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HomeMy WebLinkAbout2529 NAVARRA DR; ; CB154141; Permit• City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-19-2016 Pool Permit Permit No: CB154141 BuiJding Inspection Request Line (760) 602-2725 Job Address: 2529 NAVARRA DR CBAD Permit Type: POOL Status: ISSUED Parcel No: 2161701900 Lot #: 0 Applied: 11/30/2015 Valuation: $5,775.00 Construction Type: NEW Entered By: SLE Reference #: - Plan Approved: 01/19/2016 PC #: Issued: 01/19/2016 Project Title: COASTAL LIVING 10: 112 SF SPA Inspect Area: Applicant: Owner: GILBERT REIL COASTAL LIVING 10 L L C 1620 PEERLESS DR - 814 S WESTGATE AVE #15 EL CAJON CA 92021-3432 LOS ANGELES CA 90049 619-627-8343 Building Permit $79.11 Add'I Building Permit Fee $0.00 Plan Check . , $55.38 Add'l Plan Check Fee . $0.00 Electrical Fee , $35.00 Plumbing Fee 1 $35.00 Strong Motion Fee .. $1.00 Green Bldg Standards (SB1473) Fee $1.00 Renewal Fee $0.00 AddI Renewal Fee $0.00 Other Building Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES . $206.49 Total Fees: $206.49 Total Payments To Date: $206.49 Balance Due: $0.00 FINAL APPROVAL Inspector: Date: c' 711 Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in aitJance 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 proce, or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have oreviouslv been oiven a NOTICE similar to this, or astojth,ichihe_ statute of limitations has orevioustv otherwise exoumd. City of Carlsbad 1635 FaradayAv Carlsbad, CA 92008 Storm Water Pollution Prevention Plan (SWPPP) Permit 01-19-2016 Permit No:SW150455 Job Address: 2529 NAVARRA DR CBAD Permit Type: SWPPP . Status: ISSUED Parcel No: 2161701900 Lot #: 0 Applied: 11/30/2015 Reference #: Entered By: SLE CB#: Issued: 01/19/2016 Inspect Area: Project Title: COASTAL LIVING 10:112 SF SPA Tier: I Priority: M Applicant: Owner: GILBERT REIL COASTAL LIVING 10 L L C 1620 PEERLESS DR 814 S WESTGATE AVE #15 EL CAJON CA 92021-3432 LOS ANGELES CA 90049 619-627-8343 Emergency Contact: ALLEN TAYLOR 619-921-6387 SWPPP Plan Check $54.00 SWPPP Inspections $228.00 Additional Fees - $0.00 TOTAL PERMIT FEES $282.00 Total Fees: $282.00 Total Payments To Date: $282.00 Balance Due: $0.00 FINAL APPROVAL - SIGNATURE=ZI-- 0 ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH 0 HAZMATIAPCD C h . Building Permit Application Plan Check No. CQ' 14 I + I City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value C Ph: 760-602-2719 Fax: 760-602-8558 P1 Ck Deposit' —Cdr S a email: building©carlsbadca.gov an . - www.carlsbadca.gov Date 3.S IswPPP JOB ADDRESS . - SUITE/SPACE#/UNIT# APN Q. 52A A1A'%1*Ar_"_g i-O,c * ftA,9 2l 170 - CT/PROJECT # LOT # PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP - - - - - DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) .....-.-------'-.-.-_.J,-- A/C 1.o EXISTING USE PROPOSED USE .GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESD#. NO[:] YES DNO YES[—] NO[— APPLICANT NAME 1i .. . PROPERTYOWNERNAME 1 - PthwrvContact - (:7f5&41. .... .................L. - Cyfaf ADDRESS . . ADDRESS . /62' .P'-5-. 0(2.. 'ii .- .,. / CITY . STATE . ZIP CITY .. STATE ZIP / (ii, .. Cat-. . q2o2-I ,7L1—. . ...... (of.:725i5,. PHONE ' FAX PHONE FAX f ,çfc/.. 27- . ... ........... EMAIL ierc. .i..e €.jv'sct(. o,i'1: -.. . . EMAIL 7) £')o#M DESIGN PROFESSIONAL . . -.-. '.. .., . . CONTRACTOR BUS. NAME— . .. -. ADDRESS ADDRESS - P " CITY STATE ZIP CITY STATE ZIP 5Api7tFE c - a PHONE 1. JFAX . PHONE FAX (1 jb/-7fJ13 6r-qf-7 EMAIL .. . - EMAIL . 4vu€ Wf-k. L,1cef STATE LIQ # STATE LIC.# CLASS CITY BUS. LICe (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair anystructure, 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, commendingwith 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 oenaltv of not more than five hundred dollars ($5001). I®lQ31000 (ØO Q Workers' Compensation Declaration: (hereby affirm under penalty of perjury one of the following declarations: Thave and will maintain a certificate of consent to self-insure for workersoirripensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. UI have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance canter and policy number are: Insurance Co. . . . -- '.-- •- Policy No.. Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less. (J 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, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 370 of the Labor code, interest and attorney's fees. - CONTRACTOR SIGNATURE .. E .,. ' 1 GENT DATE ,, ,/ f . -15 ®GOWO)Gl? GE?(?O®l) (hereby afflirm that lam exempt from Contractor's Ucense Law for the following reason: [J 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). [J I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). [] I am exempt under Section _____________Business and Professions Code for this reason: . - 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes (No 2.1 (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): 5.1 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): ,.PR0PERTY OWNER SIGNATURE ' . DAGENT DATE - - I - -- • - G®OO?O UM108 01313VOOM G®U 00MOID000013GOVOiza DWO11E)003 tP0073 ®017 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? CI Yes CI No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? - CI Yes CI No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? CI Yes • CI No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOTBE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. G0080W13012() (OO@ i201303V 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). Lenders Name : • - - Lender's Address 0a00 &G1090I3?O®O I certffythati have read theapplicadon and state thatthe aboie information iscorrectand thatthe Information onthe' plans Isaccurato. I agreftcomply~thall Ckyordinancesand State laws relafingto buildingconstiruction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection pumosesIALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CIrY 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 69 deep and demolition or construction of sI,ucthres over 3stories in height EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become nut and void if the building or york authorized by such permit is not commenced within l8o days trum the date ofsuth permit orif the building oryorkauthorized byrmth perml is suspended or abandoned at any thriiia after the work is commenced for a period of l8O days (Section 106.44 Uniforth Building Code). MAPPUCANT'S8NAThRE7 • • - - • DATE • 1 -. -1 • a - • 5- • -.• -. J • • t -- -i'- - -. -•• 5, - 5 5 ,•_•- 'S. / S - I • I - 'S. •' - - S • • ( S . -• • I 5 S 'S - 'I - I " • • • - , 'S .5 5 - S - L a Inspection List COASTAL LIVING 10 112 SF SPA Permut# CB154141 Tye POOL Date Inspection Item InspectorAct Co,iiments 06/07/2016 55 Fence/Pre-Plaster - RI, I. PM PLEASE * 06/07/2016 55 Fence/Pre-Plaster - PB' AP 06/07/2016 59 Final Pool - R! PM PLEASE " 06/07/2016 59 Final Pool PB AP 06/06/2016 55 Fence/Pre-Plaster PY CA 05/09/2016 55 Fence/Pre-Plaster PB I NR 03/29/2016 55 Fence/Pre-Plaster, PB NR 03/25/2016 55 Fence/Pre-Plaster PY CA 02/02/2016 21. Underground/Under Floor - PB AP 02/02/2016 51 Excav/Steel/Bonding/Fence PB AP I . I I ' 4 ) I - -1 Wednesday, June 08, 2016 , Page 1 of 1 /I PLAN CHECK Community& Economic Development Department CITY OF REVIEW 1635 Faraday 'Avenue CARLSBAD'. TRANSMITTAL Carlsbad CA 92008 www.carlsbadcà.gov DATE: 12/02/15 PROJECT NAME: Coastal 10 PROJECT lD:T 13-02 PLAN CHECK NO: C13154141 SET#: 1 ADDRESS: 2529 Navarra Dr APN: 216-170-19 VALUATION$5,775 SCOPE OF WORK: 112 sq ft spa / This plan check review is complete and has been APPROVED by: LAND DEVELOPMENT ENGINEERING DIVISION / Final Inspection by the CM&I division is required: D Yes No * This plancheck review is NOT COMPLETE. Items missing or incorrect are listed an the attached checklist. Please resubmit amended plans as required. Plan Check Comments have beensentto: PLANNING , ENGlNEERINGL " 760 602-4610 ,.760-602-275 4 1 r Chris Sexton D-Kathleen Lawrence U 760-602-4624 '. 760-602-2741 Chris.Sexton@carlsbadca.gov I Kathleen.Lawrence@carlsbadca.gov L] Gina Ruiz Z Linda Ontiveros -. 760-602-4675 760-602-2773 Gina.Ruiz@carlsbadca.gov Linda.ontiveros@carlsbadca.gov n—I Li . H-m- U FIRE PREVENTION 760-602-4665 ' Greg Ryan 760-602-4663 Gregory.Ryan@carlsbadca.gov FI Cindy Wong 760-602-4662 Cynthia.Wong@carlsbadca.gov Dominic Fieri '--' 760-602-4664 Dominic.Fieri@carlsbadca.gov / CB154141 Coastal 10 d • q Outstanding issues will be marked: withi Items that conform to permit requirements are marked with EZ] -or- have intentionally been left blank. 1. SITE PLAN Provide a fully dimensioned site plan drawn to scale. Show: J North arrow E:J rz Existing & proposed structures i:7J Property line dimensions Easements Show on site plan: =Drainage patterns J EZJ Existing & proposed slopes Existing topography c: Retaining Walls (location and height) EJ Indicate what will happen with soil excavated from pool area. Include on title sheet: EJ LZJ Site address EI LJ Assessors parcel number c: IJ Legal description/lot, number Grading: Quantities of Cut Fill Import Export EJ Project does not comply with the following engineering conditions of approval for project no: LI EJ Conditions were complies with by:• Date: Lot / Map No.: CT 13-02 / M15988 Subdivision/Tract: Coastal 10 Reference No(s): DwG 480-5 ( E-37 Page 2of4 REV 6/2012 CB154141 - Coastal 10 2. GRADING PERMIT REQUIREMENTS The conditions that require a irading permit are found in Section 11.06.030 of the Municipal Code. - EJ iJ Inadequate information available on site plan to make a determination on grading requirements. Include accurate grading quantities in cubic yards (cut, fill, import, export and -remedial). This information must be included on the plans. If no grading is proposed , write: "NO GRADING" Minor Grading Permit required. NOTE: The grading permit must be issued and grading approval obtained prior to issuance of a building permit. •A separate grading plan prepared a registered civil engineer must be submitted together with the completed application form attached. J jZJ No grading permit required. 3. MISCELLANEOUS PERMITS No use of right of =F_71 RIGHT-OF-WAY PERMIT is required to do work in city right-of-way and/or private work way/Navarra Dr adjacent to the public right-of-way. . EJ E1 A separate right-of-way issued by the engineering division is required for the following: Please complete attached right-of-way application form and return to the engineering department together with the requirements on the attached right-of-way checklist, at the time of resubmittal. - Right-of-way permit and pool permit will be issued simultaneously. E-37 Page 3 df 4 - REV 6/2012 CB154141 Coastal 10 4. STORM WATER Construction Compliance EJ LZJ Project Threat Assessment Form complete. i:i EJ Enclosed Project Threat Assessment Form incomplete. Requires Tier 1, Storm Water Pollution Prevention Plan. Please complete attached form and return (SW 15455 J Requires Tier 2 Storm Water Pollution Prevention Plan. Requires submittal of Tier 2 SWPPP, payment of processing fee and review by city. Post-Development (SUSMP) Compliance Storm Water Standards Questionnaire complete. Storm Water Standards Questionnaire incomplete. Please make the corrections, re-sign the questionnaire and resubmit with next submittal. Project is subject to Standard Storm Water Requirements. See city Standard Urban Storm Water Management Plan (SUSMP) for reference. http://www.carlsbadca.aov/business/buildifla/DOCUmefltS/EflaStafldSW-StdS-V014-Ch2.Pdf EJ 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 El Bio-retentions cell/rain garden El Pervious pavement/pavers EJ Flow-through planter/vegetated or rock drip line IJ Vegetated swales or rock infiltration swales . J Downspouts disconnect and disóharge over landscape El Other: I ts: EngIneering Application [Sr RigftoWayAppiicaUon/in ReferenceDuU E-37 Page 4 of 4 1 1 REV 6/01112 CITY OF CAR LSBAD STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov I am applying to the City of Carlsbad for the following type(s) of construction permit: (EF' Building Permit U Right-of-Way Permit U My project is categorically EXEMPT from Electrical Patio/Deck the requirement to prepare a storm water Fire Additional Photo Voltaic pollution prevention plan (SWPPP) because it Fire Alarm Fixed Systems Re-Roofing Sign only requires issuance of one or more of the ;1 Mechanical Spa-Factory following permit types: Mobile Home Sprinkler Plumbing Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria O My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the no threat' assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tier I - Low Threat Assessment Criteria My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project meets one or more of the following criteria: Results in some soil disturbance; and/or Includes outdoor construction activities (such as saw cutting, equipment washing, matérial stockpiling, vehicle fueling, waste stockpiling). Tier 2 - Moderate Threat Assessment Criteria U My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Tier 3 - Significant Threat Assessment Criteria U My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or O My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, O My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). I certify to the best of my knowledge that the above checked statements are true and correct I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards. *The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. B-24 Project Address: Assessor Parcel No. '116. (7g. Peirw Pr. CofI)Ctkq2co9 (/_ Owner/Owners Authorized Agent Name: Title: C-ltlbevi, gtJ Owner/Owner's Authorized Agent Signature: Date: City concurrence: Project to: UNO ( ) I Page 1 of I Rev.03/09 CITY OF CARLSBAD CONSTRUCTION THREAT ASSESSMENT WORKSHEET FOR DETERMINATION OF PROJECT'S PERCEIVED THREAT TO STORM WATER QUALITY E-33 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov Construction Perceived Threat t SWPPP Tier Construction Threat Assessment Criteria* Storm Water Level Quality Tier 3— High Construction Threat Assessment Criteria U Project site is 50 acres or more and grading will occur during the rainy season U Project site is I acre or more in size and is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA High U Soil at site is moderately to highly erosive (defined as having a predominance of soils with Tier 3 USDA-NRCS Erosion factors kf greater than or equal to 0.4) LI Site slope is 5 to I or steeper LI Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). U Owner/contractor received a Storm Water Notice of Violation within past two years Tier 3— Medium Construction Threat Assessment Criteria Medium U All projects not meeting Tier 3 High Construction Threat Assessment Criteria Tier 2 High Construction Threat Assessment Criteria U 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 U 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 U Site slope is 5 to I or steeper Tier 2 L3 Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). U Owner/contractor received a Storm Water Notice of Violation within past two years Q Site results in one half acre or more of soil disturbance Tier 2 - Medium Construction Threat Assessment Criteria Medium U All projects not meeting Tier 2 High Construction Threat Assessment Criteria Tier I - Medium Inspection Threat Assessment Criteria 0 Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, within or directly adjacent to an environmentally sensitive area (ESA) or discharges directly to an ESA 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) Medium U Site slope is 5 to I or steeper Tier 1 U Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). U Owner/contractor received a Storm Water Notice of Violation within past two years 0 Site results in one half acre or more of soil disturbance Tier I - Low Inspection Threat Assessment Criteria LOW All projects not meeting Tier I Medium Construction Threat Assessment Criteria Exempt . - Not Applicable - Exempt *The city engineer may authorize minor variances from the construction threat assessment criteria in special circumstances where it can be shown that a lesser or higher amount of storm water compliance inspection is warranted in the opinion of the city engineer E-33 Page 1 of 1 REV 4/30/10 S I V STORM WATER- V V V .. STANDARDS. Development Services S V Land Development Engineering CITY OF Ei,TIONNAIRE V 1635 Faraday Avenue RLSBAD E-34 760-602-2750 CA www.carlsbadca.gov V I INSTRUCTIONS To address post-development pollutants that may be generated from development projects: the. City requires that riew development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (BMP's) into the project design per the City's Standard Urban Stormwater Management Plàñ (SUSMP). To view the SUSMP, refer to the Engineering Standards (Volume 4, Chapter 2) at iw.carlsbadca.gov/standards. Initially this questionnaire- must be completed by the applicant in advance-of submitting for a development application (subdivision, discretionary permits and/or construction permits). The results of the questionnaire detérniine 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 Stormwater Requirements' or.be subject to additional criteria called 'Priority Development Project Requirements'. Many aspects of project site design are dependent upon the storm water standards applied to a project. V 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 V 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 pity. If you are unsure about the meaning of al question or need help in determining how to respond to one or more of the questions, please seek assistance from Land Development Engineering staff. V V V A separate completed and signed questionnaire must be submitted for each new development 'application submission, only one completed and signed questionnaire is required when multiple development applications for the same project are submitted concurrently. In addition to this questionnaie, you mu'st also complete, sign and submit aProjeôt Threat Assessment Form with construction permits for the project V ... . .. • V V V V Please start by completing Step I and follow the instructions. When completed, sign the form at the end and submit this with your application to the city. STEP I TO BE COMPLETED FOR ALL PROJECTS To determine if your project is a priority development project, please answer the following questions: V V '-YES NO 1. Is your project LIMITED TO constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet V . the following criteria: (1) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non-erodible permeable areas; OR (2) designed and constructed to be hydraulically disconnected from paved streets or roads; OR (3) designed and constructed with permeable pavements or surfaces in 'accordance with USEPA Green Streets guidance? 2. 1s your project LIMITED TO retrofitting or redeveloping existing paved alleys, streets, or roads that are -. designed and constructed in accordance with the USEPA Green Streets guidance? V V V . V• - V If you answered 'yes" to one or more of the above questions, then your project is NOT a priority development project and therefore is NOT subject to the storm water criteria required for, priority development projects. Go to step 4, mark the last box stating "my. project does not meet PDP requirements" and complete applicant information. If you answered U•• to both qJestions, then go to Step 2. I •• . • IS I I • E-34 V. -. . V... '• V -. .5 1 'I 'I V . • V -, S . '' I' - • • •?I' '1' - , •'_V SI I - ,:... , s#• • V Page 1 of 3 .' . Effective 6/27/13 <K10 CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov STEP 2 TO BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECTS To determine if your project is a priority development project, please answer the following questions: 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, and public development projects on public or private land. Is your project creating or replacing 5,000 square feet or more of impervious surface collectively over the entire project site on an existing site of 10,000 square feet or more of impervious surface? This includes commercial, industrial, residential, mixed-use, and public development projects on public or private land. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a restaurant? A restaurant is a facility that sells prepared X foods and drinks for consumption, including stationary lunch counters and refreshment stands selling prepared foods and drinks for immediate consumption. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a hillside development project? A hillside development project includes development on any natural slope that is twenty-five percent or greater. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a parking lot. A parking lot is a land area or facility for the . temporary parkingor storageof motor vehiclesused personally for business or for commerce. Is your project anew or redevelopment project that creates 5,000 square feet or more of impervious surface collectively over the entire project site and supports a street, road, highway freeway or driveway? A street, road, highway, freeway or driveway is any paved impervious surface used for the transportation of automobiles, trucks, motorcycles, and other vehicles. Is your project a new or redevelopment project that creates or replaces 2,500 square feet or more of impervious surface collectively over the entire site, and discharges directly to an Environmentally Sensitive Area (ESA)? (ESA)? "Discharging Directly to" includes flow that is conveyed overland a distance of 200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an isolated now from the project to the ESA commingles from adjacent lands).* _(i.e._not _with _flows Is your project a new development 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 that supports a retail gasoline outlet (RGO)? This category includes RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily Traffic '(AOl) 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 and are expected to generate pollutants post construction? Ills your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of impervioussurfaceor (2) increases impervious surface on the property by more than 10%? If you answered "yes" to one or more of the above questions, you ARE a priority development project and are therefore subject to implementing structural Best Management Practices (BMPs) in addition to implementing Standard Storm Water Requirements such as source control and low impact development.BMPs. A Storm Water Management Plan (SWMP) must be submitted with your application(s) for development. Go to step 3 for redevelopment projects. For new projects, go to step 4 at the end of this questionnaire, check the "my project meets PDP requirements" box and complete applicant information. If you answered "no" to all of the above questions, you ARE NOT a priority development project and are therefore subject to implementing only Standard Storm Water Requirements such as source control and low impact development BMP's required for all development projects. A Storm Water Management Plan (SWMP) is not required with your application(s) for development. Go to step 4 at the end of this questionnaire, check the "my project does not meet PDP requirements" box and complete applicant information. E-34 Page 2 of 3 Effective 6/27/13 - - , -. STORM WATER - STANDARDS-.,- Lan Development Services \ d Develo ment Engineering CITY OF QUESTIONNAIRE 1635 Faraday Avenue CA CBAD E-34 760-602-2750 ELJ www.carlsbadca.gov STEP 3 TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPEMENT PROJECTS ONLY Complete the questions below regarding your redevelopment project: YES NO Does the redevelopment project result in the creation or replacement of impervious surface in an amount of less than 50% of the surface area of the previously existing development? If you answered "yes,' the structural BMP's required for Priority Development Projects apply only to the creation or replacement of, impervious surface and not the entire development Go to step 4, check the "my project meets PDP requirements" box and complete applicant information. . If you answered uflO the structural BMP's required fo Priority Develoment Projects apply to the entire development. Go to step 4,( check the "my project meets PDP requirements" box and complete applicant information. -• - STEP CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION 0 My project meets PRIORITY DEVELOPMENT. PROJECT (PDP) requirements and must comply' with additional stormwater criteria per the SUSMP and I understand I must prepare a Storm Water Management Plan for submittal at time of application. I understand flow control (hydromodification) requirements may apply to my project Refer to SUSMP for details. My project does not meet PDP requirements and must only comply with STANDARD STORMWATER REQUIREMENTS per the SUSMP. As part of these requirements, I will incorporate low impact development strategies throughout my project. Applicant Informatibn and Signature Box , I / Address Accessor's Parcel Number(s): ((,z' .PeS5L' 1,,,i 9 Applicant Name: . Applicant le: 811 nP et- i . ' Applicant Signature:'. , Date: . . . , This Box for 1se Only City Conc rent: I YR I NO Project ID: / * 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 quivalent under the Multi Species Conservation Program within the Cities and County of San Diego; and any other equivalent environmentally sensitive areas which have been identified by the Copermittees. . E-34 - . Page 3 of 3 ' Effective 6127/13 CITY OF CAR LSBAD STORM WATER COMPLIANCE FORM TIER I CONSTRUCTION SWPPP E-29 DeveloDment Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov 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 ENGINEER AFTER EACH RUN-OFF PRODUCING RAINFALL. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY ENGINEERING OR BUILDING INSPECTOR DUE TO UNCOMPLETED GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE AT THE END OF EACH WORKING DAY WHEN THE FIVE (5) DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PERCENT (40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL. ALL GRAVEL BAGS SHALL BE BURLAP TYPE WITH 3/4 INCH MINIMUM AGGREGATE. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. SPECIAL NOTES STORM WATER COMPLIANCE CERTIFICATE I My project is not in a category of permit types exempt from the Construction SWPPP requirements I My project is not located inside or within 200 feet of an environmentally sensitive area with a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). I My project does not require a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code) I My project will not result in 2.500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas that meets one or more of the additional 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 I vertical; and/or disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse; and/or construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT ALL OF THE ABOVE CHECKED STATEMENTS ARE TRUE AND CORRECT. I AM SUBMITTING FOR CITY APPROVAL A TIER 1 CONSTRUCTION SWPPP PREPARED IN ACCORDANCE WITH THE REQUIREMENTS OF CITY STANDARDS. I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO MINIMIZE THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO MINIMIZE THE EXPOSURE OF STORM WATER TO CONSTRUCTION RELATED POLLUTANTS; AND, (2) ADHERE TO, AND AT ALL TIMES, COMPLY WITH THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD. ,%5r44 OWNER(S)/OWNER'S AGENT NAME (PRINT) cTc— OWNER(S)/OWN AWE (SIGNATURE) DATE PROJECT INFORMATION Site Address: . LC) Assessor's Parcel Number:8 Lb_ho.I Project ID: Q__ Construction Permit No.:&\1_3Q9tE) Estimated Construction Start Date Project Duration Months Emergency Contact: Name: /1 (" 24 hour Phone: (c7 - -63 b Perceived Threat to Storm Water Quality o Medium Low If medium box is checked, must attach a site plan sheet showing proposed work area and location of proposed structural BMPs For City Use Only CITY OF CARLSBAD STANDARD TIER 1 SWPPP Approved By,) Date:45 ' E-29 Page 1 of 3 REV 4/30/10 Erosion Control Sediment Control BMPs Tracking Non-Storm Water Waste Management and Materials BMPs BMPs Management BMPs Pollution Control BMPs 0 .2 .2 C — 00 E Best Management Practice - (BMP) Description 3 g . g co . a, M r_. c = ' 0 6 cm 0 0 0) 0 a, W a a, 0 a, a, C - - . a 0 OL 0 .- 00 .S a,a, j W o a, w 0 5 c ci) 0 .0 Li: C!) V5> Ca U) &5o (a0 5.E 00 5a Ca a a-C a. >c a,i a, 0 co( u x o CASQA Designation 3 " 9 9 — ? ' 19 9 r' T0 .- c'l .- C") r- .- cv C") (0 (0 0 W C.) w 0 w 0 W U) W U) W U) W Cl) W CO W U) W U) • W I— I— U) Z U) Z U) Z U) Z Construction Activity W CO = GradinglSoilDisturbance :: - Trenching/Excavation X - - - - - - - - Stockpiling Drilling/Boring --- Concrete/Asphalt Saw cutting -- Concrete flatwork Paving - - Conduit/Pipelnstallation - Stucco/Mortar Work --- - Waste Disposal - -1- - - - - -- - Staging/Lay Down Area - Equipment Maintenance - and Fueling Hazardous Substance Use/Storage Dewatering - Site Access Across Dirt Other (list): ' Instructions: Begin by reviewing the list of construction activities and checking the box to the left of any activity that will occur during the proposed construction. Add any other activity descriptions in the blank activity description boxes provided for that purpose and place a check in the box immediately to the left of the added activity description. For each activity descrrihed, pick one or more best management practices (BMPs) from the list located along the top of the form. Then place an X in the box at the place where the activity row intersects with the BMP column. Do this for each activity that was checked off and for each of the selected BMPs selected from the list. For Example - If the project includes site access across dirt, then check the box to the left of 'Site Access Across Dirt". Then review the list for something that applies such as "Stabilized Construction Ingress/Egress" under Tracking Control. Follow along the "Site Access Across Dirt" row until you get to the "Stabilized Construction Ingress/Egress" column and place an X in the box where the two meet. As another example say the project included a stockpile that you intend to cover with a plastic sheet. Since plastic sheeting is not on the list of BMPs, then write in "Cover with Plastic" in the blank column under the heading Erosion Control BMPs. Then place an X in the box where the "Stockpiling" row intersects the new "Cover with Plastic" column. To learn more about what each BMP description means, you may wish to review the BMP Reference Handout prepared to assist applicants in the selection of appropriate Best Management Practice measures. The reference also explains the California Stormwater Quality Association (CASQA) designation and how to apply the various selected BMPs to a project. E-29 Page 2 of 3 REV 4/30/10 PLANNING DIVISION Development Services <Ieshlk BUILDING PLAN CHECK Planning Division 1635 Faraday Avenue CITY OF REVIEW CHECKLIST (760)602-4610 CARLSBAD P28 / DATE: December 2, 2015 PROJECT NAME: Coastal 10 PROJECT ID: CT 13-02 CB 15-4141 PLAN CHECK NO: I SET#: I ADDRESS: 2529 Navarra Drive APN: 216-170-19 This plan check review is complete and has been APPROVED by the Planning Division. - - By: Greg Fisher A Final Inspection by the Planning Division is required Z Yes 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. This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check Comments have been sent to: For questions or clarifications on the attached checklist please contact the following reviewer as marked: - :- . PLANNING - - - ENGINEERING - FIRE PREVENTION 760-602 4610 - ., 760-602 2750 760-602-4665 - --: '-I H Chris Sexton H Chris Glasien H Greg Ryan 760-602-4624 - 760-602-2784 760-602-4663 Chris.Sexton@carIsbadca.gov ChristoDher.Glassen@carlsbadca.gov Gregorv.Rvan@carIsbadca.gov H Gina Ruiz' H ValFay Marshall H- Cindy Wong 760-602-4675 760-602-2741 760-602-4662 Gina.Ruiz@carIsbadca.gov - ValRay.Marshall@carlsbadca.gov Cvnthia.wong@carlsbadca.gov Greg Fisher H Linda Ontiveros H • Dominic Fieri 760-602-4629 760-602-2773 760-602-4664 Linda.Ontiveros@carlsbadca.gov Dorninic.Fieri@carlsbadca.gov Remarks: Consistent with CT 13-02 Shay Even From: Amber Ressmer Sent: Monday, December 07, 2015 2:36 PM To: gilbert.reil@gmail.com Cc: Building; Christina Wilson Subject: CB154141 Hello Gilbert, CB154141 - Coastal Living 10 plan does not require Carlsbad Fire Department fire plan review. Thank you, Amber %rcity of 232C1 Amber Ressmer Fire Prevention Office Specialist City of Carlsbad 1635 Faraday Ave. Carlsbad, CA 920087314 www.carlsbadca.gov P 760-602-4665 I F 760-60278561 0 (Countp of *an 1iccjo DEPARTMENT OF ENVIRONMENTAL HEALTH FOOD AND HOUSING DIVISION Director PLAN CHECK AND CONSTRUCTION AMY HARBERT P.O. BOX 129261, SAN DIEGO, CA 92112-9261 Assistant Director (858) 505-6659 FAX (858) 467-9282 www.sdcdeh.org POOL PLAN APPROVAL SHEET DBA: Coastal Living 10! Fairway Vista 1/19/16 SITE: 2529 Navarra Drive, Carlsbad 92009 PC #:FPOOL- 000780 BUSINESS OWNER: Plans are approved contingent upon the following: Department of Environmental Health (DEH) stamped plans shall be maintained at the jobsite and be available for review at the time of the inspection. Changes to the structures, appurtenances, equipment layout or application must be submitted for approval. Changes made without approval will make the plan approval null and void. Obtain local Building Department and all applicable agencies permits and approvals. All pool-related equipment shall be certified by an ANSI accredited testing agency or in the absence of ANSI standards a nationally recognized standard will be considered. Prior to pouring concrete, call (858) 505-6660 to schedule a pre-gunite inspection. Large pools may call for plumbing inspection prior to backfilling. The operational Health Permit may be applied for after the pre-gunite inspection. At the final inspection all equipment including signs, safety devices, free chlorine test kit, first aid kit and vacuuming equipment shall be available. It is recommended that a Certified Pool Operator (CPO) be responsible for the pool. Contact the National Swimming Pool Foundation at nspf.org for listing of CPO classes. Keys, cards or other means of access shall be made available for routine inspection by DEH once the pool completes construction. All equalizer and/or suction lines must have an ASME/ANSI Al 12.19.8 standard anti- entrapment drain covers. ADA handrails leading to pool gates and fences does not exempt gate or fence from having non-climbable objects within a 5 foot radius when measured from the top of the gate or fence. 12)A DECK LIGHTING/ILLUMINATION PLAN STAMPED BY LIGHTING PROFESSIONAL OR ENGINEER SHALL BE SUBMITTED WITH APPLICABLE FEES TO THIS DEPARTMENT FOR REVIEW AND APPROVAL PRIOR TO SCHEDULING FINAL INSPECTION TO OPEN AND OPERATE. NOTE: The owner/operator is responsible for the function, calibration, maintenance, and testing of the safety vacuum release, suction-limiting vent, gravity drainage, or automatic pump shut-off system. Environmental Health will not inspect the system to determine whether it is functioning properly, if it has been calibrated, if it is being properly maintained, and will not conduct testing of the system. Plans reviewed by Ernie LiwaQ, REHS@(858)-505-6775 CALL (858) 505.6660 10 BUSINESS DAYS IN ADVANCE TO SCHEDULE PRE-GUNITE, PRE-PLASTER AND FOR FINAL INSPECTION. A FINAL INSPECTION SHALL BE CONDUCTED AND AN ENVIRONMENTAL HEALTH P E R M I T S H A L L B E ISSUED PRIOR TO OPENING AND OPERATING THIS PUBLIC POOL FACILITY. "Prevention Comes First"