HomeMy WebLinkAbout1373 MAGNOLIA AVE; ; CB140978; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-12-2014 Pool Permit Permit No: CB140978
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
1373 MAGNOLIA AV CBAD
POOL
2052808100
Status:
Lot#: 0 Applied:
Valuation: $20,360.00 Construction Type: NEW Entered By:
Reference #:
PC#:
Project Title:
Applicant:
WILLIAMS RES-500 SF POOL &
SPA
SAN DIEGO POOLS/KEN KING
STE 433
8070 LA JOLLA SHORES DR
LA JOLLA CA 92037
888-737-6657
Building Permit
Add'\ Building Permit Fee
Plan Check
Add'I Plan Check Fee
Electrical Fee
Plumbing Fee
Strong Motion Fee
Green Bldg Standards (SB1473) Fee
Renewal Fee
Add'\ Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
Plan Approved:
Issued:
Inspect Area:
Owner:
WILLIAMS JOSHUA A&VERON\CA C
1373 MAGNOLIA AVE
CARLSBAD CA 92008
ISSUED
05/01/2014
RMA
05/12/2014
05/12/2014
$234.67
$0.00
$164.27
$0.00
$33.00
$33.00
$2.04
$1.00
$0.00
$0.00
$0.00
$0.00
$467.98
Total Fees: $467.98 Total Payments To Date: $467.98 Balance Due:
Inspector:
FINAL APPROVAL
Date: Z'.''-f-1'/ Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred lo 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
05-12-2014
Storm Water Pollution Prevention Plan (SWPPP) Permit
Permit No:SW140145
Job Address:
Permit Type:
Parcel No:
Reference #:
CB#:
Project Title:
Applicant:
1373 MAGNOLIA AV CBAD
SWPPP
2052808100
CB140978
WILLIAMS POOL/SPA
SAN DIEGO POOLS/KEN KING
STE 433
8070 LA JOLLA SHORES DR
LA JOLLA CA 92037
888-737-6657
Emergency Contact:
KEN KING
858 732-6657
SWPPP Plan Check
SWPPP Inspections
Additional Fees
TOTAL PERMIT FEES
Status:
Lot#: 0 Applied:
Entered By:
Issued:
Inspect Area:.
Tier:
Priority:
Owner:
WILLIAMS JOSHUA A&VERONICA C
1373 MAGNOLIA AVE
CARLSBAD CA 92008
ISSUED
05/01/2014
RMA
05/12/2014
1
L
$48.00
$57.00
$0.00
$105.00
Total Fees: $105.00 Total Payments To Date: $105.00 Balance Due:
FINAL APPROVAL
DATE_.!':}'~
SIGNATURI! ef
$0.00
r THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING □BUILDING □FIRE
~ «,,i
~ CITY OF
CARLSBAD
JOB ADDRESS
EXISTING USE
ADDRESS
CITY
PHONE
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITE# SPACEI/UNIT
# BEDROOMS # BATHROOMS
,
PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (Sf) FIREPLACE
YESQ No[]
PROPERTY OWNER NAME
STATE ZIP CITY
FAX PHON
EMAIL
STATE LIC. # STATE UC.# CLASS(~
SWPPP
81
CO STR. TYPE OCC. GROUP
(Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, improve. demolish or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)).
WORKER$' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of petjury one of the fol/owing declarations:
B I have and will maintain a certificate of consent to self.insure for workers' conl)ensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit is issued.
I have and will maintain workers~p~nsa::::: reaui~~n 3700 of the Labor Code, for the _perfonTla!lfi ~ the work i~cl},th~nTlit is issued. My wo~~• compensation ;~ra . rand policy
number are: Insurance Co. ~~ • ~ Po\Icy No. J 140/) a ~CP ~ 3 J Expiration Date -----''---1-'---'JL __ _
~section need not be completed if the permit is for one hundred doll a or less. 1
LJ Certificate of Exemption: I certify that in the performance of the rk for is penT1it is Issued, I shall not employ any person in any manner so as to become subject to the Wor
California. WARNING: Failure to secure worll:ers' compensatl covera Is n awful, and shall subject an employer to criminal penalties and civil fines up to one hun re th
addition to the cost of compansatlon, damagee a provided fo n Sect! 3 ftha Labor code, Interest and attomey's fees.
,85 CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense 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 l'\OI intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not ~pft 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 burdefl of proving that he dkl not build or improve for the purpose of sale).
I, as owner of the property, am ex.elusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does f\Ot 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. 0Yes 0No
2. I (have/ have not} signed an application for a bullding permit for the proposed work.
3. I have contracted with the following person (finTI) to provide the proJX)sed construcijon (include nane address I phone I OOfltractors' license number):
4. I plan to provide portions of the work, but! have hired the following person lo coordinate, supervise and provKle the major work (Include name/ 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):
,6$ PROPERTY OWNER SIGNATURE □AGENT DATE
,
COMPLETE THIS SECTION FOR NON•RESIOENTIAI-IIUII.OING l>l!RMITI ONLY
ls the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fom, 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 feel 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 lnfonnation on the plans Is accurate. I agree to comply\\1th all Ciw on:llnanc:es and State tav.s relating to buUcling construction.
\ hereby authorize rei:resentative of the City of Carlsbad to enter u~n the atove mentioned property for ins;:e::mn pul)XlSEls. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN /WY WAY ACCRUE AGNNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: AA OSHApennltis required for excavations over 5'0' deep and demolioon or · n of stru res over 3 stories in height.
EXPIRATION: Every pennit issued by the Buikllng Official r J)'Ovisbns of · shall expi imitaOOn and become nun and void if the buikling orv.ork authorized by ch
180 days from the date of such permit or if the building or rk a,rtli-•=,rn, su J:M:!nn· s suspen abanooned al any time after the v.ork is oommenced for a J:M:!rod of 180 ays (
fl! APPLICANT'S SIGNATURE DATE s-/
Inspection List
Permit#: CB140978 Type: POOL
Date Inspection Item
07/24/2014 59 Final Pool
07/24/2014 59 Final Pool
07/18/2014 55 Fence/Pre-Plaster
07/18/2014 55 Fence/Pre-Plaster
07/10/2014 12 Steel/Bond Beam
06/13/2014 23 Gas/TesVRepairs
06/13/2014 31 Underground/Conduit-Wirin
06/13/2014 51 Excav/Steel/Bonding/Fence
06/13/2014 52 Underground Plumbing
06/12/2014 51 Excav/Steel/Bonding/Fence
06/11/2014 51 Excav/Steel/Bonding/Fence
Monday, July 28, 2014
Inspector
PB
PY
PB
PB
PB
PB
PB
PB
PB
Act
RI
AP
RI
AP
AP
AP
AP
AP
AP
NR
NR
WILLIAMS RES-500 SF POOL &
SPA
Comments
Page 1 of 1
«1? ~ CITY OF
CARLSBAD
PLAN CHECK
REVIEW
TRANSMITTAL
DATE: 5/08/14 PROJECT NAME: William pool and spa
PLAN CHECK NO: CB140978 SET#: I ADDRESS: 1373 Magnolia Pl
VALUATION:$20,360 SCOPE OF WORK: Construction of 500 sq. ft. pool and spa
Community & Economic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www.carlsbadca.gov
PROJECT ID:
APN: 205 -280-81
I /,his plan check review is complete and has been APPROVED by:
LAND DEVELOPMENT ENGINEERING DIVISION
Final Inspection by the CM&I division is required: Yes X No
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 Comments have been sent to: ericaspermits13@yahoo.com
Remarks:
PLANNING
760-602-4610
K
ENGINEERING
760-602-2750
Linda Ontiveros
760-602-2773
Linda.Ontiveros@carlsbadca.gov
I FIRE PREVENTION
760-602-4665
Greg Ryan
I 0 602 4 b
Ge y Rya a lsb
Cindy Wong
760 602 4662
Cynthia.Wong carlsb::iclca ~ov
Dominic Fieri
760 602-4664
Dom1n1c F1en 1carlsbc1dcd gov
CB140978 William pool and spa
Please Read
Instructions
Outstanding issues will be marked with X
Items that conform to permit requirements are marked
with ✓ -or-have intentionally been leji blank.
E-37
1. SITE PLAN
Provide a fully dimensioned site plan drawn to scale. Show:
✓ North arrow
✓ Existing & proposed structures
✓ Property line dimensions
Easements
Show on~ plan:
X / 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
Lot/ Map No.: PARCE 2 / 20955
Subdivision/Tract : MS 10-04
Reference No(s): owG 472-5A
Page 2 of4 REV 6/2012
(B140978
Where is staging
of equipment
going to take
place? If use of
the easement is
required, a
separate right of
way permit must
be applied for.
Right-of-way
permit and pool
permit will be
issued
simultaneously.
William pool and spa
2. GRADING PERMIT REQUIREMENTS
The conditions that require a grading permit are found in Section 11.06.030 of the Municipal
Code.
Inadequate information available on site plan to make a determination on grading
requirements. Include accurate grading quantities in cubic yards (cut, fill, import, export and
remedial). This information must be included on the plans. If no grading is proposed
write: "NO GRADING"
Minor Grading Permit required NOTE: The grading permit must be issued and 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
X
X
-
/4GHT-OF-WAY PERMIT is required
adjacent to the public right-of-way.
to do work in city right-of-way and/or private work
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.
Page 3 of 4 REV 612012
CB140978
I Attachments:
E-37
William pool and spa
4. STORM WATER
Construction Compliance
✓ Project Threat Assessment Form complete.
Enclosed Project Threat Assessment Form incomplete.
✓ Requires Tier 1 Storm Water Pollution Prevention Plan. Please complete attached form
and return (SW 14-145 )
Requires Tier 2 Storm Water Pollution Prevention Plan. Requires submittal of Tier 2
SWPPP, payment of processing fee and review by city
Post-Development (SUSMPI Compliance
✓ Storm Water Standards Questionnaire complete.
Storm Water Standards Questionnaire incomplete. Please make the corrections, re-sign
the questionnaire and resubmit with next submittal.
✓ Project is subject to Standard Storm Water Requirements. See city Standard Urban
Storm Water Management Plan (SUSMP) for reference.
http://www.carlsbadca.gov/business/building/Documents/EngStandsw-stds-vol4-ch2.pdf
Project needs to incorporate low impact development strategies throughout in one or
more of the following ways:
Engineering Application
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:
Storm Water Form Right-of-Way Application/ Info
Page 4 of 4
Reference Documents
REV 6/01/12
~. «~," ~ CITY OF
CARLSBAD
PLANNING DIVISION
BUILDING PLAN CHECK
APPROVAL
P-29
DATE: 5/2/14 PROJECT NAME: POOL/SPA PROJECT ID:
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.c:.:1rlsb;idr..:1.1mv
PLAN CHECK NO: CB140978 SET#: ADDRESS: 1373 MAGNOLIA AV APN:
L8J 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 ~ No
You may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the issuance of a building permit.
Resubmitted plans should include corrections from all divisions.
D This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check APPROVAL has been sent to: ERICASPERMITS13@YAHOO.COM
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
PLANNING ENGINEERING FIRE PREVENTION
760-602-4610 760-602-2750 760-602-4665
□ Chris Sexton □ Kathleen Lawrence □ Greg Ryan
760-602-4624 760-602-27 41 760-S02-4663
Chrl~.Sexton@carlsbadca.gov Kathleen.Lawrence@carlsb<!dca.gQv Gregory:.Ry:an@carlsbadca.gov
□ Gina Ruiz □ Linda Ontiveros □ Cindy Wong
760-602-4675 760-602-2773 76Q-602-4662
Gina.Ryjz@Qarisbadca.gov Linda.Ontjveros@carlsbadca.gov C~nthia.Wong@carlsgadca.gov
□ □ □ Dominic Fieri
760-602-4664
Dominic. Fieri@Qarisb;;idca.gov
Remarks: PER CDP 12-02, POOL IS IN SY, FY IS OFF PANHANDLE
.~ . «•::~ ~ CITY OF
CARLSBAD
STORM WATER
COMPLIANCE
ASSESSMENT
B-24
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
I am applying to the City of Carlsbad for the following type(s) of construction permit:
□ Building Permit □ Right-of-Way Permit
□ My project is categorically EXEMPT from
the requirement to prepare a storm water
pollution prevention plan (SWPPP) because it
only requires issuance of one or more of the
following permit types:
Patio/Deck
Photo Voltaic
Re-Roofing
Sign
Spa-Factory
Sprinkler
Electrical
Fire Additional
Fire Alarm
Fixed Systems
Mechanical
Mobile Home
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 threar 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 • LoJlvThreat Assessment Criteria
□ ~ 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
D 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
D 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
D 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).
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 construct/on 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.
Project Address: Assessor Parcel No.
*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.
8-24
Pit?
Page 1 of 1
05"~Z,eP ·B(· D ·
Rev.03/09
«1~ ~ CITY OF
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 CARLSBAD
Construction Perceived
SWPPPTier Construction Threat Assessment Criteria* Threat to
Storm Water Level Qualltv
Tier3 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
Tier3 □ USDA-NRCS Erosion factors kr 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
Tier3 Medium Construction Threat Assessment Criteria
□ All projects not meeting Tier 3 High Construction Threat Assessment Criteria Medium
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 kr greater than or equal to 0.4) High
□ Site slope is 5 to 1 or steeper Tier2 □ 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
Tier2 Medium Construction Threat Assessment Criteria
□ All projects not meeting Tier 2 High Construction Threat Assessment Criteria Medium
Tier 1 -Medium lns!;!ection 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 k, greater than or equal to 0.4) Medium □ 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 lns~ection Threat Assessment Criteria
□ All projects not meeting Tier 1 Medium Construction Threat Assessment Criteria Low
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
<<,t, ~ CITY OF
CARLSBAD
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 Vv'ith 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).
I 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; ANO, (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)/OWNE
OWNER'.
OA:•' ,/1t-f.
E-29
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
IMTH 314 INCH MINIMUM AGGREGATE.
6. ADEQUATE EROSION AND SEDIMENT
CONTROL AND PER_IMETER PROTECTION BEST
MANAGEMENT PRACTICE MEASURES MUST BE
INSTALLED ANO MAINTAINED.
SPECIAL NOTES
Page 1 of 3
Development Services
land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
PROJECT INFORMATION
Site Address: 1 3 7 ~ IM~po (;_,;,
Assessor's Parcel Number: Z,,S-. Zf!Jt> • 8/ I tf iJ ,
Project ID: J: tU I '-It> I'{ r
Construction Permit No.: '==I < , 1 v , r r ..
Estimated Construction Start Date ____ _
Project Duration 3 Months
Emergency Contact:
Name: tJ'b ~ {(, r::'.)
24 hour Phone: ~~) 77 /-~{, j_J _
Perceived Threat to Stom, Water Quality
D Medium
§"'low
If medium box is checked, must attach a site plan
sheet showing proposed work area and location
of proposed structural BMPs
Approved By: ---r---~---
Date s/u~iu,i
REV 4/30/10
Erosion Control Tracking Non-Stonn Water Waste Management and Materials
BMPs Sediment Control BMPs Control Management BMPs Pollution Control BMPs BMPs
. C C C c c 0
,0 0 0 15 " ,0 " C ts ts C C, E C E ,0
* 0 C C, m C m s ~ '8 C. " m .!! w E C,
-~ ]1 ~ ·t ·5 ~ C, .!! ::; C, -g ~ I;; C w w C "' m C w
C. .E 8 ~ ~ er " 0 ;\! w Best Management Practice C m~ ·a CW UJ C
"' :e w E CD 0 " " I -~ " m E ;\! {BMP) Description ➔ C E " C,
m -~ u~ w ,0 " ::; .!! w -" !l (/) I-C, CD ,0 w ~ w
" -~ ~ m .!!l m !-~ m C ,0 C, C C C " :, w ~
~ ~ ~ (I) c " 0 CD C, ~ 0 " !!! ,0 >-0 m m .!!
I!! 1 ;\! 0 " ::; "g> " C " m 0·-" m u .!! -, ;;; e " E -" "' j -~ .c Ej ~ :z ~:i: C, .!! . j; ·c ·a "E ~ ,0 ~c " u.. 0 I;; " ~ ,0 :c ~ :c -g .!! C .c 0 .!! -lj ,0 m 0
0 -c: ·-C. '8 " I!! 0 C ·;;; ~ :e i, N C
" ~ m E 0 -" ~ .c E m .se m "' l!l 0 ;\! m ~ ~, m cl5 0 m 0
cii -m en ~ (') UJ" in (/) u u:: (') (/) > (/) (/) o._ (/)"' o._ o._ ::; (/) :,:; u
CASQA Designation ➔ 0 "' ~ -"1 ,. :z 'I' ~ "' 0 ~ ~ ~ "1 ~ "' i "1 ,. "1 'I' i c..\ c..\ LU UJ UJ UJ LU LU (/) d, ::I ::; ::; i ::;
UJ UJ UJ (/) (/) (/) (/) (/) (/) (/) I-I-z z z z s'. s'. s'. s'. Construction Activity UJ (/)
Gradina/Soil Disturbance " Trenchina/Excavation
Stockoilina . /
Drillina/Borina
Concrete/Asphalt Saw ✓ cuttina
Concrete flatwork
Pavina
Conduit/Pin<> Installation
Stucco/Mortar Work
Waste Disoosal 7
Staoinn/Lav Down Area
Equipment Maintenance
and Fuelina
Hazardous Substance
Use/Storane
Dewaterina
Site Access Across Dirt
Other rnsn:
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 rC1'N 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 -lf 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
J:he 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