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Home My WebLink About2082 LEE CT; ; CB143334; Permit. ' f City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-09-2014 Pool Permit Permit No: CB143334 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: 2082 LEE CT CBAD POOL 2053305100 Lot#: 0 $2,391.00 Construction Type: NEW HUENER RES -49 SF SPA GUNlTE W/ GAS AND ELECTRIC FOR BBQ, FIREPIT, AND Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: BLACK ROCK POOLS INC HUENERS BRUCE TRUST 08-12-11 865 SAN PABLO DR SAN MARCOS CA 92078 760-802-6359 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Plumbing Fee Strong Motion Fee Green Bldg Standards (SB1473) Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES 2082 LEE CT CARLSBAD CA 92008 ISSUED 11/26/2014 SKS 12/09/2014 12/09/2014 $52.45 $0.00 $36.72 $0.00 $33.00 $33.00 $1.00 $1.00 $0.00 $0.00 $0.00 $0.00 $157.17 Total Fees: $157.17 Total Payments To Date: $157.17 Balance Due: Inspector: FINAL APPROVAL Date: 5 '("/-/S Clearance: $0.00 NOTICE: Please take NOTICE that approval of your proiect includes the 'Imposition" of fees, dedications. reservations, or other exactions hereafter collectively referred to as "fees/exactions.' You have 90 days from the date this permit was issued to protesl 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 f s/ · I . . i i . ' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-09-2014 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW140421 Job Address: Permit Type: Parcel No: Reference #: CB#: Project Title: Applicant: 2082 LEE CT CBAD SWPPP 2053305100 CB143336 HUENERS RES -49 SF SPA BLACK ROCK POOLS INC 865 SAN PABLO DR SAN MARCOS CA 92078 760-802-6359 Emergency Contact: DAN DOUGHERTY 760-802-6359 SWPPP Plan Check SWPPP Inspections Additional Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Issued: Inspect Area: Tier: Priority: Owner: HUENERS BRUCE TRUST 08-12-11 2082 LEE CT CARLSBAD CA 92008 ISSUED 11/26/2014 SKS 12/09/2014 1 M $53.00 $224.00 $0.00 $277.00 Total Fees: $277.00 Total Payments To Date: $277.00 Balance Due: FINAL APPROVAL DATE$"-[f-~ SIGNATURE ~ ·. --- $0.00 IC THE FOLLOWING A~PROVALS, REQUIRED PRIOR TO PERMIT ISSUANCE: ~NNING ~!NEERING □BUILDING QFIRE □HEALTH D HAZMATIAPCD I ('cicyof Building Permit Application Plan Check No. ct:> (Lt s3~'---i 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ?~ ~er I Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. J)eposlt Carlsbad email: building@carlsbadca.gov www.carlsbadca.gov fly} Date If ( 1..-b / ('-I lswPPP 1 "-f. oy 2-/1 JOB ADDRESS~ 8 2-l--4:t~ C-k SUITEI/SPACH/UNIT# IAPN "'2..o5 -~s6 -5'1 -oo CT/PROJECT# 1L0Ta + I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME \ CONSTR. TYPE I acc. GROUP DESCRIPTION OF WORK: Include Square Feet of Atracted Area(II) N-€V ~~~ sr~ ~ I ~~--~-W.Ci sf fbt ~<.Ao &.fE. ~e,SQ 1 f ~~It~ f L ~ ~~~e.. tt) "--, <.:) t116'L t'f\)'\' I N ~ uz..:e S\JP z,. cJ6 EXISTING USE I PROPOSED usf' D I GARAGE (SF) PATIOS ISF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS '?.fD YES[)# No[J YES □No□ YES□ ND□ APPLICANT NAME An-\o·(\.. "\.O ~ ~ \:~ PROPERTY OWNER NAM~ ~ <.J -e \'\.Q. '<" 5 '\ '('"u ~ P"'1•"' Contact '(uL.e. ADD~ 7)cJ. ~ U-.N--1 ADDRESS q 2..:s 1...k!A._ft''(' . -z...,cJ€, Z. L-e,=, c... t- CITY Mu~ic"te-\s..._ STATE I ZIP CITY Co. y\ ~·\_,....._ ~ c...,A.E ZIP cA-9'2~ "L 9 7,-..01 PHONE °/5/ -2Ef-'1-2 tC.<-'FAX PHONE I FAX EMAi~ • EMAIL \('0-..~ <+ \..J 2 ~ (;,VY'\..._\ .. l.. ,c..o...,......... DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ~\,Ac C:.. \.::_ ~ck ?ool:.> ADDRESS AOSESS <-, ~.,.,__ ~\,_,lo u"'"' CITY STATE ZIP CITY~""--STATE ZIP M.ct.Vc.o'-':,. c_A. 9?...o78 PHONE I FAX PHONE ,b0-6tri ~eo?. S-9 lFAX EMAll EMAIL ' ~a..~ 'B C\.d G. ~c. lc. ,pa J. .!> .. c_ (!\,"""-I STATE LIC. # STATE LIC.# lee s-7, rTtt 1 ((l <.P < 0\ s ?.>ls> 7 l. (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ structure, prior to its issuance, also reQu1res the applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of tMl Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following decJarabans: B I have and will maintain a certificate of consent to self-insure for workers· compensation as provided by Section 3700 of lhe Labor Code. for the performance of the work for which this permit is issued. I have and will maintain w011lara' compensation. as required by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. ______________ Expiration Date ________ _ This section need not be completed W the permit is for one hundred dollars [$100) or less. Qcertlflcate of Exemption: I certify lhat in the performance of the work for which this perm~ is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws or ~ WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition lo the cost of comp&n$atlon, damages as provided for In Section 3706 oftha Labor code, interest and attomey's fees. ~ CONTRACTOR SIGNATU I hel!lby affirm that I am exempt from Contractor's License Law for the following ,eason: □ □ □ I, as owner ol lhe property or my employees with wages as their sole compensaUon, lllill 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 himsd or through his own employees, provided Iha! such improvements are not intended or offered tor sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving Iha! he did not build or improve for the purpose of sale). I, as owner of the property, am 8l1Clusively contracting with licensed contractors to construct lhe project (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of property who builds or im)Jfoves thereon. and contracts for sucl\ pro1ec~ . .wtttf contractor{s) licensed pursuant to the Contractor's Ucense Law). ,/ I am exempt under Section ____ Business and ions Code for lhis reason: \. I personally plan to provide the major labor a enals for construction of the proposed property improvement. 0Ves 0No a building permit for the proposed work. 3 I have contracted with the followi rson (firm) to provide !lie proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions o work, but I have hired the following person to coordinate, supervise and provicle the major work (include name I address I phone/ contractors' license number): work, but I have contracted (hired) !tie following persons to provide the work indicated (include name I address I phone I type of work): Jl5 PROPERTY OWNER SIGNATURE □AGENT CATE I .... ' .. , " . COM·PLITl't THU SECTION FOR NON•Rl:SIDEN1JAL IUILIJJNG PERMlt:S ONLY' . Is 1he applicant or Mure 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 Account Act? □ Yes □ No Is the applicant or futura building occupant required to obtain a permit from the air pollution control district or air qualify management dlstrict? □ Yes □ No Is the facility to be constructed within 1,000 feel 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the wor11 this perm~ is issued (Sec. 3097 (i) Civil Code). Lender's Name 1--J ~ Lender's Address I certlfy1hatl have read the appllcationandstidBthat1heabove lnfmmallon lscollllCtandlhattheinformationon the plans Is accuram. I egreeto o:wnplyv.tlhall Cl\' ordinances andStillB laws relaling m bugdlng oonstruction. I hereby authorize representative of the City of Carlsbad b enter upon the above mentioned property for inspecti:m purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE Cl1Y OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN COOSEQUENCE OF THE GRANTING CF THIS PERMIT OSHA: AA OSHA pem11t is required for excavations over 5'0' deep and demolition or conslruction of structures over 3 sbries in height. EXPIRATION: Every permtt issued by the Buikling Official under the prmiisions of this Code shall expire by imilalion and t:ecome nul and void ff the buikling or'M"ll1<. authorized by sucli pem11t is notCXJmmenced l'littlin 1 BO days from the date of such permit or if the buikling or \ttOlk authorized by such permit is suspended or abandoned at any time after the oork ls commena!d bra peri<xl of 180 days (Section 100.4.4 U11ibrrn Buikling Code). A! APPLICANT'S SIGNATURE ~ ~ DATE \ \. 'Z l. I q..,- Inspection List Permit#: CB143334 Type: POOL HUENER RES -49 SF SPA GUNITE WI GAS AND ELECTRIC FOR BBQ, FIREPI Date _Inspection Item Inspector --------------------Act Comments 05/15/2015 55 Fence/Pre-Plaster RI PM PLEASE 05/15/2015 55 Fence/Pre-Plaster PB AP 05/15/2015 59 Final Pool RI PM PLEASE 05/15/2015 59 Final Pool PB AP 02/05/2015 51 Excav/Steel/Bonding/Fence PD AP 01/08/2015 23 Gas/TesURepairs PB AP 01/08/2015 31 Underground/Conduit-Wirin PB AP 12/23/2014 31 Underground/Conduit-Wirin PD AP 12/16/2014 51 Excav/Steel/Bonding/Fence PD AP Monday, May 18, 2015 Page 1 of 1 '. n~ <cli ,.. '-'-~ CITY OF CARLSBAD PLAN CHECK REVIEW TRANSMITTAL DATE: 12-2-14 PROJECT NAME: AVENERS RESIDENCE PLAN CHECK NO: 1 SET#: ADDRESS: 2082 LEE CT. VALUATION/SCOPE OF WORK: $2,391 Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov PROJECT ID: CB14-3334 APN: 205-330-51-00 ✓ This plan check review is complete and has been APPROVED by the ENGINEERING Division. By: CG 12-2-14 A Final Inspection by the Division is required Yes ✓ No This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. NOTE: ONLY ITEMS THAT NEED CORRECTION/CLARIFICATION ARE MARKED X. Plan Check Comments have been sent to: DRAW4U2@GMAIL.COM You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should Include corrections from all divisions. For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING 760-602-46:1.0 Sexton 760-602 4G24 Chris.Sexton@carlsbadca.gov Gina Ruiz 760--60:?-4675 Gina.Ruiz@carlsbadca.gov Remarks: ✓ ENGINEERIN,Cf: . · 7s~g•t.I~.ji:,:::···· ;-:-·;,,,, •. ,:;i,'('~ Chris Glassen 760-602-2784 Christopher.Glassen@carlsbadca.gov Lincla Ontiverns 773 Linda.Ontiveros@carlsbadca.gov . . . . ·.·· FIRE PREVENTION · 760-602-4665 Greg F?yDn i' GO-(-H)2-46G3 Gregory.Ryan@carlsbadca.gov Cindy Wong Cynthia.Wong@carlsbadca.gov Dorni:1·• eri Dominic.Fieri@carlsbadca.gov 1 E-37 Any ()t1blu111Ung i.~SUE!S will /,e m11rked with 11n [XJ Make tl1t· necessa,-y corn~clio11~ Fir compliance ,l'it!r applicable codes and st,mdords. Submit correcled plans and/or qieci(icatious to the Huildiug divisio11fi)rre•s11/m1ittal to the rugineering divisions. llem8 that ccmfim11 tn permit rr:quireinenis are marked wit/1 [ZJ 1. SITE PLAN Provide a fully dimensioned site plan drawn to scale. Show: ✓ North arrow ✓ Existing & proposed structures ✓ Property line dimensions ✓ Easements Show on site plan: ✓ Drainage patterns Existing & proposed slopes Existing topography Retaining Walls (location and height) ✓ Indicate what will happen with soil excavated from pool area lnc1uae on title sheet: ✓ Site address ✓ Assessor's parcel number ✓ Legal description/lot number Grading: Quantities of Cut Fill Import Export Project does not comply with the following engineering conditions of approval for project no: Conditions were complies with by: LOT NO. 24 MAP NO. 11601 REF. NO. Page 2 of 4 Date: REV 6/2012 -f 1 E-37 2. GRADING PERMIT REQUIREMENTS The conditions that require a grading permit are found in Section 11.06.030 of the Municipal Code. Inadequate information available on site plan to make a determination on grading requirements. Include accurate grading quantities in cubic yards (cut, fill, import, export and remedial). This information must be included on the plans. If no grading is proposed write: "NO GRADING" . Grading Permit required. NOTE: The grading permit must be issued and rough grading approval obtained prior to issuance of a building permit. A separate grading plan prepared a registered civil engineer must be submitted together with the completed application form attached { ' No grading permit required. 3. MISCELLANEOUS PERMITS RIGHT-OF-WAY PERMIT is required to do work in city right-of-way and/or private work adjacent to the public right-of-way. A separate right-of-way issued by the engineering division is required for the following: : Please complete attached right-of-way application form and return to the engineering department together with the requirements on the attached right-of-way checklist, at the time of resubmittal. Right-of-way permit and pool permit will be issued simultaneously. Page 3 of 4 REV 612012 1 E-37 4. STORM WATER Construction Compliance ✓ Project Threat Assessment Form complete ✓ incomplete ✓ Requires Tler 1 Storm Water Pollution Prevention Plan. Please complete attached form and return (SW t4-) Requires Tier 2 Storm Water Pollution Prevention Plan. Requires submittal of Tier 2 SWPPP, payment of processing fee and review by city. Post-Development (SUSMP} Compliance ✓ Storm Water Standards Questionnaire complete ✓ incomplete Project is subject to Standard Storm Water Requirements. See city Standard Urban Storm Water Management Plan (SUSMP) for reference. http://www.carlsbadca.govlbusiness/building/Docurnents/EngStandsw-stds-vol4-ch2.odf Project needs to incorporate low impact development strategies throughout in one or more of the following ways: Rainwater harvesting (rain barrels or cistern) Vegetated Roof Bio-retentions cell/rain garden Pervious pavement/pavers Flow-through planter/vegetated or rock drip line Vegetated swales or rock infiltration swales Downspouts disconnect and discharge over landscape Other: 5. ADDITIONAL COMMENTS Page4of4 REV 6/2012 '· • ~ il 4*':#t> ~'\ ~ // ~ CITY OF CARLSBAD STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www .carlsbadca.ROV I am applying to the City of Carlsbad for the following type(s) of construction permit: ~ Building Permit □ Right~of ~Way Permit D My project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires lssuance 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* Patio/Deck Photo Voltaic Re-Roofing Sign Spa-Factory Sprinkler Water Discharge No Threat Assessment Criteria D My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) 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 permij type (See list above) and the project meets one or more of the following criteria: • Resu Its 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 D 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 Carlsbad 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 D 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 D 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, 0 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 receiving waters by way of storm water runoff or non-storm water discharge(s). I certify to the best of my knowledge that the 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 the permit type(s) check above comply with the storm water best management practices pursuant to Title 1 S of the Carlsbad Municipal Code and to Cfty Standards. •The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances wtiere it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. B-24 Project Address: 2.b8'2-L..tt.-e_ Ck Owner/Ownefs Authorized Agent Name: At\~~o t-J\~r\., Owner/Owner's Authorized Agent Signature: ~ City Concumince: I By: Date: □YES □NO Page 1 of 1 Assessor Parcel No. ,z.os-,-'3~O-'51--ro Tltle: ~A!."'"T Date: p, (-u.,/ l 4,- ~rt~r~~,3l{ Rev.03/09 { /f~~ <~ .. ,..JP/ ·~ CITY OF CONSTRUCTION THREAT ASSESSMENT WORKSHEET FOR DETERMINATION OF PROJECT'S PERCEIVED THREAT TO STORM WATER QUALITY E-33 Development Services ~ Land Development Engineering 163S Faraday Avenue 760-602-27S0 www.carlsbadca.gov CARLSBAD Construction Perceived SWPPPTier Construction Threat Assessment Criteria* Threat to Storm Water Level Qualitv Tier 3 -High Construction Threat Assessment Criteria □ Project site is 50 acres or more and grading will occur during the rainy season D 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 D Soil at site is moderately to highly erosive (defined as having a predominance of soils with Tier 3 USDA-NRCS Erosion factors kt greater than or equal to 0.4) D Site slope is 5 to 1 or steeper □ Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 D through April 30). Owner/contractor received a Storm Water Notice of Violation within past two years Tier 3 -Medium Construction Threat Assessment Criteria Medium D All projects not meeting Tier 3 High Construction Threat Assessment Criteria Tier 2 High Construction Threat Assessm!sl:nt Criteria D Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA □ Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors k1 greater than or equal to 0.4) High D Site slope is 5 to 1 or steeper Tier2 D Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). D Owner/contractor received a Storm Water Notice of Violation within past two years D Site results in one half acre or more of soil disturbance Tier 2 -Medium Construction Threat Asse~~m!sl:nt Cri!!:lria Medium D All projects not meeting Tier 2 High Construction Threat Assessment Criteria Tier 1 -Medium lns12ection Threat Assessment Criteria D Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, within or directly adjacent to an environmentally sensitive area (ESA) or discharges directly to an ESA D Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors k1 greater than or equal to 0.4) Medium t§i 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). D Owner/contractor received a Storm Water Notice of Violation within past two years D Site results in one half acre or more of soil disturbance Tier/1 -low I nsaection Threat Assessment Criteria Low ~ All projects not meeting Tier 1 Medium Construction Threat Assessment Criteria Exempt -Not Applicable -Exempt *The city engineer may authorize mmor variances from the construction threat assessment cntena In special circumstances where it can be shown that a lesser or higher amount of stonn water compliance inspection is warranted in the opinion of the city engineer E-33 Page 1 of 1 REV 4/30/10 \ • 4 ~· ~ > '~¢ ,/ ~ CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov 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. To determine if your project is a priority development project, please answer the following questions: 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 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 uidance? 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? YES NO 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. E-34 Page 1 of 3 Effective 6/27/13 ' STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov To determine if your project is a priority development project, please answer the following questions: 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 develo ment ro ·ects an ublic or rivate 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 ublic develo ment ro ·eels on ub/ic or rivate 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 sefling prepared foods and drinks for immediate consum tion. 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 fem ora arkin or stora e of motor vehicles used ersona/1 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, motorc c/es, 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 ro-ect to the ESA i.e. not commin les with flows from ad·acentlands .• 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 foflowing Standard Industrial Classification (SIC) codes: 5013, 5014, 5541, 7532-7534, or 7536-7539. 9. Js 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 er da . 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? YES NO ~ ~ x_ ~ C><_ L\ >( X ~ ~ 11. ls your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of ':::,L impervious surface or (2) increases impervious surface on the property by more than 10%? 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 Stam, 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 infonnation. 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 Stonn 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 applican information. E-34 Page 2 of 3 Effective 6/27/13 ► 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 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). 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. OWNER(S)/OWNER'S AGENT NAME (PRINT) OWNER(S)/~E~URE) 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 ORDER 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 3/4 INCH MINIMUM AGGREGATE. 6. ADEQUATE EROSION AND SEDIMENT CONTROL ANO PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. SPECIAL NOTES Page 1 of 3 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov PROJECT INFORMATION Site Address: :2.0B -z_ Le~ ct" Assessor's Parcel Number: US --:S?, 0-'5>7 Project ID: SL.J { ~ D L( 2-( Construction Pennit No.: CJbJ Lf ~ 33l( Estimated Construction Start Date I 2/1 ( l 4- Project Duration __ '3 ___ Months Emergency Contact: Name: 't:»-~ ~"Zikr!:f 24 hour Phone: 7W-EJ:.; '2--~ S <; { Perceived Threat to Storm Water Quality D Medium 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 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 If you answered "yes," the structural BMP's required for Priority Development Projects apply only to the creation or replacement of impervious 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 ulrements" box and com lete a licant information. D 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 SUS MP for details. ~ My project does not meet POP requirements and must only comply with STANDARD 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 Address: Accessor's Parcel Number(s): '"2.-VS:-_ S 'l,C)-':)( Applicant Title: A ~-eU-- Applicant Signature: Date: \. \. /V.-/( 4-- 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 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 of 3 Effective 6/27/13 .. ' Erosion Control Tracking Non-Storm Water Waste Management and Materials BMPs Sediment Control BMPs Control Management BMPs Pollution Control BMPs BMPs C: C: C: C: C: 0 "C 0 -~ ~ Ill "C Ill C: 'fl ;:; C: 0) E C: E "C ,,, <ll 0 C: ·E <ll C: <ii E .5 :I i '6 C. Ill <ll .!! "' 0) al Q) -= ·5 ~ 0) Ill ::: 'E~ C: C: "' 0) C: c ,,, "' .,, C: ·c: 'S C" Ill 1\1 ~ ir Best Management Practice C: C. Cl) "E C: ,,, C: C: 0 o6 i: 1\1 ! .,, !!! C'.l ·c. 0 CD 0 Ill (!) i lJ.J > Ill 1\1 ~ i Cl) 0) 1\1 ii 2 (BMP) Description ➔ ,,, u ~Cl) C: I-E 0) C: () .. () ,,, "C "C "' ::ii: -~ .!!! i -~ CD 'ii C: "C 0) C: ~ C: !!! "' ~ ~ ~ '5 ~ C: <ll 1\1 "C >, 0 C: 0 => "' :I ~ ::iE ,!!, Ill 0 a C'.l (/) E CJ) .. 0 Ill\!:! Ill <ll (.) 1\1 u )J ~ il <ll 0 .!! I 0 0) 0 C: Ill c:: (II O:;: Nu, J;j :: 0) .91 ii ·c. ~ "E ~: 2 "C <ll Ill Ill E -"' 41 Q) :I .c E al = ,,, ... C: .c ·c: -"' .c C: LL u al > "C :a~ ·-'"C 2 2 ~l JS : g I 0 0 t:: ·-C. u Ill 8! 5 C: 00 .c <ll ·5 ~ u Ill ~ <ll l:! _g Ill .c .c l:! <ll 1\1 CJ) !9o ~ ~( <ll .s en u::: -(II -.. u5 .E ::: ~: ~:: 8:: (9 LI.JO Cl) Cl) () (!) Cl)> Cl) Cl) a.. Cl) c:: a.. Cl) (./') <.: CASQA Designation ➔ r--"? Cl ... ... <') ,. I() 'Ir ";"-"? 0 ... N ... <') ";"-C0 ... r;,i i ,. i 'Ir i u 0 ... w w I ... r:r. I rh rh I ~ (.) 0 UJ UJ UJ UJ UJ w c:: Cl) Cl) ::: ::iE ~ UJ UJ UJ Cl) Cl) Cl) Cl) (/) Cl) Cl') I-I-z z z z ~ ~ ~ Construction Activity w (/) . ,, Gradino/Soil Disturbance Ai. Trenchin!'.1/Excavation X Stockoilina Drillina/Borina Concrete/Asphalt Saw ~ ~ ~ >-A' k )< X cuttin!'.I Concrete flatwork ,,-.. __ -~ ~-',( --,.., 1) y V ',( "' Pavina \.,, Conduit/Pioe Installation -, Stucco/Mortar Work Waste Disposal ~ Staaina/Lav Down Area - Equipment Maintenance and Fuelina Hazardous Substance Use/Stora!'.le Dewatering Site Access Across Dirt ), Other (list): --- 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 descrribed, pick one or more best management practices (BMPs) from the list located along the top of the form. Then place an X in the box at the place where the activity TON 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 where 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 write 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 Stormwater 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 «~} ~ CITY OF CARLSBAD PLANNING DIVISION BUILDING PLAN CHECK APPROVAL Pw29 DATE: :1:1-26-:14 PROJECT NAME: PROJECT ID: Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.e-ov PLAN CHECK NO: CB 14-3334 SET#: :1 ADDRESS: 2082 Lee Ct APN: 205-330-5:1-00 ~ This plan check review is complete and has been APPROVED by the Planning Division. By: Chris Sexton A Final Inspection by the Planning Division is required □ Yes lg] No You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions. D This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check APPROVAL has been sent to: For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING FIRE PREVENTION 760-602-4610 76Q-602-2750 760-602-4665 [2J Chris Sexton □ Kathleen Lawrence □ Greg Ryan 760-602-4624 760-602-27 41 760-602-4663 Chri~,S~xton§\"11<ii!rlll!!2adca.gov Kathl!;!!;!n.Lawrence@carl~!:!adi:;a.gQv GregQQ!. R~a a~1,arIi!H!i;!gi.gov □ Gina Ruiz □ Linda Ontiveros □ Cindy Wong 760-602-4675 760-602-2773 760-602-4662 ~ina.Ryiz@carls!;rndi:;a.gov Li nr;!!;!. Qnti ve:rQl!@ca rlsbadca.gQv Cynthia.Wong@~l.:!rls!;!ad!:m.gQv □ □ □ Dominic Fieri 760-602-4664 Domini~.Fi~ri@car1Sbii!dCa.gov Remarks: