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Home My WebLink About1649 AMANTE CT; ; CB110356; Permit02-18-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No: CB110356 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 1649AMANTECTCBAD POOL 2159006200 Lot#: $17,713.00 Construction Type: COHEN RES- GAS FOR BBQ & 435 SF GUNITE POOL/SPA Status: ISSUED 0 Applied: 02/16/2011 NEW Entered By: RMA Plan Approved: 02/18/2011 Issued: 02/18/2011 Inspect Area: Applicant: SUNDANCER POOLS 728 INPIRATION ESCONDIDO CA 92025 760-489-5850 Owner: COHEN FAMILY REVOCABLE LIVING TRUST 10-03-02 1649AMANTECT CARLSBAD CA 92011 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Electrical Fee Plumbing Fee Strong Motion Fee Green Bldg Standards (SB1473) Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees $190.61 $0.00 $123.90 $0.00 $20,00 $27,00 $1.77 $1.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $364.28 Total Fees:$364.28 Total Payments To Date:$364.28 Balance Due:$0.00 Inspector: FINAL APPROVAL Date: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 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 fees/exactions o( which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. 02-18-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW110069 Job Address: Permit Type: Parcel No: Reference #: CB#: CB110356 1649AMANTECTCBAD SWPPP 2159006200 Lot#: Project Title: COHEN RES- GAS FOR BBQ & 435 SF GUNITE POOL/SPA Applicant: SUNDANCER POOLS 728 INPIRATION ESCONDIDO CA 92025 760-489-5850 Emergency Contact: JAY ZIER Status: Applied: Entered By: Issued: Inspect Area: Tier: ISSUED 02/16/2011 RMA 02/18/2011 1 Priority: M Owner: COHEN FAMILY REVOCABLE LIVING TRUST 10-03-02 1649AMANTECT CARLSBAD CA 92011 760 672-9850 SWPPP Plan Check SWPPP Inspections Additional Fees $49,00 $208.00 $0.00 TOTAL PERMIT FEES $257.00 Total Fees:$257.00 Total Payments To Date:$257.00 Balance Due:$0.00 PPROVAL SIGNATURE VuildYng PermirAppIietiAppIieitlon CITY OF CARLSBAD 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.ca rlsbadca .gov JOB ADDRESS SUITE#/SPACE#/UNIT# CT/PROJECT*PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of s) ) + MA / EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES O #_NOD AIR CONDITIONING YES D NO Q FIRE SPRINKLERS YES D NO D CONTACT NAME (If FomAppJIcant), i oflgrO V&J APPLICANT NAMI ADDRESS ADDRESS CITY STATE ZIP CITY PHONE FAX PHONE FAX EMAIL EMAIL CONTRACTOR ADDRESS ADDRESS CITY STATEcA PHON FAX PHONE FAX EMAIL EMAIL IGN£R NAME & ADDRESS CLASS _—--. CITYBUS.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, also requires theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I 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, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation^nsurance carrier and policy number are: Insurance Co. filiHl'mJ^f*^- Policy No. At "7 fj *\i "7\ Expiration Date . This section need not be completed if the permit is for one hundred dollars ($100) or less. n Certificate of Exemption: I certify that in the performance of the work for which this permit 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' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (4100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. , / / ^CONTRACTORSIGNATURE ffTtfrML ./At/jAf M tjfrh*\ r the following reason: O 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). d I, 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 contractors) licensed pursuant to the Contractor's License Law). O I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes n No 2,1 (have / have not) signed an application for a building permit for the proposed work. 3,1 have contracted with the following person (firm) 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 to coordinate, supervise and provide the major work (include name / address /phone / contractors' license number): S, 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 DAGENT DATE s. 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? a Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quail ty management district? PJ Yes d No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYes DNo 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 hereby aulhorize representative of Ihe City of Carlsbad to enter upon Ihe above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD OSHA: An OSHA permit is required for excavations over SO' deep and demolition or construction of structures over 3 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 if Ihe building or work authorized by such permit is not commenced within 180 days from Ihe date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for f period of 180 days (Section 106.4.4 Uniform Building Code). .^APPLICANT'S SIGNATURE (Jr\J(S\DATE City of Carlsbad Bldg Inspection Request For: 06/13/2011 Permit* CB110356 Title: COHEN RES- GAS FOR BBQ & Description: 435 SF GUNITE POOL/SPA Inspector Assignment: PD Type: POOL Sub Type: Job Address: 1649 AM ANTE CT Suite: Lot: 0 Location: APPLICANT SUNDANCER POOLS Owner: COHEN FAMILY REVOCABLE LIVING TRUST 10-03-02 Remarks: Phone: 7606729850 Inspector Total Time: CD Description 59 Final Pool Requested By: JAY Entered By: CHRISTINE Act Comments Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description 06/06/2011 55 Fence/Pre-Plaster 05/24/2011 11 Ftg/Foundation/Piers 03/31/2011 23 Gas/Test/Repairs 03/31/2011 51 Excav/Steel/Bonding/Fence 03/31/2011 52 Underground Plumbing 03/31/2011 53 Electric/Conduit/Wiring 03/30/2011 51 Excav/Steel/Bonding/Fence 03/30/2011 52 Underground Plumbing 03/30/2011 53 Electric/Conduit/Wiring Act Insp Comments AP PD AP PD DECK BONDING AP PD HTR, BBQ AP PD AP PD AP PD POOL, BBQ CO PD CO PD NO TEST CO PD CITY OF CARLSBAD BUILDING PLANCHECK - POOLS/RETAINING WALLS CHECKLIST E-37 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov BUILDING PLANCHECK NUMBER: CB BUILDING ADDRESS: PROJECT DESCRIPTION:Pool /Retaining Wall ASSESSOR'S PARCEL NUMBER: ENGINEERING DEPARTMENT APPROVAL The item you have submitted for review has been approved. The approval is based on plans, information and/or specifications provided in your submittal; therefore, any changes to these items after this date, including field modifications, must be reviewed by this office to ensure continued conformance with applicable codes. Please review carefull^alfcomments attached, as failure to comply wHti instructions in this report can result irys>i^en$ion of permit to build. By: DENIAL Please see the attached report of deficiencies marked with D- Make necessary corrections to plans or specifications for compliance with applicable codes and standards. Submit corrected plans and/or specifications to this office for review. By: By: By: Date: Date: Date: ENGINEERING DEPT. CONTACT PERSON Name: KATHLEEN LAWRENCE City of Carlsbad Email: kathleen.lawrence@carlsbadca.gov Address: 1635 Faraday Avenue, Carlsbad, CA 92008 Phone: (760)602-2741 Fax: 760-602-1052 E-37 Page 1 of 3 REV 6/30/10 SITE PLAN iST •jRD D D D D D n D fully dimensioned site plan drawn to scaje. Show: C. £Fdperty lines EasementstrrTg & proposed structures Show on site plan: ge patterns Existing & proposed slopes 'C. Existing topography 'Notej If excavated soil is not to be Indicate what will happen with ivated from pool area Staining walls (location and height) tied from property but regraded on site, show proposed elevations and slopes. If any portion of retaining walls is over 4' in height, a separate permit is required. Retaining Wall Permit CB Applied for Approved 3. Include on title sheet: A. Site address B. Assessor's parcel number C. Legal description D. Grading quantities Cut Fill Import Export 4.Project does not comply with the following engineering conditions of approval for project no. Conditions were complied with by: GRADING PERMIT REQUIREMENTS Date: The conditions that invoke the need for grading permit are found in Section 11.06.030 of the Municipal Code. 5a. Inadequate information available on site plan to make a determination on grading requirements. Include accurate grading quantities (cut, fill, import, export). 5b. Grading permit required. A separate grading plan prepared by a registered civil engineer must be submitted together with the completed application form attached. Note: The grading permit must be issued and rough grading approval obtained prior to issuance of a building permit 5c. A grading permit has been applied for: DWG 5d. No grading permit required. E-37 Page 2 of 3 REV 6/30/10 ST1 D ,ND2 D RD3 D MISCELLANEOUS PERMITS 6. A 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 department is required for the following: D D D D 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 building permit will be issued simultaneously. STORM WATER REQUIREMENTS Construction Compliance D 7a. Project Threat Assessment Form complete. D 7b. Enclosed Project Threat Assessment Form incorrectly completed. Please make the corrections, re-sign a new form and resubmit with next submittal. D 7c. Requires Tier 1 Storm Water Pollution Prevention Plan. Please complete attached form and return (SW //- t*0) ) Post-Development (SUSMP) Compliance D 7d. Storm Water Standards Questionnaire complete. D 7e. Storm Water Standards Questionnaire incorrectly completed. Please make the corrections, re-sign the questionnaire and resubmit with next submittal. D 7f, Project is subject to Standard Storm Water Requirements. See city Standard Urban Storm Water Management Plan (SUSMP) for reference. D 7g. Disconnect discharges per SUSMP. Do not connect runoff from impervious surfaces to storm drains without first discharging water over landscape areas. See SUSMP. D 7h. Minimize use of impervious surfaces per SUSMP. Redesign to reduce the excessive use of impervious area (pavement) on project. Use a balanced design of pervious surfaces (landscape area, planters, etc.) and impervious surfaces. See SUSMP D 8. Remarks E-37 Page 3 of 3 REV 6/30/10 S£T£T SHEET 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: Q Building Permit Q Right-of-Way Permit Q 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: Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria G 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 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. Tierl • 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 construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). 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 storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Tier 3 • Significant Threat Assessment Criteria Q 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 Q 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, Q 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 discharges). / 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 activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to Citv Standards. *The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser ortiigher Construction SWPPP Tier Level is warranted. Owner/Owner s Authorized Agent Name: Owner/Owner's Authorized Agent Signature: B-24 Page 1 of 1 Rev.03/09 STORMWATER „ , p .OTAMrkADrte Development Services w^ STANDARDS Land Development Engineering CITY OF QUESTIONNAIRE 1635faraday Avenue 760-602-2750 www.carlsbadca.gov 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). 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 additional criteria called 'Priority Development Project Requirements'. Many aspects of project site design are dependent upon the storm water standards applied to a project. Applicant 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 the applicant, 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 applicants are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, they are advised to 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, applicants for construction permits must also complete, sign and submit a Project Threat Assessment Form to address construction aspects of the project. Please answer the questions below, follow the instructions and sign the form at the end. 1. Is your project a significant redevelopment? DEFINITION: Significant redevelopment is defined as the creation, addition or replacement of at least 5,000 square feet of impervious surface on an already existing developed site. Significant redevelopment includes, but is not limited to: the expansion of a building footprint; addition to or replacement of a structure; structural development including an increase in gross floor area and/or exterior construction remodeling; replacement of an impervious surface that is not part of a routine maintenance activity; and land disturbing activities related with structural or impervious surfaces. Replacement of impervious surfaces includes any activity that is not part of a routine maintenance activity where impervious material(s) are removed, exposing underlying soil during construction. If your project IS considered significant redevelopment, then please skip Section 1 and proceed with Section 2. If your project IS NOT considered significant redevelopment, then please proceed to Section 1. €-34 Page 1 of 3 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 SECTION 1 NEW DEVELOPMENT PRIORITY PROJECT TYPE Does you project meet one or more of the following criteria:YES NO 1. Housing subdivisions of 10 or more dwelling units. Examples: single family homes, multi-family homes, condominium and apartments 2. Commercial - greater than 1-acre. Any development other than heavy industry or residential. Examples: hospitals; laboratories and other medical facilities; educational institutions; recreational facilities; municipal facilities; commercial nurseries; multi-apartment buildings; car wash facilities; mini-malls and other business complexes; shopping malls; hotels; office buildings; public warehouses; automotive dealerships; airfields; and other light industrial facilities. l/ 3. Heavy Industrial / Industry- greater than 1 acre. Examples: manufacturing plants, food processing plants, metal working facilities, printing plants, and fleet storage areas (bus, truck, etc.).I/ 4. Automotive repair shop. A facility Categorized in any one of Standard Industrial Classification {SIC) codes 5013, 5014, 5541, 7532-7534, and 7536-7539 I/ 5. Restaurants. Any facility that sells prepared foods and drinks for consumption, including stationary lunch counters and refreshment stands selling prepared foods and drinks for immediate consumption (SIC code 5812), where the land area for development is greater than 5,000 square feet. Restaurants where land development is less than 5,000 square feet shall meet all SUSMP requirements except for structural treatment BMP and numeric sizing criteria requirements and hydromodiflcation requirements. 6. Hillside development. Any development that creates 5,000 square feet of impervious surface and is located in an area with known erosive soil conditions, where the development will grade on any natural slope that is twenty-five percent (25%) or greater. 7. Environmentally Sensitive Area (ESA)1. All development located within or directly adjacent2 to or discharging directly3 to an ESA (where discharges from the development or redevelopment will enter receiving waters within the ESA), which either creates 2,500 square feet of impervious surface on a proposed project site or increases the area of imperviousness of a proposed project site to 10% or more of its naturally occurring condition. I/ 8.Parking lot. Area of 5,000 square feet or more, or with 15 or more parking spaces, and potentially exposed to urban runoff 9. Streets, roads, highways, and freeways. Any paved surface that is 5,000 square feet or greater used for the transportation of automobiles, trucks, motorcycles, and other vehicles 10. Retail Gasoline Outlets. Serving more than 100 vehicles per day and greater than 5,000 square feet 11. Coastal Development Zone. Any project located within 200 feet of the Pacific Ocean and (1) creates more than 2500 square feet of impermeable surface or (2) increases impermeable surface on property by more than 10%. 12. More than 1-acre of disturbance. Project results in the disturbance of more than 1-acre or more of land and is considered a Pollutant-generating Development Project4.\/ 1 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 equivalent under the Multi Species Conservation Program within the Cities and County of San Oiego; and any other equivalent environmentally sensitive areas which have been identified by the Copermittees. 2 "Directly adjacent" means situated within 200 feet of the Environmentally Sensitive Area. 3 "Discharging directly to" means outflow from a drainage conveyance system that is composed entirely of flows from the subject development or redevelopment site, and not commingled with flow from adjacent lands. 4 Pollutant-generating Development Projects are those projects that generate pollutants at levels greater than background levels. In general, these include all projects that contribute to an exceedance to an impaired water body or which create new impervious surfaces greater than 5000 square feet and/or introduce new landscaping areas that require routine use of fertilizers and pesticides. In most cases linear pathway projects that are for infrequent vehicle use, such as emergency or maintenance access, or for pedestrian or bicycle use, are not considered Pollutant-generating Development Projects if they are built with pervious surfaces or if they sheet flow to surrounding pervious surfaces. Section 1 Results: .If you answered YES to ANY of the questions above your project is subject to Priority Development Project requirements. Please check the "meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3. A Storm Water Management Plan, prepared in accordance with City Storm Water Standards, must be submitted at time of application. If you answered NO to ALL of the questions above, then your project is subject to Standard Stormwater Requirements. Please check the "does not meet PDP requirements" box in Section 3. E-34 Page 2 of 3 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 SECTION 2 SIGNIFICANT REDEVELOPMENT Complete the questions below regarding your redevelopment project: 1 . Project results in the disturbance of more than 1 -acre or more of land and is considered a Pollutant-generating Development Project (see definition in Section 1). YES NO, I/ If you answered NO, please proceed to question 2. If you answered YES, then you ARE a significant redevelopment and you ARE subject to PRIORITY DEVELOPMENT PROJECT requirements. Please check the "meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3 below. / 2. Is the project redeveloping an existing priority project type? (Priority projects are defined in Section 1 )I/ If you answered YES, please proceed to question 3. If you answered NO, then you ARE NOT a significant redevelopment and your project is subject to STANDARD STORMWATER REQUIREMENTS. Please check the "does not meet POP requirements" box in Section 3 below. 3. Is the project solely limited to just one of the following: a. Trenching and resurfacing associated with utility work? b. Resurfacing and reconfiguring existing surface parking lots? c. New sidewalk construction, pedestrian ramps, or bike lane on public and/or private existing roads? d. Replacement of existing damaged pavement? ^fI/ ,/ V,\/ If you answered NO to ALL of the questions, then proceed to question 4. If you answered YES to ANY of the questions then you ARE NOT a significant redevelopment and your project is subject to Standard Stormwater Requirements. Please check the "does not meet POP requirements" box in Section 3 below. 4. Will your redevelopment project create, replace, or add at least 5,000 square feet of impervious surfaces on an existing development or, be located within 200 feet of the Pacific Ocean and (1)create more than 2500 square feet of impermeable surface or (2) increases impermeable surface on the property by more than 10%?V If you answered YES, you ARE a significant redevelopment, and you ARE subject to PRIORITY DEVELOPMENT PROJECT requirements. Please check the "meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3 below. If you answered NO, then you ARE NOT a significant redevelopment and your project is subject to STANDARD STORMWATER REQUIREMENTS. Please check the "does not meet POP requirements" box in Section 3 below. SECTION 3 Questionnaire Results: My project meets PRIORITY DEVELOPMENT PROJECT (POP) requirements and must comply with additional stormwater criteria per the SUSMP and must prepare a Storm Water Management Plan for submittal at time of application. My project does not meet POP requirements and must only comply with STANDARD STORMWATER REQUIREMENTS per the SUSMP. Applicant Information and Signature Box This Box for City Use Only Address: Applicant Name: Assessor's Parcel Numbers): Applicant Title: City Conc By: ncurrencerf 1 is/I YES Date: E-34 Page 3 of 3 REV 4/30/10 m NJto OOOH TH s HS ~>Oc5OXQO>c |l5S|m|dlS SgSSiSI'B!d |5}£0 i*|po O-i m- O TtssSs^g So!Sligiosiz ||oS w-gl3lg ooxoo 3J m m iopO H H -n •*> -< D-<CH ASTER, ANDTRUCTIUCTIOTE ANW ^^ir^gSs^l-is TJ01CO(D m w 33 w >ISli-^of=z z co o3 Co rn m R^^iO i~ > >1^3oo™01O O i— ni- z m c 500=5|-nz^ Jmwm Ii^§i°§ 5>5rS> zo >5°cFl W d33 '« § O m 0 ki£. =• 3 til.a 3 CO CD& a a I.o D S1 O* ao3wSa. 0? <D 5T O on Z. s|UJ 2 W1 fl) -n 3 - " m g 8. 3• fl) OQCTi -^r —• 1O (D n»ft OQ sCO COCD N3 S. W S- a-'S I &*! 3° I? •* " o i 5i«!?sli =1-W :oo!.93:! CD-i ISite Access Across DirtDewateringHazardous SubstanceUse/StorageEquipment Maintenanceand FuelingStaging/Lay Down AreaWaste DisposalStucco/Mortar WorkConduit/Pipe Installation13m 3'10 Concrete flatworkConcrete/Asphalt SawcuttingO a.3co StockpilingTrenching/Excavation<Grading/Soil Disturbancef ~*""s, <s ^ s < < s*-*,CAJ9QA Designation ->/Construction ActivityEC-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 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 Storaae Material Use Stockpile Management Spill Prevention and Control Solid Waste Mananpment Hazardous Waste Manaaement Concrete Waste Mananpmant Erosion ControlBMPsSediment Control BMPsTrackingControlBMPsNon-Storm WaterManagement BMPsWaste Management and MaterialsPollution Control BMPs PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB 11-0356 DATE 2/18/11 ADDRESS 1649 Amante Ct RESIDENTIAL ADDITION- MINOR (<17,000.00) RETAINING WALL VILLAGE FAIRE POOL/SPA TENANT IMPROVEMENT COMPLETE OFFICE BUILDING OTHER PLANNER ENGINEER .DATE DATE H:\ADMIN\COl!NTER/PUNNING/ENCINEERlNC APPROVALS