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Home My WebLink About2574 MUIRFIELDS DR; ; CB122516; PermitV$31".00 $31.00 —$4:03 rsi 'oo $0.00 $0.00 $0.00 $0.00 $724.91 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-06-2012 Pool Permit Permit No: CB122516 - ' Building Inspection Request Line (760) 602-2725 Job Address: 2574 MUIRFIELDS DR CBAD Permit Type: POOL . Status: ISSUED Parcel No: 2132501300 Lot #: 0 Applied: 11/26/2012 Valuation: $40,313.00 Construction Type: NEW Entered By: RMA Reference #: Plan Approved: 12/06/2012 PC #: Issued: 12/06/2012 Project Title: THORNTON RES- 990 SF POOL/SPA Inspect Area: RUN GAS & ELECTRIC FOR FUTURE BBQ & FIREPLACE Applicant: _- OWnr BLACK ROCK POOLS INC ,-'." ((Sl~OA MAGNOLIA PARTNERS 86S SAN PABLODR , CHYc212 SAN MARCOS CA 92078 1DIEGdCA"92110 7608026359 Building Permit Addi Building Permit Fee Plan Check / Add'l Plan Check Fee / Electrical Fee Plumbing Fee I c / - Strong Motion Fee j /] j'—.,, Green Bldg Standards (SB1473) Fee RenewalFee Add Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES \ 1( t , / Total Fees: $724.91 Total Payments To Date:P0RATE$724.91 Balance Due: I $0.00 1952 ,- COD FINAL APPRDVA1 I Inspector: Date: —(" / f'( '7' 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 rule the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any City of Carlsbad 1635 Faraday AV Carlsbad, CA 92008 - Storm Water Pollution Prevention Plan (SWPPP) Permit 12-06-2012 . Permit No:SW120511 Job Address: 2574 MUIRFIELDS DR CBAD Permit Type: SWPPP Status: ISSUED Parcel No: 2132501300 Lot #: 0 Applied: 11/26/2012 Reference #: Entered By: RMA CB#: CB122516 Issued: 12/06/2012 Inspect Area: Project Title: THORNTON RES- POOL & SPA Tier: I Priority: M Applicant: Owner: BLACK ROCK POOLS INC —MAGNOLIA-PARTNERS L L C 865 SAN PABLO DR 109 CUDHYP6#212 SAN MARCOS CA 92078 V SAN Di EGO CA 9210 760-802-6359 - ::: _ SWPPP Plan Check -) I J \ SWPPP Inspection • '\ f $216.00 1 Additional Fees \ / J $0.00 / iI Hi / / TOTAL PERMIT FEES - / $267.O0/ \ \ Li !'C()RPORATEP Total Fees: $267.00 Total Payments To Datej 52 $267.00 ,,'Balance Due: / • $0.00 \\ /7/ r-i p-. rTh\ \'\) / •FA5'ALZ • DATE6 •J4j _________ . ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: [:]PLANNING - 0 ENGINEERING []BUILDING 0 FIRE D HEALTH 0 HAZMATIAPCD 4' B. Perm Permit APplication Plan Check No. Est. Value 1635 Faraday Ave., Carlsbad, CA 92008 CITY OF Ph 760-602-2719 Fax: 760-602-8558 P1 Ck D 7,0 CARLSBAD email budthngcasbadcagov UkbrV)FS7 tP1 IN JOB ADDRESS 2574 MUIRFIELDS DRIVE SUITE#/SPACE#/UNIT# I 2`13,25101.1,10,01.- APN - - ST/PROJECT # LOT # PHASE # U OF UNITS U BEDROOMS U BATHROOMS TENANT BUSINESS NAME • CONSTR. TYPE 0CC. GROUP I - -- - •• - , I. DESCRIPTION OF WORK: include Square Feet of Affected Area(s) . . NEW .POOLANDSPA990SF -M0# 92 .. •, STUB GAS AND ELECTRIC FOR FUTURE BBQ & FIREPLACE - EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING SFD :SFD - YES#. NO[—] YES [:]NO El IFIRESPRINKLERS YES D NOEl APPLICANT NAME (Primary Contact) DAN DOUGHERTY' APPLICANT NAME (Secondary Contact) ADDRESS - ADDRESS 865 SAN_PABLO DR CITY STATE ZIP CITY STATE ZIP SAN MARCOS CA 92078 PHONE FAX PHONE FAX 760-802-6359 1 EMAIL . EMAIL PROPERTY OWNER NAME TODD & TERRI THORNTON CONTRACTOR BUS. NAME BLACK ROCK POOLS ADDRESS ADDRESS 2574 MUIRFIELD DR 865 SAN PABLO DR CITY STATE ZIP CITY STATE ZIP CARLSBAD CA 92009 SAN MARCOS CA 92078 PHONE FAX PHONE FAX 760-802-6359 EMAIL EMAIL ARCH/DESIGNER NAME ADDRESS ,& STATE UC. U STATE UC.# CLASS CITY BUS. LIC.# 938676 C53 1229661 (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 LawfChapter 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)). !I0(123(80 C0(i9AID®D Workers' Compensation Declaration: I hereby affirm underpenalty of peiftirj one of the following declarations: R 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 perfOrI1ance 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 carder and policy number are: Insurance Co. fblicy No. Expiration Date____________________ This section need not be completed tithe permit Is for one hundred dollars ($100) or less. (ZI 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 (8100,000); In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. CONTRACTOR SIGNATURE []AGENT . DATE 130(90(1D1 003110MU000 Ihereby affirm that! am exempt from Contracto?s License 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 loan 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 sate). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 74Qusiness and Professions Code: The Contractor's License Law does not apply loan owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursut'fb the Contractor's License Law). [J I am exempt under Section _____________Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed party improvement DYes [:]No 2.1 (have ! have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed cons an (include name address/phone/contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following persoi!..to'ordinate, 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): ..PROPERTY OWNER SIGNATURE - '.. ]AGENT DATE o®a MoG9.200000130VOL211 O(DOQ®O&)@ ooi& ® Is the applicant or future bUilding oècupant required to submit a business plan, acutely hazardous materials regisation form or risk management and prevention program under Sections 25505 25533 of 25534 of the Presley-Tanner Hazardous Substance Account Act? C Yes C No - Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? C Yes C No Is the facility to be constructed within 1000'feet of the outer boundary of a school site? 1 C Yes C No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. - - G®WGO®(Z) GOMM@ Q01130TU I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address P6'OG? Icertifythati ham read theappltcation and state thatthe above information Is conectand thatthe Information an the plans Is accurate. I agree to complyvifti all Cifyordinanoes and State laws relatingto buildingoonstrucittim. I hereby authorize representative of the City ofCartsbadto enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF,THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavations over 50' deep and demolition or Construction of structures over 3 stories in height. EXPIRATION: Every permit Issued by the Building afficialunder the provisions of this Code shall expireby limitation and become null and void d the building orwotkauthoredbysudi permit is not commenced within l8o days from the dateofsuch 106.4.4 Uniform Building Code). DATE 2 ..'APPUCANT'S SIGNATURE 1% / .t't 'i_I Inspection List Permit#: CB122516 Type: POOL. THORNTON RES- 990 SF POOL/SPA RUN GAS & ELECTRIC FOR FUTURE BBQ Date Inspection Item Inspector _Act Comments - 05/13/2014 55 Fence/Pre-Plaster - RI 1-3 PLEASE 05/13/2014 55 Fence/Pre-Plaster PD AP 05/13/2014 59 Final Pool PD AP .01/30/2014 92 Compliance Investigation PD AP 09110/2013 51 Excav/Steel/Bohding/Fence PD AP 09/06/2013 51 Ecav/SteeI/Bonding/Fence MC NR PER CONTRACTOR 12/19/2012 51 Excav/Steel/Bondin 9/Fence PD AP Wednesday, May 14, 2014 Page 1of 1 * Pb -! PLAN CHECK - Community &Economic REVI EW Development Department Ci TV OF - •. 1635 Faraday Avenue CARLSBAD TRANSMITTAL Carlsbad CA 92008 .: . www.carlsbadca.gov . •: - DATE: 12/03/12 PROJECT NAME: THORNTON RESIDENCE - . PROJECT ID: CB 12-2516 PLAN CHECK NO: 1 . SET#: 1 ADDRESS: 2574 MUIRFIELDS DR APN: . VALUATION: $40,313 • : . P4 Z This plan check review IS complete and has been APPROVED by the ENGINEERING Division. * • . * By KATHLEEN LAWRENCE 12/03/12 A Final Inspection by the -Division-is required EYes No P - -. i 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: You may also have corrections frornne 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 For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING , ENGINEERING FIRE PREVENTION 7606024610 760-6022750 7606024665 Chris Sexton F. 760-602-4624 . • . Kathleen Lawrence • Greg Ryan 760-602-2741 760-602-4663, Chris.Sexton@carisbadca.Ov • Kathieen.Lawrencé@carIsbadca.ov 1 Greporv.Rvan@carisbadca.gov Gina Ruiz • .. F-1 Linda Ontiveros .;F—] Cindy Wong 760-602-4675 . 760-6022773 760:602-4662 Gina.Ruiz@carlsbadca.Eov • - • ünda.0ntiveros@carlsbadca.ov Cynthia.Wong@carisbadca.gov [Ij .. • • • fj • • FII . Dominic Fieri • • 760-602-4664 * Dominic.Fieri@carisbadca.gov * Remarks: . • . • -. • P • - • - P - • 4 P • SET #1 Any outstanding issues will be marked with . 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 division. items that conform to permit requirements are marked with 1. SITE PLAN Provide a fully dimensioned site plandrawn to scale. Show: EJ J North arrow LJ Existing & proposed structures Property lines (show all dimensions) LJ [U Easements on site plan: Drainage patterns J Existing & proposed slopes LZJ Existing topography E21 Retaining Walls (location and height) c: Indicate what will happen with soil excavated from pool area. Shov Include on title sheet: Site address Assessors parcel number - LZJ Legal description/lot number. L1 LJ Grading: Quantities of Cut Fill Import= ExportEJ LJ ii Project does not comply. With the following engineering conditions of approval for project no: LI El Conditions were complies with by: Date: Lot/Map No.: 13 Subdivision/Tract: CT 02-19 Reference No(s): 14892 E-37 Page 2 014 REV 612012 1 SET# 1 2. GRADING PERMIT REQUIREMENTS The conditions that require a grading permit are found in Section 1t06.030 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" =1= Grading Permit required. NOTE: The grading permit must be issued and rough gradin 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. A minor grading permit has been applied for: GR 1 EJ No grading permit 'required. 3. MISCELLANEOUS PERMITS PER EJ E21 RIGHT-OF-WAY PERMIT is required to do work in city right-of-way and/or private work APPLICANT, adjacent to the public right-of-way. ALL EQUIP OUT OF CITY ROW 1 A separate right-of-way issued by the engineering division is required for the following: EJ LJ 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 30f4 REV 6/2012 SET# 1• 4. STORM WATER .1 Construction Compliance Project Threat Assessment Form completeJ incomplete Requires Tier I Storm Water Pollution Prevention Plan. Please complete attached form and return (SW 12-5511 ) IJ Requires Tier 2 Storm Water Pollution Prevention Plan. Requires submittal of Tier 2 SWPPP, payment of processing fee and review by city. Post-Dévelopment(SUSMP) Compliance Storm Water Standards Questionnaire complete incomplete . . Project is subject to Standard Storm Water Requirements. See city Standard Uitan Storm Water Management Plan (SUSMP) for reference. http://www.carlsbadca.gov/business/building/Documents/EnpStàndsw-stds-vol4-ch2.ødf J 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 II Bio-retentions cell/rain garden Pervious pavement/payers • • • El Flow-through planter/vegetated or rock drip line • Vegetated swales or rock infiltration swales El Downspouts disconnect and discharge over landsóapé EQthér S. ADDI1 IONAL COMMENTS • Attachments: FIEngineering Application El Storm Water Form LJ Right-of-Way Application/info U Reference Documents E-37 • • Page 4 of .4 • • REV 6/2012 4%%~> CITY OF CAR LSBAD STORM WATER COMPLIANCE ASSESSMENT B-24 DeveloDment Services Building Division 1635 Fraday Avenue 760-602-2719 www.carlsbadca.gov I am applying to the City of Carlsbad for the following type(s) of construction permit: ' 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 Mechanical Spa-Factory following permit types: Mobile Home Sprinkler Plumbing Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria U 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, material 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 U 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, U 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). 112 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. Project Address: Assessor Parcel No. 2574 -QiUc 'c- Z13-2-(3-c Owner/Owner's Authorized Agent Name: Tile: bc v Owner/Owner's Authodzedkgent Signature: Date: Cicu rrence e , YES ONO V rtrl i Project ID: L_ B-24 Page 1 of 1 Rev.03/09 CITY OF CARLSBAD CONSTRUCTION THREAT ASSESSMENT WORKSHEET FOR Development Services DETERMINATION OF PROJECT'S Land Development Engineering PERCEIVED THREAT TO 1635 Faraday Avenue STORM WATER QUALITY 760-602-2750 E-33 www.carlsbadca.gov Construction Perceived Threat to 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) U Site slope is 5 to I or steeper 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 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 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 U 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 lnsection Threat Assessment Criteria U 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 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) Medium i Ll Site slope s 5 to I or steeper Tier I 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 U Site results in one half acre or more of soil disturbance TieiA - Low lnsection Threat Assessment Criteria All projects not meeting Tier I Medium Construction Threat Assessment Criteria LOW 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 << CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Develooment Services Engineering Department 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov I INSTRUCTIONS: To address post-development pollutants that may be generated from development projects, the City requires that new development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (BMP's) into the project design per the City's Standard Urban Stormwater Management Plan (SUSMP). 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 Stormwater Requirements' or be subject additional criteria called 'Priority Development Project Requirements'. Many aspects of project site design are.dependent upon-the storm water standards applied to a project. Applicant 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 .the applicant, 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 applicants are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, they are advised to 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, applicants for construction permits must also complete, sign and submit a Project Threat Assessment Form to address construction aspects of the project. Please answer the questions below, follow the instructions and sign the form at the end. I 1. Is your project a significant redevelopment? DEFINITION: Significant redevelopment is defined as the creation, addition or replacement of at least 5,000 square feet of impervious surface on an already existing developed site. - Significant redevelopment includes, but is not limited to: the expansion of a building footprint; addition to or replacement of a structure; structural development including an increase in gross floor area and/or exterior construction remodeling; replacement of an impervious surface that is not part of a routine maintenance activity; and land disturbing activities related with structural or impervious surfaces. Replacement of impervious surfaces includes any activity that is not part of a routine maintenance activity where impervious material(s) are removed, exposing underlying soil during construction. - - If your project IS considered significant redevelopment, then please skip Section 1 and proceed with Section 2. - If your project IS NOT considered significant redevelopment, then please proceed to Section 1. E-34 Page 1 of 3 REV 3/23/10 4~ 7014h_> CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E34 Develooment Services Engineering Department 1635 Faraday Avenue 7607602-2750 www.carlsbadca.gov SECTION 1 NEW DEVELOPMENT PRIORITY PROJECT TYPE YES NO Does you project meet one or more of the following criteria: . . Housing subdivisions of 10 or more dwelling, units. Examples:. single family homes, multi-family. homes, condominium and apartments . * .... - Commercial - greater than 1-acre. Any development other than heavy industry or residential. Examples: hospitals; laboratories and other medical facilities; educational institutions; recreational facilities; municipal facilities; commercial nurseries multi apartment buildings car wash facilities mini malls and other business complexes shopping malls hotels; warehouses;_automotive_dealerships;_airfields;_and_other_light_industrial_facilities.! _office _buildings; _public 3 Heavy Industrial /Industiv- greater than I acre. Examples: manufacturing plants,' food processing plants, metal ' working facilities printing plants, and fleet storage areas(bus, truck, etc.). Automotive repair shop. A facility categorized in any one of Standard Industrial Classification (SIC) codes 5013, 5014, 5541, 7532-7534, and 7536-7539 1. .. . Restaurants. Any facility that sells prepared foods and drinks for consumption, including stationary lunch counters and refreshment stands selling prepared foods and drinks for immediate consumption (SIC code 5812), where the land area for development is greater than 5,000 square feet. Restaurants where land development is less than 5,000 square feet shall meet all SUSMP requirements except for structural treatment BMP and. numeric sizing criteria ; requirements and hydromodification requirements. Hillside development. Any development that creates 5,000 square feet of impervious surface and is located in an area with known erosive soil conditions, where the development will grade on any natural slope that is twenty-five percent (25%) or greater. Environmentally Sensitive Area (ESA)1. All development located within or directly adjacent2 to or discharging directly3 to an ESA (where discharges from the deielopment or redevelopment will enter receiving waters within the ESA), which either creates 2,500 square feet of impervious surface on a proposed project site or increases the area of imperviousness of a proposed project site to 10% or more of its naturally occurring condition.- . . . Parking to Area of 5,000 square feet or more, or with 15 or more parking spaces, and potentially exposed to urban runoff Streets, roads, highways, and freeways. Any paved surface that is 5,009 square feet or greater used for the transportation of automobiles, trucks, motorcycles, and other vehicles ' Retail Gasoline Outlets. Serving more than 100 vehicles per day and greater than 5,000 square feet Coastal Development Zone. Any project located within 200 feet of the Pacific Ocean and (1) creates more than 2500 square feet of impermeable surface or (2) increases impermeable surface on property by more than 10%. More than 1-acre of disturbance. Project results in the disturbance of more than 1-acre or more of land and is v considered a Pollutant-generating Development Project4. i trivironmentany benSITIVS Areas uncivae out are not iimitea 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 Controi 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; and any other equivalent environmentaiiy sensitive areas which have been identified by the Copermittees.. 2 'Directly adjacent' means situated within 200 feet of the Environmentally Sensitive Area. 3 'Discharging directly to' means outflow from a drainage conveyance system that is composed entirely of flows from the subject development'or redevelopment site, and not commingled with flow from adjacent lands. ' ' . . ' 4 Pollutant-generating Development Projects are those projects that generate pollutants at levels greater than background levels. In general, these include all projects that contribute to an exceedance to an impaired water body or which create new impervious surfaces greater than 5000 square feet and/or introduce new landscaping areas that require routine use of fertilizers and pesticides: in most cases linear pathway projects that are for infrequent vehicle use, such as emergency or maintenance access, or for pedestrian or bicycle use, are not considered Pollutant-generating Development Projects if they are built with pervious surfaces or if they sheet flow to surroundino cervious surfaces. Section 1 Results: . .11 you answered YES to ANY of the questions above your. project is subject to Priority Development Project requirements. Please check the 'meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3. A Storm Water Management Plan, prepared in accordance with City Storm Water Standards, must be submitted at time of application. , . . . .. If you answered NO to ALL of the questions above, then your project is subject to Standard Stormwater Requirements. Please check the "does not meet PDP requirements" box in Section 3. E-34 Page 2 of 3 REV 3/23/10 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. - 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. •' . - S 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. S. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. SPECIAL NOTES' S - ,J ,I'• , •, - PROJECT INFORMATION Site Address: 2574 MUIRFIELDS DRIVE Assessor's Parcel Number. -213.2501300 l Project ID: ' ' . ' 02 VOL Construction Permit No.: Estimated Construction Start Date tt/ 30/il Project Duration Months V Emergency Contact: , Name 24 hour Phone: _OOiiP' Pa - Storm Water Quality ad! V -' • If medium box is checked, must attach a site plan sheet showing proposed work area and location of proposed structural BMPa rur use niy CITY OFJQAA STANDAR IE .PP Approved By: - Data. / I. -. c 4. • I .4 .4. ...:: •'t '''' , 4 'V S - •* - * STORM WATER COMPLIANCE FORM- . Development Services CITY OF • TIER I CONSTRUCTION SWPPP Ind Development Engineering C ARLS 1635 Faraday Avenue i ' . . .. - 760-602-2750 BAD - . . E-29 . . ,-. - - - . ' www.carlsbadca.gov STORM WATER COMPLIANCE CERTIFICATE 4 .•.• , ., I 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 meats 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). . , - -. V ' I * 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 I 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 I THE EXPOSURE OF STORM WATER TO CONSTRUCTION RELATED POLLUTANTS; AND, (2) ADHERE TO, AND AT ALL TIMES, COMPLY WITH THIS CITY APPROVED TIER I CONSTRUCTION SWPPP THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD. OWNER(S)/OWNER'S AGENT NAME (PRINT) OWNER(S)/OWNER'S AGE NAME (SIGNATURE) DA E E-29 Page lot 3 * REV 4/30/10 << CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Engineering Department 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov SECTION 2 SIGNIFICANT REDEVELOPMENT j Complete the questions below regarding your redevelopment project: YES NO 1. Project results in the disturbance of more than 1-acre or more of land and is considered a Pollutant-generating Development Project (see definition in Section 1). If you answered NO, please proceed to question 2. If you answered YES, then you ARE a significant redevelopment and you ARE subject to PRIORITY DEVELOPMENT PROJECT requirements. Please check the "meets PRIORITY DEVELOPMENT PROJECT requirements' box in Section 3 below. 2. Is the project redeveloping an existing priority project type? (Priority projects are defined in Section 1) I I If you answered YES, please proceed to question 3. If you answered NO, then you ARE NOT a significant redevelopment and your project is subject to STANDARD STORM WATER REQUIREMENTS. Please check the "does not meet PDP requirements" box in Section 3 below. 3. Is the project §i!y limited to just one of the following: Trenching and resurfacing associated with utility work? Resurfacing and reconfiguring existing surface parking lots? New sidewalk construction, pedestrian ramps, or bike lane on public and/or private existing roads? Replacement of existing damaged pavement? If you answered NO to ALL of the questions, then proceed to question 4. If you answered YES to ANY of the questions then you ARE NOT a significant redevelopment and your project is subject to Standard Stormwater Requirements. Please check the "does not meet PDP requirements" box in Section 3 below. 4. Will your redevelopment project create, replace, or add at least 5,000 square feet of impervious surfaces on an existing development or, be located within 200 feet of the Pacific Ocean and (1)create more than 2500 square feet of impermeable surface or (2) increases impermeable surface on the property by more than 10%? If you answered YES, you ARE a significant redevelopment, and you ARE subject to PRIORITY DEVELOPMENT PROJECT requirements. Please check the "meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3 below. If you answered NO, then you ARE NOT a significant redevelopment and your project is subject to STANDARD STORM WATER REQUIREMENTS. Please check the "does not meet POP requirements" box in Section 3 below. SECTION 3 I Questionnaire Results: J /My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must comply with additional stormwater criteria / per the SUSMP and must prepare a Storm Water Management Plan for submittal at time of application. f My project does not meet PDP requirements and must only comply with STANDARD STORMWATER REQUIREMENTS per the SUSMP. Applicant Information and Signature Box Address: Assessor's Parcel Number(s): Applicant Name: Applicant Title: 1o.-' Applicant Signature: Date: It! I tz, This Box for City Use Only City Concurre/ I YES Data: ( Project ID: E-34 Page 3 of 3 REV 3/23/10 . - • - _1• • Erosion Control S.;Im, ant Control BMPs Non-Storm Water Waste Management and Materials BMPs Management BMPs Pollution Control OMPs Best Management Practice (BMP) Description 4 r:iIUUUDIgUIUUUUIUUUUUUUI Iir'uIa•uu••uu..u1uflu...IUIIuIulunhII U)flfliTht • • 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 descrnbed, 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 writs in 'Cover with Plastle 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 Menagemet 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 '. BUILDING PLAN CHECK Development Services * Planning Division CITY: OF . APPROVAL - 1635 Faraday Avenue CAR LSBAD P-29 (760) 602-4610 DATE 11J28/12'PROJECT NAME POOL/SPA PROJECT ID PLAN CHECK NO CB122516 SET# ADDRESS 2574 MUIRFIELDS DR APN ' This plan check review is complete and has been APPROVED by the PLANNING Division (CONDITIONALLY APPROVED-SEE REMARKS BELOW) By: GINARUIZ A Final Inspection by the PLANNING Division is required Yes Z No Yciu rndy also* have corrections from one or more of tffe divisions listed below. Aproval from these diviións 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 resubit amended plans as required. Plan Check APPROVAL has been, sent to: DAN@BLACKROCKPOOLS.COM .' For questions or clarifications on the attached checklist please contact the following reviewer as-marked- PL ANNING ' ENGINEERING FIRE PREVENTION 760-602-4610, 760L6602-2750 766-664665%^ Chris Sexton . Kathleen Lawrence. Greg Ryan '. 760-602-4624 • 760-602-2741 . •760-602-4663 Chris.Sexton@carisbadca.Eov - Kathieen.Lawrence@carisbadca.gov Gregorv.Rvãn@carisbadca.ov Gina Ruii-. Linda Oñtiveros CiñdyWong 760-602-4675 760402-2773 , , . 760-602-4662 - Gina.Ruiz@carisbadca.gov, Linda.ontiveros@carisbadca.gov Cynthia.Won@carisbadca.ov Dominic Fier! - • • '-. • . •- '. '•. 760-602-4664' -, . • Dominic.Fiéri@carisbadca.ov -.Remarks:.PLANS ARE NOT SHOWING ANY FILL INTO THE SLOPE AND IS APPROVED BASED ON NO FILL BEING PROPOSED AS ITIS NOT PERMUTED TOElLL AT THE TOP ft ,-••. • ft - --ft -• OFTHE SLOPE • , • • - .• - - • ¼, - . -• I - '. • . ft ft - • • ' • • •. ft• - 'ft - -• - - . ft - ft - 'ft • ft. -• • ft - "- - ft -ft - - • - ft