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Home My WebLink About2386 Faraday Ave; 125; CBC2018-0551; Permit(City of Carlsbad Commercial Permit Print Date: 02/11/2019 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 2386 Faraday Ave, 125 BLDG-Commercial 2120621700 $230,317.52 SPEC SUITE: 4,952 SF T.I. BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check #: Plan Check#: Owner: RR E F !I ONE RESEARCH LLC 2382 Faraday Ave, 250 CARLSBAO, CA 92008 ELECTRICAL BLDG COMMERCIAL NEW/ADDITlON/REMODEL GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL $B1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL Total Fees: $2,248.28 Total Payments To Date: Tenant Improvement $2,248.28 Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Permit No: CBC2018-0551 Closed -Finaled 10/02/2018 11/16/2018 CRenf 2/11/2019 9:31:00AM $0.00 $1,091.05 $763.74 $89.00 $17S.DO $55.00 $10.00 $64.49 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov ,, C6~aJ8- . Plan Check N~ «1~ Building Permit Application Est. Value .:$,;) 36,2>17. '," .,:Z ~ CITY 1635 Faraday Ave., Carlsbad, CA 92008 OF 760-602-2717 / 2718 / 2719 Plan Ck. Deposit :ti ~ ,. 7'-1 CARLSBAD Fax 760-602-8558 -- www.carlsbadca.gov Date /()/~It y I , JOB ADDRESS 2386 Faraday Avenue SUITEf/SPACEf/UNIT• ( 125 l \"" 212 -062 -17 -00 0f~2. ~ \[;:~ \1 I PHASE# l#OF~ITS l#BEDR;MS # BATHROOMS ITEN USIN AME ICONSTR.TYPE I DCC.GROUP 0 Speciiiative Suite (No Tenant) VB B DESCRIPTION OF WORK: Include Square Feet of Atrected Area(S) Tenant Improvement to include new interior partitions, electrical, mechanical and plumbing. 4,952 S.F~ -L/'?o~ SF - EXISTING USE I PROPOSED USE I GJ'l..RAG~ (SF) PATIOS (SF) I DECKS {SF) I FIREPLA(.:lc 1 IAIR CONDITIONING ~FIRE SPRINKLERS Office Office 0 0 YES0, No[Z] YES[{]No□ YES[{]No□ CONTACT NAME (ff Different Fom App/leant) APPLICANT NAME RBN Design ADDRESS ADDRESS 5090 Shoreham Place Cl1Y STATE ZIP Cl1Y STATE ZIP San Diego CA 92122 PHONE IFAX PHONE IFAX 619-297-1011 EMAIL EMAIL Lrocha@RBN-Design.com PROPERTY OWNER NAME CONTRACTOR BUS. NAME Bvcor General Contractors ADDRESS ADDRESS 6490 Marindustry Dr. #A Cl1Y STATE ZIP Cl1Y STATE ZIP San Dieao CA 92121-2563 PHONE IFAX PHONE 858-587-7462 IFAX 858-210-3949 EMAIL EMAIL andrew.mendoza@barneyandbamey.com ARCH/DESIGNER NAME & ADDRESS I STATE UC. II STATE LIC.# l"ASS B I CITY BUS. LIC.#653400 444203 (Sec. 7031.5 Business and P_rofessIons Code: Any City or Coun_ty which requires a permit to_construct, alter, improve, demolish or repair an)'. structure, prior to its issuance, also requires the appl!cant 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 70_00 of Division 3 of the B_usiness and Professions Code} or [hat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORl<ERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of pelju,y one of the following declarations: B l have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for wtiich this permit ls issued, I have and will maintain workers' compensation, as reQUired by Section 3700 of the LaOOr Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Manih & Mclennan Agency LLC -----Policy No. WSD503018003 Expiration Date OMJ1f1t ~section need not be completed if the permit is foro e hundred dollars ($100) or less LJ Certificate of Exemption: I certify that in the rmance of the work for which this pennit 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 wo 'compensati n rage i nlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, da a as provided ctlon of the Labor code, Interest and attomey's fees. RS CONTRACTORSIGNATURE lliill,._..,c..,~ '?... I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ 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 buikfs or improves thereon, and who does rk 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 o Ider will have the burden of proving that he did not buik:I or improve for the purpose of sale) I, as owner of the property, am exclusively contracUng with licensed contracto nstruct 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 proj oontractor(s) licensed pursuant to the Contractor's License Law), I am exempt under Section ____ Business and ions Code for tl11s reason- 1. I personally plan to provide the major labor a aterials for construction of the proposed property improvement. OYes ONo 2. I (have I have not) signed an applk:af or a building permit for the proposed work 3. I have contracted with the fol g person {firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portio the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number): 5. I will provide som the work, but I have contracted {hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work)· RS PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building oco..ipant required to submit a business a, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substar.ce Account Act? 0 Yes LL,JNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a~ality management district? Des CZ] No Is the facility to be constructed within 1,000 feet of the outer boon day of a school site? 0Yes lLJNo 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. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I ceitifythat I have read the application and state that the above infonnation Is correct and that the infonnation on the plans is accurate. I awee to comply with all City ordinances and State laws relating to building construclion. I hereby authOOZe representative of the City of Carlsba:l to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND XPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennlt is required for excavatklns o deep i3"ld demolrtion or construction of structures over 3 stories in height. EXPIRATION: Every pennit issued by the Buildirg al under the provisions is Code shall expire by !imijalion and become null and VJid if the building or \\Qrk authorized by such pennrt is not oommenced within 180 days from the date of such pennlt or ithe bui or work authorlzed b c pennlt · suspended or abandoned at any time after the work is oommenced for a period of 180 ays (Section 106.4.4 Uniform Building Code) ,85 APPLICANT'S SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBC2018-0551) Permit Type: BLDG-Commercial Application Date: 10/02/2018 Owner: RR E F II ONE RESEARCH LLC Work Class: Tenant Improvement Issue Date: 11/16/2018 Subdivision: PARCEL MAP NO 16317 Status· Closed -Finaled Expiration Date: 07/16/2019 Address: 2386 Faraday Ave, 125 Cansbad, CA 92008-7222 IVR Number: 14334 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete 12/0612018 12/06/2018 BLDG-84 Rough 078072-2018 Partial Pass Chris Renfro Relnspection Incomplete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLOG-Building Deficiency Rough combo on walls only. HVAC and Yes mechanical pending. BLDG-14 Yes Frame-.Steel-Bolting-We\ding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts,.Dampers 12/12/2018 12/12/2018 BLDG-17 Interior 078616-2018 Passed Michael Collins Complete Lath/Drywall Checklist Item COMMENTS Passed BLOG-Building Deficiency Walls not, Rm 101-111 Yes 12/1812018 12/18/2018 BLDG-44 079169-2018 Passed Chris Renfro Complete Rough/Ducts/Dampe rs Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 01/17/2019 01/17/2019 BLDG-86 T-Bar, 081627-2019 Passed Chris Renfro Complete Ceiling Grids, Overhead Checklist Item COMMENTS Passed BLDG-Building Deficiency Add clips to T-grid in areas pointed out; add Yes fire caulk to penetrations, ok to lay ceiling tile BLOG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 02/11/2019 02/11/2019 BLDG-Final 083472-2019 Passed Chris Renfro Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Fina\ Yes February 11, 2019 Page 1 of 1 DATE: 11/13/2018 JURISDICTION: Carlsbad PLAN CHECK#.: CBC2018-0551 ✓• EsG1I SET: II PROJECT ADDRESS: 2386 Faraday Ave. #125 PROJECT NAME: Spec Suite Tenant Improvement □ APPLICANT □ JURIS. ~ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: ~ EsGil staff did not advise the applicant that the plan check has been completed. D EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Date contacted: Mail Telephone 0 REMARKS: By: Jason Pasiut EsGil (by: Telephone#: ) Email: Fax In Person Enclosures: 11/5/2018 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 DATE: 10/11/2018 JURISDICTION: Carlsbad PLAN CHECK#.: CBC2018-0551 ✓• EsG1I A Sf\FFb~ill Currp,my SET: I PROJECT ADDRESS: 2386 Faraday Ave. #125 PROJECT NAME: Spec Suite Tenant Improvement □ APPLICANT □ JURIS. D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. ~ The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. ~ The applicant's copy of the check list has been sent to: Laura Rocha D EsGil staff did not advise the applicant that the plan check has been completed. ~ EsGil staff did advise the applicant that the plan check has been completed. Person contacted: L ura Rocha Telephone#: 619-297-1011 U (b4V ) Email: lrocha@rbn-design.com By: Jason Pasiut EsGil In Person 10/4/2018 Enclosures: 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Carlsbad CBC2018-0551 10/11/2018 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK#.: CBC2018-0551 OCCUPANCY: B TYPE OF CONSTRUCTION: V-B ALLOWABLE FLOOR AREA: within SPRINKLERS?: YES REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 10/2/2018 DATE INITIAL PLAN REVIEW COMPLETED: 10/11/2018 FOREWORD (PLEASE READ): JURISDICTION: Carlsbad USE: Office ACTUAL AREA: 4,952sf STORIES: 3 HEIGHT: unchanged OCCUPANT LOAD: 127 DATE PLANS RECEIVED BY ESGIL CORPORATION: 10/4/2018 PLAN REVIEWER: Jason Pasiut This plan review is limited to the technical requirements contained in the California version of the International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review is based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building permit. Code sections cited are based on the 2016 CBC, which adopts the 2015 IBC. The following items listed need clarification, modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 105.4 of the 2015 International Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. Carlsbad CBC2018-0551 10/11/2018 Please make all corrections, as requested in the correction list. Submit FOUR new complete sets of plans for commercial/industrial projects (THREE sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 1. Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602- 2700. The City will route the plans to EsGil and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring DtiQ corrected set of plans and calculations/reports to EsGil, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil is complete. • PLANS 1. Show that compliant restrooms are marked with signs per 11 B-703. 7.2.6.3, including braille and the International symbol of accessibility. 11 B-216.8. a) AB1732 Section 1, Article 5: 118600: All single-user toilet facilities in any business establishment, place of public accommodation, or state or local government agency shall be identified as all-gender toilet facilities by signage that complies with Title 24 of the California Code of Regulations and designated for use by no more than one occupant at a time or for family or assisted use. b) The location of and directions to the compliant restrooms shall be posted in or near the building entrance and shall include the International symbol of accessibility. 11 B-216.8. 2. Note on the plans that newly installed receptacles will be within the reach ranges of 11 B-308. • MECHANICAL/ ELECTRICAL/ PLUMBING 3. Describe the method of compliance for temperature limitations for the following fixture types: private lavatories (120 degrees), public use lavatories and bidets, (limited to 110 degrees) and (bathtubs and showers (120 degrees)). Note: The water heater thermostat may not be used for compliance with this Code section. CPC 408.3, 409.4, 410.3, 421.2, and Energy Standards 11 0(C)3. Carlsbad CBC2018-0551 10/11/2018 4. Provide a detail for the condensate drain showing adequate fall, sized per CMC Table 310.3, trap, vent, cleanout, and draining into an indirect waste receptor or lavatory tail piece within the same space being conditioned. CMC 31 0. • END OF REVIEW To speed up the review process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, note or detail number, calculation page, etc. Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes. please briefly describe them and where they are located in the plans. Have changes been made to the plans not resulting from this correction list? Please indicate: □ Yes □ No The jurisdiction has contracted with EsGil, located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Jason Pasiut at Esgil. Thank you. Carlsbad CBC2018-0551 10/11/2018 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Jason Pasiut PLAN CHECK#.: CBC2018-0551 DATE: 10/11/2018 BUILDING ADDRESS: 2386 Faraday Ave. #125 BUILDING OCCUPANCY: B BUILDING AREA Valuation Reg. PORTION ( Sq. Ft.) Multiplier Mod. 4952 46.51 Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance 1997 UBC Buildin Permit Fee g ' .... 1997 UBC Plan Check Fee • I I 'hi ~~I: Type of Review: Complete Review VALUE D Structural Only D Repetitive Fee ...,. Repeats D Other □ Hourly &Gil Fee f---------11 Hr. @ • Comments: ($) 230,318 230,318 $665,581 Sheet 1 of 1 SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE . ---··--------.~~--------- OFFICE USE ONLY UPFP# ______ _ HV# _______ _ BP DATE._~-~--- Business Name Speculative Suite 125 Business Contact Laura Rocha ;"lephone t 619-297-1011 Project Address City State Zip Code APN# 2386 Faraday Avenue Carlsbad CA 92008 212-062-17-00 Mailing Address City State Zip Code Plan File# Project Contact Laura Rocha Telephone# I \ 619-297-1011 The following questions represent the facility s activities, NOT the specific project description. PART I: FIRE DEPARTMENT-HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: Indicate by circling the item, whether your business will use, process, or store any of the following hazardous materials. If any of the items are circled, applicant must contact the Fire Protection Agency INith jurisdiction prior to plan submittal. 1. Explosive or Blasting Agents 2. Compressed Gases 3. Flammable/Combustible Liquids 4. Flammable Solids 5. Organic Peroxides 6. Oxidizers 7. Pyrophorics 8. Unstable Reactives 9. Water Reactives 1 O. Cryogenics 11. Highly Toxic or Toxic Materials 12. Radio8ctives 13. Corrosives 14. Other Health Hazards 15. NoneofThese. PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISIONS (HMD): If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 1255 Imperial Avenue, 3 ° floor, San Diego, CA 92101. Call (619) 338-2222 prior to the issuance of a building permit FEES ARE REQUIRED. Expected Date of Occupancy: -----'/'-----'/ __ _ YES NO 1. □ Jl'1 ~• B I 4. 5. 6. □ □ □ ! Is your business listed on the reverse side of this form? (check all that apply). Will your business dispose of Hazardous Substances or Medical Waste in any amount? Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds, 200 cubic feet, or carcinogens/reproductive toxins in any quantity? Will your business use an existing or install an underground storage tank? Will your business store or handle Regulated Substances (CalARP)? Will your business use or install a Hazardous Waste Tank System (Title 22, Article 1 O)? 0 CalARP Exempt I Date Initials 0 CalARP Required I Date Initials 0 CalARP Complete I Date Initials PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT: If the answer to any of the questions below is yes, applicant must contact the Air Pollution Control District (APCD), 10124 Old Grove Road, San Diego, CA 92131-1649, telephone (858) 586-2600 prior to the issuance of a building or demolition permit. Note: if the answer to questions 3 or 4 is yes, applicant must also submit an asbestos notification form to the APCD at least 1 O working days prior to commencing demolition or renovation, except demolition or renovation of residential structures of four units or less. Contact the APCD for more information. YES 1. □ 2. □ Will the subject facility or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (See the APCD factsheet at http://www.sdapcd.org/info/facts/permits.pdf, and the list of typical equipment requiring an APCD permit on the reverse side of this from. Contact APCD if you have any questions). 3. □ (ANSVVER ONLY IF QUESTION 1 IS YES) Will the subject facility be located INithin 1,000 feet of the outer boundary of a school (K through 12)? (Public and private schools may be found after search of the California School Directory at http://www.cde.ca.gov/re/sd/; or contact the appropriate school district). !I Will there be renovation that involves handling of any friable asbestos materials, or disturbing any material that contains non-friable asbestos? i,a. Will there be demolition involving the removal of a load supporting structural member? 4. □ Briefly describe business activities: I d[clare undel!.enal}y of perjury that to the best of my knoV'l'ledge and b lief <,un;_ ache; I V Name of owner or Authorized Agent Date FOR OFFICIAL USE ONLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: _______________________________ _ BY: ____________________________ _ DATE: __ ~/ __ ~/ __ _ EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASEO FOR OCCUPANCY COUNTY-HMO APCO COUNTY-HMO APCO COUNTY-HMO APCO HM-9171 (04/07) County of San Diego-DEH-Hazardous Materials Division ~CITY OF CARLSBAD STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Department 1635 Faraday Avenue 760-602-2719 www .carlsbadca.gov I am applying to the City of Carlsbad for the following type(s) of construction permit: □ Building Permit □ Right-of-Way Permit Patio/Deck Re-Roofing Sign Spa-Factory Sprinkler A project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types: Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Water Discharge Project Storm Water Threat Assessment Criteria* No Threat 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 1 -Low Threat Assessment Criteria □ My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities (such as roofing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 -Moderate Threat Assessment Criteria D 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 Carlsbad Grading Ordinance (Chapter 15.16 of the 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 of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Tier 3 -Significant Threat Assessment Criteria □ My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or □ My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, D My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). I certify to the best of my knowledge that the above checked statements are true and correct. I understand and acknowledge that even though this project does not require preparation of a 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 15 of the Carlsbad Municipal Code and to Cltv Standards. Project Address: Assessor Parcel No. •The City Engineer may ault1orize minor variances from the Storm Water Threat Assessment Criteria in special circumstances 'Mlere it can be shown that a lesser or higher Construction SW PPP Tier Level is warranted. B-24 730& Title: 1'£~~~~?::F:._::.c..,;=._l--/c';:'-Ntvr.'--"'--'-"-'-'ff---'-'-''--='11 vff Date: (o -:;i..-rg' Project ID: □YES □NO Page 1 of 1 Rev.03/09