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1630 BASSWOOD AVE; ; CB151381; Permit
05-11-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No: CBI 51381 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC #: Project Title: 1630 BASSWOOD AV CBAD POOL 2050602800 Lot #: $28,109.00 Construction Type: HARRIS RES- 576 SF POOL/SPA GAS TO FIRE PIT 0 NEW Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/06/2015 RMA 05/11/2015 05/11/2015 Applicant: Owner: CALIFORNIA POOLS INC DBA CALIFORNIA POOLS & SPAS HARRIS TODD J 3106 E GARVEY AVE S WEST COVINA CA 91791-2344 760-744-8868 1630 BASSWOOD AVE CARLSBAD CA 92008 Building Permit $271 93 Add'l Building Permit Fee $0 00 Plan Check $190 35 Add'l Plan Check Fee $0 00 Electrical Fee $33 00 Plumbing Fee $33 00 Strong Motion Fee $3 65 Green Bldg Standards (SB1473) Fee $2 00 Renewal Fee $0 00 Add'l Renewal Fee $0 00 Other Building Fee $0 00 Additional Fees $0 00 TOTAL PERMIT FEES $533 93 Total Fees: $533.93 Total Payments To Date: $533.93 Balance Due: $0.00 Inspector: FINAL fi^P^Oyj Date: V Y/ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and fiie the protest and any other required information vjith the City Manager for processing in accordance with Carlsbad Municipai 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 fees/exactions of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has Dreviouslv otherwise expired. 05-08-2015 Job Address: Permit Type: Parcel No: Reference #: CB#: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW150194 1630 BASSWOOD AV CBAD SWPPP 2050602800 CB151381 HARRIS POOL/SPA Lot#: Status: PENDING Applied: 05/06/2015 Entered By: Issued: Inspect Area: Tier: Priority: Applicant: Owner: CALIFORNIA POOLS INC DBA CALIFORNIA POOLS & SPAS HARRIS TODD J 3106 E GARVEY AVES WEST COVINA CA 91791-2344 760-744-8868 Emergency Contact: MIKE WELCH 1630 BASSWOOD AVE CARLSBAD CA 92008 RMA 760 744-8868 SWPPP Plan Check SWPPP Inspections Additional Fees $48.00 $58.00 $0.00 TOTAL PERMIT FEES $106.00 Total Fees: $106.00 Total Payments To Date: $0.00 Balance Due: $106.00 FINAL APPROVAL DATEfMpt SIGNATURE THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMITISSUANCE: [j PLANNING •ENGINEERING • BUILDING QFIRE •HEALTH • HAZMAT/APCD WW ^ City of Carlsbad Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov /^ nan Plan Check No. Est. Value Plan Ck. Depd§it swppp/5^/f 9 JOB ADDRESS SU1TE#/SPACE#/UNIT# •e<^ - oCoo --2 6 - c>o CT/PROJECT # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Areafs) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESQ*. N0| I AIR CONDITIONING YES •NO I I FIRESPRINKLERS YES I |NO| I APPLICANT NAIVIE Prmarv Contact I^avtt\ '3 evies PROPERTV OWNER NAIVIE ADDRESS 34 Wc4ev^t~^^A5 tAic\y ADDRESS CITY STATE CA ZIP Coiy[':>\:kiA STATE CA ZIP PHONE FAX PHONE FAX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY I yyinc STATE LA ZIP PHONE FAX PHONE EMAIL EMAIL C £\yvi e j On © WNo-i-H^i'( • Co CLASS C -^ 3 CITY BUS. UC.# (Sec. 7031.5 Business and ProfessionsCode: AnyCity or County which requires a permit to construct, alter, improve, demolish or repair any structure, priorto its issuance, also requires the applicantfor such permit to file a signed statement that he is licensed pursuantto the provisions of the Contractor's License Law (Chapter 9, commendingwith Section 7000 of Division 3 ofthe Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). 11 Workers' Compensation Declaration: I hereby afftrm under penalty of peijury one ofthe following declarations: • I have and will maintain a ceitificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued. 53 I have and wlli maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the work for which this pemiit is issued, fvly workers' compensation insurance carrier and policy number are: Insurance Cn W'fSCC? Policy No. 3g^'3^£^ Expiration Date OCa/Of This section need not be completed if the permit Is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the perfomiance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Wori<ers' Compensation Laws of Califomia. WARNING; Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fmes up to one hundred thousand dollars (8.100,0(10), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. yS^ CONTRACTOR SIGNATURE g] AGENT DATE 1 ;'» / herety affirm that I am exempt from Contractor's License Law for ihe foltowing reason: I I I, as owner of the property or my employees with wages as their sole compensation, will do the woris and the structure is not intended or offered for sale (Sec 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not inlended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did nol build or improve for the purpose of sale). I I I, as owner of the property, am exclusively contracting with licensed contractors lo constmct the project (Sec 7044, Business and Professions Code: The Contraclor's Ucense Law does not apply lo an owner of property who builds or improves thereon, and contracts for such projecis with contraclor(s) licensed pursuant to the Contractor's License Law). I I I am exempt under Section Business and Professions Code for this reason; 1.1 personally plan to provide the major labor and materials for construciion of the proposed property improvemenl Yes j |No 2.1 (have / have not) signed an application for a building permii tor the proposed work. 3.1 have contracted with the following person (fiitn) to provide the proposed construction (include name address / phone / contractors' license number): * 4.1 plan to provide portions of the work, but I have hired the following person lo coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE QAGENT DATE is the applicant or future building occupant required lo submit a business plan, acutely hazardous materials registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? O Yes • No Is the applicani or future building occupant required lo obtain a permii from the air pollution control district or air quality management district? • Yes • No ^ ' Is the fadlity to be constmcted within 1,000 feet of the outer boundary of a school sile? • Yes ' • No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTiON CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I ceitifythat I have read the application and state thatthe above infonnation is conect and that the information on the pians is accurate. I agree to comply uith all City ordinances and State laws relating to buildingconstnictlon. I heretiy authorize representative of the City of Cartsbad to enter upon the above mentioned properly for inspection puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARNNLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA pemiit is required for excavations over 5'0' deep and demolition or constnjction of stmctures over 3 stories In heighl EXPIRATION: Every pennit issued by the Building Oflicial under the provisions of this Code shall expire by limitalion and become null and void if the building or wo* authorized by such pemilt is not commenced wilhin 180 days fi'om the date of such pennit or if the building or wod< authorized by such pennit is suspended or abandoned at any time after the wori< is commenced for a period of 180 days (Secfion 106.4.4 Unifomi Building Code). ^APPLICANT'S SIGNATURE DATE Inspection List Permit*: CB151381 Type: POOL HARRIS RES- 576 SF POOUSPA GAS TO FIRE PIT Date Inspection Item Inspector Act Comments 09/11/2015 59 Final Pool PD AP 09/08/2015 55 Fence/Pre-Plaster -Rl 09/08/2015 59 Final Pool -Rl 08/18/2015 55 Fence/Pre-Plaster PB AP 08/18/2015 59 Final Pool PB NR 08/14/2015 51 Excav/Steel/Bonding/Fence PB AP 06/15/2015 23 Gas/Test/Repairs PD AP 05/28/2015 23 Gas/Test/Repairs PD AP 05/28/2015 31 Underground/Conduit-Wirin PD AP 05/28/2015 51 Excav/Steel/Bonding/Fence PD AP IVionday, September 14, 2015 Page 1 of 1 PLAN CHECK PLAN CHECK Community & Economic CITY OF REVIEW Development Department 1635 Faraday Avenue CARLSBAD TRANSMITTAL Carlsbad CA 92008 www.carlsbadca.gov DATE: 05/06/2015 PROJECT NAME: HARRIS POOL AND SPA PLAN CHECK NO: 1 SET#: 1 ADDRESS: 1630 BASSWOOD AVE VALUATION/SCOPE OF WORK: POOL AND SPA PROJECT ID: CB151381 APN: 205-060-28-00 / This plan check review is complete and has been APPROVED by the ENGINEERING DEPT Division. By: VALRAY NELSON A Final Inspection by the ENGINEERING Division is required Yes • No This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. NOTE; ONLY ITEMS THAT NEED CORRECTiON/CLARiFICATION ARE MARKED X, Plan Check Comments have been sent to: CARRIEJONES@HGTIVIAIL.GOM 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 ofa building permit Resubmitted plans should Include corrections from all divisions. For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING 760-602-4610 ENGINEERING 760-602-2750 FIRE PREVENTION 760-602-4665 Chris.Sexton@carlsbadca.gov Kathleen Lawrence 760-602-2741 Kattileen.Lawrence@carlsbadca.gov Gregorv.Rvan@carlsbadca.gov Gina.Ruiz@carlsbadca.gov Linda.Ontiveros@carlsbadca.gov ij :';''V Vl'ijrlB; Cvnthia.Wong@carlsbadca.gov / ValRay Marshall ^ 760-602-2773 ValRay.Marshall@carlsbadca.gov Dominic.Fleri@carlsbadca.gov Remarks: Any outstanding issues unll he marked ivilh an I X I Make the necessaiy corrections for compliance ivith applicothle codes and standards. Siihtnit corrected plans and/or specifications to the Building dixnsion for re-su.lrini.ltal to the Engineering dii'isions. hems that confonn to pennit reijuiremenis ure marked xvith | ./ | 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: LOTNO, TCT 123 MAP NO. 1661 REF. NO. E-37 Page 2 of 4 REV 6/2012 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" Grading Permit required. NOTE: The grading permit must be issued and rouqh qradinq approval obtained priorto issuance ofa buildinq 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 PERIVIIT is required to do work in city right-of-way and/or private work adjacent to the public right-of-way. A separate rigtit-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 poo/ permit will be issued simultaneously. E-37 Page 3 of 4 REV 6/2012 4. STORMWATER Construction Compliance / Project Threat Assessment Form complete / incomplete / Requires Tier 1 Storm Water Pollution Prevention Plan. Please complete attached form and return (SW 15-0194 ) Requires Tier 2 Storm Water Pollution Prevention Plan. Requires submittal of Tier 2 SWPPP, payment of processing fee and review by city. Post-Development (SUSIVIP) Compliance v^ Storm Water Standards Questionnaire complete / incomplete Project is subject to Standard Storm Water Requirements. See city Standard Urban Storm Water Management Plan (SUSMP) for reference. http://www.carlsbadca.qov/business/buildinq/Documents/EnqStandsw-stds-vol4-ch2.pdf Project needs to incorporate low impact development strategies throughout in one or more of the following ways: Rainwater harvesting (rain barrels or cistern) Vegetated Roof Bio-retentions cell/rain garden Pervious pavement/pavers Flow-through planter/vegetated or rock drip line Vegetated swales or rock infiltration swales Downspouts disconnect and discharge over landscape Ottier: 5. ADDITIONAL COMMENTS E-37 Page 4 of 4 REV 6/2012 ^ CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov STEP 2 TO BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECTS To determine if your project is a priority development project, please answer the following questions: YES NO 1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces collectively over the entire project site? This includes commercial, industrial, residential, mixed-use, and public development projects on public or private land. 2. Is your project creating or replacing 5,000 square feet or more of impervious surface collectively over the entire project site on an existing site of 10,000 square feet or more of impervious surface? This Includes commercial. Industrial, residential, mixed-use, and public development projects on public or private land. 3. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a restaurant? A restaurant is a facility that sells prepared foods and drinks for consumption, Including stationary lunch counters and refreshment stands selling prepared foods and drinks for Immediate consumption. 4. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a hillside development project? A hillside development project Includes development on any natural slope that is twenty-five percent or greater 5. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a parking lot. A parking lot Is a land area or facility for the temporary parking or storage of motor vehicles used personally for business or for commerce. 6. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a street, road, highway freeway or driveway? A street, road, highway, freeway or driveway Is any paved Impen/ious suriace used for the transportation of automobiles, trucks, motorcycles, and other vehicles. 7. Is your project a new or redevelopment project that creates or replaces 2,500 square feet or more of impervious surface collectively over the entire site, and discharges directly to an Environmentally Sensitive Area (ESA)? "Discharging Directly to" Includes flow that Is conveyed overland a distance of 200 feet or less from the project to the ESA, or conveyed In a pipe or open channel any distance as an Isolated flow from the project to the ESA (I.e. not commingles with flows from adjacent lands).* 8. Is your project a new development that supports an automotive repair shop? An automotive repair shop is a facility that Is categorized in any one of the following Standard Industrial Classification (SIC) codes: 5013, 5014, 5541, 7532-7534, or 7536-7539. 9. Is your project a new development that supports a retail gasoline outlet (RGO)? This category includes RGO's • that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Dally Traffic (ADT) of 100 or more vehicles per day. 10. Is your project a new or redevelopment project that results in the disturbance of one or more acres of land and are expected to generate pollutants post construction? Ills 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%? If you answered "yes" to one or more of the above questions, you ARE a priority development project and are therefore subject to implementing structural Best Management Practices (BMP's) in addition to implementing Standard Storm Water Requirements such as source control and low impact development BMP's. A Storm Water Management Plan (SWMP) must be submitted with your application(s) for development. Go to step 3 for redevelopment projects. For new projects, go to step 4 at the end of this questionnaire, check the "my project meets PDP requirements" box and complete applicant information. If you answered "no" to all of the above questions, you ARE NOT a priority development project and are therefore subject to implementing only Standard Storm Water Requirements such as source control and low impact development BMP's required for all development projects. A Storm Water Management Plan (SWMP) is not required with your application(s) for development. Go to step 4 at the end of this questionnaire, check the "my project does not meet PDP requirements" box and complete applicant information. E-34 Page 2 of 3 Effective 6/27/13 STORM WATER ^TAKinAPnQ Development Services < blAIMUAKUb Land Development Engineering QUESTIONNAIRE 1635 FaradayAvenue ^ F '^4 760-602-2750 CARLSBAD wwwcansbadcagov INSTRUCTIONS: 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.qov/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 forthe same project are submitted concurrently. In addition to this questionnaire, you must also complete, sign and submit a Project Threat Assessment Form with construction permits for the project. Please start by completing Step 1 and follow the Instructions. When completed, sign the form at the end and submit thts with your application to the city. STEP 1 TO BE COMPLETED FOR ALL PROJECTS To determine if your project is a priority development project, please answer the following questions: YES NO 1. Is your project LIMITED TO constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria: (1) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non-erodible permeable areas; OR (2) designed and constructed to be hydraulically disconnected from paved streets or roads; OR (3) designed and constructed with permeable pavements or surfaces in accordance with USEPA Green Streets guidance? 2. Is your project LIMITED TO retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in accordance with the USEPA Green Streets guidance? If you answered "yes" to one or more of the above questions, then your project is NOT a priority development project and therefore is NOT subject to the storm water criteria required for priority development projects. Go to step 4, mark the last box stating "my project does not meet PDP requirements" and complete applicant Information. If you answered "no" to both questions, then go to Step 2. E-34 Page lof 3 Effective 6/27/13 CITY OF CARLSBAD STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov STORM WATER COMPLIANlbECERTIFICATE « My project is not in a category of permit^pestxempt from the Construction SWPPP requirements - X''' ^ My project is not located inside or within 200 feet 3 an environmentally sensitive area with a significant potential for corttrilniting 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 IVlunicipal 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. 1 UNDERSTAND AND ACKNOWLEDGE THAT 1 MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO MINIMIZE THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO MINIMIZE THE EXPOSURE OF STORM WATER TO CONSTRUCTION RELATED POLLUTANTS; AND, (2) ADHERE TO, AND AT ALL TIMES, COMPLY WITH THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD. DWNER(S)/OWNER'S S)/OWNER'S AGENT NAME (PRINT) OV^NER(S)/OVVN^frS AGENT NAME (SIGNATURE) DATE STORM WATER POLLUTION PREVENTION NOTES 1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAIL^BLE 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 PROJECT iNFORMATION Site Address: Assessor's Parcel Number: Project ID: . TLO / ^7 / ^ Construction Permit No.: Estimated Construction Start Date Project Duration Months Emergency Contact: Name: A^t V^tUU 24 hour Phone: Perceived Threat to Storm Water Quality [H Medium Low If medium box is checked, must attach a site plan sheet showing proposed work area and location of proposed structural BMPs For City Use Only CITYOFCARLSBAD STANDARD TIER 1 SWPPP Approved By: Date: E-29 Page 1 of 3 REV 4/30/10 ^"^v-ClTV OF STORM WATER Development Services « Land Development Engineering ^"^v-ClTV OF STANDARDS Development Services « Land Development Engineering ^"^v-ClTV OF QUESTIONNAIRE E-34 1635 Faraday Avenue 760-602-2750 CARLSBAD QUESTIONNAIRE E-34 www.carlsbadca.gov STEP 3 TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPEMENT PROJECTS ONLY Complete the questions below regarding your redevelopment project: YES NO Does the redevelopment project result in the creation or replacement of impervious surface in an amount of less than 50% ofthe surface area ofthe previously existing development? Ifyou answered "yes," the structural BMP's required for Priority Development Projects apply only to the creation or replacement of impervious surface and not the entire development. Go to step 4, check the "my project meets PDP requirements" box and complete applicant information. If you answered "no," the structural BMP's required for Priority Development Projects apply to the entire development. Go to step 4, check the "my project meets PDP requirements" box and complete applicant information. STEP 4 CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION • My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must comply with additional stomiwater 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 SUSMP for details. • My project does not meet PDP requirements and must only comply with STANDARD STORMWATER REQUIREMENTS per the SUSMP. As part ofthese requirements, I will incorporate low impact development strategies throughout my project! Applicant Information and Signature Box Address. ^^^^ fe^;^t^4 Art Applicant Name: Jv • ^ Applicant Signature; Accessor's Parcel Number(s): Applicant Title: Date: This Box for City Use Only City Concurrence: NO Date: Project ID: 0£> 16L^%( * Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas designated as Areas of Special Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources Control Board (WaterQuality Control Plan forthe San Diego Basin (1994) and amendments); areas designated as preserves ortheir quivalent under the Multi Species Conservation Program within the Cities and County of San Diego; and any other equivalent environmentally sensitive areas w/hich have been identified by the Copermittees. E-34 Page 3 of 3 Effective 6/27/13 Erosion Control BMPs Sediment Control BMPs Tracking Control BMPs Non-Storm Water Management BMPs Waste Management and Materials Pollution Control BMPs Best Management Practice (BMP) Description Geotextiles & Mats Wood Mulching Earth Dikes and Drainage Swales Slope Drains Silt Fence Sediment Trap Check Dam Fiber Rolls Gravel Bag Berm Street Sweeping and Vacuuming Sandbag Barrier Storm Drain Inlet Protection Stabilized Construction Ingress/Egress Stabilized Construction Roadway Water Conservation Practices Paving and Grinding Ooerations Potable Water/Irrigation Vehicle and Equipment Cleanina Material Delivery and Stnrane Material Use Stockpile Management Spill Prevention and Gnntrol Solid Waste Mananempnt Hazardous Waste Management Concrete Waste Mananement CASQA Designation Construction Activity EC-7 EC-8 EC-9 EC-11 SE-1 SE-3 SE-4 SE-5 SE-6 SE-7 SE-8 SE-10 TR-1 TR-2 NS-1 NS-3 NS-7 NS-8 WM-1 WM-2 WM-3 WM-4 WM-5 WM-6 WM-8 X Grading/Soil Disturbance X Trenching/Excavation X X Stockpiling • Drilling/Borinq X Concrete/Asphalt Saw cutting X Concrete flatwork Paving X X Conduit/Pipe Installation — Stucco/Mortar Work A Waste Disposal Staging/Lay Down Area Equipment Maintenance and Fueling Hazardous Substance Use/Storage Dewatering Site Access Across Dirt Other (list): Instructions: Begin by reviewing the list of construction activities and checking the box to the left of any activity that will occur during the proposed construction. Add any other activity descriptions in the blank activity description boxes provided for that purpose and place a check in the box immediately to the left ofthe added activity description. For each activity descrribed, pick one or more best management practices (BMPs) from the list located along the top ofthe form. Then place an X in the box at the place where the activity row intersects with the BMP column. Do this for each activity that was checked off and for each of the selected BMPs selected from the list. For Example - If the project includes site access across dirt, then check the box to the left of "Site Access Across Dirt". Then review the list for something that applies such as "Stabilized Construction Ingress/Egress" under Tracking Control. Follow along the "Site Access Across Dirt" row until you get to the "Stabilized Construction Ingress/Egress" column and place an X in the box where the two meet. As another example say the project included a stockpile that you intend to cover with a plastic sheet. Since plastic sheeting is not on the list of BMPs, then write in "Cover with Plastic" in the blank column under the heading Erosion Control BMPs. Then place an X in the box where the "Stockpiling" row intersects the new "Cover with Plastic" column. To learn more about what each BMP description means, you may wish to review the BMP Reference Handout prepared to assist applicants in the selection of appropriate Besl Management Practice measures. The reference also explains the California Stormwater Quality Association (CASQA) designation and how to apply the various selected BMPs to a projecL E-29 Page 2 of 3 REV 4/30/10 , CITY OF CARLSBAD STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Division 1635 FaradayAvenue 760-602-2719 www.carlsbadca.gov I am applying to the City of Carlsbad for the following type(s) of construction permit: la Buildingpermit • Right-of-WayPermit • My project is categorically EXEMPT from tiie requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types: Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Patio/Deck Photo Voltaic Re-Roofing Sign Spa-Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria • My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no threat" assessment crileria on the City's Project Threat Assessment Worksheet for Determination of Constnjction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tieisir Lc A: Low Threat Assessment Criteria My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: Results in some soil disturbance; and/or Includes outdoor constmction 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 Carisbad Grading Ordinance (Chapter 15.16 ofthe Carisbad 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 inleL an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season orwill extend into the rainy season (Oct. 1 through April 30). T/er3 - 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 construcfion 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 mnoff or non-storm water discharge(s). / ceriify to the best of my knowledge that the above checked stateinents are true and correct. I understand and acknowledge that even though this project does not require preparation ofa construction SWPP, I must still adhere to, and at alt times during constructton activities for the permit type(s) check above comply wtth the storm water best management practices pursuant to Titte 15 of ihe Carlsbad Municipal Code and to City Standards. 'The Gity Engineer may authorize minor variances from the Storni Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Constnjction SWPPP Tier Level is warranted. Project Acidress: Assessor Parcel No. Owner/Owner's Aulhorized Agent Name: Title: Owner/Owner's Authorized Agent Signature: Date: City Concurrence: By: Date: B-24 Page 1 of 1 Rev.03/09 /Jf CITY OF CARLSBAD 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 Construction SWPPP Tier Level Construction Threat Assessment Criteria* Perceived Threat to Storm Water Quality Tier 3 Tier 3 - Hiqh 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 • Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kf greater than or equal to 0.4) • 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). • Owmer/contractor received a Storm Water Notice of Violation within past two years High Tier 3 Tier 3 - Medium Construction Threat Assessment Criteria Medium Tier 3 • All projects not meeting Tier 3 High Construction Threat Assessment Criteria Medium Tier 2 Tier 2 Hiah Constmction Threat Assessment Criteria • Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA • Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kf greater than or equal to 0.4) • 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 • Site results in one half acre or more of soil disturbance High Tier 2 Tier 2 - Medium Construction Threat Assessment Criteria Medium Tier 2 • All projects not meeting Tier 2 High Construction Threat Assessment Criteria Medium Tier 1 Tier 1 - Medium Insoection Threat Assessment Criteria Medium Tier 1 • Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, within or directly adjacent to an environmentally sensitive area (ESA) or discharges directly to an ESA • Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kf greater than or equal to 0.4) • 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 • Site results in one half acre or more of soil disturbance Medium Tier 1 Tier 1 - Low Insoection Threat Assessment Criteria Low Tier 1 • 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 3^ CITY OF CARLSBAD PLANNING DIVISION BUILDING PLAN CHECK APPROVAL P-29 Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.eov DATE: 5/7/15 PROJECT NAME: POOL/SPA/FIREPIT PROJECTID: PLAN CHECK NO: CB151381 SET#: ADDRESS: 1630 BASSWOOD AV APN: ^ 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 K| No You may also have corrections from one or more of the divisions Usted below. Approval from these divisions may be required prior to the issuance of a building permit Resubmitted plans should include corrections from all divisions. • This plan check review is NOT COMPLETE. Itenns missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check APPROVAL has been sent to: CARRIEJONES@HOTMAIL.COM For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING 760-602-4610 ENGINEERING 760-602-2750 FIRE PREVENTION 760-602-4665 1 [ Chris Sexton 760-602-4624 Chris.Sexton@carlsbadca.gov Chris Glassen 760-602-2784 Christoplier.Glassen@carlsbadca.gov 1 1 Greg Ryan 760602-4663 Gregorv.Rvan@carlsbadca.gov 1 1 Gina Ruiz 760-602-4675 Gina.Ruiz@carlsbadca.gov I 1 ValRay IVIarshall 760-602-2741 ValRav.Marshall@carlsbadca.gov 1 1 Cindy Wong 760-602-4662 Cvnthia.Wong@carlsbadca.gov • 1 1 Linda Ontiveros 760-602-2773 Linda.Ontiveros@carlsbadca.gov Q Dominic Fieri 760-602-4664 Dominic.Fieri@carlsbadca.gov Remarks: