HomeMy WebLinkAbout2367 LAPIS RD; ; CB142602; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-27-2014 Pool Permit Permit No: CB142602
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
2367 LAPIS RD CBAD
POOL
2132212600
$13,664.00
Status:
Lot#: 0 Applied:
Construction Type: NEW Entered By:
Plan Approved:
Issued:
Project Title: MACLEAY RES-280 SF POOL/SPA Inspect Area:
Applicant:
PRP AQUATICS INC
5748 AVENIDA ROBLES
GRANITE BAY CA 95746
916 743-2290
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
Owner:
MACLEAY JAMES F
2367 LAPIS RD
CARLSBAD CA 92009
ISSUED
10/08/2014
RMA
10/27/2014
10/27/2014
$149.47
$0.00
$104.63
$0.00
$33.00
$33.00
$1.78
$1.00
$0.00
$0.00
$0.00
$0.00
$322.88
Total Fees: $322.88 Total Payments To Date: $322.88 Balance Due:
Inspector:
FINAL APPROVAL
Date: J •/J'. r.S: Clearance:
$0.00
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
C I ow ' it o
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-27-2014
Storm Water Pollution Prevention Plan (SWPPP) Permit
Permit No:SW140354
Job Address:
Permit Type:
Parcel No:
Reference #:
CB#:
Project Title:
Applicant:
PRP AQUATICS INC
2367 LAPIS RD CBAD
SWPPP
2132212600
CB142602
MACLEARY POOL
5748 AVENIDA ROBLES
GRANITE BAY CA 95746
916 743-2290
Emergency Contact:
KENNY JUDD
858 248-5442
SWPPP Plan Check
SWPPP Inspections
Additional Fees
TOTAL PERMIT FEES
Lot#: 0
Owner:
MACLEAY JAMES F
2367 LAPIS RD
CARLSBAD CA 92009
Status:
Applied:
Entered By:
Issued:
Inspect Area:
Tier:
Priority:
ISSUED
10/08/2014
RMA
10/27/2014
1
M
$53.00
$224.00
$0.00
$277.00
Total Fees: $277.00 Total Payments To Date: $277.00 Balance Due:
FINAL. APPROVAL
DATE2~~. NCE __
SIGNATURE __ __.,~. 4
$0.00
THEFO ,t.G APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE 0 HAZMATIAPCO
.~ <<•-.· ~ CITY OF
CARLSBAD
JOB ADDRESS
CT/PROJECT#
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEt/SPACEf/UNITf
# BEDROOMS # BATHROOMS
DESCRIPTION OF WORK: Include Square Feet or Affected Area? Q Q \ ~ s~ l\-
-bo
OCC. GROUP
EXISTING USE GARAGE (SF) PATIOS {SF) DECKS (SF) FIREPLACE
YES[),
AIR CONDITIONING
NoCJ YES □No □
FIRE SPRINKLERS
YESONoO
PROPERTY OWNER NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY
FAX PHONE
DESIGN PROFESSIONAL
ADDRESS ADDRESS
CITY STATE ZIP CITY
PHONE FAX
EMAIL
STATE UC.#
(Sec, 7031,5 Business and P_rofessions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_mIt 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 B_usiness and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declarations: Q I have and wlll maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 ol the Labor Code, for the performance of the work for which this permit is issued.
¥1 have and will maintain workers' compensation, as reauired bv Section 3700 oft Labor Code, for the performance of the work for which is r ·1 is issued. My workers' compe ation i urance carrier and policy
number are: Insurance Co. 7 · Policy No, ---=--<+>-'-¾-++-'I---Expiration Date ·---
~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ 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' c ensatlon erage Is unlawful, and shall subjed an employer to criminal penalties and civil fines up to one hundred thousand dol1a~&100,000), in
addition to the cost of compensation, damage provl or In Se or code, Interest and attorney"s fees. },,.. _ r O ✓ 1.
AS CONTRACTOR SIGNATURE □AGENT DATE fU
I hereby affirm that I am exempt from Contractor's License 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 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 within one year of completion, the owner•builder will 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 contracUng with licensed contractors lo construct the project (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 contracts for such projects with contractor(s) licensed pursuant to the Contractor'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. 0Yes 0No
2. I (have/ have not) signed an appHcation tor 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/ contractors' license number)
4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone/ contractors' license number)·
5. \ will provide some of \he work, but I have contracted (hired) the following persons to provide.the work indicated (include name I address/ phone/ type of work)
AS PROPERTY OWNER SIGNATURE -GENT DATE
. ' • ('OMPLE,TE TlilS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fotm or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes O No
Is the applicant or future building occupant required lo obtain a permit from the air pollution control district or air quality management district? D Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
C;.O N $TR UC TIO J\I. l•E ND I ~ G AGENCY
l hereby affirm that there Is a coostructIon lending agency for the performance of the work this perm1t 1s 1ssue<I (Sec 3097 (1) C1vll Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION ,.'.C>
I certify 1hat I have read the appllcatlon and state that the above lnfonnatlon Is correct and that the lnfonnatlon on the plans is accurate. I agree to comply~ all CltN ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the atove mentioned property for inspectbn puijX)Ses. I ALSO AGREE TO SAVE, INDEMNIFY Af.lD KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAJNST SAID CITY IN CO'ISEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA pemiit is required for excavations over 5'0' deep and demol~ion or construction of structures over 3 stores in height.
EXPIRATION: Every permit issued by the Building Offi:;ial under the provisions of · shall expire by !imitation and berome null and \/Oid W the building or oork authorized by sudl perm~ is not oornmenced 'Mthin
180 days from the date of such pennit or if the buiK!ing or oork authorized bys pennlt · or abandoned at any lime after the VIOrk is commenced for a period of 16,0 days (Section 106.4.4 Unifonn Bui Kling Code).
lb-V-\4 JIS APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB142602 Type: POOL MACLEAY RES-280 SF POOUSPA
Date Inspection Item Inspector Act Comments
0311612015 55 Fence/Pre-Plaster RI
03/1612015 55 Fence/Pre-Plaster PB AP
03/16/2015 59 Final Pool RI
0311612015 59 Final Pool PB AP
02111/2015 51 Excav/Steel/Bonding/Fence PB AP
0110912015 23 Gasrr esVRepairs PB AP
01/09/2015 31 Underground/Conduit-Wlrin PB AP
1213112014 31 Underground/Conduit-Wlrin PB CA
11/21/2014 21 Underground/Under Floor PB AP
11121/2014 51 Excav/Steel/Bonding/Fence PB AP
11/20/2014 21 Underground/Under Floor PB AP
11/2012014 51 Excav/Steel/Bonding/Fence PB AP
Tuesday, March 17, 2015 Page 1 of 1
I •,------------------------------------~
<<~ ~ CITY OF
CARLSBAD
PLAN CHECK
REVIEW
TRAN SM ITT AL
DATE: 10/22/2014 PROJECT NAME: MacLEAY Residence
PLAN CHECK NO: CB142602 SET#: 1 ADDRESS: 2367 Lapis Rd
VALUATION:$13,664 SCOPE OF WORK: Pool & Spa
Community & Economic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www .carlsbadca.gov
PROJECT ID:
APN: 213-221-26
✓ This plan check review is complete and has been APPROVED by:
□
LAND DEVELOPMENT ENGINEERING DIVISION
Final Inspection by the CM&I division is required: Yes X No
This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check Comments have been sent to: carriejones@hotmail.com
PLANNING
760-602-4610
Cl1ris Sexton
/60 602-4624
Gina Ruiz
760-602-467:i
' . · EN~INE(~ING ·
160-so2~tso ·
Kathleen Lawrence
760602::>741
Kathl<;e0 lmvt 1incC'"'CMl~,br1dce1.gov
Li Ontiveros
760-602-2773
FIRE PREVENTION
760-602~66
Greg Ryan
760-G02 4663
Gregory. Ry;J n 'fJ'CJ rlsbt1dca .g(1v
Ci 11 it. ;{ulz :,CY C i1 r lsb;,1 dC<l. gov Lin r.1,1 Ont1ve-r:_:1s•:--}carlsbadcn.f{ov
Cindy Wong
760-602-4662
Cynthia. W ong'n•c;irlsbridca .gov
Remarks:
Dale Willis
760-602-2784
Dale.Wlllls@carlsbadca.gov
Dominic Fieri
760-602 4664
Dorninic.Fieri(:i:( ;irlsbc1dc;q,;ov
CB142602 MacLEAY Residence
Please Read
Instructions
Outstanding issues will be marked with X
Items that conform to permit requirements are marked
with ✓ -or-have intentionally been left blank.
1. SITE PLAN
Provide a fully dimensioned site plan drawn to scale. Show:
✓. North arrow
✓ · Existing & proposed structures
✓ Property line dimensions
Easements
Show on site plan:
✓ Drainage patterns
✓ Existing & proposed slopes
Existing topography
Retaining Walls (location and height)
✓ Indicate what will happen with soil excavated from pool area.
Include on title sheet:
✓ Site address
✓ Assessor's parcel number
✓ Legal description/lot number
Grading: Quantities of
Cut Fill Import Export
Project does not comply with the following engineering conditions of approval
for project no:
Conditions were complies with by: Date:
Loli Map No.: 41 / 14804
SubdivisionfTract : CT 02-22 /LACOSTA GREENS NEIGH 1.09, Sh 7
Reference No(s): DWG 406_7A, Sh 5
E-37 Page 2 of 4 REV 6/2012
CB142602
ROW 14-229 -
Application
received
10/08/14
E-37
-•,-o•--·· ---------
MacLEAY Residence
2. GRADING PERMIT REQUIREMENTS
The conditions that require a grading permit are found in Section 11.06.030 of the Municipal
Code.
Inadequate information available on site plan to make a determination on grading
requirements. Include accurate grading quantities in cubic yards (cut, fill, import, export and
remedial). This information must be Included on the plans. If no grading is proposed
write: "NO GRADING"
Minor Grading Permit required. NOTE: The grading permit must be issued and grading
approval obtained prior to Issuance of a building permit. A separate grading plan prepared a
registered civil engineer must be submitted together with the completed application form attached.
✓ No grading permit required.
3. MISCELLANEOUS PERMITS
✓ RIGHT-OF-WAY PERMIT is required to do work in city right-of-way and/or private work
adjacent to the public right-of-way.
A separate right-of-way issued by the engineering division is required for the following:
Please complete attached right-of-way application form and return to the engineering
department together with the requirements on the attached right-of-way checklist, at
the time of resubmittal.
Right-of-way permit and pool permit will be issued simultaneously.
Page 3 of4 REV 6/2012
•
(8142602
Attachments:
E-37
MacLEAY Residence
4. STORM WATER
Construction Compliance
✓ Project Threat Assessment Form complete.
Enclosed Project Threat Assessment Form incomplete.
✓ Requires Tier 1 Storm Water Pollution Prevention Plan. Please complete attached form
and return (SW 140354 )
Requires Tier 2 Storm Water Pollution Prevention Plan. Requires submittal of Tier 2
SWPPP, payment of processing fee and review by city.
Post-Development (SUSMP) Compliance
✓ Storm Water Standards Questionnaire complete.
Storm Water Standards Questionnaire incomplete. Please make the corrections, re-sign
the questionnaire and resubmit with next submittal.
Project is subject to Standard Storm Water Requirements. See city Standard Urban
Storm Water Management Plan (SUSMP) for reference.
http://www.carlsbadca.qovlbus1nesslbu ild1ng/Documents/EnqStandsw-stds-vol4-ch2. pdf
Project needs to incorporate low impact development strategies throughout in one or
more of the following ways:
Engineering Application
Rainwater harvesting (rain barrels or cistern)
Vegetated Roof
Bio-retentions cell/rain garden
Pervious pavement/pavers
Flow-through planter/vegetated or rock drip line
Vegetated swales or rock infiltration swales
Downspouts disconnect and discharge over landscape
Other:
Storm Water Form Right-of-Way Appllcatlon/lnfo
Page4of4
Reference Documents
REV 6/01/12
<<1
-~ CITY OF
CARLSBAD
PLANNING DIVISION
BUILDING PLAN CHECK
APPROVAL
P-29
DATE: 10-9-14 PROJECT NAME: PROJECT ID:
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www .carlsbadca.eov
PLAN CHECK NO: CB 14-2602 SET#: 1 ADDRESS: 2367 La pis Rd APN: 213-221-26-00
[gJ This plan check review is complete and has been APPROVED by the Planning
Division.
By: Chris Sexton
A Final Inspection by the Planning Division is required D Yes ~ No
You may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the issuance of a building permit.
Resubmitted plans should include corrections from all divisions.
D This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check APPROVAL has been sent to: carrieJones@hotmall.com
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
PLANNING ENGINEERING FIRE PREVENTION
760-602-4610 760-602-2750 760-602-4665
['.] Chris Sexton □ Kathleen Lawrence □ Greg Ryan
760-602-4624 760-602-27 41 760-602-4663
Chris-Sexton@carlsbadca.gov Kathleen.Lawrence@carlsbadca.gov Gregory.Ryan@carlsbadca.gov
□ Gina Ruiz □ Linda Ontiveros □ Cindy Wong
760-602-4675 760-602-2773 760-602-4662
Ging.Ruiz@c!!rl§badca.gQv Linda.Ontiveros@carlsbadca.gov Cynthia.Wong@carlsbadca.gov
□ □ □ Dominic Fieri
760-602-4664
Domini~.Fieri@c!!rl~bi!!!~a.gQv
Remarks:
/4'~ ... "'~', ~ CITY OF
CARLSBAD
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP
E-29
STORM WATER COMPLIANCE CERTIFICATE
✓ My project is not in a category of permit types exempt from the Construction
SWPPP requirements
✓ My project is not located inside or within 200 feet of an environmentally
sensitive area with a significant potential for contributing pollutants to nearby
receiving waters by way of storm water runoff or non-storm water
discharge(s).
✓ My project does not require a grading plan pursuant to the Carlsbad
Grading Ordinance (Chapter 15.16 of the Car1sbad Municipal Code)
✓ My project 'Will not result in 2,500 square feet or more of soils disturbance
including any associated construction staging, stockpiling, pavement
removal, equipment storage, refueling and maintenance areas that meets
one or more of the additional following criteria:
• located within 200 feet of an environmentally sensitive area or the
Pacific Ocean; and/or,
• disturbed area is located on a slope with a grade at or exceeding 5
horizontal to 1 vertical; and/or
• disturbed area is located along or within 30 feet of a storm drain inlet, an
open drainage channel or watercourse; and/or
• construction will be initiated during the rainy season or will extend into
the rainy season (Oct. 1 through April 30).
I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT ALL OF THE ABOVE
CHECKED STATEMENTS ARE TRUE AND CORRECT. I AM SUBMITTING
FOR CITY APPROVAL A TIER 1 CONSTRUCTION SWPPP PREPARED IN
ACCORDANCE WITH THE REQUIREMENTS OF CITY STANDARDS.
I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST
MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES
TO THE MAXIMUM EXTENT PRACTICABLE TO MINIMIZE THE
MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO MINIMIZE
THE EXPOSURE OF STORM WATER TO CONSTRUCTION RELATED
POLLUTANTS; AND, (2) ADHERE TO, AND AT ALL TIMES, COMPLY WITH
THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP THROUGHOUT THE
DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE
CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF
~AD
"-_0--i(f ~-e ~s
OWNER(S)/OWNER'S AGENT NAME (PRINT)
~
OWNER(S)/OWNER'S AGENT NAME (SIGNATURE)
\o-1-t~
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 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
Page 1 of 3
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
PROJECT INFORMATION
Site Address >:3(oJ (1?£\'S,et}
Assessors Parcel Number: dl :?-a1-?l4u C "L Project ID: {?) ,\'-\ -Z..lc, c,
~;:,..::, -
Construction'l'ermit No.: \'-\9? ~ U.-
Estimated Construction Start Date \ 6 -2..1~.f"\±
Project Duration 3 Months
Emergency Contact:
Name k ,£1(1r'l_:( \ ~JJ
24 hour Phone 5D ->J.,3-5'W-2
Perceived Threat to Storm Water Quality
~Medium
0 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
CITY OF CARLSBAD
STANDARD TIER 1 SWPPP
Approved By: 9 t:\::U...:::,
Date\~ "L <--\ \':\_ ,7
REV 4/30/10
STORM WATER
STANDARDS
QUESTIONNAIRE
E-34
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Does the redevelopment project result in the creation or replacement of impervious surface in an amount of less than
50% of the surface area of the reviousl existin develo ment?
If you answered "yes," the structural BMP's required for Priority Development Projects apply only to the creation or replacement of
impervious surface and not the entire development. Go to step 4, check the "my project meets PDP requirements" box and
complete applicant Information.
If you answered "no," the structural BMP's required for Priority Development Projects apply to the entire development. Go to step 4,
check the "m ro·ect meets PDP re uirements" box and com lete a llcant information.
My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must comply with additional stormwater
criteria per the SUSMP and I understand I must prepare a Storm Water Management Plan for submittal at time of application,
I understand flow control (hydromodification) requirements may apply to my project. Refer to SUSMP for details.
My project does not meet PDP requirements and must only comply with STANDARD STORMWATER REQUIREMENTS per
the SUSMP. As part of these requirements, I will incorporate low impact development strategies throughout my project.
Applicant Information and Signature Box
Address:
This Box for City Use Only
City Concurrence: 0
• Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas
designated as Areas of Special Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the
San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources
Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); areas designated as preserves or their
quivalent under the Multi Species Conservation Program within the Cities and County of San Diego; and any other equivalent
environmentally sensitive areas which have been identified by the Copermittees.
E-34 Page 3 of 3 Effective 6/27/13
Best Management Practice
{BMP) Description ➔
CASQA Designation ➔
Construction Activity
1 .J Grading/Soil Disturbance I'$,. Trenching/Excavation
Stockpilini:1
Drilling/Boring
Concrete/Asphalt Saw
I~ cuttino
..c:ii Concrete flatwork.
Pavina
ConduiUPipe Installation
Stucco/Mortar Work
Waste Disposal
Staging/Lay Down Area
Equipment Maintenance
and Fueling
Hazardous Substance
Use/Storage
Dewaterina
Site Access Across Dirt
other (list):
w 1u ::. ..
w 2 ii ~ "' (!)
" (.) w
Erosion Control
BMPs
w
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:c : ?:: ~ 3 ~~ .f! ~·-cno
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1l C if
iii
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(J)
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(J)
Sediment Control BMPs
E c'l
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"f w
(J)
.,.
0 "' ~ .c u::
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......
77-;
.,.,
2' " E g, :v 2 a, •-·;:: C m a. ,._ -m o, C g, a,g, ca "cijc: ca?::·-e>"-o _OOE<00:;:; a,-:::is::lEO ~~a-g .... 2
c5 '7>~ ~ ~it
:z ~ (J) (J)
"i' w (J)
0
LU (J)
Tracking
Control
BMPs
C C 0 0 u u .5 .5 ~ ~ ~ 0 m 0
CJ -CJ
i~ NW = U) :0 ~
55 £
d;
I-
~~ .!::! ?:: Bi
" 0 iii°'
~ I-
C 0 I "' w C 0 CJ
Non-Stonn Water
Management BMPs
g> .,
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C 0 ~ "' .E
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Waste Management and Materials
Pollution Control BMPs
"' w :::, ..
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Instructions: Begin by reviewing the list of construction activities and checking the box to the left of any activity that will occur during the proposed construction. Add any other activity descriptions in the
blank activity description boxes provided for that purpose and place a check in the box immediately to the left of the added activity description. For each activity descrribed, pick one or more best
management practices (BMPs) from the list located along the top of the form. Then place an X in the box at the place where the activity 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 DirtH. Then review
the list for something that applies such as "Stabilized Construction lngress/EgressH under Tracking Control. Follow along the "Site Access Across Dirt~ row until you get to the "Stabilized Construction
lngress/EgressH 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 \Mth Plastic" in the blank column under the heading Erosion Control BMPs. Then place an X in the box where the "StockpilingH row intersects the new "Cover with
PlasticH column.
To learn more about vVhat 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.
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