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Home My WebLink About1345 PINE AVE; ; CB150090; Permit'F City of Carlsbad 1635 FaradayAv Carlsbad, CA 92008 01-26-2015 Pool Permit Permit No: 0B150090 Building Inspection Request Line (760) 602-2725 Job Address: 1345 PINE AV CBAD Permit Type: POOL Status: ISSUED Parcel No: 2050523300 Lot #: 0 Applied: 01/12/2015 Valuation: $17,080.00 Construction Type: 5B Entered By: JMA Reference #: Plan Approved: 01/26/2015 PC #: Issued: 01/26/2015 Project Title: ROLF: 350 SF POOL SPA II GAS Inspect Area: 350 sf POOL/SPA 1/ GAS TO BBQ & FIREPIT Applicant: Owner: DAN DOUGHERTY ROLF THEODORE D&JENNIFER W 865 SAN PABLO DR SAN MARCOS CA 92078-4808 760-802-6359 Building Permit AddI Building Permit Fee Plan Check AddI Plan Check Fee Electrical Fee Plumbing Fee Strong Motion Fee Green Bldg Standards (SB 1473) Fee Renewal Fee AddI Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES 1345 PINE AVE CARLSBAD CA 92008 $184.75 $0.00 $129.32 $0.00 $33.00 $33.00 $2.22 $1.00 $0.00 $0.00 $0.00 $0.00 $383.29 Total Fees: $383.29 Total Payments To Date: $383.29 Balance Due: $0.00 Inspector: FINAL APPROVAL _______________ Date: //'/3" Clearance: NOTICE: Please take NOTICE 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 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 subsecuent 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 I City of Carlsbad 1635 FaradayAv Carlsbad, CA 92008 Storm Water Pollution Prevention Plan (SWPPP) Permit 01-26-2015 Permit No:SW150017 Job Address: 1345 PINE AV CBAD Permit Type: SWPPP Status: ISSUED Parcel No: 2050523300 Lot #: 0 Applied: 01/12/2015 Reference #: Entered By: JMA CB#: CB150090 Issued: 01/26/2015 Inspect Area: Project Title: ROLF RESIDENCE: Tier: 1 350 sf POOL/SPA// GAS TO BBQ & FIREPIT Priority: M Applicant: Owner: DAN DOUGHERTY ROLF THEODORE D&JENNIFER W 865 SAN PABLO DR 1345 PINE AVE SAN MARCOS CA 92078-4808 CARLSBAD CA 92008 760-802-6359 Emergency Contact: DAN DOUGHERTY 760-802-6359 SWPPP Plan Check $53.00 SWPPP Inspections $224.00 Additional Fees $0.00 TOTAL PERMIT FEES $277.00 Total Fees: $277.00 Total Payments To Date: $277.00 Balance Cue: $0.00 DATE./OLEA J NCE - S!GNATURC d____ ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: []PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH .0 HAZMATIAPCD • ' Building Permit Application Plan Check No. I3 cO Eat. Value 17 oO, 4L City of i 635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 . Plan Ck. DePos Carlsbad •' email: buildingcarisbacica.gov - 1-7 - JOB ADDRESS - PINE AVE SUITE#/SPACE*/UNIT# 7 205 AP - 052 - 33 -. 00 CT/PROJECT 41 PHASE 41 41 BEDROOMS 41 BATHROOMS CONSTR. TYPE 0CC. GROUP 1LOT# PAR I#OFUNrrs I ITIENAffiffBIUSINESSNAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) NEW POOL AND SPA 350 SF MP#92 EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS F) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS SFR SFR YESO# NOD YESDNOD YES NOD APPUCANT NAME DAN DOUGHERTY PROPERTY OWNER NAME Pftary TO & JENNIFER ROLF Contact ADDRESS 865 SAN PABLO DR ADDRESS 1345 PINE AVE CITY STATE ZIP SAN MARCOS CA 92078 CITY STATE ZIP CARLSBAD CA *2008 PHONE FAX PHONE FAX 760-802-6359 EMAIL EMAIL DAN BLACKROCKPOOLS.COM DESIGN PROFESSIONAL CONTRACTOR BUS, NAME BLACK ROCK POOLS INC ADDRESS ADDRESS 865 SAN PABLO DR CITY STATE ZIP CITY STATE ZIP SAN MARCOS CA 92078 PHONE FAX PHONE FAX 760-802-6359 EMAIL EMAIL DANBLACKROCKPOOLS.COM STATE LIC. 41 STATE LIC.# CLASS LIC.# 938676 C53 7BUS. 1229661 bee. I Lsa.L.O nusirless anti rrojessions 600e: Any uey or 1ounty wnicn 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: 1 hereby affirm under penalty of perjuiy one of the following declarations: R 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. 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 potty number are: Insurance Co. Polity No. Expiration Date RR i 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' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and CMI fines up to one hundred thousand dollars (11,100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. . CONTRACTOR SIGNATURE []AGENT DATE C?O) I hereby affirm that I am exempt from Contractor's License Law for the following reason: El 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 Cods: 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] 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 loan 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 em exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes DNO I (have! have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): I plan to provide portions of the work, bull have hired the following person to coordinate, supervise and provide the major work (include name/address! phone! contractors' license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name! address! phone! type of work): .PROPERTY OWNER SIGNATURE []AGENT DATE Is the applicant ortijtiie building occupant required to submia bus Wiess plan, acutely hazardoumatedals registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? • CI Yes CI No - Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Cl Yea CI No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Cl Yes Cl 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. tTh {JO I hereby affirm that there is construction lending agency for the performance of the woe this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lerider'sAddress I cerli,thatI have read the application and state thatthe above information is correct and thatthe information on the plans is accurate. I agree to complywith all City ordinances and State laws telaltngto buildingconst,uaion. I hereby authorize representative of the City of Carlsbad to enterupon the above mentioned property for inspeofon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA. M OSHA permit is required for excavations over 50' 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 Code shall expire by Imitation and become nut and void If the building or work authorized by such permit is not commenced within l8o days from the date ofsuch permit orif the building orworkauthcmizedby such permit issuspended orabandonéd at any time after the workis commenced for a period of 180 days (Section 106.44 UnilbmiBuilding Code). I APPLICANT'SSlGNATURE - DATE' Inspection List Permit#: CB150090 Type: POOL ROLF: 350 SF POOL SPA // GAS 350 sf POOL/SPA II GAS TO BBQ & FIREP Date Inspection Item Inspector Act Comments 10/16/2015 59 Final Pool - RI 10/16/2015 59 Final Pool PB AP 04/30/2015 55 Fence/Pre-Plaster PB AP 02/20/2015 52 Underground Plumbing PB AP 02/10/2015 21 Underground/Under Floor PB AP 02/10/2015 23 Gas/Test/Repairs PB AP 02/10/2015 51 Excav/Steel/Bonding/Fence PB AP Monday, October 19, 2015 Page 1 of 1 <<e CITY OF CARLSBAD PLAN CHECK REVIEW TRANSMITTAL Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov DATE: 01/20/2015 PROJECT NAME: ROIF POOL/SPA BBQ AND FIREPIT PROJECT ID: CB15-90 PLAN CHECK NO: 1 SET#: 1 ADDRESS: 1345 PINE AVE APN: 205-052-33 VALUATION/SCOPE OF WORK: $17,080 POOL, SPAAND GAS FIRE PITAND BBQ / This plan check review is complete and has been APPROVED by the ENGINEERING V Division. By: VALRAY MARSHALL A Final Inspection by the Division is required Yes / No This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. NOTE: ONLY ITEMS THAT NEED CORRECTION/CLARIFICATION ARE MARKED X. Plan Check Comments have been sent to: DAN@BLACKROCKPOOLS.COM You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING 760-602-4610 ENGINEERING 760-602-2750 FIRE PREVENTION 760-602-4665 Chris Sexton 760-6024624 Chris.Sexton@carlsbadca.gov Kathleen Lawrence 760-602-2741 Kathleeniawrence@carlsbadca.gov Greg Ryan 760-602-4663 Gregory.Ryan@carlsbadca.gov Gina Ruiz 760-602-4675 Gina.Ruiz@carlsbadca.gov Linda Ontiveros 760-602-2773 Linda.Ontiveros@carlsbadca.gov Cindy Wong 760-602-4662 Cynthia.Wong@carlsbadca.gov VaiRay Marshall 760-602-2773 VaIRay.Marshall@carlsbadCa.gov Dominic Fieri 760-602-4664 Dominic.Fieri@carIsbadca.gov Remarks: L J 1 1 - Any outstanding issues will be marked with an Make the necessary corrections for compliance with applicable codes and standards. Submit corrected plans and/or specifications to the Building division for re-submittal to the Engineering divisions. Items that conform to permit requirements are marked with 1. SITE PLAN Provide a fully dimensioned site plan drawn to scale. Show: [IIJ [j North arrow Existing & proposed structures [j ji7J Property line dimensions :ii1 1X1 Easements Show on site plan: [71 Drainage patterns [] Existing & proposed slopes _j Existing topography V] Retaining Walls (location and height) Indicate what will happen with soil excavated from pool area, le on title sheet: LJ Site address Assessor's parcel number ELI] Legal description/lot number Grading: Quantities of Cut Fill LJ ImportEll Export[TJ Project does not comply with the following engineering conditions of approval for project no: L Conditions were complies with by: Date: LOT NO. PAR MAP NO. PM 13578 REF. NO. E-37 Page 2 of 4 REV 6/2012 I 1 2. GRADING PERMIT REQUIREMENTS The conditions that require a grading permit are found in Section 11.06.030 of the Municipal Code. T L 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" Liii LIIJ 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. [7J No grading permit required. 3. MISCELLANEOUS PERMITS NO ROW - RIGHT-OF-WAY PERMIT is required to do work in city right-of-way and/or private work REQUIRED adjacent to the public right-of-way. INDICATED ON r PLANS ALL L L_J A separate right-of-way issued by the engineering division is required for the following: EQUIPMENT WILL BE STAGED OUTSIDE OF THE ROW LIII 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. E-37 Page 3 of 4 REV 6/2012 I 4. STORM WATER Construction Compliance EI2I Project Threat Assessment Form compieteL7J incomplete t:ii. EZII Requires Tier 1 Storm Water Pollution Prevention Plan. Please complete attached form and return (SW 15-17 El E 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 '_v' incomplete [ Project is subject to Standard Storm Water Requirements. See city Standard Urban Storm Water Management Plan (SUSMP) for reference. http://www. carlsbadcagov/business/bui Iding/Documents/EngStandsw-stds-vo14-ch2. ndf Ei EJ Project needs to incorporate low impact development strategies throughout in one or more of the following ways: LII Rainwater harvesting (rain barrels or cistern) [II Vegetated Roof LII Bio-retentions cell/rain garden LII Pervious pavement/payers [1 Flow-through planter/vegetated or rock drip line .J Vegetated swales or rock infiltration swales J Downspouts disconnect and discharge over landscape LI Qtiiei 5. ADDITIONAL COMMENTS E-37 Page 40f4 REV 6/2012 ii '1. * 05 CITY OF STORM WATER STANDARDS QUESTIONNAIRE' E-34 DeveIoment Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov STEP 2 ' TO BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECTS To determine if your project is a priority development project, please answer the7f000wing questions: YES 140 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 projects on public or private land. Is your project creating or replacing 5,000'squaie 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.' Is your project a new or redevelopment project that creates 5,000 square feet or more of impeivious 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. . . Is your project a new or redevelopment project that creates 5,000 squire feet or more of impervious surface collectively over the entire project site and supports ahillside development project? A hillside development - project includes development an any natural slope that is twenty-five percent or greater. 5 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 parking lot. A parking lot is a land 'area or facility for the ' temporary parking or storage of motorvehiclesused personally for business or for commerce. 6 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 street road highway freeway, or dnveway? 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 or replaces 2,500 square feet or more' of impervious suface 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 project to the commingles lands).*. _ESA _(i.e._not _with _flows _from _adjacent 8. Is your project a new development 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 that supports a retail gasoline outlet (RGO)9 This category includes RGO s that meet the following criteria: (a) 5,000 squire feet or more or (b) i project Average Daily Traffic (ADT) àf ' 100 or more vehicles per day. 10. Is your project a new or redevelopment project that results in the diiturbanceof one or more acres of land and,. are expected to generate pollutants post construction? ' . ,. ' - •• 11.1s your project located within 200 feet of the Picific Ocean and (1) creates 2,500 square feet or more of impervioussurface or (2)_ increases surface on the more than - _impervious _property _by _10%? If you answered yes ,to one or more of the above questions you ARE a priority development project and are therefore subject to implementing structural Best Management Practices (BMP s) in addition to implementing Standard Storm Water Requirements such as source control and low impact development BMP's. A Storm Water Management Plan (SWMP) must be submitted with your application(s) for development. Go to step 3 for redevelopment projects...F,çr, new projects, go, to step 4 at the end of this questionnaire, check the "my project meets PDP requirements" box and complete applicant information. If you answered "no" to all of the above questions, you ARE NOT a priority development project and are therefore subject to implementing only Standard Storm Water Requirements such as source control and low impact development BMP's required for all development projects. A Storm Water Management Plan (SWMP) is not required with your application(s) for development. Go to step 4 at the end of this questionnaire, check the "my project does not meet PDP requirements" box and complete applicant information. E-34 Page 2 of 3 Effective 6/27/13 - CITY OF CARLSD,mD 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 bé'generated from development projects, the City require that new development and significant redevelopment priority, projects incorporate Permanent Storm Water Best Management Practices (BMP.'s) into the project design per the City's Standard Urban Stormwater Management Plan (SUSMP). To view the SUSMP, refer to the Engineering Standards (Volume 4, Chapter 2) at www.carlsbadca.gov/standards. Initially 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 Stormwater Requirements' or be subject to additional criteria called 'Priority, Development Fràject Requirements'. Many aspects of project site design are dependent upon the storm water standards applied to a project. 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 filled 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 unure 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 separate completed and signed questionnaire must be subrnittd for' each new development application submission. Only' one completed and signed questionnaire is required when multiple development applications for the same project are submitted concurrently. In addition to this questionnaire, you must also complete, sign and submit a Project Threat As'essment Form with construction permits for the project. Please start by completing Step I and follow the instrj,ctions. When completed, sign the 'form at the end and submit this with your application to the city.' ' ' SEP1 TO BE COMPLETED FOR ALL PROJECTS To determine if your project is a priority development project, please answer the following questions: ' 'YES NO Is your project LIMITED TO constructing new or retrofitting paved sidewalks, bicycle Ianes'or trails that meet the following criteria: (1) Designed and constructed to'direct storm water runoff to adjacent vegetated areas, or other non-erodible permeable areas; OR (2) designed and constructed to be hydraulically disconnected from,,.,, paved streets or roads; OR (3) designed and constructed with permeable pavements or surfaces in accordance with USEPA Green Streets guidance? Is your project LIMITED TO retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in accordance with the USEPA Green Streets -guidance? If you answered "yes" to one or more of the above question, then your projec( NOTiriority develornent project and therefore is NOT subject to the storm water criteria required for priority development projpcts. Go to step 4, mark the last box stating "my project does not meet PDP requirements" and complete applicant infomiation. If you answered "no" to both questions, then go' to Step 2. I, I'. - " * 1 ' ' '• . .'," I ,' I E-34 Page 1 of 3 Effective 6/27/13 r CONSTRUCTION THREAT ASSESSMEkF WORKSHEET FOR Development Services DETERMINATION OF.PROJECT'S Land Development Engineering C I T Y 0 F PERCEIVED THREAT TO 1635 Faraday Avenue - CAR D A STORM WATER QUALITY 760-602-2750 LSDtAD -. .. E-33 - www.carlsbadca.gov Construction Perceived SWPPP Tier Construction Threat Assessment Criteria* reatto Level . - . er Quality Storm Tier 3— High Construction Threat Assessment Criteria .. . . U Project siteis 50 acres or more and grading will occur during the rainy season U Project site is I acre or more in size and is located "within the Buena Vista orAgua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA High U Soil at site is moderately to highly erosive (defined as having a predomi-iance of soils with Tier 3 USDA-NRCS Erosion factors k1 greaterthan or equal to 0.4) . ji, U Site slope is `5 to I or steeper U Construction is initiated during the rainy season or will extend into the rainy season (Oct.I through April 30).1 . 0 Owner/contractor received a Storm Water Notice of Violation within past two years Tier 3 - Medium Construction Threat Assessment Criteria U All projects not meeting Tier 3 High Construction Threat Assessment Criteria . Medium Tier 2 High Construction Threat Assessment Criteria U Project is located within the Buena Vista or Ague Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA U Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kf greater than or equal to 0.4) -: ' High Tier 2 U Site slope is 5 to 1 or, steeper ..- LI Construction is initiated dung the rainy season or will extend into the raily season (Oct. .1 through April 30) U Owner/contractor received a Storm WaterNotice of Violation within past two years U Site results in one half acre or more of soil disturbance Tier 2— Medium Construction Threat Assessment Criteria U All projects not meeting Tier 2 High Construction Threat Assessment Criteria Medium Tier I - Medium Insoection Threat Assessment Criteria . '. ', • U Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, within or directly adjacent to an environmentally sensitive area (ESA) or discharges directly to an ESA U Soil at site is moderately to highly erosive (defined as having a predomirance of soils with USDA-NRCS Erosion factors k, greater than or equal to 0.4) / Tier I Site slope is 5 to 1 or steeper . Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 RA A uviuiL1fl1 through April 30). U Owner/contractor received a Storm Water Notice of Violation within past two years Li Site results in one half acre or more of soil disturbance - Tier I - Low Inspection Threat Assessment Criteria •' •' - -: 77 -. U All projects not meeting Tier 1 Medium Construction Threat Assessment Cntena - L ow Exempt - Not Applicable - , Exempt i ne city engineer may autnonze minor variances trom the construction threat assessment criteria in special circumstances where it can be shown that a lesser or higher amount of storm water compliance inspection" is' warranted in the opinion of the city engineer -, - - E-33 Page 1 of I REV 4/30/10 s1oRMWATER CITY or '.: 'COMPLIANCE -, CARLSBAD ASSESSMENT Deve!oment Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov I ath applying to the City of Cãrls&àd fôIthIfoIlowiñ type(s)of c&itrüctioi permit:-' ' Building Permit Right-of-Way Permit . • ' U My project is categorically EXEMPT from Electrical Patio/Deck the requirement to prepare a storm water I Fire Additional Photo Voltaic L.. Fire Alarm Re-Roofing pollution prevention plan (SWPPP) because it Fixed Systems Sign onlyrequires issuance of one or more 9f the -' Mechanical Spa-Factory following permit types: . Mobile Home Sprinkler Plumbing Water Discharge Project Storm Water Threat. Assessment Criteria* No Threat Assesiment criteria U My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because .it meets the no threats assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tier I - Low Threat Assessment Criteria - I My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list 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 saw cutting equipment washing material stockpiling vehicle fueling waste stockpiling) Tier 2 - Moderate Threat Assessment Criteria U My project does not meet any of the Significant Threat assessment Criteria descnbd below and rnets one r more of the following criteria: r• Project reqüires'a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, Project will result in 2,500 square feet or more of soils disturbance including any associated corstructiön staging, êtockpiling, 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 April 30). - - . - :-_•,- - • - Tier 3 - Significant Threat Assessment Criteria U My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or U My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, C] My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). - 14 I I certify to the best of my knowledge that the above checked statements are true and correct. I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards. The City Engineer may authorize minor variances from the Storm Water Threat Assessment critena in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. Project Address: - - Assessor Parcel No. .2.-ocz— Owner/Owners Authorized Agent Name: - I Idle: A Owner/Owner's Authorized Agent Signature: - Date: City Concurrence: By: Date: Project ID: YESI]NO I Vfl' Ifl./5 cñ i5—r B-24 ' ' ' Page 1 of I Rev.03/09 STORM WATER POLLUTION PREVENTION NOTES - -- -4 ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION AND - SEDIMENT CONTROL BMPSWHEN RAIN IS - EMINENT. - - THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO ' WORKING ORDER TO-THESATISFACTiON OF THE CITY ENGINEER AFTER EACH RUN-OFF PRODUCING RAINFALL. THE OWNER/CONTRACTOR SHALL INSTALL 'ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY - ENGINEERING OR BUILDING INSPECTOR DUE TO UNCOMPLETED 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 PERCENT (40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTEREACH RAINFALL. ALL GRAVEL BAGS SHALL BE BURLAP TYPE WITH 3/4 INCH MINIMUM AGGREGATE. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. - PROJECT INFORMATION - Site Address: 1345 PINE AVE' Assessor's Parcel Number: 2OOcl_2,3 Project ID: - 205 Construction Permit No.: c.e, - Estimated Construction Start Date 33 Project Duration 00 Months Energéncy Contact: Name:- 24 hour Phone: . -.. T - , Perceived Threat to Storm Water Quality'- 4 Medium Low - 1., - . - If medium box is checked, must attach a site plan sheet showing proposed work area and location of proposed structural BMPs SPECIAL NOTES ES For City Use Only - CITY OF CARLSBAD - - -- STANDARD TIER 1 SWPPP Approved By: Date: CITY OFr CARLSBAD -STORM WATER COMPLIANCE FORM - Development Services - Land Develop TIER I CONSTRUCTION SWPPP riientEngine::ing 635 Faraday Avenue E-29 .: 760-602-2750 - -. www.carlsbadca.gov STORM WATER COMPLIANCE-CERTIFICATE :- I My project is not in a category of permit types exempt from the Construction SWPPP requirements - - I My project is not located inside or within 200 feet 8f aji environmentally sensitive area with a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). - -: I My project does not require a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code) / My project will not 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 that meets one or more of the additional following criteria: . located within 200 feet of.anenvironmentally sensitive area or the Pacific Ocean; and/or, disturbed area is located on a slope with a grade at or exceeding 5 horizontal to I 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 April 30). I CERTIFY TO THE BEST OF MY- KNOWLEDGE THAT ALL OF THE ABOVE CHECKED STATEMENTS ARE TRUE AND CORRECT. I AM SUBMITTING FOR CITY APPROVALA TIER 1 CONSTRUCTION SWPPP PREPARED IN ACCORDANCE WITH THE-REQUIREMENTS OF CITY STANDARDS. I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRAC110ES,(BMPS) DURING CONSTRUCTION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO MINIMIZE THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO MINIMIZE THE EXPOSURE OF STORM WATER TO CONSTRUCTION RELATED POLLUTANTS; AND, (2) ADHERE TO, AND AT ALL TIMES, COMPLY WITH THIS CITY APPROVED-TIER I CONSTRUCTION SWPPP THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD. OWNER(S)/OWNER'S AGENT NAME (PRINT) OWNER(S)/OWNER'S AGENT NAME (SIGNATURE) DATE - [I E-29 Page 1 of 3 REV 4/30/10 <1 :*A~~iTY OF CARLSD/AD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue -. 760-602-2750 w.carIsbadca.gov f •, STEP 3H. TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPEMENT PROJECTS ONLY Complete the questions below regarding your redd\,lopment project: I YES NO Does the redevelopment project result in the creation or replacement of impervious surface man amount of less than 50% of the surface area of the previously existing development? If you answered "yes the structural BMP's required for Priority Development Projects apply only to the creation or replacement of impervious surface and not the entire development. Go to step 4, check the "my project meets PDP requirements" box and complete applicant information. If you answered "no," the structural BMP's required for Prioritj Devtelopment Projects apply to the entire developmnt. Go to step 4, check the "my project meets PDP requirements" box and complete applicant information STEP 4 CHECK .THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION U My project meets PRIORITY DEVELOPMENT PRdJECT (PDP) requirements and must comply with additional stomater criteria per the SUSMP and lunderstand I must prepare a Storm Water Management Plan for submittal at time of application. I understand flow control (hydromodification) requirements may apply to my projeàt. Refer to SUSMP for details. My project does not meet PDP 'requirements and must only comply with STANDARD STORMWATER REQUIREMENTS per the SUSMP. As part of thes&requirements, I will incorporate low impact development strategies throughout my project. Applicant Information and Signature Box - Address: I "--s Accessor's Paràel Number(s): 65 Applicant Name: Applicant Title: A Applicant Signature: Date: Project ID: 9() * 0A 15 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 quivalent undr the Multi Species Conservation Program within the Cities and County of San Diego: and any other equivalent environmentally sensitive areas which have been identified by the Copen-nittees - E-34 Page 3 of 3 Effective 6/27/13 This Box for City Use Only City Concurrence: NO By: Vi mc-jI Date: j .- j -o CD CD 0 —'4 0 CD CD CD 9 . to ffCD 6. CD c,.° CO ca : V1 ID CL r 0 0 W OF a- m a. CD CD St 0 ML 679 ; Cn 3 .c,_ CD o. Cd) cn< Er &gETEr m CD CD— W 51 0. CD x X )O3 Ca ;a ID CD d) aD, w. , wg.cDo i. '0 CD— 'a =cI;rP '.-.-Q. X'- CD, : 1fl CD C, rCD0. 06 174 CD CO x -ug, RR Frig. 'a c en 06 w •Cfl CMO OD) CD ! CL CD W0, go 3 ()Q CD3 CD Fr -U 0 a CD 0. ID -00 rh CD(n g oCr ;g 0 4,. CD EC-7 Geotextiles & Mats EC-8 Wood Mulching Earth Dikes and Drainage Swales W o - - - - - - - - - - - - - — - EC-11 Slope Drains k ç SE-1 Sift Fence SE-3 Sediment Trap SE-4 Check Dam & ----- -- - - - - --- - - _- SE-5 Fiber Rolls 3 - — - - - - - - - - - - - - - - - a SE-6 Gravel Bag Berm - - - - - - - - - - - - - - - SE-7 Street Sweeping and Vacuuming SE-8 Sandbag Barrier -D SE-10 Storm Drain Inlet Protection TR-i Stabilized Construction Ingress/Egress C) - - - - - — - - — - - - - - - TR-2 Stabilized Construction Roadway wag c NS-1 Water Conservation Practices NS-3 Paving and Grinding Onertions Is Be NS-7 Potable Water/Irrigation ----------- __ NS-8 Vehicle and Equipment ic Cleaning ' WM-1 Material Delivery and Storaae WM-2 Material Use -Dsm- \ ( WM-3 Stockpile Management 4,2 C ( WM-4 Spill Prevention and 09 Cnntrnl k' WM-5 Solid Waste ' Mananemnt - - - - - - — - — - - WM-6 Hazardous Waste Vi Mnaoement --- <4 WM-8 Concrete Waste Man RapmPnt /\ 4., CITY OF CAR LSBAD PLANNING DIVISION BUILDING PLAN CHECK APPROVAL P-29 Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.eov DATE: 1/12/15 PROJECT NAME: POOL/SPA/BBQJFIREPIT PROJECT ID: PLAN CHECK NO: CB150090 SET#: ADDRESS: 1345 PINE AV APN: Z This plan check review is complete and has been APPROVED by the PLANNING Division. By: GINA RUIZ A Final Inspection by the PLANNING Division is required Yes Z No You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions. This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check APPROVAL has been sent to: dan@blackrockpools.com For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING 760-602-4610 ENGINEERING 760-602-2750 FIRE PREVENTION 760-602-4665 Chris Sexton 760-602-4624 Chris.Sexton@carIsbadca.gov Kathleen Lawrence 760-602-2741 Kathleen.Lawrence@carlsbadca.gov Greg Ryan 760-602-4663 Gregc[y.Ryan@carlsbadca.gov Gina Ruiz 760-602-4675 Gina.Ruiz@carlsbadca.gov Linda Ontiveros 760-602-2773 Linda.Ontiveros@carisbadca.gov LII Cindy Wong 760-602-4662 CvnthiaWong@carlsbadca.gov Eli. Dominic Fieri 760-602-4664 Dominic.Fieri@carIsbadca.gov Remarks: