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Home My WebLink About2401 LAPIS RD; ; CB131888; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-15-2013 Pool Permit Permit No: CB131888 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2401 LAPIS RD CBAD POOL 2132320700 Status: Lot#: 0 Applied: Valuation: $20,360.00 Construction Type: 5B Entered By: Reference #: PC#: Project Title: Applicant: CHAPIN: 500 SF POOL/SPAW/ 2 FIREPITS SUNDANCER POOLS 728 INSPIRATION LN ESCONDIDO CA 92025 760-489-5850 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Plumbing Fee Strong Motion Fee Green Bldg Standards (SB1473) Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Plan Approved: Owner: CHAPIN THOMAS W 2401 LAPIS RD CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 08/07/2013 JMA 08/15/2013 08/15/2013 $234.67 $0.00 $164.27 $0.00 $31.00 $31.00 $2.04 $1.00 $0.00 $0.00 $0.00 $0.00 $463.98 Total Fees: $463.98 Total Payments To Date: $463.98 Balance Due: Date: Clearance: $0.00 NOTICE: Please take E th at approval of your project includes the "Im position' 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 lo 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 hi r h h I City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-15-2013 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW130273 Job Address: 2401 LAPIS RD CBAD Permit Type: SWPPP Parcel No: 2132320700 Reference#: CB#: CB131888 Project Title: CHAPIN RES: 500 SF POOUSPA Applicant: SUNDANCER POOLS/SUE MONGOVEN 728 INSPIRATION LN ESCONDIDO CA 92025 760-489-5850 Emergency Contact: DAVE WILLIAMS 760-489-5850 SWPPP Plan Check SWPPP Inspections Additional Fees TOTAL PERMIT FEES Lot#: 38 Owner: CHAPIN THOMAS W 2401 LAPIS RD CARLSBAD CA 92009 Status: Applied: Entered By: Issued: Inspect Area: Tier: ISSUED 08/07/2013 JMA 08/15/2013 Priority: $47.00 $56.00 $0.00 $103.00 L Total Fees: $103.00 Total Payments To Date: $103.00 Balance Due: $0.00 FINAL~ APPROVAL DArE~~/!!'!._cLEARANc _ ---- SIGNATURE ____ --/-;, 'THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING OARE □HEALTH 0HAZMAT/APCD «~ ~ CITY OF CARLSBAD JOB ADDRESS CT/PROJECT# Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www carlsbadca.g:ov SUITE#/SPACE#/UNIT# # BEDROOMS # BATHROOMS Plan Check No. • Est. Value Date ·00 OCC. GROUP EXISTING USE GARAGE (SF} PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS ~~ YES □#_ NO □ YES □ NOD YES □ NO □ APPLICANT NAME (Secondary Contact) ADORES CITY CITY STATE ZIP PHONE PHONE FAX EMAIL EMAIL ITY PHONE EMAIL --- (Sec~ 7031.5 Business and Professions Code: My City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's license LawJChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or {hat he ts exemP.t 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)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affilTn under penalty of perjury one of the following declarations: □ I 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 perfonnance of the work for which this pennit is issued. ~ _ I have and wlll maintain workers' cof p~uired by Section 3700 of the Labor Code, for the performance of the work for which this pe~it is issued. My workers' compensation insurance carrier and policy / ~nornberare lnsuram:eeo)C \..U l~~.,f4".II• iu,rl<1¢PoUcyN1;)". /w,')(0147;?1' &~rationDa),'C'.".ln/ Z/'/ //? This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, dama es as provi for In S on 3706 of the Labor code, Interest and attorney's fees. ,,1$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense 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 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 contracting with licensed contractors to 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. □ Yes □ No 2. I (have/ have not) signed an application for a building pennit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4, I plan to provide portions of the work, but I have hired the following person to coordinate, supeNise and provide the major work (include name/ address I phone/ contractors' license number): 5. ! will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated {include name/ address I phone I type of work)· ,,5 PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-lfESIIH!NTIAL IIUILOING Pl!RMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registratlon form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certtry that I have read the application and state that the alxwe lnfonnatlon Is coneel:and that the lnfonnallon on the plans is accurate. I agree to comply\Wlh all City on:llnances and S1ate laws relatlng ID building oonsb'Uction. I hereby authorize representative of the City of Carlsbad to enter UPJfl the alxwe menooned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE DF THE GRANTING Of THIS PERMIT. OSHA: All OSHA permit is required tr excavations over 5'0' deep and demolltion or oonstructk:m of structures over 3 stores in height. EXPIR.A. TION: Every permit ISSued by the Buikling Official under the provisions of this Code shall expire by limitaOOn and become null and vok:I if the buik:iing or Y,Qrk. authorized by such permit is not commenced 'Mlhin 180 days from the date of sudl pennlt or if ~~irl~ or rk authorized by sudl ~rmlt is suspended or abandoned at any time after the v.ork is comrr-enced br a pe · of 180 days (Sectkln 100.4.4 Unitmn BuildJlg Code). ,es' APPLICANT'S SIGNATURE {1/L(/ DATE f?[) Inspection List Permit#: CB131888 Type: POOL Date lnspe_ctio_11 Item 12/10/2013 59 Final Pool 12/10/2013 59 Final Pool 11/27/2013 55 Fence/Pre-Plaster 11/27/2013 59 Final Pool 11/07/2013 51 Excav/Steel/Bonding/Fence 09/18/2013 23 Gas/Test/Repairs 09/11/2013 11 Fig/Foundation/Piers 09/11/2013 23 Gas/Test/Repairs 09/10/2013 51 Excav/Steel/Bonding/Fence Wednesday, December 11, 2013 Inspector Act RI PY AP PY AP PY NR PY AP PY AP PY AP PY AP PY NR CHAPIN: 500 SF POOUSPA W/ 2 FIREPITS Comments eco bond No plans or card Page 1 of 1 ~ «~I)\ ~ CITY OF CARLSBAD PLAN CHECK REVIEW TRAN SM ITT AL DATE: 8/14/201 .l PROJECT NAME: Chapin Residence PLAN CHECK NO: CB 13-1888 SET#:I ADDRESS: 2401 LAPIS RD VALUATION:$20,340 SCOPE OF WORK: gunite pool/spa 500 sf Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www .carlsbadca.gov PROJECT ID:CT 02-23 APN: 215-535-01-00 !✓ This plan check review is complete and has been APPROVED by: CJ LAND DEVELOPMENT ENGINEERING DIVISION Final Inspection by the Construction Management 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: For questions or clarifications on the attached checklist please contact the reviewer as marked. '>'<-. '' '. PLANNING·. 760-602-461((, r!.~ Sexton /bO r-;o~'. 4G24 Remarks: Kathleen Lawrence 760-602-2741 Kathleen.Lawrence@carlsbadca.gov Linda Ontiveros 760-602-2773 Linda.Ontiveros@carlsbadca.gov ••·i:,.''11eir!YiR.'···1dN}i{il /. ·: 1tli~0~Mrlfi~'~ft Greg Ryan 760-602-4663 Cindy Wong 760 602-4662 Cv:; t 11 l i:l. Wong Ji_1( :<1 ri s ba dcc1 .gov Dominic Fieri 760-6024664 Dominic.Fieri@cmlsbadca.gov «, ~ CITY OF CARLSBAD PLANNING DIVISION BUILDING PLAN CHECK APPROVAL P-29 Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadc;umv DATE: 8/14/13 PROJECT NAME: POOL/SPA/FIREPIT (FIREPIT SENT TO FIRE PREVENTION FOR REVIEW) PROJECT ID: PLAN CHECK NO: CB131888 SET#: ADDRESS: 2401 LAPIS RD APN: l:8J This plan check review is complete and has been APPROVED by the PLANNING Division. By: GINA RUIZ A Final Inspection by the PLANNING Division is required □ Yes ~ No You may a/so 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: SUM0223@COX.NET 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<!l1carlsbad~i!-gov Kathleen.L9wren~~@carlsbad~a.gov Gregory.Ryan~~grlsbadca.gQv □ Gina Ruiz □ Linda Ontiveros □ Cindy Wong 760-602-4675 760-602-2773 760-602-4662 Ging.Ruii~kgrl~bgQ~g.gQV Lla!;!a.Qn!iv~rQ§<!l1~arls!md~a.gQv Cyatbla.WQ□gl!l/~arl§bi!d~i! gQV □ □ □ Dominic Fieri 760-602-4664 DQminik,Ei~rl@kgrlibiU!kg.gQ~ Remarks: CB 13-1888 Chapin 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. E-37 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: Lot/ Map No.: 38 / MAP 14803 SubdivisionfTract: er 02-23 Reference No(s): DWG 406-6B / sheet 11 Page2of4 Date: REV 6/2012 CB 13-1888 E-37 Chapin 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: RW 13-186 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 of 4 REV 6/2012 CB 13-1&88 Attachments: E-37 Chapin 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 13-273 ) Requires Tier 2 Storm Water Pollution Prevention Plan. Requires submittal of Tier 2 SWPPP, payment of processing fee and review by city. Post-Development (SUSMPl 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.gov/business/building/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 pavemenVpavers 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 Application/Info Page 4 of 4 Reference Documents REV 6/01/12 «~~ ~ CITY OF CARLSBAD STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov Patio/Deck Photo Voltaic Re-Roofing Sign Spa-Factory Sprinkler 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 -,iow Threat Assessment Criteria 0 My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt pem,it type (See list above) and the project meets one or more of the following criteria: • Results in some soil disturbance; and/or • Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 -Moderate Threat Assessment Criteria □ My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the 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, □ 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-stonn water discharge(s). I certify to the best of my knowledge that tho above checked statements are tllle and correct I understand and acknowledge that even though this project does not require preparaUon of• constlllcUon SWPP, I must sot/ adhere to, and at all times during constlllcUon acUv/Ues for tho permit typo(s) check above comply with the storm water best management practices pursuant to T/Ue 15 of the Carlsbad Mun/cf pa/ Code and to City Standards. Assessor Parcel No. *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 Construction SWPPP Tier Level is warranted. 8-24 Page 1 o Rev.03/09 «~~ ¥ CITY OF CONSTRUCTION THREAT ASSESSMENT WORKSHEET FOR DETERMINATION OF PROJECT'S PERCEIVED THREAT TO STORM WATER QUALITY E-33 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov CARLSBAD Construction Perceived SWPPPTler Construction Threat Assessment Criteria* Threat to Storm Water Level Qualltv Tier3 High Construction Threat Assessm~nt Criteria □ 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 High □ Soil at site is moderately to highly erosive (defined as having a predominance of soils with Tier3 USDA-NRCS Erosion factors kt 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 Tier 3 -Medium Construction Threaj Assessment Crijeria Medium □ All projects not meeting Tier 3 High Construction Threat Assessment Criteria Tier 2 High CQnstruction Threat As§essment 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 k1 greater than or equal to 0.4) High □ Site slope is 5 to 1 or steeper Tier2 □ 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 Tier2 Medium Construction Threat Assessment Criteria Medium □ All projects not meeting Tier 2 High Construction Threat Assessment Criteria Tier 1 -Medium lnsgection Threat Assessment Criteria □ 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 kt greater than or equal to 0.4) Medium □ Site slope is 5 to 1 or steeper Tier 1 □ 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 Ti.Ir 1 -Low lnsnection Threat Assessment Crijeria Low [ZI All projects not meeting Tier 1 Medium Construction Threat Assessment Criteria Exempt -Not Applicable -Exempt *The city engrneer may authonze minor variances from the construction threat assessment cntena m special circumstances where it can be shown that a lesser or higher amount of storm water compliance inspection is warranted in the opinion of the city engineer E-33 Page 1 of 1 REV 4/30/10 «~ ~ CITY OF STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov CARLSBAD This form is required for all pools, retaining walls or whenever a building footprint is enlarged. STORM WATER COMPLIANCE CERTIFICATE ✓ My project is not in a category of permit types exempt from the Construction SWPPP requirements ✓ My project is not located inside or within 200 feet of an environmentally sensitive area with a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). ✓ My project does not require a grading plan pursuant to the Car1sbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code) ✓ My project \MIi 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 v.iill be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT ALL OF THE ABOVE CHECKED STATEMENTS ARE TRUE AND CORRECT. I AM SUBMITTING FOR CITY APPROVAL A TIER 1 CONSTRUCTION SWPPP PREPARED IN ACCORDANCE WITH THE REQUIREMENTS OF CITY STANDARDS. I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO MINIMIZE THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO MINIMIZE THE EXPOSURE OF STORM WATER TO CONSTRUCTION RELATED POLLUTANTS; AND. (2) ADHERE TO, AND AT ALL TIMES. COMPLY WITH THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD. 5t4£l'vio~ OWNER(S)/OWNER'§ AGENT NAME (PRINT) 7JU./A,1,,.,.1,,,_/J OWNER(S)/OWNER"S AGEi NAME (SIGNATURE) ~I?? 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 314 INCH MINIMUM AGGREGATE. 6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. SPECIAL NOTES Page 1 of 3 PROJECT INFORMATION Site Address: '2,,-l/ 0 [ lA{ls (Z/) Estimated Construction Start Date v, _. 1 -VZ..."' Project Duration 8 Months Emergency Contact: Name T)/:nle,: v,1; ft~ 24 hour Phone: ?b()-1./ft/-r;FtO Perceived Threat to Storm Water Quality D Medium ~w If medium box is checked, must attach a site plan sheet showing proposed work area and location of proposed structural BMPs REV 4/30/10 Best Management Practice (BMP) Description ➔ CASQA Designation ➔ Construction Activity Grading/Soil Disturbance Trenching/Excavation Stockpiling Drilling/BorinQ Concrete/Asphalt Saw cutting Concrete flatwork Paving Conduit/Pipe Installation Stucco/Mortar Work Waste Disposal Staging/Lay Down Area Equipment Maintenance and FuelinQ Hazardous Substance Use/Storage Dewaterina Site Access Across Dirt Other (list): j .. ~ J ~ &: Erosion Control BMPs "' C> -g ~ .5 n, I IJ) -fj :g(/) .5 ~ a & i5 "'C .c:2! Q) 0 ~--a. 0 n,l!! .2 3:; WO (I) "i' &: "i' (.) w 0 w g ~ "' cii LU en C. ~ 1 l :z en Sediment Control BMPs E m CJ n " .c (.) "'t w en "' ~ ~ u: "1 w en X -g m E "' ~ Cl> .5 ·E m ~ n, CIQ>Cl[D ~ :t.5 C) en E m <D -::J .0 > ~ ,l -g e ..,n, n, (!) (/) > (/) "I w en ~ en :i: en ;; E C "f! C □·Q Ei .9 e en a_ 0 ~ LU en LL X Tracking Control BMPs C C 0 0 I I "'"' "' C <h C 0 I!? 0 (.) "' (.) -cw ~"' .,, >, -~ t = IJ) :c e Jll"' en£ ~ _._ -'< =.::, .c m Jll 0 en« ~ I- C 1 § (.) I ~ ch z Non-Storm Water Management BMPs "' C 'g ·c Cl -g m "' C ·;; m Q_ ;;; z C ~ "' .E J :1! ~ Q_ ;;\ z E " §. ·5 o-w .,, C m -1l · :2 ~ "i' en z -g m ~ 1 ~ ~~ $1 ~ ~ ::1 s: -1....,_ .A Waste Management and Materials Pollution Control BMPs " "' :::, m ·c ~ ::;; ~ ~ i g C ~ ~ t bl i -<-il..i ,,xt 'II, -g m I !l? I!' - Q_ ' ·a. . en t i :I<' -m ~ :E 0 en. "1 ::;; s: -m ~ "' il 1! ~ :,: "I ::;; s: j i C 8: "i' ::;; s: Yl~,x -I "'I.~ " Instructions: Begin by revieYling 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 fonn. Then place an X in the box at the place where the activity row intersects with the BMP column. Do this for each activity that was checked off and for each of the selected BMPs selected from the list. For Example -If the project includes site access across dirt, then check the box to the left of "Site Access Across Dirt". Then review the list for something that applies such as "Stabilized Construction Ingress/Egress" under Tracking Control. Follow along the "Site Access Across Dirt" row until you get to the "Stabilized Construction Ingress/Egress" column and place an X in the box 'Nhere 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 Ylfite in "Cover with Plastic" in the blank column under the heading Erosion Control BMPs. Then place an X in the box 'Nhere the "Stockpiling" row intersects the new "Cover Ylith Plastic" column. To learn more about 'Nhat each BMP description means, you may wish to review the BMP Reference Handout prepared to assist applicants in the s~ection of appropriate Best Management Practice measures. The reference also explains the California Stonnwater Quality Association (CASQA) designation and how to apply the various selected BMPs to a project. E-29 Page 2 of 3 REV 4/30/10