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