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HomeMy WebLinkAbout2441 BUENA VISTA CIR; ; CBR2018-2604; PermitP01. yof Carlsbad Residential Permit Print Date: 09/20/2019 Job Address: 2441 Buena Vista Cir Permit Type: BLDG-Residential Work Class: Addition Status: Parcel No: 1552210100 Lot 4: Applied: Valuation: $184,636.81 Reference U: Issued: Occupancy Group: Construction Type: Permit Finaled: U Dwelling Units: Bathrooms: Inspector: Bedrooms: Orig. Plan Check U: Final Plan Check U: Inspection: Project Title: Description: PEELLEE: 358 SF LIVING ADDITION /173 SF GARAGE ADDITION 2,048 SF REMODEL 330 SF CANOPY Permit No: CBR2018-2604 Closed - Finaled 09/27/2018 01/09/2019 TFraz 9/20/2019 2:03:28PM Owner: TRUST PEELLE FAMILY TRUST 2441 Buena Vista Cit CARLSBAD, CA 92008 Contractor: JACKSON DESIGN AND REMODELING 4797 Mercury St, B San Diego, CA 92111-2122 619-442-6125 BUILDING PERMIT FEE ($2000+) $927.75 BUILDING PLAN CHECK FEE (BLDG) $327.61 ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL $66.00 GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION $175.00 MECHANICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL $92.00 PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL $182.00 581473 GREEN BUILDING STATE STANDARDS FEE $8.00 STRONG MOTION-RESIDENTIAL $24.00 SWPPP INSPECTION FEE TIER 1- Medium BLDG $246.00 SWPPP PLAN REVIEW FEE TIER 1- MEDIUM $58.00 Total Fees: $2,106.36 Total Payments To Date: $2,106.36 Balance Due: $0.00 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. 1635 Faraday Avenue, Carlsbad, CA 92008-7314 1 760-602-2700 1 760-602-8560 f I www.carlsbadca.gov 4,Cityof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-I Plan Check 130 OL -02(4'J Est. Value k PC Deposit Date Job Address '244 AA-t \/ Suite: APN: CT/Project #: Lot #: Fire Sprinklers: yes / no Air Conditioning: yes / no BRIEF DESCRIPTION OF WORK: eA:1-1n dL 9 g ra9. 4- p'-i n-fr .4. d4iflon lo C) r-sene.. El Addition/New: Jiving SF, Deck SF, Patio SF, '\ Garage SF Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes! No, if yes how many? LI Remodel: SF of affected area Is the area a conversion or change of use? Yes / No El Pool/Spa: SF Additional Gas or Electrical Features? E] Solar: KW, ______ Modules, Mounted: Roof! Ground, Tilt: Yes / No, RMA: Yes / No, Battery: Yes / No Panel Upgrade: Yes / No 0 Reroof: El Plumbing/Mechanical/Electrical Only: o Other: APPLICANT (PRIMARY) PROPERTY OWNER Name: Rxynxt -Obwn Name: 1'4Vt, 4_L.i.A L PV% Address: 41 V5 (r1r --' Address: 2.44 __11.4 yl sj _C r City: ') State: '1 _Zip: C City: Cavt _State: ('L\ Zip: Phone: ( _ Phone:_______________________ Email: yçit4S_v'_Mo\mc Email:___________________________ c-or.'-' DESIGN PROFESSIONAL LjcAc,~*,on CONTRACTOR BUSINESS _ Name: DV—o ii _______________________ Name:_J ____ 4g M4ry Address: Address: _________ City: State: Zip: City: 5) State: ]C-, tip: c1111\ Phone: Phone: tQ'0t 441421 a-16- Email: Email: fumm License- Architect State License: State License:. Bus. ________________ r12c4 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, altf F de JeI14thfor repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$5001). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: BuiIdingccarlsbadca.gov B-I Page 1 of 2 Rev. 06/18 (OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of Perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the eçform nce of th ork for hich this permit is issued. My orkers' copnsation ins raepJ,r and policy number are: Insurance Name: ___________________________________________ Policy No. '' (d 5 Expiration Date: (j• j9 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to be come 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 $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. CONTRACTOR SIGNATURE: DAGENT DATE: (211 (OPTION El ): OWNER-BUILDER DECLA ATIO : '1 I hereby affirm that! am exempt from Cant tor' License Law for the following reason: O 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). O 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). O I am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes 0 No I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): OWNER SIGNATURE: DAGENT DATE: CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm 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: ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYes 0 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes 0 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. APPLICANT CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad 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 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavations over 5'O' deep and demolition or construction of structures over 3 stones in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT SIGNATURE: DATE: 1635 Faraday Ave Carlsbad, CA 9200 p 760 602-2719 Fax: 760-602-8558 Email: BuiIdingCarIsbadCa.gov 8-1 Page 2 of 2 Rev. 06/18 Permit Type: BLDG-Residential Application Date: 09/27/2018 Owner: TRUST PEELLE FAMILY TRUST Work Class: Addition Issue Date: 01/09/2019 Subdivision: BUENA VISTA GARDENS Status: Closed - Finaled Expiration Date: 03/16/2020 Address: 2441 Buena Vista Cir Carlsbad, CA 92008-1601 IVR Number: 14223 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete BLDG-84 Rough 091681-2019 Passed Andy Krogh Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency Not Ready Yes BLDG-14 Need lOStud Shoes", 4CSST plates at gas Yes Frame-Steel-Bolting-Welding Lines, 2 LTP 45 at header in hallway (Decks) outside bedroom BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 05/28/2019 0612812019 BLDG-17 Interior 092952-2019 Passed Andy Krogh Lath/Drywall BLDG-18 Exterior 093015.2019 Passed Andy Krogh Lath/Drywall 07/0812019 07/0812019 BLDG-17 Interior 096791-2019 Failed Michael Collins Reinspection Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Shower/tub lath not ready No 07/1012019 07/10/2019 BLDG-17 Interior 097008-2019 Passed Michael Collins Lath/Drywall Checklist Item COMMENTS ' Passed BLDG-Building Deficiency Shower/tub lath Ok Yes BLDG-Building Deficiency Shower/tub lath not ready No 09/16/2019 0911612019 BLDG-Final 104224-2019 Failed Michael Collins Reinspection Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No, BLDG-Electrical Final No 09/20/2019 09/20/2019 BLDG-Final 104823-2019 Passed Paul York Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes Complete Complete Complete Complete Complete Complete September 20, 2019 Page 2 of 3 Permit Type: BLDG-Residential Application Date: 09/27/2018 Owner: TRUST PEELLE FAMILY TRUST Work Class: Addition Issue Date: 01/09/2019 Subdivision: BUENA VISTA GARDENS Status: Closed - Finaled Expiration Date: 03/16/2020 Address: 2441 Buena Vista Cir Carlsbad, CA 92008-1601 IVR Number: 14223 Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Date Start Date 0210712019 0 21071201 BLDG-21 083272.2019 Passed Tim Frazee Complete Underground/Underf loot Plumbing • Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 0211212019 02/12/2019 BLDG-11 083681.2019 Passed Tim Frazee Complete • FoundatlonlFtglPler a (Reber) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 0412412019 04124/2019 BLOG.15 089870.2019 Passed Tim Frazee Complete RooflReRoof (Patio) Checklist Item COMMENTS Passed BLDG-Building Deficiency Root nailing OK to Dry In Yes 05/0112019 06/0112019 BLDG-84 Rough 090446.2019 Failed Tim Frazee Reinspection Complete Combo(14,24,3444) Checklist Item COMMENTS Passed BLDG-Building Deficiency Not Ready No BLDG-14 No Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout No BLDG-34 Rough Electrical No BLDG-44 No Rough-Ducts-Dampers 06/0312019 05/03/2019 BLDG-13 Shear 090894-2019 Passed Tim Frazee Complete Panels/HO (ok to wrap) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 05/09/2019 05109/2019 BLDG-84 Rough 091290.2019 . Failed Tim Frazee Reinspection Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency BLDG-14 Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout BLDG-34 Rough Electrical BLDG-44 Rough-Ducts-Dampers 06/13/2019 0511312019 BLDG-27 Shower 091792.2019 Pan/Tubs Not Ready No Need lOStud Shoes 4CSST plates at gas No Lines, 2 LIP 4s at header in hallway outside bedroom No No No Passed Andy Krogh Complete September 20, 2019 • • Page 1 of 3 RJS Inspection & Material Testing P.O. Box 2450, Alpine, CA 91903 P: 619-540-0612 F: 619-445-5889 DAY: Friday I DATE: 04/26/2019 I Project Name: Proj #: Permit #: Plan File U: Peelle Residence CBR2018-2604 Address: Jurisdiction: 2441 Buena Vista Circle City of Carlsbad Project Plans/Specifications Title & Date (Rev.) Architect: Jackson Design Engineer: Mike Surprenant General Contractor: Contractor Doing Reported Work: Jackson Design Jackson Design TYPE OF OBSERVATIONS Reinforcing Steel Reinforced Concrete Structural Masonry Field Welding Epoxy T x Prestressed Concrete Shop Welding F Bolting I I Wedge Anchors Other-- # of Samples: I Type: Materials/DesignMix/PSl: REPORT Inspect epoxy installation of retro-fit HDU2 A.B. and sill plate A.B. at the following locations: Grid line "B" -Two 3' shearwalls. Two sill plate A.B. at each S.W. Two 3'-6" S.W. Two HDU2 A.B. & two sill plate A.B. at each S.W. Total of 8 sill plate & four HDU2 A.B. Grid line "D" —3' & 2'-6" S.W. Two HDU2 & two sill plate A.B. at each wall. 2' S.W. two sill plate A.B. Total of four HDU2 A.B. and six sill plate A.B. Grid line "6" - 4'-6" S.W. Two sill plate A.B. Grid line "E" - 5'-6" S.W. One sill plate A.B. Grid line "3" —8' S.W. Three sill plate A.B. All hole size and depths are per detail and notes on 2/0-3. Holes were brushed and air blown clean per Simpson XP MPII. Materials: 5/8" galvanized all-thread. Simpson Set XP Epoxy. Confirm expiration date. *WORK INSPECTED CONFORMS WITH APPROVED PLANS AND SPECIFICATIONS UNLESS OTHERWISE NOTED TIME ON SITE TIME OFF SITE I REG HOURS J OT HOURS John Brawley: City of San Diego ID# 1301 11:45 am 1:00 pm 4 I Name of Registered inspector (Print) JOB SITE CONTACT IS ASKED TO SIGN AND VERIFY INSPECTION HOURS ONLY. THE CONTENT OF THIS REPORT AND FEE CHARGES ARE THE RESPONSIBILITY OF OTHERS 7 SIgnature of Registered In5pector' Signature: N/A ___________________________________________________ Authorized Job Site Contact I Date of Report: 04/26/2019 1 Registered U: 1301 I INSTALLATION CERTIFICATE (Page 12 of 12) CF-6R Site Address Permit Number 2441 Buena Vista Circle Carlsbad, CA County Subdivision Lot Number Description of Insulation (Formerly IC-1 Form) RAISED FLOOR Material Thickness (inches) 2. SLAB FLOOR/PERIMETER Material Thickness (inches)_____________________ Perimeter Insulation Depth (inches) EXTERIOR WALL Frame Type Cavity Insulation Material fiberglass batts Thickness (inches) 3 1/2EE Exterior Foam Sheathing Material Thickness (inches) 4. FOUNDATION WALL Material Thickness (inches) Brand Name Thermal Resistance (R-Value) Brand Name Thermal Resistance (R-Value) Brand Name Johns Manville Thermal Resistance (R-Value) R15 1060 sq ft Brand Name Thermal Resistance (R-Value) Brand Name Thermal Resistance (R-Value) S. CEILING Ball or Blanket Type fiberglass batts Brand Name Johns Manville Thickness (inches)lii' Thermal Resistance (R-Value) 1(30 1360 sq ft Loose Fill Type Brand Contractor's min installed weight/ft" Eb Minimum thickness inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value) 6. Title 24 Air Infiltration caulking and foam included Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. Item Us (if applicable) Signature Date - 5/20/20 19 ,-/,0 21Z ~p __ Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distribu$or Lic No 472996 11cm #s ' Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Item Us Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Residential Compliance Forms -- April 2005 EsGil A SAFEbulItCompany DATE: 12/27/2018 U APPLICANT U JURIS. JURISDICTION: City of Carlsbad PLAN CHECK #.: cbR2018-2604 SET: III PROJECT ADDRESS: 2441 Buena Vista PROJECT NAME: Addition and Garage Extension and Whole House Remodel for Peelle Residence The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. LI The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. LI 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. LI The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. LI The applicant's copy of the check list has been sent to: EsGil Corporation staff did not advise the applicant that the plan check has been completed. LI EsGil Corporation staff did hse the applicant that the plan check has been completed. Person contacted: / ( )Telephone #: Date contacted: / (bc'S Email: Mail Telephone 'Fax In Prson LI REMARKS: By: Rich Moreno Enclosures: EsGil 12/6/2018 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 EsG V/0 . A SAFEbuUt Company DATE: 11/8/2018 JURISDICTION: City of Carlsbad PLAN CHECK #.: cbR2018-2604 SET: II PROJECT ADDRESS: 2441 Buena Vista O APPLICANT 0 JURIS. PROJECT NAME: Addition and Garage Extension and Whole House Remodel for Peelle Residence The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. fl The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. 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. 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: Permits in motion 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: permits in motion i TERRI ft100T#elephone #: 619-994-5557 Da cted: (by: Email: permits@permitsinmotion.com Mail Tçehone Fax In Person RK' By: Rich Moreno Enclosures: EsGil 11/1/2018 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 City of Carlsbad cbR2018-2604 11/8/2018 NOTE: The items listed below are from the previous correction list. These remaining items have not been adequately addressed. The numbers of the items are from the previous check list and may not necessarily be in sequence. The notes in bold font are current. PLANS 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: 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 Corporation and the Carlsbad Planning, Engineering and Fire Departments. Bring TWO corrected set of plans and calculations/reports to EsGil Corporation, 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 Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. 2. All sheets of plans to once again be signed by the person responsible for their preparation on re-submittal. (California Business and Professions Code). To be re-verified. Plans deviating from conventional wood frame construction shall have the structural portions signed and sealed by the California state licensed engineer or architect responsible for their preparation, along with structural calculations. (California Business and Professions Code). To be re-verified some Structural sheet S3.1 was not signed. STRUCTURAL 20. Provide truss details and truss calculations for this project. Specify truss identification numbers on the plans. Location of trusses Tis spanning nearly 15-ft on truss calculations could not be verified. A) No truss calculations for trusses above Bedroom 2? 46. Note or provide the following design requirements for gas water heaters installed to serve individual dwelling units: ES 150.0(n) Gas piping sizing based upon a minimum input of 200,000 btu/hr. Please provide a gas line design. City of Carlsbad cbR2018-2604 11/8/2018 MISCELLANEOUS To speed up the review process, 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 C3 No 13 The jurisdiction has contracted with Esgil Corporation 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 Rich Moreno at EsGil Corporation. Thank you. EsGli A SAFEbulittompany DATE: 10/9/2018 JURISDICTION: City of Carlsbad eJ PLICANT ,IS. PLAN CHECK#.: cbR2018-2604 SET:I PROJECT ADDRESS: 2441 Buena Vista PROJECT NAME: Addition and Garage Extension and Whole House Remodel for Peelle Residence Li The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. 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. 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. Li 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: Permits in motion 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: permits in motion Telephone #: 619-994-5557 Date contacted: jo - (b' ) Email: permits©permitsinmOtiOn.com Mail )c TeIephon Fax In Person REMARKS: Fees have been reassessed due inaccuracy of scope of project. Applicant to clarify full; scope of project at the city prior to resubmittal By: Rich Moreno Enclosures: EsGil 10/1/2018 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax (858) 560-1576 City of Carlsbad cbR2018-2604 10/9/2018 PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES PLAN CHECK #.: cbR2018-2604 JURISDICTION: City of Carlsbad PROJECT ADDRESS: 2441 Buena Vista FLOOR AREA: Additon: 358 sq-ft DATE PLANS RECEIVED BY JURISDICTION: DATE INITIAL PLAN REVIEW COMPLETED: 10/9/2018 FOREWORD (PLEASE READ): STORIES: HEIGHT: DATE PLANS RECEIVED BY ESGIL CORPORATION: 10/1/2018 PLAN REVIEWER: Rich Moreno This plan review is limited to the technical requirements contained in the California version of the International Residential Code, 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 ordinance 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. Present California law mandates that construction comply with the 2016 edition of the California Code of Regulations (Title 24), which adopts the following model codes: 2015 IRC, 2015 IBC, 2015 UPC, 2015 UMC and 2014 NEC. The above regulations apply, regardless of the code editions adopted by ordinance. 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. City of Carlsbad cbR2018-2604 10/9/2018 PLANS 1. 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: 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 Corporation and the Carlsbad Planning, Engineering and Fire Departments. Bring TWO corrected set of plans and calculations/reports to EsGil Corporation, 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 Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. 2. All sheets of plans to once again be signed by the person responsible for their preparation on re-submittal. (California Business and Professions Code). To be re-verified. 3. Plans deviating from conventional wood frame construction shall have the structural portions signed and sealed by the California state licensed engineer or architect responsible for their preparation, along with structural calculations. (California Business and Professions Code). To be re-verified 4. Specify on the Title Sheet of the plans the gross floor area of each element of this project, including dwelling remodel, canopy. Section R106.2. 5. On the cover sheet of the plans, specify any items that will have a deferred submittal (spa, etc.). Additionally, provide the following note on the plans: "Submittal documents for deferred submittal items shall be submitted to the registered design professional in responsible charge, who shall review them and forward them to the building official with a notation indicating that the deferred submittal documents have been reviewed and that they have been found to be in general conformance with the design of the building. The deferred submittal items shall NOT be installed until their design and submittal documents have been approved by the building official." FIRE PROTECTION 6. Show locations of permanently wired smoke alarms with battery backup, per Section R314: a) Inside each bedroom. City of Carlsbad cbR2018-2604 10/9/2018 Outside each separate sleeping area in the immediate vicinity of the bedrooms. On each story, including basements. Such smoke alarm locations shall comply with the following: They shall be not less than 3' from the door opening of a bathroom. They shall be at least 20' from a cooking appliance. They shall be at least 3' from supply registers of heating/cooling systems. They shall be at least 3' from the tip of the blade of a ceiling- mounted fan. NOTE: When more than one smoke alarm is required to be installed, the alarm devices shall be interconnected in such a manner that the actuation of one alarm will activate all of the alarms in the unit. 7. In existing buildings, when alterations, repairs or additions requiring a permit occur (or when one or more sleeping rooms are added), the dwelling unit shall be provided with smoke alarms located as required for new dwellings; the smoke alarms shall be interconnected and hard wired. Exception: Smoke alarms in existing areas need not be interconnected and hard wired where the alterations or repairs do not result in the removal of interior wall or ceiling finishes exposing the structure, unless there is an attic, crawl space, or basement available which could provide access for hard wiring and interconnection without the removal of interior finishes. Section R314.8.1. 8. In dwelling units within which fuel-burning appliances are installed (and in dwelling units having attached garages), show the locations of permanently wired carbon monoxide alarms with battery backup, per Section R315: Outside each separate sleeping area in the immediate vicinity of the bedrooms. On each story, including basements. NOTE: When more than one carbon monoxide alarm is required to be installed, the alarm devices shall be interconnected in such a manner that the actuation of one alarm will activate all of the alarms in the unit. 9. When alterations, repairs or additions are proposed for dwelling units within which fuel-burning appliances are installed (and in dwelling units having attached garages), the dwelling unit shall be provided with carbon monoxide alarms located as required for new dwellings; the carbon monoxide alarms shall be interconnected and hard wired. Exception: Carbon monoxide alarms in existing areas need not be interconnected and hard wired where the alterations or repairs do not result in the removal of interior wall or ceiling finishes exposing the structure, unless there is an attic, crawl space, or basement available which could provide access for hard wiring and interconnection without the removal of interior finishes. Section R315.2. City of Carlsbad cbR2018-2604 10/9/2018 GENERAL RESIDENTIAL REQUIREMENTS 10. Bedroom 2 shown as existing on proposed plans. 11. Glazing in the following locations should be shown on the plans as safety glazing material in accordance with Section R308.4: a) Glazing in doors. ROOFS/DECKS/BALCONIES 12. Specify on the plans the following information for the roof materials, per Section R106.1.1: Manufacturer's name and product name/number. ICC approval number, or equal. 13. Per city ordinance, roof coverings, shall be Class A. 14. Clarify roofing material being proposed at %:12 cricket. Shingles generally require 2:12 slope. 15. Overflow roof drains shall terminate in an area where they will be readily visible and will not cause damage to the building. If the roof drain terminates through a wall, the overflow drain shall terminate 12" minimum above the roof drain. Policy 84-35. 16. Specify on the plans the following information for the skylights, per Section R106.1.1: Manufacturer's name and product name/number. [CC approval number, or equal. 17. Dimension attic access of 22" x 30". Section R807.1 GARAGE AND CARPORTS 18. The garage shall be separated from the residence and its attic area by not less than 1/2" gypsum board applied to the garage side (at walls). Garages beneath habitable rooms shall be separated by not less than 5/8" Type X gypsum board. Section R302.6. Show at right wall (existing exterior wall to become garage interior wall). STRUCTURAL 19. Did not receive structural calculations from EOR with plans. 20. Provide truss details and truss calculations for this project. Specify truss identification numbers on the plans. City of Carlsbad cbR2018-2604 10/9/2018 21. Please provide evidence that the engineer-of-record (or architect) has reviewed the truss calculation package prepared by others (i.e., a "review' stamp on the truss calculations or a letter). CBC Section 107.3.4.1. 22. Show or note fire blocking at the following locations per Section R302.1 1: In concealed spaces of stud walls and partitions, including furred spaces, at the ceiling and floor levels. Concealed horizontal furred spaces shall also be fireblocked at intervals not exceeding 10 feet; At all interconnections between concealed vertical and horizontal spaces such as occur at soffits, drop ceilings and cove ceilings; In concealed spaces between stair stringers at the top and bottom of the run; In openings around vents, pipes and ducts; At all spaces between chimneys and floors/ceilings through which chimneys pass. 23. Engineer Stamp for aluminum structure system is not legible. 24. When submitting structural calculations, EOR to clarify what appears to be an irregularity along collector on grid D to offset grid C shear wall. FOUNDATION REQUIREMENTS 25. P2 foundation on grid D-2 was not dimension on plans. 26. Aluminum mid-span footing is not dimensioned on foundation plans. Also, footing detail is not reference. 27. Structural notes recommended SOG to be used, but plans do not state if recommendation is to be used or differ from. 28. Note on plans that surface water will drain away from building and show drainage pattern. The grade shall fall a minimum of 6" within the first 10 feet. Section R401.3. ELECTRICAL 29. Show on the plan the amperage of the electrical service and the location of any sub-panels. If the service is over 200 amperes, submit a single line diagram, panel schedules, and provide service load calculations 30. Note on the plans that receptacle outlet locations will comply with CEC Article 210.52. City of Carlsbad cbR2018-2604 10/9/2018 31. Include on the plans the following specifications for electrical devices installed in dwellings: CEC Article 210 & 406 Tamper resistant receptacles for all locations described in 210.52 (i.e., all receptacles in a dwelling). Weather resistant type for receptacles installed in damp or wet locations (outside). Arc-fault protection for all outlets (not just receptacles) located in rooms described in NEC 210.12(A): Kitchens, laundry areas, family, living, bedrooms, dining, halls, etc. GFCI protected outlets for locations described in NEC 210.8(A): Laundry areas, kitchen dishwashers, kitchens, garages, bathrooms, outdoors, within 6' of a sink, etc. 32. Show on the plans that countertop receptacle outlets comply with CEC Article 210.52(C): In kitchens a receptacle outlet shall be installed at each counter space 12 inches or wider; Receptacles shall be installed so that no point along the wall line is more than 24 inches; Island and peninsular countertops 12 inches by 24" long (or greater) shall have at least one receptacle. (Counter top spaces separated by range tops, refrigerators, or sinks shall be considered as separate counter top spaces). Show at exterior counter. MECHANICAL 33. Show the minimum 30" deep unobstructed working space in front of the attic installed furnace. Section CIVIC Section 304.1. 34. Detail the installation requirements necessary when installing a central heating furnace opening into a bedroom or bathroom (per CIVIC Section 904.1): Non-direct vent appliance: Listed gasketed self closing and latching door assembly with a threshold and with all combustion air supplied from the outdoors. The furnace closet shall be dedicated to the furnace only and will have no other uses. Or Specify that the appliances are of the direct vent style. 35. Show a permanent electrical receptacle outlet and lighting fixture controlled by a switch located at the entrance for furnaces located in an attic. CIVIC Section 304.4.4 36. Detail the dryer exhaust duct design from the dryer to the exterior. The maximum length is 14 feet with a maximum of two 90-degree elbows or provide the manufacturer's duct length specification description on the plans: Include the dryer specifications (manufacturer, model, and fuel type) as well as the duct description (size and type). CIVIC Section 504.4.2. City of Carlsbad cbR2018-2604 10/9/2018 37. . Specify on the plans the following information for the fireplace(s): Manufacturer's name/model number and ICC approval number, or equal. Show the height of the factory-built chimney above the roof and the horizontal clearances per listing approval. Chimneys shall extend at least 3' above the highest point where it passes through a roof and at least 2' higher than any portion of a building within a horizontal distance of 10 feet. CIVIC Section 802.5.4. Note on the plans that approved spark arrestors shall be installed on all chimneys. CRC Section RI 003.9. Decorative shrouds shall not be installed at the termination of chimneys for factory-built fireplaces, except where such shrouds are listed and labeled for use with the specific system and installed in accordance with the manufacturer's installation instructions. Section CRCI 004.3. PLUMBING. 38. An instantaneous water heater is shown on the plans. Please include a gas pipe sizing design (isometric or pipe layout) for all gas loads. a) The gas pipe sizing for a tank type water heater shall be based upon a minimum 199,000 Btu gas input rating. Energy Standards 150.0(n). 39. Specify on the plans: Water conserving fixtures: New water closets shall use no more than 1.28 gallons of water per flush, kitchen faucets may not exceed 1.8 GPM, lavatories are limited to 1.2 GPM, and showerheads may not exceed 1.8 GPM of flow. CPC Sections 407, 408, 411,412. 40. Specify on the plans whether the existing house was built before or after 1994. For additions or improvements to a residence built before 1994, note on the plans that existing "noncompliant" fixtures (toilets that use more than 1.6 gallons of water per flush, urinals that use more than one gallon of water per flush, showerheads that have a flow capacity of more than 2.5 gallons of water per minute, and interior faucets that emit more than 2.2 gallons of water per minute) shall be replaced. Certification of compliance shall be given to the building inspector prior to final permit approval. California S6407. RESIDENTIAL GREEN BUILDING STANDARDS 41. Note on the plans that when a shower is provided the flow shall not exceed 1.8 gpm @ 80 psi, or the shower shall be designed so that only one head is on at a time. CGC Section 4.303.1.3.2. 42. Recycling. Note on the plans that a minimum of 65% of construction waste is to be recycled. CGC Section 4.408.1. City of Carlsbad cbR2018-2604 10/9/2018 Note on the plans that prior to final inspection the licensed contractor, architect or engineer in responsible charge of the overall construction must provide to the building department official written verification that all applicable provisions from the Green Building Standards Code have been implemented as part of the construction. CGC 102.3. . ENERGY CONSERVATION Residential ventilation requirements: ES 150.0(o)/ASHRAE 62.2 Kitchens require exhaust fans with a minimum 100 cfm ducted to the exterior. Detail compliance by including a complying exhaust fan or a ducted range hood to the exterior. a) All fans installed to meet all of the preceding ventilation requirements must be specified at a noise rating of a maximum I "Sone" (continuous use) or 3 "Sone" (intermittent). Alternations When replacing or modifying the mechanical system: If more than 40' of new ductwork is installed in unconditioned space, HERS inspection is required for both existing and new duct sealing. Replacement of mechanical equipment (air handler, condensing unit of an air conditioner or heat pump, cooling or heating coil, or the furnace heat exchanger) requires HERS inspection. Note: The CFI R-ALT-HVAC form may be submitted at the final inspection, it is not required at initial plan submittal. 46. Note or provide the following design requirements for gas water heaters installed to serve individual dwelling units: ES 150.0(n) Gas piping sizing based upon a minimum input of 200,000 btu/hr. A condensate drain installed no higher than 2" above the base of the heater that also allows for gravity drainage. The "B" vent installed in a straight position from the room containing the water heater to the roof termination. (For future possible sleeving for high efficiency heater venting.) A 120 volt receptacle accessible to the heater installed within 3'. 47. Instantaneous water heaters shall have isolation valves on both the cold and the hot water piping leaving the water heater complete with hose bibs or other fittings on each valve for flushing the water heater when the valves are closed. ES 110.3 48. All domestic hot water piping to have the following minimum insulation installed: 1/2" pipe (1/2" insulation); %" pipe (1" insulation); 1" to 14/2" pipe (144" insulation). CPC 609.11 & ES 150.00) City of Carlsbad cbR2018-2604 10/9/2018 a) Additionally, the 1/2' hot water pipe to the kitchen sink, and the cold water pipe within 5' of the water heater both require 1" minimum insulation. ES 150.0(j) . MISCELLANEOUS For gas piping under slabs that serve kitchen island cooktops, see Policy 9146 for special sleeve and clean-out requirements. If special inspection is required, the designer shall complete the city's "Special Inspection Agreement" found at the end of this list. If CalGreen requires a Waste Management Plan, the applicant shall submit the Carlsbad special form found at the end of this list. To speed up the review process, 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 L3 No U 54. The jurisdiction has contracted with Esgil Corporation 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 Rich Moreno at EsGil Corporation. Thank you. City of Carlsbad cbR2018-2604 10/9/2018 [DO NOT PAY - THIS IS NOT ANINVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad PLAN CHECK #.: cbR2018-2604 PREPARED BY: Rich Moreno DATE: 10/9/2018 BUILDING ADDRESS: 2441 Buena Vista BUILDING OCCUPANCY: BUILDING PORTION AREA (Sq. Ft.) Valuation Multiplier Reg. Mod. VALUE ($) Addition 358 169.50 60,681 Garage 73 36.98 2,700 Remodel 2048 46.51 95,252 Canopy/Alumn. 330 29.28 9,662 Air Conditioning 2406 5.39 12,968 Fireplace 1 3,373.05 3,373 TOTAL VALUE 184,637 Jurisdiction Code Icb IBY Ordinance I 1997 UBC Building Permit Fee V 1997 UBC Plan Check Fee V Type of Review: EZI Complete Review Structural Only Repetitive Fee vi Repeats El Other El Hourly Hr. © * EsGil Fee I $565.961 Comments: Fees have been reassessed due to scope of project. Applicant to clarify full scope of project At the city. Sheet 1 of 1 JACKSON DESIGN & REMODELING October 29, 2018 To: The City of Carlsbad Re: Response to Plan Comments Project Nbr: CD-2018-2604 (2441 Buena Vista) Title: Peelle Residence Reviewer: Rich Moreno Plan See Sheet A-1.2 for breakdown of impervious table Please see note on Sheet A-1.2 "ABOVE GROUND SPA SET ON 18" BELOW CONCRETE PATIO" Also, see Bulleting B-39 Work exempt form building permit. Fire Protection: 6-7 See updated sheet in E-1.1 for location of the smoke alarms in Floor plan. Also, see note 1&4 for the Smoke Alarm Requirements under Sheet GN-1 .1 8-9 See updated sheet in E-1.1 for location of the carbon monoxide alarms in Floor plan. Please look at the Carbon Monoxide Alarm Requirements section Sheet GN-i .1 General Requirements: Bedroom 2 has been changed to Remodel instead of Existing See revised Door Schedule A-3.2 Roofs/Decks/Balconies: 12-14 See Keynote 403 on Sheet A-4.1 See Roof Note #7 on Sheet A-6.1 See the revised A-3.2 for Door and Window schedule 1 7.See Keynote 329 on Sheet A-3.1 Garage And Carports 18. See Keynote 325 on Sheet A41 Structural. 19-21,23,24 See Calculation packages included with this submittal. 22. See note #7 on Sheet A-3.1 Foundation Requirements 25-26. See revised S-2.1 See Grid 1-2 & Grid A-C on Sheet S-2.1 See Sheet. A-i .2 for drainage patterns. Also see Note 7 on General Site Notes 4797 Mercury St. • San Diego, CA 92111 • Lic. #880939 • (858) 292-2357 (800) 675-9548 • Fax (858) 292-6250 www.jacksondesignandremodeling.com / JACKSON /3W DESIGN & REMODELING lectricat: / 29. See revised Sheet A-3.1 Electrical for the location of the Electrical Meter / 30. Please see Sheet GN-1 .1, Residential Electrical notes, note #1. / 31. Please see Sheet GN-1 .1, Residential Electrical notes, note #2. / 32. Please see Sheet GN-1.1, Residential Electrical notes, note #5. Mechanical: See General Notes #5 on Sheet A-3.1 The proposed FAU will be replacing the one existing. Access panel will remain in the same location. Please see Sheet GN-1 .1, Residential Electrical notes, note #6. Please see Sheet GN-1.1, Residential Electrical notes, note #14. See Sheet A-3.1 for keynote 331. 37.a. See elevation Sheet A-4.1 & A-4.2 for the existing chimney extension. See note 4 on Sheet A 4.1 & A-4.2 "RADIANT BARRIER REQUIRED FOR ALL NEW ROOF AREAS CHIMNEYS, FLUES OR STOVEPIPES ATTACHED TO ANY FIREPLACE, STOVE, DAREQUE OR OTHER SOLID OR LIQUID FUEL BURNING EQUIPMENT OR DEVICE SHALL DE EQUIPPED WITH AN APPROVED SPARK ARRESTOR, CRC R327.1 I" See note 5 on Sheet A 4.1 & A-4.2 "DECORATIVE SHROUDS SHALL NOT DE INSTALLED AT THE TERMINATION OF CHIMNEYS FOR FACTORY-BUILT FIREPLACES, EXCEPT WHERE SUCH SHROUDS ARE LISTED AND LABELED FOR USE WITH THE SPECIFIC SYSTEM AND INSTALLED IN ACCORDANCE WITH THE MANUFACTURER'S INSTALLATION INSTRUCTIONS. SECTION CRC 1004.3." Plumbing: See Sheet A-3.1 Keynote 328 Please see Sheet GN-1.1, Plumbing requirements, notes #1-5. Also, Note #20 under California Green Building Code Requirements Year built specified in sheet A-1.1 under Project Data notes. Please see Sheet GN-1 .1 Note #20 under California Green Building Code Requirements and General Note 6 in Sheet A-3.1 Residential Green Building Standards: Please see Sheet GN-1 .1, Plumbing Requirements, note #3. Please see Sheet GN-1 .1, California Green Building Code Requirements, note #4. Please see Sheet GN-1.1, California Green Building Code Requirements, notes #10,11,14. Energy conservation: Please see Sheet GN-1.1, Mechanical and Ventilation Requirements, notes #1 & 5. See note 15 under section Mechanical &Ventilation Requirements on Sheet GN-1 .1. Also, Note 12 under General Notes Sheet A-3.1 See Keynote 328 on Sheet A-3.1 See note 6 under Energy Efficiency on Sheet GN-1.1 See note 7 under Energy Efficiency on Sheet GN-1.1 Sincerely, Denisse Prado-Liendo 4797 Mercury St. • San Diego, CA 92111 • Lic. #880939 • (858) 292-2357 • (800) 675-9548 • Fax (858) 292-6250 www.jacksondesignandremodeling.com <F/ City of Carlsbad STANDARD PROJECT REQUIREMENT CHECKLIST E-36 Development Services Land Development Engineering 1635 Faraday Avenue (760) 602-2750 www.carlsbadca.gov Project Name: Project iD: ) 201P —ooi1 (cio) DWG No. or Building Permit No.: -rc All development projects must implement source control BMPs SC-1 through SC-6 where applicable and feasible. See Chapter 4 and Appendix EA of the BMP Design Manual (Volume 5 of City Engineering Standards) for information to implement source control BMPs shown in this checklist. Answer each category below pursuant to the following. "Yes" means the project will implement the source control BMP as described in Chapter 4 and/or Appendix EA of the Model BMP Design Manual. Discussion/justification is not required. "No" means the BMP is applicable to the project but it is not feasible to implement. Discussion/justification must be provided. Please add attachments if more space is needed. "N/An means the BMP is not applicable at the project site because the project does not include the feature that is addressed by the BMP (e.g., the project has no outdoor materials storage areas). Discussion/justification may be provided. - S6Ui&eçontrol Rult liefl SC-1 Prevention of Illicit Discharges into the MS4 - E Yes 0 No 0 N/A Discussion/justification if SC-1 not implemented: P06 Pob?'i pMEpe, 3E s*r A-1.7- SC-2 Storm Drain Stenciling or Signage 0 Yes 0 No I raN/A Discussion/justification if SC-2 not implemented: SC-3 Protect Outdoor Materials Storage Areas from Rainfall, Run-On, Runoff, and Wind Yes 0 No 0 N/A Dispersal Discussion/justification if SC-3 not implemented: PPI.t.— 46 A4Ilt..IT 14 - e r#-r c- ic.c-r E-36 Page 1 of 4 Revised 09/16 APPliÔd? SC-4 Protect Materials Stored in Outdoor Work Areas from Rainfall, Run-On, Runoff, and Wind Dispersal - es N 0 N/A Discussion/justification if SC-4 not implemented: SC-5 Protect Trash Storage Areas from Rainfall, Run-On, Runoff, and Wind Dispersal 19 Yes 0 No 0 N/A Discussion/justification if SC-5 not implemented: di- __10"UrAWf WARAU I CM'C U- BE M, cts c'eo SC-6 Additional BMPs based on Potential Sources of Runoff Pollutants must answer for each source listed below and identify additional BMPs. (See Table in Appendix E.1 of BMP Manual for guidance). On-site storm drain inlets 0 Yes 0 No N/A Interior floor drains and elevator shaft sump pumps 0 Yes 0 No N/A Interior parking garages 0 Yes 0 No (2 N/A Need for future indoor & structural pest control 0 Yes 0 No r. N/A Landscape/Outdoor Pesticide Use 0 Yes 0 No 'j N/A Ea Pools, spas, ponds, decorative fountains, and other water features E9 Yes 0 No 0 N/A Food service 0 Yes 0 No RI N/A Refuse areas 0 Yes 0 No Eff N/A Industrial processes 0 Yes 0 No W N/A Outdoor storage of equipment or materials 0 Yes []*No El N/A El Vehicle and Equipment Cleaning 0 Yes 0 No W N/A Vehicle/Equipment Repair and Maintenance 0 Yes 0 No in N/A Fuel Dispensing Areas 0 Yes 0 No [9 N/A Loading Docks 0 Yes 0 No ll N/A Fire Sprinkler Test Water 0 Yes 0 No 1A N/A Miscellaneous Drain or Wash Water 0 Yes 0 No II N/A Plazas, sidewalks, and parking lots 0 Yes 0 No I Ot N/A For "Yes" answers, identify the additional BMP per Appendix E. 1. Provide justification for "No' answers. E-36 I Page 2 of 4 Revised 09/16 All development projects must implement site design BMPs SD-I through SD-8 where applicable and feasible. See Chapter 4 and Appendix E.2 thru E.6 of the BMP Design Manual (Volume 5 of City Engineering Standards) for information to implement site design BMPs shown in this checklist. Answer each category below pursuant to the following. "Yes" means the project will implement the site design BMPs as described in Chapter 4 and/or Appendix E.2 thru E.6 of the Model BMP Design Manual. Discussion /justification is not required. "No" means the BMPs is applicable to the project but it is not feasible to implement. Discussion/justification must be provided. Please add attachments if more space is needed. 'WAO means the BMPs is not applicable at the project site because the project does not include the feature that is addressed by the BMPs (e.g., the project site has no existing natural areas to conserve). Discussion/justification may be provided. Site Design Requirement Applied? SD-I Maintain Natural Drainage Pathways and Hydrologic Features 0 Yes I 0 No IR N/A Discussion/justification if SD-1 not implemented: SD-2 Conserve Natural Areas, Soils, and Vegetation I ES Yes I 0 No I 0 N/A Discussion/justification if SD-2 not implemented: 1'RO r ir'c1 SD-3 Minimize Impervious Area I AYes I 0 No I 0 N/A Discussion/justification if SD-3 not implemented: VDC 29 50c QF - oi IN?eVicO PiMV. - AOOI9 _I,B4e, SD-4 Minimize Soil Compaction I 0 Yes I 0 No I IAN/A Discussion/justification if SD-4 not implemented: SD-5 Impervious Area Dispersion E&Yes I 0 No I 0 N/A Discussion/justification if SD-5 not implemented: or- Pgyj, rp.iMr V' 56 I14C$.u06( ito Paoszcx, 1tWi '5Ldt'* lNPh(A142 im 5me Pi.AM j\ -1. E-36 Page 3 of 4 Revised 09/16 SD-6 Runoff Collection f $ Yes 0 No I 0 N/A Discussion/justification if SD-6 not implemented: 6Q ui 9coci. p - SD-7 Landscaping with Native or Drought Tolerant Species I 4V'es I 0 No I 0 N/A Discussion/justification if SD-7 not implemented: PI91JG RAK F04 DjP9 or, Y4111I7011 6v6MI 11P4 114c,L6r, MT SD-8 Harvesting and Using Precipitation I 0 Yes I 0 No I JN/A Discussion/justification if SD-8 not implemented: a E-36 Page 4 of 4 Revised 09116 f STORM WATER STANDARDS Development Services ('City o Carlsbad QUESTIONNAIRE Land Development Engineering 1635 Faraday Avenue E-34 (760) 602-2750 www.carlsbadca.gov I 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 (BMPs) into the project design per Carlsbad BMP Design Manual (BMP Manual). To view the BMP Manual, refer to the Engineering Standards (Volume 5). 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 storm 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 PROJECT' requirements or be subject to 'PRIORITY DEVELOPMENT PROJECT' (PDP) requirements. 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 storm 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 completed and signed questionnaire must be submitted with each development project application. Only one completed and signed questionnaire is required when multiple development applications for the same project are submitted concurrently. PROJECT INFORMATION - - PROJECT NAME: PROJECT ID: 1APN: ADDRESS: The project is (check one): 0 New Development [Redevelopment The total proposed disturbed area is: a'152- ft2 ( ) acres The total proposed newly created and/or replaced impervious area is: ZZ7 '1 ft2 t ) acres If your project is covered by an approved SWQMP as part of a larger development project, provide the project ID and the SWQMP # of the larger development project: Project ID Swamp #: Then, go to Step I and follow the instructions. When completed, sign the form at the end and submit this with your application to the city. E-34 Page 1 o14 REV 02/16 : 4j TOBE COMPLETED)ORAL!L PROJECTS ; To determine if your project is a "development project", please answer the following question: YES NO Is your project LIMITED TO routine maintenance activity and/or repair/improvements to an existing building or structure that do not alter the size (See Section 1.3 of the BMP Design Manual for guidance)? If you answered "yes" to the above question, provide justification below then go to Step 5, mark the third box stating "my project is not a 'development project' and not subject to the requirements of the BMP manual" and complete applicant information. Justification/discussion: (e.g. the project includes only interior remodels within an existing building): If you answered "no" to the above question, the project is a 'development project', go to Step 2. : TO BE COMPLETED FOR ALLDEVELLOFMENT PROJECTS 4&t To determine if your project is exempt from PDP requirements pursuant to MS4 Permit Provision E.3.b.(3), please answer the following questions: Is your project LIMITED to one or more of the following: YES NO 1. Constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria: Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non- erodible permeable areas; Designed and constructed to be hydraulically disconnected from paved streets or roads; Designed and constructed with permeable pavements or surfaces in accordance with USEPA Green Streets guidance? 2. Retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in o ri accordance with the USEPA Green Streets guidance? 3. Ground Mounted Solar Array that meets the criteria provided in section 1.4.2 of the BMP manual? D f1 If you answered "yes" to one or more of the above questions, provide discussion/justification below, then go to Step 5, mark the second box stating "my project is EXEMPT from PDP . . ." and complete applicant information. Discussion to justify exemption (e.g. the project redeveloping existing road designed and constructed in accordance with the USEPA Green Street guidance): If you answered "no" to the above questions, your project is not exempt from POP, go to Step 3. E-34 Page 2 of 4 REV 04117 00 To determine if your project is a PDP, please answer the following questions (MS4 Permit Provision E.3.b.(1)): YES NO 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, El I and public development projects on public or private land. Is your project a redevelopment project creating and/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 private land. Is your project a new or redevelopment project that creates and/or replaces 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 0 I refreshment stands selling prepared foods and drinks for immediate consumption (Standard Industrial Classification (SIC) code 5812). 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 D J development project includes development on any natural slope that is twenty-five percent or greater. Is your project a new or redevelopment project that creates and/or replaces 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. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of Impervious street, road, highway, freeway or driveway surface collectively over the entire project site? A street, road, highway, freeway or driveway is any paved impervious surface used for the transportation of automobiles, trucks, motorcycles, and other vehicles. Is your project a new or redevelopment project that creates and/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 Directly to" includes flow that is conveyed overland a distance of 0 LI 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 commingled with flows from adjacent lands). Is your project a new development or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface that supports an automotive repair shop? An automotive repair shop is a facility that is categorized in any one of the following Standard Industrial Classification (SIC) codes: 5013, 5014, 5541, 7532-7534, or 7536-7539. Is your project a new development or redevelopment project that creates and/or replaces 5.000 square feet or more of impervious area that supports a retail gasoline outlet (RGO)? This category includes El RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily Traffic (ADT) of 100 or more vehicles per day. Is your project a new or redevelopment project that results in the disturbance of one or more acres of land 13 and are expected to generate pollutants post construction? 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%? (CMC 0 21 .203.040) If you answered "yes" to one or more of the above questions, your project is a PDP. If your project is a redevelopment project, go to step 4. If your project is a new project, go to step 5, check the first box stating "My project is a PDP ..." and complete applicant information. If you answered "no" to all of the above questions, your project is a STANDARD PROJECT.' Go to step 5, check the second box stating "My project is a 'STANDARD PROJECT'..." and complete applicant information. E-34 Page 3of4 REV 04/17 TO4BE COMPLETED FOR REDEVELOPMENTPROJECTSJHAT/ARE IRIORITY DEVELOPMENT PROJECTS (PDP) ONLYi Complete the questions below regarding your redevelopment project (MS4 Permit Provision E.3.b.(2)): YES NO Does the redevelopment project result in the creation or replacement of impervious surface in an amount of less than 50% of the surface area of the previously existing development? Complete the percent impervious calculation below: - Existing impervious area (A) = sq. ft. 0 0 Total proposed newly created or replaced impervious area (B) = sq. ft. Percent impervious area created or replaced (B/A)* 100 = % If you answered "yes", the structural BMPs required for PDP apply only to the creation or replacement of impervious surface and not the entire development. Go to step 5, check the first box stating "My project is a POP . . ." and complete applicant information. If you answered "no," the structural BMP's required for POP apply to the entire development. Go to step 5, check the check the first box stating "My project is a POP ..." and complete applicant information. JL STEP 5j cCHECKTHEAPPROPRIATEBOX AND COMPLETE APPL!CANT'lNFORMATlON I : El My project is a POP and must comply with POP stormwater requirements of the BMP Manual. I understand I must prepare a Storm Water Quality Management Plan (SWQMP) for submittal at time of application: My project is a 'STANDARD PROJECT' OR EXEMPT from POP and must only comply with 'STANDARD PROJECT' stormwater requirements of the BMP Manual. As part of these requirements, I will submit a "Standard Project Requirement Checklist Form E-36" and incorporate low impact development strategies throughout my project. Note: For projects that are close to meeting the POP threshold, staff may require detailed impervious area calculations and exhibits to verify if 'STANDARD PROJECT' stormwater requirements apply. El My Project is NOT a 'development project' and is not subject to the requirements of the BMP Manual. Applicant Information and Signature Box Ir-t ND 1C'7U1C- - Applicant Name: sot — Applicant Title: Rvtli.__i -i,v=t~. Applicant Signature: Date: I 3I 8 * Environmentally Sensitive Areas Incluae but are not uimitea to ah uean Water p.ct ceaiuuri ,uu, ImpdIreu wdler uuu,. uiv n, Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); areas designated as preserves or their equivalent under the Multi Species Conservation Program within the Cities and County of San Diego; Habitat Management Plan; and any other equivalent environmentally sensitive areas which have been identified by the City. ThiR Rfw few Cliv Use Only - City Concurrence: YES NO o [1 By: Date: Project ID: E-34 - Page 4 of 4 REV 04117 BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE Erosion Control Tracking Non-Srm Water Waste Management and Materials BMPs Sediment Coro S BMP Control Control BMPs Management BMPs Pollution Control BMPs C C C 0 - h ' — Best Management Practice* 0 . 0 ( a, (BMP)Descnption — g — , — W 0 0 -R— .i- . D a '- a ) -D C .2 00 . 0L 3 -o 0 a, -'-so . '- - . C . ' E -'o - 0 - . C -0 0 C 00 NC CC Lii 2 U) Cl) Cl) () Li i_ ( ..-. 0 Cl)>. 0 Cl) ..-' Cl) 0.. .i-' Cl) . .... 0 Cl) C 0 Q a C 0 0 0 0.. a) > C) D. Cl) 0 Cl) 0. 0 Cl) 0 00 Cl) 00 0 0 0 CASQA Designation -3 N U) 0) . N) 'it In CO N U) .- C4 - ) U) T C.J P7 (? 90 JLLL1JJJL1JL1JLIiLL Construction Activity Lii Lii Lii Lii Cl) Cf) Cl) in Cfl Cl) CI) Cl) I I - Grading/Soil Disturbance - - - - — - - — - - - — - - - - - - - - Trenching /Excavation - - - - - - - - - - - - - - - - - - - - - - Stockpiling - - - - - - - - - - - - - - - - - - - - — -- Drilling/Boring _ - Concrete/Asphalt Sawcutting - - - - — — — — - - — - - - - - - — — - - — Concrete Flatwork - Paving - - - --- - - - - - - - - - - - - - - - - - — Conduit/Pipe Installation — - - -- - — — - - - — - - - — - - — - - — — - - Stucco/Mortar Work — — --- -- -- — - — — - - - — - - - - - — - - — — - Waste Disposal - - - ---- - - - - - - - - - - - - - - - - - - - - - Staging/Lay Down Area — - - - - - - — - - - - - - — - - — — — Equipment Maintenance and Fueling -- - --.- -- -- -- — Hazardous Substance Use/Storage --- - Dewatering - - --- - - - - - - - - - - - - - - _ - - - Site Access Across Dirt --- - Other (list): - - --- - - - — - - — — — — — — — - - — - — - Instructions: Check the box to the left. of all applicable construction activity (first column) expected to occur during construction. Located along the top of the BMP Table is a list of BMP's with it's corresponding California Stormwater Quality Association (CASQA) designation number. Choose one or more BMPs you intend to use during construction from the list. Check the box where the chosen activity row intersects with the BMP column. Refer to the CASQA construction handbook for information and details of the chosen BMPs and how to apply them to the project. STORM WATER COMPLIANCE FORM TIER I CONSTRUCTION SWPPP - nQdol 9 - /a(, STORM WATER POLLUTION PREVENTION NOTES ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN IS EMINENT. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING RAINFALL. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. 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 PECENT (407.). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM AGGREGATE. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTEC110N BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY REGULATIONS. OWNER'S CERTIFICATE: I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRAC110ES (BMPS) DURING CONSTRUCTION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO AVOID 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 UN11L THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD (P 1) OWNEK(Sj~~E NAME (SI69PUR-ET-_ DATE E-29 PROJECT INFORMATION Site Address: 2-14q- I S1A'k1. V t kc4 Assessor's Parcel Number: Emergency Contact: Name:J0r' tP' 24 Hour Phone: Construction Threat to Storm Water Quality (Check Box) 0 MEDIUM 1' LOW Page 1 of 1 REV 11/17 City of of Carlsbad cbR2018-2604 10/9/2018 <r~"City of WASTE MANAGEMENT Develonment Services Building Division Carlsbad PLAN 1635 Faraday Avenue 760.602-2719 B 59 www.carirbadcs.gov Owner: Contractor: Job Address: Phone 'umber_____________________________________________ Permit 0,_____________________________________ Es2nrtjted Cost of Project $_________________________________ Type of Project: ci New constmction []Remodel or Ti. Residential ElCornmescial a Demolition (check all that apply) [ Other Non4tazardous construction waste generated during the course of this project shall be recycled and/or salvaged for re-use at a minimum of 50% per cALGreen Soc. 5.408.1. Failure to comply may result in a penalty fee up to $1.000. For projects which consist of mainly equipment and/or mcking, that have a combined weight of new construction disposal that does not exceed 2 lbs per square foot of building area affected by this permit. may be deemed to meet, the 50% minimum requirement upon approval of Building Department. ALTERNATIVE FORMS OF COMPLIANCE: (if selected, do not complete Tables I & 2 below) 0 construction waste shall not exceed 2 lbs. per sf. of area. All receipts shall be provided to the BuiidlngOfficlai priorto final. (This option not applicable for most construction projects.) Square feet of construction area —X 2 lbs. ___________________ lbs. of allowable waste. I plan on using a WASTE MAfAGEMENT roll-off bin. All receipts shall be provided to the Building Official prior to final. Table 1 - Estimated Waste (To be filled out prior to permit Issuance - refer to example on Page 2.) MATERIALS lbs. of waste to betaken to LANDFILL lbs. of waste to be RE-USED or RECYCLED Waste Hauling Company or Re-Use Method Asphalt/ Concrete Brick / Masonry Cardboard Dr,wail Landscape Caiais Lumber/ Woad Metals Mixed Waste Trash / Garbage Other: TOTAL lb,- Estimated Percentage to be Re-Used or Recycled_____________ I certify that the information provided herein, to the best of my knowledge. Is true and correct. Contiactere, QAtar (printnaine) Contractor as QAtar isgnatrue) Data Official Use Only 0 Plan Approved 0 Plan Denied 0 Project Valuation Approved Reviewed / Approved by:_________________________________________ Page lot 2 City of Carlsbad cbR2018-2604 10/9/2018 \/ CITY OF CAR LSBAD SPECIAL INSPECTION AGREEMENT B-45 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov In accordance with Chapter 17 of the California Building Code the following must be completed when work being performed requires special inspection, structural observation and construction material testing. 'roject/Permit: Project Address: THIS SECTION MUST BE COMPLETED BY THE PROPERTY OWNERIAUTHORIZED AGENT. Please check if you are Owner-Builder Cl. (If you checked as owner-builder you must also complete Section B of this agreement.) Name: (Please pñnt) (First) (M I) (Last) Mailing Address Phone: I am: OProperty Owner OProperty Owner's Agent of Record DArchitect of Record DEngineer of Record State of California Registration Number Expiration Date: AGREEMENT: I, the undersigned, declare under penalty of perjury under the laws of the State of California, that I have read, understand, acknowledge and promise to comply with the City of Carlsbad requirements for special inspections, structural observations, construction materials testing and off-site fabrication of building components, as prescribed in the statement of special inspections noted on the approved plans and, as required by the California Building Code. Date: CONTRACTOR'S STATEMENT OF RESPONSIBILITY (07 CBC, Ch 17, Section 1706). This section must be completed by the contractor / builder / owner-builder. Contractor's Company Name: Please check if you are Owner-Builder 0 Name: (Please print) (First) (Mi,) (Last) Mailing Address: Email: Phone: State of California Contractor's License Number: Expiration Date: I acknowledge and, am aware, of special requirements contained in the statement of special inspections noted on the approved plans; I acknowledge that control will be exercised to obtain conformance with the construction documents approved by the building official; I will have in-place procedures for exercising control within our (the contractor's) organization, for the method and frequency of reporting and the distribution of the reports; and I certify that I will have a qualified person within our (the contractor's) organization to exercise such control. I will provide a final report/letter in compliance with CBC Section 1704.1.2 prior to requesting final inspection. Signature: Date: 5-45 Page 1 of 1 Rev. 08/11 City of Carlsbad cbR2018-2604 10/9/2018 Table 2 -Actual Waste (To be completed after construction.) MATERIALS lbs. of waste taken to LANDFILL lbs. of waste RE-USED or RECYCLED Waste Hauling Company or Re4Jse Method (complete only If different than Table 1) Asphalt/ Concrete Stick / Masonry Cardboard Drywall Landscape Debris Lumber/ Wood Metals Mired Waste Trash / Garbaife Other TOTAL lbs.: Actual Percentage Re-Used or Recycled Official Use Only 050% Goal Achieved 050% Goal Not Achieved 0 Alternative Compliance Achieved Penalty Paid $__________________ Reviewed/ Approved EXAMPLE: Uso the following example as a guide to completing this form. MATERIALS tbs,. of waste to be totwi, to LANDFILL thL of waste to be RE-USED or RECYCLED Waste Hoding Company or Rey-the Method Mpbalt/Concrete 0 2000 LdZi Co. 3xiclt IMasoszy IDo 450 wtt / R2.L4c PAek Oii.-si Cardboard . 115D AP, Q 14407 40, c. Dywail 0 50 AtC PmiltsL4,, Co. Landscape Debits 0 i2D Mt.Lcd OPa-s.t Lumber I Wood 0 waste vtt Mets!; 300 200 1A1M /AC itg Mixed Waste isoo o TrasbIGa.bage 300 0 KIAA Ober PoL 4.Iv 0 1 9D0 A4I CS Crushool Scise cv-te TOTAL lbs.: 00 0 Percentage to be Re-Used or Recycled 59 % Formula: Total Re-used or Recycled X 100 % Re-Used or Recycled (Total Combined Waste) 3870 X 100 59% Re-Used or Recycled 12700+ 3870) Since 59% exceeds the minimum requirement of 50%, this plan complies. Page 2 or