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Home My WebLink About1295 BUENA VISTA WAY; ; CB162156; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-08-2016 Pool Permit Permit No: CB162156 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1295 BUENA VISTA WY CBAD POOL 1562311500 Status: Lot#: 0 Applied: Valuation: $24,233.00 Construction Type: NEW Entered By: Reference #: PC#: Project Title: ROBINSON RES-470 SF POOL/SPA Applicant: TOO HACKENSON P 0 BOX 2175 CARLSBAD CA 92010 760 889-2260 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Electrical Fee Plumbing Fee Strong Motion Fee Green Bldg Standards (SB1473) Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Plan Approved: Issued: Inspect Area: Owner: ROBINSON JAYSON H&CANDICE M 1295 BUENA VISTA WAY CARLSBAD CA 92008 ISSUED 06/02/2016 RMA 06/08/2016 06/08/2016 $247.64 $0.00 $173.35 $0.00 $35.00 $35.00 $3.15 $1.00 $0.00 $0.00 $0.00 $0.00 $495.14 Total Fees: $495.14 Total Payments To Date: $495.14 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NOTlCE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest ifTllOsition 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 Oty Manager for processing in accordance with Carlsbad Munidpal 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. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING ENGINEERING {city of Carlsbad JOB ADDRESS /;( 95 8UE()4 CT/PROJECT # LOT# 15 Building Permit Application 11335 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov 0BUILDING OFIRE DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ·n CL~fJ6TRUCT r:; ~;, LU)m mn16 i?t:c.J f)._lfn-J tl i/ct"t!F.o 5~4 tflO{! EXISTING USE GARAGE (SF) PATIOS (SF) ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE LIC. # (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 1 u 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 Secti Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exempt1on. Any violat1on of Section 7031.5 by any applicant for a permi civil penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration: I hereby affirm under penalty of pery·ury one of the following declaratkms: 0 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 this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance earner and policy number are: Insurance Co ____________ Policy No. Expiration Date---------- ~ction need not be completed if the permit is for one hundred dollars ($1 00) or less. [)!]Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as 3706 of e Labor code, interest and attorney's fees. N$ CONTRACTOR SIGNATURE I hereby affinn that I am exempt from Contractor's License Law for the following reason: D D D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes 0No 2. I (have I 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 I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired th·e following person to coordinate, supervise and provide the major work (include name I address I phone I 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 I phone I type of work): N$ PROPERTY OWNER SIGNATURE 0AGENT DATE I certify that I have read the application and state that the above infonnation is conect and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State lav.s relating to building construction. I hereby aulhorize representative of the City of Carlsbad to enter upon lhe above mentioned property for 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 penni\ is required for excavations over 5'0' deep and demolition or oonstruction of structures over 3 stories in height. EXPIRATION Every penni\ issued by the Building Official under lhe proviskms of lhis Code shall expire by limitation and beoome null and void if the building or 'Mlrk aulhorized by such penni\ is not oommenoed 'hi thin 180 days from lhe date of such penni\ or iflhe building or'Mlrk authorized by such penni\ is suspended or abandoned at any time after the 'Mlrk ~ oommenoed for a period of 180 days (Section 106.4.4 Unifonn Building Code). ,IS APPLICANT'S SIGNATURE DATE 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.govor Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) Carlsbad CA OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS 0 PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB#-------------0 MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION 0 MAIL/ FAX TO OTHER:------------------o CHANGE OF USE/ NO CONSTRUCTION A$ APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB162156 Type: POOL Date Inspection Item 08/19/2016 55 Fence/Pre-Plaster 08/19/2016 55 Fence/Pre-Plaster 08/19/2016 59 Final Pool 08/19/2016 89 Final Combo 07/08/2016 23 GasfT esVRepairs 07/08/2016 51 Excav/Steei!Bonding/Fence 07/08/2016 52 Underground Plumbing 07/08/2016 53 Electric/Conduit/Wiring Monday,August22, 2016 Inspector Act AEK AEK AEK AEK AEK AEK AEK Rl AP AP Fl AP AP AP AP ROBINSON RES-470 SF POOUSPA Comments AM PLEASE CONDUIT Page 1 of 1 «~' ~ CITY OF CARLSB D PLAN CHECK REVIEW TRANSMITTAL DATE: 06/07/2016 PROJECT NAME: ROBINSON RESIDENCE POOL PLAN CHECK NO: 1 SET#: 1 ADDRESS: 1295 BUENA VISTA WAY VALUATION/SCOPE OF WORK: 24233 Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www .carlsbadca.gov PROJECT ID: CB162156 APN: 1562311500 This plan check review is complete and has been APPROVED by the ENGINEERING Division. By: VALRAY NELSON A FinaJ Inspection by the ENGINEERING Division is required Yes I 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: CTRPOOLMAN@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: Gina.Ruiz@carlsbadca.gov Remarks: 760-602-27 41 Kathleen.lawrence@carlsbadca.gov linda.Ontiveros@carlsbadca.gov VaiRay Marshall 760-602-2741 VaiRay.Marshall@carlsbadca.gov Domin 760-602-4664 Dominic.Fieri@carlsbadca.gov 1 r1HI/ outstanding issues will he marked with an [X] Make the 11eccssary corrections for compliance with applicahle codes mrd stmrdards. Submit corrected plaus mrd/or specifications to the BuildiHg divisio11 for rc-su!Jmittal to tire Urginecring diPisions. Items tlzat cmrform to permit requirements are marked with [ZJ 1. SITE PLAN EASEMENT IS ON Provide a fully dimensioned site plan drawn to scale. ADJACENT PROPERTIES E-37 Show: I North arrow I Existing & proposed structures I Property line dimensions Easements Show on site plan: Drainage patterns Existing & proposed slopes Existing topography Retainin£1 Walls (location and height) ,f Indicate what will happen with soil excavated from pool area. Include on title shE~et: I Site address I Assessor's parcel number I 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: LOT NO. MAP NO. Conditions were complies with by: REF. NO. BOOK 1 PG 170 LS 13-57 Page 2 of 4 Date: REV 6/2012 1 RW 16-139 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 engineer 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 adjace!nt to the public right-of-way. A separate right-of-way issued by the engineering division is required for the following: 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 E-37 1 4. STORM WATE:R Construction Compliance Project Threat Assessment Form complete incomplete Requires Tier 1 Storm Water Pollution Prevention Plan. Please complete attached form and return (SW 14-) 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: I /www. ca rlsbadca. qov/business/buildi nq/Docu ments/EngSta ndsw-stds-vol4-ch2. pdf Proje~ct 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 pavement/pavers 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 6/2012 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 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 INCOMPLETE 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 PECENT ( 40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL. 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. THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY REGULATIONS. OWNER'S CERTIFICATE: (e.j ·It: DATE E-29 STORM WATER COMPLIANCE FORM L--L..v . 1 /£f)-·_:;;;i/ BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE Erosion Control Sediment Control BMPs Tracking Non-Storm Water Waste Management and Materials BMPs Control BMPs Management BMPs Pollution Control BM Ps " " '. ~ 0 " . , 0 "' " , " "' "' 0 " , " " ~ " " "' E " 0 -~ 0 E " 0 ~ " ~ :8 , •t: -~ " 0 " "' """' "' -~ ~ ~ <::' ~ § 1n "' "" a_ " ~ "'" g <r Best Management Practice' "<! -~ oc; .. ,g CD -~ "" 5 ~ w -~ 5 :;:; ~~ "" " .. ~* " 0 " 0" ~ {j u~ u ~ , " "' 5i ~i " (BMP) Description --7 ~ .,en -~ " § " "' ""' ID ·e a -g~ " ,., " 0 :::> "" 3 ~Q) ~ ~--" 0 0 "" ]i 00> "" 0 ~ E_ !gE "E " 0 CD tn·E 0 0 "' ~ "' Oc> 0 ~ 5i E "" g' 0:;:; ~~ '-'1l 0':.;::::; " "" :gg, 0 ~:g. 0" " =E -~ .>< 1 ~, :g §~ ~g :g ] f ~_g ~g' , " "-" i; "" ~g -~ ~ u·~ :Eg 0 0 g. 'a " "" ~~ 2:s N <= " 0 " ~ .;,o 0"' ~8 0 0 .s ~§ oo 0 ~ ~ 6 c3 0 ~ ~ en" ~<I: 0~ 0 0 "' ~ wo Vi ,,. en en> en en a. en"" a. :::Een "' cn enu en:::E I:::E CASQA Designation --7 .... "" "' "' .... on "' .... "" 0 N I "' .... "" I N "' .... on "' I I I I I I I I I I I I I I I I I I I I I I u u '-' '-' w w w w w w w w ~ ~ en en en U) ~ ~ ~ ~ ~ ~ Construction Activity w w w w en en en en en en en en z z z z PI" Grading/Soil Disturbanc~ ~ :')p. [)( Trenching/Excavation .l.-- Stockpiling Drillino. Borin a Concrete Asohalt Sawcu\\ina llf Concrete Flatwork Pavina Conduit Pioe Installation Stucco Mortar Work Waste Disoosal Staaina/Lav Down Area Eauioment Maintenance and Fuelina Hazardous Substance Use/Storaae Dewoterina Site Access Across Dirt Other (list): -l_ -·----- Instructions: 1. Check the box to the left of oil 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 corresponding California Stormwater 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 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. SHOW THE LOCA T/ONS OF ALL CHOSEN BMPs ABOVE ON THE PROJECTS SITE PLAN/EROSION CONTROL PLAN. SEE THE REVERSE SIDE OF THIS SHEET FOR A SAMPLE EROSION CONTROL PLAN. PROJECT INFORMATION Site Address: ______________ _ Assessor's Parcel Number: ---------- Emergency Contact: Name: ________________ _ 24 Hour Phone:------------ Construction Threat to Storm Water Quality (Check Box) 0 MEDIUM 0 LOW , " ~--~li "E ~., bg' "" 0 0 u::. "" I ~ ·- I I I 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: D Grading Permit D Building Permit D Right-of-way permit D Other Project Name: _______ _ Project 10: -----DWG #/CB# ------ Address: _________ _ APN Disturbed Area: _____ .Ac Section 1: Determination of Project's SWPPP Tier Level SWPPP (Check applicable criteria and circle the corresponding SWPPP Tier Level, then go to section 2) T; .... ,. 1 "'""'1 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 f<:>.ll_c:>"'J.i.n..9 .. .P.~.r.r:n.i~l'. .. ?~~---~'5.~.rnP~ .. !.r.c:>.f!l ... §Y.Y.P..F.'.P. ... r.~.9.'-:'.i.f.~_r:rl.~.!l.tl>,_:_...................................... ...... ............................ ................................................ Exempt : ;.. Electrical : ;.. Patio : );;· Mobile Home \ ;.. Plumbing \ ;.. Spa (Factory-Made) \ t::.F.::::.:~:;~~-:~~:~i:~~~:~~:.:.r:~:.·:~~~:~~:~:~~~i::::r~:·::.::§~~-§?.?.:i~:~~.:.::::·.:.:r:~.-.. :::.~;~:~:::·::::::::.·:::t.:.F.:.:.::.~:i.?.i~~?.~:~:t~~--~?..1:~~::~~~~~::::1 Tier 3-Significant Threat Assessment Criteria-(See Construction General Permit (CGP) Section 1.8)* 0 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, 0 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, 0 My Project is associated with construction activity related to residential, commercial, or industrial Tier 3 development on lands currently used for agriculture; or 0 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) ancl 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. 0 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: 0 Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, 0 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 through 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 stockpiling, vehicle fueling, waste stockpiling) Tier2 .·· Tier 1 \....;-----····- * Items listed are excerpt from CGP. CGP governs cntena for tnggers for T1er 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. 2/16/16 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: M~ Project meets one or more of the following: 0 Project site is 50 acres or more and grading will occur during the rainy season 0 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 D Soil at site is moderately to highly erosive (defined as having a predominance of soils Tier 3 with USDA-NRCS Erosion factors kf greater than or equal to 0.4) 0 Site slope is 5 to 1 or steeper D Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 -April 30). D Owner/contractor re~ceived a Storm Water Notice of Violation within past two years Tier 3-Medium Construction Threat Assessment Criteria Medium D All projects not meeting Tier 3 High Construction Threat Assessment Criteria Tier 2 -High Construction Threat Assessment Criteria: M~ Project meets one or more of the following: D 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 D 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 D Site slope is 5 to 1 or steeper D Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1-Apr. 30). D Owner/contractor received a Storm Water Notice of Violation within past two years D Site results in 10,000 sq. ft. or more of soil disturbance Tier 2-Medium Construction Threat Assessment Criteria Medium D My project does not meet Tier 2 High Threat Assessment Criteria listed above Tier 1 -Medium Construction Threat Assessment Criteria: M~ Project meets one or more of the following: 0 Owner/contractor received a Storm Water Notice of Violation within past two years Medium D Site results in 500 sq. ft. or more of soil disturbance Tier 1 0 Construction will be initiated during the rainy season or will extend into the rainy season (Oct.1-April 30) •' -Tier:.A'-Low Construction Threat Assessment Criteria ~w~j ~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 ap ropriate tier level SWPPP as"1ie!errhined above p prepared in accordance with the City SWPPIJ 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. Owner/Own~ Authorized Agent Name: Title: ./16 J;7 0 /-/ IJ!S&f)d)/1 {biJTI?q C1iJ ll City Concurrence: Yes No (For City Use Only) Ow""'"'"'-""'"* 1 oot '""""" Date: . /fJ/1:, ~~1?1J30 J 6-//b By: Date: Project ID: E-32 Page 2 of 2 Rev. 2/16/16 (City of Carlsbad STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov !INSTRUCTIONS: , , ~~· 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 (BMP's) into the project desig1n 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 napresent 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 fi1lled out and is subject to more stringent storm water standards than initially assessed by you, this will result in the return of tl1e 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 I concurrently. PROJECT INFORMATION ,, ,, ,'' ' PROJECT NAME: PROJECT ID: The project is (check one): jt{New Development D Redevelopment J .. 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 STEP1 TO BE COMPLETED FOR ALL. PROJECTS 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 proj1ect' 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 . • , ·i .•. , STEP2 ... TO BE COMPLETED FQR AtL DEVELOPMENT 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. 02/16 . · .· .. .. .STEP3 . · .. · .· .. ·.· .. ··. ,·· ·. < . ro ae coMP~.;e:reo r=oR ALL: NeW~ oR ReoeveLoPcMENr PRo4ec1"s .. . 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 v collectively over the entire project site? This includes commercial, industrial, residential, mixed-use, and public development projects on public or private 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 v 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 development on any natural slope that is twenty-five percent or greater. 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 t/ 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 surface collectively over the entire project site and supports a street, road, highway freeway or driveway? A street, road, highway, freeway or driveway is any paved impervious surface used for the transportation of automobiles, trucks, motorcycles, 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)? "Discha1ging 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 project 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 v 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 v 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 day. 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 v 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 stating "My project is a 'STANDARD PROJECT' ... " and complete applicant information. E-34 Page 3 of 4 REV. 02/16 .. ·· ... ·· .. ··. .. . . STE;P4 . . . .. . .. · TOBE COI\IIPLI;J'E&·FORREDEVELOPIIIIENT ~ROJECT~THAT ARE PRIORITY DEVELOPMENT ~R04ECTS 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)*1 00 = % If you answered "yes", the structural BMP's 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 BMP's required for PDP apply to the entire development. Go to step 5, check the check the first box stating "My project is a PDP ... " and complete applicant information. 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 Title: . . _ L~ • C'cP/77 r'I"CIC/c'l"l Date: S-;G ·--~,t· * 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 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. IS ox or try se ny City Concurrence: I YES I NO I I By: Date: Project 10: E-34 Page 4 of 4 REV. 02/16 (City of STANDARD PROJECT Deve/ol!_ment Services REQUIREMENT land Development Engineering CHECKLIST 1635 Faraday Avenue Carlsbad E-36 760-602-2750 www.carlsbadca.gov Proiect Information .·. · ... Proiect Name: Project ID: DWG No. or Building Permit No.: Source Control BMPs ·· .. . .· ..... ·· All development projects must implement source control BMPs SC-1 through SC-6 where applicable and feasible. See Chapter 4 and Appendix E.1 of the BMP Design Manual for information to implement source control BMPs shown in this checklist. Answer each category below pursuant to the following. • "Yes" means the project will implement the source control BMP as described in Chapter 4 and/or Appendix E.1 of the Model BMP Design Manual. Discussion/justification is not required. • "No" means the BMP is applicable to the project but it is not feasible to implement. Discussion/justification must be provided. • "N/A" means the BMP is not applicable at the project site because the project does not include the feature that is addressed by the BMP (e.g., the project has no outdoor materials storage areas). Discussion/justification may be provided. Source Control Requirement I ·:Applied? SC-1 Prevention of Illicit Discharges into the MS4 I ~~Yes lll No j 1:' N/A Discussion/justification if SC-1 not implemented: SC-2 Storm Drain Stenciling or Signage I -_,Yes I r::: No I [~ N/A Discussion/justification if SC-2 not implemented: SC-3 Protect Outdoor Materials Storage Areas from Rainfall, Run-On, I '·Yes I ~No 1'-: N/A Runoff, and Wind Dispersal Discussion/justification if SC-3 not implemented: SC-4 Protect Materials Stored in Outdoor Work Areas from Rainfall, Run-On, J ,_:Yes Runoff, and Wind Dispersal l'' No l'j N/A Discussion/justification if SC-4 not implemented: SC-5 Protect Trash Storage Areas from Rainfall, Run-On, Runoff, and Wind I'' Yes I ~'No 1':::; N/A Dispersal Discussion/justification if SC-5 not implemented: E-36 Page 1 of 3 REV 02/16 Source Control Requirement SC-6 Additional BMPs based on Potential Sources of Runoff Pollutants must answer for each source listed below and identify additional BMPs. (See Table in Appendix E.1 of BMP Manual for guidance). On-site storm drain inlets -Interior floor drains and elevator shaft sump pumps 1 Interior parking garages ~~ Need for future indoor & structural pest control J Landscape/Outdoor Pesticide Use ~-Pools, spas, ponds, decorative fountains, and other water features ,-Food service , : Refuse areas Industrial processes -, Outdoor storage of equipment or materials _.:. Vehicle and Equipment Cleaning Vehicle/Equipment Repair and Maintenance =-• Fuel Dispensing Areas ' Loading Docks :~Fire Sprinkler Test Water ::_: Miscellaneous Drain or Wash Water 1 Plazas, sidewalks, and parkin~! lots i-Yes -Yes ·Yes .I Yes 1 Yes ',Yes r_.: Yes LYes 'Yes rYes rYes _:.Yes 1 _ Yes i Yes ,:.: Yes ~Yes 1 Yes Applied? i No I N/A ',No 1 1 N/A r No IN/A c No IN/A l No ~-~ N/A -j No 1:" N/A =-,No L-N/A ·~No i..' N/A 1 No ·-' N/A :1 No ·r N/A ,J No I" N/A J No N/A _.:,No L N/A r: No :..' N/A 11 No J N/A Ll No ·~ N/A ~-~No ,-, N/A For "Yes" answers, identify the additional BMP per Appendix E.1. Provide justification for "No" answers. E-36 Page 2 of 3 REV. 02/16 Site Design BMPs All development projects must implement site design BMPs SD-1 through SD-8 where applicable and feasible. See Chapter 4 and Appendix E.2 thru E.6 of the BMP Design Manual for information to implement site design BMPs shown in this checklist. Answer each category below pursuant to the following. • "Yes" means the project will implement the site design BMPs as described in Chapter 4 and/or Appendix E.2 thru E.6 of the Model BMP Design Manual. Discussion I justification is not required. • "No" means the BMPs is applicable to the project but it is not feasible to implement. Discussion/justification must be provided. • "N/A" means the BMPs is not applicable at the project site because the project does not include the feature that is addressed by the BMPs (e.g., the project site has no existing natural areas to conserve). Discussion/justification may be provided. Site Design Requirement I Applied? SD-1 Maintain Natural Drainage Pathways and Hydrologic Features I ~'Yes I ::_,No I 1 1 N/A Discussion/justification if SD-1 not implemented: SD-2 Conserve Natural Areas, Soils, and Vegetation I ·~Yes I •..: No I ~~ N/A Discussion/justification if SD-2 not implemented: SD-3 Minimize Impervious Area I _Yes I ~~No I c' N/A Discussion/justification if SD-3 not implemented: SD-4 Minimize Soil Compaction I ,·Yes I ,_.No I ,IN/A Discussion/justification if SD-4 not implemented: SD-5 Impervious Area Dispersion l .'Yes J L' No j ·, N/A Discussion/justification if SD-5 not implemented: SD-6 Runoff Collection l 'Yes I ,-,No j :• N/A Discussion/justification if SD-6 not implemented: SD-7 Landscaping with Native or Drought Tolerant Species l ,_'Yes I ~·No 1 r. N/A Discussion/justification if SD-7 not implemented: SD-8 Harvesting and Using Precipitation I ,_,Yes I ',No I ,-N/A Discussion/justification if SD-8 not implemented: E-36 Page 3 of 3 REV. 02/16 PLANNING DIVISION BUILDING PLAN CHECK CITY OF APPROVAL CARLSBAD P-29 DATE: 6/6/16 PROJECT NAME: POOL/SPA PROJECT ID: Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.e:ov PLAN CHECK NO: CB162.156 SET#: ADDRESS: 1295 BUENA VISTA WAY APN: rEJ This plan check review is complete and has been APPROVED by the PLANNING Division. By: GINA RUIZ A Final Inspection by the PLANINNG Division is required 0 Yes [g) 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: CTRPOOLMAN@HOTMAIL.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 D Chris Sexton Chris Glassen Greg Ryan 760-602-4624 760-602-2784 760-602-4663 Chris.Sexton@carlsbadca.gov Christogher.Giassen@carlsbadca . ..@Y GregQJ:yj3yan(\j)carlsbadca.gov [g) Gina Ruiz VaiRay Marshall Cindy Wong 760-602-4675 760-602-27 41 760-602-4662 Gina.Ruiz@carlsbadca.gov Y'9lB;:t_y.M;:t_r_?!l;:tll@~9rlsbC1dc;:t_,gq_y ~Jhi9JlVQJ1_g@_c:.a_rJs_Qag_c:.fl_,g_qy D Veronica Morones Linda Ontiveros Dominic Fieri 760-602-4619 760-602-2773 760-602-4664 Veronica. Morones@carlsbadca.gov !,i_Q@,Qn1iY~los~9.IIsJ:>9_Q_ cfu;oy Qo.tnlrll~~fi~ri@ca rls ba .ckll_,_g_Q_y Remarks: