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HomeMy WebLinkAbout1683 CALLIANDRA RD; ; CB160966; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-10-2016 Demolition Permit Permit No: CB160966 Building Inspection Request Line (760) 602-2725 Job Address: 1683 CALLIANDRA RD CBAD Permit Type: DEMO Full Demo: N Status: Parcel No: 2159000500 Lot #: 0 Applied: Entered By: Occupancy Group: Reference #: Plan Approved: PC#: # Dwelling Units: 0 Structure Type: Issued: Bedrooms: 0 Bathrooms: 0 Inspect Area: Project Title: STELZER RES-DEMOLISH POOL, SPA BBQ & DECK CONCRETE. BACKFILL POOL/SPA-CONTRACTOR Applicant: Owner: RA BOOKER BUILDERS, INC 2240 ENCINITAS BLVD SUITED SCULLY FAMILY TRUST 05-11-12 1683 CALLIANDRA RD CARLSBAD CA 92011 PMB-547 92024 858-759-5170 Building Permit Plumbing Fee Other Fee Additional Fees TOTAL PERMIT FEES $0.00 $0.00 $65.00 $0.00 $65.00 ISSUED 03/10/2016 RMA 03/10/2016 03/10/2016 Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due: Inspector: Date: Clearance: $0.00 NOTICE: Rease tcl<e NOnCE that cwrovai of your f.ll-1ed includes the "lff!X)Sition" of fees, dedicatioos, resavations. or other exactioos hereafter roledively referred to as '1effiex.cdioos." You have 00 days from the date this pemit W&> issued to protest iff!X)Sition of these fees'ex.cdioos. If you protest them you rrust fdiONthe protest proaldures set forth in <?cwerrrrent O:x:Je Section 60020(a). ard file the protest ard any other reqjred inforrrationwth the Otyl'v'a1ag:lrfor puressing in acx:adarrewth CarisbOO M.Jridpal O:x:Je Section 3.32.030. FaiiLretotirrelyfdiONthat prcredurewll bar anysurnequent legal action to attack, review, set aside, void, or anllU their iff!X)Sition. You are rereby Ft.JRTH:RI\OTlREDthat your right to protest the specifiedfees'ex.actioos !XES NOT JIPPL Ytowater ard SEMerocnnedion fees ardcapadty d1anges, ncr planing, zoring, gcding or other sirrilar application processing or servire fees in ocnrroion wth this f.ll-1ect. f\ffi IXES IT Jm... Y to any feff!i ·ens of Wlich have viousi been "ven a NOnCE si rri lar to this or as to Wlich the statute of lirritatioos has eviousi cthe!wse ·red. 1 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OF IRE OHEALTH D HAZMAT/APCD (_ Cicyof Building Permit Application Plan Check No. {'AJ G {) t:jjj' ..., 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph' 760-602-2719 Fru" 760-602-8558 /[(/ Plan Ck. Depoltit email: building@carlsbadca.gov · 'A- www.carlsbadca.gov Date, 'I r 0 //~ lswPPP JOB ADDRESS SUITE#/SPACE#/UNI~ v IAPN \(o8? Ckl.<~t ~Qo .. o.-\=i~ o:?L? -'} '-'D -oS -DO CT/PROJECT # lLOT# PHASE# I#OF UNITS #BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I coNSTR. TYPE I ace. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~€u.tv~ \?Xi?~~ ?t.?v'-"S~A-I B~o ~~u te'~ eo.~ne:\r::= . '~n \...1... ?c:t>i.-l"Sr>A e.e~1. I>A.:G.* ~ \)'1.-CV t oe ?0\L-s· \ (:l.":::>_i-1~ ~~.{.()-~+tvu Q.S/?lYL't (/ " -it, ie~ i1~~, ~d£1 cJ!fz~ ,le~ f!sh ~;:_ \ EXISTING USE lPROPOSED USE u GARAGE (SF) PAT1S (SF) I DECKS (SF) FIREPLACE lAIR CONDITIONING I FIRE SPRINKLERS -:sF(2.. -sr-p, YEsO_ NOD YEs0No0 YESONoD APPLICANT NAME t K -~ ~ \J l ·~a. Primary Contact • .f3ct:..-~ , iE'"fV~ l.l.c ~ t~ PRO aRTY OWN.ER ~ {..J , ?' . . _:::zfl.:E..6 . ~ ~t C::L .... .q~ ADDR~~I ~I ADDResS , 2Z. 0 ~~\~ \JQ '3t)\'f"6'==>. (&,8"?:;, Ua.. i ~(';;)~ ~~~. CITY STAJE ~d.D~~ CITY~Sbc~ STATb<"" ZIP ~C-\A\~ ~ ?)~\.\ PHONE I FAX PHONE I FAX 808-75C) -S\ID ~-I':;Q)-1~&~ B~">c:)c.-0\ ~0) -·-- EMAIL bb b '\ · · . @ ~bo, \den .. .-s If" Co~4 EMAIL . 4\..?n3L.,€\2-@ ~lljt\f!c\l..., c~OM DESIGN PROFESSIONAL ~~. CONTRACTOR ~E ~f>I)U.Cf.¥.1~ . e ~ ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE rAX PHONE I FAX EMAIL EMAIL 'STATE LIC. # STATE LIC.# ICLAS£, I CITY BUS. LIC.# 0'} '?\~~ .:;-f22-~2D'l (Sec. 7031.5 Busmess and Professions Code: Any C1ty or County which requ1res a permit to construct, alter, 1m prove, demoliSh or repair any structure, pno1· to 1ts Issuance, also requ1res the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 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 insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date _________ _ This s ction need not be completed if the permit is for one hundred dollars ($1 00) or less. ertificate 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 alifornia. 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 of the code, interest and attorney's fees. ,a5 CONTRACTOR <>JuiNJ<'I'Utu: I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D 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 build'1ng or improvement is sold within one year of complef1on, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, 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). I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes 0No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' 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 I address I phone I contractors' license number): 5. I will provide some ofthe work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): ,a5 PROPERTY OWNER SIGNATURE 0AGENT DATE I certlfythatl have read the application and state that the above infonnation is correct and that the infonnation 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 Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP~ ARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA penn it is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every penn it issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such pennit is not commenced within 180 days from the date of such pennit or if the building or work authorized by such pett is suspended or abandoned at any time after the work is commenced for · days (Section 106.4.4 Unifonn Building Code). ~APPLICANT'SSIGNATURE ~~V;~ DATE d. STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. (Office Use Only) CA FAX DELIVERY OPTIONS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o ASSOCIATED CB#------------ o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE j NO CONSTRUCTION MAIL/ FAX TO OTHER:-----------------o CHANGE OF USE/ NO CONSTRUCTION .H$ APPLICANT'S SIGNATURE DATE I L Permit#: CB160966 Date Inspection Item 04/12/2016 19 Final Structural 04/12/2016 19 Final Structural Tuesday, April 12, 2016 Type.: DEMO Inspector Act Rl PO AP STELZER RES-DEMOLISH POOL, SPA BBQ & DECK CONCRETE. BACKFILL PO Comments i=>age 1 of 1 City of lsbaci DETERMINATION OF PROJECT'S SWPPP TIER LEVEL AND CONSTRUCTION THREAT LEVEL E-32 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov I'm applying for: D Grading Permit Project Name:~~??.. QG"~a... Address: Ue$??> CM .. UOOJ'Yl.f\.-Ao.'W:> Ja?Building Permit D Right-of-way permit D Other Project 10: -----DWG #/CB# ---:---·--- APN 0215-<?CO·o'i:Qt:> Disturbed Area: \a~~ 1JP Ac Section 1: Determination of Project's SWPPP Tier Level ,,.. ·'· applicable criteria and circle the corresponding SWPPP Tier Level, then go to section 2) Exempt-No Threat Project Assessment Criteria My project is in a category of permit types exempt from City Construction SWPPP requirements. Provided no significant grading proposed, pursuant to Table1, section 3.2.2 of Storm Water Standards, the f.<.?.l.l.<:>.v.':!.i.f.1.9 .. P.E?.f..!n.i~~--~~~--~-~~r.!).P..~.f.~9r.!) ... ~Y.Y.P..P.P. .. E~9.~.i.~.E?..t!).~f.lrt·~·~ ....................................... r ........................................................................................... l i .);> Electrical : .);> Patio i .);> Mobile Home i .);> Plumbing i .);> Spa (Factory-Made) · ~ ..................................................................................................................................................................................................................... .;. ...........................•................................................................• ! .);> Fire Sprinkler i .);> Mechanical ! > Re-Roofing ! > Sign i > Roof-Mounted Solar Array j Tier 3-Significant Threat Assessment Criteria-(See Construction General Permit (CGP) Section I. B)* D My project includes construction or demolition activity that results in a land disturbance of equal to or greater than one acre including lbut not limited to clearing, grading, grubbing or excavation; or, D My project includes construction activity that results in land disturbance of less than one acre but the construction activity is part of a larger common plan of development or the sale of one or mom acres of disturbed land surface or, D My Project is associated with construction activity related to residential, commercial, or industrial development on lands currently used for agriculture; or D My project is associated with construction activity associated with Linear Underground/overhead Projects (LUP) including but not limited to those activities necessary for installation of underground and overhead linear facilities (e.g. conduits, substructures, pipelines, towers, poles, cables, wire, towers, poles, cables, wires, connectors, switching, regulating and transforming equipment and associated ancillary facilities) and include but not limited to underground utility mark out, potholing, concrete and asphalt cutting and removal, trenching, excavation, boring and drilling, access road, tower footings/foundation, pavement repair or replacement, stockpile/borrow locations. D Other per CGP Tier 2-Moderate Threat Assessment Criteria: My project does not meet any of the Significant Thneat Assessment Criteria described above and meets one or more of the following criteria: D Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, D 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 Apr. 30). Tier 1-Low Threat Assessment Criteria ® My project does not meet any of the Significant or Moderate Threat criteria above, is not an exempt I permit type per 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 roof framing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling) SWPPP II Tier Level II Exempt Tier3 Tier2 Tier 1 * Items listed are excerpt from CGP. CGP governs cntena for tnggers for T1er 3 SWPPP. Developer/owner shall conf1rm coverage under the current CGP and any amendments, revisions and reissuance thereof. E-32 Page 1 of 2 Rev. 2/16/16 SWPPP Section 2: Determination of Project's Construction Threat Level Tier (Check applicable criteria under the Tier Level as determined in section 1, circle Construction Level the corresponding Construction Threat Level, then complete the Threat Level signature block below) Exempt -Not Applicable -Exempt Tier 3 -High Construction Threat Assessment Criteria: M~ Project meets one or more of the following: D Project site is 50 acres or more and grading will occur during the rainy season D Project site is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA High D Soil at site is moderately to highly erosive (defined as having a predominance of soils Tier3 with USDA-NRCS Erosion factors kf greater than or equal to 0.4) D Site slope is 5 to 1 or steeper D Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 -April30). D Owner/contractor received a Storm Water Notice of Violation within past two years Tier 3 -Medium Construction Threat Assessment Criteria Medium D All projects not meeting Tier 3 High Construction Threat Assessment Criteria Tier 2 -High Construction Threat Assessment Criteria: M~ Project meets one or more of the following: D Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA D Soil at site is moderately to highly erosive {defined as having a predominance of soils High with USDA-NRCS Erosion factors kf greater than or equal to 0.4) Tier 2 D Site slope is 5 to 1 or steeper D Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1-Apr. 30). D Owner/contractor received a Storm Water Notice of Violation within past two years D Site results in 10,000 sq. ft. or more of soil disturbance Tier 2 -Medium Construction Threat Assessment Criteria Medium D My project does not meet Tier 2 High Threat Assessment Criteria listed above Tier 1 -Medium Construction Threat Assessment Criteria: M~ Project meets one or more of the following: D Owner/contractor received a Storm Water Notice of Violation within past two years Medium r:l/ Site results in 500 sq. ft. or more of soil disturbance Tier 1 ~Construction will be initiated during the rainy season or will extend into the rainy season (Oct.1-April 30) Tier 1 -Low Construction Threat Assessment Criteria Low D My project does not meet Tier 1 Medium Threat Assessment Criteria listed above I cert1fy to the best of my knowledge that the above statements are true and correct. I will prepare and submit an appropnate tier level SWPPP as determined above prepared in accordance with the City SWPPP Manual. I understand and acknowledge that I must adhere to and comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards at all times during construction activities for the permit type(s) checked above. The City Engineer/Building Official may authorize minor variances from the Construction Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher SWPPP Tier Level is warranted. Title: City Concurrence: Yes No (For City Use Only) By: Date: Owner/Owner's Authonzed Agent Signature: ·-;e ~ @e?Diteh. ~t\~ t~c . Date: Project ID: E-32 Page 2 of2 Rev. 2/16/16 CiDlOf shad STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov IINST~U~'t·9~¢!'• ... ~·.·· .. ; .·.· .. . . I 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 Carlsbad BMP Design Manual (BMP Manual). To view the BMP Manual, refer to the Engineering Standards (Volume 5). 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 PROJECT' requirements or be subject to 'PRIORITY DEVELOPMENT PROJECT' (PDP) requirements. Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City staff has responsibility for making the final assessment after submission of the development application. If staff determines that the questionnaire was incorrectly filled out and is subject to more stringent storm water standards than initially assessed by you, this will result in the return of the development application as incomplete. In this case, please make the changes to the questionnaire and resubmit to the City. If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, please seek assistance from Land Development Engineering staff. A completed and signed questionnaire must be submitted with each development project application. Only one completed and signed questionnaire is required when multiple development applications for the same• project are submitted concurrently. ... ' '··· ... : ........ ·:•. . •······'PROJECTINFORMATION' .· .. : ...•... · .. ·.·· ·.· ... r;, .. , .· ' ..· .. . . .. PROJECT NAME: .c:?" -;-(:<~ .... :1\e . Q~..;v·~ " PROJECT ID: The project is (check one): D New Development ~edevelopment ~~ The total proposed disturbed area is: f;;lDo ft2 ( ) acres The total proposed newly created and/or replaced impervious area is: ...e-ft2 ( ) acres If your project is covered by an approved SWQMP as part of a larger development project, provide the project ID and the SWQMP # of the larger development project: Project ID: SWQMP#: Then, go to Step 1 and follow the instructions. When completed, sign the form at the end and submit this with your application to the City. E-34 Page 1 of 4 REV 02/16 Is your project LIMITED TO routine maintenance activity and/or repair/improvements to an existing building or structure that do not alter the size (See Section 1.3 of the BMP Design Manual for guidance)? NO If you answered "yes" to the above question, provide justification below then Go to step 5, mark the third box stating "my project is not a 'development project' and not subject to the requirements of the BMP manual" and complete applicant information. Justification/discussion: (e.g. the project includes only interior remodels within an existing building}: If you answered "no" to the above question, the project is a 'development project', go to Step 2. To determine if your project is exempt from PDP requirements pursuant to MS4 Permit Provision E.3.b.(3), please answer the following questions: Is your project LIMITED to one or more of the following: 1. Constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the followin!~ criteria: a) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non- erodible permeable areas; b) Designed and constructed to be hydraulically disconnected from paved streets or roads; c) Designed and constructed with permeable pavements or surfaces in accordance with USEPA Green Streets guidance? 2. Retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in accordance with the USEPA Green Streets guidance? 3. Ground Mounted Solar Array that meets the criteria provided in section 1.4.2 of the BMP manual? YES NO If you answered "yes" to one or more of the above questions, provide discussion/justification below, then Go to step 5, mark the second box stating "my project is EXEMPT from PDP ... " and complete applicant information. Discussion to justify exemption (e.g. the project redeveloping existing road designed and constructed in accordance with the USEPA Green Street guidance): If you answered "no" to the above questions, your project is not exempt from PDP, go to Step 3. E-34 Page 2 of4 REV. 02/16 To determine if your project is a PDP, please answer the following questions (MS4 Permit Provision E.3.b.(1)): 1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces collectively over the entire project site? This includes commercial, industrial, residential, mixed-use, and public development projects on public or private land. 2. Is your project a redevelopment project creating and/or replacing 5,000 square feet or more of impervious surface collectively over the entire project site on an existing site of 10,000 square feet or more of impervious surface? This includes commercial, industrial, residential, mixed-use, and public development projects on public or private land. 3. Is your project a new or redevelopment project that creates and/or replaces 5, 000 square feet or more of impervious surface collectively over the entire project site and supports a restaurant? A restaurant is a facility that sells prepared foods and drinks for consumption, including stationary lunch counters and refreshment stands selling prepared foods and drinks for immediate consumption (Standard Industrial Classification (SIC) code 5812). 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 and/or replaces 5,000 square feet or more of impervious surface collectively over the entire project site and supports a parking lot? A parking lot is a land area or facility for the temporary parking or storage of motor vehicles used personally for business or for commerce. 6. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface collectively over the entire project site and supports a street, road, hi!~hway freeway or driveway? A street, road, highway, freeway or driveway is any paved impervious surface used for the transportation of automobiles, trucks, motorcycles, and other vehicles. 7. Is your project a new or redevelopment project that creates and/or replaces 2,500 square feet or more of impervious surface collectively over the entire site, and discharges directly to an Environm13ntally Sensitive Area (ESA)? "Discharging Directly to" includes flow that is conveyed overland a distance of 200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an isolated flow from the project to the ESA (i.e. not commingled with flows from adjacent lands).* 8. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface that supports an automotive repair shop? An automotive repair shop is a facility that is categorized in any one of the following Standard Industrial Classification (SIC) codes: 5013, 5014, 5541, 7532-7534, or 7536-7539. 9. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious area that supports a retail gasoline outlet (RGO)? This category includes RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily Traffic (ADT) of 100 or more vehicles per day. 10. Is your project a new or redevelopment project that results in the disturbance of one or more acres of land and are expected to generate pollutants post construction? 11. Is your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of impervious surface or (2) increases impervious surface on the property by more than 10%? (CMC 21.203.040) YES NO If you answered "yes" to one or more of the above questions, your project is a PDP. If your proj13ct is a redevelopment project, Go to step 4. If your project is a new project, Go to step 5, check the first box stating "My project is a PDP ... " and complete applicant information. If you answered "no" to all of the above questions, your project is a 'STANDARD PROJECT', "Go to step 5, check the second box stating "My project is a 'STANDARD PROJECT' ... " and complete applicant information. E-34 Page 3 of4 REV. 02/16 Complete the questions below regarding your redevelopment project (MS4 Permit Provision E.3.b.(2)): 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 previously existing development? Complete the percent impervious calculation below: Existing impervious area (A) = sq. ft. Total proposed newly created or replaced impervious area (B)= sq. ft. Percent impervious area created or replaced (B/A)*1 00 = % If you answered "yes", the structural BMP's required for PDP apply only to the creation or replacement of impervious surface and not the entire development. Go to step 5, check the first box stating "My project is a PDP ... " and complete applicant information. If you answered "no," the structural BMP's required for PDP apply to the entire development. Go to step 5, check the check the first box stating "My project is a PDP ... " and complete applicant information. My project is a PDP and must comply with PDP stormwater requirements of the BMP Manual. I understand I must prepare a Storm Water Quality Management Plan (SWQMP) for submittal at time of application. r:2f' My project is a 'STANDARD PROJECT' OR EXEMPT from PDP and must only comply with 'STANDARD PROJECT' r stormwater requirements of the BMP Manual. As part of these requirements, I will submit a "Standard Project Requirement Checklist Form E-36" and incorporate low impact development strategies throughout my project. Note: For projects that are close to meeting the PDP threshold, staff may require detailed impervious area calculations and exhibits to verify if 'STANDARD PROJECT' stormwater requirements apply. 0 My Project is NOT a 'development project' and is not subject to the requirements of the BMP Manual. Applicant Information and Signature Box Assessor's Parcel Number(s): n, _ o.. o<: I~--JI:JD -()') -{:)() Applicant Title?~,..).- Date: *Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas designated as Areas of Special Biological Significance by the State Water Resources Control Board (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 Diego; Habitat Management Plan; and any other equivalent environmentally sensitive areas which have been identified by the City. This Box for City Use Only City Concurrence: I YES I NO I I By: Date: Project ID: E-34 Page 4 of4 REV. 02/16 ' .) .... · •• < < . < •·· •. · • •.• /. STANDARD PROJECT REQUIREMENT CHECKLIST E-36 . · .. < Prolecflnformation • :· ...•. · .· . ~ • · , Project Name: -:~~E. .... _'2-.en.. o~~ Project ID: , DWG No. or Building Permit No.: . ·· ·. ..•... , ·; .•. > ••.. · .. •·. ·•··••••··· .. · .... .·• SQ'urce 'Contr,ol BMPs ... ·.·• . ·•···. Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www .carlsbadca.gov ... ··•. '.? . ·· .. • .• ... i< ·.··.··.·, ··. ·.· .· All development projects must implement source control BMPs SC-1 through SC-6 where applicable and feasible. See Chapter 4 and Appendix E.1 of the BMP Design Manual for information to implement source! control BMPs shown in this checklist. Answer each category below pursuant to the following. • "Yes" means the project will implement the source control BMP as described in Chapter 4 and/or Appendix E.1 of the Model BMP Design Manual. Discussion/justification is not required. • "No" means the BMP is applicable to the project but it is not feasible to implement. Discussion/justification must be provided. • "N/A" means the BMP is not applicable at the project site because the project does not inciUide the feature that is addressed by the BMP (e.g., the project has no outdoor materials storage areas). Discussion/justification may be provided. . ... ;· { . source ControtRequ;remenv ... · ; .. I . .. • .·AppU~41···· .·· . SC-1 Prevention of Illicit Discharges into the MS4 I DYes I D No I [UJ-1/A Discussion/justification if SC-1 not implemented: SC-2 Storm Drain Stenciling or Signage I DYes I D No I dtJjlJA Discussion/justification if SC-2 not implemented: SC-3 Protect Outdoor Materials Storage Areas from Rainfall, Run-On, I DYes I D No I ()4'J/A Runoff, and Wind Dispersal Discussion/justification if SC-3 not implemented: SC-4 Protect Materials Stored in Outdoor Work Areas from Rainfall, Run-On, I D Yes Runoff, and Wind Dispersal j D No I ~/A Discussion/justification if SC-4 not implemented: SC-5 Protect Trash Storage Areas from Rainfall, Run-On, Runoff, and Wind I DYes I D No IP'A Dispersal Discussion/justification if SC-5 not implemented: E-36 Page 1 of 3 REV 02/16 ' . . . . , , · Sour¢~ Control ~eqtiir~ITI¢nf . ·· ...••. ·.·· .... · •.. · • ···.··. . .• .· ) Applied? · ··. . ······ SC-6 Additional BMPs based on Potential Sources of Runoff Pollutants must answer for each source listed below and identify additional BMPs. (See Table in Appendix E.1 of BMP Manual for guidance). DOn-site storm drain inlets DYes D Interior floor drains and elevator shaft sump pumps DYes D Interior parking garages DYes D Need for future indoor & structural pest control DYes D Landscape/Outdoor Pesticide Use DYes D Pools, spas, ponds, decorative fountains, and other water features DYes D Food service DYes D Refuse areas D Industrial processes D Outdoor storage of equipment or materials o Vehicle and Equipment Cleaning D Vehicle/Equipment Repair and Maintenance D Fuel Dispensing Areas D Loading Docks D Fire Sprinkler Test Water D Miscellaneous Drain or Wash Water D Plazas, sidewalks, and parking lots DYes DYes DYes DYes DYes DYes DYes DYes DYes DYes D No D!)N/A D No J21N/A D No ~/A D No ~/A D No IWN/A D No [j(?N/A D No WN/A D No ~N/A D No ~N/A D No f!JNIA D No j3JN/A D No ~N/A D No ~N/A D No ~/A D No )2DN/A D No ?!'N/A D No ~/A For "Yes" answers, identify the additional BMP per Appendix E.1. Provide justification for "No" answers. E-36 Page 2 of 3 REV. 02/16 I ..... ,.··.············ .. ···.·. •< '>, . .<: .· : < ": ·. Site Design JaNie$·.···· ··• .•· ..·.· ... •. "•·. ·.: .•· ·.: :.··' ·, .·· .: : : All development projects must implement site design BMPs SD-1 through SD-8 where applicable and feasible. See Chapter 4 and Appendix E.2 thru E.6 of the BMP Design Manual for information to implement site design BMPs shown in this checklist. Answer each category below pursuant to the following. • "Yes" means the project will implement the site design BMPs as described in Chapter 4 and/or Appendix E.2 thru E.6 of the Model BMP Design Manual. Discussion I justification is not required. • "No" means the BMPs is applicable to the project but it is not feasible to implement. Discussion/justification must be provided. • "N/A" means the BMPs is not applicable at the project site because the project does not include the feature that is addressed by the BMPs (e.g., the project site has no existing natural areas to conserve). Discussion/justification may be provided. . ·: ": . : ': Sit~.besigo'R~quir~ro~rlt ... •·•·•····· ··· · .. ··. : .· l . ; .. : .... •• . All,ll!ied? ·. SD-1 Maintain Natural Drainage Pathways and Hydrologic Features I ~es I D No j D N/A Discussion/justification if SD-1 not implemented: SD-2 Conserve Natural Areas, Soils, and Vegetation I DYes I D No I ,g9N/A Discussion/justification if SD-2 not implemented: SD-3 Minimize Impervious Area I DYes I D No I ~/A Discussion/justification if SD-3 not implemented: SD-4 Minimize Soil Compaction I )f}(es I D No I D N/A Discussion/justification if SD-4 not implemented: SD-5 Impervious Area Dispersion I DYes I D No I ")fN/A Discussion/justification if SD-5 not implemented: SD-6 Runoff Collection I DYes I D No I r¢N/A Discussion/justification if SD-6 not implemented: SD-7 Landscaping with Native or Drought Tolerant Species I DYes I D No I iZ1 N/A Discussion/justification if SD-7 not implemented: I SD-8 Harvesting and Using Precipitation I DYes I D No I ~/A Discussion/justification if SD-8 not implemented: " E-36 Page 3 of3 REV. 02116 EAST COUNTY SOIL CONSULTATION AND ENGINEERING, INC. 10925 HARTLEY ROAD, SUITE "I" SANTEE, CALIFORNIA 92071 (619) 258-7901 Fax 258-7902 R. A. Booker Builders, Inc. 2240 Encinitas Boulevard, Suite D Encinitas, California 92024 Subject: Report of Field Density Tests Abandoned Swimming Pool Backfill (Stelzer R-:;sidence) 1645 Calliandra Road Carlsbad, California 92011 Ladies & Gentlemen: Mar h 29,2016 Project No. 16-112705 This is to present the results of field Jensity tests performed on the backfill of the abandone~ swimming pool at the subject site. j In accordance with your request, in-place field density tests were performed in accordlauce ~ith ASTM Dl556 (Sand Cone Method). Backfill was conducted on March 22 and 23, 2013 und1er thJobservation and testing of a representative of East County Soil Consultation and Engineering, lnc. The results of the field density tests are presented on Page T-1 under "Table of T<:~st R suits". The laboratory determinations of the maximum dry density and optimum moisture content ofthe ackfill soils are set forth on Page L-1 under "Laboratory Test Results". The approximate test locations e shown on Plate No. 1. Imported fill soils consisting of recycled aggregate base were placed in thin lifts and compac d in excess of 90 percent relative compaction while maintaining a moisture content over optimum. Co paction was achieved with the use of a vibratory roller and a hand whacker. If we can be of further assistance, please do not hesitate to contact our office. Pages T-1, L-1 and Plate No. 1 are parts ofthis report. Respectfully submitted, ./ch/f]z_:7L~ff= Earl Penny, P .E. V RCE205J6 EP/md R. A. BOOKER BUILDERS/ STELZER RESIDENCE/ CALLIANDRA ROAD PROJECT NO. 16-1127D5 .DEPTH PAGET-1 TABLE OF TESff RESULTS ASTMD1556 MAXIMUM FIELD DRY DRY TEST SOIL OFFILL MOISTURE DENSUY DENSITY PERCENT NO. TYPE IN FEET %DRYWT. P.C.f. P.C.F COMPACTIO~ 1 1 2 14.4 117.~ 122.0 96 2 1 2 13.9 118.5 122.0 97 3 1 4 15.4 111.3 122.0 91 4 1 FG 15.7 117.3 122.0 96 FG =FINISH GRADE 2 REMARKS R. A. BOOKER BUILDERS! STELZER RESIDENCE/ CALtiANDRA ROAD PROJECT NO. 16-1127D5 PAGEL-1 LABORATORY TEST RESULTS MAXIMUM DRY DENSITY AND OPTIMUM MOISTURE CONTENT The maximum dry densities and optimum moisture contents of the fill materials as determined by ASTM 01557, Procedures A and B which use 25 blows of a 10-pound slide hammer falling from a height of 18 inches on each of 5 equal layers in a 4-inch diameter 1130 cubic foot compaction cylinder and Procedure C which uses 56 blows of a 1 0-pound slide hammer falling from a height of 18 inches on. each of 5 equal layers in a 6-inch diameter 1/13.3 cubic foot compaction cylinder are presented as follows: SOIL TYPE/ PROCEDURE DESCRIPTION 1/C RECYCLED AGGREGATE BASE (IMPORT) 3 MAXIMUM DRY DENSITY LB/CU.FT. 122.0 OPTIMUM MOISTURE CONTENT %DRYW'(. 12.5 "'-, \ \ \ \ \ \ \ \ I --·-·-_,., EAST cot.TNn soiL coNSULTATION /2/1 &::l?i:be &Jmt!;f;( ~~.~I(.CWCE &. ENGINEBRINO, INC. 10925 HARn..BY RD~ SUITE L SANTEE. CA.91.07l ~IAN'{}-&.1 #~ _(619) 158~?!0' Fu C6l9) 258· 7902. . ' '(JIJ%.~e./ ;z.&/6 '8?/117 ~tl?~~/7'~ 1 II((JD771i/f:.·./IZJP{7 1:4#EA'tl. .. I