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Home My WebLink About1355 CHESTNUT AVE; ; CB150834; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-20-2015 Patio/Deck Permit Permit No: CB150834 Building Inspection Request Line (760) 602-2725 Job Address: 1355 CHESTNUT AV CBAD Permit Type: PATIO Status: ISSUED Parcel No: 2052109100 Lot #: 0 Applied: 03/20/2015 Valuation: $4,133.00 Construction Type: 5B Entered By: JMA Reference #: Plan Approved: 03/20/2015 Issued: 03/20/2015 Inspect Area: Plan Check#: Project Title: NELSON: 360 SF SOLID ROOF (METAL) PATIO COVER (CITY SPECS)// GAS LINE TO 2 FIREPITS AND BBQ/ELECTRIC TO BBQ Applicant: Owner: K C CONSTRUCTION NELSON FAMILY TRUST 01-23-07 419 HIDDEN HILLS LN ESCONDIDO CA 92029 760-815-5508 1355 CHESTNUT AVE CARLSBAD CA 92008 Building Permit $70.09 Add'I Building Permit Fee $0.00 Plan Check $49.06 Add'I Plan Check Fee $0.00 Strong Motion Fee $1.00 Green Bldg Standards (SB1473) Fee $1.00 Renewal Fee $0.00 Add1 Renewal Fee $0.00 Other Building Fee $35.00 Additional Fees $0.00 TOTAL PERMIT FEES $156.15 Total Fees: $156.15 Total Payments To Date: $156.15 Balance Due: $0.00 FINAL APPROVAL Inspector: l Date: 'Z ' �� 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 subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: [I PLANNING [ ENGINEERING [ BUILDING Ll FIRE ] HEALTH ] HAZMATIAPCD Building Permit Application Plan Check No. U-71) I11� , 08 Est. Value City of 1635 Faraday Ave., Carlsbad, CA 92008 Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 plan Ck. Deposit email: building@carlsbadca.gov ,,,,,,,,,,,_ _ ------ Date / j SWPPP JOB JOB ADDRESS 1 r� �ul Av(pv( SUITE*/SPACE*/UNIT#* APN - - - CT/PROJECT # LOT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of AffectedArea(s) 14),X= 1 _� 10 Qom(-17 +elf I-'Cr tJ(i6fJ MO9► EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDf FIRE SPRINKLERS ❑* N0[::] YES NO LnYES YES NO[—] NAME%t Prina Contact�-irf K- z 0LP �C l- PROPERTYsOWNER NAME � (AAL) i'°' ADDRESS: i, ADDRESS CITY x STATE. j. ZIP CITY STATE ZIP PHO E �G�a FAX PHONE FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME �, C c>1lLu c'i c7N ADDRESS ADDRESS Li16; 4Wf CITY STATE ZIP CITY TATE ZIP sccTvb�i� :w ,c PHONE FAX PHONE FAX EMAIL EMAIL `A4 0 Kkot rr(, -NC`1 STATE LIC. # STATE LIC.# J� u�rl CLASS IJ CITY BUS. LIC.# k— � - ouauiebb cnu riuiebbwnb wue. Any ury or county wnlcn 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 ofthe 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 perjury one of the following declarations: ❑ 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. 141 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance ooff the workforwhich this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. IJ�N�I�Z+u� Policy No. (5 1 1 0 CJ � E' � Expiration Date This 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' comperAption coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (11100,000), in addition to the cost of compensation, damages as provid r in Section 3706 of the Labor code, interest and attorney's fees. )K CONTRACTOR SIGNATURE < ID AGENT DATE 1 hereby affirm that 1 am exempt from Contractor's License Law for the following reason: 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. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. Yes QNo 2. 1 (have / have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4. 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 5. 1 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): )KPROPERTY OWNER SIGNATURE AGENT DATE Inspection List Permit#: CB150834 Type: PATIO NELSON: 360 SF SOLID ROOF (METAL) PATIO COVER (CITY SPECS)// G Date Inspection Item Inspector Act Comments 12/18/2015 89 Final Combo - RI LATE PM PLEASE/ZAK WILL MEET YOU 12/18/2015 89 Final Combo PD AP 06/29/2015 59 Final Pool PB NR 04/01 /2015 15 Roof/Reroof PB AP 03/26/2015 23 Gas/Test/Repairs PB AP 03/26/2015 31 Underground/Conduit-Wirin PB AP 03/24/201511 Ftg/Foundation/Piers PB AP Monday, December 21, 2015 Page 1 of 1 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-24-2015 Pool Permit Permit No: CB150835 Building Inspection Request Line (760) 602-2725 Job Address: 1355 CHESTNUT AV CBAD Permit Type: POOL Status: ISSUED Parcel No: 2052109100 Lot #: 0 Applied: 03/20/2015 Valuation: $31,280.00 Construction Type: 5B Entered By: JMA Reference #: Plan Approved: 03/24/2015 PC #: Issued: 03/24/2015 Project Title: NELSON: 641 SF POOL & SPA Inspect Area: Applicant: Owner: K C CONSTRUCTION NELSON FAMILY TRUST 01-23-07 419 HIDDEN HILLS LN 1355 CHESTNUT AVE ESCONDIDO CA 92029 CARLSBAD CA 92008 760-815-5508 Building Permit $291.01 Add'I Building Permit Fee $0.00 Plan Check $203.71 Add'I Plan Check Fee $0.00 Electrical Fee $33.00 Plumbing Fee $33.00 Strong Motion Fee $4.07 Green Bldg Standards (SB1473) Fee $2.00 Renewal Fee $0.00 Add'I Renewal Fee $0.00 Other Building Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $566.79 Total Fees: $566.79 Total Payments To Date: $566.79 Balance Due: $0.00 FINAL APP VAL Inspector: Date: A' 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 subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Storm Water Pollution Prevention Plan (SWPPP) Permit 03-24-2015 Permit No:SW15O118 Job Address: 1355 CHESTNUT AV CBAD Permit Type: SWPPP Parcel No: 2052109100 Reference #: CB#: CB 150835 Project Title: NELSON: POOL/SPA Applicant: K C CONSTRUCTION 419 HIDDEN HILLS LN ESCONDIDO CA 92029 760-815-5508 Emergency Contact: ZAK KROEPEL 760-815-5508 Status: ISSUED Lot #: 0 Applied: 03/20/2015 Entered By: JMA Issued: 03/24/2015 Inspect Area: Tier: 1 Priority: M Owner: NELSON FAMILY TRUST 01-23-07 1355 CHESTNUT AVE CARLSBAD CA 92008 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 Due: $0.00 DATE WA Sir r `-S i THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: [ vjPLANNING LJENGINEERING EliBUILDING (v AFIRE [""HEALTH E:1HAZMATIAPCD Building Permit Application Plan Check No. City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 90. Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 plan Ck. Deposit email: building@carlsbadca.gov Date ) j SWPPP ISO Its www.carlsbadca.gov JOB ADDRESS i �5 � A-- SUITE#/SPACE#/UNIT# APN - - - C w((,'(NLIt i; CT/PROJECT # LOT # PHASE # # OF UNITS I#BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) CAROU RraOt.. wi I isi vAND P4 . EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES NO[—] YES �NO 1 YES NO❑ APPLICANT NAME _� Primary Contact Ga - J2 L PROPERTY OWNER CyAb pD I�nI.JJy� NE�Si ADDRESS Hl!i W iPD(, NiM LAW( ADDRESS 13 SS C l-c NL" 1 � CITY STATE ZIP CsC V>>1)a CA 17acn CITY S A E ZI 1,S FAD PHONE ( /�c�!5 -76o V, 7 i� SV FAX PHONE FAX EMAIL ^/ »/ r iu 1-- 6 �1 l.V r I� �... �J t , EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME y ADDRESS ADDRESS �1(i N IDbo-j �J�Ltis Lary; CITY STATE ZIP CITY STATE ZIP GS�UNA1 tv GIB cf-A a PHONE FAX PHONE nn FAX EMAIL EMAIL STATE C. # STATE LIC.# a3-7 Kt q CLASS _ CITY BUS. LIC.# z loco. ; u i., Duaniebb dnu rroiessions cone: Any aty or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, alto 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 Busin ess and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section �031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley -Tanner Hazardous Substance Account Act? 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 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certifythat I have read the application and state thatthe above information is comectand thatthe information on the plans is accurate. I agree to complywith all City ordinances and State laws relating to building construction I hereby authorize representative of the City of Carlsbad to enter upon the 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 permit is required for excavations over SO'deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisio of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the buildinn work authorized by ch permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). .ESAPPLICANT'S SIGNATURE DATE /a�%/1 S 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 bUllding(akarlsbadca QOV or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008, CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL T0: CONTACT (Listed above) OCCUPANT (Listed above) ASSOCIATED CB# — CONTRACTOR (On Pg. 1) NO CHANGE IN USE / NO CONSTRUCTION MAIL / FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION )KAPPLICANT'S SIGNATURE DATE Inspection List Permit#: CB150835 Type: POOL NELSON: 641 SF POOL & SPA Date Inspection Item Inspector Act Comments 12/18/2015 59 Final Pool - RI LATE PM PLEASE/ZAK WILL MEET YOU 12/18/2015 59 Final Pool PD AP 06/29/2015 19 Final Structural PB NR 05/29/2015 55 Fence/Pre-Plaster PB AP 05/21/2015 51 Excav/Steel/Bonding/Fence PB AP 04/17/2015 23 Gas[Test/Repairs PB AP 04/17/2015 51 Excav/Steel/Bonding/Fence PB AP 04/17/2015 52 Underground Plumbing PB AP 04/17/2015 53 Electric/Conduit/Wiring PB AP Monday, December 21, 2015 Page 1 of 1 CITY OF 3 NOW 1 WAR = '' PLAN CHECK REVIEW TRANSMITTAL DATE: 03/23/2015 PROJECT NAME: NELSON POOL, BBQ AND FIRE PIT PLAN CHECK NO: 1 SET#:1 ADDRESS: 1355 CHESTNUT Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov PROJECT ID: C13150835 APN: VALUATION/SCOPE OF WORK: 31,280 This plan check review is complete and has been APPROVED by the ENGINEERING Division. By: VALRAY NELSON A Final Inspection by the ENGINEERING Division is required Yes 1/ No This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. F, Plan Check Comments have been sent to: ZAK@KROEPEL.NET 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@carlsbadca.90—V Kathleen Lawrence 760-602-2741 Kathleen.Lawrence@carlsbadca 9C -Ov GregqM.Ryan@ Gina. Ruiz@carisbadca.gov Linda.Qntiverqs@carlsbadca. ov ValRay Marshall v( 760-602-2773 ValRay.Marshall@carlsbadca-gov Dominic.Fieri@carlsbadca.gov Remarks: Any rlu€strlaarlur will {,c trrttrkt>ri rrnth iln® 19ceke thenecessary corrections jor t nYt7lalirl=rie xr ith applicable (odt'S rind shindards. yid1mi1 rorrecicd plans rzrtd; orspeeilications to Hie t rritcl`ing divisiml ;Or re-srdrruittct( to Ow iaagilic"rin; divisions. llcm,, that r milorm to i+enmit r• gvire mcnis tire marked with E 1. SITE PLAN Provide a fully dimensioned site plan drawn to scale. Show: North arrow Existing & proposed structures Property line dimensions Easements Show on site plan: Drainage patterns Existing & proposed slopes Existing topography Retaining Walls (location and height) Indicate what will happen with soil excavated from pool area. Include on title sheet: Site address Assessor's parcel number 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: Conditions were complies with by: Date: LOT NO. 4 MAP NO. pm 18746 REF. NO. E-37 Page 2 of 4 REV 6/2012 2. GRADING PERMIT REQUIREMENTS CONTRACTOR STATES ALL MATERIALS AND WORK WILL MAIN OUT OF "THE RIGHT OF '0JAY, H 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 adjacent 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. E-37 Page 3 of 4 REV 6/2012 0 4. STORM WATER Construction Compliance Project Threat Assessment Form complete ' incomplete Requires Tier 1 Storm Water Pollution Prevention Plan. Please complete attached form and return. (SW Is I" ) 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. htt2 1/www carlsbadcagovlbusinessibuildinglDocumentslE�tandsw stds-vol4-ch2.pdf Project 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: S. ADDITIONAL COMMENTS E-37 Page 4 of 4 REV 6/2012 n STORM WATER Development Services C I T Y O E COMPLIANCE Building Division CARI(^�RAn ASSESSMENT 1635 Faraday Avenue 1 760-602-2719 B-24 www.carisbadca.gov I am applying to the City of Carlsbad for the following type(s) of construction permit: �J Building Permit ❑ Right -of -Way Permit ❑ My project is categorically EXEMPT from Electrical Patio/Deck the requirement to prepare a storm water Fire Additional Photo Voltaic pollution prevention plan (SWPPP) because it Fire Alarm Re -Roofing only requires issuance of one or more of the Fixed Systems Sign following permit types: Mechanical Spa-Factory Mobile Home Sprinkler Plumbing Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria ❑ 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 threat" 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 1 - Low Threat Assessment Criteria 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 ❑ My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Tier 3 - Significant Threat Assessment Criteria ❑ 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 ❑ 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, ❑ 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). 1 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,1 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 Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. Project Address: Assessor Parcel No. Owner/Owner's Authorized Agent Name: Title: i Cr=�i' IZACT fK Owner/Owner's Authorize gent Signature: Date: 3h0/1 Ci Concurrence: By: Date: Project ID: Ik YES ❑ NO �� C�l' v -�— B-24 Page 1 of 1 Rev.O3/09 CITY OF CARLSB"'Au CONSTRUCTION THREAT ASSESSMENT WORKSHEET FOR DETERMINATION OF PROJECT'S PERCEIVED THREAT TO STORM WATER QUALITY E-33 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov Perceived Construction SWPPP Tier Construction Threat Assessment Criteria* Threat to Storm Water Level Quality Tier 3 — High Construction Threat Assessment Criteria ❑ Project site is 50 acres or more and grading will occur during the rainy season ❑ Project site is 1 acre or more in size and is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA High ❑ Soil at site is moderately to highly erosive (defined as having a predominance of soils with Tier 3 USDA-NRCS Erosion factors kf greater than or equal to 0.4) ❑ Site slope is 5 to 1 or steeper ❑ Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). ❑ Owner/contractor received a Storm Water Notice of Violation within past two years Tier 3 — Medium Construction Threat Assessment Criteria Medium ❑ All projects not meeting Tier 3 High Construction Threat Assessment Criteria Tier 2 High Construction Threat Assessment Criteria ❑ Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA ❑ Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kf greater than or equal to 0.4) High ❑ Site slope is 5 to 1 or steeper Tier 2 ❑ Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). ❑ Owner/contractor received a Storm Water Notice of Violation within past two years ❑ Site results in one half acre or more of soil disturbance Tier 2 — Medium Construction Threat Assessment Criteria Medium ❑ All projects not meeting Tier 2 High Construction Threat Assessment Criteria Tier 1 - Medium Inspection Threat Assessment Criteria ❑ 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 ❑ 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) Mediurn� Site slope is 5 to 1 or steeper Tier 1 Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). ❑ Owner/contractor received a Storm Water Notice of Violation within past two years ❑ Site results in one half acre or more of soil disturbance Tier 1 - Low Inspection Threat Assessment Criteria Low ❑ All projects not meeting Tier 1 Medium Construction Threat Assessment Criteria Exempt - Not Applicable - Exempt *The city engineer may authorize minor variances from 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 1 REV 4/30/10 A., .. CITY OF C 'A' R L !" ')` B A r U_` " STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov To address post -development pollutants that may be generated from development projects, the City requires that new development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (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.carisbadca.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 Project 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 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 separate completed and signed questionnaire must be submitted 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 Assessment Form with construction permits for the project. Please start by completing Step 1 and follow the instructions. When completed, sign the form at the end and submit this with your application to the city. To determine if your project is a priority development project, please answer the following questions: YES NO 1. Is your project LIMITED TO constructing new or retrofitting paved sidewalks, bicycle lanes 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 Streetsguidance? 2. 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 questions, then your project is NOT a priority development project and therefore is NOT subject to the storm water criteria required for priority development projects. Go to step 4, mark the last box stating "my project does not meet PDP requirements" and complete applicant information. If you answered "no" to both questions, then go to Step 2. E-34 Page 1 of 3 Effective 6/27/13 may\ K CITY OF CARLSBAD` STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov p To determine if your project is a priority development project, please answer the following questions: YES NO 1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces collectively over the entire project site? This includes commercial, industrial, residential, mixed -use, and public development projects on public or private land. 2. Is your project creating or replacing 5,000 square feet or more of impervious surface collectively over the entire project site on an existing site of 10,000 square feet or more of impervious surface? This includes commercial, industrial, residential, mixed -use, and public development projects on public or private land. 3. Is your project a new or redevelopment project that creates 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. 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 r\ % 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 5,000 square feet or more of impervious surface collectively over the entire project site and supports a parking lot. A parking lot is a land area or facility for the temporary parking or storage of motor vehicles used personally for business or for commerce. 6. Is your project a new or redevelopment project that creates 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, �l 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 surface collectively over the entire site, and discharges directly to an Environmentally Sensitive Area (ESA)? "Discharging Directly to" includes flow that is conveyed overland a distance of 200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an isolated flow from the project to the ESA i.e. not commingles with flows from adjacent lands). 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)? This category includes RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily Traffic (ADT) of /\ 100 or more vehicles per 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 of �y impervious surface or (2) increases impervious surface on the property by more than 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. For 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 ,,. >i CITY OF ARLSBAD STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 STORM WATER COMPLIANCE CERTIFICATE ✓ My project is not in a category of permit types exempt from the Construction SWPPP requirements ✓ My project is not located inside or within 200 feet of an 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). ✓ 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 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). 1 CERTIFY TO THE BEST OF MY KNOWLEDGE THAT ALL OF THE ABOVE CHECKED STATEMENTS ARE TRUE AND CORRECT. I AM SUBMITTING FOR CITY APPROVAL A TIER 1 CONSTRUCTION SWPPP PREPARED IN ACCORDANCE WITH THE REQUIREMENTS OF CITY STANDARDS. I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (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 1 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 AGE NAME (PRINT) OWNE (S)/OWNER'S AGENT NAME (SIGNATURE) DATE 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 ENGINEER AFTER EACH RUN-OFF PRODUCING RAINFALL. 3. 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. 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 PERCENT (40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL. 5. ALL GRAVEL BAGS SHALL BE BURLAP TYPE WITH 3/4 INCH MINIMUM AGGREGATE. 6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. SPECIAL NOTES Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carisbadca.gov PROJECT INFORMATION C Site Address: t �� CWJWVT J Assessor's Parcel Number: I i Project ID: rc� I /�,i� Construction Permit No.: f ' o83_t Estimated Construction Start Date Project Duration Months Emergency Contact: Name: 24 hour Phone: 7&o 1; l-StN Perceiv d Threat to Storm Water Quality Medium Low If medium box is checked, must attach a site plan sheet showing proposed work area and location of proposed structural BMPs For City Use Only CITY OF CARLSBAD STANDARD TIER 1 SWPPP Approved By: Date: Page 1 of 3 REV 4/30/10 E-29 n CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov _ _.,...._...,.....�..R•.nM«�w.,:a.i�n:�t�;�?�:��.iylfcr'�.,iiat h7 1L��•- om lete the questions below regarding our redevelopmentproject: YES 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? 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 Priority Development Projects apply to the entire development. Go to step 4, check the "my project meets PDP requirements" box and complete applicant information. Applicant Information and nature Box i'3s5 (4(sl cur SiV( Address: LAB! 6M Applicant Name: Applicant Signatur Accessor's Parcel Number(s): Applicant Title: CtTnA (',�*- Date:..31�0/1 j This Box for City Use Only YES NO Ey: 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 under 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 Copermittees. E-34 Page 3 of 3 Effective 6/27/13 Erosion Control Tracking Non -Storm Water Waste Management and Materials g BMPs Sediment Control BMPs Control Management BMPs Pollution Control BMPs BMPs 0 0 c y c y M o_ m aEi m °i Best Management Practice ,s 5 'O N C- m m w d d CO C a O •E N C y H C o y y C o N �C (U C C7 ` o w >— o N C m C c M .• N 3 (BMP) Description 4 _ °o �2o m aii5 m N f0 c fC '1m2 tc (D C N E U m a mrno a ca9; d m o n n o n i 0 > m cni a i5 i� i c cnw x c� CASQA Designation 4 n c) CO U rn U 7 7 w M w v w � w (9 w r` w ao w o '� Of N T (? U) n v) ao Cn 7 M N I?'T L9 19 00 w w w w cn w <n (n U) cn w z z z z Construction Activity Grading/Soil Disturbance Trenching/Excavation Stockpiling Drillin /Borin Concrete/Asphalt Saw cuttin Concrete flatwork Paving Conduit/Pie Installation Stucco/Mortar Work Waste Disposal Staging/LayDown Area Equipment Maintenance and Fueling Hazardous Substance Use/Storage Dewaterin Site Access Across Dirt Other (list): Instructions: Begin by reviewing the list of construction activities and checking the box to the left of any activity that will occur during the proposed construction. Add any other activity descriptions in the blank activity description boxes provided for that purpose and place a check in the box immediately to the left of the added activity description. For each activity descrribed, pick one or more best management practices (BMPs) from the list located along the top of the form. Then place an X in the box at the place where the activity row intersects with the BMP column. Do this for each activity that was checked off and for each of the selected BMPs selected from the list. For Example — If the project includes site access across dirt, then check the box to the left of "Site Access Across Dirt". Then review the list for something that applies such as "Stabilized Construction Ingress/Egress" under Tracking Control. Follow along the "Site Access Across Dirt" row until you get to the "Stabilized Construction Ingress/Egress" column and place an X in the box where the two meet. As another example say the project included a stockpile that you intend to cover with a plastic sheet. Since plastic sheeting is not on the list of BMPs, then write in "Cover with Plastic" in the blank column under the heading Erosion Control BMPs. Then place an X in the box where the "Stockpiling" row intersects the new "Cover with Plastic" column. To learn more about what each BMP description means, you may wish to review the BMP Reference Handout prepared to assist applicants in the selection of appropriate Best Management Practice measures. The reference also explains the California Stormwater Quality Association (CASQA) designation and how to apply the various selected BMPs to a project. E-29 Page 2 of 3 REV 4/30/10 PLANNING DIVISION pevelo __.__ t services BUILDING PLAN CHECK "" Planning Division APPROVAL 1635 Faraday Avenue (760) 602-4610 CARLSBADP-29 www.carlsbadca.eov DATE: 3-23-15 PROJECT NAME: PROJECT ID: PLAN CHECK NO: CB 15-0835 SET#: 1 ADDRESS: 1355 Chesnut Av APN: 205-210-91-00 Z This plan check review is complete and has been APPROVED by the Planning Division. By: Chris Sexton 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: zak@kroepel.net For auestions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING FIRE PREVENTION 760-602-4610 760-602-2750 760-602-4665 Chris Sexton n 760-602-4624 Chris.Sexton@carisbadca.gov Gina Ruiz 1rv)a v z-irs(,! 11 760-602-4675 "�' ' ' ` 60 2 4662 Gina Ruiz@carisbadca.gov ' A.t �'y`. fv rf ,.:Iji h�', 4ff iC=t'7', -____ 4.r k`i€till V4�£)�E,,, e�i�l 'r. '3�i.4?.'ti. 01, i ypr!k`j3y `(.. I' _ t. a rISt a,_i- a }-. ___. Remarks: pool, spa