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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