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Home My WebLink About1324 Corvidae St; ; CBR2017-2904; Permit(city of Carlsbad Residential Permit Print Date: 05/04/2018 Permit No: CBR2017-2904 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 1324 Corvidae St BLDG-Residential 2156900800 $20,764.95 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Addition Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 12/05/2017 12/20/2017 PB urn Plan Check#: Final Inspection: 5/4/2018 9:24:39AM Project Title: Description: MCKONE: COVERT 195 SF OF GARAGE TO BEDROOM// ADDITION OF 23 SF FOR BATH & 46 SF ELEVATOR SHAFT// REMODEL 40 SF Owner: TRUST MCKONE TONITA K LIVING TRUST 01-22-13 BUILDING PERMIT FEE {$2000+) BUILDING PLAN CHECK FEE {BLDG) 1324 Corvidae St CARLSBAD, CA 92011 ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION MECHANICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL SWPPP INSPECTION FEE TIER 1-Medium BLDG SWPPP PLAN REVIEW FEE TIER 1-MEDIUM Total Fees: $958.00 Total Payments To Date: $958.00 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES 1T 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. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $212.53 $148.77 $41.00 $170.00 $39.00 $49.00 $1.00 $2.70 $238.00 $56.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: ( City of Carlsbad JOB ADDRESS I Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@cansbadca.gov www.carlsbadca.gov SUITE#/SPACEI/UNITI OFIRE Plan Check No Est. Value Date CT/PROJECT# LOT# PHASE # # OF UNITS # BEOROO S # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) C,c,,./v~, ~t, ~1 1,Jr-0 \?)Goe_~ Aoo tt.,6/i>--\o\l-... -if(, SF SHA.ti A.op 100, Mo ]Z;,..{oi;,u., t9\TH ~"'',{ 3 -()l:, OCC. GROUP GARAGE (SF) G., AIR CONDITIO G vcs[ii]NoD FIRE SPRINKLERS vcsONoKJ ZIP CA a o.c ADDRESS CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL STATE LIC. # STATE LIC.# CLASS CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to.construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_mit to file a signed statement that he is licensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, commending with Section 7000 of D1v1sion 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 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued D I have and will maintain workers' compensation, as reQuired by Section 3700 of the Labor Code, for the performance of the wor'K 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 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 provided for in Section 3706 of the Labor code, Interest and attorney's fees. 65 CONTRACTOR SIGNATURE 0AGENT DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason- 0 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 lo 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. 0Yes 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 the fol lo ng 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) · e following persons to provide the work indk;aled (include name I address I phone I type of work): I Ji5 PROPERTY OWNER SIGNATURE I I 0AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevenEon program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act1 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 certify that I have read the application and state that the above lnfonnation is correct and that the infonnation on the plans Is accurate. I agree to compty'Mttl all City ordinances and State lav.s relating to building construction. I hereby authorize representatve of the Crtyof Carlsbad toenteru!XJ(l the aOOve menOCllled property br inspection purp:ises. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU_ LIABILITIES, JUDGMENTS, COSTS AND E¥J'ENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: AA OSHA permit is required for excavatigns over 5f ~p and demolillOn or construdion of structures over 3 stories in height EXPIRATION: Every permit issued by the Bui~fn9. Offk:ial nder the provisions of this C.ode shall expire by limitation and become null and voKl Wthe tx.Jikling orv.ork authorized by such permit is notoommenced within 180 days from the date of sudl permit or ifthe building or rk authorized by sudl permit is suspended or abandoned atanytirre after the oork is rommenced for a period of 180 days (Section 100.4.4 Uniform Building Code). I ' ,6! APPLICANT'S SIGNATURE (_, // I DATE /7-\~ /7 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 PHONE EMAIL DELIVERY OPTIONS PICK UP: MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) CONTACT (Listed above) CONTRACTOR (On Pg. 1) ZIP FAX OCCUPANT (Listed above) OCCUPANT (Listed above) MAIL/ FAX TO OTHER:---------------- A$ APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE ZIP Carlsbad CA OCCUPANT'S BUS. LIC. No. ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ~ ( City of Building Permit Application Plan Check No. ---- 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 780-802-27:19 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date JOB ADDRESS SUITE#/$PACE#/UNIT# IAPN - -- ----CT/PROJECT# !LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I coNSTR. TYPE I acc. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE I PROPOSED USE · 1 GARAGE (SF) PATIOS (SF) lDECKS (SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YESD # __ NOD YES O NOD YES D NOD APPLICANT NAME (Primary Contact) PROPERTY OWNER NAME -ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE IFAX EMAIL EMAIL DESIGN PROFESSIONAL NAME CONT~RBUS.tME ·4-t f ,-f,, +., --• A-~t. i -A'4' 1""11 jd).,v""/ ADDRESS ADORES// M: ,,.J,,. 6-/11 ·· 7'1 -.,,,, (' -CITY STATE ZIP c1rp. ~ c;ATE ZIP . ,,. ,;,, --PHONE I FAX PHONE '16 o -J.. 1.a-~or I I FAX --EMAIL EM~/ C /,, nwt ~ , ·,,,,, bu& C/ 'ftO ~o, ·/. ( d ~ -I STATE LIC. # STATEL,9 9'(1' /O . . ICLASr -CITY BUS. UC.# ~ (Sec. 7031.5 Business and P_rofess1ons Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair an~ structure, pnor to its issuance, also requires the applicant for such per_mit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License LawjChapter 9, commending with Section 7000 of D1v1s1on 3 of the B_usmess and Professions Code) or 01at he is exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 031.5 by any applicant for a permit subjects the applicant to a c1v1I penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 1:J 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. l:l 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 carrier and policy number are: Insurance Co. _____________________ ~ Policy No.---------------Expiration Date----------- section need not be completed if the permit is for one hundred dollars ($100) or less. Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensatio overage is unlawful, and shall subject an employer lo criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, .2,a~ed for Section 3706 of the est and attorney's fees. _A$ CONTRACTOR SIGNATURE W" ~ef..,;. I hereby affirm that I am exempt from Contractor's License La [] 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) O 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. D Yes [] No 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 the 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): ~ PROPERTY OWNER SIGNATURE 0AGENT DATE Pcnn:t fypc: BLDG-Residential Application Dato: 12/05/2017 Ov-1ncr: TRUST MCKONE TONITA K LIVING TRUST 01-22-13 Work Clnss: Addition Issue Date: 12/20/2017 Subdivision: CARLSBAD TCT#90-36 UNIT#01 Statlis: Closed -Finaled Expiration Date: 09/10/2018 Address: 1324 Corvidae St Carlsbad, CA 92011-4851 IVR Number: 8151 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete ---------·-,~~---·----·- 02/15/2018 02/15/2018 BLDG-11 048972-2018 Passed Paul Burnette Complete Foundation/Ftg/Pier s (Rebar) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 03/01/2018 03/01/2018 BLDG-13 Shear 050396-2018 Passed Paul Burnette Complete Panels/HD (ok to wrap) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-15 050395-2018 Passed Paul Burnette Complete Roof/ReRoof (Patio) Checklist ltcrn COMMENTS Passed BLDG-Building Deficiency Yes 03/07/2018 03/0712018 BLDG-14 050848-2018 Failed Paul Burnette Reinspection Complete Frame/Steel/Bolting/ Welding (Decks) Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-17 Interior 050847-2018 Failed Paul Burnette Reinspection Complete Lath/Drywall Checklist ltorn COMMENTS Passed BLDG-Building· Deficiency No BLOG-44 050849-2018 Failed Paul Burnette Reinspection Complete RoughfDucts/Oampe rs Checklist lte1n COMMENTS Passed BLDG-Building Deficiency No 03/08(2018 03/0812018 BLOG-16 lnsulatlon 051117-2018 Passed Paul Burnette Complete Checklist ltorn COMMENTS Passed BLDG-Building Deficiency Yes BLOG-17 Interior 051119-2018 Cancelled Paul Burnette Re inspection Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-84 Rough 051284-2018 Passed Paul Burnette Complete Combo(14,24,34,44) May 04, 2018 Page 1 of 2 ,J;s~,,'0, ' a 't ,!zf:"-'" J;"fct ,~ • •)t· • J!ERMIJtl~SPECTION t!ISTO~Y RE~OR~lCSR2017-2904) Pcrrnit Typo: BLDG-Residential Work Class: Addition Status: Closed -Finaled Scheduled Date Actual Start Date Inspection Type Application Date: 12/05/2017 Issue Date: 12/20/2017 Expiration Date: 09/10/2018 IVR Number: 8151 Inspection No. Inspection Status Owner: TRUST MCKONE TONITA K LIVING TRUST 01-22-13 Subdivision: CARLSBAD TCT#90-36 UNIT#01 Address: 1324 Corvidae St Carlsbad. CA 92011-4851 Primary Inspector Reinspection Complete ------·------·····-·-----------------·-··------------··--·------··· 03112/2018 0311212018 05/04/2018 0510412018 May 04, 2018 Checklist ltetn BLDG-Building Deficiency BLDG-14 Frame-Steel-B,olting-Welding (Decks) BLDG-24 Rough-Topout BLDG-34 Rough Electrical BLDG-44 Rough-Ducts-Dampers BLDG-18 Exterior Lath/Drywall 051393-2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 057091-2018 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLOG-Electrical Final COMMENTS Passed COMMENTS Passed COMMENTS Passed Yes Yes Yes Yes Yes Tim Frazee Complete Passed Yes Paul Burnette Complete Passed Yes Yes Yes Yes Yes ----------~-------------.. -···-----·-Page 2 of 2 DATE: 12/15/2017 JURISDICTION: CARLSBAD PLAN CHECK#.: CBR2017-2904 ~ EsG1I A S.A.FEbudt Cornpany SET: I PROJECT ADDRESS: 1324 CORDIVAE STREET D APPLICANT ......e-1URIS. PROJECT NAME: SFD GARAGE CONVERSION TO A BEDROOM FOR MCKONE ~ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. 0 The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. 0 The applicant's copy of the check list has been sent to: ~ EsGil staff did not advise the applicant that the plan check has been completed. 0 EsGil staff did advise the applicant that the plan check has been completed. Person contac~ Telephone#: Date contacted: ~ Email: Mail Telephone Fax In Person ~ REMARKS: Please place your soils notice stamp on the plans. By: Bert Domingo Es Gil 12/7/2017 Enclosures: 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 CARLSBAD CBR2017-2904 12/15/2017 [DO NOT PAY -THIS IS NOT AN INVOICE} VALUATION AND PLAN CHECK FEE JURISDICTION: CARLSBAD PLAN CHECK#.: CBR2017-2904 PREPARED BY: Bert Domingo DATE: 12/15/2017 BUILDING ADDRESS: 1324 CORDIVAE STREET BUILDING OCCUPANCY: R 3 BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier CTY ESTIMATE Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code CB By Ordinance Plan Check Fee by Ordinance --------------- Type of Review: [2J Complete Review D Repetitive Fee --~ Repeats D Other D Hourly EsGil Fee Reg. VALUE Mod. D Structural Only 1--------11 Hr. @ * Comments: In addition to the above fee, an additional fee of$ $ /hr.) for the CalGreen review. ($) 20,765 20,765 $212.161 $137.901 $120.931 is due ( hour@ Sheet 1 of 1 rORM WATER POLLUTION PREVENTION NOTES ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN IS EMINENT. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO WORKING ORDER TO THE SA Tl SF ACTION OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING RAINFALL. 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. 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. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM AGGREGATE. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. 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: I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID TI,E MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO AVOID THE EXPOSURE OF STORM WATER TO CONSTRUCTION RELATED POLLUTANTS; AND (2) ADHERE TO, AND AT ALL TIMES, COMPLY 1'11TH THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY TI,E CITY OF CARLSBAD. OWNER(s)/OWNER's AGENT NAME (PRINT) OWNER(s)/OWNER'S AGENT NAME {SIGNATURE) DATE E-29 STORM WATER COMPLIANCE FORM Tl ER 1 CONSTRUCTION SWPPP BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE Erosion Contr<> Sediment Control BMPs Tracking Non-Si>m, Water Wa&e Management and Materials BMPs Control BMPs Management BMPs Pollution Control BMPs C -C C 0 -0 0 :;::; C C -0 :;::; :;::; C ., -0 ., -0 C> E C ., C 0 0 C C C> C E C -C -:, :, 0 '5 ·c .Q.. ., C C E L L :;::; L ~ -0 ., C> L ., --·E ' :, >, C> C Q) L .!: ., £ ., ., ., g c-L C C C> Cc, C. ., ·c C a, C L <.> L w !l? C 0 Best Management Practice* .:a .!: C CD C. L 0 ., :;::; ., 0 ., ., -~ ., C -.c ., 3' .!: ~ E ., C C UL u ., -0 ., C -0 ., ~ C a, C (BMP) Description ~ ., 0 ., Cl) ., 21 C> ., C> CD ·c c: C> C ;i:: C Cl ::::, ., -., ., "S ~ Q) E' -C C 3' C LO ~~ -0 >, 0 ., Cc C > [!l E ;; 0 0 CD Cl)·-C> Co C> ., ., ~ Cl C> Cl C C Cl E Cl:;; i!l C u., ., ~ 8, 0 = L-;i:: ., X ., ., QC C N a, 0 C'I:;:::; ~.5 C. a. E' C .~ .>< ] -:, .0 E~ == U) = 3: .... :;:; :0 ·c .>< C> ., ., u.. C E' oc LC -0 C --0 .C C 0 L ., :, -0 :.a~ ·--o ., 0 C Q) L ., 0 -0 -·-C. ., ., 0 L-.0 C -~ 8 •-C -~ C: •-C 0 LC 0 --0 ., C C 00 CC> .B 0 -c -.c ., -o 0 QC ., 0 CL en ., .c ,g L ~c C -L U, C CL 0 ~u c-C -c.O <.> ;i:: WCl in Cl) u u.. <.> Cl)> Cl) Cl) a. Cl) QC ;i,: CL a. 0 CL ~ Cl) ~ Cl) Cl) u Cl) ~ CASQA Designation ~ r--co "' .... co 0 N "' r--co N "' .... LO ' ' "' LO <D r--' ' ' I I I I I I I I I I I I I I I I I I Cl) Cl) Cl) Cl) i i i i i u u u u w w w w w w w w g: g: Con&ruction Activity w w w w Cl) Cl) Cl) Cl) Cl) Cl) Cl) Cl) z z z z Gradinn !Soil Disturbance Trenchinn /Excavation Stockoilina Drill inn /Borina Concrete/ Asohalt Sawcuttina Concrete Flatwork Pavina Conduit/Pioe Installation Stucco/Mortar Work Waste Disoosal Staqino/Lay Down Area Eauioment Maintenance and Fuelina Hazardous Substance Use/Storaae Dewaterina 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 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. PROJECT INFORMATION Site Address: ____________ _ Assessor's Parcel Number: --------- Emergency Contact: Name: _____________ _ 24 Hour Phone: __________ _ Construction Threat to Storm Water Quality (Check Box) 0 MEDIUM O LOW ., -., C :i::-C ., ., " E 0 ., -0 C> ac NC cc :r: ~ <D I ~ ;i:: ., -., c-;i:: fij ., E -., ., C> t; C CC oc u~ co I ~ ;i:: Page 1 of 1 REV 11/17