Loading...
HomeMy WebLinkAbout1631 OAK AVE; ; CB160021; PermitS.- City of Carlsbad 1635 FaradayAv Carlsbad, CA 92008. 01-19-2016 Retaining Wail Permit Permit No 0B160021 Building Inspection Request Line (760) 602-2725 Job Address: 1631 OAK AV CBAD . Permit Type RETAIN Status ISSUED Parcel No: 1562123600 Lot #: 0 Applied:,01/05/2016 Valuation: $1,941.00 Construction Type: 5B EnterdBy: "JMA Reference #: Plan Approved: 01/19/2016 * issued: 01/19/2016 Project Title: - HALBYER: 802 SF RETAIN WALL Plan Check#: PER REGIONAL STANDARDS inspect Area: Applicant: Owner: WOLVERTON LANDSCAPE INC 830 SUNSET DR r VISTA CA 92081 . . 760 535-8121. Building Permit - . . • . . $43.76 Add 'I Building Permit Fee $0.00 Plan Check . - . $30.63 AddI PlanChëck Fee . . $0.00 Strong Motion Fee - - . . $1.00.. Green Bldg Standards (SB1473) Fee $1.00 Renewal Fee . . . $0.00 Addi Renewal Fee •, . . - $0.00 Other Building Fee . . $0.00 Additional Fees . . . $0.00 TOTAL PERMIT FEES $76.39 Total Fees: $76.39 Total Payments To Date: $76.39 Balance Due: $0.00 FINAL AL In . spector-",, Date: Clearance: NOTICE: Rease at approval of your project includesthe "Imposition "of rdecatIons reservations or other exactions hereafter collectively referred to as "feeslexa ions." You have 90 days from the date this pertht was issued to protest imposition of these fees/exactions. If ybu protest them, you roust foficei the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required infontioA with the City Manager for processing in acxdance with Carlsbad Municipal Code Section 3:32.030. Failure to tirrely follow that procedure Wll bar. any subsequent legei action to attack review, set aside, void, or annul their irrçzosition. . You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and seer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this pied. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE sinilar to this, or as to which the statute of linittations has onevidusly.ôtherwise exeired. City of Carlsbad 1635 Faraday Av, Carlsbad, CA 92008 Storm Water Pollution Prevention Plan (SWPPP) Permit 07-13-2016 I Permit No SW 160003 Job Address: 1631 OAK AV CBAD ... - . Permit Type: SWPPP -' Status: FINAL Parcel No 1562123600 Lot #: 0 Applied 01/05/2016 Reference #: - . Entered By: JMA CB#: CB160021 - Issued: 01!19/2016 Inspect Area PD Project Title: HALBYER: 180 SF RETAIN. WALL * Tie: 1 - Priority: M Applicant Owner WOLVERTON LANDSCAPE INC -' 830 SUNSET DR VISTA CA 92081 . -. 7605358121 Emergency Contact 3 LORENWOLVERTON 760-535-8121 .- ( SWPPP Plan Check $54.00 SWPPP Inspections - . . $228.00 Additional Fees $0.00 TOTAL PERMIT FEES $282..00 I Total Fees $282.0'0 Total Payments To Date $282.00 Balance Due $0.00 1 51 3 1 . .5* . * -- . -. * ... I THEFQLLOWIN APPROVALS REQUIRED PRIOR TOPERM1rISSUANCE: PLANNING DENGINEERING [--]BUILDING DFIRE HEALTH DHAZMATIAPCD : City Of Cla-Lisbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 ' email: building@carlsbadca.gov www.carlsbadca.gov Ian Check No." I& O2J Est. Value Plan Ck.1Deiosit C Date , SWPPP / 600 JOB ADDRESS a SUITE#/SPACE#/UNIT# CT/PROJECT A I LOT# PHASE A B OF UNITS B BEDROOMS B BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) . 'os- .. EXISTING USE - PROPOSED USE- - - GARAGE (SF) PATIOS (SF) - DECKS (SF) 1. 1. FIREPLACE YES DA NoE AIR CONDITIONING YES flNO FIRE SPRINKLERS I YES D WOE APPLICANT NAME Primary Contact 7 '. PROPRTY OWNER - ADDRESS - I ADDRESS - CITY V13 74k CA:~111 STATE - ZIP / CITY .. STATE . ZIP PHONE . FAX f PHONE FAX EMAIL I cfr /01è41 c-L,Je'/ve.r-7'-o, iac EMAIL . . e - DESIGN PROFESSIONAL,' . - / CONTRACTOR BUS. NAME ADDRESS, ' . . . , 0' - ADDRESS . CITY - - STATE ZIP CITY ' STATE4 ' . ZIP9 PHONE . " * - FAX . PHONE - -: FAX - EMAIL " * . - - . ' ' EMML - - STATE LIC. A ' - STATE LIC.# CLASS CITY US. LIC. (Sec. (u31.b business and I-'rolesslons LoGe: Any (;ity or Lounty whichrequires 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). , lit Worker Compensation Declaration: (hereby affirm under penalty of perjury one of the following declarations: 'have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation s required by Section 3700 of the Labor Code, for the performance o the work for wh'ch this permit is issued. My workers' compensation insurance caster and policy number are: Insurance Co. 45 k V . Policy No.' tJO iAjC.-? t) 2._3 / Expiration Date ( /, -This section need not be completed if the permit is for one hundred dollars ($100) or less []Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I tihall"not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure wo re compensa ' n coverage is unlawful, and shall subject an employerto'âriminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, dam es a prov' d in Section 3706 of the Labor code, interest and attorney's fees, ' CONTRACTOR SIGNATURE - , ]AGENT . DATE (hereby affirm (hall am exempt from Contractor's License Law for the following reason:, I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale' (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).- 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of - property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the contractor's License Law). [j] I am exempt under Section - Business and Professions Code for this reason: - . 2, I personally plan to provide the major labor and materials for construction of the proposed property improvement Dyes [—]No I (have! have not) signed an application for a building permit for the proposed work.' ' - I have contracted with the following peison (firm) to provide the proposed construction (include name address! phone / contractors' license number): - (plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address! phone contractors' license number): I 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' '- . - -- . '- - ,AGENT - DATE .- •n_ - - - Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No - - Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management district? Yes No - Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes No -. - - IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 5111 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 C. 71 I certify that i have read the applicabon and state thatthe above information isconsctand thatthe information on the plans isaccurate. I agree to complywtth all City ordinances and Slate laws reladngto oonstructiorf. I hereby authorize representative of the city of Carlsbad to enter upon the above mentioned property for inspection purposes. 'I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CPRLSBAD - AGAINST ALL UABlLffIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required forexcavaions over 5' deep and demolition orconstmciion of structures over stories in height " EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void tithe building or work authorized by such permit is not commenced within l8O days from the date of such permit orif the building orva uthorized by suc4 permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT S SIGNATURE Ir 'I DATE - -''• : - ' STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the folIving ONLY if a Certificate of Occupancy will be requested at final inspection Fax-(760)602-8560, Email buiIdinQcartsbadca.qOV or Mail the completd form to City of Carlsbad, Building Division 1635 Fa -dayAvenue, Carlsbad, California 92008. CO#: (Office Use Only) , :-. '.. - -, CONTACT NAME OCCUPANT NAME - ADDRESS BUILDING ADDRESS - CITY STATE '' - - ZIP - CITY . STATE -••. ZIP - - . - Carlsbad ' CA PHONE -- - FAX EMAIL . - . . - OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On P. i) , 4 . - '* - - - - ASSOCIATED CB# - MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) - CONTRACTOR (On NO CHANGE IN USE/ NO CONSTRUCTION - MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION i APPUCANT'S SIGNATURE , ' . • r - DATE -: - •.._- --- 4 - I . 'I • -. . -• .- . - - .* .--,. - I f_. -- --• . - - * . Permit# CB160021 Type RETAIN HALBYER 802 SF RETAIN WALL PER REGIONAL STANDARDS Date Inspection Item Inspector Act Comments 03/22/2016 19 Final Structural PY AP 03/22/2016 69 Final Masonry PY AP 03/21/2016 69 Final Masonry PY CA 01/25/2016 66 Grout PD AP 01/21/2016.61.Footing PD AP : 1 . ••, .. ••*• . ' ••.••- .•- .. . •• -.• 4 ( - - 1 4. .1 --- PLANNING [ ENGINEERING FIRE PREVENTION 760-602-461'' .ip (Ij__I.I I Kathleen Lawrence 760-602 -4665 Chris Sexton . Greg Ryan L.J 760-602-4624 760-602-2741 . 760-602-4663 Chris.Sexton@carlsbadca.gov. Kathleen.LawrèncecarIsbadca.gov - Gregory.Ryancarsbadca.gov Gina Ruiz ;. ' Linda Ontivés . 1 Cindy Wong 760-602-4675 . .' ' ' 760-602-2773 . I - 760-602-4662 Gina.RuizcarIsbdca.gov Linda.Ontiveros@carlsbadca.gov Cynthia.WongcarIsbadca.gov I ,'•'. •.• ' ' El. fl] Dominic Fieri - 760-602-4664'. - - - . . - . ' DominicFieri'carIsbadca.gov - • -.- . -.- . .- - •-.•__,_ -• Remarks: 4 4 ( ,- - -''V - 'V -. ,J__• 'V - - .....- -V.'. - 4 . . .- - • S. ' 'V -) S • . - . V. • S - - . - . - S - , . • 4 - . -.-,''- - -V.- V :- ..- . V •t •. S .5 . . '1 -- 'V 'V - -'V • -V - V - --- ••.,-V'•• - -- (V-i V V •, --V • -- ----V." . CB160021 Valley 17 Lot -' - '- • Outstanding issues will bemakdwith .. Items that conform topeimit requirements ar'emarkpd I with EJ -or- have intentionally been left blank. t SITE PLAN Provide a fully dimensioned site plan drawn to scale Show Eli L71 North arrow . . . E1 LIJ Existing & proposed structures - Property line dimensions........... . . Easements Show on site plan: . . . . flirainage patterns . JExisting & proposed siópes : . Existing topography Retaining Walls (location and height) . 1111 Indicate what will happen with soil excavated from pool area Include on title sheet: 571 Site address . -• Assssor' parcel number Legal description/lot number. . . . .. Eli] [TI Gradiri: Quntitiesof . Cut Fill Import Export Project does 'not comply with the f0110wirg engineering conditions of approval - for project no: .•-.•. - [T Eli Conditions were complies with by Date Lot / Map No.: 4 /M15996 Subdivision/Tract: ci 12-07 • • . • - Reference No(s): DWG 480-4A -. - E37 Page 2of4 REV 6/2012 U CB160021 Valley 17 Lot 4 / .'. 2. GRADING PERMIT REQUIREMENTS The conditions that require a grading permit are found in Section 11.06.030 of the Municipal Code. LIII Elli Inadequate information available on site Ian 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" ' .. . . . J 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 civilengineer must be submitted together,with the completed application form attached. No grading permit required. ' • 3. MISCELLANEOUS PERMITS " LIIIJ L71 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. LIII Lli A separate right-of-way issued by the engineering division is required for the following: ' 111111 LIII Please complete attached right-of-way application form and return to the engineering department together with the requirements on the attached right-of-way checklist, at the time of resubmittal. . . • • • Right-of-way permit and pool permit will be issued simultaneously. E-37 • 'Page 3of4 REV 6/2012 • - '.- - I I' . .•. ' . , CB160021 '3 Valley 17 Lot - •g ' ,' - 4. STORM'WATER .. •• .• , ' . - '. .'' .'- • . Construction Compliance - •t Eli E1 Project Thr&at Assessment Form complete. . -. lJ Enclosed Project Threat Assessment Form incomplete El IZJ Requires Tier 1 Storm Water Pollution Prevention Plan. Please complete attached form . '. and return (SW 16-03 ,) . 'El Requires Tier 2 Sform Watr, Pollution Prevention Plan. Requires submittal of Tier 2 0 SWPPP, payment of proc'essing fee and review by city. Post-Development (SUSMP) Compliance EZJ Storm Water Standards Questionnaire'complete: : - El Eli Storm Water Standards QuestionnairéTincornpleté. Plese make the càrrections, re-sign the questionnaire 6ndl resubmit with next submittal "El Projet is èubjectto Standard Storm Water Requirement. , See city Standard Urban - Storm Water Management Plan (SUSMP) for reference. '. http://www.carlsbadca.gov/business/buitding/Documents/EngStandsw-stds-vo14-ch2.IDdf El EJ Project neds to incorporate low impact development strategies throughout in 0né or - ' more of the following ways: " - El Rainwater harvesting (rain barrels or cistern) =Vegetated Roof' - El] Bioretention&cell/rain garden . •, - El Pervious pavement/payers El Flow-thrgugh planter/vegetated' or rock drip line - Vegetated swales or rock infiltration swales ' Downspoüts disconnect and discharge over landscape Other:•-. ' - , :- -' -. __,4_ -' -• • -' • . . p . ......... . ... . ... . . . . .... ..................... . ....... . . ..... ............. . . ..... . ............ j Attachments: Engineering ApplIation J - Storm Water Form El Right-of-Way Application/ Info Reference Documents E-37 ) - • ' Page 4of4 - - ' REV6/01/12 t - . - -• -- I.., - - ' .t ' - - - -• 'p1-- - CONSTRUCTION THREAT ASSESSMENT WORKSHEET FOR Development Services DETERMINATION OF PROJECT'S Land Development Engineering C I T y 0 F PERCEIVED THREAT TO : 1635 Faraday Avenue C" A STORM WATER QUALITY 760-602-2750 E-33 www.carlsbadca.gov Construction N Perceived Th SWPPP Tier Construction Threat Assessment Criteria* t t Level Storer ., Quality Tier 3— High Construction Threat Assessmehtáriteria U4 Project site is 50 acres or more and graying will occur during the rainy season' - U Project site is I acre or more in size aØ'd is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 00 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA High U Soil at site is moderately to highly'erosive (defined as having.a predominance of soils with Tier 3 USDA-NRCS Erosion factors kf (eater than or. equal to 0.4) U Site slope is 5 to 1 or steeper 7 U Construction is initiated durin'the rainy season or will extend into the rainy season -(Oct. 1 through April 30): / U Owner/contractor received Storm Water Notice of Violation within past two years Tier 3 - Medium Construction Jreat Assessment Criteria U All projects not meeting 1'er 3 High Construction Threat Assessment Criteria Medium Tier 2 High Construction -T 'reat Assessment Criteria . cated >41thin the Buena Vista,or AguaHedionda Lagoon watershed, inside or withinet ofn environmentally sensitive area (ESA) or discharges directly to an ESA U Soil as mderately to highly erosive (defined as having a predominance of soils with USD osion factors kf greater than or equal to 0.4) - High U Proje/ ee Site s%to I or steeper Tier2 Cons is initited during the rainy season or willextendinto the rainy season (Oct. 1 throul 30). - Owneactor received a Storm Water Notice of Violation within past two years U Site rin one half acre or more of soil disturbance , Tier 2 - Mdium Construction Threat Assessment Criteria . U A/projects not meeting Tier 2 High Construction Threat Assessment Criteria M d' e ium • TierA' - Medium Inspection Threat Assessment Criteria . . Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, within or directly adjacent to anenvironmentally, sensitive area (ESA) or discharges directly to an ESA U 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) - - U Site slope is 5 to 1 or steeper Medium Tier 1 U Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). U Owner/contractor received a Storm Water Notice of Violation within past two years U Site results in one half acre or more of soil disturbance - - Tier I - Low Inspection Threat Assessment Criteria . U All projects notin'e'étihg Tier-"1Mediurr Corstruction Threat Assessment Criteria L Exempt - .. - . .- -N - - Exempt - i ne city engineer may autnorize minor variances trom the'construction threat assessment criteria in special circumstances where it can,b'e shown that a lesser or higher amount of storm water compliance insection is warranted in the opinion of the city engineer 5* • '•5 I , t - - ': •-' 4 5 - p.- 5., - - E-33 • ' Page 1 of 1 REV 4/30/10 -. .5 V "V STORM WATER Development Serv,cs llev:h) I m C IT Y 0 F COMPLIANCE Building Division 1635 Faraday Avenue CARLSBAD ASSESSMENT B-24 www.carlsbadcà.gov I 'm applying to the City of Carlsbad for the following type(s) of'contructin permit: 7 Building Permit U Right-bf-Way Perrnit / •. •I " ,. '' r '' . D My Øro$ct is categorically EXEMPT from Electrical Patio/Deck the requirement to prepare a storm water I Fire Additional Photo Voltaic pollution prevention plan (SWPPP) because it Fixed Systems Sign only requires issuance of one or more of the, Mechanical-. SpaFactory - following permit types: V Mobile Home '' Sprinkler Plumbing Water Discharge Project Storm Water Threat Assessment Criteria" No Threat Assessment Criteria U My project qualifies asNO THREAT and is exempt fromthe requirement to prepare a storm water pollution prevention plan (SWPPP) because - V it meets the VflO 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. V • Tier I -, Low Threat Assessment Criteria. V 1J" My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list aboQê) and the project meets one or more of the following criteria: '. - V - •.V' V - •'• •' 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 U . My project does not meet any of the Significant Threat assessment Criteria described belovi and.meéts,'one or more of the following criteria: V • Project requires a gradingplan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Minicipal Code); or, Project will result in 2,500 square feet or more of soils disturbance including any associated construction stagiiig, stockpiling, pavement removal, equipment storage, refueling and maintenance ares 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 Wrm 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 U My project includes cleanng grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction stag in, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or : U My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any V associated construction staging, equipment storage, refueling and maintenance areas: or, o 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). . V I certify to the best of my knowledge that the above checked statements are true and correct. I understand t 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 with the storm water best management practices - pursuant to Title 15 of the Carlsbad Municipal, Code 'The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it h Oh,,,.,. 44,4 • I,.,-,,, h,,h,,. (',,,,*, ,,.4,,, OW Ti OOD TV, I / V warranted. B-24 - . . Page 1 of 1 . - , Rev.03/09 Project Address: . .. . Assessor Parcel No. i Owner/Owner's Authorized Agent Name: - - . - life: _________ activities for the permit type(s) check above comply and to City Standards. Oner/Owner' uthorizedAgent Si in: . . ,- Date: . . - _ . / '_-ç. n u Ce: Z By- /ate:' I I'li P S i ONO -I .'i/II 7 1 5- - I . - - STORM WATER '4 .. . Development Services STANDARDS Land Develop ment Engineering ciiy 0 F T - QUESTIONNAIRE:. - 15 Faraday Avenue . z . - .' - . 760-602-2750 CARLSDMD - - - - -. ri INSTRUCTIONS 51 I • To address post-development pollutants that may be generated from development projects, the City requires that new development and significant redevelopment priority projects v incorporate Permanent Storm Water Best Management Practices (BMPs) 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.carlsbadcà.dov/standards. - - --S .. -; S • .'* S..-, '•!S • S - S Initially this questionnaire! must be completed by the applicant in advance of submitting for 'a develópmentapplication.(éubdivision, discretionary pemiits and/or construction p'ermits). The results of the questionnaire determine the IeVelbf storm vater 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 prójèct. . .. .* . S. ' - 5-" ' • 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 orneed 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 _,___5• _..4 _ 5.-..-'- .-- -i Please start by completing Step I and follOw, the instructions. .Whén'completed, sign the f6rm at the end and submit this with your application to the city. STEP 1 ' - -;. ••. •.'-, -5-':'. '--r: -,-:-s p. - I •1 j - _. - '(' 4'• 4,. S.. • r ........_ -:-- .'.-'- .5. - 4 'S. ,• _a a 5-51 1•4 •5-5- * - .4 - . -- . - .' - - , •. - --' ' .4 - -'.5-. - S5_• 1 -, - E-34 Page 1 of 3 Effective 6/27/13 b. TO BE COMPLETED FOR ALL PROJECTS To determine if your project is a priority development project,p1ea5e answer the following questions: . ......... YES ' N Is your project LIMITED TO constructing new orretrofitting 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?' - .- . .. . 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 4 ... -r ''p2' '•_5 -.-,... :•-- -, •; -, '.5-. If you answered "no" to both 4 questions, then go to Ste . STORM WATER. ' .. - Development Services i' STANDARDS Land Development Engineering CITY OF . QUESTIONNAIRE;. . 1635 Faraday Avenue y . . 760-602-2750 CARLSBAD / E-34 sTE2 . TOBECOMPLETEDFOR rp ALLNEWORREDEVELOPMENTPROJECTSt T o determine ifyour project is a priority development project, please answer the following questions:* YES. 1. Is your rojecta new development that creates 10,000 square feet or more of impeMou surfaces' collectively ; over the entire project site? This includes commercial industrial residential mixed use i-id public development projects on public or private land. 2.511s your project creating or replacing 5,000 square feet or more of impervious surface collectively over the entire project site on an existing sité,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. 1s your-project a new or redevelopment project that creates 5,000 square feet or more of impervious surface ' .1 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,refreshrnent 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 im'pêMou's surface,-.. ', collectively over the entire project site and supports a hillside development project? A'hillside development jroject includes development on any natural slope that is twenty-five percent or.greater. .' . '.• '; . 5. Is your project a new or rOdevèl6pment project that creates 5,000 square feet or more of im'pervious surface collectively over the entire' project site and supports a parking lot: A parking lot is a land area or faclYity 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 impervious surface used for the' transpc.rtation of ' • automobiles, truck, motorcycles, and other vehicles.' 7 Is your project a new or redevelopment project that creates or replaces 2,500- square feet or more of ce impervious surfa 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).* , , -. t - . 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 Clasification (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 sqáa're feet or more or (b) a project 'Average Daily Traffic (ADT) 'of 100 or more'vehiclesper day. -. ' ' . '' •.. . . . ' , ' - .- 10.1s your project anew or redevelopment project that reults'in the disturbance of Oneor more acres of land à'ñd -- ' -are expected to generate pollutants post bonstructio?, -. - . . '. ... , I ' ' ' - ",'r . ', ', • , .'- ills your project located within 200 .feet of the Pacific OOean and.(1) creates 2,500,s6uàre feet crmore 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 subjct 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 jyour application(s) for development. Go to step 3 for redevelopment projects; For new projects, go tç step 4 at the end of this m m questionnaire, check the "y project meets PDP requirements" box and coplete applicant information. .. 4 . . .,. I 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 Wte'r4Requirements 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 questio'nnaire, check the.,"my projec no t does t meet PDP requirements" box and complete app lican information. E-34 Page 2 of 3 / Effective 6/27/13 = Ar STORM WATER ... . . . STANDARDS :, Development Servicei. Aa - Land Development Enginedring A I TY OF QUESTIONNAIRE,' •- 1635 Faraday Avenue CAR E: ':.'.',' 760-602-2750 -34 www.carlsbadca.gov - - - - _.-. .4 • .2, '' 4 . •. .. . •. - £ - I.., . •_, ;.' .. - 3 ' -, -. , •_. •, - -. . I ' • -' f- '--iTO,BE COMPLETED, FOR REDEVELOPMENT, PROJECTS ,THATrARE-RRIORITY,DEVELOPEMENT PROJECTS ONLY Complete the questions below regarding your redevelopment project: " - YES N Does the redevelopment project result in the creation or replacement of impervious surface in an amount of less than 50% of the surface area of the previously existing development? - - If you answered "yes,' the structural BMP's required for Priority Development Projects apply only to the creation or replacement of;~ impervious surface and not the entire development. Go to step 4, check the "my project meets PDP requirements"box and complete applicant information. , - •• - - .1 If you arcswered "no," the structural BMPs 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' A • ... ..$ .3, ., A •..' STEP4.1;...,-: ....::'.. C ' HECKTHE'APPROPRIATE BOX AND COMPLETE APPLiGANTINFORMATlON .,4• My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirementsj and must comply with additionalstormwater - criteria per the SUSMP and I unde'rstand I must 'prepare i Storm Water Management Plan for submittal at time of application'. I understand flow control (hydrornodification) 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 of these requirements, Iwill incorpbrate low impact development strategies throughout my project. Applicant Information and Signature Box - - 2 -, 3.,- 3, -. -i--J . '" . '" • I. Address lb Ao e, Accessors Parcel Number(s) Applicant Name 4ApplicantTitle , 4 Applicant Signature J Date - This Box for City Use Only ,. . -, .3'. ..•:••7. 4 . , •.lI I - . . .3 , ' 4.,.. - -- * , .4 4 3 .3. .. •.4_ . 4., .3,-.... _4' 4 . . 3. . ., •e,.. - ' . - . 4.• .3 .'•; -' - . '-4.. .3 1 :, , - - - • I • . - * Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas designated as Areas of Special Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources ,Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); areas designated as preserves or their 'quivalent under the Multi Species Conservation Proram within the Cities and County of San Diego; and any other equivalent environmentally sensitive areas which have been identified by the Copermittees. t,, . .-. 3.. •• -. 3 .' ,-' . 4 3 . 3 .,.. •! '•' ..,' ' •,, c ---i . - . • . . - - •.. -. . a • •_' • . - .3..'- -3 .3 • 2 '' . . 3 ,. 3 L . E34 •• ,,. - A .: '(Page 3 of 3 Effective 6/27/13 7. 4 3- '.3 4, - . '3 3 . -.3 -" • . - ". - ' -- ........ .' ' _ILI_IIjJ, --- - ____ "LTil CITY OF CARLSBAD. STORM WATER COMPLIANCE FORM TIER I CONSTRUCTION SWPPP E-29 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 - www.carlsbadca.gov STORM WATER COMPLIANCE CERTIFICATE .' My project is not in a category of permit types exempt from the Construction SWPPP requirements 1- My project is not located inside or within 200 feet of an environmentally sensitivd area with a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). .( My project does not require agràding 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). CERTIFY TO THE BEST OF MY KNOWLEDGE THAT ALL OF THE ABOVE CHECKED STATEMENTS ARE TRUE AND CORRECT. I AM SUBMIT-TING FOR CITY APPROVAL A TIER 1 CONSTRUCTION SWPPP PREPARED iN' ACCORDANCE WITH THE REQUIREMENTS-OF CITY STANDARDS. / 1.. I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES• TO THE. MAXIMUM EXTENT PRACTICABLE TO MINIMIZE THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO MINIMIZE THE EXPOSURE OF STORM WATER TO CONSTRUCTION RELATED POLLUTANTS; AND, (2) ADHERE TO, AND AT ALL TIMES, COMPLY WITH THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD. - L0 OWNER(S)/OWNER'S AGENT NAME (PRINT) E (SIGNATURE) DATE PROJECT INFORMATION Site Address: 14 31 0 4 - 1 Assessor's Parcel Number: -- ProjectI DI: ' L-2-! Construction Permit No.51AJ Estimated Construction Start Date - Project Duration - Months Emergency Contact: Name: L-tA ?JJb 14" 24 hour Phone:-7 6 0 5 5 ( Z( Perceid Threat to Storm Water Quality . 'ediur - ' I - - E] Low If medium box is checked, must attach a site plan sheet showing proposed ork area and location of proposed structural BMP& , - For City Use Only -- CITY/Q CARLSBAD - - STAND #I3O TIER 1 SWPPP Approved By: Date:! STORM WATER POLLUTION PREVENTION NOTES ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION AND SEDIMENT CONTROL BMPS WHEN RAIN IS EMINENT. 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. 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. 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. ALL GRAVEL BAGS SHALL BE BURLAP TYPE WITH 3/4 INCH MINIMUM AGGREGATE. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. - SPECIAL NOTES E-29 Page 1 of REV 4/30/10 - ' 1' ion Control - Tracking Non-Storm Water %-4 m Waste Manageeñt and Materials ( S ErosB MP5 Sed iment Control BMPs Control Management BMPs Pollution Control BMPs BMPs ç - . Best Management Practice E (BMP) Description -* (I) • I— E ca ,, C) C) Cc 0 0 . i CU (U c D r; -_T LL • , o po iP ocu 8 E (O c WO (I) (I) U) . 0 a.. C!) U)> Cl) )O. CJ). U) c oC o )u_ > C ( Cl) Cl)( U). I O 0. CASQADesignation - N- ) O .- CO It) 9 N- U) C, C'J - C') N- U) C'J C') It) 9 U) 000 w w 7 0 Lu Cl) w U) w () ui Cl) th () ui Cl) (n iii Cl) '7 W i- I- th Z th Z (n Z Z Construction Activity W - Cl) Grading/SoilDisturbance Xi Treriching/Excavation - - Stockpiling - Drilling/Boring S Concrete/Asphalt Saw - - cutting - - Concrete flatwork -- - Paving I F I --- - Conduit/Pipe Installation Stucco/Mortar Work - - - - - - Waste Disposal 0- Staging/Lay Down Area.. Equipment Maintenance and Fueling -- Hazardous Substance - -. Use/Storage - Dewatenng - Site Access Across Dirt - Other (list): - Instructions: Begin by reviewing the list of construction activities and checking the box to the leftof 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 descrnbed, pick one or more best management practices (BMPs) from the list located along the top of the form. Then place an X in the box at the place where the activity row intersects with the BMP column. Do this for each activity that was checked off and for each of the selected BMPs selected from the list. For Example - If the project includes site access across dirt, then check the box to the left of "Site Access Across Dirt. Then review the list for something that applies such as "Stabilized Construction Ingress/Egress' under Tracking Control. Follow along the "Site Access Across Dirt" row until you get to the 'Stabilized Construction Ingress/Egress" column and place an X in the box where the two meet. As another example say the project included a stockpile that you intend to cover with a plastic sheet. Since plastic sheeting is not on the list of BMPs, then write in "Cover with Plastic" in the blank column under the heading Erosion Control BMPs. Then place an X in the box where the "Stockpiling" row intersects the new "Cover with Plastic" column. - To learn more about what each BMP description means, you may wish tb review the BMP Reference Handout prepared to assist applicants in the selection of appropriate Best Management Practice measures. The reference also explains the California Stormwater Quality Association (CASQA) designation and how to apply the various selected BMPs to a project. E-29 - - Page 2 of 3 REV 4/30/10 PLANNING DIVISION Deve!opmeht Services BUILDIN'G PLAN CHECK Planning Division ' "c IT Y * 0 F APPROVAL " 1635 Faraday Avenues CARLSBAD P29 ,er DATE: 1,,7/2O16- PROJECT NAME: RETAINING WALL PROJECT ID: PLAN CHECK NO: CB160021 SET#: '1 ADDRESS: 1631 OAK AV APN: 4 - -- r -- -• 0 - - - This plan check review IS complete and has been APPROVED by the PLANNING Division. •--- : - -: = -::-. -JO 4 By VERONICA MORONES t A-Final Inspection by the PLANNING Division isrequired El Yes Z No You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit Resubmitted plans should include corrections from all divisions This plan check review is NOT COMPLETE Items missing or incorrect are listed on the attached checklist Please resubmit amended plans as required - . Plan Check APPROVAL.hs been sent to: LOREN@WOLVERTONLANDSCAPES.COM:t , For questions or clarifications on the attached checklist please contact the following reviewer as marked /0 Remarks: RETAINING WALL IN REAR YARD, SHOWN AT 48" MAXIMUM HEIGHT. MEETS REQUIREMENTS FOR BEING BUILT TO PROPERTY LINE ' ': ... . '- I - * 4 + - • d . fr• - - - - - .- ' J PLANNING )_+V_,_--:-_ ENGINEERING ••-' FIRE PREVENTION 7606024610 7606022750 -760602-4665 " - ._•,. " - --t'- - --'- -' -' - Chris Sexton (ChrisGlassen Greg Ryan -760-602-4624 - ". 0 760-602-2784 -- - - 760-602-4663 -. - -- Chris Sexton@carlsbadca gov Christopher Giassen@carisbadca gov Gregory Ryan@carlsbadca gov H Gina Ruiz' H ValRay Marshall Cindy Wong 760-602-4675 - -- - -' 760-602-2741 - - . - 760-602-4662 - Gina.Ruiz@carisbadca.gov VaiRay Marshail@carisbadca gov Cynthia Wong@carlsbadca gov Veronica Morones- H -'Linda Ontiveros - Dominic Fie'ri - - 760-602-4619 '• . 760-602-2773 - -. 760-602-4664 - - Vironica.Morones@carlsbadca.gov •0 Liida.0ntiveràs@carIsbadca.gov •' - Dorninic.Fieri@carkbadca.gov -