HomeMy WebLinkAbout2726 Naples Ct; 102; CBR2018-0785; Permit(city of
Carlsbad
Residential Permit
Print Date: 04/19/2019
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2726 Naples Ct, 102
BLDG-Residential
1673920300
$85,393.78
1
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. P!an Check#:
Plan Check#:
Description: NICHOLS: 483 SF ADU OVER GARAGE W/ 113 SF DECKS
Applicant: Owner:
Second Dwelling Unit
DON NICHOLS
2726 Naples Ct
TRUST NICHOLS D ANDT FAMILY TRUST
10-16-13
Carlsbad, CA 92010-2128
760-828-0409
BUILDING PERMIT FEE j$2000+)
BUILDING PLAN CHECK FEE (BLDG)
2726 Naples St
CARLSBAD, CA 92010
ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION
MECHANICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL
PUBLIC FACILITIES FEES-outside CFD
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
SWPPP INSPECTION FEE TIER 1 -Medium BLDG
SWPPP PLAN REVIEW FEE TIER 1-MEDIUM
Total Fees: $4,604.20 Total Payments To Date: $4,604.2D
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must foUow 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 wl!l 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Permit No: CBR2018-0785
Closed -Finaled
03/30/2018
06/08/2018
PBurn
4/19/2019 3:20:19PM
$0.00
$565.48
$395.84
$43.00
$17D.OO
$52.00
$80.00
$2,988.78
$4.00
$11.10
$238.00
$56.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
•
·· {cicyof
·carlsbad
EXISTING USE
P'N EMAIL
n
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 78CMI02 2719 Fax: 760-602-8558
email: bulldlng@carlsbadca.gov
www.carlsbadca.gov
PROPOSED USE GARAGE (SF) PATIOS (SF} DECKS (SF)
PROPERTY OWNER NAME
Est. Value
Plan Ck. Deposit
Date
FIREPLACE No)( YES □#_
w ADDRESS fY/b
CITY STATE
PHONE FAX
EMAIL
CONTRACTOR BUS. NAME
ADDRESS
ZI¥ CITY STATE
FAX PHONE FAX
EMAIL
STATE UC.# STATE UC.# CLASS
0cc. GROUP
AIR CONDITIONING FIRE SPRINKLERS
YES □ NO>( YES □ NO
ZIP
ZIP
CITY BUS. LIC.#
(Sec, 7031.5 Business and P_rofessions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_m1t to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, comme_nding with Section 7000 of D1v1sion 3 of the B_usiness and Professions Code} or Olathe is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a c1v1I penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
D I have and will maintain workers' compensalion, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. ______________________ Policy No. _______________ Expiration Date _________ _
This section need not be completed if the permit is for one hundred dollars ($100) 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 lo criminal penallies and civil fines up to one hundred thousand dollars (& 100,000), in
addition lo lhe cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
,.115 CONTRACTOR SIGNATURE □AGENT DATE
OWNER-BUILDER DECLARATION
I hereby affirm that I 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
>t, sale. If, however, the building or improvement is sold within one year of completion, the owner•builderwill have the burden of proving that he did not build or improve for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project {Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant lo the Contractor's License Law).
□ I am exempt under Section~-. Business and Professions Code for this reason
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No
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 construe· n {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 e, s pervise and provide the major work (include name I address I phone/ contractors' license number):
s to pr de the work indicated {include name I address/ phone I type of work)
,.S PROPERTY OWNER SIGNATURE □AGENT DATE j '3() (~
jOMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the a'pplicant 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? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDINGAGENCY
I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1v1I Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above infonnation lsoorrectand that the Information on the plans ls accurate. I agree to comply with all City ordinances and State laws relating to buildlngoonstruction.
I hereby authaize represent.alive of the City of Carlsbad to enter upon the above mentioned property for inspecoon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND ENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrT.
OSHA: An OSHA permit is required for excavations r:Ner 5'0' d demolition or constru structures fJler 3 stooes in height.
EXPIRATION: Every permit issued by the Building Official u th rovisions ofth' sh ire by limittion and become null and void if the building or work authorized by such permit is not oommenced 'Nithin
180 days from the date of sudl permit or if the building~iork1~01ized bJ.'~511~ spended or abandoned at any time after the work i.5 commen for a of 180 days (Section 106.4.4 Uniform Building Code}.
~ APPLICANT'S SIGNATURE DATE j ~ /J
' . PERMIT INSPECTION HISTORY REPORT (CBR2018-0785)
Permit Type: BLDG-Residential Application Date: 03/30/2018 Owner: TRUST NICHOLS D AND T FAMILY
TRUST 10-16-13
Work Class: Second Dwelling Unit Issue Date: 06/08/2018 Subdivision: CARLSBAD TCT#74-14 A UNIT#01
Statlis: Closed -Finaled Expiration Date: 10/15/2019 Address: 2726 Naples Ct, 102
Carlsbad, CA 92010-2128
IVR Number: 10449
,,.~~~--··-·---
Scheduled Actual REilnspection Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Complete
···"·"--. "' __ ,__., ·-·---·-.. ---··
12/06/2018 12/05/2018 BLDG-16 Insulation 077920-2018 Passed Michael Collins Complete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Ceiling, floor & walls Yes
12/11/2018 1211112018 BLDG-82 Drywall, 078451-2018 Passed Paul Burnette Complete
Exterior Lath, Gas
Test, Hot Mop
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-17 Interior Lath-Drywall No
BLDG-18 Exterior Lath and [\JO
Drywall
BLDG-23 Gas-Test-Repairs No
04/17/2019 04/17/2019 BLDG-Final 089178-2019 Failed Paul Burnette Reinspection Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structural Final No
BLDG-Electrical Final No
04119/2019 04/19(2019 BLDG-Final 089431-2019 Passed Paul Burnette Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Plumbing Final No
BLDG-Mechanical Final r,;o
BLDG-Structural Final No
BLDG-Electrical Final No
April 19, 2019 Page 3 of3
j
. '· PERMIT INSPECTION HISTORY REPORT (CBR2018..0785)
Permit Type: BLDG-Residential Application Date: 03/30/2018 Owner: TRUST NICHOLS D AND T FAMILY
TRUST 10-16-13
Work Class: Second Dwelling Unit Issue Date: 06/08/2018 Subdivision: CARLSBAD TCT#74-14 A UNIT#01
Status: Closed -Finaled Expiration Date: 10/15/2019 Address: 2726 Naples Ct, 102
Carlsbad, CA 92010-2128
IVR Number: 10449
,. -··· "·-···-···-··
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete
~----· -----··-···•··-·--·· -------·--·--···
Checklist Item COMMENTS Passed
BLDG-Building Deficiency ~~,.
10/03/2018 10/03/2018 BLDG-16 072001-2018 Partial Pass Paul Burnette Re inspection Incomplete
Roof/ReRoof (Patio)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
10/17/2018 10/17/2018 BLDG-16 073312-2018 Passed Paul Burnette Complete
Roof/ReRoof (Patio)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
11/01/2018 11/01/2018 BLDG-24 074794-2018 Failed Paul Burnette Reinspection Complete
Rough/Topout
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
11/13/2018 11/13/2018 BLDG-13 Shear 076916-2018 Passed Paul Burnette Complete
PanelsfHD (ok to
wrap)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
11/27/2018 11/27/2018 BLDG-84 Rough 077019-2018 Failed Mlchael Collins Reinspcction Complete
Combo(14,24,34,44)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Not ready. See card No
11/28/2018 11/28/2018 BLDG-27 Shower 077428-2018 Passed Michael Collins Complete
Pan/Tubs
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-84 Rough 077240-2018 Passed Michael Collins Complete
Combo(14,24,34,44)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency See card for minor pick up Yes
BLDG-14 Yes
Frame-Steel-Bolting-Welding
{Decks)
BLDG-24 Rough-Topout Yes
BLDG-34 Rough Electrical Yes
BLDG-44 Yes
Rough-Ducts-Dampers
-----------,, --~-""--·---~-----·---·-·••-·------------·----___________ ,. --
April 19, 2019 Page 2 of3
' ,, ,,, , PERMIT INSPECTION HISTORY REPORT (CBR2018-0785) ' "
Permit Type: BLDG-Residential Application Date: 03/3012018 Owner: TRUST NICHOLS D AND T FAMILY
TRUST 10-16-13
Work Class: Second Dwelling Unit tssue Date: 0610812018 Subdivision: CARLSBAD TCT#74-14 A UNIT#01
Status: Closed -Finaled Expiration Date: 1011512019 Address: 2726 Naples Ct, 102
Carlsbad, CA 92010-2128
IVR Number: 10449
""" ' ,. __ ,. "~~· ·------· rn ••--••
Scheduled Actual Complete Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Relnspection
-~--~·-.. ·----•·-------·----... -.., .. _.,.
06/12/2018 06/12/2018 BLDG-SW-Pre-Con 060713-2018 Passed Paul Burnette Complete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
07(25/2018 07/26/2018 BLOG-11 064871-2018 Passed Paul Burnette Complete
Foundatlon/Ftg/Pier
s (Rebar)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
08/15/2018 08/15/2018 BLDG-11 067031-2018 Partial Pass Paul Burnette Reinspection Incomplete
Foundatlon/Ftg/Pier
s (Rebar)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-16 Insulation 067030-2018 Partial Pass Paul Burnette Reinspection Incomplete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
08/28/2018 08/28/2018 BLDG-14 068477-2018 Passed Chris Renfro Complete
Frame/Steel/Bolting/
Welding (Decks)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Second deck screw schedule Yes
09/05/2018 09/05/2018 BLDG-13 Shear 069168-2018 Partial Pass Paul Burnette Re inspection Incomplete
Panels/HD (ok to
wrap)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
09/2412018 09/2412018 BLDG-13 Shear 070827-2018 Failed Paul Burnette Reiospedion Complete
Panels/HD (ok to
wrap)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency ~Jo
BLDG-21 070828-2018 Passed Paul Burnette Complete
Underground/Underf
loor Plumbing
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
09/25/2018 09/25/2018 BLDG-13 Shear 071022-2018 Partial Pass Paul Burnette Reinspection lncompl.;te
Panels/HD (ok to
wrap)
~-·----·--·· '"""•-~•-.••,_. .. ,,, ,_ ----------~ -,.--------··---· ,._, _____
April 19, 2019 Page 1 of 3
DATE: May 29, 2018
JURISDICTION: City of Carlsbad
PLAN CHECK#.: cbR2018-0785
PROJECT ADDRESS: 2726 Naples Ct.
✓• EsG1I
SET: II
□ APPLICANT
YJURIS.
PROJECT NAME: ADU and Deck Addition for Nichols Residence
[8J The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
D The plans transmitted herewith will substantially comply with the jurisdiction's
codes when minor deficiencies identified below are resolved and checked by building
department staff.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
D The check list transmitted herewith is for your information. The plans are being held at EsGil
until corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
D The applicant's copy of the check list has been sent to:
Don Nichols
[8J EsGil staff did not advise the applicant that the plan check has been completed.
D EsGil staff did advise the applicant that the plan check has been completed.
Person contacted: Don Niche]';\
Date contacted: / (by:lJ>) ) Email:
Mail Telephone Fax In Person
0 REMARKS:
By: Chris Shaver for RM
EsGil
May21,2018
Telephone#: 760-828-0409
nichols2060@roadrunner.com
Enclosures:
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
-------·-·--~--·~··--------. ··--------
DATE: Apr 9, 2018
JURISDICTION: City of Carlsbad
PLAN CHECK#.: cbR2018-0785
PROJECT ADDRESS: 2726 Naples Ct.
✓• EsG1I
A SAFl::.bu1lt Cornpt:iny
SETI
D ..APPLICANT
AlJURIS.
PROJECT NAME: ADU and Deck Addition for Nichols Residence
D The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's codes.
D The plans transmitted herewith will substantially comply with the jurisdiction's
codes when minor deficiencies identified below are resolved and checked by building
department staff.
D The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
~ The check list transmitted herewith is for your information. The plans are being held at EsGil
until corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
~ The applicant's copy of the check list has been sent to:
Don Nichols
D EsGil staff did not advise the applicant that the plan check has been completed.
~ EsGil staff did advise the applicant that the plan check has been completed.
Person contacted: Don Nicho&
Date contacted:/i/~ (by:\IW ) Email:
Mail Telephone Fax In Person
Telephone#: 760-828-0409
nichols2060@roadrunner.com
0 REMARKS:
By: Rich Moreno
EsGil
Enclosures:
Apr2,2018
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
City of Carlsbad cbR2018-0785
Apr 9, 2018
[DO NOT PAY -THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Carlsbad
PREPARED BY: Rich Moreno
BUILDING ADDRESS: 2726 Naples Ct.
BUILDING OCCUPANCY: R-3
BUILDING AREA
PORTION ( Sq. Ft.)
Addition 483
Deck 113
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code cb
-------------------------... 199! UBC ~~,~~~~-g P_er~-1~ Fee---~~
1997 UBC Plan Check Fee ----~
Valuation
Multiplier
By Ordinance
Type of Review: Complete Review
D Repetitive Fee
_ -•] Repeats
Comments:
D Other
D Hourly
EsGil Fee
PLAN CHECK#.: cbR2018-0785
DATE: Apr 9, 2018
Reg. VALUE ($)
Mod.
85,394
85,394
D Structural Only
1-------11 Hr. @ • $319.531
Sheet 1 of 1
COMMENT#
3
L.:."8(d)
14
r 15
16
I
I ·~
I
L . .!
I
1-' '·
(
-)' Coastline Engineering, Inc. j) STRUCTURAL ENGINEERING SERVICES
STRUCTURAL PLAN CHECK CORRECTION RESPONSES
RESPONSE
NOTE ADDED TO Sl
SEE GUARDRAIL CALCULATION ON PAGE 27 OF STRUCTURAL CALCULATIONS
DETAIL ADDED FOR STRINGER TO BEAM.
,
TRUSS PACKAGE PER TRUSS MNFTR. SEE ATTACHED. STRUCTURAL DETAILS FOR TRUSS TO WALL CONNECTIONS
INCLUDED IN INITIAL PLANS.
SEE TRUSS PACKAGE FOR REVIEW STAMP BY ENGINEER OF RECORD.
a ,. -.i ~ ~-~ 1"'
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C ITY (;t l. \-. , ,, · )
BUILDl/~G D!V:Slv, J
-
7
NICHOLS RESIDENCE
18-013
05/07/2018
REFERENCE
SEE ATTACHED
26/S8
SEE ATTACHED.
SEE ATTACHED.
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RECEIVED
JUN o s 201a ( City of
c1Tv oF cAR LssAo Carlsbad
This form must be completed by the City, the applicant, and the appropriate school districts and returned to the City prior
to issuing a building permit. The City will not issue any building permit without a completed school fee form.
Project No. & Name:
Plan Check No.: CBR2018-0785 ---------------------
Project Address: 2726 NAPLES CT 102 ---------------------
Assessor's Parcel No.: 1673920300 .;;..;.....:.;;...::...;.._;_.:. ________________ _
Project Applicant: TRUST NICHOLS D AND T FAMILY TRUST 10-16-13
(Owner Name)
Residential Square Feet:
New/Additions: ---------------------
Second Dwelling Unit: -'-48:..:3:__ _________________ _
Commercial Square Feet:
New/Additions:
City Certification: City of Carlsbad Building Division Date: 06/08/2018
Certification of Applicant/Owners. The person executing this declaration ("Owner") certifies
under penalty of perjury that (1) the information provided above is correct and true to the
best of the Owner's knowledge, and that the Owner will file an amended certification of
payment and pay the additional fee if Owner requests an increase in the number of
dwelling units or square footage after the building permit is issued or if the initial
determination of units or square footage is found to be incorrect, and that (2) the Owner is
the owner/developer of the above described project(s), or that the person executing this
declaration is authorized to sign on behalf of the Owner.
@ Carlsbad Unified School District
6225 El Camino Real
Carlsbad CA 92009
Phone: (760) 331-5000
D Encinitas Union School District
101 South Rancho Santa Fe Rd
Encinitas, CA 92024
Phone: (760) 944-4300 x1166
D San Dleguito Union H.S. District
684 Requeza Dr.
Encinitas, CA 92024
Phone: (760) 753-6491 Ext 5514
(By Appt. Only)
D San Marcos Unified Sch. District
255 Pico Ave Ste. 100
San Marcos, CA 92069
Phone: (760) 290-2649
Contact: Katherine Marcelja
(By Appt.only)
D Vista Unified School District
1234 Arcadia Drive
Vista CA 92083
Phone: (760) 726-2170 x2222
SCHOOL DISTRICT SCHOOL FEE CERTIFICATION
(To be completed by the school district(s))
THIS FORM INDICATES THAT THE SCHOOL DISTRICT REQUIREMENTS
FOR THE PROJECT HAVE BEEN OR WILL BE SATISFIED.
The undersigned, being duly authorized by the applicable School District, certifies that the developer, builder,
or owner has satisfied the obligation for school facilities. This Is to certify that the applicant listed on page 1
has paid all amounts or completed other applicable school mitigation determined by the School District. The
City may issue buildlng permits for this project.
~ > B. ~~~ C'J µ,._,,,L,JLQ
LC:_ -G~ \/'~\. ~ -
Title: s\ \._pi\f ,Y\\vD'.),c).r ./V\b Date: {o-f<-l k
Signature of Authorized School District Official:
Name of School District: CARLSBAD UNIFIED SCHOOL DISTRICT Phone: fJ (o O 3 3 J -S O (j 6
6225 EL CAMINO REAL , t
CARLSBAD, CA 92009 \f\-0 Sx,,,\A.£:ij_ F-e::e ':> {)CL ,o.
\_A_ V'-c.he" s-oo ~ Building Division
1635 Faraday Avenue I Carlsbad, CA 92008 I 760-602-2719 I 760-602-8558 fax I building@carlsbadca.gov
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 SA Tl SF ACTION
OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING
RAINFALL.
3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION
CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY
INSPECTOR DUE TO INCOMPLETE 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 PECENT
( 40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER
EACH RAINFALL.
5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM
AGGREGATE.
6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER
PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST
BE INSTALLED AND MAINTAINED.
7. THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER
THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED
TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY
REGULATIONS.
OWNER'S CERTIFICATE:
I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT
BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION
ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID
THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO
AVOID 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.
0 1fG·\oL-S
OWNER~hT. / . PRINT
OVINtR(S)/OWNffi'S AGENT-NAME (SIGNATURE)
E-29
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STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP C6Kdf.'); 7 -oMS-
BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE
Erosion Control
BMPs Sediment Control BMPs Tracking I Non-Slorm Water I Waste Management and Materials
Control BMPs Management BMPs Pollution Control BMPs
Best Management Practice*
(BMP) Description ➔
CASQA Designation ➔
Construction Activi_ty_
Grading/Soil Disturbance
Trenching/Excavation
X'I Stockpiling
Drillinq/Borinq
Concrete/Asphalt Sawcutting
I XI Concrete Flatwork
Pavir,_g_
Conduit/Pipe Installation
!Al Stucco/Mortar Work
Waste Disposal
Staqinq/Lay Down Area
Equipment Maintenance and Fuelina
Hazardous Substance Use/Storage
Dewatering_
Site Access Across Dirt
Other llist):
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Instructions: 1. Check the box to the left of all applicable construction activity (first column) expected to occur during construction.
2. Located along the top of the BMP Table is a list of BMP's with it's corresponding California Stormwater Quality Association (CASQA) designation number. Choose one
or more BMPs you intend to use during construction from the list. Check the box where the chosen activity row intersects with the BMP column.
3. Refer to the CASQA construction handbook for information and details of the chosen BMPs and how to apply them to the project.
PROJECT INFORMATION
Site Address:.)7 Jb NApL,t5 Cr CM2l-5t)i,.IO
Assessor's Parcel Number. --------
Emergency Contact:
Name: /){lfJ Ni (jlM-$
24 Hour Phone: 7 60 '8~8-{Yf I) 9
Construction Threat to Storm Water Quality
(Check Box)
□ MEDIUM □ LOW
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Page 1 of 1 REV 11/17