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Home My WebLink About2772 GALICIA WAY; MULTI-PERMIT FILE; CB142881; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-24-2014 Demolition Permit Permit No: CB142881 Building Inspection Request Line (760) 602-2725 Job Address: 2772 GALICIA WY CBAD Permit Type: DEMO Full Demo: N Status: ISSUED Parcel No: 2162200100 Lot #: 0 Applied: 10/24/2014 Entered By: RMA Occupancy Group: Reference #: Plan Approved: 10/24/2014 PC #: # Dwelling Units: 0 Structure Type: Issued: 10/24/2014 Bedrooms: 0 Bathrooms: 0 Inspect Area: Project Title: CUNZIO RES- DEMOLISH POOL/SPA PUNCH HOLES IN BOTTOM & FILL IN WITH SAND & DIRT- Applicant: CUNZIO ANTHONY&PRICHARD 2772 GALICIA WAY CARLSBAD CA 92009 760 275-6196 Owner: CUNZIO ANTHONY&PRICHARD 2772 GALICIA WAY CARLSBAD CA 92009 Building Permit Plumbing Fee Other Fee Additional Fees TOTAL PERMIT FEES $20.00 $0.00 $45.00 $0.00 $65.00 Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due: $0.00 FINAL APPR I P/ Y VAL Inspector: Date: _______ 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 10-24-2014 Permit No:SW 140368 Job Address: 2772 GALICIA WY CBAD Permit Type: SWPPP Parcel No: 2162200100 Lot Reference #: CB#: CB142881 Project Title: CUNZIO RES- DEMOLISH POOL/SPA Applicant: CUNZIO ANTHONY&PRICHARD 2772 GALICIA WAY CARLSBAD CA 92009 Emergency Contact: ANTHONY CUNZIO 760 275-6196 SWPPP Plan Check SWPPP Inspections Additional Fees TOTAL PERMIT FEES Status: ISSUED 0 Applied: 10/24/2014 Entered By: RMA Issued: 10/24/2014 Inspect Area: Tier: 1 Priority: L Owner: CUNZIO ANTHONY&PRICHARD 2772 GALICIA WAY CARLSBAD CA 92009 $0.00 $58.00 $0.00 $58.00 Total Fees: $58.00 Total Payments To Date $58.00 Balance Due: $0.00 ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: [:]PLANNING 0 ENGINEERING 0 BUILDING FIRE 0 HEALTH D HAZMAT!APCD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 CITY OF Ph: 760-602-2719 Fax: 760-602-8558 B A email: buildingcarlsbadca.gov www.carlsbadca.gov CARLS D Ak Plan Check No. Est. Value Plan Ck. Deposit Date fp [(L\ISWPPP I JOB ADDRESS SWTE#/SPACE#/UNIT# BUSINESS NAME I APN - CT/PROJECT # LOT # PHASE C OF UNffS C BEDROOMS C BAThROOMS ]TENANT - CONSTR. TYPE 0CC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected A,ea(s) iflo £ t _oo 0 fDO-0 'P hJ/J 4uL EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS(SF) FIREPLACE YESD#. NOD AIRCONDITIONING I YES DNOE IFIRESPRINKLERS YESD NOD APPLICANT NAME (u)3l.to __________________________________ Pitnare Contact PROPERTY O)N1SER NAME (.-(.i ADDRESS d)-7'7- chis ADDRESS 7'7 4 CITY WAI CITY TATE (:C1-(/S )J c PHONE FAX PHON _1>4,FAX EMAIL an (W5Ll c - DESIGN PROF ) EMAIL -< I' CONTRACTOR BUS. RAME L/ ADDRESS ADDRESS CITY STATE ZIP CITY - , STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL STATE LIC. C STATE UC.# CLASS CITY BUS. LIC.# (Sec. 701. 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 Contractors License Law jChapter 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 ($5001). i®u ° IF Workers' Compensation Declaration: I hereby affirm under penalty f perjury one of the following declarations: -. R 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 Insurance carter and policy number are: insurance Co.' Policy No. Expiration Date I 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 Califomia. 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 coat of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's tees. CONTRACTOR SIGNATURE 0 AGENT DATE I hereby affirm that lam exempt from Contractor's License Law for the following mason: El 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 era 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 of sale). [J 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). [] I am exempt under Section _____________Business and Professions Code for this mason: - - I personally plan to provide the major labor and materials for construction of the proposed property Improvement. DYes [JNo I (have! have not) signed an application fore building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction(include name address I phone! contractor-a' 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! 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): .PROPERTY OWNER SIGNATURE AGENT DATE Inspection List Permit#: CB142881 Type: DEMO CUNZIO RES- DEMOLISH POOL/SPA PUNCH HOLES IN BOTTOM & FILL IN WIT Date Inspection Item InspectorAct Comments 11/19/2014 19 Final Structural - RI POOL DEMO 11/14/2014 51 Excav/Steel/Bonding/Fence - RI AM PLEASE 11/14/2014 51 Excav/Steel/Bonding/Fence MC AP DEMO COMPLETE 11/11/2014 51 Excav/Steel/Bonding/Fence MC PA HOLES PLACED IN POOL FLOOR Wednesday, November 26, 2014 Page 1 of 1 b - '. - r -: -, .-,•, + ...... ,- '! .• . - . • • .- E-34 ' • , • . . ' Page 1 äf : STORM WATER . '• '.•' . Development Services A OW STANDARDS Land Development Engineering QUESTIONNAIRE" 1635 Faraday Avenue C I T V 0 F , 760-602-2750 CARLSBAD .- 34, .• vcarlsbadca.gov L INSTRUCTIONS To address post-development pollutants that maybe generated from development projects, the City requires that new development and significant redevelopment priority projects incorporate Permanent -Storm ,.Water Best Management Practices (BMPs) 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.carlsbadcä.qov/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 stormwater 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 additi6nal criteria called 'Priority Development Project Requirements'. Many aspects of project site design are dependentupon 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 respohsibility 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 and resubmit to the City. If you' are unsure about the meaning of a question or need .help in determining how to resp6nd t6oné 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 deeIàpment applications for the same project are submitted concurrently. In,addition to this questionnaire, you must also complete, sign and s'übmit a Project Threat Asseèsment Form with construction permits for the project. .. . •.•. - Please start by completing Step I and, follow the instructions. When completed, sign the form at the end and submit this with your application to the city. . ., . STEP 1 JO BE C.OMPLETED FOR LL PROJECTS To determine if your project is a priority development project, please answer the following questions: .YES 'NO 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 disconnected from paved streets or roads; OR (3) designed and constructed with permeable pavenents or surfaces in accordance with USEPA Green Streets guidance? ' •' ' . ; - ______ 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? ' If you answered "yes" to one or more of the above questions, theh 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 last box stating my ,project does not meet PDP requirements" and èompléte applicant information. . . • • ,, t.',• ;• J •.'••.•.•. . If you answered "no" to both questions; then go tö'Step 2. •• ,, . - • •• • • . STORM WATER 151 STANDARDS Development Services <~. mo> I OF Land Development Engineering T QUESTIONNAIRE CAR E-34 760-602-2750 LSB www.èarlsbadca.gov S1F2 TOBE COMPLETED FOR 4LL NEW OR REDEVELOPMENT PROJECTS L To determine if your project is a priority development project please answer the following questions:YES NO 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 development projects on public or private land. 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 industrial,_residential, public development projects_on public private land. _mixed-use,_and _or 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 consumption. ' , •.: -p.. 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 projecta new orredevelopment 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 areaor facility for the temporary parking or storage of motor vehicles personallyfor business or for commerce. _used 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 automobiles, trucks, motorcycles, 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 lO'ss. from the project to the ESA; or conveyed in a pipe or open channel any distance as an isolated flow frOm the project to_ the commingles lands).! _ESA _(i.e._not _with _flows _from_adjacent 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, 5014, 5541, 7532-7534, o r 7536-7539. Is your project a new development that supports a retail gasoline outlet (RGO)? This category includes RGOs 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 per day. - Is 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'? ills your project located within 200 feeLof the Pacific Ocean and (1) creates 2,500 square feet or more of impervious surface or (2) increases impervious surface on the property by more than 10%? If you answered yes to one or more of the above questions you ARE 'a priority development project and are therefore subject to implementing str6ctiurall.Besti-I Management Practices (BMP's) in addition to implementing Standard Storm Water Requirements such as source control and low impact development BMP's. A Storm Water Management Plan (SWMP) must be submitted with your application(s) for development. Go to step 3 for redevelopment projects. F or. new projects, go to step 4 at the end of this questionnaire check the "my project meets PDP requirements" box and complete applicant information If you answered "no" to all of the above questions, ,you ARE NOT a priority development project and are therefore subjectto implementing only Standard Storm Water Requirements such as source control and low impact development BMP's required for all development projects.. AStorrn Water Management Plan (SWMP) is not required with your application(s) for development. Go to step 4 at the end of this questionnaire, check the "my project does not meet PDP requirements" box and complete applicant information. - Effective 6/27113 STORM WATER STANDARDS Development Services 0 F QUESTIONNAIRE Land Development Engineering 163.5 Faraday Avenue 760-602-2750 CAKLSBAU E-34 STEP 3 L TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELQREMENT 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 POP requirements" box and. complete applicant information. . .. • If you answered no, the structural BMP's required for Priority Development Projects apply to theéntire development. Go to step 4, check the "my project meets PDP requirements" box and complete applicant information. - - _ - STEP CHECK THE APPROPRIATE BOX AND COMPLETE AIPLIC4NT INFORMATION I My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and.must complywith additional stormwater ,criteria per the SUSMP and I understand I must prepare Storm Water Management Plan for submittal at time of application. I understand flow control(hydromodification) requirementsniay 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 loi.h impact development strategies throughout my project. Applicant Information and Signature Box Address1. : Accessor's Parcel Number(s),. rrvt in nAA . . . Aicafit- a Applicant Title: •- ., . Applicant Sig Date This Box for City Use Only City Concurrence: YES .NO By:. 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 liodies 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. . . 4 •.. - '• . - - . E-34 . - .. - ••• Page 3of3 - . - . . -• 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. PROJECT INFORMATION Site Address: 2_ Gt Pct i Assessor's Parcel Number: Project ID: L) I -' Construction Permit No.: C12,( L1' 2_&'( Estimated Construction Start Date Project Duration Months rPhone: 7(%c-(Qi9 Perceived Threat to Storm Water Quality U Medium 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 V CITY . A P : 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 ' 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 WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD. DATE For City Use Only CITY OF CARLSBAD STANDARD TIER 1 SWPPP Approved By: Date: REV 4/30/10 E-29 Page 1 of 3 Erosion Control Tracking Non-Storm Water Waste Management and Materials BMPs Sediment Control BMPs Control Management BMPs Pollution Control BMPs BMPs C 2 C .2 15 -o cu c o o 2 .2 E C C a, D a' Best Management Practice ID 0' i E5 CO C . 5 0' C a' (BMP) Description 4 . j . I— E , 0) 0' , 0) o 0 0 c C a t o U)E 0) co 0 0 a' W a, > U) O CO a,c - (0< - (0 co o - N cc N LJ a'.!- (D (0 2 ac t co 0< O wa .2 U) U) a Cl) .c 0 2 u 0 co cc'> co cn 22 U)o U). 0)2o cc'o ci < a( o > (l) U). cn I o: CASQADesignation -* 09 9) CO "T '' (9 0 '7 ' c,4 cn7 'f cc) 19 o o o ' w w w w w w w 7 o of U) U) U) U) w w w 0 U) U) (n U) U) U) C/) W I— I— Z Z Z Z Construction Activity LU (/) Grading/Soil Disturbance 'trenching/Excavation Ci Stockpiling Drilling/Boring Concrete/Asphalt Saw cutting Concrete flatwork - Paving - Conduit/Pipe Installation Stucco/Mortar Work Waste Disposal - Staging/Lay Down Area Equipment Maintenance and Fueling Hazardous Substance Use/Storage Dewatenng - 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 . INSPECTION RECORD-- 1 -' - - - DATE - REMARKS INSPECTOR FOUND.flGNS:. SEI REQUESL$OR INSPECTION TIME:________ H 'TR INSPECTOR 'VI PERMIT NO. - DATE: Rd I•,s -. .- - FO OWNER 1 &-GL-c_-, ADDRESS c wp p sjI F RAM I N tNT.LAI EXT.LP MASON Ii FINAL USE SPAC BUILDING El FOUNDATION El REINFORCING STEEL El MASONRY •- L. El GROUT - GUNITE El FLOOR AND CEILING FRAME El SHEATHING - El FRAME El EXTERIOR LATH El INSULATION J1NTER1OLATH OR DRYWALL ,-& FINAL PLUMBING - El UNDERGROUND PLUMBING - El UNDERGROUND WATER El ROUGH PLUMBING - El TOP OUT- PLUMBING - - - -- - El SEWER AND PL/CO EI TUB ORSHOWERPAN EI GAS TEST E:l TER * ELECTRICAL - - El TEMPORARY SERVICE El ELECTRIC UNDERGROUND El ROUGH ELECTRIC El POOL BONDING El ELECTRIC SERVICE El CEILING HEAT - MO_K`E-VE,T,ECTOR N JAB AL A MISCELLANEOUS El PLENUM AND DUCTS El COMBUSTION AIR - El PATIO - El SIGN El GRADING -. - El DRIVEWAY - El CONDITIONED AIR SYSTEMS FINAL- READY FOR INSPECTION: OMONDAY DT.UESDAY DWEDNESDAY DTHURSDAY FRIDAY 0 A.M. - - - - D SPECIAL INSTRUCTIONS —REQUESTED BY GT. X. - I - - -- - I .- - --4L/0'7 . PERSON TAKING REPORT________________ -4 MODEL NO._________ BUILD NG PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 f Applicant to complete numbered søaces on/v. Phone 729-1181 Permit No 1 JOB ADOR ESS 772 PARCEL NUMBER LEGAL LOT i NO. BLA TRACT (ESEE ATTACHED SHEETI BOOK PAGE PAR. OWNER MAIL ADDRESS ZIP 2 y,4Ck '772 2 PHONE - CONTRACTOR I'/ MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO. - /7,*'c.::r /3 ARCHITECT OR DESIGNER MAIL ADDRESS 4 — PHONE LICENSE NO. ENGINEER MAIL ADDRESS 5 PHONE LICENSE NO. COMP NSATION INS. CARRIER MAIL ADDRESS 6 BRANCH USE OF BUILO1NG NO. BOR MS NO. BATHS_________ 8 Class of work: NEW LI ADDITION El ALTERATION 0 REPAIR 0 MOVE 0 REMOVE 9 Describe work: /,,,f,/47 10 Change of use from Change of use to 11 Valuation of work: $ 7 / / PLAN CHECK FEE $ -. PERMIT FEE $ - SPECIAL CONDITIONS: Type of Const. Occupancy Group MICRO FILM FEE Size of Bldg. (Total) Sq. Ft. No. of Stories Max. 0cc. Load Fire Zone Use Zone Fire Sprinklers Required Elves ONO APPLICATION ACCEPTED BY DATE PLANS CHECKED BY APPROVED FOR ISSUANCE BY DATE No. of - Dwelling Units - OFFSTREET PARKING SPACES: No N Covered [SQ._Ft. Open NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB. ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK ISSUSPENDEDOR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISrONs OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Special Approvals Required Received Not Required PLANNING DEPT. HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) ENGINEERING DEPT. WATER DEPT. SIGNATURE 0FCONTRACTOR OR AUTHORIZED AGENT (DATIE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH TOTAL FEES $ INSPECTOR 1 A-H ?3k PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 729-1181 Permit Nn 31 JOB *0DB ENS J22 (,ei4 LEGAL 1DESCR. LOT NO. I I I IOLK I I TRACT OWNER MAIL ADDRESS 2 . 772 9i&'4 ZIP PHONE 5<3' PT ' RACTOR MAIL ADDRESS PA', 4~ PHONE STATE LIC NO CITY LIC. NO. 72c/-/1o7 ARCHITECT OR DESIGNER MAIL ADDRESS 4 PHONE LICENSE NO. ENGINEER MAIL ADDRESS 5 _____ PHONE LICENSE NO. COMPENSATION (NS. CARRIER MAIL ADDRESS 6 /,v'S. 4 BRANC USE OF BUILDING , ' 8 Class of work: 0 NEW Li ADDITION 0 ALTERATION Li REPAIR 9 Describe work: y 4' PERMIT FEES of Fixture or Item Fee SPECIAL CONDITIONS: F No.Type WATER CLOSET (TOILET) S BATHTUB LAVATORY (WASH BASIN) - - SHOWER KITCHEN SINK & DISP. DISHWASHER APPLICATION ACCEPTED BY PLANS CHECKED BY I APPROVED FOR ISSUANCE SN' I DATE LAUNDRY TRAY CLOTHES WASHER - - WATER HEATER NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC. TION AUTHORIZED (SNOT COMMENCED WITHIN 120 DAVS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM. MENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OFONTRACTOR R , URINAL DRINKING FOUNTAIN FLOOR—SINK OR DRAIN - SLOP SINK / GAS SYSTEMS: NO. OUTLETS J J_ WATER PIPING & TREATING EQUIP. WASTE INTERCEPTOR _L_ VACUUM BREAKERS 1) LAWN SPRINKLER SYSTEM SEWER NUMBER CLEANOUTS - CESSPOOL SEPTIC TANK & PIT R OOF DRAINS AUTHORIZED AGENT (OTE1 - - ISSUANCE FEE $ SIGNATURE OF OWNER (I F OWNER BUILDER) (DATE) TOTAL FEES ,y) .$ Y 1 WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. • CASH INSPECTOR .- TOTAL-FEES.- -. - -i. ..•,,. - •.-. .. . . t . - .:JI .. SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) . k. - •-- . . - - '-- .-: - L_L. WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION . CK. M.O. CASH - . ----.... -.-,.. - .__._._.•____4._.._......- ... •. - ,.-,--,, .-----.. -. . ._...._.....r. .-............ . - . . _-.,.-.. . . . - - ..-.. ._. -.. *..'.-- JON ADDRESS LEGAL 1 DESCR. LOT NO. . BLK. . TRACT . . . ]SEE ATTACHED SHEET) . . . OWNER MAIL ADDRESS ZIP PHONE 2 /7 . CONTRACTOR M IL ADDRESS . PHONE STATE LIC. NO. /7 CITY LIC. NO. ARCHITECT OR DESIGNER . MAIL ADDRESS PHONE - LICENSE No.' 4 . . -.- .. ENGINEER MAIL ADDRESS PHONE LICENSE NO. COMPENSATION INS. CARRIER MAIL ADDRESS . - BR NCH - USE OF BUILDING 1 8 Class'ofwork: (44EW 0 ADDITION 0 ALTERATION 0 REPAIR 41 . . .:1te - PERMIT. FEES' ... . SWIMMING POOL WIRING; NO INCREASE IN SERVICE No.. Each . Fee SPECIAL CONDITIONS: ., NEW CONSTRUCTION, FOR EACH AMPERES OF MAIN SERVICE, SWITCH FUSE OR BREAKER , • : APPLICATION ACCEPTED BY: PLANS CHECKED NV: APPROVED FOR-ISSUANCE NV: DATE NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE . .• .,. . NOTICE THIS PERMIT BECOMES NULL AND VOID IFWORK OR CONSTRUC- OR BREAKER . 'TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A • PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- REMODEL, ALTERATION, NO CHANGE • . . MENCED. IN SERVICE, FOR EA. AMPERE OF I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS . . TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE TEMP. SERVICE UP TO AND INCLUD- PROVISIONS OF ANY OTHER STATE OR LOCAL.LAW REGULATING ING 200 AMP. - CONSTRUCTION OR THE PERFORMANCE. OF CONSTRUCTION. . , •: /7 TEMP. SERVICE OVER 200 AMP. PER 100 . • SIGNATURE OF C.NTRACTOR OR AUTHORIZED AGENT / IDA I . R7 ISSUANCE FEE . S :ELEC1R1CA1 PERMIT; APRLICATIQN,..,. .CitofCARLSBAb:CAüFÔRNIA92OO8 .' .Applicantto complete numbered spaces only.l, Phone 7291181 Pørmit Nn INSPECTOR' FO INSPECTION PERMIT NO ;i:11;1 c 0 BUILDING TIME: DATE:_________ I ELECTRICAL I REQUEST INSPECTOR____ OWNER ADDR El FOUNDATION El REINFORCING STEEL El MASONRY El GROUT - GUNITE El FLOOR AND CEILING FRAME El SHEATHING El FRAME El EXTERIOR LATH El INSULATION El INTERIOR LATH OR DRYWALL El FINAL El TEMPORARY SERVICE El ELECTRIC UNDERGROUND El ROUGH ELECTRIC El POOL BONDING K El ELECTRIC SERVICE1 )\ El CEILING HEAT 11 /ic ElG.FI El SMOJ(DTECTOR 1'FINALI I PLUMBING I El UNDERGROUND PLUMBING/ j El UNDERGROUND WATER 4,,) El ROUGH PLUMBING El TOP OUT PLUMBING El SEWER AND /J/CO El TUB OR SHOJE I PAN ElGAS TEST 4/ El WATER HEAt El FINAL READY FOR INSPECTION: 0 MONDAY 0 TUESDA SPECIAL INSTRUCTION / I LAN EOUS JUM AND DUCTS BUSTION AIR El PATIO El SIGN El GRADING El DRIVEWAY El CONDITIONED AIR SYSTEMS El REFER PIPING El FINAL WEDNESDAY DTHURSDAY 0 FRIDAY REQUESTED BY CQ2AJ, -11k PHONE NO. PERSON TAKING REPORT_(L REQUEST FOR INSPECTION TIME:_________ INSPEcTO - \ VY PERMIT NO._______________ DATE: OWNER ADD BUILDING El FOUNDATION El REINFORCING STEEL El MASONRY ElGROUT - GUNITE El FLOOR AND CEILING FRAME El SHEATHING El FRAME El EXTERIOR LATH El INSULATION El INTERIOR LATH OR DRYWALL El FINAL I PLUMBING I El UNDERGROUND PLUMBING El UNDERGROUND WATER El ROUGH PLUMBING El TOP OUT PLUMBING El SEWER AND PL/CO El TUB OR SHOWER PAN El GAS TEST Cl WATER HEATER El FINAL I \ELECTRICAL I El TEMPORARY SERVICE El ELECTRIC UNDERGROUND ROUG HETfI El POOL BONDING ELECTRIC SERVICE El CEILING HEAT 0/(El El G.F.I. El SMOKE DETECTOR El FINAL I MISCELLANEOUS I El PLENUM AND DUCTS El COMBUSTION AIR El PATIO El SIGN El GRADING El DRIVEWAY El CONDITIONED AIR SYSTEMS El REFER PIPING El FINAL READY FOR INSPECTION: 0 MONDAY A.M. P.M. SPECIAL INSTRUCTIONS REQUESTED BY________ 0 TUESDAY 0 WEDNESDAY PHONE NO.________________ PERSON TAKING REPORT________________ REQUEST FOR INSPECTION TIME:_________ INSPECTOR___________________ PERMIT NO._____________ DATE:____________ OWNER I ELECTRICAL 1 El TEMPORARY SERVICE El ELECTRIC UNDERGROUND El ROUGH ELECTRIC POOL BONDING El ELECTRIC SERVICE El CEILING HEAT El G.F.I. El SMOKE DETECTOR El FINAL ADDR BUILDING El FOUNDATION REINFORCING STEEL El MASONRY El GROUT - GUNITE El FLOOR AND CEILING FRAME El SHEATHING El FRAME El EXTERIOR LATH El INSULATION El INTERIOR LATH OR DRYWALL El FINAL PLUMBING El UNDERGROUND PLUMBING El UNDERGROUND WATER El ROUGH PLUMBING El TOP OUT PLUMBING El SEWER AND PL/CO El TUB OR SHOWER PAN El GAS TEST El WATER HEATER El FINAL MISCELLANEOUS El PLENUM AND DUCTS El COMBUSTION AIR El PATIO El SIGN El GRADING El DRIVEWAY El CONDITIONED AIR SYSTEMS El REFER PIPING El FINAL READY FOR INSPECTION o MONDAY OTUESDAY OWEDNESDAY THURSDAY 0 FRIDAY A.M. P.M. SPECIAL INSTRUCTIONS REQUESTED BY PHONE NO._4 PERSON TAKING REPORT__________________ REQUEST FOR/4NSPE ION TIME: INSPECTOF____________________ PERMIT NO DATE: OWNER BUILDING El FOUNDATION El REINFORCING STEEL El MASONRY El GROUT - GUNITE El FLOOR AND CEILING FRAME El SHEATHING El FRAME El EXTERIOR LATH El INSULATION El INTERIOR LATH OR DRYWALL El FINAL PLUMBING - - El UNDERGROUND PLUMBING El UNDERGROUND WATER El ROUGH PLUMBING El TOP OUT PLUMBING El SEWER AND PL/CO El TUB OR SHOWER PAN GAS TEST El WATER HEATER El FINAL I ELECTRICAL I El TEMPORARY SERVICE El ELECTRIC UNDERGROUND El ROUGH ELECTRIC El POOL BONDING El ELECTRIC SERVICE 7l El CEILING HEAT ,f 7 El G.F.I. El SMOKE DETECTOR El FINAL MISCELLANEOUS El PLENUM AND DUCTS El COMBUSTION AIR El PATIO El SIGN El GRADING El DRIVEWAY El CONDITIONED AIR SYSTEMS El REFER PIPING El FINAL READY FOR INSPECTION: 0 MONDAY DTUESDAY )WEDNESDAY 0 THURSDAY 0 FRIDAY 0 A.M. SPECIAL INSTRUCTIONSi ¶ REQUESTED BY PHONE NO. PERSON TAKING REPORT 9- PW INTERDEPARTMENTAL INFORMATION SHEET RECEIVED BUILDING DEPARTMENT DATE: i17B V - BUILDING ADDRESS: 2'77 ilding Department PLANNING DEPARTMENT ZONE LOT SIZE LOT WIDTH____________________ UNITS ALLOWED UNITS PROVIDED___________________________ PARKING SPACES REQUIRED PROVIDED________________________ % COVERAGE ALLOWED PROVIDED BUILDING HEIGHT ALLOWED PROVIDED FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED PROVIDED_______________ INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: ADDITIONAL COMMENTS: OK TO ISSUE: DATE OK TO FINAL DATE__________ ENGINEERING DEPARTMENT R.O.W. - INDUSTRIAL WASTE IMPROVEMENTS_______________ SEWER CONNECTION DRIVEWAY LOCATIONS .-_-- GRADING PERMIT ' EASEMENTS DRAINAGE_________ LEGAL DESCRIPTION ADDITIONAL COMMENTS_________________________________________________________ OK TO ISSUE: ______ DATE /--/--7 PWI OK TO FINAL DATE_______ FIRE DEPARTMENT SPRINKLING SYSTEM - KIRE ALARMS FIRE HYDRANTS______ ADDITIONAL COMMENTS __FIRE PROTECTION EQUIP. EXITS___________________ LOCATION OK TO ISSUE: DATE OK TO FINAL DATE "WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET DATE