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HomeMy WebLinkAbout2710 OLYMPIA DR; ; CB150985; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-03-2015 Pool Permit Permit No: C8150985 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC #: Project Title: Building Inspection Request Line (760) 602-2725 2710 OLYMPIA DR CBAD POOL Status: ISSUED 1674322500 Lot #: 0 Applied: 04/01/2015 $18,300.00 . Construction Type: NEW Entered By: RMA Plan Approved: 04/03/2015 Issued: 04/03/2015 BYARS RES- 375 SF POOL/SPA Inspect Area: GAS & ELECT TO BBQ Applicant: Owner: PHOENIX POOLS AND SPAS INC BYARS GARY J&DEBRA L 40940 VIA LOS ALTOS • . 2710 OLYMPIA DR TEMECULA CA 92591 CARLSBAD CA 92010 .951-695-0225 Building Permit . $193.57 Add'I Building Permit Fee . $0.00 Plan Check $135.50 Add'l Plan Check Fee $0.00 Electrical Fee $33.00 Plumbing Fee . $33.00 Strong Motion Fee $2.38 Green Bldg Standards (SB1473) Fee $1.00 Renewal Fee . $0.00 Add'l Renewal Fee $0.00 OtherBuilding Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $398.45 Total Fees: $398.45 Total Payments To Date: $398.45 Balance Due: $0.00 FINAL APPROVAL InsDector: -, - Date: 7' 1' Clearance: NOTICE: Please take NOTICE that approval of your project includes the imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and 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 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Storm Water Pollution Prevention Plan (SWPPP) Permit 04-03-2015 Permit No:SW150133 Job Address: 2710 OLYMPIA DRCBAD Permit Type: SWPPP Status: ISSUED Parcel No: .1674322500 Lot #: 0 Applied: 04/01/2015 Reference #: Entered By: RMA CB#: CB150985 Issued: 04/03/2015 Inspect Area: Project Title: BYARS POOL/SPA Tier: I Priority: M Applicant: PHOENIX POOLS AND SPAS INC 40940 VIA LOS ALTOS TEMECULA CA 92591 951-695-0225 Emergency Contact: ERIC O*ner: BYARS GARY J&DEBRA L 2710 OLYMPIA DR CARLSBAD CA 92010 951,695-0225 SWPPP Plan Check . . $53.00 SWPPP Inspections $224.00 Additional Fees $0.00 TOTAL PERMIT FEES . $277.00 Total Fees: $277.00 Total Payments To Date: $277.00 Balance Due: . $0.00 FAL APPROVAL DATE f•rs S!GNATURE (I FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: [:]PLANNING 0 ENGINEERING 0 BUILDING 0 FIRE 0 HEALTH 0 HAZMATIAPCD C""City Building Permit Application T Plan Check No. 'Est. Value 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Ccrfrlsbad Plan Ck. Deposit I ___________________________________ email: building@carlsbadca.gov A Date 4')i J/ç Iswppp www.carlsbadca.gov 4f JOB ADDRESS 2.il 0 Y I'4 ES/UNITS I .1 APN / r. -z !; -Oc) CT/PROJECT # I LOT U i'c I PHASE U U OF UNITS # BEDROOMS I U BATHROOM I s 1TENANTBUSINESS NAME 1CONSTR. TYPE OCGROUP DESCRIPT1 OF WORK: Include Square Feet of Affected Area(s) - - 75 EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS 5i'nq) e b1i I Ivui I I I I YESD#. NO YES [:]NO El I YES[—] NO[—] APPLICANTNAME bA 'Sc,rt P,tnavv Contact et, PROPERTY OWNER NAME ADDRESS 401q0 Lo, Mt ADDRESS ________________________ CITY STATE ZIP qsgg, CITY STATE ZIP Ckds6ad (4- cliool PHONE IFAX PHONE 'Iq- (7c..-oz'z5 I (4c') 'q5—°2z 1 FAX EMAIL t.ickrWe eiies Ito/-v-to,) t EMAIL Q -t.io-J-j,n ii DESIGN PROFESSIONAL 54' / CONTRACTOR BUS. NAME PIT 77 ix ADDRESS ADDRESS Llcgqo (Jr;t Lo, A/do' CITY STATE ZIP ClTY STATE ZIP Teviecc..A, 441-Il PHONE FAX PHONE FAX EMAIL _______________ EMAIL (cttrvt'e_JCAiC.(2_tko~fr'1e4Il_.(C,I"% ISTATE LIC# STATE LIC.0 'i 5'!' I CLASS I CITY BUS. LIC.# I £.- 3 I iz 5q0o (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such 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 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)). øWQQO° 33JQ Workers' Compensation Declaration: I hereby affirm under penalty of pe4ury one of the following declarations:. U 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. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation injurance rrier and policy number are: Insurance Co. '4DI4 1 O&44I9 Policy No. _go,s q Expiration Date // / 2,71 (0 This section need not be completed if the permit is for one hundred dollars ($100) or less. []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 (111,100,000), in addition to the cost of compensation, damages as provided for in Sectl 6 of the Labor code, interest and attorney's fees. AT CONTRACTOR SIGNATURE £5_l /' [ffAGENT DATE '4 1, 11,!r ØJ&1fl) - I hereby affirm that am exempt from Contractor's License 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 is sold within one yéarof completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). El 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). [J I am exempt under Section -_-_Business and Professions Code for this reason: - - 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Oyes 1:1140 -. 2.) (have! have not) signed an application for a building permit for the proposed work. - - I have contracted with the following person (firm) to provide the proposed construction (include name address! phone! contractors' license number): 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! address! phone! contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name! address! phone type of work): 'PR0PERTY OWNER SIGNATURE = []AGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYes 0 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 is construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address IN IcorIlfythatI have mad the application and stetethatthe above information cormctandthattheIntormarthin an the plans Is accurate. I agree to complywilli all City onlinances and State laws relating lo building conslniction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AIM AGREE TOSAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavations over 50' deep and demotion or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building OlIldal under the provisions of this Code shall expire by limitation and become nut and void tithe building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time alter the work is commenced fora period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE / /1/f Inspection List Permit#: CB150985 Type: POOL BYARS RES- 375 SF POOL/SPA GAS & ELECT TO BBQ Date Inspection Item Inspector Act Comments 09108/2015 59 Final Pool - RI 09/08/2015 59 Final Pool PD AP 09/04/2015 59 Final Pool - RI 09/01/2015 55 Fence/Pre-Plaster - RI 09/01/2015 55 Fence/Pre-Plaster PD CA 09/01/2015 59 Final Pool - RI 08/31/2015 55 Fence/Pre-Plaster - RI 08/31/2015 55 Fence/Pre-Plaster PD AP 08/19/2015 55 Fence/Pre-Plaster PB NR 08/11/2015 55 Fence/Pre-Plaster PB CA 05/12/2015 23 Gas/Test/Repairs PD AP 05/12/2015 31 Underground/Conduit-Wirin PD AP 05/12/2015 51 Excav/Steel/Bonding/Fence PD AP Wednesday, September 09, 2015 Page 1 of 1 I CITY OF CARLSBAD PLAN CHECK REVIEW TRANSMITTAL Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gbv DATE: 04/01/2015 PROJECT NAME: BYANS POOL AND SPA PROJECT ID: CB150985 PLAN CHECK NO: 1 SET#: 1 ADDRESS: 2710 OLYMPIA DR. APN: 167-432-25-00 VALUATION/SCOPE OF WORK: / This plan check review is complete and has been APPROVED by the ENGINEERING V Division. By: VALRAY NELSON A Final Inspection by the ENGINEERING Division is required LYes No This plan check review is NOT COMPLETE Items missing or incorrect are listed on the L 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 listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions. For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING FIRE PREVENTION - 760-602-4610 760-602-2750 760-602-4665 Chris Sexton T Kathleen Lawrence - . Greg Ryan - 760-602-4624 L_. - 760-602-2741 760-602-4663 Chris.Sexton@carIsbadca.gov KathIeen.Lawrence@carIsbadca.gov Greory.Ryan@carIsbadca.ov Gina Ruiz Linda Ontiveros Cindy Wong 760-602-4675 L - 760-602-2773 I - 760-602-4662 Gina.Ruiz@carlsbadca.gov Linda.ontiveros@carlsbadca.gov Cynthia.Won@carIsbadca.ov ValRay Marshall Dominic Fieri • -. '- - 760-602-2773 760-602-4664 ValRay.Marshall@carlsbadca.gov Dominic.Fieri©carIsbadca.Ov Remarks: CCP CONTINGENT UPON THE SIGNATURE OF APPLIcANT 0R OWNER 0N SW PAPERWORK E 29 Any outstanding issues will be marked with an M Make the necessary Cc)rrectiOflSt'OY compliance with applicable codes and standards. Suinnit corrected plans and/or specifications to the Building division for re-submittal to the Engineering divisions. Items that conform to permit requirements are marked with El 1. SITE PLAN Provide a fully dimensioned site plan drawn to scale. Show: QJ North arrow c: JJ Existing & proposed structures [j Property line dimensions E:I [:]Easements Show on site plan: Drainage patterns EZJ Existing & proposed slopes Existing topography Retaining Walls (location and height) EZJ Indicate what will happen with soil excavated from pool area. Include ontitle sheet: i:i EZI Site address i:ZJ Assessor's parcel number EJ EZJ Legal description/lot number EJ LJ Grading: Quantities of Cut EJ Fill EJ lmportEj ExportEj E1 :J Project does not comply with the following engineering conditions of approval for project no: Conditions were complies with by: Date: LOT NO. 15.7. MAP NO. 10128 REF. NO. E-37 Page 2 of 4 REV 6/2012 1 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" i:i ic:i Grading Permit required. NOTE: The grading permit must be issued and rough gradin approval obtained prior to issuance of a building permit. A separate grading plan prepared a registered civil engineer must be submitted together with the completed application form attached. EJEJ EJ LZJ No grading permit required. 3. MISCELLANEOUS PERMITS N/A AS LONG AS RIGHT-OF-WAY PERMIT is 'required to do work in city right-of-way and/or private work ALL WORK, ' ' adjacent to the public right-of-way. EQUIPMENT AND MATERIALS L:1 c:j A separate right-of-way. issued by the engineering division is required for the following: REMAIN OUT OF THE PUBLIC RIGHT OF WAY. . . EJ Please complete attached right-of-way application form and return to the engineering department together with the requirements on the attached right-of-way checklist, at the time of resubmittal. Right-of-way permit and pool permit will be issued simultaneously. E-37 Page 3 of 4 . REV 6/2012 1 1 4. STORM WATER Construction Compliance E Project Threat Assessment Form completeE incomplete L]. EJ [J Requires Tier I Storm Water Pollution Prevention Plan. Please complete attached form and return (SW 14- EJ EJ 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 L] EJ Storm Water Standards Questionnaire complete EJ incomplete E1. LJ Project is subject to Standard Storm Water Requirements. Seecity Standard Urban Storm Water Management Plan (SUSMP) for reference. http://www.carlsbadca.gov/business/buildiflQ/DOCUmefltS/EflQStafldSW-StdS-VOl4-Ch2.df EJ 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 ITJ Bio-retentions cell/rain garden EJ Pervious pavement/payers • EJ Flow-through planter/vegetated or rock drip line Vegetated swales or rock infiltration swales J Downspouts disconnect-and discharge over landscape • S. ADDITIONAL COMMENTS E-37 Page 4of4 • .. • REV 6/2012 4 lh> CITY OF CAR LSBAD 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: ding Permit U Right-of-Way Permit Patio/Deck B categorically EXEMPT from U My proj4ct s cat Electrical the requirement to prepare a storm water Fire Additional Photo Voltaic pollution prevention plan (SWPPP) because it issuance the Fire Alarm Fixed Systems Re-Roofing Sign only requires of one or more of Mechanical Spa-Factory following permit types: Mobile Home Sprinkler Plumbing Water Discharge Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria O My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Ti r I Low Threat Assessment Criteria y 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 O 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 O 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 O 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, O 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. Project Address: Assessor Parcel No. 2710 O(ii#to l)-. Owner/Owner's Authorized agent Name: Title: DAtvcA 3,i1e) OwnerlOwner's Authorized Agent Sign is: Date: T1:2i-:iA City Concurrence: By: Date: Project ID: l<"_ AYES UNO B-24 Page 1 of 1 Rev.03/09 CITY OF CARLSBAD CONSTRUCTION THREAT ASSESSMENT WORKSHEET FOR DETERMINATION OF PROJECT'S PERCEIVED THREAT TO STORM WATER QUALITY E-33 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov Construction Perceived SWPPP Tier Construction Threat Assessment Criteria* Threat t Storm Water Level Quality Tier 3 - High Construction Threat Assessment Criteria U Project site is 50 acres or more and grading will occur during the rainy season U Project site is I acre or more in size and is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA High U Soil at site is moderately to highly erosive (defined as having a predominance of soils with Tier 3 USDA-NRCS Erosion factors kf greater than or equal to 0.4) U Site slope is 5 to I or steeper U Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). U Owner/contractor received a Storm Water Notice of Violation within past two years Tier 3 - Medium Construction Threat Assessment Criteria Medium U All projects not meeting Tier 3 High Construction Threat Assessment Cnteria Tier 2 High Construction Threat Assessment Criteria U Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA U Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kf greater than or equal to 0.4) High O Site slope is 5 to 1 or steeper Tier 2 U Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). U Owner/contractor received a Storm Water Notice of Violation within past two years U Site results in one half acre or more of soil disturbance Tier 2 - Medium Construction Threat Assessment Criteria U All projects not meeting Tier 2 High Construction Threat Assessment Criteria Medium Tier I - Medium Inspection Threat Assessment Criteria U Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, within or directly adjacent to an environmentally sensitive area (ESA) or discharges directly to an ESA 0 Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kf greater than or equal to 0.4) U/ Site slope is 5 to I or steeper M euium Tier 1 131 Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). U Owner/contractor received a Storm Water Notice of Violation within past two years U Site results in one half acre or more of soil disturbance Tier I - Low Inspection Threat Assessment Criteria 0 All projects not meeting Tier 1 Medium Construction Threat Assessment Criteria L OW Exempt - Not Applicable - Exempt The city engineer may authorize minor variances from the construction threat assessment criteria in special circumstances where it can be shown that a lesser or higher amount of storm water compliance inspection is warranted in the opinion of the city engineer E-33 Page 1 of 1 REV 4/30/10 "Al <K- ~, * CITY OF CARLSD/AD STORM WATER STANDARDS QUESTIONNAIRE E-34. DevelODment Services Land Development Engineering 1635 FaradayAvenue 760-602-2750 www.carlsbadca.gov STEP3 TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPEMENT PROJECTS ONLY Complete the questions below regarding your redevelopment project: 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 previously existing development? 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 "my project meets PDP requirements" box and complete applicant information. STEP 4 CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION U 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 Address: (./oqq i i. 14 Accessor's Parcel Number(s): Applicant Name: i Applicant Title: ct*ici__3j5 ___________________________ Applicant Signature: Date: - This Box for City Use Only City Concurrence: I I YES I NO By:\j , jQ Date: 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 6/27/13 STORM WATER POLLUTION PREVENTION NOTES ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION AND SEDIMENT CONTROL BMPS WHEN RAIN IS EMINENT. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION OF THE CITY ENGINEER AFTER EACH RUN-OFF PRODUCING RAINFALL. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY ENGINEERING OR BUILDING INSPECTOR DUE TO UNCOMPLETED GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE AT THE END OF EACH WORKING DAY WHEN THE FIVE (5) DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PERCENT (40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL. ALL GRAVEL BAGS SHALL BE BURLAP TYPE WITH 3/4 INCH MINIMUM AGGREGATE. Site Address:. -no Otysitflt*A Dr. Assessor's Parcel Number: 17 g n -'ic- Project ID: Construction Permit No.: (bJj i.5 0 Estimated Construction Start Date Project Duration Months Emergency Contact: Name: 6r IC 24 hour Phone: c6l - &t5- 62Z Perceived Threat to Storm Water Quality Medium 0 Low 6. ADEQUATE EROSION AND SEDIMENT If medium box is checked, must attach a site plan CONTROL AND PERIMETER PROTECTION BEST sheet showing proposed work area and location MANAGEMENT PRACTICE MEASURES MUST BE of proposed structural BMPs INSTALLED AND MAINTAINED. SPECIAL NOTES For City Use Only CITY OF CARLSBAD STANDARD TIER 1 SWPPP Approved By: VOL &A" .)d'-' Date: CITY OF STORM WATER COMPLIANCE FORM TIER I CONSTRUCTION SWPPP E-29 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov STORM WATER COMPLIANCE CERTIFICATE I My project is not in a category of permit types exempt from the Construction SWPPP requirements / My project is not located inside or within 200 feet of an environmentally sensitive area with a significant potential for contnbutiñg pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). I My project does not require a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code) I 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 WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD~~... OWNER(S)ER AGENT N41(PQQ) *.. I OWNER(S)/OWNER'S AGENT NAME (SIGNATURE) DAVE E-29 Page 1 of 3 REV 4/30/10 I•1 CD 39 :R5550 3 2:5 CD CD NCO a) ( n ;i3 P St ,0 3 3 CD to cr go B~ 00 00.0. (D 00 OF CD COD x .( . -ø a. C=D a.- 0. - CA Cc, On- 0'9 (D 0 SLÔ g3 xCD 2 00 _D.C) a)C. C go 03 a--°-- o. a. L =r C!' ir m- --a >' mn - ' . -m5 0 C w - CD 0 - >0 Cn .(Da)3 D 5•a) )(g.jf '< 5D59 CD 0 5- gCDo5(D'a) I 00) 0O_C0< --.0.XCD CD a) . Wg9 ! 0 0D m CD -m 00. 0 a)- D° C,00CD(D0 s<0 • a). _og a)- 00 CD0CD0' Sm gr; . 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Manaaement wCL WM-6 Hazardous Waste Manonpment • 11 III WM-8 Concrete Waste Mananement It PLANNING DIVISION Development Services 404 h> BUILDING PLAN CHECK Planning Division 1635 CITY o Faraday Avenue APPROVAL (760) 602-4610 CARLSBAD P29 DATE: 4-1-15 PROJECT NAME: PROJECT ID: PLAN CHECK NO: C1315-0985 SET#: I ADDRESS: 2710 Olympic Dr APN: 167-432-25-00 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 D Yes Z 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. LI 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: carriejones@hotmail.com For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING FIRE PREVENTION 7606024610 760-6022750 7606024665 Chris Sexton Chris Glassen Greg Ryan 760-602-4624 760-602-2784 760-602-4663 Chris.Sexton@carlsbadca.gov Christooher.GIassen@carIsbadca.gov Greorv.Rvan@carIsbadca.øov Gina Ruiz ValRay Marshall Cindy Wong 760-602-4675 760-602-2741 760-602-4662 Gina.Ruiz@carIsbadca.gov VaIRay.MarshaII@carIsbadca.gov Cynthia.Wong@carlsbadca.Eov LI Linda Ontiveros LI Dominic Fieri 760-602-2773 760-602-4664 Linda.0ntiveros@carIsbadca.ov Dominic.Fieri@carIsbadca.gov Remarks: