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