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HomeMy WebLinkAbout2051 Janis Way; ; CBR2017-2928; Permit(city of Carlsbad Residential Permit Print Date: 05/08/2018 Permit No: CBR2017-2928 Job Address: 2051 Janis Way Permit Type: BLDG-Residential Parcel No: 2051531400 Valuation: $29,024.06 Occupancy Group: # Dwelling Units: Bedrooms: Work Class: Pool Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Status: Applied: Issued: Permit Finaled: Closed -Fi naled 12/07/2017 12/21/2017 Inspector: TFraz Final Plan Check#: Inspection: 5/8/2018 12:22:17PM Project Title: Description: HEINEMANN: 554 SF POOL & SPA Applicant: MAJESTIC POOLS ANO SPAS ROB ROMERO 7905 Silverton Ave, Ste 114 San Diego, CA 92126-6346 8S8-790-9919 BUILDING PERMIT FEE ($20DO+) BUILDING PLAN CHECK FEE (BLDG) ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL SWPPP INSPECTION FEE TIER 1-Medium BLDG SWPPP PLAN REVIEW FEE TIER 1 -MEDIUM Total Fees: $875.37 Total Payments To Date: $875.37 Contractor: MAJESTIC POOLS AND SPAS 7905 Silverton Ave, Ste 114 San Diego, CA 92126-6346 8S8-790-9921 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. lf you protest them, you must foltow 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. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $278.00 $194.60 $41.00 $62.00 $2.00 $3.77 $238.00 $S6.00 ' TffE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH O HAZMAT/APCD (_ City of Building Permit Application Plan Check No. C~<2...aol t • 8'=1 c;;l'8° 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~-q O ,:)_ t/. I)~ Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 , Plan Ck. Deposit email: building@carlsbadca.gov - www.carlsbadca.gov Date I ';;l-,-1, lswPPP JOB ADDRESS SUITEI/SPACEt/UNITt IAPN 2051 Janis Way Carlsbad, CA 92008 205 -153 -14 -00 CT/PROJECT# ILOT# IPH,-,e# I# OF UNITS I# BEDRlJUNIO> # BATHt«AJMS I TENANT BUSINESS NAME 11,vroSTR. TYPE 11.J\A. ut<VVP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) New in ground pool & spa -Voo\ SD~rf! ~ Y:if 1"~ 5sYj EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE rR CONDITIONING I FIRE SPRINKLERS single family residence YES[}, No[] YES □No □ YES□No□ APPLICANT NAME PROPERTY OWNER NAME Nat Heinmann Rob Romero ADDRESS ADDRESS 9903 Businesspark Ave Ste 103 2051 Janis Way CITY STATE ZIP CITY STATE ZIP San Diego Ca 92131 Carlsbad Ca 92008 PHONE IFAX PHONE rAX 858-790-9919 760-214-7034 EMAIL EMAIL Rob@majesticpools.net DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Majestic Pools & Spas ADDRESS ADDRESS 9903 Businesspark Ave Ste 103 CITY STATE ZIP CITY STATE ZIP San Diego Ca 92131 PHONE IFAX PHONE IFAX 858-790-9919 EMAIL EMAIL serene@majesticpools.net I STATE LIC. # STATELIC.# ICLASS C-53 I Cl1Y BUS. uc., 973388 1235662 (Sec. 7031.5 Business and Professions Code: Any c,,y or Coun,y which requires a permit to construct. alter, ,mprove, demolish or repair an)' structure, pnor to ,ts 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 ICha'f.ter 9, commending with Section 7000 or Division 3 of the Business and Professions Code) or that he is exem~t therefrom, and the basis for the alleged exemption. Any violation of Section 703 .5 by any applicant for a permit subjects the applicant to a civil penalzy of not more than five hundred dollars ($500)). Workers' Compensation Declaration: I hereby affirm under penalty of petjury one of /he following dedarations: 0 I have and will maintain a certificate of consent to self-insure for workels' compensation as provided by Section 3700 of the Labor Code, for lhe perloonance or the wOl1< for which this perm~ is issued. [j I have and will maintain workers' compensation, as reQuired bv Section 3700 or lhe Labor Code, for the pe!formanc:e of lhe wOl1< for which this permit Is Issued. My w011<ers' compensation insurance carrier and policy number are: Insurance Co. American Zurich Ins Co Policy No. WC 009391802 Expiration oa1e __ 4-'-'-/--'-1'-/1'-'8'------ ]l!i§.sectlon need not be completed if the permij is for one hundred doflais ($100} or less. LJ Certificate or Exemption: I cenify lhal in the pelformance ot lhe wOl1< for which lhis permit is issood, I shall not employ any person in any manner so as lo beoome subject lo the Wo<kers' Compensation Laws or ear~ornla WARNING: Failure to secure workers' compensation cover 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 or compensation, damages as pro for In o 706 of the Labor code, Interest and attomey's fees. J¥5 CONTRACTOR SIGNATURE l19AGENT DATE , Ir~-- I hereby affirm that I am exempt from Contractor's License Law for the following reason: D I, as owner ot lhe property or my employees with wages as their sole compensation, will do lhe WM and the structure is nol intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlracto(s License Law does not apply lo an owner or property who builds or improY8S thereon, and who does such wOl1< hinself or through his own employees, provided that such improvements ate not intended or offered for sale. If, however, the building or improvement ls sold within one yea< ot completion, the owner-builder wlU have the burden ot proving lhat he did not build or improve for the purpose of sale). D I, as owner of the property, am exclusively contracting with licensed conlraclors to conslruet the project (Sec. 7044, Business and Professions Code: The ConlraclOr's License Law does not apply to an owner of property who builds or improves thereon, and conlraclS for such projecls wllh contractor(s) licensed pursuant kl the Conlracto(s License law). □ I am exempt under Section ____ Business and Professions Code for this reason: 1. I personally plan lo provide the major labor and materials for conslruclion of the proposed property Improvement. O ves O No 2. I (have I have not) ~ned an ~ for a building permit for the proposed WM. 3. I have contracted wilh lhe following person (fiml) to provide the proposed construction (ooude name address I phone / contractors' licellse number): 4. I plan lo provide portions of the work, but I have hired lhe following person to coordinate, suf)efVise and provide the major work (include name / address/ phone/ conlraciors' license number): 5. I will proylde some of the wor1t. bul I haw contracted (hired) the lolowing pe!SOOS to provide the work indicaled ~nclude name I address I phone/ type ot work): J¥5 PROPERTY OWNER SIGNATURE □AGENT DATE Is lhe applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Accoont Act? Yes No Is the applicant or future building occupant required to obtain a permit from lhe air pollution control district or air Quality management district? Yes No Is the facility lo be constructed within 1,000 feet of the outer boundary of a school site? Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the wor1< this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certifythatl have read the application and statethattheabove infonnation isconectand that the infoonation on the plans is accurate. I agree to comply with all City ordinances and State law.; relating Ill building construction. I hereby authorize representative of the City of Gar1sbad lo enter upon the above menmed property for nspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrT. OSHA: An OSHA permit is requred for excavations over 5'0' deep and demolitbn or oonstrudon of structures over 3 stories in heght. EXPIRATION: Every permit issued by tie Building Official under the provisons of this Code shaU exp re by linitalon and be<XJme nuu and \ciJ rr the building or l',00( authorized by such permit is not rommenced v.ithin 100days from lhedateof such permit orrrthe building or authorized b permtt is suspended or abandoned at any tine after the l',00( is commenced fora peood of 100days {Sedoo 100.4.4 Uniform !Mlding Code). ,/i6 APPLICANT'S SIGNATURE ' DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY /Commerc1af Projects 0 n I y I Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Cartsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# M AIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION ,65 APPLICANT'S SIGNATURE DATE ' -. p' , ·_ , PERMIT INSPECTION HISTORY Rl;PORT (CBR2017-2928) '' ' Permit Type: BLDG-Residential Application Date: 12/07/2017 Owner: Work Class: Pool Issue Dafo: 12/21/2017 Subdivision: Status: Closed -Finaled Expiration Dato: 10/22/2018 Address: IVR Number: 8204 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 05/08/2018 05/08/2018 May 08, 2018 BLDG-Final Inspection 057364-2018 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Structural Final BLDG-Electrical Final Passed Tim Frazee COMMENTS CARLSBAD GARDENS 2051 Janis Way Carlsbad, CA 92008-2021 Reinspection Passed Yes Yes Yes Yes UNIT#2 Complete Complete Page 2 of 2 ,, ' :: ,, . , , PERMIT INSPECTION.HISTORY REPORT (CBR2017-2928) d ' Permit Type: BLDG-Residential Application Date: 12/07/2017 Owner: Work Class: Pool Issue Date: 12/21/2017 Subdivision: CARLSBAD GARDENS UNIT#2 Status: Closed -Finaled Expiration Date: 10/22/2018 Address: 2051 Janis Way Carlsbad, CA 92008-2021 IVR Number: 8204 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete 01/30/2018 01/3012018 BLOG-12 Steel/Bond 047224-2018 Passed Tim Frazee Complete Beam Checklist Item COMMENTS Passed BLDG-Building Deficiency Steel/Rebar OK to shoot Shotcrete; Yes Plumbing, Equipotential Connections Attached and Electrical stubbed out to shoot pool 03/02/2018 03/02/2018 BLDG-81 050405-2018 Failed Andy Krogh Reinspection Complete Underground Combo(11, 12,21,31) Checklist Item COMMENTS Passed BLDG-Building Deficiency No one home No BLDG-11 Foundation-Ftg-Piers No (Rebar) BLDG-12 Steel-Bond Beam No BLDG-21 No Underground-Underfloor Plumbing BLDG-31 No Underground-Conduit Wiring 03/05/2018 03/05/2018 BLDG-52 Pool 050634-2018 Passed Tim Frazee Complete Plumbing BLDG-Final 050635-2018 Failed Tim Frazee Re!nspectlon Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No 03/21/2018 03/21(2018 BLDG-53 052335-2018 Passed Andy Krogh Complete Elec/Condult/Wlrlng( Pools) BLDG-54 052334-2018 Passed Andy Krogh Complete Equipotential Bond(Pools) 03/26/2018 03/26/2018 BLDG-21 052702-2018 Passed Andy Krogh Complete Underground/Underf loor Plumbing BLDG-31 052703-2018 Passed Andy Krogh Complete UndergroundfCondu It• Wiring 04/25/2018 0412512018 BLDG-55 056038-2018 Passed Andy Krogh Complete Fence/Preplaster May 08, 2018 Page 1 of 2 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 Wl-lEN RAIN IS EMINENT. 2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING RAINFALL. 3. THE O'M'-JER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY INSPECTOR DUE TO INCOMPLE1E GRADING OPERATIONS OR UNFORESEEN C!RCUMST ANCES WHICH MAY ARISE. 4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE AT lHE END OF EACH WORKING DAY WHEN lHE FIVE (5) DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PE CENT (40%}. SILT ANO OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL. 5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM AGGREGATE. 6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. 7. THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY REGULATIONS. OWNER'S CERTIF1CATE: I UNDERSTAND AND ACKNO\\UDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES TO THE MAXIMUM EXTENT PRACT1CABL£ TO AVOD THE MOBILIZATION Of POLLUTANTS SUCH AS SEDIMENT AND TO AVOID 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 S\WPP THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTiv1TIES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY Of CARLSBAD. Serene Redd-Mitchell --~ ~-,,/1/,1 OYtt,iFR/s\/Q7Rs AGENT NAME /SIGl',IATURE\ ~ E-29 STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 csR dDf 1 • ~ci. SW BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE Erosion Control Sediment Control BMPs Tracking Non-Storm Water Waste Manageme11t and Materials BMPs Control BMPs Management BMPs Prjlutloo Control BMPs § § .9 C .., _, ·-·-..,.., '0 ii ~ _,., ~ ~ ] ] 2 { ·ti ~ l 6 .2 ~ -C<D ~ E c i c: ... ., "' §:' ·-<::::.. o-,._ o c .., 2 ~· ,:,-~ ~ ·-·;:: -C (I) !<. (3 ._ Lu ? C O O (I) BestManagementPractice* -1:1 ~ .. ~ :g ~ ai g-6 .5 8~ u ~ .2 _, 'ai 51 j;,;; ..,c ~C iC (BMP)Description ➔ ~~.!!Ill ·e ~ ~ ~ 8' ~g-CQ e8 '0~ '0~ §., 1~ i § 0 ::) .. %! ;;;E ~E ..,e ~~Cg'o [iiio~~~·eg,o;,;; _!§..,_~~ u.~c,,:8.!:? ... 5 ~8,~'a.,t-e;i8,.g8,~~ 2 ] :5.5 ~ i.... .!;; ~ t J t 5 =8 E.M z; ll '.a-> ~t, ·~ e -.g ];! § ~ e i iii _J:; '0 g 6 0 b 0 ~ i ~~ ~ ~ ] c5 ~ ~ ~~ ~ ~£ ~ g, ~J iit J:.8 ~ jl ~~ ~ ~ i8 ~~ ii 8j CASQADesignation ➔ '"j' °? f I I '7 "'f '? 'f '"j' °? ~ I 7 I 7 '"j' °? I 7 7 "'f '? 'f "r ConstructionActivily f:.:l f:.:l f:.:l f:.:l tl'I bl bl i;J bl bl bl bl g:; ~ ~ ~ ~ ~ i i i i i i ii Grodi110,Soil Disturbonce Tre11chi11 xc0Vt1tio11 X X Stockrilino Orillill orlnn Co11cretelAsnholt Sowcuttinn X X Concrete F1otwork Povina Conduit i e l11sta\lotion Stucco 1Mortor Worl< Waste Disoosol Stoni11n1Lov Oow11 Areo Eouioment Mointe11ance 011d Fueli11a Hazardous Substance Use/Storoae Dewoterina Site Access Across Dirt A A other flistl: l11structio11s: 1. Check the box to the left of all applicable construction activity {first colum11) expected to occur during construction. 2. Locoted 010119 the top of the BMP Table is o list of BMP's with it's correspondi11g Califomio Stormwoter Quolity Associotion (CASQA) designotio11 11umber. Choose 011e or more BMPs you inte11d to use during construction from the list. Check the box where the chose11 activity row i11tersects with the BMP column. 3. Refer to the CASQA construction ha11dbook for informatio11 a11d details of the chosen BMPs 011d how to apply them to the project. SHOW THE LOCATIONS OF ALL CHOSEN BMPs ABOVE ON THE PROJECTS SITE PLAN/EROSION CONTROL PLAN. SEE THE REVERSE SIDE OF THIS SHEET FOR A SAMPLE EROSION CONTROL PLAN. Page 1 of 1 PROJECT INFORMATION Site Address: 2051 Janis Way Assessor's Parcel Number: 205-153-14-00 Emergency Contoct: Nome: Rob Romero 24 Hour Phone: 858-860-6109 Construction Threat to Storm Water Quality (Check Box) 0 MEDIUM 0 LOW REV 02/16 {'city of Carlsbad DETERMINATION OF PROJECT'S SWPPP TIER LEVEL AND CONSTRUCTION THREAT LEVEL E-32 Development Services Land Development Engineering 1635 Faraday Avenue ,ZP\l~602-nso REC EJV.clir!Wadca.gov DE. ?01 I'm applying for: □ Grading Permit i2I Building Permit i2I Right-of-way permit □ Other Project Name: __ H_e_i_n_m_a_n _____________ Project ID: ----~(Dft(lJll(lS#. ',P 0.D Address·2051 Janis Way Carlsbad CA 92008 APN205-153-14-00 Blstuai~A,l!'aiSiON Ac ' Section 1: Determination of Project's SWPPP Tier Level SWPPP Tier (Check applicable criteria and check the corresponding SWPPP Tier Level, then go to section 2) Level Exemgt -No Threat Project Assessment Criteria My project is in a category of permit types exempt from City Construction SWPPP requirements. Provided no significant grading proposed, pursuant to Table1, section 3.2.2 of Storm Water Standards, the following permits are exempt from SWPPP requirements: □ Exemp· □ Electrical □ Patio □ Mobile Home □ Plumbing □ Spa (Factory-Made) □ Fire Sprinkler □ Mechanical □ Re-Roofing □ Sign □ Roof-Mounted Solar Array Tier 3 -Significant Threat Assessment Criteria -(See Construction General Permit (CGP) Section I.B)* □ My project includes construction or demolition activity that results in a land disturbance of equal to or greater than one acre including but not limited to clearing, grading, grubbing or excavation; or, □ My project includes construction activity that results in land disturbance of less than one acre but the construction activity is part of a larger common plan of development or the sale of one or more acres of disturbed land surface; or, □ My Project is associated with construction activity related to residential, commercial, or industrial □ Tier 3 development on lands currently used for agriculture; or □ My project is associated with construction activity associated with Linear Underground/Overhead Projects (LUP) including but not limited to those activities necessary for installation of underground and overhead linear facilities (e.g. conduits, substructures, pipelines, towers, poles, cables, wire, towers, poles, cables, wires, connectors, switching, regulating and transforming equipment and associated ancillary facilities) and include but not limited to underground utility mark out, potholing, concrete and asphalt cutting and removal, trenching, excavation, boring and drilling, access road, tower footings/foundation, pavement repair or replacement, stockpile/borrow locations. □ Other per CGP Tier 2 -Moderate Threat Assessment Criteria: My project does not meet any of the Significant Threat Assessment Criteria described above and meets one or more of the following criteria: □ Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, □ Project will result in 2,500 sq. ft. 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: □ Tier2 • located within 200 ft. 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 ft. 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 -Aor. 30) Tier 1 -Low Threat Assessment Criteria i2I My project does not meet any of the Significant or Moderate Threat criteria above, is not an exempt permit type per above and the project meets one or more of the following criteria: D Tier 1 • results in some soil disturbance; and/or • includes outdoor construction activities (such as roof framing, saw cutting, equipment washing, material stockoilina, vehicle fuelina, waste stockoilina\ . Items listed are excerpt from CGP. CGP governs cntena for tnggers for Tier 3 SW PPP. Developer/owner shall confirm coverage under the current CGI and any amendments, revisions and reissuance thereof. E-32 Page 1 of2 REV. 02/16 SWPPP Section 2: Determination of Project's Construction Threat Level Construction Tier (Check applicable criteria under the Tier Level as determined in section 1, check the Threat Level corresponding Construction Threat Level, then complete the emergency contact and Level sianature block below) Exempt -Not Applicable -Exempt Tier 3 -High Construction Threat Assessment Criteria: Ml£ Project meets one or more of the following: □ Project site is 50 acres or more and grading will occur during the rainy season □ Project site is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA □ High □ 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 -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 Assessment Criteria: Ml£ Project meets one or more of the following: □ 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 □ High USDA-NRCS Erosion factors k1 greater than or equal to 0.4) Tier2 □ Site slope is 5 to 1 or steeper □ Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 -Apr. 30) □ Owner/contractor received a Storm Water Notice of Violation within past two years □ Site results in 10,000 sq. ft. or more of soil disturbance Tier 2 -Medium Construction Threat Assessment Criteria D Medium □ My project does not meet Tier 2 High Threat Assessment Criteria listed above Tier 1 -Medium Construction Threat Assessment Criteria: Ml£ Project meets one or more of the following: □ Owner/contractor received a Storm Water Notice of Violation within past two years □Medium 121 Site results in 500 sq. ft. or more of soil disturbance Tier 1 □ Construction will be initiated during the rainy season or will extend into the rainy season (Oct.1 -April 30) Tier 1 -Low Construction Threat Assessment Criteria □Low □ My project does not meet Tier 1 Medium Threat Assessment Criteria listed above I certify to the best of my knowledge that the above statements are true and comae!. I will prepare and submit an appropnate tier level SWPPP as detennmed above prepared in accordance with the City SWPPP Manual. I understand and acknowledge that I must adhere to and comply with the stonn water best management practices pursuant to Tille 15 of the Ca~sbad Municipal Code and to City Standards at all times during construction activities for the pennit type(s) checked above. The City Engineer/Building Official may authorize minor variances from the Construction Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher SWPPP Tier Level is warranted. Emergency Contact Name: Rob Romero Owner/Owner's Authorized Agent Name: Serene Redd-Mitchell E-32 Page 2 of 2 Telephone No: 858-860-6109 Title: Admin FOR CITY USE ONLY Yes City Concurrence: By: Date: REV. 02/16 No