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Home My WebLink About2571 MUIRFIELDS DR; ; CB153105; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-01-2015 Pool Permit Permit No: CB153105 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2571 MUIRFIELDS DR CBAD POOL Status: Lot#: 0 Applied: Valuation: 2132500600 $30,936.00 Construction Type: 5B Entered By: Reference #: PC#: Project Title: Applicant: YANG: 600 SF POOL W/ GS TO FIREPIT HEWITT HOME CONSTRUCTION PO BOX 231325 ENCINITAS CA 92023-1325 760-978-7969 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Plumbing Fee Strong Motion Fee Green Bldg Standards (SB1473) Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Plan Approved: Issued: Inspect Area: Owner: MAGNOLIA PARTNERS LL C 1094 CUDAHY PL #212 SAN DIEGO CA 92110 ISSUED 09/22/2015 JMA 10/01/2015 10/01/2015 $284.89 $0.00 $199.42 $0.00 $35.00 $35.00 $4.02 $2.00 $0.00 $0.00 $0.00 $0.00 $560.33 Total Fees: $560.33 Total Payments To Date: $560.33 Balance Due: Inspector: Clearance: $0,00 NOTICE: Ptease take NOTICE that approval of your project includes the ~Imposition" of fees, dedications, reservatioos. or other exactions hereafter collectively referred to as "fees/exactions." You have 00 days from the date this pemit 'NBS issued to protest irrposltion of these fees/exactions. If you protest them, you rrust follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required infonnatlon with the Oty Manager for processing in accordance with car1sbad Municipal Ccx:le Section 3.32030. Failure to tirrely follow that procedure 'MIi bar any subsequent legal action to attack. revie'N, set aside, void, or annul their imposition. You are hereby FURTHER NOTlFIED that your right to protest the specified fees/exactions CXJES NOT APPLY to water and sewer connectioi fees and capacity d'langes, nor planning, zoning, grading or other sinilar application pocessing or service fees in connection Wth this project NOR OOES IT APPLY to any City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-01-2015 Storm Water Pollution Prevention Plan {SWPPP) Permit Permit No:SW150373 Job Address: Permit Type: Parcel No: Reference #: CB#: Project Title: Applicant: 2571 MUIRFIELDS DR CBAD SWPPP 2132500600 CB153105 YANG: 600 SF POOL HEWITT HOME CONSTRUCTION PO BOX 231325 ENCINITAS CA 92023-1325 760-978-7969 Emergency Contact: TOM HEWITT 760-978-7969 SWPPP Plan Check SWPPP Inspections Additional Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Issued: Inspect Area: Tier: Priority: Owner: MAGNOLIA PARTNERS LL C 1094 CUDAHY PL #212 SAN DIEGO CA 92110 ISSUED 09/22/2015 JMA 10/01/2015 1 L $49.00 $59.00 $0.00 $108.00 Total Fees: $108.00 Total Payments To Date: $108.00 Balance Due: FINAL APPROVAL $0.00 THE FOLLOWING ~PPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING (city of Carlsbad bi., Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov UITEf/SPACEf/UNIT# Date PHASE# # OF UNITS # BE ROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESO PROPERTY OWNER~~ □FIRE □HEALTH CONSTR. AIR CONDITIONING No[] YES0No □ Pr/mar ADORES ADDRESS V,1 l M\Jl/1.fteLl) ~ CITY ~l{,-jz~ STATE Ck CITY eM-LS~ STATE Or FAX PHONE FAX EMAIL EMAIL 0 HAZMAT/APCD FIRE SPRINKLERS YESONoO DESIGN PROFESSIONAL \"tf t-\-oM.€ ~II ADDRESS ADDRESS Tu m1'3~ CITY STATE ZIP CITY BPt'.A.r-l•TI\S STATE 11,.:,z. ~ Ck PHONE FAX PHO FAX EMAIL EMA~ /.k;,U / 17'" ~ wnr::,;;i(..-, U>M STATE LIC. # STATE UC.# 1BV, 1 CLASS"l5 ;it- (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 per_mIt to file a s1ro,ed statement that he is licensed pursuant to the provIsIons of the Contractor's license Law )Chapter 9, comme_nding with Section 7000 of Div1sIon 3 of the B_usmess and Prof<>ss1nns Code] or that tie Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 t>J any applicant for a permit subjects the applicant to a cIvII penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjuf'/ one of tile following declarations: B I have and will maintain a certificate of consent to self-insure for mrkers' compensation as provided by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. I 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 carrier and pol~ number are: Insurance Co. ______________________ Policy No. ______________ Expiration Date _________ _ ~ section need not be completed if the permit is for one hundred dollars ($100) or less, Certificate of Exemption: I certify that in pe a nee 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 omia. WARNING: Failure to secure w e mpensatlon coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thou nd dollars {&100,0001 In addition to the cost of compensation, dam a vided for in Section 3706 of the Labor code, Interest and attorney's fees. 25 CONTRACTOR SIGNATURE ~ I hereby affirm that I am exempt from Contractor's License Law for tile following reason □ □ D I, as owner oft he 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 Coda: The Contractor's License Law does not apply to an owner of property who buik:ls 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 ProfesSlons 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 personaly plan to provide the m~or labor and materials for construcUon of the proposed property improvement. OYes ONo 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the blklwing person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ 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 I type of work): 2$ PROPERTY OWNER SIGNATURE □AGENT DATE c,oM_PLE 0 TE THIS 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? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control distn'ct or air Quality management district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT, 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 tJlA Lender's Address APPLLCA,NT CE,RTIFJCATION , , ~ , "' 0 *"'~ > * is* '" * * !L * * I certify that I have read the application and state that the above infonnation Is oonectand that the lnfonnatlon on the plans Is accurate. I agree to oomply with all Cit¥ ordinances and State lcMS relating to building oonstruction. I hereby authorize representative of the City of Ca~sbad to enter up:m the above mentioned property br inspection 11JrposeS. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND NSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA pennlt is required for excavation over 5' ' p and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pennlt issued by the Buildin ~I n r the provisk'.>lls of this Oxle shall expire by limitation and become null and vokl ~ the building orw:irK authorized by such pennit is not oommenred 'Mthin 180 days from the date of such r,ennit or if the b utho,1zed by such permit is suspended or abandoned at any tine after the w:irK is commenced lo a period.of 100 days (Seclk:ln 106.4.4 Unilonn Building Code). ,,w$ APPLICANT'S SIGNATURE DATE q 1,1,, [ ( STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Calibmia 92008, CONTACT NAME ADDRESS CITY STATE PHONE EMAIL DELIVERY OPTIONS PICK UP: MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) CONTACT (listed above) CONTRACTOR (On Pg. 1J ZIP FAX OCCUPANT (listed above) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: ________________ _ ,.IS APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. LIC. No. ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB153105 Type: POOL Date ln,apection Item 09/01/2016 59 Final Pool 09/01/2016 59 Final Pool 07/13/2016 55 Fence/Pre-Plaster 03/29/2016 51 Excav/Steel/Bonding/Fence 10/07/2015 23 GasfT esURepairs 10/07/2015 31 Underground/Conduit-Wirin 10/07/2015 51 Excav/Steel/Bonding/Fence Friday, September 02, 2016 Inspector Act RI PD AP PD AP PD AP PD AP PD AP PD AP YANG: 600 SF POOL W/ GS TO FIREPIT Comments Page 1 of 1 <<1 ~ CITY OF CARLSBAD PLAN CHECK REVIEW TRANS MITT AL DATE: 10/01/2015 PROJECT NAME: YANG RESIDENTIAL POOL PLAN CHECK NO:2 SET#: 2 ADDRESS: 2571 MUIRFIELDS DR VALUATION/SCOPE OF WORK: PDOLAND GAS FIRE PIT Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov PROJECT ID: CB153105 APN: 2132500600 ✓ This plan check review is complete and has been APPROVED by the ENGINEERING Division. By: VALRAY NELSON A Final Inspection by the ENGINEERING Division is required Yes ✓ No This plan check review is NOT COMPLETE. 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: TOM@URBANLANDINC.COM You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be requl~d prior to the Issuance of a building permit. Resubmitted plans should Include torrectlons from all divisions. For questions or clarifications on the attached checklist please contact the following reviewer as marked: Chris Sexton 760-6024624 Chrjs.Sexton@carlsbadca.gov Gina Ruiz 760-602-4675 Gina.Ruiz@carlsbadca.gov Remarks: Kathleen Lawrence 760-602-2741 Kathleen.Lawrence@carlsbadca.gov ✓ Linda Ontiveros 760-602-2773 Llnda.Qntiveros@carlsbadca.gov ValRay Marshall 7 60-602-2 7 41 Va I Ray.Marshal l@ca rlsba dca .gov Greg Ryan 760-602-4663 Gregory.Ryan@carlsbadca.gov Cindy Wong 760-602·4662 Cynthia.Wong@carlsbadca.gov Dominic Fieri 760-602-4664 Dominic.Fieri@carlsbadca.gov 2 Any outstanding issues ivill lJe marked with 11n [XJ Make the nece!;sary corrections for compliance with tr-pplicable codes ,md strmd11rds. Sulnnit corrected plans and/or specifications to the BuildillX ,1ivisiou for re-sulmtittal to the Engineering di-visions. Hems that conj(Jrm to 7'ennit reqtdrements are marked with [iJ 1. SITE PLAN EASE REFER 1 Provide a fully dimensioned site plan drawn to scale. ON E-37 Show: ✓ North arrow ✓ Existing & proposed structures ✓ Property line dimensions ✓ Easements Show on site plan: ✓ Drainage patterns Existing & proposed slopes Existing topography Retaining Walls (location and height) ✓ Indicate what will happen with soil excavated from pool area. lnc1uae on title sheet: ✓ Site address ✓ Assessor's parcel number ✓ Legal description/lot number Grading: Quantities of Cut Fill, Import Export Project does not comply with the following engineering conditions of approval for project no: Conditions were complies with by: LOT NO. LOT6 MAP NO. 14892 REF. NO. CT 02-19 Page 2 of 4 Date: REV 6/2012 2 2 2. GRADING PERMIT REQUIREMENTS The conditions that require a grading permit are found in Section 11.06.030 of the Municipal Code. Inadequate information available on site plan to make a determination on grading requirements. Include accurate grading quantities in cubic yards (cut, fill, import, export and remedial). This information must be Included on the plans. If no grading is proposed write: "NO GRADING" 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. 3. MISCELLANEOUS PERMITS NO WORK, RIGHT-OF-WAY PERMIT is required to do work in city right-of-way and/or private work EQUIPMENT, OR adjacent to the public right-of-way. MATERIALS SHALL REMAIN IN THE ROW WIHTOUTA PERMIT E-37 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 2 ONE AREA NEEDS TO BE FILLED OUT IN ON THE E-29 FORM 2 4. STORM WATER Construction Compliance ✓ Project Threat Assessment Form complete ✓ incomplete ✓ Requires Tier 1 Storm Water Pollution Prevention Plan. Please complete attached form and return (SW 1s-m ) Requires Tier 2 Storm Water Pollution Prevention Plan. Requires submittal of Tier 2 SWPPP, payment of processing fee and review by city. Post-Development (SUSMPI Compliance ✓ Storm Water Standards Questionnaire complete. ✓ incomplete Project is subject to Standard Storm Water Requirements. See city Standard Urban Storm Water Management Plan (SUSMP) for reference. http://www.carlsbadca.gov/businessibuilding/Documents/EnqStandsw-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 pavemenUpavers Flow-through planter/vegetated or rock drip line Vegetated swales or rock infiltration swales Downspouts disconnect and discharge over landscape Other: 5. ADDITIONAL COMMENTS E-37 Page4of4 REV 6/2012 -~ ,;( {"'f· --•~-CITY OF CARLSBAD STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www .carlsbadca.gov I am applyi~~o the City of Carlsbad for the following type{s) of construction permit: ~ Building Permit □ Right-of-Way Permit □ My project is categorically EXEMPT from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it only requires issuance of one or more of the following permit types: Patio/Deck Photo Voltaic Re-Roofing Sign Spa-Factory Sprinkler Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria 0 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 th rear 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. Ti -Low Threat Assessment Criteria My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt pennit type {See list above) and the project , meets one or more of the following criteria: • Results in some soi\ disturbance; and/or • Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 -Moderate Threat Assessment Criteria 0 My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria: • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, • Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or • Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or • Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or • Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). Tier 3 -Significant Threat Assessment Criteria □ My project includes clearing, grading or other disturbances to the ground resulting in soi\ disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or □ My pmject is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, D My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-stonn 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 activiUes 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. Prq'ect Address: Assessor Parcel No •The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted B-24 VS7\ ~u,(l.fi~ 'v~ Owner/Owners Authorized Agent Name: rt\"' By: V J.J Page 1 of 1 Title· Project ID: e..e Rev.03/09 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 to SWPPPTier Construction Threat Assessment Criteria* Storm Water . Level Qualitv Tier 3 -High Construction Threat Assessment Criteria D Project site is 50 acres or more and grading will occur during the rainy season D Project site is 1 acre or more in size and is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA High D Soil at site is moderately to highly erosive (defined as having a predominance of soils with Tier3 USDA-NRCS Erosion factors kt greater than or equal to 0.4) D Site slope is 5 to 1 or steeper D Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 D through April 30). Owner/contractor received a Storm Water Notice of Violation within past two years I Tier 3 -Medium Construction Threat Assessment Criteria I Medium D All projects not meeting Tier 3 High Construction Threat Assessment Criteria Tier 2 High Construction Threat Assessment Criteria D Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, insi or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an SA D Soil at site is moderately to highly erosive (defined as having a predominance of so with USDA-NRCS Erosion factors kt greater than or equal to 0.4) High D Site slope is 5 to 1 or steeper Tier2 D Construction is initiated during the rainy season or will extend into the rainy seas (Oct. 1 through April 30). D Owner/contractor received a Storm Water Notice of Violation within past two year. D Site results in one half acre or more of soil disturbance Tier 2 -Medium Construction Threat Assessment Criteria / D All projects not meeting Tier 2 High Construction Threat Assessment Criteria Medium Tier 1 -Medium lnsgection Threat Assessment Criteria D Project is located within the Buena Vista or Agua Hedionda Lagoon wa rshed, within or directly adjacent to an environmentally sensitive area (ESA) or discharges irectly to an ESA D Soil at site is moderately to highly erosive (defined as having a predom ance of soils with USDA-NRCS Erosion factors k, greater than or equal to 0.4) Medium D Site slope is 5 to 1 or steeper Tier 1 D Construction is initiated during the rainy season or will extend into th rainy season (Oct. 1 through April 30). D Owner/contractor received a Storm Water Notice of Violation within p st two years D Site results in one half acre or more of soil disturbance Tier 1 -Low lnsQection Threat Assessment Criteria i D All projects not meeting Tier 1 Medium Construction Threat Assessment Criteria Low Exempt -Not Applicable -Exempt . The city engineer may authonze minor vanances from the constructmn threat assessment cntena m special circumstances where it can be shown that a lesser or higher amount of storm water compliance inspection is warranted in the opinion of the city engineer E-33 Page 1 of 1 REV 4/30/10 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 City requires that new 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 Plan (SUSMP). To view the SUSMP, refer to the Engineering Standards (Volume 4, Chapter 2) at www.carlsbadca.gov1standards. 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 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 Starmwater 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. 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. lf 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 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 questionnaire, you must also complete, sign and submit a Project Threat Assessment Form with construction permits for the project. Please start by completing Step 1 and follow the instructions. When completed, sign the form at the end and submit this with your application to the city. To determine if your project is a priority development project, please answer the following questions: 1. Is your project LIMITED TO constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet 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 uidance? 2. Is 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? YES NO If you answered "yes" to one or more of the above questions, then your project is NOT a priority development project and theref re is NOT subject to the storm water criteria required for priority development projects. Go to step 4, mark the last box stating" project does not meet PDP requirements" and complete applicant information. If ou answered "no" to both uestions, then o to Step 2. E-34 Page 1 of 3 Effective 6/27/13 STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www .carlsbadca.gov To determine if your project is a priority development project, please answer the following questions: 1. 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 develo ment ro ·ects on ublic or rivate land. 2. 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 ublic develo ment ro ·eels on ublic or rivate land. 3. 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 foods and drinks for consumption, including stationary lunch counters and refreshment stands selling prepared foods and drinks for immediate consum lion. 4. 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. 5. 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 tem ora arkin or stora e of motor vehicles used ersonall for business or for commerce. 6. 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 street, road, highway freeway or driveway? A street, road, highway, freeway or driveway is any paved impervious surface used for the transporlation of automobiles, trucks, motorc cles, and other vehicles. 7. 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)? "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 flow from the ro ·eel to the ESA i.e. not commin /es with flows from ad'acent lands . * 8. 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 Classiffcation (SIC) codes: 5013, 5014, 5541, 7532-7534, or 7536-7539. 9. 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 (ADT) of 100 or more vehicles er da . 10. ls 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? 11. ls 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%? YES If you answered "yes" to one or more of the above questions, you ARE a priority development project and are therefore subjec to implementing structural Best Management Practices (BMP's) in addition to implementing Standard Stomi Water Requirements s ch as source control and low impact development BMP's. A Storm Water Management Plan (SWMP) must be submitted with our application(s) for development. Go to step 3 for redevelopment projects. For new projects, go to step 4 at the end of his questionnaireJ 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 Stem, Water Management Plan (SWMP) is not required with your application(s) for development. Go to step 4 at the end of this questionnaireJ check the "my project does not meet PDP requirements" box and complete applicant information. E-34 Page 2 of 3 Effective 6/27/13 ) ,(~i> ---~ CITY OF CARLSBAD D STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov 50% of the surface area of the reviousl existin ment? If you answered "yes," the structural BMP's require r riority Development Projects apply only to the creation or rep acement 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 "no," the structural BMP's required for Priority Development Projects apply to the entire development Go to step 4, check the "m ro·ect meets PDP re uirements" box and com lete a licant infonnation. 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 Information and Signature Box Accessor's Par~_ Numb~r(s): ~l~ · 2'.;',,D · Ob· 00 Applicant Title: '.f~, MJJ 6. f---- Date: This Box for City Use Only City Concurrence: NO By\) 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 qulvalent 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 6/27/13 ~ ) ,'-',,_'-, ·¾: ~ :Jj? !l4 ' 1;; __ '4?-p ·~ CITY OF CARLSBAD STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 STORM WATER COMPLIANCE CERTIFICATE ✓ My project is not in a category of permit types exempt from the Construction SWPPP requirements ✓ My project is not located inside or within 200 feet of an environmentally sensitive area with a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). ✓ My project does not require a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code) ✓ 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 INith a grade at or exceeding 5 horizontal to 1 vertical; and/or • disturbed area is located along or within 30 feet of a stonn drain inlet, an open drainage channel or watercourse; and/or STORM WATER POLLUTION PREVENTION NOTES 1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION AND SEDIMENT CONTROL BMPS WHEN RAIN IS EMINENT. 2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION OF THE CITY ENGINEER AFTER EACH RUN-OFF PRODUCING RAINFALL 3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONTROL MEASURES < AS MAY BE REQUIRED BY THE CITY I ENGINEERING OR BUILDING INSPECTOR DUE TO UNCOMPLETED GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. 4. ALL REMOVABLE PROTECTIVE DEVICES SHALL Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov PROJECT INFORMATION Site Address 't,,;, I M vi.'t.0 al)\ ~ Assessor's Parcel Number: Zt 3• Z.J<Y O{c · jl).) ('.)I Project ID: ___ '.!::\ _______ _ Construction Permit No.: 031 ~JI o( Estimated Construction Start Date q {°!)0 h {'" Project Duration _____ Months Emergency Contact: Name 11,µ,~rrr 24 hour Phone: jbO i10 JqG:,j • construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). BE IN PLACE AT THE END OF EACH WORKING LJ--- 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. t7T DATE E-29 DAY WHEN THE FIVE (5) DAY RAIN -\ Perceived Threat to Storm Water Quality PROBABILITY FORECAST EXCEEDS FORTY PERCENT (40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL. 5. ALL GRAVEL BAGS SHALL BE BURLAP TYPE WITH 314 INCH MINIMUM AGGREGATE. 6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. SPECIAL NOTES Page 1 of 3 D 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: , p ~A.At ¥# Date: 't· .;lT• D REV 4130110 Best Management Practice (BMP) Description ➔ CASQA Designation ➔ Construction Activity Grading/Soil Disturbance Trenching/Excavation Stockpiling Drilling/Boring Concrete/Asphalt Saw cutting Concrete flatv,.,ork Paving ConduiUPipe Installation Stucco/Mortar Work Waste Disposal Staging/Lay Down Area Equipment Maintenance and Fuelina Hazardous Substance Use/Stor!!9_e Dewatering Site Access Across Dirt other (list): ~ ::;; "' _;i i CJ 0 w Erosion Control BMPs 0 "' -c m C C 'jij :c I'll l ~ u :g CJ) ·-3 .lo:: (11 !!! ~ 0 ~ Cl ~ €·~ ~ 0 I'll !!! _Q 3: WO 1/J "I &l 9' u w 0 w ; "- en ~ w rn ! E m E ~ rn '7 w rn Sediment Control BMPs ~ 0 ~ 1l u J, rn -" 0 "' ii; .c u: :z rn "C ffi E "' ~ a, .!: -~ m c. ~ C)$C)~ ~ J _!,;; C) -CJ) E I'll (11 ti ::, .0 iul!:!i3-g ... -I'll I'll c., cn> oo :z rn ';-I "I w w rn rn ]i _,; C -~ § □-- E i .s e rn a. 0 ~ rn Tracking Control BMPs C C 0 0 ~ ~ ~ ~ ~ om o (.) 5) 0 -cw 'C>, a,-a>a, ~ ~ ~ 3:: :El!:! :a~ COC"Jl'llo ci5 .s ci5 0::: ~ ~ >- C 0 i 0 u Non-Stonn Water Management BMPs g> '6 C 0 -g m C 0 ~ "' .E I I ·5 ,E" -g m ,-"' C -~ Q. m :c m & -8. E ~( ~ rJ, ;;; ;;; ;,; z z z z "C ffi ;c, -~ ~ ~! ii ~ Waste Management and Materials Pollution Control BMPs ~ ~ .!! m ::;; "I ~ E ~ ill, m C m ::;; .!! ·a. t! c1l i "C ffi C ~ ~ ~ -Q. ! :[ 1 rn t '! ~ I :E s "' ~ I ~ ~ ~ I "I ~ I I 0 u i 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 descrribed, 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 raw 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 ustabilized 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 ttfe 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 4130/10 • <(~ ~ CITY OF CARLSBAD PLANNING DIVISION BUILDING PLAN CHECK APPROVAL P-29 DATE: 9-22-15 PROJECT NAME: PROJECT ID: Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.g:ov PLAN CHECK NO: CB 15-3105 SET#: 1 ADDRESS: 2571 Muirfields Dr APN: 213-250-06-00 [8J This plan check review is complete and has been APPROVED by the Planning Division. By: Chris Sexton A Final Inspection by the Planning Division is required □ 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. 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: For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING FIRE PREVENTION 760-602-4610 760-602-2750 760-602-4665 ~ Chris Sexton [J Chris Glassen [] Greg Ryan 760-602-4624 760-602-2784 760-602-4663 Chris.S~xtQn~~s1rlsb~dca.gov C __ hrist9ph_er. Glassen@ca rlsbgdca .gov G rgg_Qiy_,_~ n@ca rls bq d ca.gov □ Gina Ruiz □ Val Ray Marshall □ Cindy Wong 760-602-4675 760-602-2741 760-602-4662 l,ina.Ruiz<g/~i!rl~badca.gov ValRqy.Marshall@carlsbadca.gov Cynthia.Wong@carlsl:)adca.gov □ □ Linda Ontiveros □ Dominic Fieri 760-602-2773 760-602-4664 Unda.Ontiverns@carlsbadca.gov PQill iJ'.l i c. Fie ri@ca r l sQacti;.9~ QY Remarks: