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Home My WebLink About2744 LLAMA CT; ; CB141854; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-04-2014 Pool Permit Permit No: CB141854 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2744 LLAMA CT CBAD POOL Status: Lot#: 0 Applied: Valuation: 2154200600 $16,858.00 Construction Type: 5B Entered By: Reference#: PC#: Project Title: Applicant: MOVSESIAN RESIDENCE: 414 SF POOL MOVSESIAN FAMILY TRUST 12-29-09 27 44 LLAMA CT CARLSBAD CA 92009 619-884-4458 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Plumbing Fee Strong Motion Fee Green Bldg Standards (SB1473) Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Plan Approved: Issued: Inspect Area: Owner: MOVSESIAN FAMILY TRUST 12-29-09 27 44 LLAMA CT CARLSBAD CA 92009 ISSUED 07/29/2014 JMA 07/29/2014 08/04/2014 $195.47 $0.00 $136.83 $0.00 $33.00 $33.00 $1.69 $1.00 $0.00 $0.00 $0.00 $0.00 $400.99 Total Fees: $400.99 Total Payments To Date: $400.99 Balance Due: Inspector: FINAL APPROVAL Date: f-Z'f-t'f'. Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.· You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must fo\low 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 lo any I • . City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-04-2014 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW140275 Job Address: Permit Type: Parcel No: Reference #: CB#: Project Title: Applicant: 2744 LLAMA CT CBAD SWPPP 2154200600 CB141854 MOVSESIAN RESIDENCE: 414 SF POOL MOVSESIAN FAMILY TRUST 12-29-09 2744 LLAMA CT CARLSBAD CA 92009 619-884-4458 Emergency Contact: ANDY MOVSESIAN 619-884-4458 SWPPP Plan Check SWPPP Inspections Additional Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Issued: Inspect Area: Tier: Priority: Owner: MOVSESIAN FAMILY TRUST 12-29-09 27 44 LLAMA CT CARLSBAD CA 92009 ISSUED 07/29/2014 JMA 08/04/2014 1 L $48.00 $57.00 $0.00 $105.00 Total Fees: $105.00 Total Payments To Date: $105.00 Balance Due: FINAL APPROVAL DAIT f.Zm SIGNATURE x?{ $0.00 / I THE FOLLOWtr.,,..,APPROV~L,.S REQUIRED PRIOR TO PERMIT ISSUANCE: 17! PLANNING IZ! ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD «~ Building Permit Application Plan Check No. (-:f) J L.J -I _:--;-,,J 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ;y (b, ri>S-5 ' ~ • CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck.1Deposlt ' CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date '1 /'7!,1 I //.} lswPPP r't--Z..7Sl JOB ADDRESS')_. J l--f L-f c..,r-SUITEIII/SPACEI/UNIT# I~ -l.f 2-:, ,~ -o (_ -D;:, l---\ l'YHPr CT/PROJECT# TLOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I cONSTR. TYPE1 acc. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~v:a>rr-.C. A-Oo:> '-lf l'i 5~ ,--r EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS {SF} I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YESO "'° YES □No □ YES □No□ APPLICANT NAME~ IU.:> \/ S f.::S, ~N PROPERlY OWNER NAME prtr,--· r.nnt1ct • .J '1 ADORE~ 1 1-( '-f Lt i,-/\'\/-\ ADDRESS C.-"t" CITY STATE ZIP CITY STATE ZIP r • '· ~JYirD r./),,__ qz..-.,, .,.9 PHONE I IFAX PHONE IFAX ~( ,;-fs-'6"'-1-Lf'-1~ ¥' EMAIL EMAIL A-t--1.J "1'G... i>..MP, F-;•~. c.:,,....,.., DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE I FAX EMAIL EMAIL I STATE UC.# STATE LIC.# I CLASS I CITY BUS. UC.# (Sec, 7031.5 Business and P_rofess1ons Code. Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair an:t structure, p_nor to its issuance, also requires the applicant for such per_m1t to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law )Chapter 9, commending with Section 7000 of D1v1s1on 3 of the B_usiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a c1v1I penalty of not more than five hundred dollars {$500)), 'i"ORKERS' COMPENSATION Work.en;' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: D I have and wHI 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 bv 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 _________ _ ~section need not be completed if the permit is for one hundred dollars {$100) or less. LJ 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 cMI fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damage& as provided for in Section 3706 of the Labor code, interest and attorney's fees. ~0NTRACT0R SIGNATURE QAGENT DATE OWNER-BUILDER DECLARATION -.• ·e_pJL.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 _ ~f, 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 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 Ucense 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). 0 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 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/ phone/ contractors' license number): 5. I will provide some of the work, but I ha 4d (hired) the following persons to provide the work indicated (include name I address/ phone I type of work) 2f PROPERTY OWNER SIGNATU □AGENT DATE 7 2,..(j t.{ . ~OMPLEnl THIS SECTl9_N FOR NON•RESIDENTI_AL BUILDING PERMITS ONLY 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? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality manage men! district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above information Is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and Stam laws relating to building construction. I hereby authorize re~sentative of the City of Carlsbad lo enter upon the aOOve mentiorled property kir inspection pulJXlseS. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CAALSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUEA8"'NST SAID CITY IN CONSEQUENCE Of THE GRANTING Of THIS PERMIT. OSHA Ar, OSHA permit is required for excavations over 5'0' deep and demolttKln or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Buildin Official under the provisions of this Code shal expire by limitation and berome null and void l the txJilding ormrk authorized by sudl permit is not commenced 'Mthin 180 days from the date of such pemirt or if 1k:lin ormrk authorized by sudl permtt is suspended or abandoned at any time after the oork is commenced for a period of 180 days {Section 106.4.4 Unibnn Buik:ling Code). A:S°APPLICANT'SSIGNATURE 1~ DATE / J-4" // Inspection List Penni!#: CB141854 Type: POOL Date Inspection lt_em 09/24/2014 59 Final Pool 09/24/2014 59 Final Pool 09/02/2014 51 Excav/Steel/Bonding/Fence 08/14/2014 23 Gas/TesURepairs 08/14/2014 51 Excav/Steel/Bonding/Fence 08/14/2014 52 Underground Plumbing 08/14/2014 53 Electric/Conduit/Wiring 08/13/2014 52 Underground Plumbing 08/13/2014 53 Electric/Conduit/Wiring 08/07/2014 51 Excav/Steel/Bonding/Fence Friday, September 26, 2014 Inspector PB PB PB PB PB PB PB PB PB Act RI AP AP AP AP AP AP AP AP AP MOVSESIAN RESIDENCE: 414 SF POOL Comments Page 1 of 1 ~-, ~ «~ ~ C ITY O F PLAN CHECK REVIEW TRANSMITTAL Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www .carlsbadca.gov CARLSBAD DATE: 08/01/2014 PROJECT NAME: MOVSESIAN Pool PROJECT ID: PLAN CHECK NO: CB141854 SET#:1 ADDRESS: 2744 Llama Ct APN: 215-420-06 r ALUATION:$16,858 SCOPE OF WORK: Pool ~~ ~his plan check review is complete and has been APPROVED by: LAND DEVELOPMENT ENGINEERING DIVISION Final Inspection by the CM&I division is required: Yes X No This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check Comments have been sent to: andy@amafis.com ~ -I PLANNING ENGINEERING FIRE PREVENTION 760-602-4610 760-602-2750 760-602-4665 Chris Se>'ton Kathleen Lawrence Greg Ryan 760-602-4624 760-602-2741 760-602-4663 Chris Sexton i,crirlsbaclcn gov Knthleen Lnwrencc "'-c::irl!>badca.gov Gregory.Ryan a carlsbadcc1 gov I I Gina Ruiz Linda Ontiveros Cindy Wong I 760-602-4675 7G0 602 2773 760 602-4662 I l G1 u Ruiz • carlc;bJdca gov LI -d l O 1t1ve. OS • ..:c1rlsbadcc1 gov Cyntt1m.Wonga ca1 lsbadca.gov I I [Z] Dale Willis ; Dominic Fieri 760-602-2784 : 760-602-4664 i ! Dale.Wlllls@carlsbadca.gov Dominic.F1eri wcarlsbadca gov i ---·-J, ___ --J Remarks: CB141854 MOVSESIAN Pool , Outstanding issues will be marked with X P,lease Read Instructions Items that conform to permit requirements are marked with ✓ -or-have intentionally been leji blank. 1. SITE PLAN Provide a fully dimensioned site plan drawn to scale. Show: ✓ North arrow ✓ Existing & proposed structures ✓ Property line dimensions Easements Show on site plan: ADD drainage X Drainage patterns patterns to Site ✓ Existing & proposed slopes Plan Existing topography Retaining Walls (location and height) Indicate what will happen with soil excavated from pool area. lnc1uae on title sheet: ✓ Site address ✓ Assessor's parcel number ✓ Legal description/lot number Grading: Quantities of Cut Fill Import Export Project does not comply with the following engineering conditions of approval for project no: Conditions were complies with by: Lot/ Map No.: 616 /7367, Sh 11 SubdivisionfTract: LA COSTA MEADOWS UNIT 4 Reference No(s): DWG 191_5A /Sh 3 E-37 Page2of4 Date: REV 6/2012 CB141854" MOVSESIAN Pool • 2. GRADING PERMIT REQUIREMENTS Willa ROW X Application be f' submitted? If not, please ~ ,} ~:~cate ott \9 ~'.f E-37 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" Minor Grading Permit required. NOTE: The grading permit must be issued and grading approval obtained prior to issuance of a building permit. A separate grading plan prepared a registered civil engineer must be submitted together with the completed application form attached. ✓ No grading permit required. MISCELLANEOUS PERMITS RIGHT-OF-WAY PERMIT is required to do work in city right-of-way and/or private work adjacent to the public right-of-way. A separate right-of-way issued by the engineering division is required for the following: Please complete attached right-of-way application form and return to the engineering department together with the requirements on the attached right-of-way checklist, at the time of resubmittal. Right-of-way permit and pool permit will be issued simultaneously. Page 3 of 4 REV 6/2012 dn41ss4 • I Attachments: E-37 MOVSESIAN Pool 4. STORM WATER Construction Compliance ✓ Project Threat Assessment Form complete. Enclosed Project Threat Assessment Form incomplete. ✓ Requires Tier 1 Storm Water Pollution Prevention Plan. Please complete attached form and return (SW 1•21s1 ) Requires Tier 2 Storm Water Pollution Prevention Plan. Requires submittal of Tier 2 SWPPP, payment of processing fee and review by city. Post-Development (SUSMP) Compliance ✓ Storm Water Standards Questionnaire complete. Storm Water Standards Questionnaire incomplete. Please make the corrections, re-sign the questionnaire and resubmit with next submittal. Project is subject to Standard Storm Water Requirements. See city Standard Urban Storm Water Management Plan (SUSMP) for reference. http://www.carlsbadca.gov/business/building/Documents/EngStandsw-stds-vol4-ch2.pdf Project needs to incorporate low impact development strategies throughout in one or more of the following ways: Engineering Appllcatlon Rainwater harvesting (rain barrels or cistern) Vegetated Roof Bio-retentions cell/rain garden Pervious pavement/pavers Flow-through planter/vegetated or rock drip line Vegetated swales or rock infiltration swales Downspouts disconnect and discharge over landscape Other: Storm Water Form Right-of-Way Appllcatlon/lnfo Page4of4 Reference Documents REV6/01/12 \(~, ~ CITY Of CARLSBAD PLANNING DIVISION BUILDING PLAN CHECK APPROVAL P-29 DATE: 7-29-14 PROJECT NAME: PROJECT ID: Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www .carlsbadca.eov PLAN CHECK NO: CB 14-1854 SET#: 1ADDRESS: 2744 Llama Ct APN: 215-420-06-00. cg] 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 ~ No You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions. D This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached checklist. Please resubmit amended plans as required. Plan Check APPROVAL has been sent to: andy@amafls.com 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 □ Kathleen Lawrence □ Greg Ryan 760-602-4624 760-602-2741 760-602-4663 Qhris.SgxtQn@tetlsbadca.ga~ tsathl~en.Lawren~~@~arlsbagca.gQv Grggoi:y.R~an~~arlsbs1Qca.gov □ Gina Ruiz □ Linda Ontiveros □ Cindy Wong 760-602-4675 760-602-2773 760-602-4662 !,in!!,R~li~carlsbagcl!,gQv Lind!!,Qn!iv~ros~cl!risbadcl!,gov Cynthig.WQn~carlsbeQca.gov □ □ □ Dominic Fieri 760-602-4664 DQminic.Fl~ri@carlsbagca.gov Remarks: d~,;.,, ~ ... 5',) ~; CITY OF CARLSBAD STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 STORM WATER COMPLIANCE CERTIFICATE ✓ My project is not in a category of pennit types exempt from the Construction SWPPP requirements ✓ My project is not located inside or v.1thin 200 feet of an environmentally sensitive area 'Nith 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) 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 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov PROJECT INFORMATION Site Address: ~ 7 L-f '-1 L I ,,,..,,_, ,,,__ c. r Assessor's Parcel Numbe~') -42-?..-o i:.-0..:> Project ID: ____________ _ Construction Penr,it No.:CBI 1--/-1 sry Estimated Construction Start Date ____ _ ✓ 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, refueting 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, 3. THE OWNER/CONTRACTOR SHALL INSTALL t;roject Duration Months ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY \ Emergency Contact: • disturbed area is located on a slope 'Mth 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. a-,..,.. I) --< y'\-f O V 5 €S ,Up-A OWNER~ER'S AGENT NAME (PRINT) ~_,, \ --: V---7/v;/1'-f 0 R(S)/OWNER'S AGENT NAME (SIGNATURE) DATE E-29 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 Name: fND.' (\,fovSr-S ,',at,'-' 24hourPhone: V/"f / fir'-f...Lf'f',f -~ Perceived Threat to Storm Water Quality ,.:J Medium ~ 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- Ap~ B.l_ 2-,.. \... ~&~ Date:""D\•\:?Q t'\- REV 4/30/10 «, ~ C ITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 STEP3 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPEMENT PROJECTS ONLY Com lete the uestions below re ardin our redevelo ment ro·ect: YES NO Does the redevelopment project result in the creation or replacement of impervious surface in an amount of less than 50% of the surface area of the reviousl existin develo ment? If you answered "yes," the structural BMP's required for Priority Development Projects apply only to the creation or replacement of impervious surface and not the entire development. Go to step 4, check the "my project meets PDP requirements" box and complete applicant information. If you answered "no," the structural BMP's required for Priority Development Projects apply to the entire development. Go to step 4, check the "m ro·ect meets PDP re uirements" box and com lete a licant information. STEP4 CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION D My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must comply with additional stormwater · eria per the SUSMP and I understand I must prepare a Storm Water Management Plan for submittal at time of application. nderstand flow control (hydromodification) requirements may apply to my project. Refer to SUSMP for details. y 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: 2-J lf '-/ L / /[r11-): UC Applicant Name: A A S ~'°t ,-,ov E.<:rtl:N Accessor's Parcel Number(s): ~, 0 _ 4 242-oG -o J Applicant Title: (2<._./N(C/L. Date: l / ~ _ 2...5 I Lf This Box for City Use Only City Concurrence: NO * 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. Page 3 of 3 Effective 6/27/13 Erosion Control Tracking Non-Storm Water Waste Management and Materials BMPs Sediment Control BMPs Control Management BMPs Pollution Control BMPs BMPs • C C C 1" 1" 0 0 0 "C t3 u C> ~ "' "C "' "C C C E C E 2 0 C C> "' C "' 2 2 ii ~ "' .!!! "' 0 E ~ .E "' C> .; .; -;;; 0 ~ C ·3 "' C> 0 .!!! ::, C> -g ..!!:! ~ .; C c ~ ~ 'E C' "' "' C "' Best Management Practice C "'"' ·a -~ C 0 UJ -~ C 0 s 0 .. E 0 i" m -0"' 0 "' ~ "' "' ~ "' (BMP) Description ➔ 00 3 C >-E "' C u~ u 00 "C a; 0 ::, .!!! s 0 0 "'"' "§ 2 C> ~-~ m ·a; C "C jj' C "C s C Cl '!? 0 00 "' 3 1l "' "' "C >-C :::, ~ ~ Q) 1" Cl 0 m C> -0 0 "' "' "' ~ 0 "' 'i:1 ::, Cl "'E 0:,= ~ ul "' "' u ;;; < ;;; 'a il ~ Dg' C "' a: "' ~~ C> "' .!!! . " ~ "' E .,, a; -~ .c E2 = en 2· :c jl I "C ,c C "' "-0 .; > "'~ "C :0 ~ :o~ C 0 .,, "C "' 0 "·-~ ii "' i" 0 C ·;; "' ::c 0 N C "' ~ "'!" .2 "' "' "' i" "' .9 e "' C> J<l 0 ~ "' 0 "' ~i 0 0 "' 0 -"' -c in C) UJD Cl) o5 Cl) u U: C) Cl)> Cl) Cl) a_ "'-Cl) a: a_ a_ > ::, Cl). I u CASQA Designation ➔ .., "' q> :ii '? :I; :z "I " ;i: 0 ~ ~ J, ~ " "I N "' 'f "' <O "' u (.) u 0 UJ UJ w w rh Cl) ,. ,. ,. ~ ,. ,. ,. UJ UJ UJ Cl) Cl) Cl) Cl) Cl) Cl) Cl) >->-z z z z s s s s s s Construction Activity UJ Cl) Gradi...,.,/Soil Disturbance t-, Trenchina/Excavation -t-../ I Stocknilina ' Drillina/Borinn Concrete/Asphalt Saw . , cuttinn A .,,. Concrete flatwork \ Pavina ConduiVPine Installation Stucco/Mortar Work r I Waste Dis"'"'sal Staaina/Lav Down Area Equipment Maintenance and Fuelinn Hazardous Substance Use/Storaoe Oev,.,aterina Site Access Across Dirt . Other nistl: Instructions: Begin by reviewing the list of construction activities and checking the box to the left of any activity that wm 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 'Nhere 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