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Home My WebLink About2327 KYANITE PL; ; CB091836; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-17-2009 Pool Permit Permit No: CB091836 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2327 KYANITE PL CBAD POOL Status: Lot#: 0 Applied: Valuation: 2132802100 $2,432.00 Construction Type: 5B Entered By: Reference #: PC#: Project Title: Applicant: PADILLA 64SF SPA/ GAS TO 2 FIREBOWLS PACIFIC EMPIRE CONSTRUCTION STEC 12937 POMERADO RD 92064 858 842 2471 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: Owner: J&M TRUST 12-19-08 2327 KYANITE PL CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 11/03/2009 JMA 11/17/2009 11/17/2009 $54.11 $0.00 $35.17 $0.00 $20.00 $27.00 $1.00 $1.00 $0.00 $0.00 $0.00 $0.00 $138.28 Total Fees: $138.28 Total Payments To Date: $138.28 Balance Due: FINAL A P OVAL Inspector: Date: I 'I-'vO\ Clearance: $0.00 NOTICE: Please take NOTI roval of your project includes the "lmpos 10n" o lees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions" You ha e 90 days from the date this permit was issued to protest imposition of these fees/exactions, If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to waler and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any I i h r VI I h I «1~. ~ CITY OF CARLSBAD JOB ADDRESS 2 CT/PROJECT# EXISTING USE CONT ACT NAME (If Dlfrerent Fom Appllcant) ADDRESS CITY PHONE EMAIL ADDRESS CITY STATE PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS Building Permit Application 1635 Faraday Ave., Cerlsbad, CA 92008 76G-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca,gov SUITE#/$PACE#/UNIT# Est. Value Plan Ck. Deposit Date 1 ( APN #BATHROOM TENANT BUSINESS ZIP CITY STATE UC.# NSlR. TYPE OCC. GROUP C..fe\-e C FIRE SPRINKLERS YES D NO □ (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 r!3(1uires 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 applicanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compenlltlon Declaration: I hereby affltm under penalty of perjury one of the following declaralons: □ I have and wll malntMI a cartfflcate of consent to 111f-ilsure for workers' compensation as provldecl by Seclion 3700 of the Labor Code, fur the performance of the work for which this pennit is issued. □ I have and wll maintain worbrs' cornpenNtlon, as requil9d by Section 3700 of the Labor Code, fur the performance ol lhe work for which this permit Is issued. My WO!kers' compensation insurance carrier and policy number are: Insurance Co. ____________________ Policy No. _____________ Expiration Date ________ _ This section need not be CQmpeied if the permit is for one hundred dollars ($100) or less. D Certificate of Ex■mptlon: I certify lhal in the performance of the work for which this permit Is Issued, I shall not employ any person in any manner so as to become subject to the Wor1<ers' Compensation Laws of CaWfornia. WARNING: Failure to 11cur1 worbrs' comP@nution cover nlawfu~ and shall subject an employe, to criminal penaltln and clvll fines up to one hundred thOU11nd dolars (&100,000), In eddlUon to the cost of compensation, damagH u for I ion 3706 , lntsrnt and attorney'• fffL ,If$ CONTRACTOR SIGNATURE I hereby slflrm that I am exempt from Contractor's Ucense Law for the fr:ilkrMng fNSOII: □ I, as owner oflhe property or my employees with wages es their sole compensation, will do the work and the structure is not intanded or offered for sale (Sec. 7044. Business and Professions Code: The Contractor's License Law does not apply to an ovmer of property who builds or improves thereon, and who does such work himself or through his own employee&, provided Iha! such IA'f,ll"(Mllflent& are not intended or offered fo( sale. ff, however, the builcNng or improyemeri ii sold within one ye.-of completion, the O"Mler-bullder wiN have the burden rJ proving that he did not build or Improve for the purpose of sale). □ I, as owner of lhe property, am exclll5ively contracting with licensed r.ontrad:Of8 lo conslrucl lhe project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner of property who builds or Improves thereon, and contracts ror such projects with conlraclor(s) licensed pursuant lo lhe Conlractor's License Law). □ 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. □ Yes □ No 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the foNowlng person (!inn) to provide the proposed construction (include name address/ phone/ contractors' Mcense number): 4. I plan lo provide portions of the work, but I have hired the following person lo coordinate, supervise and provide the major'M'.llk Qnclude name/ address/ phone/ contractq' ficense number): 5. I wlff provide some rJ the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ,...S PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THtS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the appllcant or ruture building occupant required to submit a business plan, acutely hazardous materials ~tration form or risk management ■nd prevention pros,am under Sections 25505, 25533 or 25534 of lht Presley-TaM81' Hazardous Substance Accourt A,:,fl □ Yes □ No I& lh• IJIPlicant or future building occupant required to obtain a permit from !ht air pollution control district or ■Ir quallty man11J91l'18111 disbict? □ Yes □ No Is tie facllty to be constructed within 1,000 rut d fla outer boundary d a school slla? □ 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 OFF1CE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affinn lhat It-ere IS a construction lend,rg agency for the perfonnance of Ire work 11;s penn,t IS issued (Sec. 3097 ~) CMI Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certfythat I ba¥e read tne applcatlon and state that the above lnt>nnation Is oom,ctand that the lnfoonadon oo the plans Is aoourate. I agrae to oomplywlth all aiy oRllnances and Stale laws nN811ngm bulldmt construction. I heleby eulhorize n,pmsenlalMI of Ille Ciyof Callsbad i>Wrucon Ille alxM! menooned propelly for i1Sp8Clk,n PlfPOS8S. I ALSO AGREE TO SAVE, NDEMNIFY NlD KEEP HARMLESS 1ttE CITY OF CAAI.SBAD AGAINST ALL LIABLITIES, JUDGMENTS, COSTSNlD EXPENSES WHICH MAY IN AN< WAY ACCRUE -NST SAil CITY IN CONSEQUENCE Of THE GRANTNG OF THIS PERMIT. OSHA: AA OSHA pemil is l9QIJied forexcevalons OW!r 50' deep and-orOlOSlruction of siuclunlsOW!r 3 sbies il hel!li- EXPIRATION: EYlfy pemil issued by Ito Buidirg Olllcial under lhe provisions of this Code shal e,cpie by lnialon and beco1ro 1'JI and 'Alid I,-. buldilg or--by such penrit is not oorrronced - 180 days lorn Ille dale of oud1 pemil or I Ille btildilg or--DY.JI--• suspended or -at any line alter Ille -is oommana,d for a · of 180 (Secliln 106A.4 t.ntxm Buik1ilg Code) . ...SAPPLICANT'SSIGNATURE ~,-::;::~~~=:::::,,__ DATE «1~ Building Permit Application Plan Check No. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718/ 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit "t!.Y:f..W ,i;;~rl~Qs;l~j;;i;!.gQV Date I JOB ADDRESS SUITE#/SPACE#/UNIT# rPN Z-32'7 KvA-N1'Te PL. --- 1.,,,/PROJE,.;1 # IL01 # I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME ICONSrtt. TYPE , ..,.,.,. ... ROUP DESCRIPTION OF WORK: lnc/uti. Square Feet of Atremd AIM(•) ~<i--P R ( G c.,).N I TEi ) EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES □#_ NOD YES □ NOD YES O NOD CONTACT NAME (If Different Fom Applk:ant) APPLICANT NAM~. ,1 A . '~ A/ "lh,,Jj, ADDRESS ADDRESS P.fJ 'i3e,,:x. I I 55 CITY STATE ZIP CITY STATE ZIP DEL M,Jlfll C!A-9ZC>)L/ PHONE I FAX PHONE I FAX l:,J"J L.IL._ll_,;-,,;-,; S /'_/Q ~uQ~_5l1'10 EMAIL EMAIL "(;)~ 'P;e J 5 (P /14 t;.N -CZ::,.Jt-1 PROPERTY OWNER NAME .::JvL1 A AJ 7 ,4-/, / /,,, CONTRACTOR BUS. NAME / I ,.flv1-L ?c,o;/ .s ADDRESS pL_ ADDV~-Z377 It:' vAA1 1IT Box /l5S CITY ' STATE ZIP CITYDGZ. STATE ZIP C,1tz.1.s BJ1.r/ &1 -'o/U~1 MA-/Z.. CA . C/20/1./ PHONE IFAX PHONE IFAX r'l"6b % 3 -~ )IS, 1,/9 L/ 51./-55 J{5< EMAIL EMAIL ARCH/DESIGNER NAM£ & ADDRESS I STATE UC.# STATE UC.# ~Z3» 30 1 Cc!-s 3 1 CllY BUS. U~# (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 fHe a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law JChapter 9, commending with Section 7000 of 0lvlSiOn 3 of the Business and Professions Code) or that he is exem9.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the apptieant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaratfon: I hereby affirm under penalty of petjury 008 of the foNowing declarations: □ I have and will maintain I cef11ftcate of consent to self-ln1U111 for workllfS' compensation as provided by Section 3700 of the Labor Code, for the performance of Iha work for which this pennit is issued. □ I have and wlU maintain workers' compensation, as required by Section 3700 of the labor Code, for the perfonnance of lhe work for which this permit is issued. My workers· compensellon insurance carrier and policy number are: Insurance Co. ____________________ Policy No. _____________ Expiration Date ________ _ section need not be completed if the pennit Is for one hundred dollars {$100) °' less. Certificate of Enmption: I certify that in the perlomiance of the wOfk for which this permit Is Issued, I shell not employ any persoo in any manner so as to become subject to the Workers' Compensation law& of Ca nia. WARNING: Failure to secure workers' compensation coverage 11 unlawfu~ and shall subject an employer to criminal penalties and cMI Hnes up to one hundred thousand dolltl (&100,DOO), In addtUon to the coat of compensation, d ges provided for in Section ~~,6L interest and attorney's fees. _6S CONTRACTOR SIGNATURE I hemly atrirm that I am exempt from Contractor's Ucense Law for the following reason: □ I, as O'M'l&r of the property°' my employees 'Mlh wages as their sole compensation, will do the wor1t and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply lo an owner of property who builds or Improves thereon, and who does such work himself or lhrough his own employees, provided Iha! such improvements are not intended or offered for sale. tf, however, the building or improvement Is sold within one year of completion, the owner-b1Jilder wiU 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 conslruct lhe project (Sec. 7044, &slness and Professions Code: The Contractor's license Law does not apply lo an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant lo the Conlractor's license law). □ I am exempt under Section ____ ,Business and Professions Code for this reason: 1. I personally plan lo provide the major labor and materials lor construction of the proposed property improvement. □ YN □ No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (finn) lo provide the proposed conslructlon (Include name address I phone/ conlractors' ~cense number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major WOO( (include name/ address/ phone/ contraciors' license number): 5. I will provide some d the 'M>l1t, but I have contracted (hired) the following persons lo provide the wOIK indicated (include name I address/ phone/ type of wor11:): ,15 PROPERTY OWNER SIGNATURE □AGENT DATE Inspection List Permit#: CB091836 Type: POOL PADILLA: 64SF SPA/ GAS TO 2 FIREBOWLS Date Inspection Item Inspector Act Comments 01/07/2011 59 Final Pool PY AP 01/07/2011 59 Final Pool RI 01/04/2011 59 Final Pool RI 01/04/2011 59 Final Pool PY CA 01/03/2011 59 Final Pool RI 01/03/2011 59 Final Pool PD CA 12/30/2010 59 Final Pool PY CA 11/17/2010 59 Final Pool PY co BBQ SINK MUST DRAIN TO BUCKET POOL LIGHT NOT WORKING 10/27/2010 59 Final Pool PY NR SEND EXP LETTER 06/14/2010 55 Fence/Pre-Plaster PY AP OK TO PLASTER -ALARMS OK 12/03/2009 51 Excav/Steel/Bonding/Fence PY AP DECK BAND OK OK TO GUNITE FENCE BOND OK 11/20/2009 21 Underground/Under Floor PD WC 11/20/2009 51 Excav/Steel/Bonding/Fence PD co BOND FENCE, DECK TAILS 11/19/200912 Steel/Bond Beam PY co NEED TO BOND STEEL TO FENCE 11/19/2009 21 Underground/Under Floor PY co 11/19/2009 23 Gas/Test/Repairs PY AP 11/19/2009 52 Underground Plumbing PY AP 11/19/2009 53 Electric/Conduit/Wiring PY PA CONDUIT 11/18/2009 81 Underground Combo PY NR Wednesday, January 12, 2011 Page 1 of 1 • City of Carlsbad l=lbb ■IMii·ii:t•#i,1·11,i§§ll,i·I BUILDING PLANCHECK CHECKLIST POOLS BUILDING PLANCHECK NUMBER: CB [) ; -/ f 3 &i BUILDING ADDRESS: /(17 u-.,JJ_ PROJECT DESCRIPTION: Pool ------------- ASSESSOR'S PARCEL NUMBER: 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. By: __________ Date: marked w· plans or applicable co plans and/or s of deficiencies .i)i.a,,i ~ate: /j ,f u_ /o 9 By: By: ________ Date: ________ Date: ENGINEERING DEPT. CONTACT PERSON NAME: KATHLEEN LAWRENCE City of Carlsbad ADDRESS: 1635 Faraday Avenue Carlsbad,CA 92009 PHONE: (760) 602-2741 1635 Faraday Avenue• Carlsbad, CA 92008-7314 • (760) 602-2720 • FAX (760) 602-8562 @ rND✓ □ r □ I □ □ □ 3RD✓ □ □ □ □ BUILDING PLANCHECK CHECKLIST -POOLS SITE PLAN 1. Provide a fully dimensioned site plan drawn to scale. Show: ~h Arrow /4P;operty Lines ~ting & Proposed Structures __D<--Easements 2. Show on site plan: /'§rainage Patterns / D. Indicate what will happen with B. E,ctsting & Proposed Slopes /Aoil excavated from pool area ~ C. Existing Topography . 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 are over 4' in height, a separate permit is required. Retaining Wall Permit CB 3. Include on title sheet: _____ Applied for ____ Approved 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 Page 2 of 3 1 sT✓ 2ND✓ 3RD✓ □ □ □ □ □ □ □ □ I 5c. A Grading Permit has been applied for: ' PE2 DWG Grading Inspector sign off by: Date: 5d. No Grading Permit required. MISCELLANEOUS PERMITS 6. A RIGHT-OF-WAY PERMIT is required to do work in City Right-of-Way and/or private work adjacent tot he 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. 7. Remarks Page 3of3 CITY OF CARLSBAD STANDARD FORM -TIER 1 STORM WATER POLLUTION PREVENTION PLAN 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 requires a grading plan pursuant to the Car1sbad Grading Ordinance (Chapter 15.16 of the Gar1sbad Municipal Code) ✓ My project will not result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas that meets one or more of the additional following criteria: located within 200 feet of an environmentally sensitive area or the Pacific Ocean; and/or, disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical; and/or disturbed area is located along or within 30 feet of a stonn 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 THROUGHTOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD. 6 A u.J A R4DO 0 .;.i::-NT N ,u.,0; lPIHNT\ 11-10-09 0 DATE STORM WATER POLLUTION PREVENTION NOTES I. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION AND SEDIMENT CONTROL BMPS WHEN RAIN IS EMINENT. 2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION OF THE CITY ENGINEER AFTER EACH RUN- OFF PRODUCING RAINFALL. 3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY ENGINEERING OR BUILDING INSPECTOR DUE TO UNCOMPLETED GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. 4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE AT THE END OF EACH WORKING DAY WHEN THE FIVE (5) DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PERCENT (40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL. 5. ALL GRAVEL BAGS SHALL BE BURLAP TYPE WITH 3/4 INCH MINIMUM AGGREGATE. 6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. SPECIAL NOTES PROJECT INFORMATION s;ie Addms ,)_ 5 I-I k' SJ ~ Assessor's Parcel Nwnber: 62--1 i -d--f (:) PcoJectlD <!A5o3 -/"o j (,, Construction Permit No.: SW O C...) -1 Estimated Construction Start Date ____ _ Project Duration ____ Months Emergency Contact Name Nil Lo[.s E,c.,e,Lc./ 24how-Phone: fi55£-Zo':/ -t)]:Z./ If medium box is checke, sheet showing proposed~ proposed structural BMPs For City Use Only AD SWPPP Approved By: , -j~ r Date: (( I / ()j I Page I of_ Erosion Control BMPs •·· Sediment Control BMPs Tracking Control BMPs Non-Storm ater Management BMPs Waste Management and Materials Pollution Control BMPs '.; Best Management Practice Ii (BMP) Description ➔ " • " • "' CASQA Designation ➔ ;:s w Construction Activity Grading/Soil Disturbance ~ I Trenching/Excavation Ix StockpMing Drilling/Boring Concrete/Asphalt Sawcutting Concrete flatwork Paving Conduit/Pipe Installation Stucco/Mortar Work Waste Disposal Staging/Lay Down Area Equipment Maintenance and Fueling Hazardous Substance Use/Storage Dewatering Site Access Across Dirt Other (list): a C ~ 3 :, 1l ~ ;'.) w u g il .,, :goo .E ~ C ~ Cl gi Cl ~ .E 8_ 111 f! o W Cl ci.j :'.I w (.) w X: g ~ ~ " w <J) ~ s. ~ .!a u !Jl j ~ ~ ~ " '? I 'f w w <J) <J) ! j a: :z <J) u C • E g> G ] .s ~ ·a .E tn:ltn~-= ~ i·~ lir is.§ "iiij:iDi::ll ~!:5-g50 <, (fl~ ~ u.iO:: "I w <J) ';-w <J) :z <J) 0 w <J) C C ~ ·§ 2 2 ui "' ui C • C 0 o 0 (.) 0) (.) ""D w ""D >, 41 ~ fl> al .!::I "' .t:I 3: :s I!? :s --g $ tD .!! O (J) -= 00 a::: ;;: ;;1 f--f-- C I C O• ~i ~£ U) z a C .. C G C ! ·e 'S 1l -g ~ ~ I'll .Q ti -~l ~ > Q. 0 ~ 0 a. ;z ~ z z ii .§. , ~ w -g •a 0 C u·c :c gi ~o ;,: z u C • e- -~ ~ ~ => ] ~ ] .. ·1 • GI£ Ill :, "' :, " • !, :l' j 1 ] C cg ~ ~-0. e ;:;;;C: ~o "'" i ii iii ·" .. . ~i ;g ~ 0. "' :, "I ~ 11! ~ C: • • 5 ~ "2 a ~ ~ • • :,: " i Instructions: Begin by reviewing the list of construction activities and checking the box to the left of any activity that will occur during the proposed construction. Add any other activity descriptions in the blank activity description boxes provided for that purpose and place a check in the box immediately to the left of the added activity description. For each activity descrribed, pick one or more best management practices (BMPs) from the list located alon the top of the form. Then place an X in the box at the place where the activity row intersects with the BMP column. Do this for each activity that was checked off and for each of the selected BMPs selected from the list. For Example-If the project includes site access across dirt, then check the box to the left of"Site Access Across Dirt". Then review the list for something that applies such as "Stabilized Construcion 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 ofBMPs, then write in "Cover with Plastic" in the blank column under the heading Erosion Control BMPs. Then place an X in the box where "Stockpiling" row intersects the new "Cover with Plastic" column. To learn more about what each BMP description means, you may wish to review the BMP Reference Handout prepared to assist applicants in the selection of appropriate Best Management Practice measures. The reference also explains the California Stormwater Quality Association (CASQA) designation and how to apply the various selected BMPs to a project. 11! ~~ il 0. CC 8~ i r Page2of~_ ~ PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB091836 DATE 11/3/09 ADDRESS 2327 KYANITE PL RESIDENTIAL ADDITION- MINOR (<17,000.00) RETAINING WALL VILLAGE FAIRE POOUSPA TENANT IMPROVEMENT COMPLETE OFFICE BUILDING OTHER 18" RAISED SPA AND FIREBOWLS PLANNER GINA RUIZ DATE 11/6/09 ENGINEER ________ _ DATE ______ _ Hc\ADMIN\ COUNTER/PLANNING/ENGINEEruNG APPROVALI