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Home My WebLink About2010 PINTORESCO CT; ; CB154413; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-08-2016 Demolition Permit Permit No:CB154413 Job Address: Permit Type: Parcel No: Occupancy Group: PC#: # Dwelling Units: Bedrooms: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2010 PINTORESCO CT CBAD DEMO Full Demo: Y 2164813300 Lot#: 0 0 0 SUGG: DEMO POOL Reference #: Structure Type: Bathrooms: 0 Owner: Status: Applied: Entered By: Plan Approved: ISSUED 12/14/2015 SLE 01/08/2016 Issued: 01/08/2016 Inspect Area: JAMES CONSTRUCTION CLEANUP INC STE 123-381 SUGG WILLIAM E&ROSEMARY P FAMILY TRUST 05-21-97 6755 MIRA MESA BLVD SAN DIEGO CA 92121 619-861-6700 Building Permit Plumbing Fee Other Fee Additional Fees TOTAL PERMIT FEES $20.00 $0.00 $45.00 $0.00 $65.00 2010 PINTORESCO CT CARLSBAD CA 92009 Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due: Inspector: f'k· ~S FINAL APP'1OVAL Date: ot /-;z., II 6 Clearance: $0.00 r,.QllCE; A....,ta<e r,.QllCEltat 'WM d'fO.' ~ed irdldestre"lrrµ,sitioo" dfees, dedcaicn; reserv.iicn;, crctte-EO<alic:ns-wledi;ey referred to a,; '!ees'EO<alicnsi YaJ hal.e 00 C>f1S frcmtre dale ths pemit w,s iSSJed to imest irrµ,siticr, d trese fees'EO<alicns. 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City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-08-2016 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW150486 Job Address: Permit Type: Parcel No: Reference #: CB#: Project Title: Applicant: 2010 PINTORESCO CT CBAD SWPPP 2164813300 CB154413 SUGG: DEMO POOL JAMES CONSTRUCTION CLEANUP INC STE 123-381 6755 MIRA MESA BLVD SAN DIEGO CA 92121 619-861-6700 Emergency Contact: BILLY (JAMES CONSTRUCTION) 619-861-6700 SWPPP Plan Check SWPPP Inspections Additional Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Issued: Inspect Area: Tier: Priority: Owner: ISSUED 12/14/2015 SLE 01/08/2016 1 M SUGG WILLIAM E&ROSEMARY P FAMILY TRUST 05-21-97 2010 PINTORESCO CT CARLSBAD CA 92009 $54.00 $228.00 $0.00 $282.00 Total Fees: $282.00 Total Payments To Date: $282.00 Balance Due: $0.00 FINAL APPROVAL DATE "'tf-z, / / i, CLEARANCE ___ _ SIGNATURE fVI-~s THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD «'~ Building Permit Application Plan Check No.('I /J-i /f7441?i 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date /7-1u-1c..... lswPPPlnf)~"I JOB ADDRESS SUITEf/SPACEill/UNITf IAPN 201 O Pintoresco Ct. --- CT/PROJECT# ILOT# I PHASE# T# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Aroa(s) Demolish (NOT REMOVE) and fill in the existing swimming pool in the backyard of this SFR. No ~vqvre_-:,; f"'P~ """-tt,.;$ -s"..,,.lre EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YESO No□ YES □No □ YES□No□ APPLICANT NAME (Primary Contact) James Construction APPLICANT NAME (Secondary Contact) Jennifer/Randy Cole ADDRESS ADDRESS 6755 MIRA MESA BLVD #123-381 9880 Maqnolia Ave #119 CITY STATE ZIP CITY STATE ZIP San Dieqo CA 92121 Santee CA 92071 PHONE IFAX PHONE lFAX 619-405-2648 619-330-4796 EMAIL EMAIL jennifer@permitrunner.net PROPERTY OWNER NAME William Sugg CONTRACTOR BUS. NAME James Construction ADDRESS ADDRESS 201 O Pintoresco Ct. 6755 MIRA MESA BLVD #123-381 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 SAN DIEGO CA 92121 PHONE IFAX PHONE IFAX (619) 861-6700 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.# I ''i:~3/C21 I '"y BUS '';'236197 802538 (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 siro,ed statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commendmgwith Section 7000 of Division 3 of the B_usmess and Professions Code} or fhat 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 cIvII penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following dec/arati011s: D I have and will maintain a certificate of consent to self-insure for Y,'Orkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D I have and will maintain workers' compensation, as required by SecUon 3700 of the Labor Code, for the performance of the work for which this pennit is issued, My workers' compensation insurance carrier and policy number are: Insurance Co STATE COMPENSATION INS Policy No. 1201643 Expira~on Date 09101/2016 ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfo1TT1ance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worilers' compensation cov e is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as rovtded for I 0fl 3706 of the Labor code, Interest and attorney's fees . .65 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owiier of the property, am exclusively contracting with licensed contractors to const11Jcl 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 ttie major labor and materials for construction of the proposed property improvement. 0Yes 0No 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 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/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone I type of work): ,6$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk mana;iement and prevenfon program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control disbict 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? D Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR rs MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work this perrrnt 1s issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the applk:atlon and state that the above infom,ation Is oonectand that the lnfom,ation on the plans is accura1e. 1 agree to comply 'Mth all Cl1yordlnaooes and State laws relating to building construction. I hereby authorize representative of the City of Ca~sbad to enter upon the aOOve mentioned !JOperty tir i'lspeclion p.Jrposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Cf CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUEAGAJNST SAID CITY IN COO SEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA permit is required for excavations over 5'0' deep and demolltion or construction of structures over 3 stories in heght. EXPIRATION: Every permit issued by the Buik:ling Offdal under the 1-Y()Visioos of this shall expire by limitatlon and become nul and void if the DJik:ling orv.ori<. authorized by such permit is not commenced v.ithin 180days from the date of such permit or if the building orv.ori( orized by It is suspended or abandoned at anytime after the 'MJri<. is commenced for a period of 180days (Sectbn 100.4.4 Unifonn Buildh'lg Code). _,k$ APPLICANT'S SIGNATURE DATE 12/14/15 Inspection List Permit#: CB154413 Type: DEMO Date __ _lrlspection Item 01/21/2016 19 Final Structural 01/21/2016 19 Final Structural 01/11/2016 14 Frame/Steel/Bolting/Weldin 01/11/2016 19 Final Structural Thursday, January 21, 2016 Inspector Act MC PY RI Fl AP RI SUGG: DEMO POOL Comments EARLY AM CALL B4 ARRIVING SWMG POOL DEMO POOL DEMO Page 1 of 1 «~~ ~ CITY OF CARLSBAD PLAN CHECK REVIEW TRANSMITTAL Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov DATE: 12/22/201PROJECT NAME: RESIDENTIAL POOL DEMO PROJECT ID: CB154413 PLAN CHECK NO: 1 SET#:l ADDRESS: 2010 PINTOR ESCO CT APN: 2164815500 VALUATION: APPLICANT CONTACT:JENNIFER@PERMITRUNNER.NET □ Tlis plan check review transmittal is to notify you of clearance by: LAND DEVELOPMENT ENGINEERING DIVISION Final lmpe c tion by the Construction & Inspection Division is required: Yes No X 'f!!!s For status from a division not marked below, please call 760-602-2719 This plan check review is NCI'COMPLBTE Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Chris Sexton 760-602-4624 LAND DEVELOPMENT ENG. 760-602-2750 Chris .Sexton@ca rlsbadca .gov Kathleen Lawrence 760-602-27 41 Kathleen.Lawrence@carlsbadca.gov Greg Ryan 760-602-4663 Gregory.Ryan@carlsbadca.gov Gina Ruiz 760-602-4675 Gina.Ruiz@carlsbadca.gov Linda Ontiveros □ 760 -602-2773 Linda.Ontiveros@carlsbadca.gov VAL RAY MARSHALL 760-602-27 41 VALRA Y.MARSHALL@CARLSBADCA.GOV Remarks: NO EASEMENT'S PRESENT AND SW PAPERWORK ALL IN ORDER ·cindy Wong 760-602-4662 Cynthia.Wong@carlsbadca.gov Dominic Fieri 760-602-4664 Dominic.Fieri@carlsbadca.gov «1~ ~ CITY OF CARLSBAD STORM WATER COMPLIANCE ASSESSMENT 8-24 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov I am applying to the City of Carlsbad for the following type(s) of construction permit: 6i'-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: Patio/Deck Photo Voltaic Re-Roofing Sign Spa-Factory Sprinkler Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria □ My project qua Imes as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWFPP) because it meets the "no threat' assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tier 1 • Low Threat Assessment Criteria ~My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project V -meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 • Moderate Threat Assessment Criteria □ My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Cansbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Tier 3 -Significant Threat Assessment Criteria □ My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or □ My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, □ My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receMng waters by way of stonn water runoff or non-stonn water discharge(s). I certify to tho best of my knowledge that tho above checked statements are true and correct I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for tho permit typo(•) chock above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards. Project Address: Assessor Parcel No. 'The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Leve! is warranted. 8-24 City Concurrence· QYES ONO Page 1 of 1 By: Date: Tille: Date: I Z,/t t../t:J Project ID: Rev.03/09 «1'» ~ CITY OF CARLSBAD CONSTRUCTION THREAT ASSESSMENT WORKSHEET FOR DETERMINATION OF PROJECT'S PERCEIVED THREAT TO STORM WATER QUALITY E-33 Development Services land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov Construction Perceived Threat to SWPPPTier Construction Threat Assessment Criteria* Stonn Water • Level Quality Tier 3 -High 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 directly 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 -Medium Construction Threat Assessment Criteria Medium □ All projects not meeting Tier 3 High Construction Threat Assessment Criteria Tier 2 High Construction Threat Asse§sment Qr~~,;~ □ 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 □ Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors k, 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 Tier2 Medium QonsirugiQn Thr~~l Assessm§!nt Qriteria Medium □ All projects not meeting Tier 2 High Construction Threat Assessment Criteria Tier 1 -Medium lns1;2ection Threat Assessment Criteria □ Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, within or directly adjacent to an environmentally sensitive area (ESA) or discharges directiy to an ESA □ Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors k, greater than or equal to 0.4) Medium □ Site slope is 5 to 1 or steeper Tier 1 □ 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 1 -Low lns"action Threat Assessment Criteria ~All projects not meeting Tier 1 Medium Construction Threat Assessment Criteria Low Exempt -Not Applicable -Exempt The city engineer may authorize minor variances from the construction threat assessment cntena m 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.carlsbadca.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 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 separate completed and signed questionnaire must be submitted for each new development application submission. Only one completed and signed questionnaire is required when multiple development applications for the same project are submitted concurrently. In addition to this questionnaire, you must also complete, sign and submit a Project Threat Assessment Form with construction permits for the project. Please start by completing Step 1 and follow the instructions. When completed, sign the form 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 X other non-erodible permeable areas; OR (2) designed and constructed to be hydraulically disconnected from paved streets or roads; OR (3) designed and constructed with permeable pavements or surfaces in accordance with USEPA Green Streets quidance? 2. Is your project LIMITED TO retrofitting or redeveloping existing paved alleys, streets, or roads that are (x_ designed and constructed in accordance with the USEPA Green Streets guidance? If you answered "yes" to one or more of the above questions, then your project is NOT a ·priority development project and therefore is NOT subject to the storm water criteria required for priority development projects. Go to step 4, mark the last box stating "my project does not meet PDP requirements" and complete applicant information. If you answered "no" to both questions, then go to Step 2. E-34 Page 1 of 3 Effective 6/27/13 «~~ ~ C I TY 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 To determine 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 collectively over the entire project site? This includes commercial, industrial, residential, mixed-use, and public develooment oroiects on oublic or orivate 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 commercial, industrial, residential mixed-use and public development projects on oublic or orivate 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 consumption. 4. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a hillside development project? A hillside development project includes development on any natural slope that is twenty-five percent or greater. 5. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a parking lot. A parking lot is a land area or facility for the temoorarv oarkinq or storaae of motor vehicles used personally for business or for commerce. 6. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a street, road, highway freeway or driveway? A street, road, highway, freeway or driveway is any paved impervious surface used for the transportation of automobiles trucks, motorcvcles, 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 open channel any distance as an isolated flow from the oroiect to the ESA (i.e. not commingles with flows from adjacent lands).* 8. Is your project a new development that supports an automotive repair shop? An automotive repair shop is a facility that is categorized in any one of the following Standard Industrial Classification (SIC) codes: 5013, 5014, 5541, 7532-7534, or 7536-7539. 9. Is your project a new development that supports a retail gasoline outlet (RGO)? This category includes RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily Traffic (ADT) of 100 or more vehicles per dav. 10. 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 impervious surface or (2) increases impervious surface on the property by more than 10%? NO [)( )( A X k k X X: X P< !)G, 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 addition to implementing Standard Storm Water Requirements such as source control and low impact development BMP's. A Storm Water Management Plan (SWMP) must be submitted with 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 requirements" box and complete applicant information. If you answered "no• to all of the above questions, you ARE NOT a priority development project and are therefore subject to implementing only Standard Storm Water Requirements such as source control and low impact development BMP's required for all development projects. A Storm Water Management Plan (SWMP) is not required with your application(s) for development. Go to step 4 at the end of this questionnaire, check the "my project does not meet PDP requirements" box and complete applicant information. E-34 Page 2 of 3 Effective 6/27/13 «t~ ~ C IT Y OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov Does the redevelopment project result in the creation or replacement of impeNious surface in an amount of less than 50% of the surface area of the reviousl existin develo ment? If you answered "yes,• the structural BM P's required for Priority Development Projects apply only to the creation or replacement impeNious surface and not the entire development. Go to step 4, check the "my project meets PDP requirements" box and complete applicant information. If you answered "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 re 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 comply with additional stormwater criteria per the SUSMP and I understand I must prepare a Storm Water Management Plan for submittal at time of application. I understand flow control (hydromodification) requirements may apply to my project. Refer to SUSMP for details. My project does not meet PDP requirements and must only comply with ST ANDA RD STORMWATER REQUIREMENTS per the SUSMP. As part of these requirements, I will incorporate low impact development strategies throughout my project. Applicant Information and Signature Box Accessor's Parcel Number(s): Applicant Title~+ Date: I 2/t ro/C" This Box for 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) 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 preseNes or their quivalent under the Multi Species ConseNation 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 of 3 Effective 6/27/13 «~~ ~ CITY Of CARLSBAD STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 STORM WATER COMPLIANCE CERTIFICATE ✓ My project is not in a category of permit types exempt from the Construction SWPPP requirements ✓ My project is not located inside or within 200 feet of an environmentally sensitive area with a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). ✓ My project does not require a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code) ✓ My project will not result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas that meets one or more of the additional following criteria: • located within 200 feet of an environmentally sensitive area or the Pacific Ocean: and/or, • disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical; and/or • disturbed area is located along or YJithin 30 feet of a storm drain inlet, an open drainage channel or watercourse; and/or • construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT ALL OF THE ABOVE CHECKED STATEMENTS ARE TRUE AND CORRECT. I AM SUBMITTING FOR CITY APPROVAL A TIER 1 CONSTRUCTION SWPPP PREPARED IN ACCORDANCE WITH THE REQUIREMENTS OF CITY STANDARDS. I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO MINIMIZE THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO MINIMIZE THE EXPOSURE OF STORM WATER TO CONSTRUCTION RELATED POLLUTANTS; AND, (2) ADHERE TO. AND AT ALL TIMES, COMPLY WITH THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD. f(_yJ (Jg OWNER(S)/OWX?R'S AGENT NAME (PRINT) ~ z ~ ~ER.St ,R•S AGEITTNAME (SIGNATURE) ( '2.-/i r,/tr DME E-29 STORM WATER POLLUTION PREVENTION NOTES 1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION AND SEDIMENT CONTROL BMPS WHEN RAIN IS EMINENT. 2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO WORKING OROER TO THE SATISFACTION OF THE CITY ENGINEER AFTER EACH RUN-OFF PRODUCING RAINFALL. 3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY ENGINEERING OR BUILDING INSPECTOR DUE TO UNCOMPLETED GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. 4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE AT THE END OF EACH WORKING DAY WHEN THE FIVE (5) DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PERCENT (40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL. 5. ALL GRAVEL BAGS SHALL BE BURLAP TYPE WITH 314 INCH MINIMUM AGGREGATE. 6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. SPECIAL NOTES Page 1 of3 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov PROJECT INFORMATION Site Address'?o/ 0 ,e. •,.~p C Assessor's Parcel Number: ______ _ Project ID CJb \'51....\\..,\ \3 Construction Pennit No.:~ \f{)4:Kl D Estimated Construction Start Date \ 1/17 /,) Project Duration I Months Emergency Contact: Name f;I ( \y 24hourPhon~ (~) 8b/ ~'b700 Perceived Threat to Storm Water Quality D Medium ~Low If medium box is checked, must attach a site plan sheet showing proposed work area and location of proposed structural BMPs For City Use Only CITY OF CARLSBAD STANDARD TIER 1 SWPPP Approved By: ________ _ Date: _________ _ REV 4130110 Erosion Control Tracking Non-Stonn Water Waste Management and Materials Sediment Control BMPs Control BMPs BMPs Management BMPs Pollution Control BMPs C C C c c 0 0 0 "C ti ti "' ~ ., "C ., C C E C E "C i ~ C "' "' C "' 2 2 '5 C. ., 2 -g ~ E "' :;; "E ·5 ~ "' "' ::;; "' -~ m t; ,,, t; C 'E "' C ,,, ~ Best Management Practice C C. ., ·e C C"' C ~ 0 " ., C ~ ~ .. le "'~ • E ID C. -0 ., 0 ., 2 w -~ ., "' ~ ., "' (BMP) Description ➔ ,,, .!l 3l [J) C I-E "' l[ ID C u~ u ,,, "C ~ "C Qj ,,, ::;; 2 ,,, ~ ·~ ~ "' ,,, "' ·~ s "C "' C C C 0 :::, ., ,,, => ~ a, c '5 "C >, 0 "' > => ., ~ :, 0 ID "' ., !!! ., "' u "' )j ~ I!! ~ 0 og> 0 C ., "' 0·-~ oi ~ 0: Ei ~ ~ ~3';: "' ~-·c. "E ., "8 • ., E -" Qj " => " g· ·~ " u ·c -" !=. 0 " C u. u m > "C :E ~ :E -g 2 " "' u "·-C. '5 ., E I!! il C ~ le u :I C ., ~ "'E 0 ~ ., " " -"' "' .s 2 "' "' .!!lo ~ "' ~ "' cl5 ~( 0 0 (!) WO iii [J) u U: (!) [J) > [J) [J) a. 00 .E [J) 0: a. a. :, [J) I u CASQA Designation ➔ 0 ., "' -~ :z .,. "1 ~ ~ :z 0 ~ ~ -;z .... ;;; -')' i .,. "' 'I' i c..\ c..\ -~ d, d, :!; :!; c..\ w w ::;; i ::;; w UJ w [J) [J) [J) [J) [J) [J) [J) I-I-z z z z s: s: s: s: Construction Activity UJ [J) Gradina/Soil Disturbance Trenchina/Excavation ~ Stockoilina -Drillinn/Borino Concrete/Asphalt Saw cuttina Concrete flatwork Pavina ConduiVPino Installation Stucco/Mortar Work Waste Disoosal Staaina/Lav Down Area Equipment Maintenance and Fuelina Hazardous Substance Use/Storaae Dewaterina Site Access Across Dirt Other llistl: Instructions: Begin by reviewing the list of construction activities and checking the box to the left of any activity that will occur during the proposed construction. Add any other activity descriptions in the blank activity description boxes provided for that purpose and place a check in the box immediately to the left of the added activity description. For each activity descrribecl, pick one or more best management practices (BMPs) from the list located along the top of the fonn. Then place an X in the box at the place where the activity row intersects with the BMP column. Do this for each activity that was checked off and for each of the selected BMPs selected from the list. For Example -If the project includes site access across dirt, then check the box to the left of "Site Access Across Dirt~. Then review the list for something that applies such as "Stabilized Construction Ingress/Egress• under Tracking Control. Follow along the "Site Access Across Dirt• row until you get to the "Stabilized Construction Ingress/Egress· column and place an X in the box Ymere the two meet. As another example say the project included a stockpile that you intend to cover with a plastic sheet. Since plastic sheeting is not on the list of BMPs, then Vv'fite in "Cover with Plastic· in the blank column under the heading Erosion Control BMPs. Then place an X in the box where the "Stockpiling~ row intersects the new "Cover with Plastic" column. To learn more about what each BMP description means, you may wish to review the BMP Reference Handout prepared to assist applicants in the selection of appropriate Best Management Practice measures. The reference also explains the California Stonnwater Quality Association (CASQA) designation and how to apply the various selected BMPs to a project. E-29 Page 2 of 3 REV 4/30/10 - \~ .I \. ' .l RECORD COPY RECEIVED DEC 1 S 2015 CITY OF CARLSBAD 1,,v · BUILDING DIVISION 111 ' .J 'RtJ~e~ :v 5 UGG-d-()ID Pl NTo/<.E~to co ua., CA /ll s B /11)_, C rl tj a 001 0- :--~-- ~ ~ .... ., 04 ~,v<:r _ T -· -