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Home My WebLink About2371 BUENA VISTA CIR; ; CB142234; Permit09-17-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Pool Permit Permit No; CB142234 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC #: Project Titie: 2371 BUENA VISTA CR CBAD POOL 1552210800 Lot#: $27,377.00 Construction Type: TAYLOR RES- BUILD NEW 561 SF POOL/SPA 0 NEW Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/03/2014 LSM 09/17/2014 09/17/2014 Applicant: PHOENIX POOLS AND SPAS INC Owner: TAYLOR FAMILY TRUST 40940 VIA LOS ALTOS TEMECULA CA 92591 951-695-0225 2371 BUENA VISTA CIR CARLSBADCA 92008 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Electrical Fee Plumbing Fee Strong Motion Fee Green Bldg Standards (SB1473) Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees $265.57 $0.00 $185.90 $0.00 $33.00 $33.00 $3.56 $1.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $522.03 Total Fees: $522.03 Total Payments To Date: $522.03 Balance Due: $0.00 Inspector: FINAL Date: _ APPF fll Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely foliow that procedure will bar any subsequent legal action to attacl<, 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 fees/exactions of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise expired. 09-17-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW140314 Job Address: Permit Type: Parcel No: Reference #: CB#: Project Title: 2371 BUENA VISTA CR CBAD SWPPP 1552210800 Lot#: CBI42234 TAYLOR RES- NEW 561 SF POOL/SP Applicant: PHOENIX POOLS AND SPAS INC 40940 VIA LOS ALTOS TEMECULA CA 92591 951-695-0225 Emergency Contact: PETE DECAMP Status Applied Entered By Issued Inspect Area Tier: Priority: Owner: TAYLOR FAMILY TRUST 2371 BUENA VISTA CIR CARLSBAD CA 92008 ISSUED 09/03/2014 LSM 09/17/2014 1 L 951-695-0225 SWPPP Plan Check SWPPP Inspections Additional Fees $48.00 $58.00 $0.00 TOTAL PERMIT FEES $106.00 Total Fees: $106.00 Total Payments To Date: $106.00 Balance Due: $0.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: • PLANNING DENGINEERING DBUILDING DFIRE • HEALTH D HAZMAT/APCD Ccity of Carlsbad Buiiding Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax:760-602-8558 email: bullding@carlsbadca.gov www.carlsbadca.gov PlanCheckNo. CJB^HJ^^3>'^ Est. Value ^•7 377 Plan Ck. Deposit I ^fS R V JOB ADDRESS >UI1E#/SPACE#/UNIT# - -C0 -co CT/PROJECT # # OF UNITS # BEDROOIUS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: /nclude Square Feet of Affected Areafs; EXISTING USE PROPOSED USE GARAGE (SF) PATiOS (SF) DECKS (SF) FIREPLACE YES|~|# NOj I AIR CONDiTiONiNG YES QNO I I FIRESPRINKLERS YES I |NO| I APPLICANT NAME Prinanr Contact PROPERTYOWNER NAME ADDRESS CiTY i STATE /• ZIP ^ FAX ji'n\x VJt^k. 6V/C.\Y EMAI^ <•• CONTRACTORBUS^BM^TT!^^^^^^^^^^^^^^^^^^^^^ EMAIL DESIGN PROFESSIONAL ADDRESS ADDRESS CITY STATE ZIP PHONE FAX EMAIL r A T , - M~Z ~ I crass I CITYIBUS. LIC.# ^ EMAIL 5 CITY.BUS. LIC.# (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, aiso requires thi applicant for such permitto file a signed statement that he is lioensed pursuantto the provisions ofthe Contractor's License Law (Chapter 9, commendingwith Section 7000 of Division 3 ofthe Business and Professions Code) ortnat he is exempt therefrom, and the basis forthe alleged exemption. Any vioiation of Section 7031.5 by any applicantfor a permit subjects the applicant to a civii penalty of not more than five hundred doiiars ($500)). bfthe WORKERS' COMPENSATION Workefs' Compensation Declaration: / heiBby affimi umler penalty ofpeijury one ofthe following declarations: •jjd>have and will maintain a ceftificate of consent to self-insure for worlters' compensation as provided by Section 3700 of the Labor Code, for the performance of the worii for which this pennit is issued. i|_>utave and will maintain workers' compensatigB,^required by Section KOO of the La|jor Code, for the perfomiance of the worit fo[.wiiief^£ D^rn]U|issued. My woriters' compensation insurance c^er and poiicy / number are: insurance Co. ^^^^yKCtJ^ vX^^ i / Poiicv No. ^ \IJS >rA \ Expiration Date i l/' ( ^ This section need not be completed if the permit is for one hundred doiiars ($100) or iess. ^ I I Certificate of Exemption: i certify that in the perfomance of the wori< for which this permit is issued, i shaii not employ any person in any manner so as to become subject to the Woriteis' Compensation Laws of Califomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employerto criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, darafigij| as provided for in Section 3706 of the kabor code, interest and attomey's fees. <^ ^ ygS* CONTRACTOR SIGNATURE I yAjj "V^ >—n I , iT^ "WSSENT DATE « \3"^^ 1 OWNER-BUitOER DECLARATION / hereljy affirm that i am exempt from Contractor's Ucense Law for the following reason: I I i, as owner of the property or my empioyees with wages as their sole compensation, will do the work and the stnjcture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not appiy to an owner of property who builds or improves thereon, and who does such worl( himself or through his own empioyees, provided that such improvements are not intended or offered for saie. If, however, the building or improvement is sold within one year of compietion, the owner-buiider will have the burden of proving that he did not buiid or improve for the purpose of saie). I I I, as owner of the property, am exclusively contracting with licensed contractois to constmct the project (Sec, 7044, Business and Professions Code: The Contractor's Ucense Law does not appiy to an owner of praperty who buiids or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I I I am exempt under Section Business and Professions Code for this reason: 1.1 personally pian to provide the major labor and materiais for construction of the proposed property improvement. QYes I iNo 2.1 (have / have not) signed an appiication for a buiiding pemiit for the proposed worit. 3.1 have contracted with the following person (firni) to provide the proposed construction (include name address / phone / contractors' license number): 4. i plan to provide portions of the work, but i have hired the following person to coordinate, supen/ise and pravide the major worit (inciude name / address / phone / contractors' iicense number): 5.1 wiil provide some of the worit, but i have contrxted (hired) the following persons to provide the work indicated (include name / address / phone / type of worit): ^PROPERTY OWNER SIGNATURE :2i AGENT DATE Cj ^SiV^ THIS SECTiON FOU NON-RESIOENTIAL BUILOING PERMITS ONLY is the appiicant or future buiiding occupant required to submit a business pian, acutely hazardous materials registration fomi or rislt management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes • No is the appiicant or future buiiding occupant required to obtain a permit from the air poilution controi district or air quaiity management district? O Yes • No Is the fxility to be constnjcted 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 APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFiCE OF EMERGENCY SERVICES AND THE AIR POLLUTiON CONTROL DISTRICT CONSTRUCTION LENOING AGENCY r I hereby affim that there is a construction lending agency for the performance of the work this permit Is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I ceitify that I have read the appiicatkin and state thatthe above inforniation is conectand ttiat ttie inforniation on ttie plans is accuiate. I agiee to complywith all Cit/ ordinances and State laws lelattng to building consbuction. I hereby authorize lepresentative ofthe City of Caiisbad to enter upon the above mentioned property fbr inspectbn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CffY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: An OSHA pemit is required fbr excavations over 5'0' deep and demolition or constnjction of structures over 3 stories in height. EXPiRATiON: Every pemiit issued by the Building Oflicial underlie provisions of this Code shall expire by limitation and become null and void if the building or vwik aulhorized by such peimit is not commenced within 180 days from the date of such peimit or if the buiiding or yfcrit aiimprized by such permit B saepended or abandoned at any time alter the wrk is commenced for a peiiod of 180 days (Section 106.4.4 Unifoim Building Code). APPLICANT'S SIGNATURE I '^^^jtJX/)"—l/* DATE Inspection List Permit*: CB142234 Type: POOL Date Jnspection Item 09/01/2015 59 Final Pool 09/01/2015 59 Final Pool 08/14/2015 55 Fence/Pre-Plaster 08/14/2015 59 Final Pool Inspector Act Rl PD AP PB AP PB NR TAYLOR RES- BUILD NEW 561 SF POOL/SPA Comments Wednesday, September 02, 2015 Page 1 of 1 ^ CITY OF CARLSBAD PLAN CHECK REVIEW TRANSMITTAL Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov DATE: 9/11/2014 PROJECT NAiVIE: TAYLOR Residence PLAN CHECK NO: CB142234 SET#: 1 ADDRESS: 2371 Buena Vista Circle VALUATION:$27,377 SCOPE OF WORK: Pool & Spa PROJECT ID: APN: 214-366-36 ^ \ This plan check review is complete and has been APPROVED by: LAND DEVELOPIVIENT ENGINEERING DIVISION Final Inspection by the CIVI&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(5)hotmail.com PLANNING 760-602-4610 ENGINEERING 760-602-2750 FIRE PREVENTION 760-602-4665 • 1 I •';?).:"•! Kathleen Lav^rence 7(j0^60i^274i K t h 1 e e n, L;.) w r c ie'»• c c«i s b a d ca. ,g o v . iirail Ryan i'ti()-fo()2^4663 Gregory.RyarK7carlsbadca.gov s Giiia.Ruiz-"'Caiisbadcji.gi)v i: Linda Ontiveros 1 ' 760-602^'2773 i J n d a, 0 Pl (e r 0 s* c a i1 s b fi ci c a, g 0 V Cindy Wong : 760-602-4662 Cynttiin.Wontv •'carlsbadca.gov ; 1X71 Dale Willis 760-602-2784 Dale.Wlllls@carlsbadca.gov Dominic Fieri 760-^602-1664 > Dominic.Fienii'Carisbadca.gov i Remarks: CB142234 TAYLOR 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 I 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: Lot/Map No.: 8/2492 Subdivision/Tract: CT 73-39 / sh 3 BUENA VISTA GARDENS Reference No(s): E'37 Page 2 of 4 REV 6/2012 CB142234 TAYLOR 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 reauired. 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 Noted not Req'd on site pian / 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. E-37 Page 3 of 4 REV 6/2012 CB142234 TAYLOR 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 wo3i4 ) 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.qov/business/buildinq/Documents/EnqStandsw-stds-vol4-ch2.pdf Project needs to incorporate low impact development strategies throughout in one or more of the following ways: 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: Attachments: Engineering Application Storm Water Form Riglit-of-Way Application/ info Reference Documents E-37 Page 4 of 4 REV 6/01/12 CITY OF CARLSBAD STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Division 1635 FaradayAvenue 760-602-2719 www.carlsbadca.gov I am applying to the City of Carlsbad for the following type(s) of construction permit: • Builciing Permit • Right-of-Way Permit • 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 Patio/Deck Photo Voltaic Re-Roofing Sign Spa-Factory Sprinkler Water Discharge Project Storm Water Threat Assessment Criteria'* No nreat Assessment Criteria • My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tier^ • Lc ^ND M Low Tiireat Assessment Criteria My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt pemiit type (See list above) and the project eets 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 Tiireat 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 Carisbad Grading Ordinance (Chapter 15.16 ofthe Carlsbad Municipal Code); or, • Project will 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 and project meets one or more ofthe 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 - Signif icant 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 signiticant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). / certify to tlie best of my Itnowledge tliat tlie above checked statements are true and conect I understand and acl(nowledge that even though this project does not require preparation ofa construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title IS ofthe Carlsbad Municipal Code and to City Standards. "The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Constmction SWPPP Tier Level is wananted. ProjectAddress: Assessor Parcet No. Owner/Owner's Authorized Agent Name: Title: . Owner/Owner's Auttiorized Agent Signature: Date: 0 CltyCpKtSurrence: By: V Date: tji^s QNO ^r^^^TjD ^ Project ID: B-24 Page 1 of 1 Rev.03/09 CITY OF CARLSBAD 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 Construction SWPPP Tier Level Construction Threat Assessment Criteria* Perceived Threat to Storm Water Quaiity Tiers Tier 3 - Hiqh Construction Threat Assessment Criteria High Tiers • Project site is 50 acres or more and grading will occur during the rainy season • 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 • Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kf greater than or equal to 0.4) • Site slope is 5 to 1 or steeper • Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). • Owner/contractor received a Storm Water Notice of Violation within past two years High Tiers Tier 3 - IVIedium Construction Threat Assessment Criteria Medium Tiers • All projects not meeting Tier 3 High Construction Threat Assessment Criteria Medium Tier 2 Tier 2 Hiah Construction Threat Assessment Criteria • 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 • Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kf greater than or equal to 0.4) • Site slope is 5 to 1 or steeper • Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). • Owner/contractor received a Storm Water Notice of Violation within past two years • Site results in one half acre or more of soil disturbance High Tier 2 Tier 2 - Medium Construction Threat Assessment Criteria • All projects not meeting Tier 2 High Construction Threat Assessment Criteria Medium Tierl Tier 1 - Medium Inspection Threat Assessment Criteria Medium Tierl • 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 • Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kf greater than or equal to 0.4) • Site slope is 5 to 1 or steeper • Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). • Owner/contractor received a Storm Water Notice of Violation within past two years • Site results in one half acre or more of soil disturbance Medium Tierl Tier 1 - Low insoection Threat Assessment Criteria Low Tierl • All projects not meeting Tier 1 Medium Construction Threat Assessment Criteria Low Exempt - Not Applicable -Exempt *The city engineer may authorize minor variances from the construction threat assessment criteria in 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 • STORM WATER Development Services Land Development Engineering STANDARDS Development Services Land Development Engineering CITY OF QUESTIONNAIRE E-34 1635 FaradayAvenue 760-602-2750 CARLSBAD QUESTIONNAIRE E-34 www.carlsbadca.gov INSTRUCTIONS: To address post-development pollutants that may be generated from development projects, the City requires that new development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (BMP's) into the project design per the City's Standard Urban Stormwater Management Plan (SUSMP). To view the SUSMP, refer to the Engineering Standards (Volume 4, Chapter 2) at www.carlsbadca.qov/standards. Initially this questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of stomi water standards that must be applied to a proposed development or redevelopment project. Depending on the outcome, your project will either be subject to 'Standard Stormwater Requirements' or be subject to additional criteria called 'Priority Development Project Requirements'. Many aspects of project site design are dependent upon the storm water standards applied to a project. Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City staff has responsibility for making the final assessment after submission of the development application. If staff determines that the questionnaire was incorrectly filled out and is subject to more stringent stonn water standards than initially assessed by you, this will result in the return of the development application as incomplete. In this case, please make the changes to the questionnaire and resubmit to the City. If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, please seek assistance from Land Development Engineering staff. A separate completed and signed questionnaire must be submitted for each new development application submission. Only one completed and signed questionnaire is required when multiple development applications for the same project are submitted concurrently. In addition to this questionnaire, you must also complete, sign and submit a Project Threat Assessment Form with construction permits for the project. Please start by completing Step 1 and foiiow the instructions. When compieted, sign the form at the end and submit this with your application to the city. STEPI TO BE COMPLETED To determine if your project is a priority development project, please answer the following questions: YES Is your project LIMITED TO constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria: (1) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non-erodible permeable areas; OR (2) designed and constructed to be hydraulically disconnected from paved streets or roads; OR (3) designed and constructed with permeable pavements or surfaces in accordance with USEPA Green Streets guidance? Is your project LIMITED TO retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in accordance with the LJSEPA Green Streets guidance? If you answered "yes" to one or more of the above questions, then your project is NOT a priority development project and therefore is NOT subject to the storm water criteria required for priority development projects. Go to step 4, mark the last box stating "my project does not meet PDP requirements" and complete appiicant information. If you answered "no" to both questions, then go to Step 2. E-34 Page 1 of 3 Effective 6/27/13 CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 FaradayAvenue 760-602-2750 www.carlsbadca.gov TO BE COMPLETEO FOR ALV. NEW OR REDEVELOPMENT PROJECTS To determine if your project is a priority development project, please answer the following questions: YES NO 1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces collectively over the entire project site? This includes commercial, industrial, residential, mixed-use, and public development projects on public orpnvate land. 2. Is your project creating or replacing 5,000 square feet or more of impervious surface collectively over the entire project site on an existing site of 10,000 square feet or more of impervious surface? This includes commercial, industrial, residential, mixed-use, and public development projects on public or phvate land. 3. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a restaurant? A restaurant is a facility that sells prepared foods and drinks for consumption, including stationary lunch counters and refreshment stands selling prepared foods and drinks for immediate consumption. 4. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a hillside development project? A hillside development project includes development on any natural slope that is twenty-five percent or greater 5. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a parking lot. A parking lot is a land area or facility for the temporary parking or storage of motor vehicles used personally for business or for commerce. 6. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a street, road, highway freeway or driveway? A street, road, highway, freeway or driveway is any paved impervious surface used for the transportation of automobiles, trucks, motorcycles, and other vehicles. 7. Is your project a new or redevelopment project that creates or replaces 2,500 square feet or more of impervious surface collectively over the entire site, and discharges directly to an Environmentally Sensitive Area (ESA)? "Discharging Directiy to" includes flow that is conveyed overland a distance of 200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an isolated flow from the project to the ESA (i.e. not commingles with fiows from adjacent lands).* 8. Is your project a new development that supports an automotive repair shop? An automotive repair shop is a faciiity that is categorized in any one of the following Standard Industrial Classification (SIC) codes: 5013, 5014, 5541, 7532-7534, or 7536-7539. 9. is your project a new development that supports a retail gasoline outlet (RGO)? This category includes RGO's that meet the foiiowing criteria: (a) 5,000 square feet or more or (b) a project Average Daily Traffic (ADT) of 100 or more vehicles per day. 10. Is your project a new or redevelopment project that results in the disturbance of one or more acres of land and are expected to generate pollutants post construction? 11. is your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of impervious surface or (2) increases impervious surface on the property by more than 10%? \ If you answered "yes" to one or more of the above questions, you ARE a priority development project and are therefore subject\o implementing structural Best Management Practices (BMP's) in addition to implementing Standard Storm Water Requirements such as source control and low impact development BMP's. A Storm Water Management Plan (SWMP) must be submitted with your application(s) for development. Go to step 3 for redevelopment projects. For new projects, go to step 4 at the end of this questionnaire, check the "my project meets PDP requirements" box and complete applicant information. If you answered "no" to all of the above questions, you ARE NOT a priority development project and are therefore subject to implementing only Standard Storm Water Requirements such as source control and low impact development BMP's required for all development projects. A Storm Water Management Plan (SWMP) is not required with your application(s) for development. Go to step 4 at the end of this questionnaire, check the "my project does not meet PDP requirements" box and complete applicant information. E-34 Page 2 of 3 Effective 6/27/13 CITY OF C» AiR LSBALED STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 Development Services Land Development Engineering 1635 FaradayAvenue 760-602-2750 www.carlsbadca.gov 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 dlscharge(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 followjng 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 stomi 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 1 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 CONSTRUCTIOK,WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD. OWNER(S)/OWNEl OWNER(S)/OWNER'! EGENT NAME (PRINT)^ ^ GENT NAME (SIGNATURE) DATE 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 PROJECT iNFORMATiON Site Address: ^3*^ ftu JLA^ \iv Assessor's Parcel Numberl'S^'* TSLX "CST^ project ID: 0U3 ^ 031^ Construction Pennit No. Estimated Construction Start Date ^ ^^'H^' Project Duration. Months cyContact: Emergenc^ontact: Name: 24 hour Phone: 0} ^ i i <^f^O' Perceived Threat to Storm Water Quality CD Medium 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 Appr^I^d^ ^^'Kc^^'^ Date:^\vo\n,jC:, ..S^ E-29 Page 1 of 3 REV 4/30/10 ^sj^ CiTY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 FaradayAvenue 760-602-2750 www.carlsbadca.gov »L£TBPJ0R R|EPIVELQeMENT..PRQJ&CTS THAT ARE PRIORITY DEVELOPEMENT PROJECTS ONLY Complete the questions below regarding your redevelopment project: YES NO Does the redevelopment project result in the creation or replacement of impervious surface in an amount of less than 50% ofthe surface area ofthe previously existing development? Ifyou 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 "my project meets PDP requirements" box and compiete applicant information. CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must comply with additional stonnwater 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 ofthese requirements, i will incorporate low impact development strategies throughout my project. Applicant information and Signature Box Add^ss: .^^^ (h^^n,[li4/)'f'ArO Applicant Signature: ^^y^ Accessor's Parcel Number(s) Applicant TitJ arcel Number(s): ^ fee- 22^ >03-C0 Date: This Box for City Use Only City Concurrence: yES..4-^o City Concurrence: * 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 forthe San Diego Basin (1994) and amendments); areas designated as preserves ortheir quivalent underthe 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 Copennittees. E-34 Page 3 of 3 Effective 6/27/13 Erosion Controi BMPs Sediment Control BMPs Tracking Control BMPs Non-Storm Water Management BMPs Waste Management and Materiais Poilution Controi BMPs Best Management Practice (BMP) Description Geotextiles & Mats Wood Mulching Earth Dikes and Drainage Swales Slope Drains Silt Fence Sediment Trap Check Dam Fiber Rolls Gravel Bag Berm Street Sweeping and Vacuuming Sandbag Barrier Storm Drain Inlet Protection Stabilized Construction Ingress/Egress Stabilized Construction Roadway Water Conservation Practices Paving and Grinding Ooerations Potable Water/Irrigation Vehicle and Equipment Cleanina Material Delivery and Storaoe Material Use Stockpile Management Spill Prevention and Control Solid Waste Manaaement Hazardous Waste Mananement Concrete Waste Mananement CASQA Designation ^ Construction Activity EC-7 EC-8 EC-9 EC-11 SE-1 SE-3 SE-4 SE-5 SE-6 SE-7 SE-8 SE-10 TR-1 TR-2 NS-1 NS-3 NS-7 NS-8 WM-1 WM-2 WM-3 WM-4 WM-5 WM-6 WM-8 JSradlng/Soil Disturbance f Trenching/Excavation Stockpiling Drilling/Boring •«> ]>Concrete/Asphalt Saw , cutting »-) Concrete flatwork Paving Conduit/Pipe Installation Stucco/Mortar Work r Waste Disposal 20 Staging/Lay Dovm Area Equipment Maintenance and Fueling Hazardous Substance Use/Storage Dewatering Site Access Across Dirt Other (list): 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 fomri. 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 - Ifthe 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 Constmction 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 "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 Stomiwater Quality Association (CASQA) designation and how to apply the various selected BMPs to a project. E-^9 Page 2 of 3 REV 4/30/10 PLANNING DIVISION Development Services Planning Division BUILDING PLAN CHECK Development Services Planning Division ^ CITY OF APPROVAL 1635 Faraday Avenue CARLSBAD P-29 (760) 602-4610 www.carl.sbadca.eov DATE: 9/4/2014 PROJECT NAME: Taylor Remodel PROJECT ID: CDP 13-27 PLAN CHECK NO: CB142234 SET#: 1 ADDRESS: 2371 Buena Vista Circle APN: 155-221-08 ^ This plan check review Is complete and has been APPROVED by the Planning Division. By: Austin Silva A Final Inspection by the Division is required n Yes ^ No Vou may also have corrections from one or more of the divisions iisted below. Approvai from these divisions may be required prior to the issuance ofa building permit. Resubmitted pians should include corrections from ali divisions. • 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: dtdevel@aol.com/carriejones@hotmail.coni For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING 760-602-4610 ENGINEERiNG 760-602-2750 FIRE PREVENTION 760-602-4665 1 1 Chris Sexton 760-602-4624 Chris.Sexton@carlsbadca.gOv 1 Kathleen Lawrence 760-602-2741 Kathleen.Lawrence@carisbadca.gov 1 1 Greg Ryan 760-602-4663 Gregory.Ryan@carisbadca.gov 1 1 Gina Ruiz 760-602-4675 Gina.Ruiz@carlsbadca.gov 1 1 Linda Ontiveros 760-602-2773 Linda.Ontiveros@carlsbadca.gov Q Cindy Wong 760-602-4662 Cynthia.Wong@carlsbadca.gOV ^ Austin Silva 760-602-4631 Austin.silva@carlsbadca.gov • 1 Dominic Fieri 760-602-4664 Dominic.Fleri@carisbadca.gov Remarks: