMO 150 SF POOL AND SPA
FEE
BUILDING INSPECTION FEE
SWPPP INSPECTION FEE TIER 1-Medium BLDG
SW PPP PLAN REVIEW FEE TIER 1 -MEDIUM
Owner:
SANDEV PROPERTIES LLC
271 Redwood Ave
CARLSBAD, CA 92008-4054
Total Fees: $ 418.00 Total Payments To Date : $ 418.00
{ City of
Carlsbad
Permit No: CBR2020-0081
Status: Closed -Finaled
Applied: 01/10/2020
Issued: 02/11/2020
PermitFinal 03/03/2020 Close Out:
Inspector: CRenf
Final
Inspection: 03/03/2020
Contractor:
THE LANDSCAPE COMPANY
6755 Mira Mesa Blvd, Ste 123-381
San Diego, CA 92121-4307
619-861-6700
Balance Due:
AMOUNT
$117.00
$246.00
$55.00
$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest 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.
Buildin Division
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov Page 1 of 1
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING O eu1LDING □FIRE □HEALTH 0 HAZMATIAPCD
~ Building Permit Application Plan Check No. r AR ,)a)/\-mx I
" 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY Of Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date f I In /1 () ISWPPP
JOB ADDRESS SUITEt/SPACU/UNITf IAPN I
1257 Belleflower Rd ---
CT /PROJECT # 'LOT# I PHASE# I # OF UNITS I# BEDROOMS # BATHROOMS I TENAnT BUSINESS NAME I CONSTR. lYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Pool Demo, 150 sq ft, 7'Deepest Pool Depth
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
SFD SFD YESO N<O YES □NO□ YES□ NoC)
APPLICANT NAME (Primary Contact) THE LANDSCAPE COMPANY APPLICANT NAME (Secondary Contact) Doug Randall
ADDRESS ADDRESS
6755 MIRA MESA BLVD #123-381 9880 Maqnolia Ave #119
CITY STATE ZIP CITY STATE ZIP
San Dieqo CA 92121 Santee CA 92071
PHONE tAX PHONE I FAX (619) 861-6700 619-405-2648 619-330-4796
EMAIL EMAIL
jennifer@perm itrunner .net
PROPERTY OWNER NAME Sandev LLC /Kyle Myer CONTRACTOR BUS. NAME THE LANDSCAPE COMPANY
ADDRESS ADDRESS
1257 Belleflower Rd 6755 MIRA MESA BLVD #123-381
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92011 SAN DIEGO CA 92121
PHONE I FAX PHONE I FAX (858) 342-3241 (619) 861-6700
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# I CLASS I CllY BUS. LIC.#
1011901 C21 ,C27 1236197
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any 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}).
Workers' Compensation Declaration: / hereby affi,m under penalty of petjury 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 of the work for which !his permit is issued.
[Z] I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which !his permit is Issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. AMERICAN ZURICH INS Policy No. WC093389102 Expiration Date 03/31/2020
This section need not be completed if the perm~ is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify !hat in lhe performance of lhe work for which this permit is issued, I shaU not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation cover e 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 vided for In S o 370 f the abor e, interest and attorney's fees.
,g coNTRACT0Rs1GNATURE @AGENT DATE / ;0 3
I hereby affi,m that I am exempt from Contractor's License Law for the following reason: D 1, as owner of the property or my employees wilh wages as !heir sole compensation, will do lhe work and the structure is not inlended or offered for sale (Sec. 7044, Business and Professions Code: The Contraclor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himse~ or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold wilhin one year of completion, lhe owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). D I, as owner of lhe property, am exclusively contracting with licensed contractors to conslruct 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 wilh contractor(s) licensed pursuant to the Contractor's License Law),
□ I am exempt under Section ____ ,Business and Professions Code for this reason:
1. I personally plan lo provide the major labor and materials for construction of the proposed property improvement. O Yes 0 No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with lhe following person (firm) to provide lhe proposed construction (include name address / phone/ contractors' license number}:
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide lhe major work (include name/ address/ 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 I address/ phone I type of work):
_g PROPERTY OWNER SIGNATURE Q AGENT DATE
(!(J
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matelials registration form or lisk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? a Yes a No
Is the applicant or future building occupant required to obtain a permit from the air pollution control distlict or air quality management distlict? a Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? a Yes a 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.
Lender's Address
I certify that I have read the appllcatlon and state that the above Information Is correct and that the lnfonnation on the plans Is accurate. I agree to comply with all City ordinances and State laws relating 1ll building construction.
I hereby autllorize representative of the City of Carlsbad to enter upon the above mentioned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this C,ode shaU expre by limttation and become nul and void ~ the ooilding or v.olk authorized by such permit is not commenced wthin
180days from the date of such permit or if the buiding orv.olk authorized b it is suspe or abandoned at any time after the v.olk is commenced for a peood of 180days (Section 100.4.4 Unibrm Buildng C,ode).
Jt5 APPLICANT'S SIGNATURE DATE
PERMIT INSPECTION HISTORY REPORT (CBR2020-0081)
Permit Type: BLDG-Residential Application Date: 01/10/2020 Owner:
Work Class: Pool Issue Date: 02/11/2020 Subdivision:
Status: Closed -Finaled Expiration Date: 08/10/2020 Address:
IVR Number: 24203
Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
02/12/2020 02/12/2020 BLDG-51
Excav/Steel(Pools)
119390-2020
03/03/2020 03/03/2020 BLDG-Final
Inspection
March 03, 2020
Checklist Item
BLDG-Building Deficiency
121139-2020
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Passed Chris Renfro
COMMENTS
Pool demolition, gas line and electrical line
disconnected, verified bottom of pool demo
out.
Passed Chris Renfro
COMMENTS
SANDEV PROPERTIES LLC
CARLSBAD TCT#92-02 UNIT#01
1257 Belleflower Rd
Carlsbad, CA 92011-2501
Reinspectlon Complete
Passed
Yes
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Complete
Page 1 of 1
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RECEIVED
JAN 1 0 2020
CITY OF CARLSBAD
BUILQl"JG DIVISION
➔
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Scanned with CamScanner
RECEIVED
JAN J O 2020
CITY OF lJ.\t<LSBAD
BUILDING DIVISION
( City of
Carlsbad
I INSTRUCTIONS:
STORM WATER STANDARDS
QUESTIONNAIRE
E-34
Developmen Se ,,, e:.
Land Development Engineering
1635 Faraday Avenue
(760) 602-2750
www.carlsbadca.gov
To address post-development pollutants that may be generated from development projects, the city requires that new
development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management
Practices (BMPs) into the project design per Carlsbad BMP Design Manual (BMP Manual). To view the BMP Manual,
refer to the Engineering Standards (Volume 5).
This questionnaire must be completed by the applicant in advance of submitting for a development application
(subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of
storm water standards that must be applied to a proposed development or redevelopment project. Depending on the
outcome, your project will either be subject to 'STANDARD PROJECT' requirements or be subject to 'PRIORITY
DEVELOPMENT PROJECT' (PDP) requirements.
Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City
staff has responsibility for making the final assessment after submission of the development application. If staff
determines that the questionnaire was incorrectly fi lled out and is subject to more stringent storm water standards than
initially assessed by you, this will result in the return of the development application as incomplete. In this case, please
make the changes to the questionnaire and resubmit to the city.
If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the
questions, please seek assistance from Land Development Engineering staff.
A completed and signed questionnaire must be submitted with each development project application. Only one
completed and signed questionnaire is required when multiple development applications for the same project are
submitted concurrently.
PROJECT INFORMATION
PROJECT NAME: PROJECT ID:
ADDRESS: 1257 Belleflower Rd APN:
The project is (check one): D New Development D Redevelopment
The total proposed disturbed area is: ft2 ( ) acres
The total proposed newly created and/or replaced impervious area is: ft2 ( ) acres
If your project is covered by an approved SWQMP as part of a larger development project, provide the project ID and the
SWQMP # of the larger development project:
Project ID SWQMP#:
Then, go to Step 1 and follow the instructions. When completed, sign the form at the end and submit this with your
application to the city.
E-34 Page 1 of 4 REV 02/16
" "'' ' STEP'1 ,. " ,\·
,
TO BE COMPLETED FO~ ALL PROJECTS Vi ri' . '"
To determine if your project is a "development project", please answer the following question:
YES NO
Is your project LIMITED TO routine maintenance activity and/or repair/improvements to an existing building □ □ or structure that do not alter the size (See Section 1.3 of the BMP Design Manual for guidance)?
If you answered "yes" to the above question, provide justification below then go to Step 5, mark the third box stating "my
project is not a 'development project' and not subject to the requirements of the BMP manual" and complete applicant
information,
Justification/discussion: (e.g. the project includes only interior remodels within an existing building):
If you answered "no" to the above question, the project is a 'development project', go to Step 2.
' '" STEP2 ~ ,, .,
"" TO BE COMPLETED FOR ALL DEVEl,.OPMENT PROJECTS "" To determine if your project is exempt from PDP requirements pursuant to MS4 Permit Provision E.3.b.(3), please answer
the following questions:
Is your project LIMITED to one or more of the following:
YES NO
1. Constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria:
a) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non-
erodible permeable areas; □ □ b) Designed and constructed to be hydraulically disconnected from paved streets or roads;
c) Designed and constructed with permeable pavements or surfaces in accordance with USEPA
Green Streets guidance?
2. Retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in □ □ accordance with the USEPA Green Streets guidance?
3. Ground Mounted Solar Array that meets the criteria provided in section 1.4.2 of the BMP manual? □ □
If you answered "yes" to one or more of the above questions, provide discussion/justification below, then go to Step 5, mark
the second box stating "my project is EXEMPT from PDP ... " and complete applicant information.
Discussion to justify exemption ( e.g. the project redeveloping existing road designed and constructed in accordance with
the USEPA Green Street guidance):
If you answered "no" to the above questions, your project is not exempt from PDP, go to Step 3.
E-34 Page 2 of 4 REV 04/17
~ ~ STEP3 ; h' ,. ~
TO BE COMPLETED 1:-~R ALL NEW OR REDEVELOPMENT PROJECTS
To determine if your project is a PDP, please answer the following questions (MS4 Permit Provision E.3.b.(1)):
YES NO
1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces
collectively over the entire project site? This includes commercial, industrial, residential, mixed-use, □ □ and public development oroiects on oublic or orivate land.
2. Is your project a redevelopment project creating and/or replacing 5,000 square feet or more of
impervious surface collectively over the entire project site on an existing site of 10,000 square feet or □ □ more of impervious surface? This includes commercial, industrial, residential, mixed-use, and public
development projects on public or private land.
3. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more
of impervious surface collectively over the entire project site and supports a restaurant? A restaurant is
a facility that sells prepared foods and drinks for consumption, including stationary lunch counters and □ □ refreshment stands selling prepared foods and drinks for immediate consumption (Standard Industrial
Classification (SIC) code 5812).
4. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious
surface collectively over the entire project site and supports a hillside development project? A hillside □ □ development project includes develooment on any natural slope that is twentv-five oercent or areater.
5. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more
of impervious surface collectively over the entire project site and supports a parking lot? A parking lot is □ □ a land area or facility for the temporary parking or storage of motor vehicles used personally for
business or for commerce.
6. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more
of impervious street, road, highway, freeway or driveway surface collectively over the entire project □ □ site? A street, road, highway, freeway or driveway is any paved impervious surface used for the
transoortation of automobiles, trucks, motorcvcles, and other vehicles.
7. Is your project a new or redevelopment project that creates and/or replaces 2,500 square feet or more
of impervious surface collectively over the entire site, and discharges directly to an Environmentally
Sensitive Area (ESA)? "Discharging Directly to" includes flow that is conveyed overland a distance of □ □ 200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an
isolated flow from the oroiect to the ESA (i.e. not commingled with flows from adjacent lands).*
8. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square
feet or more of impervious surface that supports an automotive repair shop? An automotive repair □ □ shop is a facility that is categorized in any one of the following Standard Industrial Classification (SIC)
codes: 5013, 5014, 5541, 7532-7534, or 7536-7539.
9. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square
feet or more of impervious area that supports a retail gasoline outlet (RGO)? This category includes □ □ RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily
Traffic (ADT) of 100 or more vehicles per dav.
10. Is your project a new or redevelopment project that results in the disturbance of one or more acres of land
and are expected to generate pollutants post construction? □ □
11 . Is your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of
impervious surface or (2) increases impervious surface on the property by more than 10%? (CMC □ □
21 .203.040)
If you answered "yes" to one or more of the above questions, your project is a PDP. If your project is a redevelopment
project, go to step 4. If your project is a new project, go to step 5, check the first box stating "My project is a PDP ... "
and complete applicant information.
If you answered "no" to all of the above questions, your project is a 'STANDARD PROJECT.' Go to step 5, check the
second box statina "Mv oroiect is a 'STANDARD PROJECT' ... " and complete aoolicant information.
E-34 Page 3 of 4 REV 04/17
.
STEP4
TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPMENT PROJECTS (PDP)
ONLY
Complete the questions below regarding your redevelopment project (MS4 Permit Provision E.3.b.(2)):
YES NO
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 previously existing development? Complete the percent
impervious calculation below:
Existing impervious area (A) = sq. ft. □ □
Total proposed newly created or replaced impervious area (B) = sq. ft.
Percent impervious area created or replaced (B/A)*100 = %
If you answered "yes", the structural BMPs required for PDP apply only to the creation or replacement of impervious
surface and not the entire development. Go to step 5, check the first box stating "My project is a PDP ... " and complete
applicant information.
If you answered "no," the structural BM P's required for PDP apply to the entire development. Go to step 5, check the
check the first box statinq "My project is a PDP ... " and complete applicant information.
STEPS
CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION
D My project is a PDP and must comply with PDP stormwater requirements of the BMP Manual. I understand I must
prepare a Storm Water Quality Management Plan (SWQMP) for submittal at time of application.
0 My project is a 'STANDARD PROJECT' OR EXEMPT from PDP and must only comply with 'STANDARD PROJECT'
stormwater requirements of the BMP Manual. As part of these requirements, I will submit a "Standard Project
Requirement Checklist Form E-36" and incorporate low impact development strategies throughout my project.
Note: For projects that are close to meeting the PDP threshold, staff may require detailed impervious area calculations
and exhibits to verify if 'STANDARD PROJECT' stormwater requirements apply.
D My Project is NOT a 'development project' and is not subject to the requirements of the BMP Manual.
Applicant Information and Signature Box
Applicant Name: Doug Randall Applicant Title:
Applicant Signature: Date:
Environmentally Sens1t1ve Areas include but are not limited to all Clean Water Act Section 303(d) 1mpa1red 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 equivalent under the Multi Species Conservation Program within the Cities and County of San Diego; Habitat
Management Plan; and any other equivalent environmentally sensitive areas which have been identified by the City.
Th' B fi C't U O I IS ox or ,ry se my
YES NO
City Concurrence: □ □
By:
Date:
Project ID:
E-34 Page 4 of 4 REV 04/17
STORM WATER COMPLIANCE FORM :~ -.-\ '\]' ws· t TIER 1 CONSTRUCTION SWPPP CB I, .C.J(Y_, ,
E-29 SW -
STORM WATER POLLUTION PREVENTION NOTES BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE
Erosion Control Sediment Control BMPs Tracking Non-Storm Water Waste Management and Materials
1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE BMPs Control BMPs Management BMPs Pollution Control BMPs
AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION C
OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN C C 0 --.2 0 :;:; C C 'O -:;:; 0, 0 " 'O " 'O IS EMINENT. C E C "' u u C C 0, 0 ~ C -0 -:, :, 0 'o ·c: C. 0 0 E Q) ~ ~ :;:; ~ Q)
THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION ::::. 'O "' 0, ~ --C :, >, 0, -Q) 2. C Q) ~ C Q) c "'"' ., g ·c: ~ ~ 0 C "' -0, 01, C. Q) 'c. ·c: -C u, 8 ~ {!) 16 -~ C 0 0 "' CONTROL DEVICES TO WORKING ORDER TO THE SA Tl SF ACTION Best Management Practice* "" C 0 CD ~ 0 Q) 0 :;:; -3-o-~ ., " "' ,= Q) 0 C: " ~ " C: (_) ~ "' 'O Q) "' ::::. ~ " C: C: 3 iii OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING (BMP) Description ➔ ~ ""' ~ " E !E 0, " 0, CD ·cc: 0, C 'O "' C Cl ::::, -" "' " 0 0 " C: 'OW 'O >, C: C: [g E 3 ~ Q) u -c ~ 0 0"' Co 0 0, ~ " " E " E :;:; iii Cl CD u, •-0, O:..:; .,, i!l 0 (_) " 0 " RAINFALL. ::::. Cl o, ~ E 0 N <JI en=, " c a, c 'ci. ~-3 Q) -Q) X °" u " C: "-e ~ 0, " 0, 0 .D E ~ =en =3: :c ·-0, ·c: 0, " ,!; .,, ~ -:, ~·-C: 0 o·c ~ 0 .,, tJ 0 -'O .c: C: Q) u 16 Q) :, 'O :a e ·-'O Q) 1, 0 Q) ~ Q) u --'O 0 co
~ 0 t::·o C. ] Q) " u C: ~-.0 0 -o -~i " ·-0 -o -0 = C: ·-C: N C: C: C: 3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION 0 -0 00 0 0, .3 0 .c: Q) oo ~ 0 ~ en ti .D <] ..e,o 0 -~ ui.f: 0 ~ ~o "-0 in C. 0 co oo
WO i7i ;;: U,> "' "' Cl. "' °" 3 Cl. Cl. 0 Cl. ::::. "' ::::. "' (_) "'::::. I ::::0 o::::.
CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY
INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR CASQA Designation ➔ <X) ~ <X) 0 N ..., ,-.. <X) 7 N ..., v "' "' <X) ,-.. 0) 7 ~ ..., ... "' "' ,-.. 7 7 I I I I I I I I I I I I I I I I I I I I I UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. (_) (_) (_) (_) w w w w u.J Lu w Lu I!:: I!:: "' "' "' "' i i i i i i i Construction Activity Lu w Lu u.J "' "' "' "' "' "' "' "' z z z z
4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE Gradinn /Soil Disturbance X X X
AT THE END OF EACH WORKING DAY WHEN THE FIVE (5) Trench inn /Excavation
DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT Stockpilina X X X
( 40%). SILT ANO OTHER DEBRIS SHALL BE REMOVED AFTER Drillinn /Barino
EACH RAINFALL. Concrete/ Asphalt Sawcuttina
5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM Concrete Flatwork
Pavina AGGREGATE. Conduit/Pipe Installation
6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER Stucco/Mortar Work
PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST Waste Disposal
BE INSTALLED AND MAINTAINED. Staaina /Lav Down Area V X )<
Eauioment Maintenance and Fuelina
7. THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER Hazardous Substance Use/Starace
THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED Dewoterinq
TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY Site Access Across Dirt
REGULATIONS. Other (Hstl:
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 Table is a list of BMP's with it's corres~onding California Stormwater Quality Association (CASQA) designation number. Choose one
or more BMPs you intend to use during construction from the list. Check he box where the chosen activity row intersects with the BMP column.
3. Refer to the CASQA construction handbook for information and details of the chosen BMPs and how to apply them to the project.
OWNER'S CERTIFICATE:
I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT
BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION PROJECT INFORMATION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID
THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO Site Address 1257 Belleflower Rd
AVOID THE EXPOSURE OF STORM WATER TO CONSTRUCTION SHOW THE LOCATIONS OF ALL CHOSEN BMPs ABOVE -
RELATED POLLUTANTS; AND (2) ADHERE TO, AND AT ALL TIMES, ON THE PROJECTS SITE PLAN/EROSION CONTROL PLAN. Assessor's Parcel Number: COMPLY WITH THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP SEE THE REVERSE SIDE OF THIS SHEET FOR A SAMPLE THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES EROSION CONTROL PLAN. Emergency Contact:
UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED Name:. Billy Suits -BY THE CITY OF CARLSBAD.
Doug Randall 24 Hour Phone: (619) 861-6700
OWNER(S)/ rtR'SlltT NAPPRINT) Construction Threat to Storm Water Quality 1/.,_ / !_/;o/;}~o r _,,,. l/.11 -(Check Box)
OWNER\::.// J, .. ,_, ~ AGENT NAME (SIGNATURE) DATE □ MEDIUM ~LOW
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