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1825 Palisades Dr; ; CBR2020-0902; Permit
Building Permit Finaled Print Date: 06/08/2020 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1825 Palisades Dr BLDG-Residential 2073821900 $27,050.00 Residential Permit Work Class: Repair Lot#: Reference #: Construction Type Bathrooms: Orig. Plan Check#: Plan Check#: {City of Carlsbad Permit No: CBR2020-0902 Status: Closed -Finaled Applied: 04/30/2020 Issued: 05/14/2020 PermitFinal Close Out: Inspector: PDrei Final Inspection: 06/08/2020 Description: RODRIGUEZ: FOUNDATION REPAIR (FOR DOCUMENTATION ONLY AND DOES NOT GUARANTEE A FIX) Applicant: FOUNDATIONS ON THE LEVEL PETER ZOSCHAK JR 760-889-8150 FEE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL SWPPP INSPECTION FEE TIER 1 -Medium BLDG SWPPP PLAN REVIEW FEE TIER 1-MEDIUM Owner: COOWNER DEREK & SHEREE RODRIGUEZ 1825 Palisades Dr CARLSBAD,CA 92008 Total Fees: $757.36 Total Payments To Date: $757.36 Contractor: FOUNDATIONS ON THE LEVEL 2744 Carlsbad Blvd, 106 Carlsbad, CA 92008-2251 760-889-8150 Balance Due: AMOUNT $265.20 $185.64 $2.00 $3.52 $246.00 $55.00 $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to. attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Buildin Division 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov Page 1 of 1 ( City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Che'ck C~AZoZo -c 902- Est. Value _2-..,.7,._tP_sz,;;;,.;;.. ___ _ PC Deposit ------=--- Date ...:t/~:1:i:L/2.c::....::. ___ _ JobAddress /$z.5' f¾:1J(t1eo: ~;vt,-Sulte:_-___ APN: ..a.J7-3S'Z.-/9-e;O CT/Project#:, _____________ Lot#: 57 Fire Sprinklers: OYES 9 NO Air Conditioning:. YES Q NO Electrical Panel UP1rade:Q YES. NO BRIEF DESCRIPTION OF WORK: -. ,,,, /-OUN(),t1'loN t)7;; ,6/I../L.ArlW 0 Addition/New: · '.4-LMng SF, ___ Deck SF, ___ Patio SF, __ __;Garage SF Is this to create an Accessory Dwelling Unifi' QY • N New Fireplace? QY e N, If yes how many? /Y 4 □Remodel: !VA-SF of affected area Is the area a conversion or change of use 7 0 Y e N 0 Pool/Spa: I',/ A SF Additional Gas or Electrical Features? _~_:4 ________ _ OSolar: ;1/,4 KW, __ Modules,Mounted:ORoofOGround, Tllt:OYON, Batterv:OY ON, Panel Upgrade: OY ON RMA:OYON, D Reroof:__;_/V...;..;....__ _______________________ _ D Plumblna/Mechanlcal/Electrlcal Only: .:.#..;_;_,4-..!,._ ________________ _ Ill ether: fw.v1+n-0N' v,;\All./Z/1-7/cvY APPUCA T (PRIMARY CONTACT) PROPERTY OWNER Name: • • /4oJt.H1V<,. .Tl'< Name: /pl~ Af St~ ~~ Al,l,),{3/ta;;.Z Address: i,6 .Z-Bc Address: 18.Zs 'lfiiilN)e<J Ml Vo City: C"'l"~(I''~ State: Q\ Zip: f/2©1f City: C1,</LJ~') State: Ck Zip: t/2Uf Phone: ~~ Phone: 9/6-'1'15'-tJA5Z. Email: A~~.Scw~ Email: -3.~~-=-.:..:.:,...w::.,_....;V,_:'(;(,G:;;_--z.-@-c6..,..~--0¼t,-,-co_M __ DESIGN PROFESSIONAL Name: fla.F,Str;,lt -,1.5jiOCIA 7<5'i> Address: ocl,'IOM/J7ll\J CT City: k-1.ttw~ State: CA Zip: 92.37.3 Phone: 9o9--.J -7316 Emafl: S1l:Yu,6/~~~ &If Architect State License: &--~ .W -tJ </cDfb CONTRACTOR BUSINESS Name: .lii<N#JJcYl(;,ol/ Tltt':" (61'GL Address: f¼ t'lU City: k'f?%J'..c'IAA . state: t'A Zip: ,t;;_:.z.:i....;1;.:::e __ _ Phone: 7'~-ffl~J?SO Ema1t: ft: n:-?'[A',fio.1~1tT1vNJov l71£2ei&,loH State Ucense: </705.2..6 Bus. Ucense: btAv µff,? ')3'} (Sec. 7031.S Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to Its Issuance, also requires the appllcant for such pormtt to flle a signed statement that he/she Is licensed punuant to the provisions al the Contractor's Ucense Law (Chapter 9, commendtna with Section 7000al Division 3 al the Business and Professions Code}orthat he/she Is exemi,t d1e1e~o,n, and the basis for the alleaed exemption. Any Ylalatlon al Section 7031.5 by any applcant for a ponntt subjects the applicant to• cMI penalty al l1GI more Iha, five hund'9d dallaB {$5001). 1635 Faraday Ave carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-SSSS Email: Building@carlsbadca.gov B-1 Page 1 ofZ Rev. 06/18 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury eM. af the following declarations: 01 have and will maintain a certificate of consent to self-Insure for workers' compensatton provtded by section 3700 of the Labor COde, for the performance of the work which this permit ls Issued. • (l,i have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' co~~on insurance carrier and policy number are: tnsura~rpn':"~me:,,. __________________ _ Polley No. ~<JJ;'f'// Expiration Date: ~~ 2.. 0 Certificate of Exemption: I cenffy 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 be come subject to the workers' compensation Laws of Calffomla. WARNING: Failure to HCUre workers compensation cover .. ■ II unlawful, and lhaH subject an employer to ----~~---~----h•h-•--•-••--•h--lnterut and attorney's fees. CONTRACTOR SIGNATURE:, ~/ .. AGENT DATE: ¥/39/L.O ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt /ram Contractor's License Law for the fallowing reason: DI, as owner of the property or my employees with waaes 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 throuah his own employees, provided that such improvements are not Intended or offered for sale. ff, however, the building or improvement is sold within one year of completlon, the owner-builder wHI have the burden of provfna that he did not build or Improve for the purpose of sale). DI, as owner of the property, am exclustvely 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). D1 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. QYEs Q NO 2. I (have/ 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 /phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the followlna: person to coordinate, supeNise and provide the major work (Include name/ address/ phone/ contractors' license number): 5. l 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): OWNER SIGNATURE: ------------------'□ AGENT DATE: _____ _ CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there Is a construction lending aa:ency for the performance of the work this permit is issued (Sec. 3097 (i) Ovil COde). Lender's Name: ___________________ Lender's Address: __________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely ha:zardous materials registration form or risk manae:ement and prevention proaram under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account kt.? I Yes / No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes/ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes/ No IF ANY OF THE ANSW£RS ARE YES, A FINAi. CERTIFICATE OF OCOJPANCI MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEmNG THE REQUIREMENTS OF THE OFFla OF EMERGENCI SERVIW AND THE AIR POLLUTION CONTROl DISTRICT. APPLICANT CERTIFICATION: I certify that I have read the application and state that the above Information Is correct and that the information on the plans is accurate. I aaree to comply wtth all City ordinances and State laws relatina to bulldlna construction. I hereby authorize representative of the City of C.risbad to enter._ the above mentioned property for Inspection purpases. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAAMLESSTHE 01YOFCARLSBADAGAINST All UABIUTIES,JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AN'/WAY ACCRUE AGAINST SAID 01YIN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: NI OSHA permit Is raqured for excavations overs•a deep and demolltlon or construction of SlnJClures over 3 stories In hel&ht- EXPIRATION: f-V penn;t Issued by the 8uildf"8 Offidol under the -ns of this Code shall e,q,i'e by D-and become null and void WIiie building or-1< authorized by such permit Is not commenced within 365 from the date al such permit or Wthe buHdlng «-1< authorized by such permit Is~ or abandoned at_,, tlrrie after the-1< ls commencod for a period of 365 {All2913). 1635 Faraday Ave Carlsbad, B-1 Ph: 760-602-2719 Fax: 760-602-8558 Page 2 of2 Email: Building@carlsbadca.gov Rev. 06/18 THE F?i-LOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLAHHING 0 ENGINEERING )~ ~·· ~ llTY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Car1sbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@car1sbadca.gov www.carlsbadca.gov □BUILDING O ARE Q HEAJ..TH Plan Check No. Est. Value EXISTING USE /<6{1J0vnitc.. PROPOSED USE , GARAGE (SF) ,'<.;V//)<;N77AL z'-rro PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING YESO NcBJ YES ~NO□ APPLICANT NAME (Prim•r:, Cant•ct} APPLICANT NAME (Secondery Cante ct) ADDRESS CITY STATE ZIP FAX PHONE FAX EMAIL EMAIL ADDR~ A lcl'LS r'M'✓-1a?o ADDRESS ~ATE t.A, CITY ~ STATE C,tt FAX ARCWOESIGNER NAME & ADDRESS _ /L I _ _ STA"TE UC. I 'I~ &,6ft,NJJ77A1C'r.~ 0¼01-1:, Q HAZMAT/APCO -t)C) FIRE SPRINKLERS YES0 NO (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve. demolish or repair any structure. prior to its issuance. also requires 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 exem~t therefrom. and the basis for the alleged 8ll:emption. 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)). Workarw' Compen11llan Oeclntlon: I h6reby afflrm underpena«yof pe(jll'f one dthe following dllcJara6ons: 0 I have and wlU mtlntaln • ~ ol COIINllt to Nlf-lnlllre lo: workers' C0l'll)ElllSalion as prOllidacl by Section 3700 cl. the Labor Cod3, for the pertormance of the wooc for which this permit is issued II I have and will maintain workn' ---!°"· as r8(J.ired t1/ Seclial 3700 of the Lax, Code. for the pertormance o~ work lo: wtlch Uis permit is issued. My workers' oompensat~ ~::-carrier and pdicy runberare: lnsura,ceCo $7Jtr<; N~ PaicyNo. "1!Jt16 9'1/ ExµralionDale :z.//Z/3/ J:bi§, sectiorl need rd be cornpklted if the permil is ror one hinted d:lllars ($100) or less. LJ Certlllc:ateol Exlmpllon: I certify that in theperformal1:0 cl.the work tirwhich Uis permil is issued. I shal not~'¥ arr; person in mynmner soas tobecomest.qecito the Workers' Corlllensation Laws cl. Cattrornia WARNIIG: Failure 1111 re WO<Mre' c:ompenullon CO¥.,. II untewllll, and ahall 1ubject • amployer 1111cfflllnalpe1111Ue1111d clvll ftna up 1111 OM hundr9d thoullnd dollarl (&100.000I, In addition to the coet of compen~"JIJ~!18' • provided for In S 3706 of the Lllbof code, lni.r.t and lltomey'• r... Nf cONTRACTORSIGN.6: ~~~~~Pf--ir--_, AGENT DATE Y127/2.Q I her9by affirm that I am exem,x m Cootracta's Ucense Law for th6 following reason: □ I, as OWrBf cl. the propeny or my 8fl1PO'i88S with~ as lheirsole C01Jl)811Sation, w~ oo the work and the stru::ture is not intended Of otfel8d tir sale (Sec. 7044, Buslness 111d Prolessions Code: The Contractor's License Law 0086 not ~ to an OWflfJ( cl. prcperty who llJilds or illJ(7,/es thereon, and whO ooes such work hrnsetf or through his own 8fl1PO'i88S, providld that such illJovernents are not inlended or offered for sale. If, oowever, thebulttlng or~ Is soldwltin Oll8year ot ccrr4)1etion, the owner-bl.ilderwilt have the burden cl.prwing that hedd not tudor i'nprove for lhepurposeof sale). D I, as owner ot the propeny, am exclusi\lety artriDing with lioensed anractors to constru::t the prqect (Sec. 7044, Busine6s aid Protessions Cod3: The Contractors License Law 0086 not ~ to an owner or prcperty whO bulds or il'lJCNeS thereor,, and oontracts tic such JJojects with cootractor(s) lioensed p!ISlml to the Contractor's License Law). □ I am~ urmr Section ____ Business and Professions Code for this reason: 1. 1 pe,somtf plan topr<M<il the major ioocr and maleriafs ru conslndion ct the~ JJcperly ~-O ves Do 2 t (helle / have rd} S4!J1ed an awficatlon for a blikfng permit for the prqxx;ed wooc. 3. I have contracted with the follo#~ P8fliOO (firm) to Jf<7,/ida the prcposed construction (incJwe name adaess I phone/ contractors' li<:ense rumer): 4. I i:lan to provide portions of the work, but I have tired the fdlowing pa-son to coortlnate, Sl4l8fVls8 and provide the major wort< (rouda name/ a<ttess /phone/ contractors' license nllllber): 5. I wilt prO'lide some of the wort<, but I halls oontnned (hired) the bllow~ pa-sons to provide the work intlcated (ircluda nsne / ad:tess / phone I type ct work): ~ PROPERTY OWNER SIGNAT\JRE DATE lslhe~aflJin~occl4lSl!raJM9dloNmiabulir-.181, Slbl'{llar.albll,,,.,_.~ bmorriamaiage1•,nt~J1R11JS11Uldll'Sdcns:l!mi, 25533a25634rltha ~T-Hazsd:u&alarl)e/iaJrul.kl:I CY• CNo ts the~ a U1111bUktr11 oca.prt rec:,.iladmctialrl a pllllll tan lhes!dAloncmrd dlltrtct er s(JlllitymerlBglllWi dllrld? □ Y• □ No 18 ttw lacitily tobe cawiuclldwtllin 1,rm 111111 db cuar-ba.ndlryd a 1C1m sillt? □ Y• C No F NlY Of lll! ANnlll!ltl -.Yl!I, A,-,.,. CllllRAlEOF OCCU'ANCY IIAY NOT Be aUl!!D IN.SI nE APPUCANT HAI aT OR■ .rnNG Tit!! Re-¥ ITI Of THE O/Fff/2 OF Ea!IQ!NC'f lt!IMCl!I All> TH! AIR P0WJ1ICII caml0l. 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(Seclarl 10U.4lhllm IUq CGde~ ~M'UCMrl.-A~ ,~~~ ~--. ~ </127/2..v Building Permit Inspection History Finaled (city of Carlsbad PERMIT INSPECTION HISTORY for (CBR2O2O-O9O2) Permit Type: BLDG-Residential Application Date: 04/30/2020 Owner: COOWNER DEREK & SHEREE RODRIGUEZ Work Class: Repair Issue Date: 05/14/2020 Subdivision: CARLSBAD TCT#76-15 UNIT#02 Status: Closed -Finaled Expiration Date: 12/02/2020 Address: 1825 PALISADES DR IVR Number: 26169 CARLSBAD, CA 92008-3756 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspectlon Inspection Date Start Date Status 06/05/2020 06/05/2020 BLDG-11 129393-2020 Passed Peter Dreibelbis Complete Foundatlon/Ftg/Plers (Rebar) Checklist Item COMMENTS Passed BLDG•Building Deficiency Yes 06/08/2020 06/08/2020 BLDG•Flnal Inspection 129570-2020 Passed Peter Dreibelbis Complete Checklist Item COMMENTS Passed BLDG-Structural Final Yes Monday, June 8, 2020 Page 1 of 1 I I ·1 SWL SPECIAL INSPECTION AND Geo TECH SERVICES Serving all your special Inspection needs In the Greater L.A. Basin 2026 Andreo Avenue Torrance, CA 90501 Office/Mobile: 31 0. 489.9176 Email: swlstacylenz@sbcgloqal.net Veteran Owned REGISTERED INSPECTOR'S DAILY REPORT IJOONo. jO•te I~ TYPE OF u Reinforced Canclela U Structural Steel Assembly e Quality Control INSPECTION 0 Poot Tensioned Concrete 0 Fire Proofing ~~ REQUIRED 0 D•~-n .......... Job-lln~ I-r,I, ... 1 Dr City r ;,,,1.r1-. ,J ·-_: --~A f'_, ... _mi"':•~~,,., 11-sv ,_,,, ~"-"--Kl MIIIIIIIIID ......... -1 ._-,, L. u... -itlglnNr r· Mu " ~$,,Scc.i A~ - I " , I • ,. Corlll-;..__ -T. i -__ , --.-\-. \~,( ~· ,,\ \ .. .., .. .., 818PIICIUl._,.IIY• LOCA1IONIOPWORKl•Paclat,.ff!S1'8MPLESTAK11N.WOMRILIIC1SD,J08PROII.IMI.PRC&.••RE;:WtRKa.l!rC. INCWla~llDN~~ MfflllW.PI.ACIDOR W011<1 au 01 R!D. 'IUMll!II. T'IPI & IIEHt N0'8 Ol'll!Sr 1Mllt ' (WII.Df,Wll(H.T. l!OI.TSTOA0UliD!CHl!C:l(IC, .,TC, - VMi. .. ,l -. \1 """" L-_\ "NI -11 ,A_ • I --~ ....,., ~-~--•·· I .U-. --.;, . ,-.l, L ~J. ••-•._ -.,I .. l.. bff ,,..,., ~ ,.,.,, -\ I\ -._ ' I \_ • ,~_,, ll II • r I • 1•..1 1,J.-A .I -a , .. I ..l -•~--Aol'd hA "'-••I' , ~l ·, .,. -. ll: ,: -..~ ,-~ \ .J.,....,. • 1 _ I•-~ • • • I 4 Lt,., .-'II•• • I f, • --I -. :... ,.,J..Wll..l ... _i . ·.L,,;·1..,,. A,...,' 'l ,, I \-~ .c-l! , ...... i • _I ., __ .J t;., L, , L 1-A ----• ' I T ' . ' -- •' -1'"7t.r:k. • -,._,-=--. - GUAUnCIMIHOI. ~IIWITH'CIIV 'iei-lUHtRCI CHIICIILIIT 1111En>JDB - aill!\I ___ ~-a---.,.""--- C..Clwte.(IION DI' coal'LINICI -.OIi IEXT -0 -l 0, ~ mr■· I ,_our 8.IIIXIII O.'t-I ..... I ' ... ..,.,..,.... .. __ JIIIPl■J■ AlflllpNlfDl11 ..... ...,._tMID,...._.IUIIIIIII_ 11:ao...., ......... ....,.,_.,, ......... _,., .. -' - • ( City of Carlsbad SPECIAL INSPECTION AGREEMENT 8-45 Development Services Building Division 1635 Faraday Avenue 76<Hi02-2719 www.carlsbadca.gov In acconlllJIC8 with Chapter 17 of the Callfomla Building Coda the following muat be completed when wart< being perfonned requl1U apeclal Inspection, atructund ofleetvallon and conatructlon material taatlng. Project/Permit: C~AZtJ~ -tJ9tJZ. A. THIS SECTION MUST BE COMPLETED BY THE PROPERTY OWNER/AUTHORIZED AGENT. Please check If you are Owner-Builder □. (lf you checked as owner-builder you must also complete Section B of this agreement.) Name: (P-prtr,t) /'e'Tli"lt{ .Z-'GA'.AI( VA -) (M.I.) (I.Ml) MalUngAddreq· /?>PJ /'/2./ t'A~b9C I!~. 9241/3 Email· />€"ll!7(®Hf.¥M'TN11'1:lo#~ -'" M Phone· 7~•/Je9-e15'tJ I am: l:IProperty Owner Jli(Property Owner's Agent of Record l:IArchltect of Record l:IEngineer of Record State of Califomie Registration Number:L..-..:.9'_:7lc..:o~:r._z_:I,::;.._ ____ Expiration Date: "'~ lu.z.z. AGREEMENT: I, the underaigned, declare under penalty of perjury under the laws of the State of Celifornia, that I have read, understand, acknowledge and promise to comply with the City of Carlsbad requirements for special Inspections, structural observations, construction materials testing and off-site fabrication of building components, as prescribed In the statement of special lnspedioll's noted on the appro plans and, as required by the California Building Code. Signatur~ ______ .Q~~~~,f_:_ _____ Date: --"''J"-'~-l-''1..._f-"2,--'o'------- B. CONTRACTOR'S STATEMENT OF RESPONSIBILITY (07 CBC, Ch 17, Section 1706). This section must be completed by the contractor I builder / owner-builder. Contractor's Company Neme: fiiov~IJl'II., OAI' 77-le La'llt:'l. Pleaae check w you are Owner-BUIider □ Name: {PleMeprinl) ,IS~ .2'4Jt.N'I¥< ~ A -) IM.I,) (Lal) Malling Address: ~'5 191./ C~M-~ .> C .... 9-z.,,s Email: ~@rD~lWJ&,AIT/ltJ/.PVf;n.,tt}l'f Phone: 7k, 889·!1/SO State of California Contractor's License Number: 9'7o5Lh ExplraOon Date: #4o/.Zozz.. • I acknowledge and, am aware, of special requirements contained in the statement of special Inspections noted on the approved plans; • I acknowledge that control wlll ba exercised to obtain conformance with the construction documents approved by the building official; • I wlU have in-Place procedures for exercising control within our (the contractor's) organization, for the method and frequency of reporting and the distribution of the reports; and . • I certify that I will have a qualified person within our (the contractor's) organization to exercise such control. · • I wlll prprfdt I final nppo,t/ tt• tn comp/lance with CBC Secllpn 170f. 1.2 ,nor IP '19H•dna tfn•I Signatu:~ Date:_5'.~p_'l~Yf.~:Z.~1) ____ _ Pan• 1 nf 1 DATE: 5-12-2020 JURISDICTION: Carlsbad PLAN CHECK#.: CBR2020-0902 ✓• EsG1I A SAFEbuiirCornpany SET: I PROJECT ADDRESS: 1825 Palisades Drive ~PPLICANT / aURIS. PROJECT NAME: Single Family Home Foundation Stabilization Repair D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. ~ The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified in the attached list are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: ~ EsGil staff did not advise the applicant that the plan check has been completed. D EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Telephone#: Date contacted:0/2-/W (by: >nf\.Email: Mail Telephone Fax In Person REMARKS, AppUca,t to fill oot a,d ,;g, thw•I l,specikm fo~ attaohed. By: Erich A. Kuchar, P.E. Enclosures: EsGil 5-4-2020 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Carlsbad CBR2020-0902 5-12-2020 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Erich A. Kuchar, P.E. BUILDING ADDRESS: 1825 Palisades Drive BUILDING OCCUPANCY: R-3 PLAN CHECK#.: CBR2020-0902 DATE: 5-12-2020 BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier Foundation Reoair Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance I I 1997 UBC BuIldin Permit fee ... g L.I I 1997 UBC Plan Check Fee : .., I ' .: Type of Review: r Complete Review r Repetitive Fee .,. n;;i Repeats ~ * Based on hourly rate r Other p Hourly EsGil Fee ~ Reg. VALUE ($) Mod. 1 , r Structural Only 2] Hrs.@* ~====$=1 a=s=.o~a I $210.ooJ Sheet 1 of 1 HELFRICH ASSOCIATES ENGINEERING • CONSTRUCTION L______.I ~ CONSULTING Aprll 8, 2020 Derrick and Sheree Rodriguez Emall: sheree.rodrlguez@cbnorcal.com Peter@foundatlonsonthelevel.com SUBJECT: LIMITED SOILS REPORT 1825 Palisades Drive Carlsbad, Callfornla 92008 Project No. 200225 This report was prepared to provide geotechnlcal recommendations for underpinning and stabilization of the foundations of the subject structure. Based on our understanding of the project, It appears that the structure has experienced some movement. A floor level survey performed by Foundations on the Level (FOTL) Indicates a maximum differential elevatlon of approxlmately 1.25 Inches. Based on our review of the Information provided, It Is our opinion that soll movement associated with Improper drainage, slope creep, and expansive solls Is the cause of the observed distress to the foundations of the bulldlng. It Is our recommendation that re- levellng of the structure should be performed by Installing hellcal piers to 11ft and re-level the bulldlng and to provide addltlonal lateral support using helical tiebacks. Recommendations for re-leveling and stabilization of the structure are provided In the Recommendations section of this report. SITE DESCRIPTION The subject site Is located at 1825 Palisades Drive In the City of Carlsbad, Callfornla. The property, which Is approxlmately 7,000 square feet In size, Is occupied by a slngle-story, resldentlal structure approximately 1,165 square feet In floorplan area. The house pad Is at an elevation of about 216 feet above mean sea level (MSL). The subject property Is bounded by an RV parking area on the southwest, Pallsades Drive to the northeast and by resldentlal properties on the remaining sides. An approximately 15-foot high 4H:1V ascending slope leads to the RV parking area to the southwest. The property to the northwest lies approximately 6 feet higher In el, ---· · · lies approxlmately 6 feet lower In elevation. CBR2020-0902 1825 PALISADES DR RODRIGUEZ: FOUNDATION REPAIR (FOR DOCUMENTATION ONLY AND DOES NOT GUARANTEE A FIX) 2073821900 4/30/2020 CBR2020-0902 Limited Salls Report 182S Palisades Drive Page No. 2 2019 CALIFORNIA BUILDING CODE -SEISMIC PARAMETERS Based on the geologic setting and anticipated earthwork for construction of the proposed project, the soils underlying the site are classified as Site Class D -default according to the 2019 California Building Code (CBC). The seismic parameters according to the 2019 CBC are summarized in the following table. The seismic parameters provided assume Equivalent Lateral Force (ELF) design Is permitted using the exceptions noted In Section 11.4.8 of ASCE 7-16. 2019 CBC -Seismic Parameters Mapped Spectral Acceleration Parameters s. = 1.011 and S1 = 0.369 Site Coefficients Fa = 1.2 and Fv = 1.93 "djusted Maximum Considered Earthquake SMs = 1.214 and SM1 = 0.712 Spectral Response Parameters Design Spectral Acceleration Parameters Sos= 0.809 and So1 = 0.475 Peak Ground Acceleration (PGAM) 0.532g LABORATORY TESTING Laboratory testing was performed by HIiitop Geotechnlcal, Inc. Samples were provided to the laboratory by FOR. Expansion Index testing was performed on a representative sample to evaluate the expansion potential of the solls. A representative sample was tested for corroslvlty characteristics lncludlng sulfates, chlorldes, minimum resistivity and pH. Laboratory test results appear In the Appendix. Soll classifications provided In our geotechnlcal Investigation are In general accordance with the Unified Soll Classlflcatlon System (USCS). Helfrlch-Assoclates has reviewed the laboratory test results and accepts the results for use In our analysls. EXPANSIVE SOILS The results of our expansion Index testing Indicate that the solls encountered at the site are considered "medium" expansive. Recommendations provided In this report are made with consideration to the expansive conditions of the on-11lte solls. CONCLUSIONS On the basis of our research and fleld and laboratory Investigations, It Is the opinion of this firm that the proposed underpinning project Is feaslble from a geologlcal and geotechnlcal engineering standpoint, provided the recommendations contained In this report are Implemented during design and construction. 30640 Kristin Court, Redlands, CA 92373 -909-389-7316 -Fax 909-389-7326 -www.helfrlch-assoclates.com Limited Solis Report 182S Palisades Drive Page No. 3 RECOMMENDATIONS Due to the "medium" expansive nature of the subsurface solls, It Is our recommendation to underpin the structure using hellcal piers. RE-LEVELING USING HELICAL PIERS The re-levellng/ underpinning of exterior footings can be performed utlllzlng 2-7 /8-lnch round pipe hellcal anchor piers with hellcal underpinning brackets Installed to a minimum torque of 2700 ft-lbs. For a minimum torque of 2700 ft-lbs, the allowable capacity of the hellcal pier Is 12 kips (FS = 2). The capacity of the hellcal piers Is determined from publlshed correlatlons with the lnstallatlon torque and should be verified by load testing during lnstallatlon. The hellcal piers should consist of 8-10 hellcal plates at minimum and Installed with a tension connection to transfer upllft forces on the house to the piers. Construction and Inspection requirements for lnstallatlon of the hellcal piers should be placed on the repair plans. The piers should be Installed to so that the top hellcal plate Is at least 15 feet bgs and founded on firm, competent materlals. The effect of group action wlll not be significant when the plles are spaced at least 3 times the diameter. Hellcal piers for this project are not Intended to resist seismic, wind, or lateral soll loads. Total and dlfferentlal settlement of the foundations where the piers have been Installed under their design loads Is expected to be less than :1/2 and :I/ 4 Inch, respectlvely. ADDITIONAL LATERAL SUPPORT USING HELICAL TIE-BACKS Based on the results of the floor level survey, it appears that the building has experienced some downslope movement. Therefore, it is recommended that helical tie-backs be Installed to provide lateral support for the structure. Surficlal slope stability analysis (using assumed shear parameters of unit weight of 120 pct, phi angle of 28 degrees, and cohesion of 150 psf) performed for a conservatively estimated 26.6 degree (2H:1V) slope to a depth of 5 feet indicates that the helical tie-backs should provide a minimum capacity of 100 psf for the top five feet to obtain a minimum factor of safety of 1.5 for surflclal slope stability. The shear values used for our analysis should be confirmed with testing during construction. The helical tie-backs should consist of a minimum of 1.5-lnch solid square or round shaft with 8-10 helices with a minimum length of 25 feet at an angle of 15 degrees below the horizontal. The minimum installation torque should be determined by the structural engineer based on the capacity required using a Kt factor of 10. The actual capacity of the hellcal tie-backs is determined from published correlations with the Installation torque and should be verified by load testing during installation. 30640 Kristin Court, Redlands, CA 92373 -909-389-7316 -Fax 909-389-7326 -www.helfrlch-assoclates.com Limited Soils Report 1825 Palisades Drive Page No. 4 Helical tie-backs are intended to provide lateral support for the structure for surficial slope failures and are not Intended to provide support for global slope failures. LATERAL RESISTANCE Resistance to lateral loads wlll also be provided by passive earth pressure and base friction of the existing foundation system. Passive earth pressure may be developed at a rate of 150 psf per foot of depth. Base friction may be computed as 0.25 times the dead load. Base friction and passive earth pressure may be combined without reduction. These values are based on Class 4 materlals from Table 1806.2 of the 2019 CBC and should be verified during construction with testing. CORROSION Due to the corrosive potential of the onslte solls to ferrous metals, the piers should be galvanized or designed with adequate sacrlflclal thickness redundancy to provide a minimum SO-year design llfe. EXTERIOR REPAIR RECOMMENDATIONS The stablllzatlon should be performed by coordinated raising of the perimeter and Interior of the structure untll the maximum dlfferentlal elevation Is no more than 1 Inch across the bulldlng footprint. Upon completlon of the stablllzatlon operation, It Is recommended that the foundation be observed for cracks In the footings and stemwalls. Cracks In the footings and stemwalls greater than 1/8 Inch should be structurally evaluated and repaired so that the structural Integrity of the footing Is maintained. Foundation cracks less than or equal to 1/8-lnch-wlde should be Injection grouted with Simpson ETI-LV or GV epoxy and reinforced with Fortress Carbon Fiber Staples at 18 Inches on center across the crack. After the piers are Installed and the bulldlng Is llfted, structural grout should be Injected Into the space below the foundations and slabs to restore the orlglnal soll support to the structure. Addltlonally, the stablllzatlon may cause distress to the utlllty connections to the bulldlng. Care should be taken to protect the connections, and they should be monitored and tested upon completion of the stablllzatlon activities and repaired as necessary. Exterior repairs should be performed after the foundation repairs are made to restore the landscaping, Irrigation, and patios/sidewalks to their preconstructlon condition. Planters should be provided with area drains to prevent water ponding. Irrigation systems should be carefully Installed and monitored to ensure that solls near the bulldlng and/or slopes are not over-Irrigated. DRAINAGE The actual drainage design should be performed by the project clvll engineer with consideration to the recommendations provided In this section. 30640 Kristin Court, Redlands, CA 92373 -909-389-7316 -Fax 909-389-7326 -www.helfrlch-assoclates.com Limited Solis Report 1825 Palisades Drive Page No. 5 Surface drainage should be maintained sloplng away from the structure to ensure that water does not pond next to the foundations. The site should be graded so that surface water flows away from structures at a minimum gradient of 5 percent for a minimum distance of :LO feet from structures. Impervious surfaces within :LO feet of structures should be sloped a minimum of 2 percent away from the bulldlng. Water should not be allowed to flow over graded areas or natural areas to cause erosion. Graded areas should be planted or otherwise protected from erosion by wind or water. Water should be directed to an approved outlet. INTERIOR REPAIR RECOMMENDATIONS Addltlonal distress to the bulldlng, such as drywall cracking may occur during the stablllzatlon. Therefore, It Is recommended that a quallfled contractor who speclallzes In performing such stablllzatlon performs the repairs. Cosmetic repairs to the bulldlng are llkely to consist of repairs to the Interior and exterior walls, celllngs, and floor surfaces. This work should be done after the stablllzatlon work Is completed. It Is recommended that any cracks within the Interior floor slab be repaired as detalled below. Slab cracks less than or equal to 1/4-lnch-wlde should be Injection grouted with Simpson ETI-LV or GV epoxy. Slab cracks greater than 1/ 4-lnch-wlde but less than 1/2-lnch-wlde should be fllled with Simpson ETI-LV or GV epoxy and reinforced with Fortress Carbon Fiber Staples at :LS Inches on center across the crack. Cracks greater than 1/2 Inches or more than 1/8 Inches vertlcal offset should be removed and replaced. The cracked section should be saw-cut and replaced with a new slab doweled Into the existing slab. The removed portions of the slab may be replaced with a new slab of the same thickness or thicker. The replacement slab should be reinforced with at least No. 4 steel reinforcing bars placed In both directions at :1.6 Inches on center. The reinforcement should be located In the mlddle one-third of the slab height. It Is recommended that "chairs" be utlllzed to aid In the placement and support of the reinforcement. Welded wire mesh Is not recommended. If a moisture barrier Is present, It should be reconstructed. The concrete utlllzed In the new slab should have a slump of 4 Inches or less. Cracks In the concrete can occur due to shrinkage. The above recommendations regarding the reinforcement and concrete design should be taken only as mlnlmal and should be verified by the project Structural Engineer. In the event that ceramic tlles are Installed as a future floor covering, It Is recommended that the floor tlles be underlaln with a sllp sheet or other method for reducing the potentlal for future cracking of the tlles. Any underlayment should be Installed In accordance with the recommendations of a quallfled tlle contractor. 30640 Kristin Court, Redlands, CA 92373 -909-389-7316 -Fax 909-389-7326 -www.helfrlch-assoclates.com Limited Salls Report 1825 Palisades Drive Page No. 6 SLABS-ON-GRADE Concrete slabs-on-grade should be a minimum of 4 Inches In thickness. To provide adequate support, concrete slabs-on-grade should bear on a minimum of 1.8 Inches of compacted soll and should consist of a minimum of No. 3 reinforcing bars spaced 12 Inches on center each way. A 4-inch-thick section of rock base should be placed immedlately below the slab-on-grade. The compacted soll should be moisture conditioned to 2 to 4percent above optimum moisture content and compacted to at least 90 percent relatlve compaction. The flnal pad surfaces should be rolled to provide smooth, dense surfaces. Use of maximum control Joint spacing of no more than 8.0 feet In each direction and a construction Joint spacing of 10 to 12 feet should be used In the design of flatwork. Exterior flatwork that abuts foundations or slabs should be separated from adjacent foundations or slabs. If the subgrade earth materlals are allowed to become saturated, there Is a risk of heaving and vertlcal dlfferentlal movement of the exterior concrete hardscape, sldewalks, curbs/ gutters, etc. Therefore, proper drainage should be establlshed away from such Improvements and mlnlmal precipitation or Irrigation water allowed to percolate Into the earth materlals adjacent to and/or under the exterior concrete flatwork or hardscape, curbs/ gutters, etc. Slabs to receive moisture-sensitive coverings should be provided with a moisture vapor retarder/barrier. We recommend that a vapor retarder/barrier be designed and constructed according to the American Concrete Institute 302.1R, Concrete Floor and Slab Construction, which addresses moisture vapor retarder/barrier construction. At a minimum, the vapor retarder/barrier should comply with ASTM E1745 and have a nomlnal thickness of at least 10 mlls. The vapor retarder/barrier should be properly sealed, per the manufacturer's recommendations, and protected from punctures and other damage. Per the Portland Cement Association (www.cement.org/tech/cct__con_vapor_retarders.asp), for slabs with vapor-sensitive coverings, a layer of dry, granular materlal (sand) should be placed under the vapor retarder/barrier. For slabs In humidity-controlled areas, a layer of dry, granular materlal (sand) should be placed above the vapor retarder/barrier. EARTHWORK Earthwork at the site Is anticipated to be relatlvely minor and llmlted to excavation for the llftlng points, minor site grading, and subgrade preparation associated with the floor slab and foundation repair. The on-site solls are considered Mmedlum" expansive and should be moisture conditioned to 2 to 4 percent above optimum moisture content when re-using the materlal as compacted flll. "Medium" expansive solls are not anticipated to slgnlflcantly affect the structure when stablllzed using hellcal piers. Excavation dlfflcultles are not anticipated, and conventlonal grading equipment may be used. 30640 Kristin Court, Redlands, CA 92373 -909-389-7316 -Fax 909-389-7326 -www.helfrlch-assoclates.com Limited Solis Report 1825 Palisades Drive Page No. 7 Within areas where earthwork Is to be performed, any existing ground Improvements, vegetation, or loose debris should be removed to expose the underlylng solls. The subgrade should be verified to be firm and unyleldlng. Compacted flll should be placed In horlzontal llfts not more than 8 Inches In loose thickness and compacted to at least 90 percent of the maximum dry density, as evaluated by the latest version of ASTM D1557. The moisture content of the flll during compaction should be brought to 2 to 4 percent above optimum moisture content. The on-11lte solls, less any contaminated soll, debris, organic matter, or other deleterlous materlals, may be used In the site fllls. Rock or other soll fragments greater than 4 Inches In size should not be used In the fllls. Temporary, shallow excavations with vertical side slopes wlll generally be stable, but there Is a potentlal for minor sloughlng. All excavations should be made In accordance with Cal- OSHA requirements. ADJACENT PROPERTIES STATEMENT Based on our fleld Investigation and laboratory testing results, It Is our opinion that the proposed underpinning wlll be safe against hazards from landsllde, settlement or sllppage and the proposed construction wlll have no adverse effect on the geologlc stablllty of the adjacent properties or future developments provided the recommendations presented In this report are followed. 30640 Kristin Court, Redlands, CA 92373 -909-389-7316 -Fax 909-389-7326 -www.helfrlch-assoclates.com Limited Soils Report 1825 Palisades Drive Page No. 8 CLOSURE The recommended repairs are Intended to stablllze the foundations and slabs In the affected parts of the site. Due to the nature of the subsurface conditions at the property, addltlonal future movement of the bulldlng and surrounding concrete slabs should be anticipated. Areas of the property that have not been repaired may experience damage In the future, although the extent of this damage Is anticipated to be minor, provided good Irrigation and maintenance practices are followed as provided In Appendix B. We appreciate the opportunity to submit this report. Please call If you have any further questions. Very truly yours, Helfrlch-Assoclates, Inc. Steven C. Helfrlch, P.E., G.E. Enclosures: References Appendix A -Laboratory Test Results Appendix B -Maintenance Recommendations 30640 Kristin Court, Redlands, CA 92373 -909-389-7316 -Fax 909-389-7326 -www.helfrlch-assoclates.com Limited Solis Report 1825 Palisades Drive Page No. 9 REFERENCES American Concrete Institute, 20:1.4, Bulldlng Code Requirements for Structural Concrete (ACI 31.8-:1.4), Commentary on Bulldlng Code Requirements for Structural Concrete (ACI 3:1.SR-:l.4), American Concrete Institute Coduto, D. P., Yeung, M. R., and Kitch, W. A., 2010, Geotechnlcal Engineering Prlnclples and Practices, 2nd Edition, Pearson Higher Education, Inc., New Jersey. Day, R. W., 2012, Geotechnlcal Engineer's Portable Handbook, Second Edition, McGraw- Hiil, New York Foundation Supportworks, 20:1.4, Technlcal Manual, Second Edition, Hellcal Plies and Anchors, Hydraullcally Driven Push Piers, Polyurethane Injection, Supplemental Support Systems, July 20:1.4 lnternatlonal Conference of Bulldlng Offlclals, 2016, Callfornla Bulldlng Code, 2016 Edition, Whittler, Callfornla. 30640 Kristin Court, Redlands, CA 92373 -909-389-7316 -Fax 909-389-7326 -www.helfrlch-assoclates.com APPENDIX A Laboratory Test Results April 7, 2020 1072-AD20.1 SUMMARY OF LABORATORY TEST RESULTS 1825 PALISADES DRIVE, CARLSBAD, CALIFORNIA PROJECT NO. 20-894 EXPANSION INDEX TEST RESULTS (ASTM D4829 Test Method) MOISTURE DRY SATURATION MOISTURE SAMPLE CONTENT DENSITY PRIOR TO CONTENT EXPANSION EXPANSION PRIOR TO PRIOR AFTER POTENTIAL NO. 1 * ** TEST INDEX TEST TO TEST TEST ... (%) (pct") (';,)* (%) 9.7 110.4 48.9 20.0 60 Expansive Assumes a 2. 70 Specific Gravity for the earth material. As defined in Section 1803.5.3, 'Expansive Soil,' in the 2016 California Building Code (CBC) (i.e., Non-Expanaive: EI <20; Expansive: EI >20). STANDARD PRACTICE FOR DESCRIPTION AND IDENTIFICATION OF SOILS, VISUAL- MANUAL PROCEDURES (ASTM D2488) Clayey fine to medium sand, trace coarse, trace gravel o l "; Olive brown (SC) CHEMICAL AND ELECTRICAL RESISTMTY TEST RESULTS RESISTMTY SOLUBLE CHLORIDE SAMPLE Minimum pH* SULFIDE (ppm)* SULFATE (ohm-<im) (~•)* 1 3,528 8.60 Neg.** 14 0.0016 • Test performed by A & R Lahoratories . ** Neg. • Negative. PLATE N0.1. HILLTOP GEOTECHNICAL, INC. APPENDIX B Maintenance Recommendations MAINTENANCE RECOMMENDATIONS The most important aspect of slope maintenance is proper control of surface drainage. Uncontrolled water from broken pipes, improperly maintained Irrigation systems, and rainfall are the most prevalent cause of slope instablllty in Southern Californla. The following recommended procedures should be followed by the property owner to minimize slope instablllty: 1) Homes should be provided with roof drains, gutters, and downspouts, and these facilities should be checked at least twice per year. 2) All drainage devices should be checked at least twice per year to ensure that they are not blocked. All blockages should be cleared. 3) Drains at the top of slopes should not allow water to overflow onto the slope. 4) Terrace drains and brow ditches on slopes or at the tops of slopes are designed to carry runoff water to an appropriate discharge point. These drains should be checked at least twice per year, and cleaned of any accumulation of dirt and other debris. Water that backs up in surface drains wlll overflow and seep into the slope, creating Instability. 5) Water should not be permitted to collect or pond in yard areas. This water wlll either seep Into the ground (loosening the soils) or wlll overflow onto the slope. Once erosion is started, it is difficult to control and severe damage can occur qulckly. 6) Loose soil or debris should not be left on slopes. Loose soils soak up water more readily than compacted fill, and will often slide downslope. This materlal may clog terrace drains, and may cause additional slope damage. 7) Slopes should not be over-Irrigated. Naturally, ground cover will require some moisture during the hot summer months, but during the wet season, irrigation can cause heavy ground cover to move, which not only destroys the cover, but also may begin slope surface erosion. Heavy ground cover can cause surface sloughing when saturated due to the increased weight and weakening of the near surface soil. 8) Water should not be allowed to collect against foundations, retaining walls, or basement walls. These walls are typically bullt to withstand the effects of normal soil moisture, and may require subsurface drains to collect and transfer excessive water away from the structures. 9) Irrigation systems should not be left running on or near a slope, particularly during the rainy season. 10) Swales that have been graded around the home or on the lot should not be blocked. These swales are typlcally constructed to provide drainage toward the driveways, street or other positive outlet. • 11) Building pad and slope surfaces should be periodlcally inspected for rodent activity. Burrowing rodents will reduce slope stability by allowlng additional water infiltration and channeling of surface runoff into the slope soils. '~ '~~ '~ W CITY Of CARLSBAD STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Bulldlng 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: • Building Permit □ Right-of-Way Permit □ My project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types: Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Project Storm Water Threat Assessment Criteria* No Threat Assessment Cdletfa Patio/Deck Photo Voltaic Re-Roofing Sign Spa-Factory Sprinkler Water Discharge □ My project qualifies as NO THREAT and is exempt from the requi"ement to prep,... a st01Tn walor pollution prevention plan (SWPPP) because ii moot. the ·no lhleal" .... ...,enl criteria on Ille City's Project Three! A.....menl Worksheolfor Delormlnotion of ConGtruclion SW PPP lior Level. My project does nol mael any of Ille High, Moderate or Low Threat criteria deecribed below. Tier 1 • Low Threat Assessment Cdterla • My project -not meet eny of lhe SlgnHioonl or Moderata Threat criteria, is not an exempt pennn type (See lisl above) and Iha project meets one or more of Iha following criteria: • Results in soma sol! di-.Ooe; and/or • Includes outdoa conslruclion acllvltias (such as saw cutting, equipment weshing, material stocl<piling, vehicle fue!ng, waste stockpling). Tier 2 • llfodenJte TIINat ~t Crlletfa □ My project -not meet any of Ille Significalt Threat .........nt Qiteria deecribed below and meets one or more of the following criteria: • Project requi"es a i,adng plan pursuant to Iha Cartsbed Grading Ordlnanoe (Chapter 15.16 of the Cnbad Municipal Code); or, • Project wllf reoult in 2,500 squn feat or moot of soils -lncfudlng any assodaled constuclion atagi,g, mclcpiling, pavement removal, equipment storage, refueJing and maintenance aea& 8ld project meets one or more of the additional following criteria; • Located within 200 feet of an envinnmantally sensitive na or Ille Pacific Ooean, and/or • Oislurbed 11'88 is localed on a slope wnh a lJ!lde al or exoeeding 5 horizontel to 1 vertical, and/or • Disturbed area is localed along or wnhin 30 feet of a storm <taln Inlet, an open <tainage channel or watarcoURe, and/or • Conslruotion wiU be Initialed wring Iha rainy season or IMR extend into Ille rainy season (Oot. 1 lhrough Aprll 30). Tier 3 • Significant T11188t .Asseanent Cdtetla □ My project Includes clermg, IJO(llng or olher cisturbanoes to Iha i,ound resulting in soil disturbance totaling one or more acres lncludng any associatad conslruction sieging, aqulpmanl storege, stoclq,ililg, pavement removal, refueling and malnlenanoe nos: and/or □ My project is part of a phased development plan that will rumulalively result in soil disturbanoe totaling one or more acres including any 8&80ciated construction staging. equipment storage, refueling and maintenance mes: c.-, □ My project is localed Inside or within 200 feet of an environmenlelly sensitive na (see City ESA Proximity map) and has a significant potential for oonlribuling polutanls to nelll>y reoeMng watara byway of atorm waler runoff or non-storm waler dischll'ge(s). I ce,tJfy ID Ille beat of my lrnawlodge that tho aboV9 cltockod slUlmenla .. fnle and comet I understand and IClrnowled/18 that own though th/a pn,Joct does not,.,,,,,,. propamion of• consllucflon SWPP, I must •ti/I adhln ID, and It 11111/meo dutlng con"""'1lon aclMffes for the permit typo(s) check llloV9 comply wlfll the rfD/111 watw but maru,gement practlcaa punuant ID Title 15 of Ille Ca,/4/Jad Mrmlclpll Code and ID City Standards. Project Adaess: Assessor Parcel No /8?:J ~~ Mtif?{Mt.f!>ij '/.l!JO,j .a:il--.¾Z•l9--oo fl'J'he City Engileer may authorize minor vaiancea from the Storm Wa1af Threal Assesament Criteria ii special ci'cumstericea where I can be shown that a lesser or higher Construction SWPPP Tier Level is ..-. 8-24 O#ner.UWm's Aulhaized ~ent Nane. /tn;-,A..,Zo;xl-fAf<.. V ;;t{ "✓ ~ AtJha1Z8:! J'""' S<i,,alur.: • , ..... , 0YES ONO By: Dalo: Page 1 of 1 Hie: CM' ~r!Cn:,a_ Date: ~/2.1/:z.o ProjodlD: Rev.03/09 /f~ ~-~-¥ CITY OF CONSTRUCTION THREAT ASSESSMENT WORKSHEET FOR DETERMINATION OF PROJECT'S PERCEIVED THREAT TO STORM WATER QUALITY E-33 Development Services Land Development Engln~rlng 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov CARLSBAD Construction Perceived SWPPPTier Construction Threat Assessment Criteria* Threat to StonnWatar Level Qualitv Tier 3 -Hjgh Construction Threat Assessment Criteria □ Project site is 50 acres or more and grading will occur during the rainy season □ Project site is 1 acre or more in size and is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges diractly to an ESA High □ Soil at site is moderately to highly erosive (defined as having a predominance of soils with Tier3 □ USDA-NRCS Erosion factors k, greater than or equal to 0.4) Site slope is 5 to 1 or steeper □ Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 □ through April 30). Owner/contractor received a Storm Water Notice of Violation within past two years Tier 3 -M!l:lliYm QQol!l!d!clioa Ib!l!!!I i'IIS§H!!!!!Dt Criteria Medium □ All projects not meeting Tier 3 High Construction Threat Assessment Criteria Tier i Hjgh QQ!lll!Yction Thr!!lt t,§as1rmot !.!'.Md• □ Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feat of an environmentally sensitive area (ESA) or discharges directly to an ESA □ Soil at site is modaretely to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kr greater than or equal to 0.4) High □ Site slope is 5 to 1 or steeper Tier2 □ ConstructiOn is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). □ Owner/contractor received a Storm Water Notice of Violation within past two years □ Site results in one half acre or more of soil disturbance Tier 2 -M@!!iym Construction Threat A1ses1men1 Criteri!I Medium □ All projects not meeting Tier 2 High Construction Threat Assessment Criteria Ii§[ l • M!l:lliYm IOIR!!!i!iOO Tbreat ~essment Qot~ria □ Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, within or diractly adjacent to an environmentally sensitive area (ESA) or discharges directly to an ESA □ Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kr greater than or equal to 0.4) Medium □ Site slope is 5 to 1 or steeper Tier1 □ Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). □ Ownerfcontractor received a Storm Water Notice of Violation within past two years □ Site results in one half acre or more of soil disturbance IiM l · LRll! I0§oectigo Ihreat &W!!ll!Dt Ca!e!ii! Low • All projects not meeting Tier 1 Medium Construction Threat Assessment Criteria Exempt -Not Applicable -Exempt *The c,ty engineer may authonze minor vanances from the construction threat assessment critena in special circumstances Where it can be shown that a lesser or higher amount of storm water compliance inspection is warranted in the opinion of the city engineer E-33 Page 1 of 1 REV 4/30/10 ~ -~(, '~ CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov INSTRUCTIONS: To address post-development pollutants that may be generated from development projects, the City requires that new development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (BMP's) into the project design per the City's Standard Urban Stormwater Management Plan (SUSMP). To view the SUSMP, refer to the Engineering Standards (Volume 4, Chapter 2) at www.cartsbadca.gov/standards. Initially this questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of storm water standards that must be applied to a proposed development or redevelopment project. Depending on the outcome, your project will either be subject to 'Standard stormwater Requirements' or be subject to additional criteria called 'Priority Development Project Requirements'. Many aspects of project site design are dependent upon the storm water standards applied to a project. Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City staff has responsibility for making the final assessment after submission of the development application. If staff determines that the questionnaire was inconrectly filled out and is subject to more stringent storm water standards than initially assessed by you, this will result in the return of the development application as incomplete. In this case, please make the changes to the questionnaire and resubmit to the City. If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, please seek assistance from Land Development Engineering staff. A separate completed and signed questionnaire must be submitted for each new development application submission. Only one completed and signed questionnaire is required when multiple development applications for the same project are submitted concunrently. In addition to this questionnaire, you must also complete, sign and submit a Project Threat Assessment Form with construction permits for the project I Please start by completing Step 1 and follow the instructions. 1/Vhen completed, sign the fonn at the end and submit this with your application to the city. STEP1 TO BE COMPLETED FOR ALL PROJECTS To determine if your project is a priority development project, please answer the following questions: YES NO 1. Is your project LIMITED TO constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria: (1) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or I other non-erodible penmeable areas; OR (2) designed and constructed to be hydraulically disconnected from paved streets or roads; OR (3) designed and constructed with permeable pavements or surfaces in accordance with USEPA Green streets auidance? 2. Is your project LIMITED TO retrofitting or redeveloping existing paved alleys, streets, or roads that are ✓ designed and constructed in accordance with the USEPA Green Streets guidance? If you answered "yes• to one or more of the above questions, then your project is NOT a priority development project and therefore is NOT subject to the storm water criteria required for priority development projects. Go to step 4, mark the last box stating •my project does not meet PDP requirements• and complete applicant infonnation. If vou answered "no· to both auestians then ao to Sten 2. E-34 Page 1 of3 Effective 6/Zl/13 ,4'~ '--.:,. '~ W CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov STEP2 TO BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECTS =o detem,ine if your project is a priority development project, please answer the following questions: YES 1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces coHectively over the entire project site? This includes commerr:ial, industrial, residential, mixed-use, and public develo-nt nroiects on ~·blic or ""'-le land. 2. Is your project creating or replacing 5,000 square feet or more of impervious surface collectively over the entire project site on an existing site of 10,000 square feet or more of impervious surface? This includes commeroial, industrial, residential mixed-use. and ~•blic develonment =1ects on ~•blic or ""'-te land. 3. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a restaurant? A restaurant is a facility that sells prepared foods and drinks for consumption, including stationary lunch counters and refreshment stands selling prepared foods and drinks for immediate consumnHon. 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 peroent 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 faclli/y for the tem~rarv =rkin" or stora-of motor vehicles used =rsonaflv for business or for commeroe. 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 strae/, road, highway, liffway or driveway is any peved impervious surface used for the transportation of automoblles. trucks moto-.....,s and other vehicles. 7. Is your project a new or redevelopment project that creates or replaces 2,500 square feet or more of impervious surface collectively over the entire site, and discharges directly to an Environmentally Sensitive Area (ESA)? 'Discharging Directly to• includes flow that is conveyed overland a distance of 200 feet or less from the project to the ESA, or conveyed in a pipe or opan channel any disfance as an isolated flow from the nro,,. ... to the ESA 'i.e. not commin-'es with flows from ad/ocent 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 Classilication {SIC) codes: 5013, 5014 5541 7532-7534 or 7536-7539. 9. Is your project a new development that supports a retail gasoline ouflet (RGO)? This category includes RGO's that meet the following criteria: (a) 5,000 square feat or more or (b) a project Average Daily Traffic (ADT) of 100 or more vehicles .... dav. 1 O. ls 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 (1) creates 2,500 square feet or more of " · us surface or (2) increases irnnRNious surface on the pronartv by more than 10%? NO ./ ✓ / ✓ ✓ ✓ ✓ ✓ ✓ ..,/ ✓ If you answered 'yes• to one or more of the above questions, you ARE a priority development project and are therefore subject to implementing structural Best Management Practices (BMP's) in addttion to implementing Standard Stom, Water Requirements such as source control and low impact development BMP's. A Stam, Water Management Plan (SWMP) must be submitted wth your application(s) for development. Go to step 3 for redevelopment projects. For new projects, go to step 4 at the end of this questionnaire, check the "my project meets PDP requlntments" box and complete applicant information. ff you answered -no· to aff of the above questions, you ARE NOT a priority development project and are therefore subject tc implementing only Standard Storm Water Requirements such as source control and low impact development BMP's required for all development projects. A Stam, Water Management Plan (SWMP) is not required with your application(s) for development. Go to ste1 14 at the end of this questionnaire, check the "my project does not meet PDP requirements" box and complete applican information. E-34 Page2 of3 Effective 6127/13 ~<1 --~ CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov NO If you answered "no," the structural BMP's required for Priority Development Projects apply to the entire development. Go to step 4, check the "m ro ect meets PDP uirements" box and com lete a licant Information. STEP4 CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION □ My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must co""ly 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 flow control (hydromodification) requirements may apply to my project. Refer to SUSMP for details . • My project does not meat PDP requirements and must only co""ly with STANDARD STORMWATER REQUIREMENTS per the SUSMP. As part of these requiraments, I will incorporate low impact development strategies throughout my project. Applicant Information and Signature Box Addrassi8'2:J-~ !WM?' ~LW.J £4. '/Maf Accessors Parcel Number(s): 2o1~j/f2,-/ 9-tfO Applicant Name: _/)~~.;/'A.. Applicant TiUe: ~JZ1A. Applicant Signature(~ ~ / Date: ~/2...7/J.{) _,,_, ... n>.V/ ' { / - This Box ro, City Use Only City Concurrence: I YES I NO I I By: Date: Project ID: • Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) i""3ired water bodies; areas designated as Areas of Special Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); areas designated as preserves or their quivalent under the Multi Species Conservation 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 Page 3 of3 Ellective 6127/13 STORM WATER POLLUTION PREVENTION NOTES I. AU. NECESSARY EQUIPMENT ANO MA IENIALS SHAU. BE AVAILABI£ ON SITE TO FACILITATE RAPID INSTAI.LATION Of' EROSION AND SEDIMENT CONlROI. BIIPs WHEN RAIN IS EMINENT. 2. !HE OHR/CONTRACTOR SHALL RESTORE All EROSION CONlROL DEi/iCES TO WORKJNG ORDER TO THE SA T1Sf ACTION Of THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING RAINf.111.L 3. 1HE OWNER/CONTRACTOR SHALL INSTALL ADDITlONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY INSPECTOR DUE TO INCOMPLETE GRADING OPERA llONS OR UNfOOESEEN CIRCUMSTANCES YiHICH MAY ARISE. 4. AU. REMOVABLE PROTECllvE DEVICES SHAU. BE IN PLACE AT lHE END Of EACH WORKJNG DAY 111iEN THE AvE (5) DAY /IAIN PR<J3ABIUTY FORECAST EXCEEDS FORTY PECENT ( 40%). SILT AND OTHER DEBRIS SHAU. BE REMO\£! AFTER EACH RAINFAlL 5, ALL GRAI/El BAGS SHAU. CONTAIN 3/4 INCH MINIMUM AGGREGATE. 6. ADEQUATE EROSION ANO SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE ME/\SURES MUST BE INSTALLED AND MAINTAINED. 7. THE CITY INSPECTOR SHALL HA vE THE AUTHORITY TO ALTER THIS PLAN DURING OR BEFORE CONSlRUCllON AS NEEDED TO ENSURE COMPLIANCE ll!TH CITY STORM WATER QUALITY REGULATIONS. OWNER'S CERTIFICATE: I UIIJERSTAND AND Aa<NOlllEDGE lHA T I MUST: (1) IIIPt.fllENT BEST MANAGEIIEHT PRAClltES (BIIPS) DURINC CONSlR\JCTIOII ACll\fllES TO lllE MAlll!UII EX19ll PRAC11C.IBI.£ TO AYCIO lllE MOIIIJZAllON OF P<lll/TANTS SUCH AS SElllllENT AND TO AYOOl lHE EXPOSURE OF STalll WAlER TO CONSTRUCTION RflA'ISl POU.UTANTS; AND (2) ADHERE TO, AND AT All TIIIES, COIIPI..Y 11TH 1HIS CITY APPROVED TER 1 CONS1RUCllttl 5WPPP 'lliROUIJiOUT THE OURA 110N OF 11£ CONS'IRUC11Cr1 ACllVITES UNlL THE CONSlRUCllON WOR1( IS COMPI..E1£ 00 APl'RO'IED BY THE CITY OF CARLSBAD. Pd~~-5/(f/k> DATE E-29 STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP CB 0..,~1d6-C19(i) E-29 ·SW BEST MANAGEMENT PRACTICES (BMP} SELECTION TABLE Ero,lonConlrd -C«nrd8MPs r.-ig ---Menogen,orrtand M-llMPs CoolnjBMPs llanagement BMPs -COnlrdBMPs . . I ~ I J -... f ... Ii s i g ! J. J Ii !i I .... 1 "' J I Best Management Practice' "' !ill t .!i ~ j 4 i !1 1.ll j ~ .!i .... i ... 1l i iJ (BMP) Description ➔ i 21 !! II I i l !i JJ Jf gr; !i .. "' .! -Ii f ti j .!! .!i !t i i Ii I ii I ii ! II ! ii !: il il g Ii .!,?i 1.§ :2 8 e ii, ill a: ,.'..!! lo :acll ;ii"' CASQAD88lplla,➔ ~ i .. ~ ~ ~ ~ : ,._ ., 0 N .., ,._ "' j" N .., ... ., I ~ I ill ~ l J, J; J, J, J, I I I I Coos1IUdlonkMy l.;l ljj z z z z i j j I I Q-aclt,•,...,. lllalurl>ance Tl'ln tlon Cancrole'•-alt -· Concrete fkltwork l'<Mn• Cclnduit/PlDe lnstalatlon ........ C1X)llltl'1:(I' wm1I: waste"--· Sta Down/no c--·-mt Mabtenaica and Fu-"-- Hozardout Sul>etonce Uae"'t-----Site AcceM ACl'088 D11 X Otll.-lffat. ' -lnrtructfcns: 1. Cl1edt tho box to tho left of all t1plllltable ccnalnictlon acthlty (int column) o,q,ected to occur during conslnJctlcn. 2. Loc:oted qlcrig the too of tho !IMP Table la a flat of BMP"s wfth It's -anding c.tlfcmlo Stcrmwater Qlollty ~ (CASQA) ~ number. Choooe one or man, BllfT• J10U lnlend to ueo tlmg conatruc:tlon fnrn the flat. Check the box when, tho ct,_, octMty row lnlorwocta with the BIIP column. 3. Refer to tho c,,sQA <Crlslructlon hondbool< for ilffflnGtlan and details of the ehceen BIi's ond how to apply them to the pn> joet. PROJECT INFORMAll,ON Site --.(l!J~PAll./AIJQI ~~l'G' .. j_ ii ti 8 :z:"' .. I j SHOW THE LOCATIONS OF ALL CHOSEN BMPs ABOVE ON THE PROJECTS SfTE PLAN/EROSION CONTROL PLAN. SEE THE REVERSE SIDE OF THIS SHEET FOR A SAMPLE EROSION CONTROi. PLAN. -·• P<rea1 Numbr.ZD7-382·t'l-<>o Emtll'lfOl)cy Conl,att: Name: f¢Aoi"";NR.n>p,{QIM ~ 24 Hour Phone: 71.,.~ 1:?/$o Conolru<:tlon Throat to storm Water Quality (Ched< Box) 0 IIEIJIUM JltLow • .... i jl J is .§,. .. i I I - Page 1 of 1 REV 02/16 AREAO REPAIRS •. GARAGE . , .,,,,,.,, ·11+,i ..... ex, • ,• ..; ,l ±16' . .: 57~, S1DEWALK -~ PALISADES DRIVE SITE PLAN SCALE: 1/16"' = 1' SOILS REPORT FOR 1825 PALISADES DRIVE, CARLSBAD, CA 92008 DA TEO APRIL 08, 2020, REPORT NO. 200225 .