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HomeMy WebLinkAbout2315 KYANITE PL; ; CB110453; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-10-2011 Pool Permit Permit No: CB110453 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2315 KYANITE PL CBAD POOL Status: Lot#: 0 Applied: Valuation: 2132801800 $19,261.00 Construction Type: NEW Entered By: Reference #: PC#: Project Title: ANDREWS RES 473 SF POOL & SPA Applicant: SEASCAPE POOLS 9265 DOWDY DR SAN DIEGO CA 92126 619-566-2811 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 Plan Approved: Issued: Inspect Area: Owner: ANDREWS BRIAN&JENNIFER 2315 KYANITE PL CARLSBAD CA 92009 ISSUED 03/01/2011 KG 03/10/2011 03/10/2011 $208.81 $0.00 $135.73 $0.00 $20.00 $27.00 $1.93 $1.00 $0.00 $0.00 $0.00 $0.00 $394.47 Total Fees: $394.47 Total Payments To Date: $394.47 Balance Due: Inspector: Clearance: $0.00 at approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as '1ees/exactions." ou 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 lollow 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 waler and sewer connection lees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connec1ion w11h this project NOR DOES IT APPLY to any f I n I n hi Ii h City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-10-2011 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW110084 Job Address: Permit Type: Parcel No: Reference #: CB#: Project Title: Applicant: SEASCAPE POOLS 9265 DOWDY DR 2315 KYANITE PL CBAD SWPPP 2132801800 CB110453 ABDREWS POOL & SPA SAN DIEGO CA 92126 619-566-2811 Emergency Contact: JOHN CHATFIELD 858-566-2811 SWPPP Plan Check SWPPP Inspections Additional Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Issued: Inspect Area: Tier: Priority: Owner: ANDREWS BRIAN&JENNIFER 2315 KYANITE PL CARLSBAD CA 92009 ISSUED 03/01/2011 KG 03/10/2011 1 M $49.00 $208.00 $0.00 $257.00 Total Fees: $257.00 Total Payments To Date: $257.00 Balance Due: $0.00 FINAL APPROVAL DATFJ )l~l},t>11 _ CL SIGNATURE __ ~_ '~CE ____ _ ---------- .-,---- i~~'\ ¥ CITY OF CARLSBAD EXISTING USE CITY ARCH/DESIGNER NAME & ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# # BATHROOMS PROPOSED USE PATIOS (SF) STATE UC.# TENANT BUSINESS NAME FIREPLACE YES □#_ CONSTR. TYPE OCC. GROUP AIR CONDITIONING FIRE SPRINKLERS YES O NOD YES □ NOD (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 CChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or (hat 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 appUcant to a civil penalty of not more than five hundred dollars {i500)l. WORKERS' COMPENSATION Workers' CompensaUon Declaration:/ hereby affirm under penalty of petju,y one of Iha following declarations: □ I have and will maintain a certificate of consent to self-insure for work8f'S' compensation as provided by Section 3700 of the Labor Code, for the p8rformance of Iha work for which this permit is issued. ~ I havo '"' will molot,m .. ,..,., ,ompoo.,lloo, "',-,oirod by Secooo 3700 of th, Labo, Coda, for•• ,,-ance of~!"' for whk:h lhis '"'"' • issoad. My wmra' compeosa~mer aod po icy oombararo:losora""Co. 5'T11TF FU l,Jr} PolicyNo. -/47 5:'i:z:-:J0/1 ExpiratiooData // This section need not be completed if the permit is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California. WARNING: Failure to secure workers' compensation coverage ls unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dolars (&100,000), in addHlon to the cost of compensaUon, damages as provided for In Section 3706 of the Labor e, Interest and attorney's fees. ,6$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucensa Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work end 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 'Mio builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended CN' offered for sale. lf, however, the building or improvement is sold within one year of completion, the owner-builder 'MIi have the burden of proving that he did not build or improve for the purpose of sale). □ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to en owner of property who builds or improves theraon, and contracts for such projects with conlracllll'(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section _____ ,Business end Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have/ have not) signed an applicatlon 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/ phone I contractors' license number): 4. I plan to provide portions of lhe work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I will provide some of the work, butt have contracted (hired) the following persons to provide the work indicated (include name f addrass / phooa / type of work): ,f!5 PROPERTY OWNER SIGNAllJRE □AGENT DATE COMPLETE THIS SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of lhe Presley-Tanner Hazardous Substance Account At;t.? □ Yes □ No Is the applicant or future building ocx:upant required to obtain a pennlt from the air pollution control district or air quality management district? D Yes O No Is the facility to be constructed within 1,000 feet of the outer boondary of a school site? □ Yes □ No F 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 SERVJCES ANO THE AIR POLLUTION CONTROL DtSTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a oonstruction lending agency for the performance of the work this permit 1s issued (Sec 3097 0) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the appNcatlon and state that the above lnbmation is correct and that the lnfonnatlon on the plans Is accurate. I agree to comply with all Chy oR'.llnanoes and State laws relating to bulldlng oonstructlon. I ~ aulhorize rep,esenlalive of Ille City of Carlsbad i> en~r upon Ille above menooned properly for ilspedi)n purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LV\BILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AfNWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCEOF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA pennlt is required br excavations over 5'0' deep and demolition oc o::>nslructi::> of structures over 3 sbies i'1 heght. EXPIRATION: Every pennlt osued by Ille BuMd,ig Olftial under Ille pro.,;sions ol lhis Code sroll e,pre by lin~lion and bec:o1re nul and ril f Ille buMdi,g or v.ork aullor2ed by sud1 pemit is rot corrmenced .;it;n 180 days from lhe date of such pemit oc if tie buidi"lg or ~ auth<Xized by such pennlt is suspended or abandooed at any line atw lhe wort,: is a>mmerQd for a period of 180 days (Secoon 106.4.4 lk1ii:lrm Building Code) . ..@f APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 06/15/2011 Permit# CB110453 Inspector Assignment: PY --- Title: ANDREWS RES 473 SF POOL & SPA Description: Type:POOL Sub Type: Job Address: Suite: 2315 KYANITE PL Lot: Phone: 8583543335 0 Location: Inspector: OWNER ANDREWS BRIAN&JENNIFER Owner: ANDREWS BRIAN&JENNIFER Remarks: Total Time: ----- Requested By: JOHN CHATFIELD Entered By: CHRISTINE CD Description 59 Final Pool ~ Comm,ms Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# lnsi,ection Histo!Y Date Description Act lnsp Comments 06/0112011 53 Electric/Conduit/Wiring AP PY OK TO PLASTER 0610112011 55 Fence/Pre-Plaster AP PY ALARMS OK 05/1312011 51 Excav/Steel/Bonding/Fence PA PY DECK BONDING OK 0412212011 31 Underground/Conduit-Wiring AP MC CONDUIT ONLY.METER TO POOL EQUIP ONLY 0412012011 31 Underground/Conduit-Wiring co PY FENCE/GATES 04108/2011 23 Gas/TesURepairs AP MC METER TO POOL EQUIP ONLY 04/0812011 51 Excav/Stee1/Bonding/Fence AP MC PER PLAN (SW110084) 0410812011 52 Underground Plumbing AP MC 04/08/2011 53 Electric/Conduit/Wiring PA MC LIGHT SHELL CONDUIT STUB OUT ONLY, LIGHT SHELL & STEEL BONDING, 4 DECK TAILS 04/06/2011 23 GasrresURepairs AP PY 04106/2011 51 Excav/Steel/Bonding/Fence co PY FENCE «'~ ~ CITY OF CARLSBAD BUILDING PLANCHECK - POOLS/RETAINING WALLS CHECKLIST Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov E-37 DATE: ~/0) /I PLANCHECKNO.: ~ /1-lf~._3 BUILDING~REts: ~ls= J<'(ANt,t Pk PROJECT DESCRIPTION: _(._tJ_C_'-_· _@___,,,_Pt...._ ________ _ PROJECT DESCRIPTION: 0 Pool / 0 Retaining Wall > [Zw 1\~~J w)E:Nb-. ASSESSOR'S PARCEL NUMBER: 2[ 2-2,1, o---I! -oa 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 ensure continued conformance with applicable codes. Please review carefully all comments attached, as failure to comply with instructions in this report can re It in susp sion of permit to buil~d Oat . ~ ~~=--!:::...._=~=..::......:....~ ?L-F~s~ '21.& t-.1 ~-2-~ f\<JO ATTACHMENTS D Final Map r(!r<__M LSSUNJlE1 D Grading Permit Application □ Grading Plan □ Right-of-Way Permit Application D Storm Water Compliance Form(s) □ Other E-37 DENIAL Please see the attached report of deficiencies marked with □. Make necessary corrections to plans or specifications for compliance with applicable codes and standards. Submit corrected plans and/or specifications to th is office for review. By: Date: ------- By: _______ Date: By: ________ Date: ________ _ ENGINEERING DEPT. CONTACT PERSON Name: Linda Ontiveros City of Carlsbad Email: linda.ontiveros@carlsbadca.gov Phone: 760-602-2773 Fax: 760-602-1052 NOTE: If there are retaining walls associated with your project, please check with the building department if these walls need to be pulled by separate RETAINING WALL PERMIT. Page 1 of 3 REV 6/30/10 □ □ □ □ □ E-37 □ □ □ □ □ □ □ LDT L-f:f M lb O S-z, ( CT rz::4_ [1&1) SITE PLAN 1. Provide a fully dimensioned site plan drawn to scale. Show: A. North arrow C. Property lines B. Existing & proposed structures D. Easements 2. Show on site plan: A. Drainage patterns B. Existing & proposed slopes D. Indicate what will happen with soil excavated from pool area C. Existing topography E. Retaining walls (location and height) Note: If excavated soil is not to be removed from property but regraded on site, show proposed elevations and slopes. If any portion of retaining walls is over 4' in height, a separate permit is required. Retaining Wall Permit CB ______ Applied for ____ Approved 3. Include on title sheet: A. Site address B. Assessor's parcel number C. Legal description D. Grading quantities Cut __ Fill __ Import ___ Export 4. Project does not comply with the following engineering conditions of approval for project no. Conditions were complied with by: __________ Date: GRADING PERMIT REQUIREMENTS The conditions that invoke the need for grading permit are found in Section 11.06.030 of the Municipal Code. 5a. Inadequate information available on site plan to make a determination on grading requirements. Include accurate grading quantities (cut, fill, import, export). 5b. 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 5c. A grading permit has been applied for: DWG _______ _ 5d. No grading permit required. Page 2 of 3 REV 6/30/10 ' □ □ □ ✓□□ □ □ □ -&-□ -B--□ □ E-37 □ □ □ □ MISCELLANEOUS PERMITS 6. 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. A separate right-of-way issued by the engineering department 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 building permit will be issued simultaneously. STORM WATER REQUIREMENTS Construction Compliance 7a. Project Threat Assessment Form complete. 7b. Enclosed Project Threat Assessment Form incorrectly completed. Please make the corrections, re-sign a new form and resubmit with next submittal. 7c. Requires Tier/1 Stor_m Y-,,ater Pollution Prevention Plan. Please complete attached form and return (SW { -'Yi!±:_ ) Post-Development (SUSMPI Compliance 7d. Storm Water Standards Questionnaire complete. 7e. Storm Water Standards Questionnaire incorrectly completed. Please make the corrections, re-sign the questionnaire and resubmit with next submittal. 7f. Project is subject to Standard Storm Water Requirements. See city Standard Urban Storm Water Management Plan (SUSMP) for reference. 7g. Disconnect discharges per SUSMP. Do not connect runoff from impervious surfaces to storm drains without first discharging water over landscape areas. See SUSMP. 7h. Minimize use of impervious surfaces per SUSMP. Redesign to reduce the excessive use of impervious area (pavement) on project. Use a balanced design of pervious surfaces (landscape area, planters, etc.) and impervious surfaces. See SUSMP 8. Remarks Page 3 of 3 REV 6130110 «1~ ~ CITY OF CARLSBAD STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov I am applying to the City of Carlsbad for the following type(s) of construction permit: □ Building Permit □ Right-of-Way Permit Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler □ My project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types: Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Water Discharge Project Storm Water Threat Assessment Criteria* '4r'l:)~if.:"il'ly-p1roject qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because · meets the ~no threar assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier L el. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tier 1 • jt6w Threat Assessment Criteria '9' My project does not meet any of the Significant or Mcxlerate Threat criteria, is not an exempt pennit type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities {such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 -Moderate Threat Assessment Criteria □ My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Cansbad Grading Ordinance (Chapter 15.16 of the Cansbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stock.piling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Tier 3 -Significant Threat Assessment Criteria □ My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or □ My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, □ My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm wat8f' 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 conslruction SWPP, I must st/II adhere to, and at all times during conslruction activiUes for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to Cltv Standards. Project Address: Assessor Parcel No. "The City Engineer may aulhorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances v.tiere it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. B-24 Page 1 of 1 Rev.03/09 «1~ ~ CITY OF CONSTRUCTION THREAT ASSESSMENT WORKSHEET FOR DETERMINATION OF PROJECT'S PERCEIVED THREAT TO STORM WATER QUALITY E-33 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov CARLSBAD Construction Perceived SWPPPTier Construction Threat Assessment Criteria* Threat to Storm Water Level Qualitv Tier3 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 Tier3 USDA-NRCS Erosion factors k, greater than or equal to 0.4) D Site slope is 5 to 1 or steeper 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 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 Assessment 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 D Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors k, greater than or equal to 0.4) High 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 Tier2 Medium Construction Threat Assessment Criteria D All projects nol meeting Tier 2 High Construction Threat Assessment Criteria Medium 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 k, greater than or equal to 0.4) Medium D Site slope is 5 to 1 or steeper Tier 1 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 1 -Low lnsQection Threat Assessment Criteria D All projects not meeting Tier 1 Medium Construction Threat Assessmenl Criteria Low Exempt -Not Applicable -Exempt *The city engineer may authorize mmor variances from the construction threat assessment cntena m special circumstances where it can be shown that a lesser or higher amount of storm water compliance inspection is warranted in the opinion of the city engineer E-33 Page 1 of 1 REV 4/30/10 «1~ ~ CITY OF STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov t CARLSBAD This form is required for all pools, retaining walls or whenever a building footprint is enlarged. 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 k>cated 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(SVOWNER"S AGENT NAME (PRINT) , j j__ Lo N ,4 Q,..fr Y<.. L.S:0 /V OWNER(SVOWNER"S AGENT NAME (SIGNATURE) DATE E-29 STORM WATER POLLUTION PREVENTION NOTES 1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION ANO 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 314 INCH MINIMUM AGGREGATE. 6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. SPECIAL NOTES Page 1 of 3 PROJECT INFORMATION Site Address:~ / ~ (<l,f/l)r.71;-:p[..,, Assessor's Parcel Number: .1. / 3-;f_$i).,. l2 ProjectlD C-es-i 1-t-f-& g ConstructionPermitNo.:01-V' ( 1-1?4-- Estimated Construction Start Date '>~ /¢/ Project Duration ~ Months Emergency Contact: Name: vZl/fN C!,./l 11 iF-TFL Q 24 hour Phone {,-.{;}{) S:6 b -(i<J/( Perceived Threat to Storm Water Quality ~ Medium@:-f 1-Af'R. 3J ~ Low If medium box is checked, must attach a site plan sheet showing proposed work area and location of proposed structural BMPs For City Use Only Approved By: c-;-J 7 / Date: ~11~ { l ( REV 4/30/10 Erosion Control Tracking Non-Storm Water Waste Management and Materials Sediment Control BMPs Control BMPs BMPs Management BMPs Pollution Control BMPs C C C c c 0 0 ~ "" u u "' " "" " C C E C E "" i ro .5 ! 0 C "' C. m C E ll '5 ·e ., ro * ::. -g I "' ~ ;; C ·5 2:-"' .!l "' C. ., C c 0 0 ~ ·c 'i, " ., ro C ro Best Management Practice "' .e ro m e ID ·a ·e -§ i!! " (!) ~ w .a C ~ ,: 0 0 " ro ~ ii 0 ~ C " ro C 0 "" ,; * (BMP) Description ➔ 0 I-E "' " "' ID (.) "' "" 0 ::. ., ., (/) ·e .!!l ~~ C ,: C 0 :::, ., 0 ~ l'l c ro m ~-~ ""w "" >, 0 C > ~ 'll Bi 0 0 ID "' m m .91 ro ., ::. 0 C ., 1l " -" ro (.) :1l .91. m m I!! ,: 0 e ~ ., E " a: ,; ;; ~ E.ll ~ :g ~ ,: i· "' ·c ·c ·a a. 11 ~ .C C " LL 0 .8 > "" :c e ·-"" C ·" ., " " =~ ~ ~ 0 "·-C. '5 ., e e B C .c ro ·;: ~ .c ~( 1ii 0 C ~ ro e .Q en ., .c -m m .s e l!I "' t5 & m " .9 tr, ro 0 (!) WO (/) (/) (.) ;:;: (!) en> (/) (/) a. (/) .E ,: a. a. > ::. (/) (/) :,: (.) . CASQA Designation -+ 0 0 0 ~ '? 't :z :z :z "i' 0 ~ N ;i; "' .... ., i N "' 't "' ~ "i' 0 w ~ "' U) U) U) ~ ~ ~ w w w w ::. ::. w w w (/) (/) (/) (/) (/) (/) (/) I-I-z z z z ,: ,: ,: ,: ,: ,: ,: Construction Activity w (/) Gradinn/Soil Disturbance T renchinOJExcavation -. Stocknilinn Drillina/Borina Concrete/Asphalt Saw cuttina Concrete flatwork Pavinn ConduiVPinA Installation "-- Stucco/Mortar Work Waste Disnnc::al y Staainn/Lav Down Area . Equipment Maintenance and Fuelina Hazardous Substance Use/Storaae Dewaterina Site Access Across Dirt Other tlisO: 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 far 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 raw intersects with the BMP column. Do this for each activity that was checked off and for each of the selected BMPs selected from the 1ist. 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 aStockpiling" raw intersects the new •eover 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 PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB110453 DATE 3/1/11 ADDRESS 2315 KYANITE PL RESIDENTIAL ADDITION- MINOR (<17,000.00) RETAINING WALL VILLAGE FAIRE OTHER __ PLANNER GINA RUIZ IPOOL/SPAj TENANT IMPROVEMENT COMPLETE OFFICE BUILDING DATE 3/1/11 ENGINEER~--------DATE, ______ _ H:\ADMIN\ffiUNTER/PLANMNG/ENGINEERING APPRDVAL'i