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Home My WebLink About1790 RATCLIFF RD; ; CB110928; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 0&02-2Ô1 I Residential Permit Permit No: CB110928 Building Inspection Request Line (760) 602-2725 Status: ISSUED Applied: 05/03/2011 Entered By: RMA Plan Approved: 05/31/2011 Issued: 05/31/2011 Inspect Area: Orig PC#: Plan Check # Job Address: 1790 RATCLIFF RD CBAD Permit Type: RESDNTL Sub Type: RAD Parcel No: 1562700400 Lot #: 0 Valuation: $9,221.00 Construction Type: VN Occupancy Group: Reference #: # Dwelling Units: Structure Type: Bedrooms: Bathrooms: 0 Project Title: LESAGE RESIDENCE POP OUT KITCHEN BY 70 SQ FEET. RELOCATE SINK AND STOVE Applicant: Owner: LESAGE LYNN. E LESAGE LYNN E LCARLSBAD'C~192008 RATCLIFF RD CARLSBAD CA 92008 ~~o 179ORATCLIFFRD. . I "$117.81 (Meter Size Building Permit Add'l Building Permit Fee $0.00 Z 9Add'l Red. Water ConFee $0.00 Plan Check $76.58YUOMét Fee' I $0.00 $0.O0/rSDCWA Fee)7 $0.00 Add'l Plan Check Fee t$0.00 r,CFD FayoffFee $0.00 -$100 F.. PFF (3105540) Strong Motion Fee I ft $0.00 L..PFF(4305540)\ $0.00 Plan Check Discount $0.00 ITraffi Imp" Fe (3105541) $0.00 Park in Lieu Fee I $0.00 Park Fee \ so:oo License Tax (3i04193),. $0.00 LFM Fee I çr>.. $0:00 I 'Liceise Ta (4304193) $0.00 Bridge Fee I Other Bridge Fee BTD #2 Fee $0.00 Sidewalk Fee' $0.00 $0.00 LTrafficImpáct Fee (4305541) $0.00 BTD#3Fee / ggg_ PLUMBING TOTAL $41.00 Renewal Fee ELECTRICAL TOTAL $20.00 Add'l Renewal Fee $0.00 MECHANICAL--TOTAL $21.50 4' Other Building Fee \ Pot. Water Con. Fee\ $0.00 Housing Credit Fee $0.00 $0.00 Housing Impact Fê c:.:? $0.00 HMP Fee $0.00 Housing lnLieu Fee $0.00 Meter Size \ Master Drainage Fe $0.00 Add'I Pot. Water on. Fee $0.00 Sewer Fee $0.00 Red. Water Con. Fee \ $0.00 Additional Fees $0.00 C Green Bldg Stands (SB1473) Fee $1.00 Fire Sprinkler Fees $0.00 TOTAL PERMIT FE $278.89 1 \ V / J Total Fees: $278.89 Total Payments To Date: "--' $278.89 -Balance Due: $0.00 FINAL APPROVAL I Insoector: Dat: -'/' ,'i Clearance: NOTICE: Please take NOTICE that approval of your project includes the ImposiUon" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions. You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030: Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Storm Water Pollution Prevention Plan (SWPPP) Permit 06-02-2011 Permit No:SW110176 Job Address: 1790 RATCLIFF RD CBAD Permit Type: SWPPP Status: APPROVED Parcel No: 1562700400 Lot #: 0 • Applied: 05/03/2011 Reference #: Entered By: RMA CB#: CB110928 Issued: 05/31/2011 Inspect Area: Project Title: LESAGE RESIDENCE Tier: I POP OUT KITCHEN BY 70 SO FEET. RELOCATE SINK AND Priority: L Applicant: Owner: LESAGE LYNN E LESAGE LYNN E 1790 RATCLIFF RD CARLSBAD CA 92008 (CARLSBADCA192008 ,7 (\Ll Emergency Contact: \" - LYNN LESAGE / .\ 561- O.LVUOdO3Nl 3109166270 ( : SWPPP Plan Check $45.0O SWPPP Inspectin' q $54:00 ,) Additional Fees $b.00 TOTAL PERMIT FEES -$99.00 Total Fees: $99.O0,.",TôtaFPayments To Date: $99.00 BalanceDue: $0.00 \\ \.) /\ V / FINAL APPROVAL. DATE _r2 .. SiGNATURE______________________ ) CITY OF (5(/[))/ 017$ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No. Est. Value M1I CARLSBAD ISWPP F JOB ADDRESS 1790 •A/C./s/t ,P, SUITE#/SPACE#/UNI C APN ,T/PROJECT C LOT C PHASE # C OF UNITS C BEDROOMS C BATHROOMS TENANT BUSINESS NAME, CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: include Square Feet of Affected Area(s) ri/,ei/ cwfr AAJ /e 00ffJdIl*Xi14Jar/ £XISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES C #_ NOD AIR CONDITIONING -YES 0 NO FIRE SPRINKLERS YES 0 NOD CONTACT NAME (if Different Fern Applicant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE - FAX EMAIL EMAIL PROPE OWNER NAME —yA'AI CONTRACTOR BUS NAME - ADDRESS1 /790 ADDRESS CITY STATE ZIP Cdqph sI' CITY STATE ZIP ____________________ PIONE FAX PHONE . FAX EMAIL & EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. C STATE UC.# CLASS CITY BUS. UC.0 (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 tne app!icant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law jChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a 'i,iI nnit, nf nnt n.n, than fm h,,n,fr,1 .1nhin. IC0flfl Workers' Comi ensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O 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 canter and policy number are: Insurance Co. Policy No. Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less. O ,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 dollars (9100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE DAGENT DATE -.'• ,. ' - - - - - I hereby affirm that I am exempt from Contractors License Law for the following mason: 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). O 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). O lam exempt under Section Business and Professions Code for this reason: 1.I__ersonally plan to provide the major labor and materials for construction of the proposed property improvement. Yes 0 No a have not) signed an application for a building permit for the proposed work. 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): 5.1 will provide some of the work, but Ihave contracted (hired) the following persons to provide the work indicated (include name! address! phone/type of work): ',.PROPERTY OWNER SIGNATURE DAGENT DATE S/J /1/ - V 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? D Yes 0 No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes 0 No V 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 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). V Lender's Name Lender's Address V V I certifythat I have read the application and state thatthe above information Is correct and thatthe information on the plans is accurate. I agree to camptywith all City ordinances and State laws relatingto building construction. thereby authorize representative of the City of Carlsbad to enter 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 INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA. An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height. V EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by rreilation and become null and void if the building or work authorized by such pemiltisnot commenced wfllrin 180 days from the date of such pernritorif Ihe bull g orwork authorized by such permit is pended or abandoned at any time after the workis commenced fore period of 180 days (Section 106.4.4 Uniform Building Code). .'APPLICANTS SIGNATURE DATE I -- Inspection List Permit#: CB110928 Type: RESDNTL RAD LESAGE RESIDENCE POP OUT KITCHEN BY 70 SO FEET. REL Date Inspection Item Inspector Act Comments 05/21/2015 89 Final Combo PD AP 03/11/2014 24 Rough/Topout PD. AP 08/27/2013.14 Frame/Steel/BoltinglWeldin PD AP 01/25/2013 15 Roof/Reroof PD AP 08/03/2012 14 Frame/Steel/Bolting/Weldin PD AP 07/14/2011 11 Ftg/Foundation/Piers PD AP Friday, May 22, 2015 Page 1 of 1 4f0_44_-_j-e_/ 5 ei2. DU c V -r k G,O i9-- BUILDING Development Services I "I Building Division C ITY OF Plan Check 1635 Faraday Avenue CARLSBAD Comments 760-602-2719 www.carlsbadca.gov By: Steve Borossay (Contact Hours for Steve: Tues.-Fri., 1pm - 5pm) Phone: 76O-6O2-741 P/mitt.__C 110-220 Address: I &cL - - Date*/5/ When corrections from all departments are received please run new prints. Please respond by Indicating location of Plan check items on plans rovide: A statement on the Title Sheet of the plans stating that the project shall comply with the 2010 CA Building Code, 2010 CA Residential Code, 2010 CA Green Code, 2010 CMC, 2010 CPC, 2010 CEC, 2008 CA Energy Efficiency Standards, 2010 CA Fire Code and the Carlsbad Municipal Code dQWd [1 Provide: A note titled TMScope of Works describing the work to be performed under this permit CL LCCLC LcU çires z-d\• c\ c#C c- V €_v 5 c.. z-e_. 0 • alt , ecLec& 6edraow s) ', LcQe ." • g" uJ o. ç. hers. io / -."- C.. f.0000TOr b U Lcc rc L'T2-4- ac-r- tae &e— Q -- ST 18 LCC c\ c_ 616, ,ol"MV4 kwf. Air /11 F so cçor-- ( 4\2. &Q CO•&Qc4c e I z.c (U L 01~1 v\ coi' 000" 1131 Ao culm_ t T(e 're,t.c€ p tcLv 4 çcacb +e j s Approved on: By: tN <K BUILDING PLANCHECK - Develooment Services Land Development Engineering CITY OF CHECKLIST 1635 Faraday Avenue CARLSBAD E-37 760-602-2750 www.carlsbadca.gov / ENGINEERING Plan Check for CB 11-928 Review# I Date: 05/06/11 Project Address: 1790 Ratcliff Rd APN: 156270.04.00 Project Description: Residential addition - pop out kitchen by 70 Sf Valuation: $9,221 ENGINEERING Contact: Linda Ontiveros Email: Iinda.ontiveroscarsbadca.gov Phone: 760-602-2773 Fax: 760-602-1052 NOTICE: Any outstanding issues will be marked with I X I. Please make the necessary corrections to the plans or specifications for compliance with applicable codes and standards. Submit corrected plans and/or specification to the Building division for resubmittal to the Engineering Division. Items that conform to permit requirements are marked with 1 ATTACHMENTS: ____ I I Engineering Application I I Right-of-Way Application/Info. Sheet I Istorm Water Forms Reference Documents OFFICIAL USE ONLY ENGINEERING AUTHORIZATION TO ISSUE BUILDING PERMIT DATE: REMARKS: Notification of Engineering APPROVAL has-been sent to via on E-36 Page 1 d7 REV 4/30/11 if 1. SITE PLAN Provide a fully dimensioned site plan drawn to scale. Show: :I LZiJ North arrow [] Driveway widths Existing & proposed structures j EIIIJ Existing or proposed sewer lateral Eli Eli Existing street improvements [i Existing or proposed water service c:1 £23 Property lines (show all dimensions) L3 Submit on signed approved plans: LII [=3 Easements DWG No. El Eli Right-of-way width.& adjacent streets Show on site plan: Drainage patterns EI Building pad surface drainage must maintain a minimum slope of one percent towards an adjoining street or an approved drainage course. ' =ADD THE FOLLOWING NOTE: "Finish grade will provide a minimum positive drainage of 2% to swale 5' away from building'. IIIIIIIII =Existing & proposed slopes and topography EIIJ El Size, location, alignment of existing or proposed sewer and water service(s) that serves the project. Each unit requires a separate service; however, second dwelling units and apartment complexes are an exception. LIII LIII Sewer and water laterals should not be located within proposed driveways, per standards. Include on title sheet: ElF71 Site address RJ Assessor's parcel number L3 E1 Legal description/lot number For commercial/industrial buildings and tenant improvement projects, include: total building square footage with the square footage for each different use, existing sewer permits showing square footage of different uses (manufacturing, warehouse, office, etc.) previously approved. J [=3 Show all existing use of SF and new proposed use of SF. Example: Tenant improvement for 3500 SF of warehouse to 3500 SF of office. Lot/Map No.: EXISTING METER- Subdivision/Tract: LEIIfA.ff?, UN tT 0;2 ReferenceNo(s): \/\[6 13'--7 E-36 Page 2 of 7 REV 4/30/10 DISCRETIONARY APPROVAL COMPLIANCE NIA [=1 Project does not comply with the following engineering conditions of approval for project no.: (NO CONDITIONS OR DISCRETIONARY) DEDICATION REQUIREMENTS NIA (VALUATION $9,221) 01 Dedication for all street rights-of-way adjacent to the building site and any storm drain or utility easements on the building site is required for all new buildings and for remodels with a value at or exceeding $ 20,000.00 , pursuant to Carlsbad Municipal Code Section 18.40.030. For single family residence, easement dedication will be completed by the City of Carlsbad, cost-$605.00. F-' LJ Dedication required as follows: IMPROVEMENT REQUIREMENTS NIA (VALUATION $9,221) EJ E1 All needed public improvements upon and adjacent to the building site must be constructed at time of building construction whenever the value of the construction exceeds $100,000.00, pursuant to Carlsbad Municipal Code Section 18.40.040. I = Public improvements required as follows: LJ Construction of the public improvements must be deferred pursuant to Carlsbad Municipal Code Section 18.40. Please submit a recent proprty title report or current grant deed on the property and processing fee of $441 so we may prepare the necessary Neighborhood Improvement Agreement. This agreement must be signed, notarized and approved by the city prior to issuance of a building permit.. Future public improvements required as follows: E-36 Page 3 of 7 REV 6130110 GRADING PERMIT REQUIREMENTS The conditions that require a grading permit. are found in Section 15.16 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 gradina approval obtained prior to issuance of a buiIdin permit. Graded Pad Certification required. (Note: Pad certification may be required even if a grading permit is not required.) All required documentation must be provided to your Engineering Construction Inspector per the attached list. The inspector will then provide the engineering counter with a release for the building permit. EJ IF-71 No grading permit required. Minor Grading Permit required. See attached marked-up submittal checklist for project- specific requirements. MISCELLANEOUS PERMITS RIGHT-OF-WAY PERMIT is required to do work in city right-of-way and/or private work adjacent to the public right-of-way. Types of work include, but are not limited to: street improvements, tree trimming, driveway construction, tying into public storm drain, sewer and water utilities. Right-of-way permit required for: E-36 Page 4 of 7 REV 6/30/10 7. STORM WATER Construction Compliance I LZJ Project Threat Assessment Form complete. i: Enclosed Project Threat Assessment Form incomplete. 0 0 jJ Requires Tier I Storm Water Pollution Prevention Plan. Please complete attached form and return (SW 11:176 LII Requires Tier 2 Storm Water Pollution Prevention Plan. Requires submittal of Tier 2 SWPPP, payment of processing fee and review by city. Post-Development (SUSMP) Compliance LIJ LZJ Storm Water Standards Questionnaire complete. J Storm Water Standards Questionnaire incomplete. Please make the corrections, re-sign the questionnaire and resubmit with next submittal. j Project is subject to Standard Storm Water Requirements. See city Standard Urban Storm Water Management Plan (SUSMP) for reference. htto://www.carlsbadca.gov/business/buildinp/Documents/EnpStandsw-stds-vo14-ch2.pdf Project needs to incorporate low impact development strategies throughout in one or more of the following ways: LII Rainwater harvesting (rain barrels or cistern) J Vegetated Roof E1 Bio-retentions cell/rain garden LII Pervious pavement/payers U Flow-through planter/vegetated or rock drip line [II Vegetated swales or rock infiltration swales LJ Downspouts disconnect and discharge over landscape EII Other: E-36 Page 5 of 7 REV 4/30/10 9. WATER METER REVIEW Domestic (potable) Use EXISTING METER 8. FEES LILI Where a residential unit is required to have an automatic fire extinguishing system, the minimum meter size shall be a 1" meter. NOTE: the connection fee, SDCWA system capacity charge and the water treatment capacity charge will be based on the size of the meter necessary to meet the water use requirements. For residential units the minimum size meter shall be 5/8", except where the residential unit is larger than 3,500 square feet or on a lot larger than one quarter (1/4) acre where the meter size shall be %". Required fees have been entered in building permit. Drainage fee applicable Added square feet Added square footage in last two years? i:J yes LI no Permit No. Permit No. Project built after 1980 EJyes no Impervious surface > 50% ayes no Impact unconstructed facility yes LI no Fire sprinklers required Jyes no (is addition over 150' from centerline) Upgrade LI yes Dno No fees required 10. Additional Comments E-36 Page 6 of 7 REV 4/30/10 ./\ CITY OF CAR LSBAD STORM WATER COMPLIANCE ASSESSMENT B-24 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov I am applying to the City of Carlsbad for the following type(s) of construction permit: ~L Building Permit U Right-of-Way Permit o My project is categorically EXEMPT from - Electrical Patio/Deck the requirement to prepare a storm water Fire Additional Re-Roofing pollution prevention plan (SWPPP) because it Fire Alarm Fixed Systems Sign Spa-Factory only requires issuance of one or more of the Mechanical Sprinkler following permit types: Mobile Home Water Discharge Plumbing Project Storm Water Threat Assessment Criteria* No Threat Assessment Criteria O My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier Level. My project does not meet any of the High, Moderate or Low Threat criteria described below. Tier I - Low Threat Assessment Criteria My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project "meets one or more of the following criteria: Results in some soil disturbance; and/or Includes outd5consiction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling). Tier 2 - Moderate Threat Assessment Criteria O My project does not meet any of the Significant Threat assessment Criteria described below 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, 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 through April 30). Tier 3 - Significant Threat Assessment Criteria O My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or O My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any associated construction staging, equipment storage, refueling and maintenance areas: or, O My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). I certify to the best of my knowledge that the above checked statements are true and correct I understand and acknowledge that even though this project does not require preparation of a construction SWPP, I must still adhere to, and at all times during construction activities for the permit type(s) check above comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards. *The City Engineer may authorize minor variances from the Storm Water Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. B-24 Project Address: Assessor Parcel No. /790 OwneriOwner's Authorized Agent Name: Title: LyNAl 4e57e dA ntS ature Date: Ity Concurrence: ;?= a I /Th Project ID: gp DYES 0110 I Page 1 of 1 Rev.03/09 lethl-> CITY OF CARLSBAD CONSTRUCTION THREAT ASSESSMENT WORKSHEET FOR DETERMINATION OF PROJECT'S PERCEIVED THREAT TO STORM WATER QUALITY E-33 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov Construction SWPPP Tier Level Construction Threat Assessment Criteria* Perceived Th reatto Storm Water Quality Tier 3 - High Construction Threat Assessment Criteria 13 Project site is 50 acres or more and grading will occur during the rainy season U Project site is I acre or more in size and 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 O Soil at site is moderately to highly erosive (defined as having a predominance of soils with Tier 3 USDA-NRCS Erosion factors kf greater than or equal to 0.4) O Site slope is 5 to I or steeper 0 Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). 13 Owner/contractor received a Storm Water Notice of Violation within past two years Tier 3- Medium Construction Threat Assessment Criteria Medium fl . . . . . . . All nrntrts mit mtinn Tir Hinh Cnnstrutinn Thrt Assssmnt Critn where It can be shown that a lesser or higher amount of storm water compliance inspection is warranted in the opinion of the city engineer E-33 Page 1 of 1 REV 4/30/10 CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Develooment Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov I INSTRUCTIONS: I 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 the City's Standard Urban Stormwater Management Plan (SUSMP). Initially this questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of 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 Stormwater Requirements' or be subject additional criteria called 'Priority Development Project Requirements'. Many aspects of project site design are dependent upon the storm water standards applied to a project. Applicant 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 the applicant, 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 applicants are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, they are advised to seek assistance from Land Development Engineering staff. A separate completed and signed questionnaire must be submitted for each new development application submission. Only one completed and signed questionnaire is required when multiple development applications for the same project are submitted concurrently. In addition to this questionnaire, applicants for construction permits must also complete, sign and submit a Project Threat Assessment Form to address construction aspects of the project. Please answer the questions below, follow the instructions and sign the form at the end. I 1. Is your project a significant redevelopment? I DEFINITION: Significant redevelopment is defined as the creation, addition or replacement of at least 5,000 square feet of impervious surface on an already existing developed site. Significant redevelopment includes, but is not limited to: the expansion of a building footprint; addition to or replacement of a structure; structural development including an increase in gross floor area and/or exterior construction remodeling; replacement of an impervious surface that is not part of a routine maintenance activity; and land disturbing activities related with structural or impervious surfaces. Replacement of impervious surfaces includes any activity that is not part of a routine maintenance activity where impervious material(s) are removed, exposing underlying soil during construction. If your project IS considered significant redevelopment, then please skip Section 1 and proceed with Section 2. If your project IS NOT considered significant redevelopment, then please proceed to Section 1. E-34 Page 1 of 3 REV 4/30/10 4564k CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov ISECTION I NEW DEVELOPMENT PRIORITY PROJECT TYPE YES NO Does you project meet one or more of the following criteria: Housing subdivisions of 10 or more dwelling units. Examples: single family homes, multi-family homes, condominium and apartments Commercial - greater than 1-acre. Any development other than heavy industry or residential. Examples: hospitals; laboratories and other medical facilities; educational institutions; recreational facilities; municipal facilities; commercial nurseries; multi-apartment buildings; car wash facilities; mini-malls and other business complexes; shopping malls; hotels; office buildings; public warehouses; automotive dealerships; airfields; and other light industrial facilities. Heavy Industrial / Industry- greater than I acre. Examples: manufacturing plants, food processing plants, metal working facilities, printing plants, and fleet storage areas (bus, truck, etc.). Automotive repair shop. A facility categorized in any one of Standard Industrial Classification (SIC) codes 5013, 5014, 5541, 7532-7534, and 7536-7539 Restaurants. Any facility that sells prepared foods and drinks for consumption, including stationary lunch counters and refreshment stands selling prepared foods and drinks for immediate consumption (SIC code 5812), where the land area for development is greater than 5,000 square feet. Restaurants where land development is less than 5,000 square feet shall meet all SUSMP requirements except for structural treatment BMP and numeric sizing criteria requirements and hydromodification requirements. Hillside development. Any development that creates 5,000 square feet of impervious surface and is located in an area with known erosive soil conditions, where the development will grade on any natural slope that is twenty-five percent (25%) or greater. Environmentally Sensitive Area (ESAI1. All development located within or directly adjacent2 to or discharging directly3 to an ESA (where discharges from the development or redevelopment will enter receiving waters within the ESA), which either creates 2,500 square feet of impervious surface on a proposed project site or increases the area of imperviousness of a proposed project site to 10% or more of its naturally occurring condition. Parking lot. Area of 5,000 square feet or more, or with 15 or more parking spaces, and potentially exposed to urban J runoff Streets, roads, highways. and freeways. Any paved surface that is 5,000 square feet or greater used for the transportation of automobiles, trucks, motorcycles, and other vehicles Retail Gasoline Outlets. Serving more than 100 vehicles per day and greater than 5,000 square feet 1/ Coastal Development Zone. Any project located within 200 feet of the Pacific Ocean and (1) creates more than 2500 square feet of impermeable surface or (2) increases impermeable surface on property by more than 10%. More than 1-acre of disturbance. Project results in the disturbance of more than 1-acre or more of land and is considered a Pollutant-generating Development Project4. - - I Environmentally Sensitive Areas include but are not limited to all clean water ACt section U(0) umpairea water ooDles; areas aesignatea as areas or apeciai 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; and any other equivalent environmentally sensitive areas which have been identified by the Copermittees. 2 'Directly adjacent' means situated within 200 feet of the Environmentally Sensitive Area. 3 Discharging directly to" means outflow from a drainage conveyance system that is composed entirely of flows from the subject development or redevelopment site, and not commingled with flow from adjacent lands. 4 Pollutant-generating Development Projects are those projects that generate pollutants at levels greater than background levels. In general, these include all projects that contribute to an exceedance to an impaired water body or which create new impervious surfaces greater than 5000 square feet and/or introduce new landscaping areas that require routine use of fertilizers and pesticides. In most cases linear pathway projects that are for infrequent vehicle use, such as emergency or maintenance access, or for pedestrian or bicycle use, are not considered Pollutant-generating Development Projects if they are built with pervious surfaces or if they sheet flow to surrounding pervious surfaces. Section 1 Results: .If you answered YES to ANY of the questions above your project is subject to Priority Development Project requirements. Please check the 'meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3. A Storm Water Management Plan, prepared in accordance with City Storm Water Standards, must be submitted at time of application. If you answered NO to ALL of the questions above, then your project is subject to Standard Stormwater Requirements. Please check the 'does not meet PDP requirements" box in Section 3. E-34 Page 2 of 3 REV 4/30/10 ('4 CITY OF CARLSDDA STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov I SECTION 2 SIGNIFICANT REDEVELOPMENT Complete the questions below regarding your redevelopment project: I YES I NO 1. Project results in the disturbance of more than 1-acre or more of land and is considered a Pollutant-generating Development Project (see definition in Section 1). If you answered NO, please proceed to question 2. If you answered YES, then you ARE a significant redevelopment and you ARE subject to PRIORITY DEVELOPMENT PROJECT requirements. Please check the "meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3 below. 2. Is the project redeveloping an existing priority project type? (Priority projects are defined in Section 1) I' If you answered YES, please proceedi to question 3. If you answered NO, then you ARE NOT a significant redevelopment and your project is subject to STANDARD STORMWATER REQUIREMENTS. Please check the "does not meet PDP requirements" box in Section 3 below. 3. Is the project solely limited to just one of the following: Trenching and resurfacing associated with utility work? Resurfacing and reconfiguring existing surface parking lots? New sidewalk construction, pedestrian ramps, or bike lane on public and/or private existing roads? Replacement of existing damaged pavement? If you answered NO to ALL of the questions, then proceed to question 4. If you answered YES to ANY of the questions then you ARE NOT a significant redevelopment and your project is subject to Standard Stormwater Requirements. Please check the "does not meet PDP requirements" box in Section 3 below. 4. Will your redevelopment project create, replace, or add at least 5,000 square feet of impervious surfaces on an existing development or, be located within 200 feet of the Pacific Ocean and (1)create more than 2500 square feet of impermeable surface or (2) increases impermeable surface on the property by more than 10%? ______ If you answered YES, you ARE a significant redevelopment, and you ARE subject to PRIORITY DEVELOPMENT PROJECT requirements. Please check the "meets PRIORITY DEVELOPMENT PROJECT requirements" box in Section 3 below. If you answered NO, then"you ARE NOT a significant redevelopment and your project is subject to STANDARD STORMWATER REQUIREMENTS. Please check the "does not meet PDP requirements" box in Section 3 below. SECTION 3 I Questionnaire Results: IJ My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must comply with additional stormwater criteria per the SUSMP and must prepare a Storm Water Management Plan for submittal at time of application. 1 My project does not meet, PDP requirements and must only comply with STANDARD STORMWATER REQUIREMENTS per the SUSMP. This BoxJftty Use Only City ] D: L~3E? NO D / P( Applicant Information and Signature Box Address: Assessor's Parcel Number(s): ,7o Applicant Name Applicant Title: byvN Applicant Signatur Date: / E-34 Page 3 of 3 REV 4/30/10 STORM WATER POLLUTION PREVENTION NOTES ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION AND SEDIMENT CONTROL BMPS WHEN RAIN IS EMINENT. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION OF THE CITY ENGINEER AFTER EACH RUN-OFF PRODUCING RAINFALL. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY ENGINEERING OR BUILDING INSPECTOR DUE TO UNCOMPLETED GRADING OPERATIONS OR UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE AT THE END OF EACH WORKING DAY WHEN THE FIVE (5) DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PERCENT (40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL. ALL GRAVEL BAGS SHALL BE BURLAP TYPE WITH 3/4 INCH MINIMUM AGGREGATE. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED AND MAINTAINED. SPECIAL NOTES PROJECT INFORMATION Site Address: Assessor's Parcel Number: I5' .2.7 —0 If - Project ID: C4? IL - Wr Construction Permit No.: (SW 1 (' I7P Estimated Construction Start Date - Project Duration Months Emergency Contact: $ Name: L I .-- I r 41 24 hour Phone: Perceived Threat to Storm Water Quality o Medium Al—Lo- if medium box is checked, must attach a site plan sheet showing proposed work area and location of proposed structural BMPs For City Use Only CITY RLSBAD STANDA D IER 1 SWPPP Approved By: Date:___________ CITY OF CAR LSBAD STORM WATER COMPLIANCE FORM TIER I CONSTRUCTION SWPPP E-29 This form is required for all pools, retaining walls or whenever a building footprint is enlarged. Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov STORM WATER COMPLIANCE CERTIFICATE V My project is not in a category of permit types exempt from the Construction SWPPP requirements I My project is not located inside or within 200 feet of an environmentally sensitive area with a significant potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s). V My project does not require a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code) I My project will not result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas that meets one or more of the additional following criteria: located within 200 feet of an environmentally sensitive area or the Pacific Ocean; and/or. disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical; and/or disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse; and/or construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT ALL OF THE ABOVE CHECKED STATEMENTS ARE TRUE AND CORRECT. I AM SUBMITTING FOR CITY APPROVAL A TIER 1 CONSTRUCTION SWPPP PREPARED IN ACCORDANCE WITH THE REQUIREMENTS OF CITY STANDARDS. I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO MINIMIZE THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO MINIMIZE THE EXPOSURE OF STORM WATER TO CONSTRUCTION RELATED POLLUTANTS; AND, (2) ADHERE TO, AND AT ALL TIMES, COMPLY WITH THIS CITY APPROVED TIER I CONSTRUCTION SWPPP THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD. yAM1 LeS7 — OWNER(SPWNER'S AG51TJ AME (PRINT) OWNER/OWNER'S AGENT NAME (SIGNATURE) DATE E-29 Page 1 of 3 REV 4/30/10 Erosion Control Control BMPs Tracking Sediment Non-Storm Water Waste Management and Materials BMPs BMPs Management BMPs Pollution Control BMPs C C .2 C .2 a C $ w w to 0 CL Management Practice . 0Best CL i . a, 2 (BMP) Description 3 co . I- E u c C C a . C,, I = .Q) O -.. , .- W OC > - a, (,l a1 • 'i • .til 2 j 14 ai I g( OJ o 0 o2 W Cl) CO Cl) .c C.) . Li. C!) (I)> co u92 COO. .ftD2o co.E W i oC a. >c c u coc in x: o: CASQA Designation 3 rr co — " C? 19 r Go D . cJ 7 c c Ci C? 'q "? 9 c C.) 0 C.) • W W W W W W W ' Ir O U) U) Cl) C/) W w iii C.) Cl) U) U) Cl) Cl) Cl) U) W I- I— Z Z Z Z Construction Activity W Cl) ( Grading/SoilDlsturbance Trenching/Excavation Stockpiling _Drilling/Boring - Concrete/Asphalt Saw cutting Concrete flatwork Paving _ConduitlPipelnstallation Stucco/Mortar Work Waste Disposal Staging/Lay Down Area Equipment Maintenance 4 and Fueling Hazardous Substance Use/Storage - _Dewatering - Site Access Across Dirt - Other (list): -__------lie - Instructions: Begin by reviewing the list of construction activities and checking the box to the left of any activity that will occur during the proposed construction. Add any other activity descriptions in the blank activity description boxes provided for that purpose and place a check in the box immediately to the left of the added activity description. For each activity descrribed, pick one or more best management practices (BMPs) from the list located along the top of the form. Then place an X in the box at the place where the activity row intersects with the BMP column. Do this for each activity that was checked off and for each of the selected BMPs selected from the list. For Example - If the project includes site access across dirt, then check the box to the left of "Site Access Across Dirt". Then review the list for something that applies such as "Stabilized Construction Ingress/Egress" under Tracking Control. Follow along the "Site Access Across Dirt" row until you get to the "Stabilized Construction Ingress/Egress" column and place an X in the box where the two meet. As another example say the project included a stockpile that you intend to cover with a plastic sheet. Since plastic sheeting is not on the list of BMPs, then write in "Cover with Plastic" in the blank column under the heading Erosion Control BMPs. Then place an X in the box where the "Stockpiling' row intersects the new "Cover with Plastic" column. To learn more about what each BMP description means, you may wish to review the BMPReferenceHandout prepared to assist applicants in the selection of appropriate Best Management Practice measures. The reference also explains the California Stormwater Quality Association (CASQA) designation and how to apply the various selected BMPs to a project. E-29 Page 2 of 3 REV 4/30/10 PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST = r Plan Check No. C131 1-0928 Address 1790 Ratcliff Rd ,)J Planner Chris Sexton Phone (760) 602-4624 I APN: 156-270-04 Type of Project & Use: addition Net Project Density: 1.0DU/AC I Zoning: &J. General Plan: RLM Facilities Management Zone: 1 '41I CFD (in/out) #_Date of participation: Remaining net dev acres:_____ . . (For non-residential development: Type of land used created by this permit: Circle One . G) . ) . W .1 . . Legend: Item Complete (jE5 m Incomplete - Needs your action Z 0 0 Environmental Review Required: YES 0 NO 0 TYPE DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval: • 0 0 Discretionary Action Required: YES 0 NO 0 TYPE APPROVAL/RESO. NO. DATE____ PROJECT NO. OTHER RELATED CASES: Compliance with conditions or approval? If not, state conditions which require action. Conditions of Approval: Z 0 0 Coastal Zone Assessment/Compliance Project site located in Coastal Zone? YES 0 NO 0 CA Coastal Commission Authority? YES 0 NO 0 If California Coastal Commission Authority: Contact them at - 7575 Metropolitan Drive, Suite 103, San Diego, CA 92108-4402;,(619) 767-2370 Determine status (Coastal Permit Required or Exempt): Exempt 0 0 Habitat Management Plan Data Entry Completed? YES 0 NO 0 If property has Habitat Type identified in Table. 11 of HMP, complete HMP Permit application and assess fees in Permits Plus (A/P/Ds, Activity Maintenance, enter CB#, toolbar, Screens, HMP Fees, Enter Acres of Habitat Type impacted/taken, UPDATE!) 0 0 Inclusionary Housing Fee required: YES 0 NO [] (Effective date of IncluSionary Housing Ordinance - May 21, 1993.) Data Entry Completed? YES 0 NO 0 (NP/Os, Activity Maintenance, enter CB#, toolbar, Screens, Housing Fees, Construct Housing Y/N, Enter Fee, UPDATE!) H:ADMINTemplate\BuiIding Plancheck Review Checklist.doc Rev 4/08 Site Pln: 0 0 Provide a fully dimensional site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures; streets, existing street improvements, right-of-way width, dimensional setbacks and existing topographical lines (including all side and rear yard slopes). Provide legal description of property land assessor's parcel number. Policy 44— Neighborhood Architectural Design Guidelines 0 0 1. Applicability: YES 0 NO 0.. 0 0 0 2. Project complies: YES E] NOD Zoning: 1 Setbacks: flflWr1c0t V' 9 ' Front: Required Shown Interior Side: Required g Showni1 Street Side: Required ((V , ShownO' Rear: Required t g Shown 5' Top of slope: Required Shown Z 0 0 Accessory structure setbacks: Front: Required Shown _____ Interior Side: ReqUired Shown Street Side: Required Shown _____ Rear: Required Shown Structure separation: Required Shown _____ 0 0 Lot Coverage: Required <40% Shown <40% 0 0 Height: Required Shown 0 0 5. Parking: Spaces Required 2 Shown (breakdown by uses for commercial and industrial projects required) Residential Guest Spaces Required Shown 12 0 Additional Comments 1) Please show the lot width 20' back from prope& line to ensure the single- family residence is meetina the DroDer setbacks on the side. The side iardsetbacks are 10% of the lot width. If the side yards are not 10% of the lot width on both sides then the single family residence is considered non-conforming and only 40% of the existing square footage of the single family residence can be added. 5-16-11 1 Same comments as above. Please contact olanner if you have any questions on the above comments. OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER t'ATE53 H:ADMINTempIateBuilding Plancheck Review Checklistdoc Rev 4/08 / CITY OF CARLSWAD PLUMBING, ELECTRICAL, MECHANICAL WORKSHEET B-18 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carisbadca.gov Project Address: Permit No.: (' I ro.y.Information provided below refers to woth being done on the above mentlo e perm This form must be comaleted and returned to the Buildinq Division before the permit can be issued. Building Dept. Fax: (760) 602-8558 Numberof new or relocated fixtures, traps, or floor drains ....................................................... New building sewer line? .........................................................................................Yes No .- Number of new roof ............................................................................................................... Install/alter water line? ......................................................................................................................... Numberof new water heaters? ........................................................................................................ or Number of new, relocated or replaced gas outlets .................................................................... Numberof new hose bibs? .................................................................................................................. Upgradeexisting panel' .........................................................................................Yes No V From Amps to Amps Number of new panels or subpanels .............................................................................................. SinglePhase ............................................................................................Number of new amperes_____ ThreePhase..............................................................................................Number of new amperes_____ ThreePhase 480.....................................................................................Number of new amperes_____ Remodel (relocate existing outlets/switches or add outlets/switches)? / Yes No_____ Numberof new furnaces, A/C, or heat pumps .............................................................................. New or relocated duct .......................................................................... Yes No Numberof new fireplaces ................................................................................................................. Number of new exhaust fans? ............................................................................................................ Relocate/install vent ............................................................................................................................ Number of new exhaust ........................................................................................................ Number of new boilers or compressors ...........................................................Number of HP B-18 Page 1 of 1 Rev. 03/09 CB110928 1790 RATCLIFF RD p .. LESAGE RESIDENCE POP OUT KITCHEN BY 70 SO FEET. RELOCATE SINK 5(u %/b 'ti 677bfl47 3—J/ cwbc2i S&A-e ,JL ri1/( ce1c.. L€SA . I ic4 i i- p 4 tçes'4t4 10 bracni. ip 6 Ly i liz 6a-v i 614e4 ,, 4 L wo&s. cdt Iue4t . .$b.fA uso-t rf Iq I (y- ativ~ Anl~) C&I (I .*k . ucv Approved Date. . By BUILDING 5tcP27/ f f ____________ PLANNING ENGINEERING FIRE E,pedite? V N HazMat APCD Health Forms/Fees Sent Recd Due? By Encina V N Fire . V N HazHeaIthAPCD V N P E & M N School . V N Sewer V N Stormwater V N Special Inspection LandUse: CFD: V N Density: ImpArea: FY: Annex Factor PFF: V N Comments Date Date Date Date Building Planning Engineering Fire Need? - iU (NAg'- *one U Done .0 Done 0 Done 0 Done SW Qlssued