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HomeMy WebLinkAbout2851 Castilla Pl; ; CBR2017-0703; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 07/10/2017 Residential Permit Permit No: CBR2017-0703 www.carlsbadca.gov Job Address:2851 Castilla PI Permit Type:BLDG-Residential Work Class:Pool Status:Closed -Finaled Parcel No:2162303700 Lot #:Applied:04/06/2017 Valuation:$20,956.00 Reference #:Issued:04/12/2017 Occupancy Group:Construction Type:Finaled: # Dwelling Units:Bathrooms:Inspector:PYork Bedrooms:Orig. Plan Check #: Plan Check 4: Project Title: Description:INSTALL 400 SF POOL &SPA 1/ 4' RETAINING WALL NEAR POOL //GAS LINE TO FIRE PIT &BBQ Owner:Contractor: COOWNER WILEY JAMES J AND SYLVIA MORGAN FAMILY POOLS 2851 Castilla PI CARLSBAD, CA 92009 322 S Ditmar St Oceanside,CA 92054-3128 760-696-3598 BUILDING PERMIT FEE $2000+$212.53 BUILDING PLAN CHECK FEE (BLDG)$148.77 ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL $41.00 PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL $49.00 SB1473 BUILDING STANDARDS FEE $1.00 STRONG MOTION-RESIDENTIAL $2.72 SWPPP INSPECTION FEE TIER 1 -Medium BLDG $232.00 SWPPP PLAN REVIEW FEE TIER 1 -MEDIUM $55.00 Total Fees:$742.02 Total Payments To Date:$742.02 Balance Due:$0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction."You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. • ,.., ,THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:CANNING ENGINEERING BUILDING DARE GHEALTH 0 HAZMATIAPCD Building Permit Application Plan Check NotipR a 6 (3.3-(11 01City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value a a 9.5 to .0-6Ph: 760-602-2719 Fax: 760-602-8558Carlsbademail: building©carlsbadca.gov Plan si Ckitlepy pi RI 7 www.cadsbadcas.gov Date JOS ADDRjitz kGas-NI IV..9 u kact ITEir/sPAcEivuNiTe APN 42:(104°-1213Of-W;P:700 - CT/PROJECT #LOT#PHASE##OF UNITS #BEDROOMS #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP 1 DESCRI N OF WORK:I ude Square Feet of Affected Area(s)t PlAaS4. 694' .0 -40075 &Ai;fyver;\ (N)R. o o I t n mar c-k-1 0-k-1..)‘34-1/13jas l i ci re.p n.. 16.Sfe,, Li 1 ce_itx inirnvJa II pertn.1 -1 -(Vto( EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESElli NOD YES 0 NO El YESEl NOD APPUCANT NAME r......t PROPERTYMOM .f1 . kelPrimary Contact '.-1-$3"r"01-(Y.\CY\cl- rolAn - ..)ex ryNes 4-St.%Iv ict tA.) t ADDRESS ADDRESS ...'3 22. S.11)i-k-Tvwx-St-.2.53 S I C....as-li 1 kok place_ CITY .STATE ZIP CITY STATE ZIP P t)NOC.ear1 bp) 6 1 44q.-CA 9205'9 PHON Carlsbet a 0...A.)._Tao cil .E .FAX FAX 6P1 10 -3c°13 0.—tO Ig)48 ki -1 I VIEM.EMAIL---1 ry\°copra*.nil 1 lif000 Is e ko-k-mcks''1.carp.rylor.conit i Ptri; DESIGN PROPESSIONAL CONTRACTOR BUS. N ADDRESS ADDRESS ,...322 S. I)1 -kreve-3+. CITY STATE ZIP CITY n STATE ZIPWay\s ae.CA---ci-tio PHONE FAX PH FAX 1 66)6910-3597 .............. EMAIL EM A A .rVA.0411n4M1 I Pi Fools @ ko--k-0-0-.1 •torn STATE LIC.#STATE LIC.#ill &SS CITY BUS. LIC.#9 4-3 110'2 ..-•S'b 1 '2.3 0,I I a. •(Sec.7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its_issuance. also requires the •applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9. commending with Section 7000 of Division 3 of theBusiness 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 toacivil penalty of not more than five hundred dollars ($500)). WORKERS COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty ofpodury oneofthe following declarations: I have and will maintain a certificate ofconsent to self4nsure for workers' osnlpensation 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 carrier and policy number am: Insurance Co.Policy No.Expiration Date section need not be completed if the permit is for one hundred dollars 4100) or less. 'Certificate ofExemption: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 CSAdomia.WARNING: Failureto 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 cost of compensation, da ::as provided for In Section 3706 ofthe Labor code, Interest and attorney's fees. Ad.CONTRACTOR SIGNATURE thi.a.....i.a t EiAGENT DATE 4 OWNER -BUILDER DECLARATION / hereby affirm that/ an exempt from Contractor's License Law for the following reason:0 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-bulkier will have the burden of proving that he did not build or improve for the purposeofsale).ElI,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).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.E3Yes 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): :4.1 plan to provide portions of the work, butIhave hired the following person to coordinate, supervise and provide the major work (include name /address/phone/contractors' license number): 5.I will provide some of the work, butI have contracted (hired) the following persons to provide the work indicated (include name /address / phone/type of work): AKPROPERTYOWNER SIGNATURE DAGENT DATE COMPLETE THIS SECTION FOR NON -RES 1 DENTIAL BUILDING PERMITS ONLY Is the applicant orMum bulking 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 bulking occupant required to obtain a permit from the eh pollution control district or air quality management district?Yes No Is the facility to be constructed witNn 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 APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION IcertifythatIhavemethsappAnlbnandstatetholesabovekdomretIonIsconectendlhettheidoaeationontheplansIsaccurate:fa#eet000mpyvdlhaNf7tyadkrencesandSleblavaralatIngbbul ing acastuctIon. I hereby authorize representative of the City of Carlsbadbenter upon the above mentioned property for inspection purposes.IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA psnnit is requiredlc( acavations over 5'0' deep and demolition or construction of stuctures over 3stiltsn height. EXPIRATION: Every permit issued by the Builcingfiticial under the provisionsofthis Code shall expire by imitation and become null and void ff the building or work authorized by such pemitis not commenced within 180 days from the dale of such perniti or if the or by such permit is suspended or abandoned at any time after the worlds commencedbra period of 180 days (Section 106.4.4 Uniform Bating Code). £APPLICANT'S SIGNATURE " iI.maanc.a.DATE 11 • ST 0 P' 11/4 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 buildingftarisbadca.govor Phil the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO*:(Office Use Only) CONTACT NAME OCCUPANT NAME . ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA ,1 PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. • DEUVERY OPTIONS PICK UP:CONTACT (Listed above)OCCUPANT (Listed above) CONTRACTOR (On Pg.1.) MAIL TO:CONTACT (Listed above)OCCUPANT (Listed above)ASSOCIATED CB# CONTRACTOR (On Pg.3.)NO CHANGE IN USE/NO CONSTRUCTION MAIL/FAX TO OTHER: CHANGE OF USE/NO CONSTRUCTION ii AKAPPLICANTS SIGNATURE DATE PERMIT INSPECTION HISTORY REPORT (CBR2017-0703) Permit Type:BLDG-Residential Application Date:04/06/2017 Owner:COOWNER VVILEY JAMES J AND SYLVIA Work Class:Pool Issue Date:04/12/2017 Subdivision:LA COSTA SOUTH #7 Status:Closed -Fineled Expiration Date:12/18/2017 Address:2851 Castilla PI Carlsbad, CA 92009-8205 IVR Number:2956 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 05/01/2017 05/01/2017 BLDG-51 021674-2017 Failed-Construction Paul York Reinspection Complete Excav/Steel/Bonding Change Needed /Fence(Pools) Checklist Item COMMENTS Passed BLDG-Building Deficiency No 05/02/2017 05/02/2017 BLDG-51 021790-2017 Passed Paul York Complete Excav/Steel/Bonding /Fence(Pools) Checklist Item COMMENTS Passed BLDG-Building Deficiency No 05/23/2017 05/23/2017 BLDG-55 024100-2017 Partial Pass Jonathan West Reinspection Incomplete Fence/Preplaster Checklist Item COMMENTS Passed BLDG-Building Deficiency Retaining wall per city specification.Yes •05/24/2017 05/24/2017 BLDG-91 024279-2017 Passed Jonathan West Complete Complaints Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Footing for retaining wall per city spec.Yes 06/05/2017 06/05/2017 BLDG-91 025211.2017 Passed Jonathan West Complete Complaints Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 06/07/2017 06/07/2017 BLDG-23 025678-2017 Passed Paul York Complete Gas/Test/Repairs Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-31 025511-2017 Partial Pass Paul York Reinspection Incomplete Underground/Condu It -Wiring IIIlllii Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-51 025513-2017 Partial Pass Paul York Reinspection Incomplete Excav/Steel/Bonding /Fence(Pools) Checklist Item COMMENTS Passed BLDG-Building Deficiency No July 10, 2017 Page 1 of 2 PERMIT INSPECTION HISTORY REPORT (CBR2017-0703) Permit Type:BLDG-Residential Application Date:04/06/2017 Owner:COOWNER VVILEY JAMES J AND SYLVIA Work Class:Pool Issue Date:04/12/2017 Subdivision:LA COSTA SOUTH #7 Status:Closed -Fineled Expiration Date:12/18/2017 Address:2851 Castilla PI Carlsbad, CA 92009-8205 IVR Number:2956 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 06/21/2017 06/21/2017 BLDG-55 026759-2017 Passed Jonathan West Complete Fence/Preplaster Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 07/10/2017 07/10/2017 BLDG-Final 028247-2017 Passed Paul York Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes ii July 10, 2017 Page 2 of 2 City of STORM WATER STANDARDS Development Services QUESTIONNAIRE Land Development EngineeringCarlsbadE-34 1635 Faraday Avenue (760) 602-2750 www.carlsbadca.gov INSTRUCTIONS: To address post-development pollutants that may be generated from development projects,the city requires that newdevelopmentandsignificantredevelopmentpriorityprojectsincorporatePermanentStormWaterBestManagementPractices (BMPs) 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 ofstorm water standards that must be applied to a proposed development or redevelopment project.Depending on theoutcome,your project will either be subject to 'STANDARD PROJECT'requirements or be subject to 'PRIORITYDEVELOPMENT PROJECT' (PDP) requirements. Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts.Citystaffhasresponsibilityformakingthefinalassessmentaftersubmissionofthedevelopmentapplication.If staffdetermines that the questionnaire was incorrectly filled out and is subject to more stringent storm water standards thaninitially assessed by you, this will result in the return of the development application as incomplete.In this case, pleasemake 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 thequestions, please seek assistance from Land Development Engineering staff. A completed and signed questionnaire must be submitted with each development project application.Only onecompletedandsignedquestionnaireisrequiredwhenmultipledevelopmentapplicationsforthesameprojectaresubmitted concurrently. PROJECT INFORMATION PROJECT NAME:tA...)6t -J rne S I V I cL PROJECT ID: ADDRESS: 2_.S.(t;p CA CI-.APN:__0 The project is (check one):El New Development El Redevelopment The total proposed disturbed area is:1-1 -00 ft2 ()acres The total proposed newly created and/or replaced impervious area is:i-f (Y)ft2 ()acres If your project is covered by an approved SWQMP as part of a larger development project, provide the project ID and theSWQMP # 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 yourapplication to the city. E-34 Page 1 of 4 REV 02/16 STEP 'I 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 Dor structure that do not alter the size (See Section 1.3 of the BMP Design Manual for guidance)? 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. STEP 2 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 vaccordance 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? s'Y 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 USEPA 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 STEP 3 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,111and public development projects on public or private 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 development projects on public or private 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 ydevelopment project includes development on any natural slope that is twenty-five percent or greater. 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 o used for the transportation of automobiles, trucks, motorcycles, 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 commingled 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))ti 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 (ADT) of 100 or more vehicles per day. 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?y 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 0 IX'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 stating "My project is a 'STANDARD PROJECT'..." and complete applicant information. E-34 Page 3 of 4 REV 02/16 STEP 4 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.111 .y 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 BMPs 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 is 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. STEP 5 CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION 0 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. NIL 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. 0 My Project is NOT a 'development project' and is not subject to the requirements of the BMP Manual. Applicant Information and Signature Box Applicant Name:..111(1611-PO- 65QC)Applicant Title:04A170.‘ Applicant Signature:u6 r___.Date:1-/I Li I I 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 Only YES NO City Concurrence:El El By: Date: Project ID: E-34 Page 4 of 4 REV 02/16 STORM WATER COMPLIANCE FORM •TIER 1 CONSTRUCTION SWPPP .c6Raoli_0703 STORM WATER POLLUTION PREVENTION NOTES BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE ...Erosion Control Tracking Non-Storm Water Waste Management and Materials Sediment Control BMPs •Pollution Control BMPsBMPs '1.ALL.NECESSARY EQUIPMENT AND MATERIALS SHALL BE •-Control BMPs Management BMPs AVAILABLE QN SITE TO FACILITATE RAPID INSTALLATION .c OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN 0, c 0c .405.- --1 -0 -.c 'w -0E IS EMINENT.u)0 c •.0 g 5 -..,0 =2 .0 :,,,t.......0....,....0.... w ....-..—. •2.THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION 01 C CI)0.a)..c .L..)=......0 ._--.....„-tr„.0 ...,, . 0..u.c ?-. (L.5 t w 'a.0 :0;.-..4..ff. .... CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION . Best Management Practice**/3 :-.:11 2 C7 •CCI 'CL 3.- 1-'-'-'C 0 0 C 0 ti)0C.)L.C.)2 -....-o a -0 'rt)co m C 0 C C C 1-'CD 0 a)CD OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING ;(BMP) Description --->CO 0 cp f./)•--°.5 :X °co 0.a)Crl an .15 r-al c 0 0 Ca).4...0 •"'•0 "C •t-5 TS U..I 'CI 0 CO.0 C 0 CZ1 0 it;gi E 3 E a)E RAINFALL. z-7 m c:1 .Lx c"-5 m•.cn --on o --a)---..a)t.'o .2 0i -5 o 75 =1-—.a)..,-rD5ci)ct -g a t').tl.2 .t.1 t..L)01-5 z .2 .g..-1-.-_cn -L-_-.2-a.2 a),on ,cn a)7..-=2 „G"1--,,E f).--3 15 ='19 E a)S--0 :3 -°:4).15 -5-4i 0 -2 c5 .9E -$.'c''°`2 V2 E S 3.THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION g 6 6-.-1:3 °-4"'ai 2 -2 Le ....8 5 .....0 Le .!...'6 t 'E!0 E ono --6 0 0 49 0 -B a o.o-6 0 0 0 0 0 c."w oo FA cn cn c)iT_c.9 •cn >.cn cn o_cn cn oc .3o._a.0:o_>o m cn m cn cn c...),cn m =m u m . CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY .----.._.. INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR CASQA Designation ---> o r•-•co cr.—c..-)Ni-in c.o I--co .--co7T cs.,...-,'4"LC)CO COTi•i i i i i UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. -1 1 1 1 T 1 I I I 1 1 1Uoc_.)o i.....11.0 i...1 L..0 1.....L.L.1 L.....t.L.1 I—ct Z Z Z Z 3 g 3 g i g 3 Construction Activity ..I.L.c La c...J Li..cn V)V)V)(I)Cl)(1)Cl) • 4.ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE .'Grading/Soil DiSturbance -.1/4 .._. AT THE END OF EACH WORKING DAY WHEN THE FIVE (5)Trenchiag/ExCai.ation. •.• ...,.•---- ;l<-X.' •. DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT 'Stockpiling '._ (40%).SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER Drilling/Boring _... EACH RAINFALL.Concrete/Asphalt Sawcutting ... . . 5-- Concrete Flatwork _.Y •. • 5.ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM • PaYinAGGREGATE.g . • Conduit/Ply Installation . •'•...... 6.ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER Stucco Mortar Work PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST .Waste Disposal i .• BE INSTALLED AND MAINTAINED.Staging/Lay Down Area .. .-..•• .Equipment Maintenance and Fueling . >.• 7.THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER -Haiardous Substance UselStorage THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED Dem:kering .„• ' _., TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY 'Site Access Across Dirt , REGULATIONS.-Other (list): .,• .. Instructions: •1.Check the box to the .left of all applicable construction activity (first column)expected to occur during construction. •2.Located along the top of the BMP Table is a list of BMP's with it's corresponding California Stormwater Quality Association (CASQA)designation number.Choose one •or more BMPs you intend to use during construction from the list.Check the box where the chosen activity row intersects with the BMP column. 3.Refer to the CASQA construction handbook for information and details of the •chosen BMPs and how to apply them to the project. ' .OWNER'S CERIDICATE:. I UNDERSTAND AND ACKNOWLEDGE THAT I MUST:(1)IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS)DURING CONSTRUCTION PROJECT INFORMATION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO Site Address:2 "8`S-I CA-3-H Id?Piet 62 AVOID THE EXPOSURE OF STORM WATER TO CONSTRUCTION RELATED POLLUTANTS;ANL:L(2)ADHERE TO,AND AT ALL TIMES,-Assessor's Parcel Number:a.I6 -a3-0---3 - 7 00 • • •COMPLY WITH THIS CITY APPROVED TIER 1.CONSTRUCTION SWPPP •THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES Emergency Contact: UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED .Name:— t Ow\nit uri arl BY TH,E9ITY OF CARLSBAD.. rl on P/N-Prick") 24 Hour Phone.l it.1))5 - 7 1°—-1 31 3 OWNER(S)OWNER'S AGEO NAME (PRINT) , Construction Threat to Storm Water Quality ,II /Lii r7 (Check Box) OWN (S).6'R'S GENT NAME (SIGNATURE)DA lt EI MEDIUM i'l_OW E-29 Page 1 of 1 REV 02/16 . •