Loading...
HomeMy WebLinkAbout2820 AVENIDA VALERA; ; CBR2020-1181; PermitBuilding Permit Finaled Residential Permit Print Date: 11/18/2020 Job Address: CARLSBAD, CA 92009-7109 Permit Type: 2820 AVENI DA VALERA, BLDG-Residential 2164601200 Work Class: Pool Parcel#: Valuation: Occupancy Group: #of Dwelling Units: $17,917.38 Track#: Lot#: Project#: Plan#: Bedrooms: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Project Title: Description: 342 SF POOL & SPAW/ GAS TO FIREPLACE Property Owner: CHARLTON PETER J AND HICKS LAURA M 2820 AVE VALERA FEE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) CARLSBAD, CA 92009 ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL SWPPP INSPECTION FEE TIER 1-Medium BLDG SWPPP PLAN REVIEW FEE TIER 1-MEDIUM Total Fees: $710.39 Total Payments To Date: $710.39 {city of Carlsbad Permit No: CBR2020-1181 Status: Applied: Issued: Finaled Close Out: Inspector: Final Inspection: Contractor: Closed -Finaled 06/02/2020 08/18/2020 PDrei 11/18/2020 BP WATER CONCEPTS INC 1119 S MISSION RD, # 196 FALLBROOK, CA 92028-3298 (858) 243-3803 Balance Due: AMOUNT $185.92 $130.14 $41.00 $49.00 $1.00 $2.33 $246.00 $55.00 $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. Building Division Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov (City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 PI an Check CF:)(?:,.c'...OW::\ \RJ Est. Value \7 I qq PC Deposit-------- Date \,p-C:.-W Suite: APN: dlb-'-1(:,0-11. ~eo ---- CT/Project #: _________________ Lot#: ___ _ Fire Sprinklers: 0 YES O NO Air conditioning: O YES O NO Electrical Panel Upgrade: O YES O NO BRIEF DESCRIPTION OF WORK: l'te.w eoc\~ s",,.. f\,tl~C.. elect-'"• u)r~ J<;J 0, fi~r le,<.~ 0 Addition/New: _____ ,Living SF, ___ Deck SF, ___ Patio SF, ___ Garage SF Is this to create an Accessory Dwelling Unit? 0 Y ON New Fireplace? 0 YO N, if yes how many? __ □Remodel: ____ SF of affected area Is the area a conversion or change of use ?QY ON ~ Pool/Spa: 3¼2 SF Additional Gas or Electrical Features? _':f_•,W~..c.\~ _______ _ OSolar: ___ KW, __ Modules, Mounted:ORoofOGround, Tilt:O YON, RMA:0Y0N, Battery:QY ON, Panel Upgrade: Qy ON D Reroof: _______________________________ _ D Plumbing/Mechanical/Electrical Only: ______________________ _ D Other: ______________________________ _ APPLICANT (PRIMARY CONTACT) Name: (qr,.,lJol\eJ Address: 5'7b3 fvllJJ 1011 Gi:i er p,.e City: se State: CA Zip:qi,105 Phone: 1 f -'J~ 'l ~ c;</06 Email: Ccrr,e/M,.!J(i?l.vfo ... ~.1-c°'- b DESIGN PROFESSIONAL Name: _______________ _ Address: ______________ _ City: _______ State: ___ .Zip: ___ _ Phone: _______________ _ Email: _______________ _ Architect State License: _________ _ PROPERTY OWNER Name: Peter C\,-\or l+cvt Address: S8'JD I\.'" l/\tl&i il.o. l(..,-,:2 City: (j;,1 (feq.,{ State:lA Zip: t72DD 1 Phone: 7 b ~ ·• Y,Jp ~ 7111 j Email: __________________ _ (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/she is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he/she 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 {$500}). 163S Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-1 Page 1 of2 Rev. 06/18 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury Qfil!. of the following declarations: 0 I have and will maintain a certificate of consent to self-insure tor workers' compensation provided by Section 3700 of the labor Code, for the performance of the work which this permit is issued. ~I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for My workers' c,'{lil!~~~~ance carrier and policy number are: lnsur■ljl~m~ny Name: ..L.C.>..=-.:,e:..i._._.e,:,=1'-----""'-J"'"-.:..:...::Jct.:::e:..--1,..Y.::J.::J.. __ Polley No. -'.i:._LO--=Lll.!=-1::,~l} _______ Explratlon Date: '1.Ll.Q L_Z I D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to be come subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage Is unlawful, and shall subject an employer to criminal penattles and dvll fines up to $100,000.00, In addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code, Interest and attorney's fees. CONTRACTOR SIGNATURE: _.:::::========--------1.~AGENT DATE: _b~/-1 .... / "2-_o_-_ ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's license Law for the following reason: DI, 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). DI, 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). DI 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. QvES 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 to coordinate, supervise and provide the major work (include name/ address/ 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/ address/ phone/ type of work): OWNER SIGNATURE: _________________ □ AGENT DATE: _____ _ CONSTRUCTION LENDING AGENCY, IF ANY: 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: ___________________ _ ONLY COMPLETE THE FOLLOWING 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? I 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 1,000feet of the outer boundaJY of a school site? Yes/ No If ANY Of THE ANSWERS ARE YES, A FINAL CERTIACATE Of OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE oma OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICf. APPLICANT CERTIFICATION: I certify that I have read the application and state that the above information ls correct and that the information on the plans is accurate. I agree to comply with all dty ordinances and State laws relating to building construction. I hereby authorize representative of the Ctty of carlsbad to enter upon the above mentioned property for inspection purposes. I Al.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXP£NSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CnY IN CONSEQUENCE OF THE GRANTING 0FTHIS PERMIT.OSHA: An OSHA permit is required for excavations over 5'C1 deep and demolition or construction of structures over 3 stories In height EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void ff the building or work authorized by such permit is not commenced within 180 days from the date of such permit or tf the building or work authorized by such permit is suspended or abandoned at any time after the work is comrnena,d for a period of 180 r section 105.5, APPLICANT SIGNATURE: {.L...-------.. DATE: b I ( ( 2::) 1635 Faraday Ave Carlsbad, CA 92008 8-1 Ph: 760-602-2719 Fax: 760-602-8558 Page2 of 2 Email: Building@carlsbadca.gov Rev. 06/18 PERMIT INSPECTION HISTORY for (CBR2020-1181) Permit Type: BLDG-Residential Work Class: Pool Status: Scheduled Date Closed -Finaled Actual Inspection Type Start Date Checklist Item BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Wednesday, November18,2020 Application Date: 06/02/2020 Owner: COOWNER CHARLTON PETER J AND HICKS LAURA M Issue Date: 08/18/2020 Subdivision: CARLSBAD TCT#90-23 Expiration Date: 05/04/2021 IVR Number: 26693 Address: 2820 AVENIDA VALERA CARLSBAD, CA 92009-7109 Inspection No. Inspection Primary Inspector Reinspection Inspection Status COMMENTS November 18, 2020: 1. Checked all GFCI outlets and pool lights scope of work working properly and approved. 2. Additional recheck for pool fence and gate inspection-approved. 3. Equipotential pool bond wire, Affixed/bonded to pool motors heaters and electrical panel-approved. November 18, 2020: 1. Checked all GFCI outlets and pool lights scope of work working properly and approved. 2. Additional recheck for pool fence and gate inspection-approved. 3. Equipotential pool bond wire, Affixed/bonded to pool motors heaters and electrical panel-approved. November 18, 2020: 1. Checked all GFCI outlets and pool lights scope of work working properly and approved. 2. Additional recheck for pool fence and gate inspection-approved. 3. Equipotential pool bond wire, Affixed/bonded to pool motors heaters and electrical panel-approved. November 18, 2020: 1. Checked all GFCI outlets and pool lights scope of work working properly and approved. 2. Additional recheck for pool fence and gate inspection-approved. 3. Equipotential pool bond wire, Affixed/bonded to pool motors heaters and electrical panel-approved. Passed Yes Yes Yes Yes Page 2 of 2 Building Permit Inspection History Finaled {cityof Carlsbad PERMIT INSPECTION HISTORY for (CBR2020-1181) Permit Type: BLDG-Residential Application Date: 06102/2020 Owner: COOWNER CHARLTON PETER J AND HICKS LAURA M Work Class: Pool Issue Date: 08118/2020 Subdivision: CARLSBAD TCT#90-23 Status: Closed -Finaled Expiration Date: 05/04/2021 Address: 2820 AVENIDA VALERA IVR Number: 26693 CARLSBAD, CA 92009-7109 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 08/20/2020 08/20/2020 BLDG-SW-Pre-Con 136219-2020 Passed Peter Dreibelbis Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 09/23/2020 09/23/2020 BLDG-51 139056-2020 Passed Tim Kersch Complete Excav/Steel(Pools) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-52 Pool Plumbing 139057-2020 Passed Tim Kersch Complete BLDG-53 139058-2020 Passed Tim Kersch Complete Elec/Condult/Wlrlng( Po ols) BLDG-54 Equipotential 139059-2020 Passed Tim Kersch Complete Bond(Pools) 10/30/2020 10/30/2020 BLDG-54 Equipotential 142565-2020 Passed Peter Dreibelbis Complete Bond(Pools) 11/03/2020 11/03/2020 BLDG-55 142813-2020 Failed Tim Kersch Reinspectlon Incomplete Fence/Preplaster Checklist Item COMMENTS Passed BLDG-Building Deficiency Not ready inspected No 11/05/2020 11/05/2020 BLDG-55 143095-2020 Passed Tony Alvarado Complete Fence/Preplaster Checklist Item COMMENTS Passed BLDG-Building Deficiency November 5, 2020 (virtual inspection). Yes 1. Swimming pool pre-plaster inspection - perimeter yard fencing 5 feet high minimum, exterior side yard gates opening towards front yard, doors/sliding glass doors leading out to pool area with alarms, scope of work-approved. BLDG-Building Deficiency Not ready inspected No 11/18/2020 11/18/2020 BLDG-Final Inspection 144058-2020 Passed Tony Alvarado Complete Wednesday, November 18, 2020 Page 1 of2 DATE: 6/15/2020 JURISDICTION: Carlsbad PLAN CHECK#.: CBR2020-1181 ✓• EsG1I A SAF£builfCompany SET: I PROJECT ADDRESS: 2820 Avenida Valera □ APPLICANT □ JURIS. PROJECT NAME: Charlton Residence Exterior Pool, Spa & Firepit W / Gas & Electrical D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. i:gj The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. i:gj The applicant's copy of the check list has been sent to: Carrie Jones D EsGil staff did not advise the applicant that the plan check has been completed . i:gj EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Carrie Jones Telephone#: (619) 343-5908 Date contacted: Mail Telephone 0 REMARKS: By: Chris Shaver EsGil (by: ) Email: carriejones@hotmail.com Fax In Person Enclosures: 6/4/2020 9320 Chesapeake Drive, Suite 208 ♦ San Diego, Californ ia 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-15 76 Carlsbad CBR2020-l l 8 l 6/15/2020 PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES PLAN CHECK#.: CBR2020-1181 JURISDICTION: Carlsbad PROJECT ADDRESS: 2820 Avenida Valera FLOOR AREA: Pool/Spa= 342 SF REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 6/2/2020 DATE INITIAL PLAN REVIEW COMPLETED: 6/15/2020 FOREWORD (PLEASE READ): STORIES: NC HEIGHT: NC DATE PLANS RECEIVED BY ESGIL CORPORATION: 6/4/2020 PLAN REVIEWER: Chris Shaver This plan review is limited to the technical requirements contained in the California version of the International Residential Code, International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review is based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinance by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building permit. Present California law mandates that construction comply with the 2019 edition of the California Code of Regulations (Title 24), which adopts the following model codes: 2018 IRC, 2018 IBC, 2018 UPC, 2018 UMC and 2017 NEC. The above regulations apply, regardless of the code editions adopted by ordinance. The following items listed need clarification, modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 105.4 of the 2018 International Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck process. please note on this list (or a copy) where each correction item has been addressed. i.e .• plan sheet number, specification section. etc. Be sure to enclose the marked up list when you submit the revised plans. Carlsbad CBR2020-1181 6/15/2020 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PREPARED BY: Chris Shaver BUILDING ADDRESS: 2820 Avenida Valera BUILDING OCCUPANCY: R3 BUILDING ~ VakJation PORTION Multi)lier ) Citv Valuation Air Conditioning Fire Sprinklers TOTAL VALUE Jur~diction Gode cb By Ordinance 1997 UBC Building Permit Fee !!J 1997 UBC Plan Check Fee Type of Review. 0 Repetitive Fee "'' , Repeats "": Comments: 0 Complete Review □ other □ Hourly &GIIF- Reg. Mod. PLAN CHECK#.: CBR2020-1181 DATE: 6/15/2020 VALUE ($} 17.917 17,917 D Structural Only $120.611 ✓ Sheet 1 of 1 STORM WATER POLLUTION PREVENTION NOTES 1. All NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION AND SEDIMENT CON1ROL BMPs WHEN RAIN IS EMINENT. 2. THE OWNER/CONTRACTOR SHALL RESTORE All EROSION CON1ROL DEVICES TO WORKING ORDER TO THE SATISFACTION OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING RAINFALL. 3. THE OWNER/CON1RACTOR SHALL INSTALL ADDITIONAL EROSION CON1ROL MEASURES AS MAY BE REQUIRED BY THE CITY INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. 4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE AT THE END OF EACH WORKING DAY WHEN THE FIVE (5) DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT ( 407.). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL. 5. All GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM AGGREGATE. 6. ADEOUA TE EROSION AND SEDIMENT CON1ROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. 7. THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER THIS PLAN DURING OR BEFORE CONS1RUCTION AS NEEDED TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY REGULATIONS. . OWNER'S CERTIFICATE: I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLB.tENT BEST MANAGEt.lENT PRACTICES (Bt.lPS) DURING CONSTRUCTION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO AVOID THE EXPOSURE Of STORM WATER TO CONSTRUCTION RELATED POLLUTANTS; AND (2) ADHERE TO, AND AT All TIMES, COMPLY 'MTH THIS OTY APPROVED TIER 1 CONSTRUCTION SWPPP THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTII/ITlES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD. OWNER(S)/OWNER'S AGENT NAME {SIGNATURE) E-29 DATE STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 CB D<'26Z0---1 tSI SW --- BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE Erosion Control Sediment Control BMPs Tracking Non-Storm Waler Waste Management and Materta,s BMPs Control BMPs Managemenl BMPs Polulion Control BMPs C C C 0 C 1i -0 0 ~ "' C 2 C g' 0 E ~ -0 0 0, 0 ~ C 0 ~ ., .s .2 'o ·t:: -~ 0 ., :::, -0 "' 0, g C >. 0, C" Q. -~ .. E "'"' 3 ~ ~ ~ .~ C "' Best Management Practice' -'I! C O o 0 ID '§ §: ~ a ~ 0 ~ :~ "' ~ C .. -3'-"' ·" E "' 0, ., 0, ID ~:3 u:,, -0 "' i -0 v "' :,; i !:! ii C (BMP) Description ➔ .. 3 ~IU ~ ., 0 '5 0 ~-1 -g~ ]i a"' C C a 0 ::, 1l E "' .. ::,; 0 g C Cl ID 0, Ut 0 0 0, ., !~ 5i X 0 0, .!'. E "' 0 ~~ o,:;:; .. ~-5 :g g' ~ ! 3' ~ :5 -~ -"' .D E :;l ~.:: ~ ~ 0, ., -0 .. u :. 1 .. => -0 :g ~ ~g ., u -~ ~ UC ~ :2 g ~g 0 0 ~o g-~ .. tg C 2e i~ j~ !:! 5 ., ~ o ~ ill 6 iZ 0 ~ in C ~8 o _ Q.0 oo O 0 <.? WO iii V> V>> V, Q. Vll>: Q. "'V> "' in V>U V,:,; ,: :,; CASOA Designation ➔ r--"' 0, .., ... "' "' r--"' 0 N .., r--"' ' N .., ... "' "' t I t ' ' t t I I t t ' ' I ' t I I t t t I I f;l u u u l,i w l,i w w w l,i l,i "' gi V, V, V, V, i i i i i i Construction Activity w w w V> V> V> V> .... :z z z z I x Cradina/ Soil Disturbance x Trenchina/Excovotion x Stockoilina Dnllina /Borinn x Concrete/Asoholt Sawcu\tina x Concrete Flatworl< Pavina Conduit/Pioe Installation Stucco/Mortar Work X Waste Disoosal StoqinoA av Down Area [Quioment Maintenance and Fuelina Hazardous Substance Use/Storaae Dewoteri'la Site Access Across Dirt Other Wstl: 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 Bl.lP's with it's corresponding California Stormwater Quality Association (CASQA) designation number. Choose one or more Bt.lPs 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 Bl.lPs and how to apply them to the project. SHOW THE LOCATIONS OF ALL CHOSEN BMPs ABOVE ON THE PROJECTS SITE PLAN/EROSION CONTROL PLAN. SEE THE REVERSE SIDE OF THIS SHEET FOR A SAMPLE EROSION CONTROL PLAN. -BMP's are subject to field inspection- PROJECT INFORMATION Site Address: 2820 Ave Valera Assessor's Parcel Number: ________ _ Emergency c'§~~tBetello Nome: _____________ _ 24 Hour Phone: 760-643-6078 Construction Threat ta Storm Water Duality (Check Box) fl)6EDIUM O LOW ., "' o-3' ~ ~~ .. o> no CC oo u:ae "' I i Page 1 of 1 REV 02/16