HomeMy WebLinkAbout2487 WELLSPRING ST; ; CB160769; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-29-2016 Pool Permit Permit No: CB160769
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2487 WELLSPRING ST CBAD
POOL Status:
Parcel No: 2081929200
$16,086.00
Lot#: 0 Applied:
Valuation: Construction Type: NEW Entered By:
Reference #:
PC#:
Project Title:
Applicant:
CARRIE JONES
619-884-3891
Building Permit
eMU:b eo.~.-\'~Gl-
~312 SF POOL/
& SPA W/ GAS FOR FIRE FEATURE
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Electrical Fee
Plumbing Fee
Strong Motion Fee
Green Bldg Standards (SB1473) Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
Plan Approved:
Issued:
Inspect Area:
Owner:
RANCHO COSTERA, LLC
STE 200
725 W TOWN AND COUNTRY RD
ORANGE CA 92868-4723
760-476-0008
ISSUED
02/26/2016
JMA
03/29/2016
03/29/:2016
$176.68
$0.00
$123.G8
$0.00
$35.00
$35.00
$2.09
$1.00
$0.00
$0.00
$0.00
$0.00
$373.45
Total Fees: $373.45 Total Payments To Date: $373.45 Balance Due:
Inspector:
FINAL APPROfL
Date: 5---,5-f Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter colleclively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest ifr4)osition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Seclion 66020(a), and file the protest and any other required information with the City Manager for
processing in a=rdance with Carlsbad Municipal Code Seclion 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.
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-29-2016
Storm Water Pollution Prevention Plan {SWPPP) Permit
Permit No:SW160103
Job Address:
Permit Type:
Parcel No:
Reference #:
CB#:
Project Title:
2487 WELLSPRING ST CBAD
SWPPP
2081929200 Lot#:
CB160769
RANCHO COSTER: POOL I SPA
0
Applicant: Owner:
CARRIE JONES
619-884-3891
Emergency Contact:
AARON TEMME
760-960-3434
SWPPP Plan Check
SWPPP Inspections
Additional Fees
TOTAL PERMIT FEES
Total Fees: $282.00 Total Payments To Date:
Status:
Applied:
Entered By:
Issued:
Inspect Area:
Tier:
Priority:
ISSUED
02/26/2016
JMA
03/29/2016
1
M
$54.00
$228.00
$0.00
$282.00
$282.00 Balance Due:
FIN t, , .PPRC»\fAL
SIGNATURE __
$0.00
:FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: ENGINEERING
City of
Carlsbad
JOB ADDRESS
CT/PROJECT #
EXISTING USE
APPLICANT NAME
Primary Contact
ADDRESS
CITY
ADDRESS
CITY
PHONE
EMAIL
STATE
FAX
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
.carlsbadca.gov
Est. Value
Plan Ck. Deposit
Date
SUITE#/SPACE#/UNIT# A~
#BATHROOMS TENANT BUSINESS NAME
'· Cl
GARAGE (SF) PATIOS (SF)
ZIP
ZIP
OCC. GROUP
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, 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 Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 performance of the work for which this permit is issued.
0 I have and will maintain workers' •\o'P~.?.~rf~on', a~-~:~ui~ed by se6ti~~.37~0. of :th1e L1bor lCodf:~; tr,e perfomnan(~Jt~ IYJ'k (or~fh\ch~i~.f~~mnit1t:~~ed1 ~Y workers' compensation:~~~n:~~_e\ ~n~yolicy
number are: Insurance Co. I ,.j; (JlJ '· \ • ' 1· , •• ,_.{ ,!,-,l.; I .t ... ,.' t. '' '· v, • ) ' ' Policy No. r \ ' • ·.,; { / f, ;.• l ;· (.• Y ,· f,/ Expiration Date ·~/ """''-·'· t 1.!. • ~ t. . ,. 1 li ... ·~ . ~ '--""' -·
This section need not be completed if the permit is for one hundred dollars ($1 00) or less. I 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 become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' ,compensation coverage is unlawful, an;;t_shall subject an employer to criminal penalties and civil fines up to one hundred dollars (&100,000), in
addition to the cost of compensation, damages as . in Section 3706 ofth~~tabor ~ode, interest and attorney's fees. · ' .. ' ' _2S CONTRACTOR SIGNATURE . . ·, , ' \ ' .
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
D
D
D
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
I, as owner of the property, am exclusively 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 projecls 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. DYes 0No
2. I (have I have not) signed an application for a building permit for the proposed work,
3. I have contracted with the following person (fimn) 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, supervise and provide the major work (include name I address I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone 1 type of work):
_2S PROPERTY OWNER SIGNATURE 0AGENT DATE
I certifytllat I have read tlle application and state tllattlle above infonnation is correct and tllat the infonnation on tlle plans is accurate. I agree to comply with all City ordinances and State law.> relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly 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 penn it is requirec for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every pennitissued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building ormrk authorized by such pennit is not commenced Vv1thin
180days ffom the date of such penn it or if the building ormrk authorized by such penni! is suspended or at any time after the mrk is commenced for a peQod of 180 days (Section 106.4.4 Unifonn Building Code) .
• ~----· •> • c' ' •' f,'
.f ~APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFICATE OF OCCUPANCY !Commercial Projects Only)
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
I CO#: {Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
0 PICKUP: o CONTACT {Listed above) .o OCCUPANT {Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATED CB# 0 MAIL TO: o CONTACT (Listed above) o OCCUPANT {Listed above)
o CONTRACTOR {On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION
0 MAIL/ FAX TO OTHER:
o CHANGE OF USE/ NO CONSTRUCTION
_liS APPLICANT'S SIGNATURE DATE
n List
Permit#: CB160769 Type: POOL RANCHO LA COST A: 312 SF POOL/
& SPA W/ GAS FOR FIRE FEATURE
Date __ _!r:~sp~ction Item _______ ~ Inspector Act Comments --------
05/03/2016 55 Fence/Pre-Plaster Rl PM PLEASE
05/03/2016 55 Fence/Pre-Plaster PB AP
05/03/2016 59 Final Pool Rl PM PLEASE
05/03/2016 59 Final Pool PB AP
04/19/2016 51 Excav/Steei/Bonding/Fence PB AP
04/15/2016 66 Grout PB PA
04/07/2016 66 Grout PB NR
03/31/2016 21 Underground/Under Floor PB AP
03/31/2016 23 Gasrr est/Repairs PB AP
03/31/2016 51 Excav/Steei/Bonding/Fence PB AP
03/31/2016 53 Electric/Conduit/Wiring PB AP
Tuesday, May 03, 2016 Page 1 of 1
CITY OF
B
PLAN CHECK
REVIEW
TRANSMITTAL
DATE: 03-03-2016 PROJECT NAME: ROBERTSON RANCH POOL/SPA/FIREPIT
PLAN CHECK NO: SET#: 1 ADDRESS: 2487 WEllSPRING ST.
VALUATION/SCOPE OF WORK: $16,086
Community & Economic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www.carlsbadca.gov
PROJECT ID: CB16-0769
APN: 208-192-92-00
This plan check review is complete and has been APPROVED by the ENGINEERING
Division.
By: CGJ/316
A Final Inspection by the Division is required ,Yes ,f No
This plan check review is ~,QTCOMPI;:!TE. Items missing or incorrect are listed on the
attached checklist. Please resubmit amended plans as required.
NOTE: ONLY ITEMS THAT NEED CORRECTION/CLARIFICATION ARE MARKED X.
Plan Check Comments have been sent to: CARRIEJONES®HOTMAILCOIVI
',You,·m~Y,Il~,n~,ve 'eo(recJiops'fri1riFoiie''"St 'rnorfi''of'the'dwlslons'1iSfectJHtlow.AIJPcPval
tffem'tbist~ (1fyl$1oils may be:~(lifiiirecl.,('IQC: tQ,:tflA i~U@flQ-bfa~balldtngperf(llt.
RttJiittrfitted,Pttfl3?SIIould lnclU,cle:,t,~UKttlon~'''fi;:Oftl,lill,,,.tliV/sl•;~
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
Gina.Ruiz@carlsbadca.gov Linda.Ontiveros@carlsbadca.gov
Dominic.Fieri@carlsbadca.gov
Remarks:
E-37
Any outstanding issues will be marked with an [X] Make the necessary corrections for
compliance with applicable codes and standards. Submit corrected plans and/or specifications to
the Building division for re-submittal to the Engineering divisions.
Items that conform to permit requirements are marked with [{]
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:
;~.{J 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 i Fill Import ... Export[.
Project does not comply with the following engineering conditions of approval
for project no:
····· 'l Conditions were complies with by:
LOT NO. 208
MAP NO. 16091
REF. NO. CT 13-03
Page 2 of 4
Date:
REV 6/2012
NOR.O.W.
PERMIT PER
PLANS
E-37
1
2. GRADING PERMIT REQUIREMENTS
3.
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"
Grading Permit required. NOTE: The grading permit must be issued and rough 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.
MISCELLANEOUS PERMITS
L _ .1 RIGHT-OF-WAY PERMIT is required to do work in city right-of-way and/or private work
adjacent to the public right-of-way.
A separate right-of-way issued by the engineering division is required for the following:
Please complete attached right-of-way application form and return to the engineering
department together with the requirements on the attached right-of-way checklist, at
the time of resubmittal.
Right-of-way permit and pool permit will be issued simultaneously.
Page 3 of 4 REV 6/2012
E-37
1
4. STORM WATER
Construction Compliance
i Project Threat Assessment Form complete1 Z : incomplete
-L.. Requires Tier 1 Storm Water Pollution Prevention Plan. Please complete attached form
and return (SW 16-103 )
Requires Tier 2 Storm Water Pollution Prevention Plan. Requires submittal of Tier 2
SWPPP, payment of processing fee and review by city.
Post-Development (SUSMP) Compliance
Storm Water Standards Questionnaire complete I incomplette
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/EngStandsw-stds-vol4-ch2.pdf
Project needs to incorporate low impact development strategies throughout in one or
more of the following ways:
Rainwater harvesting (rain barrels or cistern)
Vegetated Roof
...• Bio-retentions cell/rain garden
Pervious pavement/pavers
Flow-through planter/vegetated or rock drip line
Vegetated swales or rock infiltration swales
Downspouts disconnect and discharge over landscape
Qth~L
5. ADDITIONAL COMMENTS
Page 4 of 4 REV6/2012
City of
Carlsbad
DETERMINATION OF
PROJECT'S SWPPP
TIER LEVEL AND CONSTRUCTION
THREAT LEVEL
E-32
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
I'm ~pplying for:_ D pr~~2;Permit ~~uilding Permit D Right-of-way permit D Other
ProJect Na~.:L !--err ~··3 .1 ProJe,cU!?i , DWG #/CB#
Address: 0\Yr\ l r:>.PULDrtt\tJ,Q\APN OU~./~tl¥li boisturbed Area_:___,'"A=-,---7-----,....-A-c -~ \ ~ b
Section 1: Determination of Project's SWPPP Tier Level
(Check applicable criteria and circle the corresponding SWPPP Tier Level, then go to section 2)
Exempt-No Threat Project Assessment Criteria
My project is in a category of permit types exempt from City Construction SWPPP requirements. Provided
no significant grading proposed, pursuant to Table1, section 3.2.2 of Storm Water Standards, the
f.C?..!!gYY.i0.9 .. .!?.~E!:!.!.i~:?. .. §f~--~~~-~P..t..:f.~'?..Q:"! ... ~Y.Y.P..~.!: .. E~.9.~!E~.Q:"!.~~t.~.~---··································-r············································································ ........... ,
~ >-Electrical ! >-Patio ~ >-Mobile Home ~ >-Plumbing ~ >-Spa (Factory-Made) !
f•••••••••••••••••••••••••••••••••··•••••••••••••••••••:;••••••••••••••••••••••••••••••••••••••••••••••f"""""""""""""""""""""""""""""""""""""""""""""""""""""""f••••••••••••••••••••••••••••••••••••••••••+•••••••••·•••••••••••••••••••••••••••••••••••••••••••••••.o•••••••••••••••••o•oO•oO••••i
~ >-Fire Sprinkler >-Mechanical : >-Re-Roofing : >-Sign ~ >-Roof-Mounted Solar Array ~ :.... : .:. .................••................................................•..................... ~
Tier 3-Significant Threat Assessment Criteria-(See Construction General Permit (CGP) Section I. B)*
0 My project includes construction or demolition activity that results in a land disturbance of equal to or
greater than one acre including but not limited to clearing, grading, grubbing or excavation; or,
0 My project includes construction activity that results in land disturbance of less than one acre but the
construction activity is part of a larger common plan of development or the sale of one or more acres
of disturbed land surface or,
0 My Project is associated with construction activity related to residential, commercial, or industrial
development on lands currently used for agriculture; or
0 My project is associated with construction activity associated with Linear Underground/overhe;ad
Projects (LUP) including but not limited to those activities necessary for installation of underground
and overhead linear facilities (e.g. conduits, substructures, pipelines, towers, poles, cables, wire,
towers, poles, cables, wires, connectors, switching, regulating and transforming equipment and
associated ancillary facilities) and include but not limited to underground utility mark out, potholing,
concrete and asphalt cutting and removal, trenching, excavation, boring and drilling, access road,
tower footings/foundation, pavement repair or replacement, stockpile/borrow locations.
0 Other per CGP
Tier 2-Moderate Threat Assessment Criteria: My project does not meet any of the Significant Threat
Assessment Criteria described above and meets one or more of the following criteria:
0 Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the
Carlsbad Municipal Code); or,
0 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 Apr. 30).
Tier 1-Low Threat Assessment Criteria
Gr My project does not meet any of the Significant or Moderate Threat criteria above, is not an exempt \l oermit type per above and the project meets one or more of the following criteria:
c-..-'= results in some soil disturbance; and/or
• includes outdoor construction activities (such as roof framing, saw cutting, equipment washing,
material stockpiling, vehicle fueling, waste stockpiling)
SWPPP
Tier Level
Exempt
Tier3
Tier2
Tier 1
* Items listed are excerpt from CGP. CGP governs cntena for tnggers for T1er 3 SWPPP. Developer/owner shall conf1rm coverage
under the current CGP and any amendments, revisions and reissuance thereof.
E-32 Page 1 of 2 Rev. 2/16/16
SWPPP Section 2: Determination of Project's Construction Threat Level
Tier (Check applicable criteria under the Tier Level as determined in section 1, circle Construction
Level the corresponding Construction Threat Level, then complete the Threat Level
signature block below)
Exempt -Not Applicable -Exempt
Tier 3 -High Construction Threat Assessment Criteria: My Project meets one or more of the
following:
0 Project site is 50 acres or more and grading will occur during the rainy season
0 Project site 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
0 Soil at site is moderately to highly erosive (defined as having a predominance of soils
Tier3 with USDA-NRCS Erosion factors kf greater than or equal to 0.4)
0 Site slope is 5 to 1 or steeper
0 Construction is initiated during the rainy season or will extend into the rainy season (Oct.
1 -April 30).
0 Owner/contractor received a Storm Water Notice of Violation within past two years
Tier 3 -Medium Construction Threat Assessment Criteria Medium 0 All projects not meeting Tier 3 High Construction Threat Assessment Criteria
Tier 2-High Construction Threat Assessment Criteria: My Project meets one or more of
the following:
0 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
0 Soil at site is moderately to highly erosive (defined as having a predominance of soils
with USDA-NRCS Erosion factors kf greater than or equal to 0.4)
High
Tier2 0 Site slope is 5 to 1 or steeper
0 Construction is initiated during the rainy season or will extend into the rainy season (Oct.
1-Apr. 30).
0 Owner/contractor received a Storm Water Notice of Violation within past two years
0 Site results in 1 0, 000 sq. ft. or more of soil disturbance
Tier 2-Medium Construction Threat Assessment Criteria Medium 0 My project does not meet Tier 2 High Threat Assessment Criteria listed above
Tier 1 -Medium Construction Threat Assessment Criteria: My Project meets one or more
of the following:
0 Owner/contractor received a Storm Water Notice of Violation within past two years Medium 0 Site results in 500 sq. ft. or more of soil disturbance
Tier 1 0 Construction will be initiated during the rainy season or will extend into the rainy season
(Oct.1-April 30)
Tier 1 -Low Construction Threat Assessment Criteria Low 0 My project does not meet Tier 1 Medium Threat Assessment Criteria listed above
I cert1fy to the best of my knowledge that the above statements are true and correct. I Will prepare and subm1t an appropnate t1er level SWPPP as determ1ned above
prepared in accordance with the City SWPPP Manual. I understand and acknowledge that I must adhere to and comply with the storm water best management
practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards at all times during construction activities for the permit type(s) checked above.
The City Engineer/Building Official may authorize minor variances from the Construction Threat Assessment Criteria in special circumstances where it can be shown
that a lesser or higher SWPPP Tier Level is warranted.
Ownet~er's Authorized Agent Sign~
Wr~t j[)l~ '>
E-32
Title:~!~\_\
\
Page 2 of2
City Concurrence: Yes No
(For City Use Only)
By:
Date:
Project ID:
Rev. 2/16/16
. Cicyof
Carlsbad
STORM WATER
STANDARDS
QUESTIONNAIRE
E-34
Development Services
land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
To address post-development pollutants that may be generated from development projects, the requires that new
development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management
Practices (BMP's) 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
tl concurren :1y.
/'i, :.~:1:;:,:r+'~~ ··::;;' ,,:i!i~'IIi:;~:,fU:. i:!i'1u::J;:::;:;i,:::::,.,,:I:J::1:::~: :,;::i::::;
PROJECT NAME:
PROJECT ID:
The project is (check one): 0 New Development 0 Redevelopment
The total proposed disturbed area is: ft2 ( _)acres
The total proposed newly created and/or replaced impervious area is: ft2 ( ) 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: SWQMP#:
Then, go to Step 1 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 of4 REV 02/16
YES NO
Does the redevelopment project result in the creat 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.
Total proposed newly created or replaced impervious area (B)= sq. ft.
Percent impervious area created or replaced (B/A)*1 00 = %
If you answered "yes", the structural BMP's 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 PDP ... " and complete
applicant information.
If you answered "no," the structural BMP's required for PDP apply to the entire development. Go to step 5, check the
check the first box stating "My project is a PDP ... " and complete applicant information.
0 My project is a PDP and must comply with PDP stormwater requirements of the BMP Manual. I understand I must
prepare a Storm Water Quality Management Plan (SWQMP) for submittal at time of application.
0 My project is a 'STANDARD PROJECT' OR EXEMPT from PDP 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 PDP threshold, staff may require detailed impervious area calculations and
\ ~ exhibits to verify if 'STANDARD PROJECT' stormwater requirements apply.
~y Project is NOT a 'development project' and is not subject to the requirements of the BMP Manual. A~plica?{ Information and Signature Box
Assessbr\~a,rcel ~umberrsO 0
\ ;(AM!\~)
Applicanfl\Jarrte: '"' -....:::; () l OPI' J \ P \.f'JV,a (
Applicant Title:
Applicant Signature: ~ '---'" J Date:
* Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas designated as Areas of
Special Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and
amendments); water bodies designated with the RARE beneficial use by the State Water Resources Control Board (Water Quality Control Plan for the San
Diego Basin (1994) and amendments); areas designated as preserves or their 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.
This Box for City Use Only
City Concurrence: I YES I NO
I I
By:
Date:
Project ID:
E-34 Page 4 of4 REV. 02/16
CiQrof
Carlsba,d
STANDARD PROJECT
REQUIREMENT
CHECKLIST
E-36
Development Services
land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
All development projects must implement source control B through SC-6 applicable and feasible.
See Chapter 4 and Appendix E.1 of the BMP Design Manual 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 E.1
ofthe 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. Discuss,ion/justification must
be provided.
• "N/A" 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
SC-3 Protect 0
Runoff and
not implemented:
Stored in Outdoor
rash Storage Areas
Discussion/justification if SC-5 not implemented:
E-36
D N/A
D N/A
D N/A
Page 1 of 3 REV 02/16
on rces must
answer for each source listed below and identify additional BMPs. (See
Table in Appendix E.1 of BMP Manual for guidance).
o On-site storm drain inlets
D Interior floor drains and elevator shaft sump pumps
D Interior parking garages
D Need for future indoor & structural pest control
D Landscape/Outdoor Pesticide Use
D Pools, spas, ponds, decorative fountains, and other water features
D Food service
D Refuse areas
D Industrial processes
D Outdoor storage of equipment or materials
D Vehicle and Equipment Cleaning
D Vehicle/Equipment Repair and Maintenance
D Fuel Dispensing Areas
D Loading Docks
D Fire Sprinkler Test Water
D Miscellaneous Drain or Wash Water
D Plazas, sidewalks, and parking lots
For answers, identify the additional BMP per Appendix E.1. Provide
E-36 Page 2 of3
DYes o No ~/A
DYes D No ~N/A
DYes D No D'{RJ/A
DYes D No OfN/A
DYes ~0 D N/A
~Yes D No D N/A
DYes ffNo D N/A
'1'3 Yes D No D N/A
DYes D No D N/A
.flPYes D No D N/A
DYes ~ D N/A
DYes qi,No D N/A
DYes ~No D N/A
DYes 0;1\lo D N/A
DYes l:irNo D N/A
DYes ---8 No D N/A \ DYes ~0 D N/A
answers.
REV. 02/16
ae\telcmment projects must implement site design BMPs SD-1 through SD-8 where applicable and feasible. See
Chapter 4 and Appendix E.2 thru E.6 of the BMP Design Manual 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 I 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.
• "N/A" 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).
· · ustification m be rovided.
E-36 Page 3 of3 REV. 02/16
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 INSPECTOR AFTER EACH RUN-OFF PRODUCING
RAINFALL.
3. 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.
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 PECENT
( 40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER
EACH RAINFALL.
5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM
AGGREGATE.
6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER
PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST
BE INSTALLED AND MAINTAINED.
7. 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 PRACTICES (BMPS) DURING CONSTRUCTION
ACTIVITIES TO TIHE MAXIMUM EXTIENT PRACTICABLE TO AVOID
TIHE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO
AVOID TIHE EXPOSURE OF STORM WATER TO CONSTRUCTION
RELATIED POLLUTANTS; AND {2) ADHERE TO, AND AT ALL TIMES,
COMPLY WITIH TIHIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP
TIHROUGHOUT TIHE DURATION OF THE CONSTRUCTION ACTIVITIES
UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED
BY TIHe;ITY 0. F CARLSBAD.
' .-<.. ' -{:'f.. ./OU_)
OWNER{S)/OW~ A~AME {PRINT)
OWNER{S
E-29
_I __j '(V ~
STORM WATER COMPLIANCE FORM
TIER-1 CONSTR.UCTION SWPPP
E-29
CBt ro-07(oCf
sw&-;o3
BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE
Erosion Control Sediment Control BMPs Tracking Non-Storm Water Waste Management and Materials
BMPs Control BMPs Management BMPs Pollution Control BMPs
c:: ..... c:: c:: 0 ..... 0 0 :;:; c:: c:: -c :;:; :;:; 0'1 0 (!) -c (!) -c m c:: u u c:: c:: 0'1 E c:: E c:: ..... 0 :::J :::J 0 '0 ·;::: a. 0 0 0 ..... .... .... (!) (!) E (!) :;:; ...... >. ;::::!; -c m 0'1 .... ..... ..... 0 c:: .;:;;:::_ :::J 0'1 ..... c::<D .... (!) c m m m ·;::: c:r .... 0 c:: m 0'1 a. (]) c:: c:: > .... (!) 0 o-a ·;::: -em C!l w c:: 0 Best Management Practice* ~ c:: 0 CD a. .... 0(1) 0 .... (!) > :;:; :s: .... m ~ m .... (!) 0 .f: u (!) ..... (!) 0 ..... ..c c:: .,... E u .... m ~ -c Q) m ;::::!; c:: <DC: c:: (BMP) Description ~ m u (l)V'l ·o m 0'1 (1)0'1 CD 0 c:: 0'1 c:: -om c:: (!) ..... (!) m (!) ~ "S ~(I) (]) ..... 0 0 ~c:: .... 0 -ow -c>. om C::c:: 00'1 0 ::J > :3E :::J E .... u 0 0 0 (!) :;:; ;::::!; 0 c:: c:: 0 CD (J)•-0'1 0:;:; (!) ........... ~0 (_)(]) :§~ (!) 0 (!) 00'1 (!) 0::: E 0 N m Ol+:i (!) 0 ·a. ..__ :S:<D X (]) Ehl
u (!) c:: a..e -cOl (!) 0 lJ.._ E ~ Q) ..... :::J ..c =m =~ .... ·-c:: 0 :0 u ·c: .... 0 ·;::: .:.:: 0'1 l:;o -c ..Cc:: (!) .... (l):::J ·-(!) ·--c .20 -cO ..... ...... _ a. '0 u Q) > -c ......... ..c.._ ..co ·-.... 0 ·-0 Q) .... Q) u _ .....
0 0 (!) Q) u c:: E;_Q. ..... .s=Q) +'o ..... 0 = c:: ·-c:: NC::
(]) 0 1...0 0 ::!:: (!) .s= ..c 0 .Po 00 00'1 .So 0 0 0 o...., 0 a.o (50 oo 01... .... 0 ..... .... .... c:: :s:ct ~C3 ..... C!l :s: wo V'i iJi (/') u Li: C!l V'l> (/') (/') 0.. (/')_ V'lO::: 0..0 0.. ;::::!;(/') ;::::!; (/') (/')(.) (/');::::!; :::I:;:!;
CASQA Designation ~ " co en ~ 1"'1 ..q. I!) co " co 0 <'I 1"'1 " co ~ N 1"'1 ..q. L!) co I ~ I ~ I I I I I I I I I I I I I I I I I I I I I I u u u u w ? w w w w w w g: g: (/') (/') (/') (/') ~ ~ ~ ~ ~ ~ Construction Activity w w w w (/') (/') (/') (/') (/') (/') (/') :z: :z: :z: ':z:
-1 Grading/Soil Disturbance IV"" /' .......-
{ ;Trenching/Excavation v / /
_l_ Stock(liling \./ ,/
[...Drilling/Boring v
'[;Concrete/ Asphalt Sawcuttin_g
" Concrete Flatwork
[,Raving
1 Conduit/Pipe Installation
!fitucco/Mortar Work
' Waste Disposal
Stagin_g/Lay_ Down Area
Equipment Maintenance and Fueling
Hazardous Substance Use/Storage
Dewatering
Site Access Across Dirt
Other (list):
Instructions:
1. Check the box to the left of all applicable construction activity {first column) expected to occur during construction.
2. 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.
3. Refer to the CASQA construction handbook for information and details of the chosen BMPs and how to apply them to the project.
(!) ..... m 0+' :s:c:: (!)
<DE ..... (!) ~0'1 uo c::c:: 0 0 U;:::!;
co
I ~
'
_.,..
../
PROJECfiNFORMA;;r;~ \0':>.-:£,2:-Q) . I C'~
Site Address: dfj d-'fB'J ~liQV11\ .)
' Parcel Number Assessors
Emergeooy Contoo~N 1trY\.I'l!~ , :-f
Nom" .:JLQo-tj'(£10 -5{)'f 24 Hour Phone.
Construction Threat to Storm Water Quality
{Check Box)
~ MEDIUM 0 LOW
/
Page 1 of 1 REV 02/16
PLANNING DIVISION
BUILDING PLAN CHECK
APPROVAL
P-29
DATE: 3/2/16 PROJECT NAME: POOL/SPA PROJECT ID:
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
PLAN CHECK NO: CB160769 SET#: ADDRESS: 2487 WELLSPRING ST APN:
[g] 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 DYes [XI No
You may also have corrections from one or more of the divisions listed below. Approval
from these divisions may be required prior to the issuance of a building permit.
Resubmitted plans should include corrections from all divisions.
D This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check APPROVAL has been sent to: CARRIEJONES@HOTMAIL.COM
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
PLANNING ENGINEERING FIRE PREVENTION
760-602-4610 760-602-2750 760-602-4665
D Chris Sexton Chris Glassen Greg Ryan
760-602-4624 760-602-2784 760-602-4663
Chris.Sexton@carlsbadca.gov Christogher.Giassen@carlsbadca.gov GregOI:y.Ryan@carlsbadca.gov
[g) Gina Ruiz VaiRay Marshall Cindy Wong
760-602-4675 760-602-2741 760-602-4662
Gina.Ruiz@carlsbadca.gov VaiRay.Marshall@carlsbadca.gov Cynthia.Wong@carlsbadca.gov
D Veronica Morones Linda Ontiveros Dominic Fieri
760-602-4619 760-602-2773 760-602-4664
Veronica.Morones@carlsbadca.gov Linda.Ontiveros@carlsbadca.gov Dominic.Fieri@carlsbadca.gov
Remarks: WALL/FREESTANDING POSTS STATE 6' HIGH