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Home My WebLink About1612 MARITIME DR; ; CB142232; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-10-2014 Pool Permit Permit No: CB142232 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1612 MARITIME DR CBAD POOL Status: Parcel No: 2150821800 $23,424.00 Lot#: 0 Applied: Valuation: Construction Type: NEW Entered By: Reference #: PC#: Project Title: Applicant: SYMONS RES-BUILD NEW 480 SF 480 SF POOL/SPA PREMIER POOLS AND SPAS 6876 EMBARCADERO LN CARLSBAD CA 92011 760-476-0008 Building Permit Add'I 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'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Plan Approved: Issued: Inspect Area: Owner: SYMONS KENT T&REBECCA C 1612 MARITIME DR CARLSBAD CA 92011 ISSUED 09/03/2014 LSM 09/10/2014 09/10/2014 $237.67 $0.00 $166.37 $0.00 $33.00 $33.00 $3.05 $1.00 $0.00 $0.00 $0.00 $0.00 $474.09 Total Fees: $474.09 Total Payments To Date: $474.09 Balance Due: Inspector: 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 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 f thi I ~·-~----~ ·--·~------ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-10-2014 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW140312 Job Address: Permit Type: 1612 MARITIME DR CBAD SWPPP Status: Parcel No: 2150821800 Lot#: 0 Applied: Reference #: CB#: CB142232 Project Title: SYMONS RES-NEW 480 SF POOL/SP Applicant: PREMIER POOLS AND SPAS 6876 EMBARCADERO LN CARLSBAD CA 92011 760-4 76-0008 Emergency Contact: KENNY JUDD 858-248-5442 SWPPP Plan Check SWPPP Inspections Additional Fees TOTAL PERMIT FEES Owner: Entered By: Issued: Inspect Area: Tier; Priority: SYMONS KENT T&REBECCA C 1612 MARITIME DR CARLSBAD CA 92011 ISSUED 09/03/2014 LSM 09/10/2014 1 L $48.00 $58.00 $0.00 $106.00 Total Fees: $106.00 Total Payments To Date: $106.00 Balance Due: FINAL APPROVAL DATEJ·i.f:/Ja?- SIGNATURE A - $0.00 • ,,., THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD Ccityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No.~/ 4 ~~ :)._ Est. Value c;;l'3, <-I d-'-f .37 JOB ADDRESS SUITE#/SPACEI/UNITit -oo CT/PROJECT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS DESCRIPTION OF WORK: Include Square Feet of Attected Area(s) t=' D =\ ',_ g P,. PROPOSED USE PATIOS (SF) DECKS (SF) PROPERTY OWNER NAME DESIGN PROFESSIONAL ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE UC.# (Sec~ 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, a o requires the appllcant for such per_mit 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 fhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1'031.5 by any applicanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: ave and will maintain a certificate of consent to self-In. sure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfo,mance of the work for which this pennil is issued, ave and will maintain workers' co~ required~ Sectiona~=t~de, for the perfonnanib the Woq<, fo~ich this permit is issued. My workers' compen5: !Si~ prrier and policy umber are: Insurance Co. . \.b..:\E Policy No. { O J' } 0 ( Expiration Date \ 3;' This section need not be completed If the permit is for one hundred dollars ($100) or less D Certificate of Exemption: I certify that in the perfonnance of th_ work for which this pennit 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' compe satlo overage Is unlawful, and shall ubj n employer to criminal penalties and civll fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provid for ctlon ~6 of..J!!.e Lab cod nte nd attorney's fees . ..flS CONTRACTOR SIGNATURE _j 0~ I hereby affirm that I am exempt from Contractors 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 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 worll himself or thro1.1gh his own employees, provided that s1.1ch 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 bllrden 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, Bllsir.ess 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Oves 0No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hlred the following person to coordinate, Sllpervise and provide the major work (inclllde name/ address/ phone/ 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/ address I phone/ type of work): _.8S PROPERTY OWNER SIGNATURE □AGENT DATE COMPLl!l'I! THIS SECTION FOi? NON•JU!SIDENUAL IIUILOUIG PEIUIUS ONLY 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 d~tricl? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No JF 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 applk:atlon and state that the above lnfonnatlon Is correct and that the information on the plans Is accurate. I agiae ID comptyv.tth all City ordinances and StatB laws 181atlng 1D building ainstructkm. I hereby authorize representative of !he City of Cartsbad lo enter upon the alxlve menooned property br inspeclkln purposes. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF C.ARLSBAD ACAINST AU_ LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST S'\ID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required "br excavations over 5'0' deep and demolition or ron§lruclion of structures over 3 stories in height. EXPIRATION: Every pennit issued by the ing Official under the provisbns of is shall expire by limitalbn and bemme nuU and '.Qd if the building oroork authorized by sudl permit is notrommenred Ylithin 180days from the dale of such pennlt if iklhg orV\Ork authorized by su · is suspended or abandoned at any time after the Y.Ork is rommencad for a period of 180 days (Section 106.4.4 Unibrm Buikling Code) . ./IS APPLICANT'S SIGNATURE "' DATE -8-..,, \ Inspection List Pennit#: CB142232 Type: POOL SYMONS RES-BUILD NEW 480 SF 480 SF POOL/SPA Date . Inspection Item Inspector Act Comments ------------ 07/24/2015 59 Final Pool RI PERMISSION TO ENTER BACKYARD 07/24/2015 59 Final Pool PD AP 07/14/2015 59 Final Pool RI PERMISSION TO ENTER BACK/CARD IN BACK 07/14/2015 59 Final Pool PY NR 06/29/2015 59 Final Pool PY NR no one home 03/20/2015 55 Fence/Pre-Plaster PY AP 01/26/2015 51 Excav/Steel/Bonding/Fence PY AP eco bond 10/24/2014 53 Electric/Conduit/Wiring PY PA 10/14/2014 51 Excav/Steel/Bonding/Fence PY AP Monday, July 27, 2015 Page 1 of 1 «~ ~ CITY OF CARLSBAD PLAN CHECK REVIEW TRANS MITT AL DATE: 9/10/2014 PROJECT NAME: SYMONS Residence PLAN CHECK NO: CB142232 SET#: 1 ADDRESS: 1612 Maritime Dr VALUATION:$23,424 SCOPE OF WORK: Pool & Spa Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov PROJECT ID: APN: 215-082-18 :✓ This 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: carriejones@hotmail.com Ch Sexton 760-602-4624 Chris.Se xton(6_,c 11 rlsbadca .gov Gina Ruiz 760-602-4675 G i n:1. Ru i Lir.i:ca t· lsbaclc.1. gov Remarks: Kathleen Lawrence 760-602-27 41 Kathleen.Lawrcnce<S'carlsbadc0.gov Linda Ontiveros 760-602-2773 Lindn. Ont 1verns'.¢ca rl5badca .gov Dale Willis 760-602-2784 Dale.Wlllls@carlsbadca.gov Greg Ryan 760-602-4663 Gregory. Ry<.1 n(O'ca r lsbDdca .gov Cindy Wong 760-602-4662 Cyntl1ia.Wong((l)carlsbadca.gov Dominic Fieri 760-602-4664 Dominic.Fieri-:tJ;cnr!sbndcn.gov CB142232 SYMONS Residence Please Read Instructions Outstanding issues will be marked with X Items that conform to permit requirements are marked with ✓ -or-have intentionally been left blank. 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/ Map No.: 18 / 14636 Subdivision/Tract : CT 98-05 / DEJONG PROPERTY Reference No(s): DWG 408_70. Sh 5 E•37 Page 2 of 4 REV 6/2012 CB142232 RW14-190 Received 9/3/2014 E-37 SYMONS Residence 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 ✓ 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. Page 3 of 4 REV 6/2012 CB142232 Attachments: E-37 SYMONS Residence 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 140312 ) Requires Tier 2 Storm Water Pollution Prevention Plan. Requires submittal of Tier 2 SW PPP, payment of processing fee and review by city. Post-Development {SUSMPl 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/EnqStandsw-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 pavemenUpavers 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 • «t~ ~ 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 □ 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: □ Right-of-Way Permit 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 stonn 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. ow Threat Assessment Criteria ~ y project does not meet any of the Significant or Moderate Threat criteria, is not an exempt pennit 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 stonn 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-stonn 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 construction SWPP, I must still adhere to, and at all times during construction activiUes 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: Project ID: 'The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where ii can be shown that a lesser or higher Construction SW PPP Tier Level is warranted. -z..-z.:~ --z.. B-24 Page 1 of 1 Rev.03/09 «~~ ~ 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 Stonn 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 k1 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 k, 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 Stonm 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 lns12ection 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 wit~ ~e~ USDA-NRCS Erosion factors k, greater than or equal to 0.4) \ □ 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 lnsgection 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 • «~'» ~ CITY OF CARLSBAD 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.carlsbadca.gov/standards. Initially this questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of storm water standards that must be applied to a proposed development or redevelopment project. Depending on the outcome, your project will either be subject to 'Standard Stormwater Requirements' or be subject to additional criteria called 'Priority Development 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. IM>en 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: 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 Streets uidance? 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? YES NO 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. E-34 Page 1 of 3 Effective 6/27/13 «~ ~ CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov To determine if your project is a priority development project, please answer the following questions: 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 develo ment ro ·ects on ublic or rivate 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 ub/ic deve/o ment ro ·ects on ublic or rivate 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 selfs prepared foods and drinks for consumption, including stationary lunch counters and refreshment stands selfing prepared foods and drinks for immediate consum lion. 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 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 fem ora arkin or stora e of motor vehicles used ersonall 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, road, highway, freeway or driveway is any paved impervious surface used for the transportation of automobiles, trucks, motorc c/es, 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 fess from the project to the ESA, or conveyed in a pipe or open channel any distance as an isolated flaw from the ro·ectto the ESA i.e. not commin /es with flows from ad·acentlands _. 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 folfowing Standard Industrial ClassificaUan (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 folfowing criteria: (a) 5,000 square feet or more or (b) a project Average Daily Traffic (ADT) of 100 or more vehicles er da . 1 O. ls 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. ls your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of impervious surface or (2) increases impervious surface on the property by more than 10%? YES NO 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 appllcan information. E-34 Page 2 of 3 Effective 6/27/13 «~'» ~ 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 with a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non~stonn water discharge(s}. ✓ My project does not require a grading plan pursuant to the Car1sbad 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 follmving 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 ANO 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 RLSBAD. ,Nf'y, ER'S AGENT NAME (PRINT) llii/il'€' T f\u>~ OWNER(S)/OWNER'S AGENT NAME (SIGNATURE) ~ 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 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 Page 1 of 3 Development Services land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov PROJECT INFORMATION Site Address: \lt\,d J Tl.J,,T\ l, IK.-C-\i"I Assessor's Parcel Numb..;>t S:· d z_..~t Project ID: 3..£J I ':f OS I ;;I. · Construction Permit No.(B t 'f ~f: 3 d- Estimated Construction Start Date-\ , ":,: \ l 7 ' \ Project Duration .3 Months Emergency Contact: \ 1 Name ~ /&-€ ~ ':f ~J 24hourPhone: g~_;~S'41fz Perceived Threat to Storm Water Quality D Medium )5i 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~.._,_.,_:)_,_ __ _ Date:'"'\\ \O \7,0 '-':::\ \ r REV 4/30/10 <<~> ~ CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov Com lete the uestrons below re ardin our redevelo ment ro·ect YES NO 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 reviousl existin develo men!? 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 "m ro·ect meets PDP re uirements" box and com lete a licant infonnatlon. □ My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must comply with additional stormwater criteria per the SUSMP and I understand I must prepare a Storm Water Management Plan for submittal at time of application. I understand flow control (hydromodification) requirements may apply to my project. Refer to SUS MP for details. My project does not meet PDP requirements and must only comply with STANDARD STORMWATER REQUIREMENTS per the SUSMP. As part of these requirements, I will incorporate low impact development strategies throughout my project. Applicant Information and Signature Box Applicant Signature: 0= Applican,e: \- Date: $1 l ,.f This Box for City Use Only City Concurrence: 0 By: Date: • Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas designated as Areas of Special Biological Significance by the State Water Resources Control Board (Waler Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); areas designated as preserves or their quivalent under the Multi Species Conservation Program within the Cities and County of San Diego; and any other equivalent environmentally sensitive areas which have been identified by the Copemiittees. E-34 Page 3 of 3 Effective 6/27/13 • Best Management Practice (BMP) Description ➔ CASQA Designation ➔ /onstruction Activity I 'I Ja'i'ading/Soil Disturbance r....-Trenching/Excavation I , I Stockpiling D.Plling/Borin!'.I L,,Concrete/Asphalt Saw ¼ulling - ~ncrete flatwork /yPaving ,, I Conduit/Pipe Installation Stucco/Mortar Work .L 1 Waste Disposal Staging/Lay Down Area Equipment Maintenance and Fuelin!'.I Hazardous Substance Use/Storage Dewaterin!'.I Site Access Across Dirt other (list): Erosion Control I BMPs 0 1o ::; 'g _;! "' C "' :c "'"' 0 0 ~ C 0 -" " (I) .!! ~ ~ (I) .E ~ ~ ::; 0 g, 0 C "" " " 15 .C C "-0 ~·E C. " ~ 0 (!) WO cij cij 3 I~ "' ~ t) 0 w w w (I) w Sediment Control BMPs I "" C "' E "' ]i C. " C ·~ ·a .s ~ Ill E " "' C 0 "' ~-r Ill ~g c "' '5 "' 0 Ill "' " "' Cll E "' E ~ -.; -~ "' E$ 0 ii; > " ~ "" '5 " E ~ 0 C " .c "' -"' "' .se (I) u u: (!) (I)> (I) (I) a. '? "t "? '9 r;-'i' 0 w w w w w w ~ (I) (I) (I) (I) (I) (I) (I) -I-7,1 I I I I I Tracking Non-Stonn Water I Waste Management and Materials Control Management BMPs Pollution Control BMPs BMPs C C C c c 0 0 0 u u "' ~ " "" " "" C E C E _Q C "' "' C 2 2 '5 -E C. " "' .!! ;; 0 ;; 1o C ·5 ~ "' C 0 .!! ~ § " C" " "' ~ C 0 C C ~ 0 0 " 0 " .!! UJ -• "' ~ u~ u 0 "" -.; " .!! C "" ~ 0 ::; " 0 "" "' "" >-0 C C 0 :::, > 0 ~ " !!! " "' "' "' .!! il ~ 0 " N 0 J;;,! 3: u "' .!! .!! . ,; 1ii ·a "E !! = (I) "' ·c ·c :a ~ --"" .!! C 0 .!! * ~ 32 "' 0 "' "' ·;; "' :c 0 N C "' "' So ~ "' 15 ~ ~; £ 0 "' 0 ci5 .!: (I) "' a. a. ::; (I) (I) :,: u ~ ~ ;i; ~ ;;; ;% i '? "t "? '9 i ~ ~ ::; ::; ::; t--t--z z z z s s s I I I I I I I I I I I I I I t ./ 7 ""7/ ;7 =1= './ 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 construdion. 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 raw 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 ustabilized Construction Ingress/Egress" under Tracking Control. Follow along the "Site Access Across Dirt" row until you get to the ustabilized 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 \(~ ~ CITY OF CARLSBAD PLANNING DIVISION BUILDING PLAN CHECK APPROVAL P-29 DATE: 9-3-14 PROJECT NAME: PROJECT ID: Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.11.ov PLAN CHECK NO: CB 14-2232 SET#: 1 ADDRESS: 1'612 Maritime Dr APN: 215-082-18-00 1:8] 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 12'.J 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: 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 [g] Chris Sexton □ Kathleen Lawrence □ Greg Ryan 760-602-4624 760-602-27 41 760-602-4663 Chris.Sexton@carlsbadca.gov Kathleen.Lawrence@carlsbadca.gov Gregory.Ryan@carlsbadca.gov □ Gina Ruiz □ Linda Ontiveros □ Cindy Wong 760-602-4675 760-602-2773 760-602-4662 Gina.Ruiz@carlsbadca.gov Linda.Ontiveros@carlsbadca.gov Cynthia.Wong@carlsbadca.gov □ □ □ Dominic Fieri 760-602-4664 Dominic.Fieri@clJrlsbadca.gov Remarks: