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HomeMy WebLinkAbout264 CARLSBAD VILLAGE DR; ; CB152441; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-09-2015 Miscellaneous Permit Permit No: CB152441 Building Inspection Request Line (760) 602-2725 Job Address: 264 CARLSBAD VILLAGE DR CBAD Permit Type: MISC Subtype: OTHER Parcel No: 2032321600 Lot#: 0 Valuation: $0.00 Reference #: PC#: Project Title: FRESCO RESTAURANT-NEW TRASH ENCLOSURE IN PARKING LOT Applicant: Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: GEORE GILLI DINITTO PROPERTIES INC 734 16TH STREET 264 CARLSBAD VILLAGE DR SAN DIEGO C 92101 CARLSBAD CA 92008 619 306-2289 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $168.00 ISSUANCE FEE INSPECTION FEE Total Payments To Date: $168.00 Balance Due: ISSUED 07/31(2015 RMA 09/09(2015 09/09(2015 $38.00 $130.00 $0.00 $168.00 $0.00 Inspector: FINAL APPRovz-- Date: 3 ·)..}•/ Clearance: --,=:::=:::=:::~~ NOnCE: Please take f\.OllCE that approval of yrur projoct irdudes the "lrrposition'' of fees, dedications, reservations, or otha" exacl:i01S h::reafter cdledively referred to as "feesfexactions." Yru have 00 days from the date this pemit was issued to protest irrposition of these feesfexa::l:i01S. If yru protest them yru rrust fdlowthe protest prcxroures set forth in G:wemrrent Qxle SEdion 66020(a), ard file the protest and any otha" required infonration wth thE• Oty 1\fanager for processing in aa:ordancx:'liMth Carlsl:xd M.lnidpal Qxle SEdion 3.32.030. Failure to tirrelyfdlowthat prcxroure IMII 001' any sutsequeri 1~)81 action to attack, review, set aside, void, or annul their irrposition. Yru are ha"eby FURTl-ffi f\.OllREDthat your right to protest the specified feesfexacl:i01S !XES NOT JIPPL Yto\Mlter ard set.er cornection fees ard capacity changes, ru plannirg, zonirg, gradrg or otha" sinilar application processirg or service fees in crnrection wth this prcjoct. 1\JC:R IJCES IT.APPL Y to any feesfexacti01SofiJI.hich 'a.JSI b:ien \renaNOnCEsirrilartothis orastoiJI.hichthestatuteoflirritationshas 'OJSI othei'Mse ·red. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-09-2015 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW150328 Job Address: Permit Type: 264 CARLSBAD VILLAGE DR CBAD SWPPP Status: Parcel No: 2032321600 Lot#: 0 Applied: Reference #: CB#: CB152441 Project Title: FRESCO REST.: TRASH ENCLOSURE Applicant: GEROGE GILLI 734 16TH ST SAN DIEGO CA 92101-7324 619-306-2289 Emergency Contact: LINDA D'ARACANGELO 760-213-1691 SWPPP Plan Check SWPPP Inspections Additional Fees TOTAL PERMIT FEES Entered By: Issued: Inspect Area: Tier: Priority: Owner: DINITTO PROPERTIES INC 264 CARLSBAD VILLAGE DR CARLSBAD CA 92008 ISSUED 08/2112015 JMA 09/09/2015 1 L $48.00 $58.00 $0.00 $106.00 Total Fees: $106.00 Total Payments To Date: $106.00 Balance Due: $0.00 , (THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OFIRE OHE~LTH OHAZMATIAPCD ,~, (_ Cicyof Building Permit Application Plan Check No. { Vh j_ 7 b{ '-14 / 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value - Ph: 760-602-2719 Fax: 760-602-8558 Carlsbad email: building@carlsbadca.gov &J-Plan Ck. Deposit www.carlsbadca.gov Date 7/ ?L} f ~ lswPPP JOB ADDRESS SUITEI/SPACEI/UNITI JAP~ I . ·Zb+ C~P..\J'3211:::.P \il \... ~c§fd ~ -zo·; -·2..7?.. - \ (o --oo CT/PROJECT # 'LOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS ~~u~N;NAEf: f?rAUi~JtlrONSTR.TYPE roCCGROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ... __. ~v-J \12~ ~C.{-0~ t!)~ ~&,7'\'lt-lc f'*~lt.l6 .k.f EXISTING USE I PROPOSED.USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE II P.IR CONDITIONING I FIRE SPRINKLERS ~~C2..f*l·r l:2._of!" -·.~'(l..p\ YESO No[] YES0No0 YEsONoO ' "IJ-'7\ APPLICANT NAME C:)Ec...A.:l.Ge. f=: c~ \ u....A PR~J!.9~~-D ~ ~.~~~'fl~G \([10, Primary Contact ~ ) --~ ~ \T\0 ADDRESS ADDRESS .,~4 l~rl<\ ~--·z.~ ~~~ \i\\...~•5-E. ~ve:- CITY I STATE ZIP CITY . STATE ZIP ~D~ ~ "'12.\o\ cP-P-lh~L7 c~ 42-co~ PHONE I FAX -:--PHONE I FAX '~) ~~-z.-z 8C1 rw L\ ?:..\ bt"\' EMAIL ~ \ \' \, ·ge.of1·· t~v{tf.. Do.o.Y\ EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP· CITY STATE ZIP PHONE I FAX PHONE I FAX EMAIL EMAIL I STATE LIC. # STATE LIC.# 'CLASS I CITY BUS. LIC.# (Sec, 7031.5 Busmess and Profess1ons Code: Any City or County which requ1res a perm1t toconstruct, alter, Improve, c!emohsh or repair any structure, J)r!OI to 1ts Issuance, also reqUires the applicant for such permit to file a s1gned statement that he IS licensed pursuant to the prov1s1ons of the Contractor's License Law [Chapter 9, commendmg w1th Sect1on 7000 of DIVISIOn 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: .) D I have and will maintain a certificate of consent to self·insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D 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 permH is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date--------- This section need not be completed~ the permit is for one hundred dollars ($1 00) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ~CONTRACTOR SIGNATURE 0AGENT DATE I hereby affirm thai/ am exempt from Contractor's Ucense Law for the following reason: 0 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 himseff 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 at sale). M I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construclion of the proposed property improvement. DYes 0No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (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 I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): 0AGENT DATE~~·~ ~;30~ I certify that I have read the application arm state that the above infonnation is conect and that the infonnation on the plans is accurate.! agree to comply with all Cily ordinances and State laws relating to building consbUction. I hereby authorize representauve of the City of Carlsbad to 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 pennn is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permitissued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permitis not commenced within 180 days from the date of such permit or if the 11 or\Mlrk authorized by such permit is suspended or abandoned at anytime after the \Mlrk is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ~APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE Complete the following ONLY if a Certificate of Occupancy will be requested at final iinspection. CERTIFiCATE OF OCCUPANCY /CommercLi!l Project;; Only) Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenul3, Carlsbad, California 92008. I CO#: (Office U!;e Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION ~APPLICANT'S SIGNATURE DATE lnspecti n List Permit#: CB152441 Type: MISC OTHER Date _l~spection Item----·----Inspector Act 03/23/2016 19 Final Structural Rl 03/23/2016 19 Final Structural 03/10/2016 66 Grout 03/02/2016 11 Ftg/Foundation/Piers Thursday, March 24, 2016 PO PO PO AP AP AP FRESCO RESTAURANT-NEW TRASH ENCLOSURE IN PARKING LOT Comments AM PLEASE Page 1 of 1 PLAN CHECK REVIEW TRANSMITTAL Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov DATE: 08/11/201PROJECT NAME: PROJECT ID: CB152441 PLAN CHECK NO: 1 SET#:l ADDRESS: 264 CARlSBAD VIllAGE DR APN: VALUATION: APPLICANT CONTACT: D Remarks: Tlis plan check review transmittal is to notify you of clearance by: LAND DEVELOPMENT ENGINEERING DIVISION Final Impe c tion by the Construction & Inspection Division is required: Yes No This plan check review is N<I'COMPLBTE Items missing or incorrect are listed on the attached checklist. Please resubmit"ame nded plans as r~equired. 760-602-2773 Linda .Ontiveros @earls badca.gov VALRAY MARSHALL 760-602-27 41 VALRA Y. MARSHALL@CARLSBADCA. GOV 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: 6 Building Permit 0 Right-of-Way Permit 0 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: ~~ Electrical Fire Additional Fire Alarm Fixed Systems Mechanical Mobile Home Plumbing Project Storm Water Threat Assessment Criteria* Patio/Deck Photo Voltaic Re-Roofing Si,gn Spa-Factory Sprinkler Water Discharge 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 threaf' assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Consltruction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tier 1 -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, 111aste 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 th1l 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 0 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 0 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, 0 My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). I certify to the best of my knowledge that the above checked statements are true and correct. I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards. 'The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. B-24 Project Address: · .:":1 _ ,..,. ..... '.' _ Assessor Parcel No. &.V:7~ c .. ?z. -IG,.'(':>O 2. '-4 G r~l'<:..\..b~'~ "i \l..G "}~ 0 Owner/Owner's Authorized Agent Name: Title: '-=""--=--------l ('~~....._ Jf?-~ 6 \L.c..,.l t:1e$'j u::· ,........c:...:r f---,0-wn-e-c:~/O,...._w-ne.....,r's_A,....u.""tho""""ri-ze"""d.,...Ag-en-t"'si-gn...,at-ure-:--=-----+--=-oatll: City Concurrence· )(vEs 1::1 NO Page 1 of 1 Project ID: C!6 t 5 .~d-4'- Rev.03/09 Construction SWPPPTier Level Tier3 Tier2 Tier 1 Exempt 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 Perceived Construction Threat Assessment Criteria* Threat to Storm Water Quality Tier 3-High Construction Threat Assessment Criteria 0 Project site is 50 acres or more and grading will occur during the rainy season 0 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 0 Soil at site is moderately to highly erosive (defined as having a predominance of soils with 0 USDA-NRCS Erosion factors kt greater than or equal to 0.4) Site slope is 5 to 1 or steeper 0 Construction is initiated during the rainy season or will ext•:lnd into the rainy season (Oct. 1 0 through April 30). Owner/contractor received a Storm Water Notice of Violation within past two years Tier 3-Medium Construction Threat Assessment Criteria Medium 0 All projects not meeting Tier 3 High Construction Threat Assessment Criteria Tier 2 High Construction Threat Assessment Criteria 0 Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA 0 Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kt greater than or equal to 0.4) High 0 Site slope is 5 to 1 or steeper 0 Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). 0 Owner/contractor received a Storm Water Notice of Violation within past two years 0 Site results in one half acre or more of soil disturbance Tier 2 -Medium Construction Threat Assessment Criteria Medium 0 All projects not meeting Tier 2 High Construction Threat Assessment Criteria Tier 1 -Medium lns!;!ection Threat Assessment Criteria 0 Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, within or directly adjacent to an environmentally sensitive area (ESA) or discharges directly to an ESA 0 Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors k1 greater than or equal to 0.4) Medium 0 Site slope is 5 to 1 or steeper 0 Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). 0 Owner/contractor received a Storm Water Notice of Violation within past two years 0 Site results in one half acre or more of soil disturbance -~-·~'"'"""'-... .... ~'>·Tier 1 -Low lnsJ;!ection Threat Assessment Criteria (\·:.··~~) 'Q_ All projects not meeting Tier 1 Medium Construction Threat Assessment Criteria -Not Applicable -Exempt *The c1ty engmeer may authonze mmor vanances from the construction threat assessment cntena 1n spec1al 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.gov/standards. Initially this questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision, discretionary permits and/or construction permits). The results of the questionnaire 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 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. If staff determines that the questionnaire was incorrectly filled out and is subject to more stringent storm water standards than initially assessed by you, this will result in the return of the development application as incomplete. In this case, please make the changes to the questionnaire ancl 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 disconnecte!d 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 therefore is NOT subject to the storm water criteria required for priority development projects. Go to step 4, mark the llast box stating "my project does not meet PDP requirements" and complete applicant information. If you answered "no" to both questions, then go to Step 2. E-34 Page 1 of 3 Effective 6/27/13 CITY OF STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov 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 on 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, · and on 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 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 of motor vehicles used for business or for ~"'~.,,.,.,m,orr•o 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 mr>tnr.~l/f'•lo<:: 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 to the ESA e. not * 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, 501 5541 or 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 10.1s 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? Pacific Ocean 2,500 square feet or more of im surface on the than 10%? you answered "yes" to one or more of the above questions, you ARE a priority development project and are therefore to plementing structural Best Management Practices (BMP's) in addition to implementing Standard Storm Water Requirements such source control and low impact development BMP's. A Storm Water Management Plan (SWMP) must be submitted with your lication(s) for development. Go to step 3 for redevelopment projects. For new projects, go to step 4 at the end of this nnaire, check the "my project meets PDP requirements" box and complefe applicant information. answered "no" to all of the above questions, you ARE NOT a priority development project and are therefore subject urnml"rn..,nting only Standard Storm Water Requirements such as source control and low impact development BMP's required for Jdeve1oor11ent projects. A Storm Water Management Plan (SWMP) is not required with your application(s) for development. Go to of this questionnaire, check the "my project does not meet PDP requirements" box and complete applica E-34 Page 2 of3 Effective 6/27113 ClTY OF STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov 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 requimments" box and complete applicant information. (J Go to step 4, 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 Parcel Number(sL ·"1~ ~· -:7 . .., . . .• ., "Z.::,;;. = ~~ c;...-? '--\~ . ...:Q u Applicant Title: r··----. ~ '· -~""..?((S(;~ .,__,. Date: This Box for City Use Only City ConcurrenCEl: NO Project ID: * Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas designated as Areas of Special Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); areas designated as preserves or their quivalent under the Multi Species Conservation Program within the Cities and County of San Diego; and any other equivalent environmentally sensitive areas which have been identified by the Copermittees. E-34 Page 3 of 3 Effective 6/27113 C!TY OF 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 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). 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 V\lORK IS COrv1PLETE AND l\PPROVED BY THE C!TY OF CARLSBAD. Q!.,-~~e-~' <€~\\..J.-\ ~WNER'S AGENT NAME (PRINT) l,....,..-.~-"'"''"""'·-. OWN~ER'S AGENT NAME (SIGNATURE) l E-29 8{~\ ,,6 DATE 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 of 3 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov PROJECT INFORMATION Site Address: ~ c:P.\~··t.::;y~"'C" 'V l \,\..-· Assessor's Parcel Number: ·Zc/,; ·z..:~2-\(, /0<..) Project ID: ";,)u.) 1'5 · :3;~15 ('' ·c.o< <~<j_l Construction Permit No.: /Q 1..; ;.>-,, Estimated Construction Start Date "\' I\ } \ c; Project Duration Months Emergency Contact: Name: L\ rJ 'A 0 1 ~~~-<....1'-t-.:1('"~ 24 hour Phone: :.~b ·Z.\'1, \wc:'\ \ Perceived Threat to Storm Water Quality 0 Medium f!Zf 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 , bJ: /1 I, Approved By: \ / cf{!L/ .d XI ~~'l.k!l) ("\ f ~,../ Date: 't · 91· 1S REV 4/30/10 1! Erosion Control Tracking Non-Storm Water Waste Management and Materials Sediment Control BMPs Control BMPs BMPs Management BMPs Pollution Control BMPs c c c E E 0 0 0 ""C t3 :g Ol ~ Q) ""C Q) c c E c E ""C "' m 0 c Ol m c o:; § 2 2 ~ '5 "E c. Q) m .l!l "' Ol (i) m ·s ~ Ol ::2 ""CQ) <;;"' o; c "' .l!l Ol c-c. Q) c :S 2: 0 'E C" Q) m c m Best Management Practice ciS c m3 m ·a. "E c"' c i w > c 0 ss "' :c "' co 0 Q) 0 Q) m ~ m• (BMP) Description 7 c f=. E Q) m c 0'-0 "' ""C Qi Q) .l!l sli "' (j ~U) -~ "' Ol Q)Ol co -~ § ijl~ c -g~ c "' ::2 Q) g i Q) ""5 2l E m m ~.5 ""C;., 0 :J > "' Q) E ~Q) 0 0 co Ol Otll ii ~ g Q) ~~ ~ ::2 og> 0 c: Q) U)E m 0:;:::: aJ m r: -~ Q) JJ ro i~ -<L 0:: N til ~~ ·a. * ""C Q) Q) E ..1< Qi -:::l ..0 E ~ =tn :0 :§ -~ ·~ ..1< "E~ ~ <: ..cc LL (.) Ci> > Q) :::l ""C :a~ ·-""C $~ ""C~ m ! (j " 0 1:: ·-c. '5 Q) !!! ~ (j c .__ ..Om m ..CQ) m (j ~~ c <: Q) ~ me:! 0 Q) ~ ..0 m 0 0 mOl .!9 0 ~a: 0 0 '5J 0" en Uj -m -.... U5E ~0 Ci5 (.') wo U) 0 u::: (.') U)> U) U)O.. U)O:: 0.. ::2 U) I.< 0::2 CASQA Designation 7 r---co (J) ~ ~ ("') "i LO (!) r---co 0 ~ C\1 ~ ("') r---co ~ C\1 ("') ..,. LO (!) co 0 0 0 ~ u'.J w w w w w ~ rY rY ch ch ch ch ~ ~ ~ ~ ~ ~ 0 llJ w ::2 w w w U) U) U) U) U) U) U) 1-1-z z z z s ~ s s s s s Construction Activity llJ U) Grading/Soil Disturbance ';.: Trenching/Excavation / Stoc~ling Drilling/Bori1"19_ Concrete/Asphalt Saw cutting Concrete flatwork Paving ConduiUPipe Installation Stucco/Mortar Work Waste Disposal Staging/Lay Down Area Equipment Maintenance and Fueling Hazardous Substance Use/Storage Dewatering Site Access Across Dirt Other (list): -'---· -· --------- Instructions: Begin by reviewing the list of construction activities and checking the box to the left of any activity that will occur during the proposed construction. Add any other activity descriptions in the blank activity description boxes provided for that purpose and place a check in the box immediately to the left of the added activity description. For each activity 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 row intersects with the BMP column. Do this for each activity that was checked off and for each of the selected BMPs selected from the list. For Example-If the project includes site access across dirt, then check the box to the left of "Site Access Across Dirt". Then review the list for something that applies such as "Stabilized Construction Ingress/Egress" under Tracking Control. Follow along the "Site Access Across Dirt" row until you get to the "Stabilized Construction Ingress/Egress" column and place an X in the box where the two meet. As another example say the project included a stockpile that you intend to cover with a plastic sheet. Since plastic sheeting is not on the list of BMPs, then write in "Cover with Plastic" in the blank column under the heading Erosion Control BMPs. Then place an X in the box where the "Stockpiling" row intersects the new "Cover with Plastic" column. To learn more about what each BMP description means, you may wish to review the BMP Reference Handout prepared to assist applicants in the selection of appropriate Best Management Practice measures. The reference also explains the California Stormwater Quality Association (CASQA) designation and how to apply the various selected BMPs to a project. E-29 Page 2 of 3 REV 4/30/10 PLANNING DIVISION BUILDING PLAN CHECK APPROVAL P-29 DATE: 9/3/15 PROJECT NAME: Fresco PROJECT ID: N/A Planning Division 1635 Faraday Avenue (760) 602-4610 WWW.Glrlsb<JdCil.QOV PLAN CHECK NO: CB152441 SET#: 1 ADDRESS: 264 Carlsbad Village Dr APN: 202-232-16 ~ This plan check review is complete and has been APPROVED by the Planning Division. By: Austin Silva A Final Inspection by the Planning Division is required DYes !Zl No You may also have corrections from one or more of the divisions list€:•d 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: geogilli@yahoo.com For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING 760-602-4610 D Chris Sexton 760-602-4624 Ch ris.Sexton@carlsbadca.gov Gina Ruiz 760-602-4675 Gina.Ruiz@carlsbadca.gov ~ Austin Silva 760-602-4631 Austin.silva@carlsbadca.gov Remarks: FU~E PREVENfiO.N PLANNING DIVISION BUILDING PLAN CHECK APPROVAL P-29 DATE: 8/19/15 PROJECT NAME: Fresco PROJECT ID: N/A Planning Division 1635 Faraday Avenue (760) 602-4610 www .carlsbadca.!lov PLAN CHECK NO: CB152441 SET#: 1 ADDRESS: 264 Carlsbad Village Dr ... APN: 203-232-16 D This plan check review is complete and has been APPROVED by the Division. By: A Final Inspection by the Division is required 0 Yes 0 No You may also have corrections from one or more of the divisions listE~d below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions. ~ This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check APPROVAL has been sent to: For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING FIRE PREVENTION 7E>0-602-4610 760-~02~2750 D Chris Sexton 760-602-4624 Chris.Sexton@carlsbadca.gov D Gina Ruiz 760-602-4675 Gina.Ruiz@carlsbadca.gov ~ Austin Silva 760-602-4631 Austin.silva@carlsbadca.gov Remarks: Applicant needs to submit a floor plan.