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Home My WebLink About2828 LIDO PL; ; CB161260; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-20-2016 Pool Permit Permit No: CB161260 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: 2828 LIDO PL CBAD POOL 1562006800 $22,068.00 Lot#: 0 Construction Type: NEW Project Title: MCCABE: 428 SF POOL & SPA Applicant: Owner: CALIFORNIA POOLS INC DBA CALIFORNIA POOLS & SPAS 3106 E GARVEY AVES WEST COVINA CA 91791-2344 760-744-8868 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 Total Fees: $464.70 Total Payments To Date: Inspector: FINAL APPROVAL Date: /-3,l-(1 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/31/2016 JMA 04/20/2016 04/2012016 $229.90 $0.00 $160.93 $0.00 $35.00 $35.00 $2.87 $1.00 $0.00 $0.00 $0.00 $0.00 $464.70 $464.70 Balance Due: Clearance: $0.00 NOTICE: Please take CE that approval of your project irdudes the ~lmJX)Sition" cf fees, dedications, reservations, or other exactions hereafter oollectively referred to as ''fees/exactions." You have 90 days from the date this pennit was issued to protest irrposition of these fees/exactions, If you protest them, you must folltM' the protest procedLJes set forth in Goverrment Code Section 66020{a), and file the protest and any other required information 'Mth the City Manager for processing in accordance 'Nith Carlsbad Mlnicipal Code Section 3.32.030. Failure to timely fol ION that procedure Vvill bar any subsequent legal action to attack, review, set aside, void, or annul their i"l)OSltion. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sevver oonnection fees and capacity changes, nor planning, zoning, grading or other sillllar application processing or service fees _in connection v,,it~ t~is ~ect. N~ DOES IT AF:L Y to_ MY City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-20-2016 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW160154 Job Address: Permit Type: Parcel No: Reference #: CB#: Project Title: 2828 LIDO PL CBAD SWPPP 1562006800 CB161260 MCCABE: 428 SF POOUSPA Lot#: 0 Applicant: Owner: CALIFORNIA POOLS INC DBA CALIFORNIA POOLS & SPAS 3106 E GARVEY AVES WEST COVINA CA 91791-2344 760-7 44-8868 Emergency Contact: DAVID BEARDEN 760-7 44-8868 SWPPP Plan Check SWPPP Inspections Additional Fees TOTAL PERMIT FEES Status: Applied: Entered By: Issued: Inspect Area: Tier: Priority: ISSUED 03/31/2016 JMA 04/20/2016 1 M $54.00 $228.00 $0.00 $282.00 Total Fees: $282.00 Total Payments To Date: $282.00 Balance Due: FINAL APPROVAL DATE /-J/-l7 CLEARANCE ·----- SIGNATURE f v rt4,- $0.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD {'city of Carlsbad JOB ADDRESS -Z.12€ Ll o fl. Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEt/SPACEf/UNITI Est. Value Plan Ck. Deposit Date •31• b SWPPP APN /5{p zoo -b g> Ot, CT/PROJECT# LOT# PHASE# # OF UNITS # BEOROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) rro f OSec{ pco \ er ·6fll. I ~' Jc. 2€ 1 pc,ol (i, 1 X lo' (;f'Ao EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) APPLICANT NAME PROPERTY OWNER CITY ZIP t.b <g FAX 1Fio EMAIL DESIGN PR0FESSI0NA CONTRACTOR BUS. NAME LIA. It' ADDRESS ADDRESS rworh '3 CITY STATE ZIP CITY lru' PHONE FAX PH0NF 1 [eo-_7t.fl/ -_<;JlP~ EMAIL EMAIL Co.rri'<. 6/'t~ h,-f-- STATE LIC. # STATE LIC.# 1~5102 MP-It 34775 b -FAX STA E A FAX CLASS AIR CONDITIONING YES □No □ ZIP "!ZOOB ZIP 2· I~ C-!:>.3 FIRE SPRINKLERS YES□No□ (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 prov1s1ons of the Contractor's License Law )Chapter 9, commending with Section 7000 of Div ts ion 3 of the Business 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 civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjuty one of the following declarations· D I have and will maintain a certificate of consent to self-insure for mrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, (RI I have and will maintain workersW:ensation, as reQuired bv Section 3700 of the Labor Code, for the performance of the qrk for which this permit is issued. My workers' compensation insura7 carrier and policy number are: Insurance Co, S '-(_ o~p Policy No. <//3 l 10 Expiration Date /p /1 t / (, pii§.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 civil fines up to one hundred thousand do11ani (&100,000), In addition to the cost of compensation damages as provided f in Secti 3706 of the Labor code, Interest and attorney's fees . .85 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License LBw 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 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 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 reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes ONo 2. I (have/ 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/ phone/ contractors' license number): 4, I plan to provide portions of the work, but I have hired the following person lo coordinate, supervise and provide the major work (include name I address I phone/ contractors' license number): 5. I will provide some of the work, but I have contracted {hired) the following persons to provide the work indicated (include name I address I phone/ type of work): _8! PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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 management 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 oortlfy that I have read the appllcatlon and state that the above lnfonnation is correct and that the lnfonnatlon on the plans Is accurate. I agree to c:omply'Mlh all City ordinances and State lav.s relating to building construction. I hereby authorize representative of the City of Ca~sbad to enter u!X)n the aOOve mentioned property br insi:ection purp::,ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF C.ARLSB.AD 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 5'0' deep and demolitbn or construdion of structures OYer 3 stories in height. EXPIRATION: Every permit issued by the Building Ofocial under the provisk:ms of this Code shall expire by limitation and berome null and vok:I Wthe buik:ling or'Mlrk authorized by such permit is not commenced 'MIilin 180days from the date ofsudl permit or if the building orY.«k authorized by sud! permit is suspended or abandoned at any time after the v.ork. is rornmenced for a period of 100 days (Sectkm 100.4.4 Uniform Building Code). AS APPLICANT'S SIGNATURE DATE 3, 3 /;'( t., • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed fonn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CONTACT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL DELIVERY OPTIONS □ PICK UP: □ CONTACT {Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) D MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (listed above) □ CONTRACTOR (On Pg. 1) □MAIL/FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. UC. No. o ASSOCIATEDCB#•------------- 0 NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB161260 Type: POOL Date Inspection Item 09/21/2016 55 Fence/Pre-Plaster 07/22/2016 51 Excav/Steel/Bonding/Fence 06/08/2016 31 Underground/Conduit-Wirin 06/08/2016 51 Excav/Steel/Bonding/Fence 05/24/2016 31 Underground/Conduit-Wirin 05/24/2016 51 Excav/Steel/Bonding/Fence Wednesday, February 01, 2017 MCCABE: 428 SF POOL & SPA Inspector Act Comments JW AP PD AP PD AP PD AP PD AP PD AP Page 1 of 1 Permit Type: Work Class: Status: Scheduled Date PERMIT INSPECTION HISTORY REPORT (CB161260) BLDG-Residential Application Date: 03/31/2016 Owner: MCCABE MCCABE Pool Issue Date: 04/20/2016 Subdivision: Closed -Finaled Expiration Date: 03/20/2017 Address: 2828 Lido Pl Carlsbad, CA IVR Number: 713480 Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection 01/31/2017 01/31/2017 BLDG-Final Inspection 011900-2017 Passed Jonathan West January 31, 2017 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed Yes Yes Yes Yes Yes Complete Complete Page 1 of 1 «~~ ~ C ITY OF CARLSBAD PLAN CHECK REVIEW TRANSMITTAL DATE: 04-13-2016 PROJECT NAME: MCCABE RESIDENCE POOL/SPA PLAN CHECK NO: SET#: 1 ADDRESS: 2828 LIDO PL. VALUATION/SCOPE OF WORK: $22,068 Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov PROJECT ID: CB16-1260 APN: 156-200-68-00 ✓ This plan check review is complete and has been APPROVED by the ENGINEERING Division. By: CG 4/13/16 A Final Inspection by the Division is required Yes ✓ No This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the 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 760-602~10 760-602-2750 760-602-4665 Chris Sexton ✓ Chris Glassen Greg Ryan 760-602-4624 760-602-2784 760-602-4663 Chris.Sel!:t2a@1.ar1s!2ad1.a.g2v Ctlrist2gher.~lass~a~1.arls!2ai;li;;a.g2it: GregQQ'..Rllan~1,s;irls!2ai;l1,a.g2v Gina Ruiz Linda Ontiveros Cindy Wong 760-602-4675 760-602-2773 760-602-4662 G i □a, Buiz@i.ar1s!2ad1.a ,gQv Linda.Ontiveros@carls!2adca.gov Cl1Dtllia,W2ae:@1.arlsbad1.a,gQll Dominic Fieri 760-602-4664 l:!2rniai1.,Eieri~1.arlsbad1.a.g2it: Remarks: E-37 Any outstanding issues will be marked with a11 [X] Make the necessary corrections for compliance with applicable codes and standards. Submit corrected plans and/or specifications to the Building div;sion for re-submittal to the Engineering divisions. Items that conform to permit requirements are marked witl1 [ZJ 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: Drainage patterns Existing & proposed slopes Existing topography Retaining Walls (location and height) Indicate what will happen with soil excavated from pool area. Include on title sheet: Site address Assessor's parcel number Legal description/lot number Grading: Quantities of Cut Fill Import Project does not comply with the following engineering conditions of approval for project no: Conditions were complies with by: LOT NO. 7 MAP NO. 15970 REF. NO. Page 2 of 4 Date: REV 6/2012 ; 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" Grading Permit required. NOTE: The grading permit must be Issued and rough 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. 3. MISCELLANEOUS PERMITS RW 16-78 RIGHT-OF-WAY PERMIT is required to do work in city right-of-way and/or private work E-37 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. · Page3of4 REV 6/2012 • E-37 1 4. STORM WATER Construction Compliance i Project Threat Assessment Form complete[Z:J incomplete Requires Tier 1 Storm Water Pollution Prevention Plan. Please complete attached form and return (SW 1G-1s• ) Requires Tier 2 Storm Water Pollution Prevention Plan. Requires submittal of Tier 2 SWPPP, payment of processing fee and review by city. Post-Development (SUSMPl Compliance Storm Water Standards Questionnaire complete incomplete 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/EnqStandsw-stds-vol4-ch2.pdf 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 Bio-retentions cell/rain garden Pervious pavemenUpavers Flow-through planter/vegetated or rock drip line Vegetated swales or rock infiltration swales Downspouts disconnect and discharge over landscape 0.ther: 5. ADDITIONAL COMMENTS Page 4 of 4 REV 6/2012 { City of Carlsbad DETERMINATION OF PROJECT'S SWPPP TIER LEVEL AND CONSTRUCTION THREAT LEVEL Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov E-32 I'm applying for: □ Gras;ting Permit IJI Building Permit □ Right-of-way permit □ Other Project Name:_/11.c..:...,.::'l:.....C_t1c...::b:..,,~..::...,_ ____ Project ID: -----,-...,,...---DWG #/CB# _____ _ Address: 'V~Z.8' l11:.{. Pl. APN /6t,-2.ti0-&g-OO Disturbed Area: _____ Ac Section 1: Determination of Project's SWPPP Tier Level (Check annlicable criteria and circle the corresponding SWPPP Tier Level, then go to section 2) Exempt -No Threat Project Assessment Criteria My project is in a category of permit types exempt from City Construction SWPPP requirements. Provided no ~ignificant grading proposed, pursuant to Table1 , section 3.2.2 of Storm Water Standards, the :allowing permits .. a~e.exempt.from .. ~WPPP .. requireme~ts: .................................... , ....................................................................................... , i ► Electrical : ► Patio : ► Mobile Home : ► Plumbing : ► Spa (Factory-Made) : ~ . .............. ................. ······t········· .. ···•·"'''"''''''" ··········f····· .. ···················"'''"'''''''''"'""'''"'; ........................................... t······· .. ··· .. ······· ................................................................... i : ►. Fire Sprinkler : ► Mechanical : ► Re-Roofing : ► Sign 1 ► Roof-Mounted Solar Array : i ...................................................... : .............................................. : ....................................................... "'" ........................................... : ........................................................................................ ~ Tier 3-Significant Threat Assessment Criteria -(See Construction General Permit (CGP) Section 1.B)* □ My project includes construction or demolition activity that results in a land disturbance of equal to or greater than one acre including but not limited to clearing, grading, grubbing or excavation; or, □ My project includes construction activity that results in land disturbance of less than one acre but the construction activity is part of a larger common plan of development or the sale of one or more acres of disturbed land surface or, □ My Project is associated with construction activity related to residential, commercial, or industrial development on lands currently used for agriculture; or □ My project is associated with construction activity associated with Linear Underground/overhead Projects (LUP) including but not limited to those activities necessary for installation of underground and overhead linear facilities (e.g. conduits, substructures, pipelines, towers, poles, cables, wire, towers, poles, cables, wires, connectors, switching, regulating and transforming equipment and associated ancillary facilities) and include but not limited to underground utility mark out, potholing, concrete and asphalt cutting and removal, trenching, excavation, boring and drilling, access road, tower footings/foundation, pavement repair or replacement, stockpile/borrow locations. □ Other per CGP Tier 2-Moderate Threat Assessment Criteria: My project does not meet any of the Significant Threat Assessment Criteria described above 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, D 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 throuqh Apr. 30). Tier 1-Low Threat Assessment Criteria IJI My project does not meet any of the Significant or Moderate Threat criteria above, is not an exempt permit type per 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 roof framing, saw cutting, equipment washing, material stockpilinq, vehicle fuelinq, waste stockpilinq) SWPPP Tier Level Exempt Tier 3 Tier 2 Tier 1 • Items listed are excerpt from CGP. CGP governs cntena for triggers for Tier 3 SWPPP. Developer/owner shall confirm coverage under the current CGP and any amendments, revisions and reissuance thereof. E-32 Page 1 of 2 Rev. 2/16/16 SWPPP Section 2: Determination of Project's Construction Threat Level Tier (Check applicable criteria under the Tier Level as determined in section 1, circle Construction Level the corresponding Construction Threat Level, then complete the Threat Level signature block below) Exempt -Not Applicable -Exempt Tier 3 -High Construction Threat Assessment Criteria: My Project meets one or more of the following: □ Project site is 50 acres or more and grading will occur during the rainy season □ Project site 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 □ Soil at site is moderately to highly erosive (defined as having a predominance of soils Tier3 with USDA-NRCS Erosion factors kf greater than or equal to 0.4) □ Site slope is 5 to 1 or steeper □ Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 -April 30). □ Owner/contractor received a Storm Water Notice of Violation within past two years Tier 3 -Medium Construction Threat Assessment Criteria Medium □ All projects not meeting Tier 3 High Construction Threat Assessment Criteria Tier 2 -High Construction Threat Assessment Criteria: My Project meets one or more of the following: □ 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 □ Soil at site is moderately to highly erosive (defined as having a predominance of soils High with USDA-NRCS Erosion factors kr greater than or equal to 0.4) Tier 2 □ Site slope is 5 to 1 or steeper □ Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1-Apr. 30). □ Owner/contractor received a Storm Water Notice of Violation within past two years □ Site results in 10,000 sq. ft. or more of soil disturbance Tier 2 -Medium Construction Threat Assessment Criteria Medium □ My project does not meet Tier 2 High Threat Assessment Criteria listed above Tier 1 -Medium Construction Threat Assessment Criteria: Ml'.'. Project meets one or more of the following: □ Owner/contractor received a Storm Water Notice of Violation within past two years Medium □ Site results in 500 sq . ft. or more of soil disturbance Tier 1 Bl Construction will be initiated during the rainy season or will extend into the rainy season ( Oct.1-April 30) Tier 1 -Low Construction Threat Assessment Criteria Low □ My project does not meet Tier 1 Medium Threat Assessment Criteria listed above I certify to the best of my knowledge that the above statements are true and correct. I will prepare and submit an appropriate tier level SWPPP as determined above prepared in accordance with the City SWPPP Manual. I understand and acknowledge that I must adhere to and comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards at all times during construction activities for the permit type(s) checked above. The City Engineer/Building Official may authorize minor variances from the Construction Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher SWPPP Tier Level is warranted. Owner/Owner's Authorized Agent Name: ~v,'r) J0~5 Owner/Owner's Authorized Agent Signature: ~7/~,I E-32 Title: Page 2 of 2 City Concurrence: Yes No (For City Use Only) By: Date: Project ID: Rev. 2116/16 ( City of Carlsbad STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov I INSTRUCTIONS: To address post-development pollutants that may be generated from development projects, the City requires that new development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (BMP's) into the project design per Carlsbad BMP Design Manual (BMP Manual). To view the BMP Manual, refer to the Engineering Standards (Volume 5). This questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of storm water standards that must be applied to a proposed development or redevelopment project. Depending on the outcome, your project will either be subject to 'STANDARD PROJECT' requirements or be subject to 'PRIORITY DEVELOPMENT PROJECT' (PDP) requirements. Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City staff has responsibility for making the final assessment after submission of the development application. If staff determines that the questionnaire was incorrectly filled out and is subject to more stringent storm water standards than initially assessed by you, this will result in the return of the development application as incomplete. In this case, please make the changes to the questionnaire and resubmit to the City. If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, please seek assistance from Land Development Engineering staff. A completed and signed questionnaire must be submitted with each development project application. Only one completed and signed questionnaire is required when multiple development applications for the same project are submitted concurrentlv. PROJECT INFORMATION PROJECT NAME: /Jf ,I ~be PROJECT ID: The project is (check one): ® New Development la Redevelopment The total proposed disturbed area is: L/ 50 ft2( ) acres The total proposed newly created and/or replaced impervious area is: t/Z.~ ft2 ( ) acres If your project is covered by an approved SWQMP as part of a larger development project, provide the project ID and the SWQMP # of the larger development project: Project ID: SWQMP#: Then, go to Step 1 and follow the instructions. When completed, sign the form at the end and submit this with your application to the Citv. E-34 Page 1 of 4 REV 02/16 STEP1 TO BE COMPLETED FOR ALL PROJECTS To determine if your project is a "development project", please answer the following question: YES NO Is your project LIMITED TO routine maintenance activity and/or repair/improvements to an existing building or structure that do not alter the size (See Section 1.3 of the BMP Design Manual for guidance)? X If you answered "yes" to the above question, provide justification below then Go to step 5, mark the third box stating "my project is not a 'development project' and not subject to the requirements of the BMP manual" and complete applicant information. Justification/discussion: (e.g. the project includes only interior remodels within an existing building): If you answered "no" to the above question, the project is a 'development project', go to Step 2. STEP2 TO BE COMPLETED FOR ALL DEVELOPMENT PROJECTS To determine if your project is exempt from PDP requirements pursuant to MS4 Permit Provision E.3.b.(3), please answer the following questions: Is your project LIMITED to one or more of the following: YES NO 1. Constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria: a) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non- erodible permeable areas; b) Designed and constructed to be hydraulically disconnected from paved streets or roads; c) Designed and constructed with permeable pavements or surfaces in accordance with USEPA Green Streets guidance? 2. Retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in accordance with the USEPA Green Streets guidance? 3. Ground Mounted Solar Array that meets the criteria provided in section 1.4.2 of the BMP manual? ' If you answered "yes" to one or more of the above questions, provide discussion/justification below, then Go to step 5, mark the second box stating "my project is EXEMPT from PDP ... " and complete applicant information. Discussion to justify exemption ( e.g. the project redeveloping existing road designed and constructed in accordance with the USE PA Green Street guidance): If you answered "no" to the above questions, your project is not exempt from PDP, go to Step 3. E-34 Page 2 of 4 REV. 02/16 STEP3 TO BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECTS To determine if your project is a PDP, please answer the following questions (MS4 Permit Provision E.3.b.(1 )): 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, I and oublic develooment orojects on oublic or orivate land. 2. Is your project a redevelopment project creating and/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, mixed-use, and public develooment oroiects on oublic or orivate land. 3. Is your project a new or redevelopment project that creates and/or replaces 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 (Standard Industrial Classification (SIC) code 5812). 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 develooment oroiect includes development on anv natural slooe that is twentv-five oercent or areater. 5. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface collectively over the entire project site and supports a parking lot? A parking lot is a land area or facility for the temporary parking or storage of motor vehicles used personally for business or for commerce. 6. Is your project a new or redevelopment project that creates and/or replaces 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 transoortation of automobiles, trucks, motorcvcles, and other vehicles. 7. Is your project a new or redevelopment project that creates and/or replaces 2,500 square feet or more of impervious surface collectively over the entire site, and discharges directly to an Environmentally Sensitive Area (ESA)? "Discharging Directly to" includes flow that is conveyed overland a distance of 200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an isolated flow from the project to the ESA (i.e. not comminaled with flows from adjacent lands).* 8. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface 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, or 7536-7539. 9. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious area that supports a retail gasoline outlet (RGO)? This category includes RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily Traffic (ADTJ of 100 or more vehicles 1Jer dav. 10. 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? 11 . Is your project located within 200 feet of 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%? (CMC 21.203.040) If you answered "yes" to one or more of the above questions, your project is a PDP. If your project is a redevelopment project, Go to step 4. If your project is a new project, Go to step 5, check the first box stating "My project is a PDP ... " and complete applicant information. If you answered "no" to all of the above questions, your project is a 'STANDARD PROJECT', "Go to step 5, check the second box statina "Mv oroiect is a 'STANDARD PROJECT' ... " and complete aoolicant information. E-34 Page 3 of 4 REV. 02/16 STEP4 TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPMENT PROJECTS (PDP) ONLY Complete the questions below regarding your redevelopment project (MS4 Permit Provision E.3.b.(2)): 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? Complete the percent impervious calculation below: Existing impervious area (A) = sq. ft. Total proposed newly created or replaced impervious area (B) = sq. ft. Percent impervious area created or replaced (B/A)*100 = % If you answered "yes", the structural BMP's required for PDP apply only to the creation or replacement of impervious surface and not the entire development. Go to step 5, check the first box stating "My project i$ a PDP ... " and complete applicant information. If you answered "no," the structural BMP's required for PDP apply to the entire development. Go to step 5, check the check the first box stating "My project is a PDP ... "and complete applicant information. STEPS CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION □ My project is a PDP and must comply with PDP stormwater requirements of the BMP Manual. I understand I must prepare a Storm Water Quality Management Plan (SWQMP) for submittal at time of application. ca My project is a 'STANDARD PROJECT' OR EXEMPT from PDP and must only comply with 'STANDARD PROJECT' stormwater requirements of the BMP Manual. As part of these requirements, I will submit a "Standard Project Requirement Checklist Form E-36" and incorporate low impact development strategies throughout my project. Note: For projects that are close to meeting the PDP threshold, staff may require detailed impervious area calculations and exhibits to verify if 'STANDARD PROJECT' stormwater requirements apply. □ My Project is NOT a 'development project' and is not subject to the requirements of the BMP Manual. Applicant Information and Signature Box Assessor's Parcel Number(s): !,I:> Z g l -6D-t.e -o~ Applicant Name: D"'.Vl-g Jo~~ Applicant Title: ~ t;- Applicant Signature~ ~ Date: ;Ls! lj I., 1 1 * 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 equivalent under the Multi Species Conservation Program within the Cities and County of San Diego; Habitat Management Plan; and any other equivalent environmentally sensitive areas which have been identified by the City. This Box for City Use Onlv City Concurrence: I YES I NO I I( I By: C,(,. Date: ½ -1) -lb Project ID: ~ I 6-/ .t b t> E-34 Page 4 of 4 REV. 02/16 · (cityof Carlsbad Project Name: Project ID: DWG No. or Buildina Permit No.: STANDARD PROJECT REQUIREMENT CHECKLIST E-36 Project Information Source Control BMPs Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov All development projects must implement source control BMPs SC-1 through SC-6 where applicable and feasible. See Chapter 4 and Appendix E.1 of the BMP Design Manual for information to implement source control BMPs shown in this checklist. Answer each category below pursuant to the following. • "Yes" means the project will implement the source control BMP as described in Chapter 4 and/or Appendix E.1 • of the Model BMP Design Manual. Discussion/justification is not required. "No" means the BMP is applicable to the project but it is not feasible to implement. Discussion/justification must be provided. • "N/A" means the BMP is not applicable at the project site because the project does not include the feature that is addressed by the BMP (e.g., the project has no outdoor materials storage areas). Discussion/justification may be provided. Source Control Reauirement I Annlied? SC-1 Prevention of Illicit Discharges into the MS4 I k'Yes I D No I D NIA Discussion/justification if SC-1 not implemented: . SC-2 Storm Drain Stenciling or Signage I D Yes I □ No I Vi N/A Discussion/justification if SC-2 not implemented: \ SC-3 Protect Outdoor Materials Storage Areas from Rainfall, Run-On, j o Yes j D No I ~N/A Runoff, and Wind Disoersal Discussion/justification if SC-3 not implemented: SC-4 Protect Materials Stored in Outdoor Work Areas from Rainfall, Run-On, j D Yes j D No l ~,N/A Runoff, and Wind Dispersal Discussion/justification if SC-4 not implemented: SC-5 Protect Trash Storage Areas from Rainfall, Run-On, Runoff, and Wind j D Yes J o No I ~/A Dispersal Discussion/justification if SC-5 not implemented: E-36 Page 1 of 3 REV 02/16 Source Control Requirement Applied? SC-6 Additional BMPs based on Potential Sources of Runoff Pollutants must answer for each source listed below and identify additional BMPs. (See Table in Appendix E.1 of BMP Manual for guidance). D On-site storm drain inlets D Yes D No r A D Interior floor drains and elevator shaft sump pumps D Yes D No N/A D Interior parking garages o Yes D No N/A □ Need for future indoor & structural pest control □Yes D No N/A □ Landscape/Outdoor Pesticide Use D Yes D No N/A D Pools, spas, ponds, decorative fountains, and other water features ~ Yes D No D N/A D Food service □Yes D No IJ N/A D Refuse areas o Yes D No I N/A D Industrial processes o Yes D No [ N/A n Outdoor storage of equipment or materials □ Yes D No I N/A D Vehicle and Equipment Cleaning D Yes D No I N/A D Vehicle/Equipment Repair and Maintenance D Yes D No IP N/A □ Fuel Dispensing Areas □ Yes D No ~ N/A D Loading Docks D Yes D No N/A □ Fire Sprinkler Test Water □Yes D No [ N/A D Miscellaneous Drain or Wash Water □Yes D No [ N/A D Plazas, sidewalks, and parking lots □ Yes D No [ N/A For "Yes" answers, identify the additional BMP per Appendix E.1 . Provide justification for "No" answers. E-36 Page 2 of 3 REV. 0211' Site Design BMPs All development projects must implement site design BMPs SD-1 through SD-8 where applicable and feasible. See Chapter 4 and Appendix E.2 thru E.6 of the BMP Design Manual for information to implement site design BMPs shown in this checklist. Answer each category below pursuant to the following. • "Yes" means the project will implement the site design BMPs as described in Chapter 4 and/or Appendix E.2 thru E.6 of the Model BMP Design Manual. Discussion/ justification is not required. • "No" means the BMPs is applicable to the project but it is not feasible to implement. Discussion/justification must be provided. • "N/A" means the BMPs is not applicable at the project site because the project does not include the feature that is addressed by the BMPs (e.g., the project site has no existing natural areas to conserve). Discussion/justification mav be orovided. Site Desian Reauirement I Aoolied? SD-1 Maintain Natural Drainage Pathways and Hydrologic Features I a ves I D No T □ NIA Discussion/justification if SD-1 not implemented: SD-2 Conserve Natural Areas, Soils, and Vegetation I ~ Yes I D No I D NIA Discussion/justification if SD-2 not implemented: SD-3 Minimize Impervious Area I ii Yes I D No I D N/A . Discussion/justification if SD-3 not implemented: SD-4 Minimize Soil Compaction I D Yes I D No I *N/A Discussion/justification if SD-4 not implemented: SD-5 Impervious Area Dispersion I □Yes I D No l M N/A Discussion/justification if SD-5 not implemented: SD-6 Runoff Collection I □Yes I D No l r?N/A Discussion/justification if SD-6 not implemented: SD-7 Landscaping with Native or Drought Tolerant Species I □Yes I D No I l!t'f N/A Discussion/justification if SD-7 not implemented: SD-8 Harvesting and Using Precipitation I D Yes I o No I IXN/A Discussion/justification if SD-8 not implemented: E-36 Page 3 of 3 REV. 02/16 «~" ~ CITY OF CARLSBAD PLANNING DIVISION BUILDING PLAN CHECK APPROVAL P-29 DATE: 4/4/2016 PROJECT NAME: POOL AND SPA PROJECT ID: Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.eov PLAN CHECK NO: CB161260 SET#: 1 ADDRESS: 2828 LIDO PL APN: ~ This plan check review is complete and has been APPROVED by the PLANNING Division. By: VERONICA MORONES A Final Inspection by the PLANNING Division is required □ Yes [8J No You may a/so 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: carriejones@hotmail.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 □ Chris Glassen □ Greg Ryan 760-602-4624 760-602-2784 760-602-4663 Chris.Sexton@carlsbadca.gov ChristoRher.Glassen@carlsbadca.gov Gregory.Ryan@carlsbadca.gov □ Gina Ruiz □ ValRay Marshall □ Cindy Wong 760-602-4675 760-602-27 41 760-602-4662 Gina.Ruiz@carlsbadca.gov ValRay.Marshall@carlsbadca.gov Cynthia.Wong@carlsbadca.gov ~ Veronica Morones □ Linda Ontiveros □ Dominic Fieri 760-602-4619 760-602-2773 760-602-4664 Veronica.Morgnes~carlsbadca.ggv Linda.On!iv~ros@carlsbadca.gov Dominic.Fieri@carlsbadca.gov Remarks: No slopes on property; pool and spa only of 428 sq ft.