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.