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165 PINE AVE; ; CB153894; Permit
Print Date: 06/26/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 165 Pine Av BLDG-Residential 2041230100 $0.00 165 PINE AVENUE City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: Demo Status: Lot#: Applied: Reference#: DEV15017 Issued: Construction Type: Finaled: Bathrooms: Inspector: Orig. Plan Check#: Plan Check#: Description: DEMO -DEMOLISH 2 HOMES ON SAME LOT 165 & 175 PINE AV IN PREPARATION FOR CONDO PROJECT-PC150039 Applicant: PROPHET SOLUTIONS INC 5845 Avenida Encinas, 138 Carlsbad, CA 92008-4432 760-999-2146 Total Fees: Owner: THE RAMMY LLC 23679 Calabasas Rd Calabasas, CA 91302-1557 818-438-8800 Total Payments To Date: Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 of which you have previously been-given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Permit No: CB153894 Closed -Finaled 11/10/2015 01/19/2016 PDrei THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING QBUILDING OFIRE OHEALTH D HAZMAT/APCD r;p:::: ~\ ~16"" -Building Permit Application '..f Cicy of 1635 Faraday Ave., Carlsbad, CA 92008 C'-1 b Ph: 760-602-2719 Fax: 760-602-8558 ar s a email: building@carlsbadca.gov www.carlsbadca.gov JOB ADDRESS CT/PROJECT# EXISTING USE ic~h;\ APPLICANT NAME Prlna Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS PHASE# # OF UNITS # BEDROOMS d--~&,I.+,. GARAGE (SF) on, STATE ZIP q~ FAA CITY ~ STATE ZIP s°"" ~, a. 9:;,1 EMAIL STATE UC.# ~l5\3u, SUITE/I/SPACE/I/UNIT/I #BATHROOMS ~~ PATI0S(SF) DECKS (SF) H, ,¼ PROPERTY OWNER NAME ADDRESS Plan Check No. Est. Value ' APN FIREPLACE YES@# SWPPP d-O'i-\?-4 -Ol -DO CONSTR. lYPE OCC. GROUP V-S. R~ Ul AIR CONDITIONING FIRE SPRINKLERS NoO YES ~No D YEs[lf NoO L.L.C-, STATE ZIP CA. cr1~ FAA (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ 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 applicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). w0mm@uH," <s®®@@ro~(M,o®ro ,, . Workers' Compensation Declaration: / hereby affinn under penalty of peljury one of the following declarations: ~ 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' cnmnansatinn. a~ mouired hv Section ~700 nf the l>lbor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy numberare:lnsuranceCo._ A.a l\~~~\t_f-\N, \~~\}U\L\\.t,t (.'(), Policy No. ~\I.((_ C~,C S3 ,o&.\ t. Expiration Date lO · 0\• 't<J\C, 0section need not be completed if the permitis for one hundred dollars ($100) or less. Certificate of Exemption: I certify that in the performance of the work for which this permitis 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 {&100,000), in addition to the cost of compensation, damages as providepion 3706 of the Labor code, Interest and attorney's fees. JiS CONTRACTORSIGNATURE p/4_£ 0AGENT DATE ll~/tJ~/5 -. ®Wro~@~©©O(Ht>@@ ©@@Q,l:)ffi'l:) 'ilO®ro I hereby affinn that I am exempt from Contractor's Ucense Law for the following reason: D 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 contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section Business and Professions Code for this reason: -NA-1. I personally plan to provide the major labor and materials for construction of the proposed property improvement 0Yes ONo 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted wi1h the following person (firm) to provide the proposed construction (include name address/ phone I oontractors' license number): 4. I 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 I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work}: JiS PROPERTY OWNER SIGNATURE OAGENT DATE <s®®@O.(Hi'I] 'iJ'a)09 B@&'i?O®W &®@ 6!l®@0 u.H'.360©@W'ii'0~!1 @©0'1©0ro@ @G@®Oli'0' ®Q'.H1ti Is the applicant or future building occupant required to submit a bu.siness plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYes ONo ~ Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYes ONo Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes D 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. · @®ro~tr@©@W®ro o.@romoro@ ~@rnwi:sw >, I hereby affiITTI that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (Q Civil Code). Lender's Name /\JotJe-, Lender's Address '. : lMP@0,0<56.}ro 1l @@@trOQO@~ itO®ro C " I certify th at I have read the appllcatlon and state that the above information is correct and that the Information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Cartsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS 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 PERMrf. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Eve!)' permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or v.ort< authorized by such permit is not commenced within 180 days from the date of such permit or if the building f ,iJ!'DY such permit is suspended or abandoned at any time after the wort< is commenced for a period of 180 days {Section 106.4.4 Uniform Building Code). ,.@!APPLIC~T'SSIGNATURE ff /11 . DATE //.-JtJ,/7 , Permit Type: BLDG-Residential Application Date: 11/10/2015 Owner: Work Class: Demo Issue Date: 01/19/2016 Subdivision: Status: Closed -Finaled Expiration Date: 07/18/2017 Address: IVR Number: 710435 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 06/22/2017 June 26, 2017 BLDG-Final Inspection 027175-2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Passed Paul Burnette COMMENTS THE RAMMY LLC THUM LANDS 165 Pine Av Carlsbad, CA 92008 Reinspection PaSSf?d No No No No No Complete Complete Page 1 of 1 lnspe.ction History: 01/20/2016: 92-BLDG-Compliance Investigation Cancellation Completed By PD; 01/20/2016: 92-BLDG-Compliance Investigation Approval Completed By PD FOR APCO USE ONLY SAN DIEGO AIR POLLUTION CONTROL DISTRICT 10124 OLD GROVE ROAD, SAN DIEGO, CA 92131 PHONE (858} 586•2650 FAX (858) 586-.2651 Postmark Received Fee/ Receipt Notification# Entered Sector Inspector Assigned/Date NOTIFICATION OF ASBESTOS RENOVATION OR DEMOLITION OPERATIONS Completed by: ,.,JQ..,_r=da=n.,..J=a=m=e""s'------------Company: Whillock Contracting, Inc. 0 Original O Cancellatlon O Courtesy D Other(speclfy): __________ _ NOTIFICATION !2'l Revision ~ S O Change in asbestos amount D Change in start/end date {Indicate type of revision) (greater than 20%) 181 Demolition D Ordered Demo!!tlon D Renovation (removal} PROJECT TYPE D Emergency Removal D Emergency Demolition D Planned Renovation (annual) FACILITY INFORMATION Facility Name: Pine Ave M·F Address: 165-175 Pine Ave Cross Street: Garfield Street Cfty: Carlsbad Zip Code: 92008-3633 Facility Owner: The Rammy, LLC Address:· 23679 Calabasas RD. City: Calabasas State: ca Zip COde: 91302 Contact; Randy Title: owner rep, Phone No: 619-977-5365 Building Size {sq. ft): Building Age (years): 91 Number of Floors: 1 Number of Units: 2 2.200 so.ft. Building prior/present 0 Commercial D Hospital D Industrial D Office 0 K-12 School use: 0 Public B!da f.81 House/Condo OShio D Univ/Colleae D Other PROJECT INFORMATION Asbestos Survey Is Asbestos Present? Will the asbestos be removed? Is the building to be demolished? Performed?* f.81 Yes ONo 181 Yes ONo !2'l Yes ONo f.81 Yes ONo Friable Category I Category II Total llipes: Pipes: Pipes: 6 If 6 Asbestos Amount to be $urface Area: 4 sq.ft. removed Surface Area: 646 sg.ft;, Surfa~e Area: 650 (sq/In ft): i=acillty Component: i=acllity Component: Facility Component: Revised Amounts (If a revision} Asbestos Removal Start Date: _tigv. 3. 2015 Demolition Operation Start Date: Nov. 3Q, 2015 Asbestos Removal End Date: Nov. 6, 2Q15 Demolition Operation End Date: Det. 11,2012 For revisions only For revisions only Revised Start Date: Revised Start Date: Jsio, 2Qth, 2016 Revised End Date: Revised End Date: Feb 12th , 201§ Removal Contractor: I Name: ASE Contracting Phone No: 619-258-7290 I CSLB License#: 765083 Address: 1985 Friendship Dr. #J City/State/Zip: El Cajon, CA 92020 j Site Supervisor: Tim I Name: Wh!llock Contracting, Inc. I CSLB Uc~~;;~: 572217 -~- Demolition Contractor: Phone No: 619-579-0700 Address: P.O. Box 2322 City/State/Zip: La Mesa, CA 91943 I Site Supervisor: Brent WhlUock . ·Asbestos Surveys are required prior to Renovation and Demolition, however the actual survey is not required to be submitted with the notification. SDAPCD-SUBPART M-Rule 361.145 04/2010 Page 1 of2 NOTIFICATION. OF· A~BESTOS RENQVATION OR b~_MOLITION OPERATIONS .. wast~·Tr,msporter#i; Waste_ Transporter#2: .. Name: Whillock Cpntr1:1ctlng, lnc, · Name: .. . . Address:. P.O. box 2322 Address: ... Cij::y/State/Zjp: !:.a Mes<l, CA-91943 City/State/Zip: C .. I Phone: Contact Person: Tory Wtilllot_k Pho.nee 6.1$~579-0790' Contact .Person: wast~:Dlsposal.site (Landfill): . ' N?°me: .sw;:amore µindf!lf '. Address: 8514 Mast Blvd· City/State/Zip: Santee, CA 9207:1: ' .. · Contact ?erson: Edw_ar.d. Phone: 619-562-0!$30 ~bestos Detection Procedures: Check the appropriate pr~c:edures and analytical methods used to detect the presence of asbesto$ _cont_aining m_ateria!s • t8l . :o Survey 0 Inspection TEM D PCM tJ £Mk Sampling ti PLM 'O Other: - . -. . . . ·Descrlbework,practlces·ancf engineerin!;j control.st<> J,e used, Check applicable methods below: ' ~· '. 181 Water (EL DElmolitton w/roofing matl:lrials In place 121 Skid Lo;3qers/bobcats/Top Ldaders D Amended Water using sledge ham.mer:s. D Ter.rninator™ . . D Axes D Shovels q · Roofing Cu~lng saws D Implosi6n D H{gh Pressure Water,Blast D Demolition .w/Cat I Floor tiles in place 0 Explosion· 0 Infrared Machines ·o I<;e ehippers · D Pry B1;1rs D Negativq Air Machines o . ' tJ Cranes (wrecking ball, B.ulidoz.er. D Full Containment plamshe!I, bucket), Cl -Intentional Burning D 3 Stage Decon D Zarol)ont D . 'Backhoes 0 Glove Bag D Bl:!i:!d Blast ·121 Other: ~~c~va!;.Qr· D Cr.itic:af Barriers D Floor Buffer .For ()rdered De.molltion provide a· copy tlf the order· and complete the information below: Agency Name: Authorizing Person: Title: . · Date .of Order:: Qate Ordered to B~in: Phone: .. . :oe$<;ribe actio·ns .to be .follciwei;I if unexpected asbestos is found during demolltioti or <;:ontingency Pian. removal or asbestos material becomes disturbed, crumpled; pulverized or reduced to .. oowder . . Stabiii:~(;l, provide containment, bag waste, 'tJepa v;;ic and. transport.For. disposal • . ·•Training Certifica'tioo I c;l:!'rtify that a'n Jridlvidu~I traln~d ir, ttie provisions of this regulatlon (CF,R Part 61, Subpart M) will-be on site during .the removal ,i:lnd eyidence that the required ,training -has been accomplished ·. by this person will .be avaitabl~ for·tnspection during normal business h9urs • \ .. I . . Date:· Print Name: Signature: {Owner/Operator}. (Owner/Operator) . . '. ~nformation Certlfjc:ation: I certify ~hafthe Eibove lnfor(natlon ·i1c, correct. ·> Ppnt Namiji: Jordan James ' ()_, 12 • Date:.~ 1/½ 1& I Signature: (Owner/Operator), (Owner/.Operatoi'J - Original·notifii;:atio~s are t<> pe s~broitteg:to the.District atieast 10 ~orking days,prior.tq.removal or demolition. Re~ised';fo~lcesae to be·subm;tted as soon as·possible but np later th;mthe ori~ina)-start date., Original notifications cannot be accepted without the required fee(s) (Role 40(f)(2)), however revised .notific;aJipils will be ilccepteq without the r,equiredJee provided-tt,e fee is ·paid,.prior to the·start date of the original notlfication. • " '! ' spAPco -SUBPART lVI ,RuJ~ 3e.1.14s Page 2 of2 & ~ CITY OF CARLSBAD PLAN CHECK REVIEW TRANSMITTAL DATE:01-19-2016 PROJECT NAME: 165 PINE AVE. DEMO PLAN CHECK NO: CB15-389Lg SET#: 2 ADDRESS: 165/167 PINE AVE. VALUATION:$ Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov PROJECT ID: MS 15-03 APN: 204-124-01-00 ;7-i T~i~ ~Ian check review is complete and has been APPROVED by the ENGINEERING ~ D1v1s1on. By: CG 1/19/16 A Final Inspection by the Division is required [;Yes C~_-No ,--i This plan check review is NOT COMPLETE. Items missing or incorrect are listed on 1---__ ; the attached checklist. Please resubmit amended plans as required. Plan Check Comments have been sent to: STEVE@PROPHETSOLUTIONSINC.COM 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. For questions or clarifications on the attached checklist please contact the following reviewer as marked: . -- PLAN;NING- iep-eo24e1:o ; l Chris Sexton '._I 760-602-4624 Chris.Sexton@carlsbadca.gov [-~---: Gina Ruiz · __ j 760-602-4675 Gina.Ruiz@carlsbadca.gov - i ' --· Remarks: -ENGINEERING ' • 760-602-2750 Chris Glassen 760-602-2784 Christopher.Glassen@carlsbadca.gov Linda Ontiveros 760-602-2773 Linda.Ontiveros@carlsbadca.gov '-~ ' _ ,FIRE PREV~TlON' : ',., Greg Ryan 760-602-4663 Gregory.Ryan@carlsbadca.gov Cindy Wong 760-602-4662 Cynthia.Wong@carlsbadca.gov f7 Dominic Fieri L_, _ _j 760-602-4664 Dominic.Fieri@carlsbadca.gov *** DEMO PERMIT ISSUED CONCURRENTLYWITH GRADING PERMIT GR 15-36. PRE-CON HELD 1/19/16J. MC MAHON*** /4f~\::;.,. ~ ,,;-:,,' ¥c1TY OF CARLSBAD PLAN CHECK REVIEW TRANS MITT AL DATE: 11-20-2015 PROJECT NAME: 165 PINE AVE. DEMO PLAN CHECK NO: CB15-389L1g SET#: 1 ADDRESS: 165/167 PINE AVE. VALUATION: $ Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.c.arlsbadca.gov PROJECT ID: MS 15-03 APN: 204-124-01-00 This plan check review is complete and has beenAPPROVED by the ENGINEERING Division. By: CG 11/20/15 A Final Inspection by the Division is required Yes ./ No X This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check Comments have been sent to: STEVE@PROPHETSOLUTIONSINC.COM You may a/so 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. For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNIN'G ENGINEERING 'FIR:E PREVEN:1ION ,' 760-602-4610 760-602~2750 760-602-4665 Chris Sexton ,I Chris Glassen --Greg Ryan I 760-602-4624 760-602-2784 " 760-602-4663 Chris.Sexton@carlsbadca.gov Cbristo12her.Glassen@carlsbadca.gov Gregory.Ryan@carlsbadca.gov Gina Ruiz Linda Ontiveros Cindy Wong 760-602-4675 760-602-2773 760-602-4662 Gina.Ruiz@carlsbadca.gov Linda.Ontiveros@carlsbadca.gov Cynthia.Wong@carlsbadca.gov Dominic Fieri --760-602-4664 Dominic.Fieri@carlsbadca.gov Remarks: *** DEMO PERMITTO BE ISSUED CONCURRENTLY WITH GRADING PERMIT GR 15-36*** «~> ~ 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: Cl Building Permit ~f(\o\ ;.h,/" ~ er«:rr Cl 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: [J Right-of-Way Permit Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria Patio/Deck Photo Voltaic Re-Roofing Sign Spa-Factory Sprinkler Water Discharge CJ 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. Tier 1 -Low Threat Assessment Criteria CJ 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). Tier 2 -Moderate Threat Assessment Criteria 1' 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 CJ 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 CJ 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, CJ My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). I certify to the best of my knowledge that the above checked statements are true and correct I understand and acknowledge that even though this project does not require preparation of a 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 City Standards. Project Address: Assessor Parcel No. *The City Engineer may authorize minor variances from the Storm W~ter Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. B-24 OWner/OWner's Authorized Agent Name: City Concurrence: YES l:INO Page 1 of 1 Title: Date: 1/-10.-15 Rev.03/09 (_ City of Carlsbad STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov .. · J INSTRUCTJONS: .. 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 Ulban stormwater Management Plan (SUSMP}. To view the SUSMP, refer to the Engineering Standards {Volume 4, Chapter 2). 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 waterstandards applied to a project Your responses to the questionnaire represent an initial assessment of the proposed project conditiohs and impacts. City staff has responsibility for making the final assessment after submission of the development application. If staff determines that !he questionnaire was incorrectly filled out and is subjectto more stringent stonn water standards than initially assessed by you, this will result in the return of the development application as incomplete. 1n this case, please make the changes to -the questionnaire and resubmit to the City. lf yo1.1 are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, please seek assistance from Land Development Engineering staff. A separate completed and signed questionnaire must be submitted for each new development application submission. Only one completed and signed questionnaire is required when multiple development applications for the same project are submitted coocurrenUy. ln 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 ancl follow the instructions. When completed. sign the form at the end and submit this with your application to the city. -STEP1 · · -TOBE COMPLETE!) rOR.:ALL, PROJEC'i"S To determine if your project is a priority development project, please answer the following questions: YES NO 1. !s your project LIMITED TO constrtrcting new or retrofitting paved sidewalks, bicycle lanes or trails that meet the folfowing criteria: {t) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or X other non-erodible permeable areas; OR (2} designed and constructed to be hydrauffca!fy disconnected from paved streets or roads; OR (3) desi9ned and constructed with permeable pavements or surfaces in accordancewith USEPA Green Streets!'luidance? 2. Is your project LIMITED TO retrofitting or redeveloping eXisting paved alleys, streets, or roads that are l X designed and constructed in accordance with the USEPA Green Streets guidance? If you answered "yestt 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 lnformatlon. If vou answered "no· to both auestions, then go to Step 2. E-34 Page1 of3 Effective 6/27/13 ( Citvof arlsbad STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760·602-2750 www.carJsbadca.gov -_ -~ . -_ _ ·-STEP_-2--:_ --_ TO '3E COMPLETED FOR ALL NE\A.fPR:REDEVELOPMENT'PROJECTS · To determine if your project is a priority development project, please answer the following questions: 1. ls your project a new development that creates 10,000 square feet or more of impervious surfaces collectively over the entire project .site? This incfudes commercial, industrial, residential, mixed-use, and public devefooment oroiects on oub1ic or orivate land. 2. Is your project creating or rep facing 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 resicfenfial. mixed-use. and oub/ic develooment Droiects on oubllc or orivate land. 3. ls your project a new or redevelopment projectthat creates 5,000 squareieet or more of impervious surface collectively over the entire project site and supports a restaurant? A restaurant is a facility that selfs prepared foods and drinks for consumption, incfuding stationary lunch counters and refreshment stands selfing prepared foods and drinks for immediate consumJJtion. 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 Jot is a land area or tacJ/lty tor the temporary parking or storage of motor vehicles used oersonallvfor business-or tor commerce. 6. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a street road, highway freeway or driveway? A street, road, highway, freeway or driveway is any paved impervious surface used for the transportation of automob11es, truc;ks, motorcvcfes, anri otfrervehicles. 7. Is your project a new or redevelopment project that creates or replaces 2,500 square feet or mare of impervious .surface rollectlvely over the entire site, and dischar_ges directly to an Environmentally Sensitive Area (ESA)? "Discharging Directly to" includes flow that is conveyed overland a distance of 200 feet or fess from the project to the ESA, or conveyed in a pipe or open channel any distance as an isolated flow from the project to the.ESA (i.e. not comminales with flows from-adiacent 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) cocfes: 5013, 5014. 5541, 7532-7534 or 753&-7539. 9. ls your project a new development that supports a retail gasoline outlet (RGO)? This category includes RGO's that meet the follawingaritefia: (a) 5,000 square feet or more or (/1) a project Average Daily Traffic (ADT} of 100 or more vehicles Der dav. 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? 11.ls your project located within 200 feet of the Pacific Ocean and .(i) creates 2,500 square feet or more of impervious surface or (2) increases impervious surface on the property by more than 10%? .. YES NO X V' /\. X X X X X X X X X If you answered •yes" to one or more of the above questfons, 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 tow 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 10 step 4 at the end of this questionnaire, check the "my proiect meets PDP requirements" box ancl complete applicant information. If you answered "no· to all of the above questions. you ARE NOT a priority development project and are therefore subject lo implementing only Standard Storm Water Requirements such as source control and low impact development BMP's required for an 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 applican1 information. E-34 Page2 of3 Effective 6/27/13 STORM WATER STANDARDS QUESTIONNAIRE E-34 STEP3 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov TO SE COMPLETED FOR REDEVELOPMENT PROJECTS 1'HATARE PRIORlTY DE\/ELOPEMENT PROJECTS ONLY Com lete the uestions below re ardin ounedevelo ment ro ·ect: YES NO Does the redevelopment project result in the creation or replacement of impervious surface in an amount of less than 50% of the surface area of the reviousl existin develo ment? If you answered "yes," 1he 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 uno," the structural BMP1s required for Priority Development Projects apply 10 the entire uevelopment. Go to step 4, . check the "m ro • ect meets PDP re uirements" box and com lete a licant information. CJ STEP4 CHECK THE APf'-ROPR(ATE .SOX AND COMPLETE APPL(CANilNFORMATJON My project meets PRIORITY DEVELOPMENT PROJECT (PDP} requirements and must comply with additional stormwater criteria per the SUSMP and I understand I must prepare a Storm Water Management Plan for submittal at time of application. I understand ilow control (hydromodification) requirements may apply to my project. Refer to SUSMP for details. My project does not meet POP requirements and must only comply with STANDARD STORMWATER REQUIREMENTS per the SUSMP. As part of these requirements, I will incorporate low impact development strategies throughout my project. Applicant lnfoi:!Jlation and ?!snature Box . I %70 ?-.½'"#/&°$..? ~ ,.,4;Y~jt-;·<:::::;,-,r Address: _ -,-::::.:;.-~ 7 Accessors Parcel Number(§): . · ~"' u ZM-IZE -01 pplicant~. 5c ·. Appli~~~ /--¾"~p App1icant Signature: Date: , /:.0 /; _ ___._.., ~~w ....... z;;..,:;~/L:.-~:;__---------------- This Box for City Use Only City Concurrence: l YES l NO IA I By: c.G- Date: \\--).0-15 Project ID: c.J~ I S-3 ~ ~ 1i * 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 (Yvater 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 quivafent under the Multi Species Conservation Program within the Cities and County of San Diego; and any other equivalent environmentally sensitive areas which have been identified by the Copermittees. E-34 Page3of3 Effective 6/27/13 " " ' ' .... ('city of Carlsbad STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 STORM WATER COMPLIANCE CERTIFICATE ./ My project is not in a category of permit types exempt from the Construction SWPPP requirements ./ My project is not located inside or within 200 feet of an environmentally sensitive area with a significant potential for contributing pollutants to nearby receMng waters by way of storm water runoff or non-stonn water discharge(s). ./ My project does not require a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code) ./ My project will not result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas that meets one or more of the additional following criteria: • located within 200 feet of an environmentally sensitive area or the Pacific Ocean; and/or, • disturbed area Is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical; and/or • disturbed area Is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse; and/or • construction will be initiated during the rainy season or will extend into the rainy season {Oct. 1 through April 30). I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT ALL OF THE ABOVE CHECKED STATEMENTS ARE TRUE ANO CORRECT. I AM SUBMITTING FOR CITY APPROVAL A TIER 1 CONSTRUCTION SWPPP PREPARED IN ACCORDANCE WITH THE REQUIREMENTS OF CITY STANDARDS. I UNDERSTAND ANO 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, ANO 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. /-/9~/&? DATE E-29 STORM WATER POLLUTION PREVENTION NOTES 1. ALL NECESSARY EQUIPMENT ANO MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION AND SEDIMENT CONTROL BMPS WHEN RAIN IS EMINENT. 2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION OF THE CITY ENGINEER AFTER EACH RUN-OFF PRODUCING RAINFALL. 3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY ENGINEERING OR BUILDING INSPECTOR DUE TO UNCOMPLETED GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. 4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE AT THE END OF EACH WORKING DAY WHEN THE FIVE (5) DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PERCENT (40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL. 5. ALL GRAVEL BAGS SHALL BE BURLAP TYPE WITH 3/4 INCH MINIMUM AGGREGATE. 6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED ANO MAINTAINED. SPECIAL NOTES Paae 1 of3 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov PROJECT INFORMATION SiteAddress: /6$: f(AIG A,& Assessor's Parcel Number: -zd/ -/2,3~CJi ProjectlO:_Stv 15· 0 J /:J L Construction Pennit No.: a ff} fq '-I Estimated Construction Start Date fw'1 '301 :;.t,17 Project Duration J l Months Emergency Contact Name: f2.ANP'-/ '$ W\..-C't'tt 24 hour Phone: fo(j • 'P/77 ·<:"3"-S:::: Perceived Threat to Storm Water Quanty ~ Low If medium box is checked, must attach a site plan sheet showing proposed work area and. location of proposed structural BMPs For City Use Only CITY OF CARLSBAD STANDARD TIER 1 SWPPP Approved ·sy; (. (,.. 0ate: l 1-l \\-I~ REV07/14 " , 1 L,p'::> ~-t>.-u A"!,; -~(\'""10 \ n-, o:r") We> r\<- Erosion Control Tracking Non-Storm Water Waste Management and Materials BMPs Sediment Control BMPs Control Management BMPs Pollution Control BMPs BMPs C: C: C: "E "E 0 "O ~ 0 ~ Q) "O Q) C: !fi C: Cl E C: E "O .l!l 0 C: Cl ro C: ro 2 2 '5 0. Q) 2 ro ti) E ai ai 1 "E ·:5 C' Cl ro :a Cl "O Q) Cl ii, ti) ii, C: 1:: ro C: ti) 2 Best Management Practice C: c:-0. Q) C: 'E C: C: II) C: 0 C" Q) C: ~ ro "' ~ 1: ro ~ ti) ~ (JJ '5. -0 Q) 0 Q) 2 UJ -~ Q) ro $ ro Q) Cl t1l C: 0 ,._ 0 "' "O al ~ $ (BMP) Description 7 "' (.) 81 Cl) C: E Cl (JJ -g ~ ro ti) :a "' -~ ti) ~.5 'iii C: "O Cl C: $ C: Cl ::i Q) Q) =i Q) "E ro ro "O >, 0 6i ::l ~ :l!a: Q) (.) Cl 0 (JJ Cl ,._ 0 Q) !!:! ro ro t::1 Q) ro 0 2 :a Cl en E O:;:; a> ro 0 IJ 1ii $ Cl Cl C: Q) a: t1l N II) ~i g, ·~ Q) ~-5 ·5. il 'E ~ ro if E -"' ~ ai ::l ..0 E$ ="' ,._ . :a ·;:: ~ "O .c: C: Q) (.) ai "O :a~ .l!l (.) C: .l!l -"' "O ro (.) 0 1::: ·-C. 'c Q) ~5 C: .o ro ·s; ~ ~j (.) N C: Q) ~ ro ~ 0 -Q) .c: ..0 ~ ro .a e c7S i &s& t1l ro ro .9 'a ro 0 (!) UJ Cl ii5 izi Cl) 0 u: (!) ci5~ (/) Cl) (l_ $1 0.. C (l_ >O :a (/) Cl) ' :c' 0, CASQA Designation 7 I';-"? 9 ... ... Cf? 'i 'I? <9 r--. ~ 0 ... ~ ,.... Cf? I';-"? ,.... C')I Cf? 'i 'I? (0 00 ... I I ,.... oc I ~ ~ ~ 0 0 0 I UJ UJ UJ UJ UJ UJ I Cl) Cl) (I) (I) :a :a :a :a UJ UJ UJ (.) (/) (I) Cl) (I) (/) (/) (/) UJ I-I-z z z z $ $ $ $ $ $ $ Construction Activity UJ (I) :x Grading'{Soil DisturbanceJ ~ X X ~ -y Trenching11::Xcavation Stockoilina Drillino/Borino Concrete/Asphalt Saw cuttino Concrete flatwork Pavina Conduit/Pipe Installation Stucco/Mortar Work ')( Waste Disposal _;,c y '">C Staaina/Lay Down Area ~ Equipment Maintenance X X and Fuelina Hazardous Substance Use/Storage Dewaterina '\t Site Access Across Dirt I~ -'""""-A. 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 of the added activity description. For each activity descrribed, pick one or more best management practices (BMPs) from the list located along the top of the form. Then place an X in the box at the place where the activity 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 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 of3 REV 4/30/10 " " N s Scale of map E-29 ~ Afr~ pl{N\~ Site Map Features displayed on the map must include: • An outline of the entire property • Location and brief description of construction activity areas (e.g. grading, building, trenching, fueling areas, waste container area, wash racks, hazardous material storage areas, etc.) • Location and flow direction arrows for existing drainage facilities (ditches, channels, inlets, storm drains, etc.) • Location of existing storm water BMP controls (sediment basins, oil/ water separators, sumps, etc.) • Location of proposed storm water BMP controls with brief description or legend reference Page3of3 Legend REV07/14 . ' ·-:~1 ,-L • JlL. Pa£ . -i,-.--:1 $&.~ , ... we. J ~I 1:. ~· ~--~--~ kt_,,::._:\,,:::·-'·,.··,. ----~ ,,,,,,.:.w.-. ·-~-==~ GARFIELD STREET ll! ~- \1SITOR PARKING ,i ,.:-----11 I 1~ .. I -----~11 : ' :,( ' ·j:~ I _, )l! ~ """'d-l 'I i j APN,204-123-02 i I I ' 1., ____ ------ BMP LEGEND: MATERIAL D8..1\'ERY &: STORA.CS: SO!lD WASTE MANAGEMENT ~ ~ ~ §Bl ~ ~ !!Bl l!£:!I CONCRETE WASl£ MANAGEMENT SEPTIC/SANITARY WASTE MANAGEMENT TEMPORARY S1LT FENCE TEMPORARY DRAIN INLET PROTECTION TEMPORARY STAB!UZ£D COOS'IRUCTIOH ENTRANCE t. SET POSTS AND EXCAVATE A 8 INCH BY 6 INCH lRENCH UPSLOPE FROM AND ALONG THE UNE Of POSTS. 3. EXTEND THE FLTER FABRIC INTO TH£ e· x e· TRENCH SILT FENCE DETAIL N,T,S. 2-STAPLE THE ALltR f'ASRIC TO THE FENCE. 4. BAa<RLL ANO COMPACT lHE EXCAVAlED SOIL FlllER FA8R1C_J~ ~~ ·, ,-:, 2.' MIN, ·3• MAX. NOID lHE SLT FENCE SI-IOUlD BE SUPPORTED BY A WRE MESH If' THE ALTER FABRIC DOES NOT HAYE S1JFl'ICIENT STRENGTH ANO BURSTING STRENGTH CHAAAClERISllCS (AS RECOMMENDED BY THE FABRIC MNiUFACTURER) eJ.A!Ll(1EW ''""" STORM WATER POLLUTION PREVENTION NOTES 1. AU. NECESSAA'1' EQUIPMENT AND MAlERIALS SHALL BE AVAILABLE NON SITE TO FACILITATE RA?10 INSTAI.LATION OF EROSION ,'.HO SEDIMENT COHlROl. BMPS 'fl1-iEN RAIN IS EMINENT, 2. THE OYMtR/COHRACTOR SHAU. RESTOffE AU. EROSION CONTROl. OEVlctS TO WORKING ORDER TO THE SATISfACTION Of lliE CITY ENGINEER AfTER EAQ-1 RUN-Off' PRODUCING RAINFALL. .J, THE ~ER_/.CONlRACTOR SHAU. AODmONAL. EROSION CONlROl. MEASURES AS IG OR BUILDING INSPECTOR DUE TO .. "ORESEEN ClRCUMSTANctS WHICH MAY ARISE. BE IN PLACE AT Tl-IE ENO OF EACH PROOAB!UTY ~ECAST EXCEEDS FORTY '1.1. BE REMOVED AFTER EACH RAINFAl..1.. !I, ALL GRAVEL BAGS SHALL BE BURlAP iYPE Wint .J/4 1NCH MINIMUM AGGREGATE. 6, ADEQVAlE EROSIOH ANO SEDIMENT CONTROL AND PERlt.lETER PROTECTION BEST MANA.CEMENT PRACTICE MEASURES MUST BE INSTAl.lfD AND MAIHTAINDJ. CnJ:,hcd oggrcgoto greater than 75 mm (.J In) but smoner then 150 mm (6 In) Corrugated steel ponels Orlg!nal ,!lf'C<!O 300 mm (12 In) Min, unless othCf'll'!se epoclfiod byo eob engineer NOTE! SECTION A-A NOi IO SCALE Cn.i?ihed aggregate greeter then 75 mm (3 In) but smaller than 150 mm (6 In) fllterfcbrlc Orlglnol ~<le JOO mm (12 In) Min, llnle,s otherwbe speelfled by o sole engineer SECI!f?!,! 6-6 Monydnlg111 con btt flttld fobricaled,otfabrkolod unlls1noybeu1ed. STABILIZED CONSTRUCTION ENTRANCE WITH TIRE WASH (TC-1 & TC-3) N,T,S I .. R •• ,.. lsc-,ol " '"1Jl,'1h ,,-r,,, ; ----••• _J ·~,l"I~ '':-"' 'I,":"' I u.:. \ .· '\ .} ·" 1,_,.,ll,l'[,"""~l':'"-<1::;"J:n~,~ fu:/'vt:~ ______ '.'.:'====-·'ll---7"i""1n'wr.i\J'II.SE!All I SHEtTS ,I~ ··11 11 ~ , '. · .. t.l -~~~2';l~::,,v't-. .,",,ccc=cccc>i.,c---·-~ ""'1 ClTY OF C<Rl,;jAD [:rn'.l iii ·. , .. ~r-.. -.. -~-·-UiJ _.,_,_ --~ . .. ' . -··-·-· i •· . ,". ' . = -,... ,-' """"'""'. I _'. ' • : •' : : J q"\ ll~ , ¾ CAR,LSBAD,;A9~00 ' . --· ' ' ' _.,_., ' ' ",: . ... . ------.., :· ~1 ·.~ ... : .. , ,._ • ···---:.::;-~· ·...:::. • . • ' '?'.~ --~ • ~ I •. I ' / ,,__ _ •• ,_ •• ,:: lflso.~11 sorn-0e I"~ 1.PLACE a.RB TYPE SEDIWEHT ~IERS all GENTLY Sl.OPIOO STREET stQ.ENTS ffl-ERE WAttR ~ f'(JI) AN:> >U.OW SEOII.ENf TO SEP,'RATE FROM RI.NlFF, 2, GRAVEL BAGS, CF EinER l3lR.AP CA llm'EN GElJlEXl'JL£ FAEIUC, N'£ F'JLUD WITH GRAVEi., LAYERED AN:> PAOCED TIGHTLY, J, ~~~,,.oc~ ~fJ~y1~n£ovHhow. 4, JN!'if'ECT BA~UERS >HJ REl,OVE sa>UENI' M'TER EAC-1 STcal EVDfT. SEDII.ENT ND GRAVEL NUST EE RE»:lVED FROM Tl£ TRAVEL WAY HIMEDIATa.Y CATCH BASIN SEDIMENT BARRIER (GRAVEL BAGS) N,T,S "AS BUILT" ,CE__ EXP.___ OAl< RE-.,EWEO BY, INSPECTOR: ~ ~ • JO ., N M>PftOV~ arr,t,PP11,... i 'f.--• .3_;-I REVISION DESCRIPTIO "'"' (mrEETJ i Ulch• io tt. ~ i I ,.. ,e. :;, ~ 8 ~ ~ !le ti! I "' I i !!! I "' i !ii ; . d! .... ... ,, .!! " ,< . , I' ·;!! i,',, .i: t,W ~ ':' 'J 'l ·:·· :·;·111 ,. ,.:~/ ~,. ·; /,.·=-11 "_; • : ·..: 11 ' .. EXIST. PO POI.£ CP 5664 w :::) z w ~ z a: 'XIST. CURB & GU11£R LJ::::: . . · , : · :., .11 .. -~:;'.::<>, ., : : ' . ' ,. "' ,, ·: '',: '<:,:·. ': ' ---- "" • j ' > '':-{,,;=.:..__:-6-,---,,__ -- -. .. , ·~ .. \ ., ·\ . · :==~============~~====~rr- ~ EXIST. WA1£R•VAL1f =1_" ' ---b • 1 __ EXIST. S£i!fRMA!/HO/.[ --••• --EXIST. ~-=:NN~ 1 I L-GARFiELoSTREET ____ ~i--i-,: - j C. ~~ --, L c -cS =-=i=r-":'s -=-=S.... -----=--=-_,_,_._ ----r· H ',, •. ,,,.,.. 1 I ~II ~ z ~ -:.,· •~ lr ~ ,<:5 -------rr--,-: ,-----t--r APN?26!J-J~-ii1 -~·-- ··~: ... >:-.:. -~ ~:).-Lf ·· ;: ,, .(""4518 ,, r.s.",OA I l l I I I .,,.,,,..----- I APN:204-123-02 I EXIST. BUILDING ,, f4428 ~ ~ GRAPHIC SCALE 6 10 c::a:=a ~ ( IN FEET) 1 inch = 10 IL BMP LEGEND: IWM-1! IWM-51 jWM-aj IWM-91 jsc-1 I jsc-10! jTc-1 I lrc-21 MA TERI AL DELIVERY & STORAGE SOILD WASTE MANAGEMENT CONCRETE WASTE MANAGEMENT SEPTIC/SANITARY WASTE MANAGEMENT TEMPORARY SILT FENCE TEMPORARY DRAIN INLET PROTECTION TEMPORARY STABILIZED CONSTRUCTION ENTRANCE 1. SET POSTS AND EXCAVATE A 6 /NCH BY 6 INCH 2. STAPLE THE FILTER FABRIC TO THE FENCE. TRENCH UPSLOPE FROM AND ALONG THE LINE OF POSTS. -1/ ~ -,.-:-::::,1 -~ ;_ --;,,.-:...-====::::: ,---,,,.ifi' ~~_,,,.,,.,,,;, ~~· ,,11:.,u-' J. EXTEND THE FILTER FABRIC INTO THE 6" x 6" TRENCH. 4. BACKFILL AND COMPACT THE EXCAVATED SOIL FILTER FABRICd 1: .!', '.....• t} ,,11, ;;.,-...-'ill •1!\,'· ·,·11' :·.111-. -Ii "'"11!.<'i '·1 11· '! l'J" ,, 'l' ' ~Hll/h~i~.:· 'j ;it · i 1., IHl: 111 '•Jli1-~-ti ,. ,. ' lie '' ll ell,, It SILT FENCE DETAIL N.T.S. 2' MIN. 3' MAX. NOTE: TllE SILT FENCE SHOULD BE SUPPORTED BY A WIRE MESH IF THE FILTER FABRIC DOES NOT HAVE SUFFICIENT STRENGTll ANO BURSTING STRENGTH CHARACTERISTICS (AS RECOMMENDED BY THE FABRIC MANUFACTURER) PLAN VIEW ~ A / ""-. N -- SPILL -........._ Ya BAGS ,,,.-Ya ~I~Y ./ ~ ST SLIFE Ifill' ,--cur NOTES: 1. PLACE CURB TYPE SEDIMENT BARIUERS ON GENTLY SLOPING STREET SEGMENTS Wl£RE WATER CAN POI() ANO ALLOW SEDIMENT TO SEPARATE FROM RUNOFF. 2. GRAVEL BAGS, OF EITHER BlA1LAP OR WOVEN GEOTEXTILE FABRIC, ARE FILLED WITH GRAVEL, LAYERED ANO PACKED TIGHTLY. 3. LEAVE ONE GRAVEL BAG GAP IN THE TOP ROW TO PROVIDE A SPILLWAY FOR OVERFLOW. 4, INSPECT BARRIERS ANO REMOVE SEDIMENT AFTER EACH STORM EVENT, SEDIMENT ANO GRAVEL MUST BE REMOVED FROM THE TRAVEL WAY lt.O.IEDIATELY CATCH BASIN SEDIMENT BARRIER (GRAVEL BAGS) N.T.S. STORM WATER POLLUTION PREVENTION NOTES 1. ALL NECESSARY EQUIPMENT ANO MATERIALS SHALL BE AVAILABLE NON SITE TO FACILITATE RAPID INSTALLATION OF EROSION ANO SEDIMENT CONTROL BMPS \\I-IEN RAIN IS EMINENT. 2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION OF TllE CITY ENGINEER AFTER EACH RUN-OFF PRODUCING RAINFALL 3. THE OWNER/CONTRACTOR SHALL INSTALL AOOITlONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY ENGINEERING OR BUILDING INSPECTOR DUE TO UNCOMPLETED GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES \\I-IICH MAY ARISE. 4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE AT THE END OF EACH WORKING DAY III-IEN 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. AOEQUA TE EROSION ANO SEDIMENT CONTROL ANO PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED ANO MAINTAINED. Crushed aggregate greater than 75 mm (3 in) but smaller than 150 mm (6 in) Corrugated steel panels Original graije 300 mm (12 In) Min, unless otherwise specified by a soils engineer Filter fabric NOTE: SECTION A-A NOi ra SCALE Crushed aggregate greater than 75 mm (3 In) but smaller than 150 mm (6 in) Filter fabric Original groc:le s:r:vo c;;;;x,a,~-- 300 mm (12 In) Min, unless otherwise specified by a soils engineer SECTION 8-8 NTS device Ditch to carry runoff I to a sediment trapping ~/ Many designs can be field fabricated, or fobricated units may be used. STABILIZED CONSTRUCTION ENTRANCE WITH TIRE WASH (TC-1 & TC-3) N.T.S. "AS BUILT" RCE___ EXP,---- REVIEWED BY: INSPECTOR DATE DATE ~ CITY OF CARLSBAD I SHEETS I 1-T-i ----rT-i -1-1LJ;LJ ENGINEERING DEPARTMENT 10 ....-------+-· --+---+--------------+----1-1----+·---1-i----l-!GRADING AND EROSION CONTROL PLANS FOR: 165 PINE AVENUE 20 j DATE j INITIAL ENGINEER OF WORK DATE INITIAL DATE INITIAL REVISION DESCRIPTION OlttER APPROVAL CtTY APPROVAL CARLSBAD, CA 92008 EROSION CONTROL PLAN APPROVED: JASON S, GELOERT RCE 63912 EXPIRES 9/J0/16 Dbl,; PROJECT NO. II DRAWING NO. SDP 15-05 488-9A5 «~> ~ CITY OF CARLSBAD PLANNING DIVISION BUILDING PLAN CHECK APPROVAL P-29 Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.1mv DATE: 11/16/15 PROJECT NAME: 165 Pine Ave PROJECT ID: PUD 15-05 PLAN CHECK NO: CB 15-3894 SET#: ADDRESS: 165 Pine Ave APN: 204-123-01-00 1:8] This plan check review is complete and has been APPROVED by the Planning Division. By: Chris Garcia A Final Inspection by the Planning Division is required D Yes ~ No You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions. D This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check APPROVAL has been sent to: Steve Prophet For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING FIRE PREVENTION 760-602-4610 760-602-2750 760-602-4665 D Chris Sexton D Chris Glassen D Greg Ryan 760-602-4624 760-602-2784 760-602-4663 Chris.Sexton@carlsbadca.gov ChristoQher.Glassen@carlsbadca.gov Gregory.Ryan@carlsbadca.gov D Gina Ruiz D ValRay Marshall D Cindy Wong 760-602-4675 760-602-2741 760-602-4662 Gina.Ruiz@carlsbad'Ca.gov Val Ray.Marshall@carlsbadca.gov Cynthia.Wong@carlsbadca.gov ~ Chris Garcia D D 760-602-4622 Linda Ontiveros Dominic Fieri Chris.Garcia@carlsbadca.gov 760-602-2773 760-602-4664 Lincta.Ontiveros@carlsbadca.gov Dominic.Fieri@carlsbadca.gov Remarks: Demolition consistent with approved PUD 15-05. City of Carlsbad. Building Division 1635 Faraday Ave RKR Attn: Building Department Steve Bobbett Re: 165 Pine AVe Project Gentlemen, Per demolitfon requirements form 8·9 this fetter shall .serve as authorization for Prophet Solutions, Inc. to begin demolltior\of the existing site work and homes located at 16S and 175 Pine Avenue, Assessor's. Parcel No. 204·124-01-00. Full .scope of demolition can be found by rcforencing sheet 6 of plans prepared by J&B Englneers, Sllrveyors.. si,ould you have any questions please contact the undersigned. Sfocernly, Owner/Developer The Rammy LLC. Ronald Rasak RKR,lNCORPORATE 23679 CALABASAS ROAD lt362 Calabasas, Ca. 91302 23(179 C:nlnlm!\as Rd. #,l.62, ( 'ulohasa.,. ( 'A 91302 ,,.,n,.RKfilim:.\'mn * Phom:: 18HH ..J.38-8800 SD{ff A.~ Sempra Energy u1m1y· Notice of Service Discontinuance PERMIT DEPARTMENT, CITY OR COUNTY OF: Carlsbad SERVICE WILL BE DISCONTINUED TO: ADDRESS: 165 and 167 Pine Ave Carlsbad BY: (Date} October30, 2015 [gl ELECTRIC METER NO. [gl GAS METER NO. ---- ALL SERVICE LINES WILL BE REMOVED. THIS BUILDING CAN BE MOVED OR RAZED AFTER THE ABOVE DATE. SAN DIEGO GAS & ELECTRIC BY: Mara Fielding PHONE: 760 480-7761 DATE: November 9, 2015 PM Forms: NoticeofServiceDiscontlnuance.doc Revised: 6/20/06 HP LaserJet M1536dnf MFP Fax Confirmation \.:hillock. 6195790955 Oct-20-2015 1:12PM Job Date 11239 10/20/2015 Time Type l:10:15PM Send Identification 18585862651 Duration 1:43 WHILLOCK CONTRACTING, INC ttaNll,.HO,SlUlf P,0. IIOX 23ll L\ MW,CA. !194:1-23%% (619) 579-C700 fax (619) 579-0955 EXCAVA'ltNG • GKADINC • DEMO!.lTlON ·GENERAL ENGINE£RING DATE: ___ ~.!!!L!------------ TO'--' ___ _..len;vw:-,.Griw.'ffi.,.g...__ __________ _ COMPANY, _ __,San>l!!l.!Djc<1>'i11>11!1u::Air""' ...,Po,..l!u..,.!fo"""'pQ,,,.,n,.,tro...,ID""istrt,,.·,..ct _____ _ FROM, _ _... __________ _ TOTAL NUMBER OF SHEETS:--1-...,.IF ALL PAGES ARE NOT RECEIVED PLEASE CALL ME AT(619) 579-0700. PJeu• eoll form• wd infolJllllion. EX SSS-586-USI "WE'VE DUG SAN DIEGO SINCE nmso•s· Pages 3 Result OK FOR APCO USE ONLY SAN DIEGO AIR POLLUTION CONTROL DISTRICT 10124 OLD GROVE ROAD, SAN DIEGO, CA 92131 PHONE (858} 586-2650 FAX (858) 586-2651 Postmark Received Fee/ Receipt Notification # Entered Sector Inspector Assigned/Date NOTIFICATION OF ASBESTOS RENOVATION OR DEMOLITION OPERATIONS Completed by: J=p=rd=a=n.,_J=a=m=e=s.__ _________ _ Company: Whillock Contracting. Inc. fg] Original 0 Cancellation 0 Courtesy O Other.(specify): _________ _ NOTIFICATION 0 Revision O Change in asbestos amount D Change in start/end date (Indicate-type of revision) (greater than 20%) fg] Demolition O Ordered Demolition D Renovation (removal) PROJECT TYPE D Emergency Removal D Emergency Demolition D Planned Renovation (annual) FACILITY INFORMATION Facility Name: Pine Ave M-F Address: 165-175 Pine Ave Cross Street: Garfield Street City; Qirlsbad Zip Code: 92008-3633 Facility Owner: The Rammy, LLC Address: 23679 Calabasas RD. City: Calabasas State: ca Zip Code: 91302 Contact: Randy Title: owner rep. Phone No: 619-977-5365 Building Size (sq. ft): Building Age (years): 91 Number of Floors: 1 Number of Units: 2 2 200 so.ft. Building prior/present 0 Commercial D Hospital 0 Industrial D Office D K-12 School use: D Public Blda fg] House/Condo OShio D Univ/Colleae D Other PROJECT INFORMATION Asbestos Survey Is Asbestos Present? Will the asbestos be removed? Is the building to be demolished? Performed?* 181 Yes ONo 181 Yes ONo l8lYes ONo l8lYes 0 No Friable Category I Category II Total Asbestos Pipes: Pipes: Pipes: 6 If 6 Amount to be !Surface Area: 4 sq.ft. removed Surface Area: 646 sq.ft. Surface Area: 650 (sq/In ft): facility Component: Facility Component: 1=acility Component: Revised Amounts (if a revision) Asbestos Removal Start Date: Nov. 3. 2015 Demolition Operation Start Date: Nov.30.2015 Asbestos Removal End Date: Nov. 6, 201~ Demolition Operation End Date: Dec. 11,2015 For revisions only For revisions only Revised Start Date: Revised Start Date: Revised End Date: Revised End Date: Removal Contractor: j Name: ASE Contracting Phone No: 619-258-7290 j CSLB License#: 765083 Address: 1985 Friendship Dr. #J I City/State/Zip: El Cajon, CA 92020 I Site Supervisor: Tim Demolition Contractor: I Name: Whlllock Contracting, Inc. Phone No: 619-579-0700 j CSLB license#: 572217 Address: P.O. Box 2322 I City/State/Zip; La Mesa, CA 9194'.;3 j Site Supervisor: Brent Whillock .. Asbestos Surveys are required prior to Renovation and Demolition, however the actual survey is not required to be submitted with the notification. SDAPCD-SUBPART M -Rule 361.145 04/2010 Page 1 of2 NOTIFICATION OF ASBESTOS RENOVATION OR DEMOLITION OPERATIONS Waste Transporter#!: Waste Transporter#2: Name: Whillock Contracting, Inc. Name: Address: P.O. box2322 Address: City/State/Zip: La Mesa, CA 91943 City/State/Zip: Contact Person: Tory Whillock Phone: 619-579-0700 Contact Person: I Phone; Waste Disposal Site (Landfill): Name: Sycamore Landfill Address: 8514 Mast Blvd City/State/Zip: Santee, CA 92071 Contact Person: Edward Phone: 619-562-0530 Asbestos Detection Procedures: Check the appropriate procedures and analytical methods used to detect the presence of asbestos containing materials. 181 Survey D Inspection 0 TEM D PCM D Bulk Sampling D PLM 0 Other: Describe work practices and engineering controls to be used. Check applicable methods below: 181 Water 181 Demolition w/roofing materials In place l8l Skid Loaders/bobcats/Top Loaders 0 Amended Water using sledge hammers. D Terminator™ D Roofing Cutting Saws 0 Axes D Shovels 0 Implosion 0 High Pressure Water Blast D Demolition w/Cat 1 Floor tiles in place 0 Explosion D Infrared Machines 0 Ice Chippers 0 Pry Bars D Negative Air Machines D Cranes (wrecking ball, 0 Bulldozer D Full Containment clamshell, bucket) D Intentional Burning D 3 Stage Decon D Zamboni D Backhoes D Glove Bag D Bead Blast 181 Other: excavator D Critical Barriers D Floor Buffer For Ordered Demolition provide a copy of the order and complete the information below: Agency Name: Authorizing Person: Title: Date of Order: Date Ordered to Begin: Phone: Describe actions to be followed if unexpected asbestos Is found during demolition or Contingency Plan removal or asbestos material becomes disturbed, crumbled, pulverized or reduced to oowder. Stabilize, provide containment, bag waste, hepa vac and transport for disposal. I certify that an individual trained in the provisions of this regulation (CFR Part 61, Subpart M) Training Certification will be on site during the removal and evidence that the required training has been accomplished by this person will be available for inspection during normal business hours. Date: Print Name: / Signature: (Owner/Operator) (Owner/Operator) Information Certification: I certify that the above Information is correct. ./") Date: Print Name: Jordan James J Signature: ~ K (Owner/Operator) (Owner/Operator} . · · Original notifi?ations are to be submitted. t~ the District at l~~s~ 10 wo~king. days prior to removal or d~molition. Rev~ noticer;re to be submitted as soon as possible but no later than the ongmal start date. Ongmal notifications cannot be accepted without the required fee(s) (Rule 40(f)(2)), however revised notifications will be accepted without the required fee provided the fee is paid prior to the start date of the original notification. SDAPCO-SUBPART M-Rule 361.145 Page 2 of 2 WHILLOCK CONTRACTIN~ INC UCENSE NO. 572217 P.O. BOX 2322 LA MESA, CA. 91943-2322 (619) 579-0700 fax (619) 579-0955 EXCAVATING • GRADING • DEMOLIDON GENERAL ENGINEERING DATE: 10/20/15 TO: Jen:y Griffin COMP ANY: San Diego Air Pollution Control District FROM: Jordan TOTAL NUMBER OF SHEETS: 3 IF ALL PAGES ARE NOT RECEIVED PLEASE CALL ME AT (619) 579-0700. Please call for credit card information. FX 858-586-265 l "WE'VE DUG SAN DIEGO SINCE THE 50'8" .. . . . . . • ,____,, • ... • • • '9· ~I-EX/Sc PO R POLE • • "-' -• • • • 1,," ••• .. • • ,. .. • . . • • • • ••• .. . t . . . 1>"' .•.. • ' ' .. • !' . ,. • . ' • .. • • • •• •• • • ... . . • • • • • ' ' . • • . t> .... • . ' .. .. .• . -. _;. t> • • ·' • t'> • ,; • ' .. • I,, • • • • •• .• 1>· "_t:> t> . I> • . . . . . ·, • . . . . . . .. • . ·• ~ . . ~ ... • ~X)t>" __ .1,; . ••• -I> • • • ·, -~t> .. • •· ... w :::> z w > ~ z Q.. 40.00' XIST. CURB & GI/HER . ·. •• •• • •. 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EXISTING BUILDING TO BE REMOVED ................................... . SA WCUT LINE .............................................................. . DEMOLITION NOTES r.\ REMOVE EXISTING BUILDINGS, FOUNDATION, SLAB, PLUMBING, ~ MECHANICAL, ELECTRIC AND WET U11Ll11ES. 0 EXISTING CHAIN LINK FENCE TO BE REMOVED. ' SYMBOL I 1, .... '_ ........ :. ---- @ EXISTING POWER POLE TO BE REMOVED AND POWER LINES TO BE UNDERGROUND . 0 EXISTING TELECOM TO BE RELOCATED. @ EXISTING CONCRETE PAVEMENT TO BE REMOVED. © SAWCUT, REMOVE AND DISPOSE OF EXISTING PCC CURB, GUTTER AN/OR SIDEWALK. (!) REMOVE EXISTING PALM TREE. © PROTECT EXISTING PALM TREE. @ EXISTING RAMP TO BE REMOVED (SEE C-2 FOR NEW RAMP). @ EXISTING SHED TO BE REMOVED. @ 1' WIDE SAWCUT, REMOVE & DISPOSE OF EXIST. AC/AB PAVEMENT AND REPLACE W/ FULL DEPTH AC. City of Car_ls?~d Building 01v1s1on JAN 19 20\6 APPROVED BY:__,.,--;-=:---- ISSUED BY: _ __J.,_µ~::.--- 11AS BUILT11 RCE __ _ EXP. ___ _ REVIEWED BY: INSPECTOR • DATE DATE J5HEE1l CITY OF CARLSBAD I SHlEEOTS I 1----------,1-----+----------------------,1----1----+---+----1 L__§_j ENGINEERING DEPARTMENT l---_jl----+------------------11-----+--+---+---I GRADING AND EROSION CONTROL PLANS FOR: /) 1-----+----l-----------'-~-+------+----' 165 Pl NE AVENUE :t-/75 fl,n£ fW 1-----+--1------------1----1----!-----I--___. CARLSBAD, CA 92008 DEMOLITION PLAN APPROVED: JASON S. GELDERT l----l----+-,,----------------l------t--+---+---l~C~ITY~E~N~Gl:::NE::E~R;;;:;::=R~C::E::::6::3::9:::::12:::::::::EX:::P:'::IR::ES:::::::9:::::::30=::;1';:6=:::::DA::::TE:::::::~ I----DA-TE-I-I-Nl-ll-AL--i-''-'l..__ ______________ -l-----1-----1--_j_ __ _. DWN BY: ---1.J!XL__ PROJECT NO. DA TE INITIAL DA TE INITIAL JS ENGINCCR OF WORK REVISION DESCRIPTION RCVHWDKD 8syY:, ---"'"----SDP 15-05 = OTHER APPROVAL CITY APPROVAL DRAWING NO. 488-9A6 C8J5)tlf'I