HomeMy WebLinkAbout2614 LA GOLONDRINA ST; ; CB150646; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-10-2015 Pool Permit Permit No: CB150646
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
Building Inspection Request Line (760) 602-2725
2614 LA GOLONDRINA ST CBAD
POOL
Lot#: 0 2155620400
$17,080.00 Construction Type: NEW
NENZEL RES-350 SF POOL/SPA
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
03/02/2015
RMA
03/10/2015
03/10/2015
Applicant:
SO-CAL CUSTOM POOLS & SPAS NENZEL RICHARD A&SAUNDERS COLLEEN L
3730 HIBISCUS CR 92008
760 477-7378
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
2614 LA GOLONDRINA ST
CARLSBAD CA 92009
$184.75
$0.00
$129.32
$0.00
$33.00
$33.00
$2.22
$1.00
$0.00
$0.00
$0.00
$0.00
$383.29
Total Fees: $383.29 Total Payments To Date: $383.29 Balance Due:
Inspector:
FINAL t~P~Or-L
Date: / f, Clearance:
$0.00
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 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
e / I r a t
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-10-2015
Storm Water Pollution Prevention Plan (SWPPP) Permit
Permit No:SW150100
Job Address:
Permit Type:
Parcel No:
Reference #:
CB#:
Project Title:
2614 LA GOLONDRINA ST CBAD
SWPPP
2155620400 Lot#: 0
CB150646
NENZEL POOUSPA
Owner:
Status:
Applied:
Entered By:
Issued:
Inspect Area:
Tier:
Priority:
ISSUED
03/02/2015
RMA
03/10/2015
1
M
Applicant:
SO-CAL CUSTOM POOLS & SPAS NENZEL RICHARD A&SAUNDERS COLLEEN L
3730 HIBISCUS CR 92008
760 477-7378
Emergency Contact:
JIMI JACKSON
760 547-4573
SWPPP Plan Check
SWPPP Inspections
Additional Fees
TOTAL PERMIT FEES
Total Fees: $277.00
2614 LA GOLONDRINA ST
CARLSBAD CA 92009
$53.00
$224.00
$0.00
$277.00
Total Payments To Date: $277.00 Balance Due:
FINAL APPROVAL
DATE~ ·Z-15'
$0.00
)' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING
Ccityof
Carlsbad
JOB ADDRESS
CT/PROJECT#
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEf/SPACEf/UNI
# OF UNITS # BEDROOMS # BATHROOMS
DESCRIPTION OF WORK: Include Square Feet of Aff'ected Atea(s)
EXISTING us"5:fl,..
APPLICANT NAME
Prtna Contact
ADDRESS
CITY
PH
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
~Oo\ •
PROPOSED~
STATE ZIP
STATE ZIP
FAX
STATE UC.# STATE
□BUILDING □FIRE
-O.J
OCC. GROUP
FIRE SPRINKLERS
YES0NO□
CLASS
(Sec. 7031.5 Business and Professions Gode: Any City or County which requires a permit to construct. alte , improve, demo sh or repair any structure, prior to its issuance, also re uires e applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the contractor's License Law (Chapter 9, commending with Section 7000 of Division of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation ofSect1on 1031.5 by any apphcant for a permit subjects the appli ant to a civil penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
Wori<ers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the WOfk for which this pemiil is issued.
□ I have and wlll maintain wor1<ers' 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 policy
number are: Insurance Co. ______________________ Policy No,-------------~ Expiration Date _________ _
This section need not be completed if the permit is for one hundred dollar.; ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of
California. WARNING: Failure to secure workers' com sation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as pr ded r in Section 3706 of the Labo rest and attomey's fees.
,a$ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
□
□
□
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 ls sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with conlractor(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 construcUon of the proposed property improvement. 0Yes 0No
2. I (have/ have not) signed an application for a building permit for the proposed work
3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number):
5. I wrn provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name/ address I phone/ type of work):
,8S PROPERTY OWNER SIGNATURE DATE
·~-·---------
COMPLETE THI$ $ECTION FOR NON•RESJDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required lo submit a business plan, acutely hazardous materials registration fom1 or risk management and prevenHon 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 district 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 AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec. 3097 (1) Civil Code)
Lender's Name Lender's Address
A P Pl.TC AH T . C Iii R TI F I(: A T I O N
I certify that I have read the appllcatlon and state that the above lnfonnation Is oonec:tand that the information on the plans Is accura1e. I agree ID complyv.ffll all Clfy ordinances and State laws relating ID building construction.
I hereby aulhorize representative of the City of Cartsbad to enter up:m the above mentioned property br inspeclbn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF CAALSMD
AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAJNST &\ID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: .Ari OSHA i:;ennrt is required for excavations over 5'0' deep and demolltbn or o:mstruction of structures over 3 stories in heght.
EXPIRATION: Every permit issued by the 0.Jildir,g Olocial under the JX'C)Visk:ms of this Code shall expire by Hmtta'.k?n and become nu! and void if the building or'N)O( aulhorized by~ -it is not oomrnenced 'Mlhin
100 days from the date of su::h permit or if !he building orYoOrk authorized by su . It is r ned at any time after the 'MJrk is oommenced for a period of 100 d ( · 100.4.4 Unitlnn 0.Jik:lir,g Code),
,@f APPLICANT'S SIGNATURE . DATE 3 l, 6.
Inspection List
Permit#: CB150646 Type: POOL
Date Inspection Item
06/01/2015 55 Fence/Pre-Plaster
06/01/2015 55 Fence/Pre-Plaster
06/01/2015 59 Final Pool
06/01/2015 59 Final Pool
05/05/2015 51 Excav/Steel/Bonding/Fence
04/03/2015 23 Gas/TesURepairs
04/03/2015 51 Excav/Steel/Bonding/Fence
04/03/2015 52 Underground Plumbing
04/03/2015 53 Electric/Conduit/Wiring
•
Tuesday, June 02, 2015
Inspector Act
RI
PD AP
RI
PD AP
PD AP
MC NR
MC AP
MC AP
MC AP
NENZEL RES-350 SF POOL/SPA
Comments
NENZEL RES, AM
AM
FAULTY GUAGE
STEEL BOND, DECK TAIL BOND
CONDUIT ONLY, BOND FROM EQUIP.
TO STEEL
Page 1 of 1
<{~
~ CITY OF
CARLSBAD
PLAN CHECK
REVIEW
TRAN SM ITT AL
DATE: 03/05/15 PROJECT NAME: NEZEL POOL
PLAN CHECK NO: 1 SET#: 1 ADDRESS: 2614 LA G0L0DRINA
VALUATION/SCOPE OF WORK: POOL AND SPA
Community & Economic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www .carlsbadca.gov
PROJECT ID: CB150646
APN: 215-562-04-00
✓ This plan check review is complete and has been APPROVED by the ENGINEERING
Division.
By: VALRAY MARSHALL
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: CARRIEJONES@HOTMAIL.COM
You may also have corrections from one or more of the divisions fisted 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
760-602-4610 760-602-2750 760-602-4665
Cllris Sexton Kathleen Lawrence Greg Ryan
760-602 4624 760-602-27 41 760-602-4663
Chris.SextQn@carlsbadca.gov Ks;!thleen.Li;!wren~e~ci;!rlsbadca.gov Gregor~.R~i;!n@carl~!;!s;!dCs;!.gov
Gina Ruiz Linda Ontiveros Cindy Wong
( .,o t ( ') € 1, 160 602-2773 760-602-4662
Gina.Ruiz!g/carlsbadca.gov Linda.Ontiveros@carlsbadca.gov C~nthia.Wong@carlsbadca.gov
✓ ValRay Marshall Dominic Fieri
760-602-2773 760 602 4664
Va1Ray.Marshall@carlsbadca.gov Dominic.Fieri@carlsbadcs;!.gQv
Remarks:
1
NO EASEMENTS
ON FM OR IN GIS
E-37
i\ny ou/!-·/umlinx i~stll'S 1.i1i// /Jc murkctl with ,~n[XJ /Hake the necessu,·y conecti011s .fi1r
compliunce wi/11 a11plicuble codes 11nd s/11nd11tds. S11!,mit correrled 11/u11s and/or spedfications lo
the H11ildi11g rlirL~io1Ifor rc-s11bmi/tal lo the L11sineerin;.: dh1ision'>.
lle11ts that co11Jlnw to permit requirements ore murkcil 1vith [Z]
1. SITE PLAN
Provide a fully dimensioned site plan drawn to scale.
Show:
✓ North arrow
✓ Existing & proposed structures
✓ Property line dimensions
Easements
Show on site plan:
✓ 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. 149
MAP NO. 10257
REF. NO.
Page 2 of4
Date:
REV 6/2012
1
RW 15-42
E-37
1
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
✓ RIGHT-OF-WAY PERMIT is required to do work in city right-of-way and/or private work
adjacent to the public right-of-way.
A separate right-of-way issued by the engineering division is required for the following:
Please complete attached right-of-way application form and return to the engineering
department together with the requirements on the attached right-of-way checklist, at
the time of resubmittal.
Right-of-way permit and pool permit will be issued simultaneously.
Page3of4 REV 6/2012
•
1
E-37
1
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-100 )
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 ✓ incomplete
Project is subject to Standard Storm Water Requirements. See city Standard Urban
Storm Water Management Plan (SUSMP) for reference.
http://www.carlsbadca.gov/business/bu1lding/Oocuments/EngStandsw-stds-vol4-ch2.pdf
Project needs to incorporate low impact development strategies throughout in one or
more of the following ways:
Rainwater harvesting (rain barrels or cistern)
Vegetated Roof
Bio-retentions cell/rain garden
Pervious 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
Page4of4 REV 612012
•
f
~ «•r.'t, ~ CITY OF
CARLSBAD
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:
□ Building Permit □ Right-of-Way Permit
□ My project is categorically EXEMPT from
the requirement to prepare a storm water
pollution prevention plan (SWPPP) because ii
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
□ 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 threar 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~-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
□ 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 soil disturbance totaling one or more acres including any
associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or
□ 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,
□ 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.
By: Date: Project ID: *The Cfy 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.
City Concurrence:
1(v,s □ NO \Jff\. Q\Jl-'-HO
B-24 Page 1 of 1 Rev.03/09
<,~t~ ~ CITY OF
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 CARLSBAD
Construction Perceived
SWPPPTler Construction Threat Assessment Criteria* Threat to
Stonn Water Level Qualitv
Tier 3 -High Construction Threat Assessment Criteria □ Project site is 50 acres or more and grading will occur during the rainy season
□ 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 □ Soil at site is moderately to highly erosive (defined as having a predominance of soils with
Tier 3 □
USDA-NRCS Erosion factors k, greater than or equal to 0.4)
Site slope is 5 to 1 or steeper □ Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1
□
through April 30).
Owner/contractor received a Storm Water Notice of Violation within past two years
Tier 3 -Medium Construction Threat Assessment Criteria Medium □ All projects not meeting Tier 3 High Construction Threat Assessment Criteria
Tier 2 High Construction Threat Assessment Criteria
□ 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
□ Soil at site is moderately to highly erosive (defined as having a predominance of soils wit(
USDA-NRCS Erosion factors k, greater than or equal to 0.4) High
Tier2 ~ Site slope is 5 to 1 or steeper
/ Construction is initiated during the rainy season or will extend into the rainy season (Oct.
through April 30). '-.... □ Owner/contractor received a Storm Water Notice of Violation within past two years -
□ Site results in one half acre or more of soil disturbance
Tier2 Medium Construction Threat Assessment Criteria Medium □ All projects not meeting Tier 2 High Construction Threat Assessment Criteria
Tier 1 -Medium lns~ection Threat Assessment Criteria
□ 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
□ Soil at site is moderately to highly erosive (defined as having a predominance of soils with
USDA-NRCS Erosion factors k, greater than or equal to 0.4) Medium □ Site slope is 5 to 1 or steeper
Tier 1 □ Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1
through April 30).
□ Owner/contractor received a Storm Water Notice of Violation within past two years
□ Site results in one half acre or more of soil disturbance
Tier 1 -Low lnsQection Threat Assessment Criteria Low □ All projects not meeting Tier 1 Medium Construction Threat Assessment Criteria
Exempt -Not Applicable -Exempt
*The city engineer may authorize minor variances from the construction threat assessment cntena in special circumstances
where it can be shown that a lesser or higher amount of stem, water compliance inspection is warranted in the opinion of
the city engineer
E-33 Page 1 of 1 REV 4/30/10
•
«1'» ~ CITY OF
CARLSBAD
STORM WATER
STANDARDS
QUESTIONNAIRE
E-34
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
To address post-development pollutants that may be generated from development projects, the City requires that new development and
significant redevelopment priority projects incorporate Penmanent Stonm Water Best Management Practices (BMP's) into the project
design per the City's Standard Urban Stonmwater Management Plan (SUSMP). To view the SUSMP, refer to the Engineering Standards
(Volume 4, Chapter 2) at www.carlsbadca.gov/standards.
Initially this questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision,
discretionary penmits and/or construction penmits). The results of the questionnaire detenmine the level of stonm 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 Stonmwater 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 questioilnaire 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 detenmines that the questionnaire
was incorrectly filled out and is subject to more stringent stonm 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 detenmining 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 pem,its
for the project.
Please start by completing Step 1 and foffow 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 penmeable 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 US EPA Green Streets guidance?
YES NO
'f
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 stonm 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 infonnation.
E-34 Page 1 of 3 Effective 6127/13
«t't> ~ CITY OF
CARLSBAD
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
deve/o 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 ·ects on ubfic 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 stationa,y lunch counters and refreshment stands selling prepared
foods and drinks for immediate consum ffon.
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 ot impervious surface
collectively over the entire project site and supports a parking lot. A parking lot is a land area or facility for the
fem ora arkin or stora e of motor vehicles used ersona/1 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 transportation 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 Classification (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 .
1 O. 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 subject to
implementing structural Best Management Practices (BMP's) in addition to implementing Standard Stonm Water Requirements such
as source control and low impact development BMP's. 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 Stonm 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
•
«t~ ~ CITY OF
CARLSBAD
STORM WATER
STANDARDS
QUESTIONNAIRE
E-34
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Com lete the uestions below re ard1n our redevelo ment ro·ect: 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 reviousl existin develo ment?
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 "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 ulrements" box and com lete a licant infonnation.
□ My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must comply with additional stonnwater
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
Address:,'.)&,t-{, J .. (\ \ 0 · l OU. ""1 0 O VI OLV 4 " ,
Applicant N~\,( ✓; ~ -:So IV-S
Applicant Signature: [/M
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
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 Copennittees.
E-34 Page 3 of 3 Effective 6/27/13
«1~ ~ 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 'Nith 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
• construction will be initiated during the rainy season or 'Nill 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. Cw J ''C'._ s ou,5,
OWNER(S)/OWNER'S AGcN r NAME (PRINT)
t:2:J,_'1 5-2--6
OWNER(S)/OWNER'S AGENT NAME (SIGNATURE) DATE
E-29
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
ENGINEERING OR BUILDING INSPECTOR DUE
TO UNCOMPLETED GRADING OPERATIONS OR
UNFORESEEN CIRCUMSTANCES WHICH MAY
ARISE.
4. ALL REMOVABLE PROTECTIVE DEVICES SHALL
BE IN PLACE AT THE END OF EACH WORKING
DAY WHEN THE FIVE (5) DAY RAIN
PROBABILITY FORECAST EXCEEDS FORTY
PERCENT (40%). SILT AND OTHER DEBRIS
SHALL BE REMOVED AFTER EACH RAINFALL.
5. ALL GRAVEL BAGS SHALL BE BURLAP TYPE
WITH 3/4 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 of3
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
PROJECT INFORMATION
SiteAddress:2t ~ \.\.(, Tok ~vlo1\I&~
Assessor's Parcel Nu:ed { 5-Sk2-o:f
Project ID: ___________ _
Construction Pennit No.: ______ _
Estimated Construction Start Date 3 .. -t; -{)
Project Duration ____ Months
Emergency Contact
Name :s·r /\(): 3<-. c '-U o N
24 hour Phonef)vJ? -$"sJ-<...l ~J3:
Perceived Threat to Storm Water Quality
~ Medium
0 Low
If medium box is checked, must attach a site plan
sheet showing proposed 'NOrk area and location
of proposed structural BMPs
For City Use Only
CITY OF CARLSBAD
STANDARD TIER 1 SWPPP
Approved By: \lei Ji2a ¥ A J, j Q:Y\,,
/
Date: 0 $· 1$
REV 4/30/10
,
Erosion Control Tracking Non-Storm Water Waste Management and Materials
BMPs Sediment Control BMPs Control Management BMPs Pollution Control BMPs BMPs
C C C E E 0
"O 0 0 ~ " "O " C u 'ii C "' E C E "O
* .. 0 C "' .. C
w E 2 2 ~ '5 'E C. " .. * "' ·! ]l 1n w 1n C '5 "' "' * ::;; "' -g ~ C ~ " C" .. C ~ Best Management Practice C C. " 'ci. C CW C ·c -~ C 0 "" .... .. en -0 " CJ " w ~ ~ :c w 3 w 0 " " ..
(BMP) Description ➔ w -" C ,= E "' " "' .. C u~ u w "O ~ "O ,; w ::;; 2 o,C/J -~ w l-~ en "cij C -g@ C C " w J!! ~ .. .. C 0 ::, w ~ ~ ~ Q) E 'E "' ~ 0 "O >, 0 .. " > ~ 2 ~ ::;; 0 16' 0 C " 0 en .. 0·-" .. u .. " )j .. 'a i; 0
" E "' 0: ,; is .c Ej ~ ~ ~ 3: ,. "' :c J!!. ·c 'E' ~ 0 "O ,c C " u. u I;; > "O :0 ~ :c i C u 2 "' " .. 0 t: ·-C. '5 " E C .,. ~ :c u r;j C " ~ "E 0 "' .c ~ u .9 e .. "' !lo .. ~ 0 0 " "' -.. .. .. ~ CJ WO ii'i ii'i Cl) u Li: CJ Cl)> Cl) Cl) a. in .E Cl) 0: a. a. ::;; Cl). :,: u
CASQA Designation ➔ ';-"i' '<' '? ,-"I "I ';-a, 0 ~ ~ ;i; "' ,-.. a, i ')' "' ,-i "1 "i' u u u 0 w w w w w w w Ji d, d, d, ::;; :i; ~ ::;; ::;; w w w Cl) Cl) Cl) Cl) Cl) Cl) Cl) >->-z z z z s s s s ..,..construction Activity w Cl) -,
"'' .:radina/Soil Disturbance ,_
Trenchinci/Excavation .
Stocke ilina -Drillina/Borina
~ncrete/Asphalt Saw
cuttina '(:.J
/ Concrete flatwork ~,
Pavino
~ Conduit/PiflF! Installation Ir
Stucco/Mortar Work ' Waste Disu sal . .r,
Staaina/Lav Down Area
Equipment Maintenance
and Fuelino
Hazardous Substance
Use/Starace
Dewaterino
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 descrribed, pick one or more best
management practices (BMPs) from the list located along the top of the fonn. 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 'Nhat 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 Page2 of3 REV 4/30/10
....
.. :" \\,' ..
~ CITY OF
CARLSBAD
PLANNING DIVISION
BUILDING PLAN CHECK
REVIEW CHECKLIST
P-28
DATE: 3-4-15PROJECT NAME: PROJECT ID:
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.E!ov
PLAN CHECK NO: CB 15-0646 SET#: 2 ADDRESS: 2614 La Golondrina APN: 215-562-04-00
~ 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 Comments have been sent to: carrieJones@hotmail.com
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
[g] Chris Sexton □ Kathleen Lawrence □ Greg Ryan
760-602-4624 760-602-2741 760-602-4663
Chris.Sexton@carlsbadca.gov Kathleen.Lawrence@carlsbadca.gov Gregory.Ryan@carlsbadca.gov
□ Gina Ruiz □ Linda Ontiveros □ Cindy Wong
760-602-4675 760-602-2773 760-602-4662
Gina.Ruiz@carlsbadca.gov Linda.Ontiveros@carlsbadca.gov Cynthia.Wong@carlsbadca.gov
□ □ □ Dominic Fieri
760-602-4664
Dominic.Eleri@carlsbadca.gov
Remarks:
REVIEW#:
1 2 3
[8J □ □
[8J □ □
[8J □ □
[8J □ □
[8J □ □
[8J □ □
P-28
Plan Check No. CB 15-0646 Address 2614 La Golondrina Date 3-4-15 Review# i
Planner Chris Sexton Phone 1760) 602-4624
APN: 215-562-04-00
Type of Project & Use: pool. spa Net Project Density: 1.0 DU/AC
Zoning: P-C General Plan: RLM Facilities Management Zone:§
CFD (in/out) #_Date of participation: __ Remaining net dev acres: __
(For non-residential development: Type of land use created by this permit: __ )
Legend: [8J Item Complete
Environmental Review Required:
DATE OF COMPLETION:
D Item Incomplete -Needs your action
YES □ NO □ TYPE
Compliance with conditions of approval? If not, state conditions which require action.
Conditions of Approval: ·
Discretionary Action Required: YES □ NO O TYPE __
APPROVAL/RESO. NO. DATE
PROJECT NO.
OTHER RELATED CASES:
Compliance with conditions or approval? If not, state conditions which require action.
Conditions of Approval: __
Coastal Zone Assessment/Compliance
Project site located in Coastal Zone? YES O NO 0
CA Coastal Commission Authority? YES O NO 0
If California Coastal Commission Authority: Contact them at -7575 Metropolitan Drive,
Suite 103, San Diego, CA 92108-4402; (619) 767-2370
Determine status (Coastal Permit Required or Exempt):
Habitat Management Plan
Data Entry Completed? YES □ NO □
If property has Habitat Type identified in Table 11 of HMP, complete HMP Permit application
and assess fees in Permits Plus
(NP/Ds, Activity Maintenance, enter CB#, toolbar, Screens, HMP Fees, Enter Acres of
Habitat Type impacted/taken, UPDATE!)
lnclusionary Housing Fee required: YES D NO D
(Effective date of lnclusionary Housing Ordinance -May 21, 1993.)
Data Entry Completed? YES □ NO □
(NP/Ds, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct
Housing YIN, Enter Fee, UPDATE!)
Housing Tracking Form (form P-20) completed: YES D NO D N/A D
Page 2 of 3 07/11
' .
Site Plan:
□ [SJ □
[SJ □ □
[SJ □ □
[SJ □ □
[SJ □ □
[SJ □ □
[SJ □ □
[SJ □ □
□ [SJ □
Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines,
easements, existing and proposed structures, streets, existing street improvements, right-of-
way width, dimensional setbacks and existing topographical lines (including all side and rear
yard slopes). Provide legal description of property and assessor's parcel number.
City Council Policy 44 -Neighborhood Architectural Design Guidelines
1 . Applicability: YES □ NO □
2. Project complies: YES D NOD
Zoning:
1 . Setbacks:
Front:
Interior Side:
Street Side:
Rear:
Top of slope:
Required __ Shown __
Required __ Shown __
Required __ Shown __
Required __ Shown __
Required __ Shown __
2. Accessory structure setbacks:
Front: Required __ Shown --
Interior Side: Required __ Shown --Street Side: Required __ Shown
Rear: Required __ Shown __
Structure separation: Required __ Shown --
3. Lot Coverage: Required __ Shown --
4. Height: Required __ Shown __
5. Parking: Spaces Required __ Shown __
•
(breakdown by uses for commercial and industrial projects required)
Residential Guest Spaces Required __ Shown __
Additional Comments 1) The site plan is not drawn correctly. There does not appear to be
any slopes on the lot. Please change the site plan to reflect that the lot is flat and the slope
is behind the lot.
OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER Chris Sexton DATE 3-4-15
P-28 Page 3 of3 07/11