HomeMy WebLinkAbout2190 CHESTNUT AVE; ; CB072931; Permit09-08-2008
Job Address
Permit Type
Parcel No
Valuation
Occupancy Group
# Dwelling Units
Bedrooms
Project Title
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit Permit No CB072931
Building Inspection Request Line (760) 602-2725
2190 CHESTNUT AV CBAD
RESDNTL Sub Type
1670703100 Lot#
$29,484 00 Construction Type
Reference #
0 Structure Type
0 Bathrooms
FINN RES- BUILD NEW 1,001 SF
DETACHED GARAGE
RAD
0
NEW
Stati
Appliei
Entered By
Plan Approved
Issued
Inspect Area
Orig PC#
Plan Check#
WITHDRAV
D7
LSM
Applicant
FINN FAMILY TRUST 10-21-06
Owner
FINN FAMILY TRUST 10-21-06
2190 CHESTNUT AVE
CARLSBAD CA 92008
7607126545
2190 CHESTNUT AVE
CARLSBAD CA 92008
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Plan Check Discount
Strong Motion Fee
Park in Lieu Fee
Park Fee
LFM Fee
Bridge Fee
Other Bridge Fee
BTD #2 Fee
BTD #3 Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
HMP Fee
Pot Water Con Fee
Meter Size
Add'l Pot Water Con Fee
Reel Water Con Fee
$265 05 Meter Size
$0 00 Add'l Reel Water Con Fee
$17228 Meter Fee
$19200 SDCWAFee
$0 00 CFD Payoff Fee
$295 PFF (3105540)
$0 00 PFF (4305540)
$0 00 License Tax (3104193)
$0 00 License Tax (4304193)
$000 Traffic Impact Fee (3105541)
$000 Traffic I mpact Fee (4305541)
$0 00 Sidewalk Fee
$0 00 PLUMBING TOTAL
$0 00 ELECTRICAL TOTAL
$0 00 MECHANICAL TOTAL
$0 00 Housing Impact Fee
$0 00 Housing InLieu Fee
$0 00 Housing Credit Fee
Master Drainage Fee
$0 00 Sewer Fee
$0 00 Additional Fees
TOTAL PERMIT FEES
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$3400
$2000
$000
$000
$000
$000
$000
$000
$000
$686 28
Total Fees $686 28 Total Payments To Date $17228 Balance Due $51400
Inspector
FINAL APPROVAL
Date Clearance
NOTICE Please take NOTICE that approval of your project 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 protest imposition of these fees/exactions If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
tees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
City of Carlsbad
1635 Faraday Ave , Carlsbad CA 92008
760-602-2717 / 2718 / 2719
Fax 760-602-8558
Building Permit Application
Plan Check No
Est Value
Plan Ck Deposit
Date iv
JOB ADDRESS , I -,
z.!3£> Ck^t^H. JWv/>u^CT/PROJECT #LOTH PHASE 0 1 f OF UN'ITS 1 » BEDROOMS
SUITE«/SPACE*t/UNIT»
tt BATHROOMS
((07-010 -3 I -00
TENANT susiMESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE
YES D # NO D
AIR CONDITIONING
YES D NOD
FIRE SPRINKLERS
YES D NO D
1 CONTACT.NAME (If Different Fom Applicant)!
.ADDRESS
APPLICANT NAME
CONTRACTOR BUS NAME
ADDRESS"
(Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter improve demolish or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is
licensed pursuant to the provisions of the Contractor s License Law {Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is 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 Declaration I hereby affirm under penalty of per/ury one of the following declarations 6^U£.r~ Dol\A/>/^ / /I//1 S> y*^ vO<? ^
n I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code for Ihe performance of lite work for which this permit is issued
n I have and will maintain workers' 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 if the permit is for one hundred dollars (S100) or less
D Certificate of Exemption I certify that in Ihe performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of
California WARNING Failure to secure 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 to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney s fees
^"CONTRACTOR SIGNATURE DATE
/ hereby affirm that I am exempt from Contractor s License Law for the following reason
Jf I as owner of the property or my employees with wages as their sole compensation will do the work and the structure is not intended or offered for sale (Sec 7044 Business and Professions Code The Contractor s
License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees provided that such improvements are not intended or offered for
sale If however the building or improvement is sold withm one year of completion Ihe owner builder will have the burden of proving that he did not build or improve for the purpose of sale)
D I as owner of Ihe property am exclusively contracting with licensed contractors to construct Ihe project (Sec 7044 Business and Professions Code Thn Contractor? License I w does not apply to an owner of
properly who builds or improves Ihereon and contracts for such projects with conlractor(s) licensed pursuant to the Contractor s License Law)
CI I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and materials for construction of the proposed property improvement Cl Yes n No
2 I (have / have not) sianed an application for a building permit for the proposed work
3 I have contracted with the following person (firm) to provide the proposed construction (include name address / ohone / contractors license number)
4 I plan to provide portions of the work
5 I will p'ovide some of the
e following person to coordinate supervise and provide Ihe major work (include name / address / phone / contractors license number)
lowing persons to provide Ihe work indicated (include name / address / phone / type of work)
Is the applicant or future building occupant reqwed to submit a business plan acutely hazardous materials registration form or risk management and prevention program under Sections 25505 25533 or 25534 of Ihe
Presley Tanner Hazardous Substance AccounrAct' CI Yes O No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 D Yes D No
Is the facility to be consisted wilhm 1 000 feet of Ihe outer boundary of a school site' l~1 Yes CT No
IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT SE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
.j^i v^jljLj £ •/U, ,xt! CiV J
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lender s Name Lender s Address
i
I certify that I have read the application and state that the above mfotmation is cotrcct and (hat the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection 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 PERMIT
OSHA An OSHA permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stones in height
EXPIRATION Every permit issued by the Buildipg-QfftcTaTTJiyler the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within
180 days from the date of such permit or if Jiebuilding^pr wojk^uthonzed by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code)i «u days from me date ot sucn permit (
N^e APPLICANT S SIGNATURE i PATE
City of Carlsbad
Building Department
September 3, 2008
REGIS FINN
2190 CHESTNUT AVE
CARLSBAD CA 92008
RE:
APPLICATION DATE 11/26/2007
PLAN CHECK # CB07 2931
ADDRESS
EXPIRATION DATE
PERMIT TYPE
DESCRIPTION
2190 CHESTNUT AV
11/25/2008
RES
BUILD NEW 1,001 SF DETACHED GARAGE
You applied to have your plans checked on the date noted above To date, the related building
permit has not been obtained The original plan review application will expire as no building
permit has been issued
Plans submitted and not retrieved from the building department prior to the plan check
expiration date noted above will be destroyed
The provisions of sections 304 (d) of the Uniform Building Code state
"Section 304 9d) Expiration of Plan Review
Applications for which no permit is issued within one year following the date of
application shall expire by limitation, and plans and other data submitted for review
may thereafter be returned to the applicant or destroyed by the Building Official
In order to renew action on an application after expiration, the applicant shall resubmit
plans and pay a new plan review fee "
In order to provide better service, please indicate your handling choice for the plans originally
submitted and return this letter to the Building Department
Project Abandoned -1 will pick up the plans within 10 days
Project Abandoned - Plans may be destroyed
If you have any questions, please contact the Building Department at (760) 602-2719
Building Department
CC
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (76O) 602-27OO • FAX (760) 602-856O
EsGil Corporation
In Partnership with government for (BuiCifing Safety
DATE 02/25/2008 a APPLICANT
JURIS,
JURISDICTION City of Carlsbad '^TrPTANlREVIEWER
a FILE
PLAN CHECK NO CB072931 REV 1 SET I
PROJECT ADDRESS 2190 Chestnut Ave.
PROJECT NAME Detached Garage for the Finn Residence
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes
The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff
The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck
The check list transmitted herewith is for your information The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck
The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person
The applicant's copy of the check list has been sent to
Regis Finn
2190 Chestnut Ave Carlsbad, CA 92008
Esgil Corporation staff did not advise the applicant that the plan check has been completed
Esgil Corporation staff did advise the applicant that the plan check has been completed
Person contacted Regis Finn Telephone # (760) 712-6545
Date contacted (by ) Fax # None Provided
Mail Telephone Fax In Person
!X] REMARKS Correct the shear wall number on page 3 wall line "1" clouded in red from 2 to 3 per
the engineering
By Aaron Goodman Enclosures
Esgil Corporation
D GA D MB D EJ D PC 02/19/2008
9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858)560-1468 + Fax (858) 560-1576
.City\>f Carlsbad CB072931 REV 1
02/25/2008
VALUATION AND PLAN CHECK FEE
JURISDICTION City of Carlsbad PLAN CHECK NO CB072931 REV 1
PREPARED BY Aaron Goodman
BUILDING ADDRESS 2190 Chestnut Ave.
DATE O2/25/20O8
BUILDING OCCUPANCY TYPE OF CONSTRUCTION
BUILDING
PORTION
Garage Revision
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code
AREA
(Sq Ft)
cb
Valuation
Multiplier
By Ordinance
Reg
Mod
VALUE ($)
Bldg Permit Fee by Ordinance
Plan Check Fee by Ordinance
Type of Review
^Repetitive Fee
Repeats
D Complete Review
D Other
m Hourly
$240 00
Structural Only
Hours *
Esgil Plan Review Fee $19200
* Based on hourly rate
Comments
Sheet 1 of 1
macvalue doc
EsGil Corporation
In (Partnership -with government for (BuiCding Safety
DATE December 4, 2007 oj\PPUQANT
JURISDICTION City of Carlsbad O~PLANREVIEWER
a FILE
PLAN CHECK NO CB072931 SET I
PROJECT ADDRESS 2190 Chestnut Ave.
PROJECT NAME Detached Garage for the Finn Residence
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes
The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff
The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck
2S| The check list transmitted herewith is for your information The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck
The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person
XI The applicant's copy of the check list has been sent to
Regis Finn
2190 Chestnut Ave Carlsbad, CA °\^ OO B
Esgil Corporation staff did not advise the applicant that the plan check has been completed
XI Esgil Corporation staff did advise the applicant that the plan check has been completed
Person contacted Regis Finn Telephone # (760)712-6545
Date contacted uJ(/iQ'7 (byMS} Fax # None Provided
/ '
Mail ^Telephone l/-Fax In Person
REMARKS
By Steve Sanders Enclosures
Esgil Corporation
D GA D MB D EJ D PC 11/27/07
9320 Chesapeake Dm e, Suite 208 + San Diego, California 92123 + (858)560-1468 * Fax (858) 560-1576
City of Carlsbad CB072931
December 4, 20O7
PLAN REVIEW CORRECTION LIST
SINGLE FAMILY DWELLINGS AND DUPLEXES
PLAN CHECK NO CB072931 JURISDICTION City of Carlsbad
PROJECT ADDRESS 2190 Chestnut Ave.
FLOOR AREA Garage 1092 sq ft
REMARKS
DATE PLANS RECEIVED BY
JURISDICTION 11/26/07
DATE INITIAL PLAN REVIEW
COMPLETED December 4, 2007
STORIES 1
HEIGHT 19'-0"
DATE PLANS RECEIVED BY
ESGIL CORPORATION 11/27/07
PLAN REVIEWER Steve Sanders
FOREWORD (PLEASE READ):
This plan review is limited to the technical requirements contained in the Uniform Building Code,
Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws
regulating energy conservation, noise attenuation and access for the disabled This plan review
is based on regulations enforced by the Building Department You may have other corrections
based on laws and ordinance by the Planning Department, Engineering Department, Fire
Department or other departments Clearance from those departments may be required prior to
the issuance of a building permit
Present California law mandates that residential construction comply with the 2001 edition of
the California Building Code (Title 24), which adopts the following model codes 1997 UBC,
2000 UPC, 2000 UMC and 2002 NEC
The above regulations apply to residential construction, regardless of the code editions adopted
by ordinance
The following items listed need clarification, modification or change All items must be satisfied
before the plans will be in conformance with the cited codes and regulations Per Sec 106 4 3,
1997 Uniform Building Code, the approval of the plans does not permit the violation of any
state, county or city law
To speed up the recheck process, please note on this list (or a copy) where each
correction item has been addressed, i e , plan sheet number, specification section, etc.
Be sure to enclose the marked up list when you submit the revised plans.
City of Carlsbad CB072931
December 4, 2O07
Important Notice Regarding the 2007 CBC
If you are an architect, engineer, designer or contractor that performs work within the
State of California, please be advised that a new building code will take effect on
January 1, 2008 The new building code is based on the 2006 International Building
Code (IBC) and it is significantly different than the Uniform Building Code (UBC)
All plan review applications submitted after December 31, 2007 will be required to
comply with the new code
The 2007 CBC is currently available for purchase directly from the International Code
Council, at www iccsafe org
Please make all corrections, as requested in the correction list Submit three new
complete sets of plans for commercial/industrial projects (two sets of plans for
residential projects) For expeditious processing, corrected sets can be submitted
in one of two ways
1 Deliver all corrected sets of plans and calculations/reports directly to the City of
Carlsbad Building Department, 1635 Faraday Ave , Carlsbad, CA 92008, (760)
602-2700 The City will route the plans to EsGil Corporation and the Carlsbad
Planning, Engineering and Fire Departments
2 Bring one corrected set of plans and calculations/reports to EsGil Corporation,
9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468
Deliver all remaining sets of plans and calculations/reports directly to the City of
Carlsbad Building Department for routing to their Planning, Engineering and Fire
Departments
NOTE Plans that are submitted directly to EsGil Corporation only will not be
reviewed by the City Planning, Engineering and Fire Departments until review by
EsGil Corporation is complete
1 All sheets of plans must be signed by the person responsible for their
preparation (California Business and Professions Code)
2 Specify on the Title Sheet of the plans the gross floor area of each element of
this project Section 106 3 3
3 Provide a statement on the Title Sheet of the plans stating that this project shall
comply with the 2001 editions of the California Building/Plumbmg/Mechanical
Codes and the 2004 edition of the California Electrical Code, which adopt the
1997 UBC, 2000 UMC, 2000 UPC and the 2002 NEC
4 Specify roof slope The plans show the roof pitch as 3/2. Is this supposed
to read 3 :12 ? Please clarify
City of Carlsbad CB072931
December 4, 2007
5 Show method bracing garage front and holddowns if required Chapter 16
NOTE Maximum shear panel height-to-width ratio is 31/2 -to-1 for plywood Table
23-ll-G In Seismic Zone 4, this 31/2-to-1 ratio is only permitted in one-story
garages with a wall height not exceeding 10 feet It appears the front of the
proposed garage does not meet the above requirement Structural
calculations are required for this proiect
6 Note on plans that surface water will dram away from building and show drainage
pattern Section 1804 7
7 Note on plans that wood shall be 6" minimum above finish grade Section
18061
8 Dimension foundations per U B C Table 18-l-C
Floors Footing
Supported* Thickness Width Depth Stemwall
1 6" 12" 12" 6"
Please show the width of the footing on detail %.
9 Show foundation sills to be pressure treated, or equal Section 2306 4
10 Show foundation bolt size and spacing Foundation bolt size and spacing for
shear walls must be clearly shown on the foundation plan Section 1806 6
11 The following anchor bolt requirements shall apply in Seismic Zones 3 and 4, per
Section 18066 1
a) The minimum nominal anchor bolt diameter shall be 5/8-inch (for Seismic
Zone 4 only) Note This will require a minimum distance from the ends
of sill plates to be 4-3/8" (and a maximum of 12")
b) Plate washers (minimum size of 2" x 2" x 3/16") shall be used on each
anchor bolt
12 If hold downs are required, note on plan that hold down anchors must be tied in
place prior to foundation inspection Section 108 5 2
13 Show double top plate with minimum 48" lap splice Section 2320 112
14 Show nailing will be in compliance with Table 23-II-B-1
15 Provide truss details and truss calculations for this project Specify truss
identification numbers on the plans
City of Carlsbad CB072931
December 4, 20O7
16 Detail shear transfer connections, including roof diaphragms, to shear walls
Section 2315
17 Provide calculations for lateral loads, shear panels, shear transfer and related
Section 10633
18 Plans deviating from conventional wood frame construction shall have the
structural portions signed and sealed by the California state licensed engineer or
architect responsible for their preparation, along with structural calculations
(California Business and Professions Code)
19 Specify plywood and/or particle board thickness, grade and panel span rating
Table 23-II-E-1
20 Show on the plan that ground-fault circuit-interrupter protection complies with
NEC Art 210-8, which reads as follows
All 125-volt, single-phase, 15- and 20- ampere receptacles installed in garages
21 Show on the plans compliance with the residential energy lighting requirements
(Mandatory requirement)
a) In garages all fixtures must be high efficacy style or be controlled by a
manually-on occupancy sensor
b) Outdoor lighting fixtures are required to be high efficacy or controlled by a
combination photocontrol/motion sensor
Note Generally a high efficacy style of fixture is fluorescent complete with
electronic ballasts Regular incandescent, quartz halogen and halogen MR
lamps do not comply
City of Carlsbad CB072931
December 4, 2O07
To speed up the review process, note on this list (or a copy) where each
correction item has been addressed, i e , plan sheet, note or detail number,
calculation page, etc
Please indicate here if any changes have been made to the plans that are not a
result of corrections from this list If there are other changes, please briefly
describe them and where they are located in the plans
• Have changes been made to the plans not resulting from this
correction list? Please indicate
Yes Q No a
The jurisdiction has contracted with Esgil Corporation located at 9320
Chesapeake Drive, Suite 208, San Diego, California 92123, telephone number of
858/560-1468, to perform the plan review for your project If you have any
questions regarding these plan review items, please contact Steve Sanders at
Esgil Corporation Thank you
City of Carlsbad CB072931
December 4, 2007
VALUATION AND PLAN CHECK FEE
JURISDICTION City of Carlsbad
PREPARED BY Steve Sanders
BUILDING ADDRESS 2190 Chestnut Ave.
PLAN CHECK NO CB072931
DATE December 4, 2007
BUILDING OCCUPANCY U-l TYPE OF CONSTRUCTION VN
BUILDING
PORTION
Garage
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code
AREA
(Sq Ft)
1092
cb
Rlrln Pprmit- FPP hv Ordinance i "V
Valuation
Multiplier
2793
By Ordinance
Reg
Mod
VALUE ($)
30,500
30,500
$271 11
Plan Check Fee by Ordinance
Type of Review
l~1 Repetitive Fee
'~^~j Repeats
Complete Review
D Other
i—I Hourly
Structural Only
Hour*
Esgil Plan Review Fee
Comments
$17622
$151 82
Sheet 1 of 1
macvalue doc
City of Carlsbad
Public Works En g i n e e r i n g
BUILDING PLANCHECK CHECKLIST
DATE
BUILDING A
PLANCHECK NO CB
PROJECT DESCRIPTION
ASSESSOR'S PARCEL NUMBER //£7-<ff7#-3/
ENGINEERING DEPARTMENT
APPROVAL
The item you have submitted for review has been
approved The approval is based on plans,
information and/or specifications provided in your
submittal, therefore any changes to these items after
this date, including field modifications, must be
reviewed by this office to insure continued
conformance with applicable codes Please review
carefully all comments attached, as failure to comply
with instructions in this report can result in
suspension of permit to build
D A Right-of-Way permit is required prior to
construction of the following improvements
EST VALUE
DENIAL
Please seeNthe^attached report of deficiencies
marked withJ3KTv1ake necessary corrections to plans
or specifications for compliance with applicable
codes and standards Submit corrected plans and/or
specifications to this office for review
By
Date
Date
Date
By
;
FOR OFFICIAL USE ONLY
NGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT
Date
(ATTACHMENTS'—
D Dedication Application
D Dedication Checklist
D Improvement Application
D Improvement Chi
D Neighborhood Irn
D Grading Permit ft
D Grading Submittc
D Right-of-Way Pei
[] Right-of-Way Pei
and Information 5
D Storm water App
ENGINEERING DEPT CONTACT PERSON
Name JOANNE JUCHNIEWICZ
City of Carlsbad
Address 1635 Faraday Avenue, Carlsbad, CA 92008
3O)
BUILDING PLANCHECK CHECKLIST
SITE PLAN
1 Provide a fully dimensioned site plan drawn to scale Show
A
B
C
D
North Arrow
Existing & Proposed Structures
Existing Street Improvements
Property Lines
Easements -
F Right-of-Way Width & Adjacent Streets
G Driveway widths
H Existing or proposed sewer lateral
I Existing or proposed water service
J Existing or proposed irrigation service
n Show on site plan
/A~jDrainage Patterns
--- 1 Building pad surface drainage must maintain a minimum slope of one
percent towards an adjoining street or an approved drainage course
2 ADD THE FOLLOWING NOTE "Finish grade will provide a minimum positive
drainage of 2% to swale 5' away from building "
B Existing & Proposed Slopes and Topography
C Size, type, location, alignment of existing or proposed sewer and water service (s)
that serves the project Each unit requires a separate service, however, second
dwelling units and apartment complexes are an exception
D Sewer and water laterals should not be located within proposed driveways, per
standards
3 Include on title sheet
Site address
Assessor's Parcel Number
Legal Description
For commercial/industrial buildings and tenant improvement projects, include
total building square footage with the square footage for each different use,
existing sewer permits showing square footage of different uses (manufacturing,
warehouse, office, etc ) previously approved
EXISTING PERMIT NUMBER DESCRIPTION
F \BUILDING PLANCHECK CKLST FORM doc
BUILDING PLANCHECK CHECKLIST
3RD
D
DISCRETIONARY APPROVAL COMPLIANCE
4a Project does not comply with the following Engineering Conditions of approval for
Project No
D 4b All conditions are in compliance Date
DEDICATION REQUIREMENTS
D 5 Dedication for all street Rights-of-Way adjacent to the building site and any storm
dram or utility easements on the building site is required for all new buildings and
for remodels with a value at or exceeding $ 17,000 . pursuant to Carlsbad
Municipal Code Section 18 40 030
Dedication required as follows
Dedication required Please have a registered Civil Engineer or Land Surveyor
prepare the appropriate legal description together with an 8 V* x 11" plat map and
submit with a title report All easement documents must be approved and signed
by owner(s) prior to issuance of Building Permit Attached please find an
application form and submittal checklist for the dedication process Submit the
completed application form with the required checklist items and fees to the
Engineering Department in person Applications will not be accept by mail or fax
Dedication completed by Date
D
IMPROVEMENT REQUIREMENTS
6a All needed public improvements upon and adjacent to the building site must be
constructed at time of building construction whenever the value of the
construction exceeds $ 82.000 . pursuant to Carlsbad Municipal Code Section
1840040
Public improvements required as follows
Attached please find an application form and submittal checklist for the public
improvement requirements A registered Civil Engineer must prepare the
appropriate improvement plans and submit them together with the requirements
on the attached checklist to the Engineering Department through a separate plan
check process The completed application form and the requirements on the
F BUILDING PLANCHECK CKLST FORM doc
BUILDING PLANCHECK CHECKLIST
1ST 2N
D
checklist must be submitted in person Applications by mail or fax are not
accepted Improvement plans must be approved, appropriate securities posted
and fees paid prior to issuance of building permit
Improvement Plans signed by Date
D 6b Construction of the public improvements may be deferred pursuant to Carlsbad
Municipal Code Section 1840 Please submit a recent property title report or
current grant deed on the property and processing fee of $430 so we may
prepare the necessary Neighborhood Improvement Agreement This agreement
must be signed, notarized and approved by the City prior to issuance of a
Building permit
Future public improvements required as follows
D D
D
6c Enclosed please find your Neighborhood Improvement Agreement Please return
agreement signed and notarized to the Engineering Department
Neighborhood Improvement
Agreement completed by
Date
6d No Public Improvements required SPECIAL NOTE Damaged or defective
improvements found adiacent to building site must be repaired to the satisfaction
of the City Inspector prior to occupancy
D D
nan
GRADING PERMIT REQUIREMENTS
The conditions that invoke the need for a grading permit are found in Section
15 16 010 of the Municipal Code
7a 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.
r
7b Grading Permit required A separate grading plan prepared by a registered Civil
Engineer must be submitted together with the completed application form
attached NOTE The Grading Permit must be issued and rough grading
approval obtained prior to issuance of a Building Permit
Grading Inspector sign off by Date
7c Graded Pad Certification required (Note Pad certification may be required even
if a grading permit is not required )
F BUILDING PLANCHECK CKLST FORM doc
BUILDING PLANCHECK CHECKLIST
..ST/^pND
b( n
RD3
D
D
7d No Grading Permit required
7e If grading is not required, write "No Grading" on plot plan
D
D D
MISCELLANEOUS PERMITS
8 A 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 Types of work include, but are
not limited to street improvements, tree trimming, driveway construction, tying
into public storm drain, sewer and water utilities
Right-of-Way permit required for
INDUSTRIAL WASTE PERMIT If your facility is located in the City of Carlsbad
sewer service area, you need to contact the Carlsbad Municipal Water District,
located at 5950 El Cammo Real, Carlsbad, CA 92008 District personnel can
provide forms and assistance, and will check to see if your business enterprise is
on the EWA Exempt List You may telephone (760) 438-2722, extension 7138,
for assistance
Industrial Waste permit accepted by
Date
10 NPDES PERMIT
Complies with the City's requirements of the National Pollutant Discharge
Elimination System (NPDES) permit The applicant shall provide best
management practices to reduce surface pollutants to an acceptable level prior to
discharge to sensitive areas Plans for such improvements shall be approved by
the City Engineer prior to issuance of grading or building permit, whichever
occurs first
10 a STORM-WATER APPLICABILITY CHECKLIST
D
Requires PSWP (project storm water permit) #
Not required
11 FEES
Q Required fees are attached
J/)xNo fees required
F \BU1LDING PLANCHECK CKLST FORM doc
•>RD
BUILDING PLANCHECK CHECKLIST
WATER METER REVIEW
12a Domestic (potable) Use
Ensure that the meter proposed by the owner/developer is not oversized
Oversized meters are inaccurate during low-flow conditions If it is oversized, for
the life of the meter, the City will not accurately bill the owner for the water used
• All single family dwelling units received "standard" 1" service with 5/8" service
• If owner/developer proposes a size other than the "standard", then
owner/developer must provide potable water demand calculations, which
include total fixture counts and maximum water demand in gallons per minute
(gpm) A typical fixture count and water demand worksheet is attached Once
the gpm is provided, check against the "meter sizing schedule" to verify the
anticipated meter size for the unit
• Maximum service and meter size is a 2" service with a 2" meter
• If a developer is proposing a meter greater than 2", suggest the installation of
multiple 2" services as needed to provide the anticipated demand (manifolds
are considered on case by case basis to limit multiple trenching into the
street)
12b Irrigation Use (where recycled water is not available)
All irrigation meters must be sized via irrigation calculations (in gpm) prior to
approval The developer must provide these calculations Please follow these
guidelines
1 If the project is a newer development (newer than 1998), check the recent
improvement plans and observe if the new irrigation service is reflected on
the improvement sheets If so, at the water meter station, the demand in
gpm may be listed there Irrigation services are listed with a circled "I",
and potable water is typically a circled "W" The irrigation service should
look like
STA 1+00 Install 2" service and
5 meter (estimated 100 gpm)
2 If the improvement plans do not list the irrigation meter and the
service/meter will be installed via another instrument such as the building
plans or grading plans (w/ a right of way permit of course), then the
applicant must provide irrigation calculations for estimated worst-case
irrigation demand (largest zone with the farthest reach) Typically, Larry
Black has already reviewed this if landscape plans have been prepared,
but the applicant must provide the calculations to you for your use Once
you have received a good example of irrigation calculations, keep a set for
your reference In general the calculations will include
• Hydraulic grade line
• Elevation at point of connection (POC)
• Pressure at POC in pounds per square inch (PSI)
• Worse case zone (largest, farthest away from valve
• Total Sprinkler heads listed (with gpm use per head)
• Include a 10% residual pressure at point of connection
F \BUI1_DING PLANCHECK CKLST FORM doc
1ST ,ND
BUILDING PLANCHECK CHECKLIST
3 In general, all major sloped areas of a subdivision/project are to be
irrigated via separate irrigation meters (unless the project is only SFD with
no HOA) As long as the project is located within the City recycled water
service boundary, the City intends on switching these irrigation
services/meters to a new recycled water line in the future
12c Irrigation Use (where recycled water is available)
1 Recycled water meters are sized the same as the irrigation meter above
2 If a project fronts a street with recycled water, then they should be
connecting to this line to irrigate slopes within the development For
subdivisions, this should have been identified, and implemented on the
improvement plans Installing recycled water meters is a benefit for the
applicant since they are exempt from paying the San Diego County Water
Capacity fees However, if they front a street which the recycled water is
. there, but is not live (sometimes they are charged with potable water until
recycled water is available), then the applicant must pay the San Diego
Water Capacity Charge If within three years, the recycled water line is
charged with recycled water by CMWD, then the applicant can apply for a
refund to the San Diego County Water Authority (SDCWA) for a refund
However, let the applicant know that we cannot guarantee the refund, and
they must deal with the SDCWA for this
13 Additional Comments-
F \BUILDING PLANCHECK CKLST FORM doc
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KID D
PLANNING DEPARTMENT
BUILDING PLAN CHECK REVIEW CHECKLIST
Plan Check No CB 0 1'Address grl
Planner Chris Sexton Phone (760) 602-4624
APN \1n1~010-3l
Type of Project & Use iO€uJ (
Zoning &~n~ I^QeTieral Plan N
mt£#fun)
CFD (irt7out)"£) Date of participation
I' Net Proiect Density / O
Facilities Management Zone /
Remaining net dev acres
DU/AC
Circle One
(For non-residential development Type of land used created by this
permit )
Legend Item Complete
Environmental Review Required
DATE OF COMPLETION
Item Incomplete - Needs your action
YES _ NO \/ TYPE _
Compliance with conditions of approval9 If not, state conditions which require action
Conditions of Approval
Discretionary Action Required
APPROVAL/PESO NO
PROJECT NO
YES NO TYPE
DATE
OTHER RELATED CASES
Compliance with conditions or approval9 If not, state conditions which require action
Conditions of Approval
D D
SD D
B.D
Coastal Zone Assessment/Compliance
Project site located in Coastal Zone9 YES_
CA Coastal Commission Authority9 YES_
NO
NO
If California Coastal Commission Authority Contact them at - 7575 Metropolitan Drive, Suite 103,
San Diego CA 92108-4402, (619) 767-2370
Determine status (Coastal Permit Required or Exempt)
Habitat Management Plan
Data Entry Completed9 YES NO
If property has Habitat Type identified in Table 11 of HMP, complete HMP Permit application and
assess fees in Permits Plus
(A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, HMP Fees, Enter Acres of Habitat Type
impacted/taken, UPDATE')
Inclusionary Housing Fee required YES NO
(Effective date of Inclusionary Housing Ordinance May 21, 1993 )
Data Entry Completed9 YES NO
(A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N,
Enter Fee, UPDATE')
H \ADMIN\COUNTER\BldgPlnchkRevChklst Rev 3/06
Site Plan
[~| Provide a fully dimensional site plan drawn to scale Show North arrow, property lines, easements,
existing and proposed structures, streets, existing street improvements, right-of-way width,
dimensional setbacks and existing topographical lines (including all side and rear yard slopes)
Provide legal description of property and assessor's parcel number
D D D
Policy 44 - Neighborhood Architectural Design Guidelines
1 Applicability YES NO /
2 Project complies YES
Zoning
1 Setbacks
Front
Interior Side
Street Side
Rear
Top of slope
2 Accessory structure setb
Front
Interior Side
Street Side
Rear
Structure separation
• v
NO
Required ^
Required /
Required ,/
Required s
Required '
lacks
Required
Required ~~ff f~> '
Required
Required /55'
Required /O'
* Shown
Shown
Shown ^^^
Shown ^"^
Shown ^^
Shown
Shown 7 *r}
Shown
Shown 15'
Shown -jfr1 J-/9-F
3 Lot Coverage
4 Height
Required ^^70 7"Shown H 0 7
Required
Spaces Required.
Shown
Shown5 Parking
(breakdown by uses for commercial and industrial projects required)
Residential Guest Spaces Required
^"^ ok^.
Additional Comments CrQKfl.
A (O1
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER
H \ADMIN\COUNTER\BldgPlnchkRovChklst Rev 3/06
MiTek
POWER TO PERFORM•
Re 08-1002
FINN
MiTek Industries, Inc.
7777 Greenback Lane
Suite 109
Citrus Heights CA 95610
Telephone 916/676 1900
Fax 91 6/676 1909
The truss drawing(s) referenced below have been prepared by MiTek Industries, Inc under my direct supervision
based on the parameters provided by Dixielme Lumber Co -National City, CA
Pages or sheets covered by this seal R27523516 thru R27523517
My license renewal date for the state of California is March 31, 2009
January 3,2008
Tmgey, Palmer
The seal on these drawings indicate acceptance of professional engineering responsibility solely for the
truss components shown The suitability and use of this component for any particular building is the
responsibility of the building designer, per ANSI/TPI-2002 Chapter 2
r08-1002
Truss
T01A
Truss Type
GABLE
Qty
1
Ply
1
FINN
R27523516
Job Reference (optional)
Dixielme Lumber(Cp() National City CA
I 2ifi_
8 500 $ Apr 2 2007 MiTek Industnes Inc. Wed Jan 02 09^g2 2008 Page 1
70-10 5-11-6 70-10 20-0
Scale = 1 48 9
3x6 :
4x7
300(12"
1 9-0-7
9-0-7
1
16-11 9
711 3
X-o-o
9-0-7
Plate Offsets (X.Y). [4.0 3-0.0-0-0]
LOADING (psf)
TCLL
TCDL
BCLL
BCDL
200
140
00
100
SPACING
Plates Increase
Lumber Increase
Rep Stress Incr
2-0-0
1 15
1 15
YES
Code IBC2006/TPI2002
CSI
TC
BC
WB
044
078
036
(Matrix)
DEFL
Vert(LL)
Vert(TL)
HorzfTL)
in (loc)
-020 810
0 73 2 10
016 6
l/defl
>999
>420
n/a
Ud
240
180
n/a
PLATES
MT20
Weight 127lb
GRIP
220/195
BRACING
TOP CHORD Structural wood sheathing directly applied or 3-2-5 oc purlins
BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing
LUMBER
TOP CHORD 2X4DFNo1&BtrG
BOT CHORD 2X4DFN02G
WEBS 2 X 4 DF Stud/Std G
OTHERS 2 X 4 DF Stud/Std G
REACTIONS (Ib/size) 2=1280/0-3-8 6=1280/0-3-8
Max Horz 2=49(LC 4)
MaxUplift2—127(LC6) 6=-127(LC 7)
FORCES (Ib) Maximum Compression/Maximum Tension
TOP CHORD 1 2=0/32 2 3=-3372/375 3-4-2956/296 4-5-2956/296 5-6=-3372/375 6-7=0/32
BOT CHORD 2 10= 294/3211 9-10= 169/2216 8-9-169/2216 6-8= 294/3211
WEBS 3-10=-534/163 4-10=0/809 4-8=0/809 5-8=-534/163
NOTES
1) Unbalanced roof live loads have been considered for this design
2) Wind ASCE 7-05 90mph h=25ft TCDL=6 Opsf BCDL=6 Opsf Category II Exp B enclosed MWFRS gable end zone and C C
Extenor(2) zone cantilever left and nght exposed end vertical left and nght exposed Lumber DOL=1 60 plate grip DOL=1 33 This truss
is designed for C C for members and forces and for MWFRS for reactions specified
3) Truss designed for wind loads in the plane of the truss only For studs exposed to wind (normal to the face) see Standard Industry Gable
End Details as applicable or consult qualified buildmg designer as per ANSI/TP11 2002
4) This truss has been designed for a 10 0 psf bottom chord live load nonconcurrent with any other live loads
5) All plates are 2x3 MT20 unless otherwise indicated
6) This truss requires plate inspection per the Tooth Count Method when this truss is chosen for quality assurance inspection
7) Gable studs spaced at 1-4-0 oc
8) * This truss has been designed for a live load of 20 Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2 0-0 wide will fit
between the bottom chord and any other members
9) A plate rating reduction of 20% has been applied for the green lumber members
10) This truss is designed in accordance with the 2006 International Building Code section 2306 1 and referenced standard ANSI/TP11
LOAD CASE(S) standard
January 3 2008
Jj^ WARNING Verify daaign parameters and READ NOTES OK THIS AND INCLUDED &T&K REFERENCE PAGE IOI 7473 BEFORE USB.
Design valid for use only with MiTek connectors This design a based only upon parameter* shewn and is (or an individual building component
Applicability of design paramenrers and proper incorporation of component is responsibility of building designer not truss designer Bracing shown
is for lateral support of individual web members only Additional temporary bracing to insure stability during construction is the responsibility of the
erector Additional permanent bracing of the overall structure is the responsibility of the building designer For general guidance regarding
fabrication quality control storage delivery erection and bracing consult ANSI/TP11 Quality Criteria DSB-S9 and BCS1T BuOdlna ComponentSafety Information available from Truss Plato Institute 583 D Onofno Dnve Madison WI53719
if
POWCH TO PtCTrOBtt
7777 Greenback Lane Suite 109
Citrus Heights, CA, 95610
Job
08-1002
Truss
T01B
Truss Type
FINK
Qty
1
Ply
1
FINN
R27523517
Job Reference (ootional)
Dojeline Lumber^jo^ National City CA
2-0-0 . 70-10
6 500 s Apr 2 2007 MiTek Industries Inc Wed Jan 02 09£gjj3 2008 Page 1
h
2-0-0 70-10 20-0
Scale = 1 48 9
0-0-0
[_ 9-0-7
9-0-7
LOADING (psf)
TCLL
TCDL
BCLL
BCOL
200
140
00
100
SPACING
Plates Increase
Lumber Increase
Rep Stress Incr
2-0-0
1 15
1 15
YES
Code IBC2006/TPI2002
CSI
TC
BC
WB
16-11 9
7 11 3
044
078
036
(Matnx)
DEFL
Vert(LL)
VertfTL)
Horz(TL)
in
-020
-073
016
(loc)
8 10
2 10
6
I/deft
>999
>420
n/a
0-04
26-0-0 ,I
9-0-7
L/d
240
180
n/a
PLATES GRIP
MT20 220/195
Weight 99 Ib
BRACING
TOP CHORD Structural wood sheathing directly applied or 3-2-5 oc purlins
BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing
LUMBER
TOP CHORD 2X4DFNo1&BtrG
BOT CHORD 2X4DFN02G
WEBS 2 X 4 DF Stud/Std G
REACTIONS (Ib/size) 2=1280/0-3-8 6=1280/0-3-8
Max Horz 2=49(LC 4)
Max Uplift2= 127(LC 6) 6=-127(LC 7)
FORCES (Ib) Maximum Compression/Maximum Tension
TOP CHORD 1 2=0/32 2 3=-3372/375 3-4-2956/296 4-5—2956/296 5-6=-3372/375 6 7=0/32
BOT CHORD 2 10= 294/3211 9 10= 169/2216 8-9=-169/2216 6-8= 294/3211
WEBS 3 10= 534/163 4-10=0/809 4-8=0/809 5-8=-534/163
NOTES
1) Unbalanced roof live loads have been considered for this design
2) Wind ASCE 7 05 90mph h=25ft TCDL=6 Opsf BCDL=6 Opsf Category II Exp B enclosed MWFRS gable end zone and C C
Extenor(2) zone cantilever left and right exposed end vertical left and right exposed Lumber DOL=1 60 plate grip DOL=1 33 This truss
is designed for C C for members and forces and for MWFRS for reactions specified
3) This truss has been designed for a 10 0 psf bottom chord live load nonconcurrent with any other live loads
4) This truss requires plate inspection per the Tooth Count Method when this truss is chosen for quality assurance inspection
5) This truss has been designed for a live load of 20 Opsf on the bottom chord In all areas where a rectangle 3-6-0 tall by 2 0-0 wide will fit
between the bottom chord and any other members
6) A plate rating reduction of 20% has been applied for the green lumber members
7) This truss is designed in accordance with the 2006 International Building Code section 2306 1 and referenced standard ANSI/TP11
LOADCASE(S) Standard
\January 3 2008
^^ WARNING Verify design paramatan and READ NOTES ON THIS AND INCLUDED gOT&K REFERENCE PAGE XD-7473 BEfOKB USE
Design valid for use only with MiTek connectore This design e based only upon parameters shown and is for an individual building component
Applicability of design paramenters and proper incorporation of component is responsibility of building designer not truss designer Bracing shown
is for lateral support of individual web members only Additional temporary bracing to insure stability during construction is the responsibility of the
erector Additional permanent bracing of the overall structure is the responsibility of the building designer For general guidance regarding
fabrication quality control storage delivery erection and bracing consult ANSI/TPI1 Quality Criteria DSt-89 and BCSI1 BuBdlng ComponentSafety Information available from Truss Plate Institute 583 D Onofrio Drive Madison WI53719
ifpawca ro * eraaM
7777 Greenback Lane Suite 109
Citrus Heights, CA, 95610
o i.c
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Use of green or treated lumber may pose unacceptenvironmental health or performance risks Consultproject engineer before useReview all portions of this design (front back wordsand pictures) before use Reviewing pictures aloneis not sufficientDesign assumes manufacture in accordance withANSI/TPI 1 Quality Cntena^&sf
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C71 ^w ro —Additional stability bracing for truss system e gdiagonal or X bracing is always required SeeBCSITruss bracing must be designed by an engineer Forwide truss spacing individual lateral braces themsemay require bracing or alternative T 1 or Eliminatorbracing should be consideredNever exceed the design loading shown and neveistack matenals on inadequately braced trussesProvide copies of this truss design to the buildingdesigner erection supervisor property owner andall other interested partiesCut members to bear tightly against each other7 -
*"
°o 1^.k General Safety 1nlure to Follow Could Cause Prop3mage or Personal Injury(D 4£
^ O
o
STORM WATER REQUIREMENTS APPLICABILITY CHECKLIST
Project Address Assessors Parcel Number(s)
~ 31
Project # (city use only)
Complete Sections 1 and 2 of the following checklist to determine your project's permanent and
construction storm water best management practices requirements This form must be completed
and submitted with your permit application
Section 1 Permanent Storm Water BMP Requirements
If any answers to Part A are answered "Yes," your project is subject to the "Priority Project
Permanent Storm Water BMP Requirements," and "Standard Permanent Storm Water BMP
Requirements" in Section III, "Permanent Storm Water BMP Selection Procedure" in the Storm
Water Standards manual
If all answers to Part A are "No," and any answers to Part B are "Yes," your project is only subject
to the "Standard Permanent Storm Water BMP Requirements" If every question in Part A and B
is answered "No," your project is exempt from permanent storm water requirements
Part A Determine Priority Project Permanent Storm Water BMP Requirements
Does the project meet the definition of one or more of the priority project categories7*
1 Detached residential development of 10 or more units
2 Attached residential development of 10 or more units - -
3 Commercial development greater than 100,000 square feet
4 Automotive repair shop
5 Restaurant
6 Steep hillside development greater than 5,000 square feet
7 Project discharging to receiving waters within Environmentally Sensitive Areas
2
8 Parking lots greater than or equal to 5,000 ft or with at least 15 parking spaces, and
potentially exposed to urban runoff
9 Streets, roads, highways, and freeways which would create a new paved surface that is
5,000 square feet or greater
Yes
-
Nox
><
X
X
*
*X
X
X
* Refer to the definitions section in the Storm Water Standards for expanded definitions of the
priority project categories
Limited Exclusion Trenching and resurfacing work associated with utility projects are not
considered priority projects Parking lots, buildings and other structures associated with utility
projects are priority projects if one or more of the criteria in Part A is met If all answers to Part A
are "No", continue to Part B
Part B Determine Standard Permanent Storm Water Requirements
Does the project propose ^f^^\
1 New impervious areas, such as/rooftops>'roads, parking lots, driveways, paths and
sidewalks'? \_ .-/
2 New pervious landscape areas and irrigation systems?
3 Permanent structures within 100 feet of any natural water body?
4 Trash storage areas?
5 Liquid or solid material loading and unloading areas?
6 Vehicle or equipment fueling, washing, or maintenance areas?
7 Require a General NPDES Permit for Storm Water Discharges Associated with Industrial
Activities (Except construction)?*
8 Commercial or industrial waste handling or storage, excluding typical office or household
waste?
9 Any grading or ground disturbance during construction?
10 Any new storm drains, or alteration to existing storm drains?
Yes
V
X
No
>
y
y
0
y
>
^
&
>
*To find out if your project is required to obtain an individual General NPDES Permit for Storm Water
Discharges Associated with Industrial Activities, visit the State Water Resources Control Board web site
at, www swrcb ca gov/stormwtr/mdustrial html
Section 2 Construction Storm Water BMP Requirements
If the answer to question 1 of Part C is answered "Yes," your project is subject to Section IV, "Construction
Storm Water BMP Performance Standards," and must prepare a Storm Water Pollution Prevention Plan
(SWPPP) If the answer to question 1 is "No," but the answer to any of the remaining questions is "Yes,"
your project is subject to Section IV, "Construction Storm Water BMP Performance Standards," and must
prepare a Water Pollution Control Plan (WPCP) If every question in Part C is answered "No," your project
is exempt from any construction storm water BMP requirements If any of the answers to the questions in
Part C are "Yes," complete the construction site pnontization in Part D, below
Part C Determine Construction Phase Storm Water Requirements
Would the project meet any of these criteria during construction7
1 Is the project subject to California's statewide General NPDES Permit for Storm Water
Discharges Associated With Construction Activities?
2 Does the project propose grading or soil disturbance?
3 Would storm water or urban runoff have the potential to contact any portion of the
construction area, including washing and staging areas?
4 Would the project use any construction materials that could negatively affect water quality
if discharged from the site (such as, paints, solvents, concrete, and stucco)?
Yes
><
)<
No
f
X
-^y
Part D Determine Construction Site Priority
In accordance with the Municipal Permit, each construction site with construction storm water BMP
requirements must be designated with a priority high, medium or low This pnontization must be
completed with this form, noted on the plans, and included in the SWPPP or WPCP Indicate the project's
priority in one of the check boxes using the criteria below, and existing and surrounding conditions of the
project, the type of activities necessary to complete the construction and any other extenuating
circumstances that may pose a threat to water quality The City reserves the right to adjust the priority of
the projects both before and during construction [Note The construction priority does NOT change
construction BMP requirements that apply to projects, all construction BMP requirements must be
identified on a case-by-case basis The construction priority does affect the frequency of inspections that
will be conducted by City staff See Section IV 1 for more details on construction BMP requirements ]
| \A) High Priority
1) Projects where the site is 50 acres or more and grading will occur during the rainy season
2) Projects 1 acre or more
3) Projects 1 acre or more within or directly adjacent to or discharging directly to a coastal lagoon or
other receiving water within an environmentally sensitive area
4) Projects, active or inactive, adjacent or tributary to sensitive water bodies
| | B) Medium Priority
5) Capital Improvement Projects where grading occurs, however a Storm Water Pollution Prevention
Plan (SWPPP).is not required under the State .General Construction Permit (i e , water and sewer
replacement projects, intersection and street re-alignments, widening, comfort stations, etc )
6) Permit projects in the public right-of-way where grading occurs, such as installation of sidewalk,
substantial retaining walls, curb and gutter for an entire street frontage, etc , however SWPPPs are
not required
7) Permit projects on private property where grading permits are required, however, Notice Of Intents
(NOIs) and SWPPPs are not required
) Low Priority
8) Capital Projects where minimal to no grading occurs, such as signal light and loop installations,
street light installations, etc
9) Permit projects in the public right-of-way where minimal to no grading occurs, such as pedestrian
ramps, driveway additions, small retaining walls, etc
10) Permit projects on private property where grading permits are not required, such as small retaining
walls, single-family homes, small tenant improvements, etc
fOwner/Agent/Engineer Name (Please Print)/ yuwnei/Myi
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Title
Date
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1 6
City of Carlsbad
Plumbing - Electrical - Mechanical Worksheet
Project Address £ IQQ C
Perm.t No G&mfl^ )
Information provided below refers to work
being done on the above mentioned permit only
This form must be completed and returned to the
Building Department before the permit can be issued.
Building Dept Fax (760) 6O2-8558
Number of new or relocated fixtures, traps, or floor drains
New building sewer line7
Number of new roof drams7
Install/alter water line7 V ^
Number of new water heaters7
Number of new, relocated or replaced gas outlets7
Number of new hose bibs7
,/TO
—
Ves_
O
No
Upgrade existing panel7
From
Ves_
_Amps to_
No
_Amps
Number of new panels or subpanels7
Single Phase i &-«? Aw^& Number of new amperes
Three Phase Number of new amperes
Three Phase 48O Number of new amperes
Remodel (relocate existing outlets/switches or add outlets/switches)7
Ves No
Number of new furnaces, A/C, or heat pumps7
New or relocated duct work7
Number of new fireplaces7
Number of new exhaust fans7 A 0
Relocate/install vent7 ^ ^^
Number of new exhaust hoods7 l/\f*
Number of new boilers or compressors7 V\
Ves No
Number of HP
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