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Home My WebLink About2787 Palmetto Dr; ; CBR2018-2954; Permit{'city of Carlsbad Residential Permit Print Date: 04/15/2019 Job Address: 2787 Palmetto Dr Permit Type: BLDG-Residential Work Class: Pool Parcel No: 2131802300 Lot#: Valuation: $24,885.25 Reference#: Occupancy Group: Construction Type: # Dwelling Units: Bathrooms: Bedrooms: Orig. Plan Check#: Plan Check#: Project Title: Description: KUDERKA: 475 SF PDOL// SPA Owner: TRUST KUDERKA FAMILY TRUST 10-07-14 2787 Palmetto Dr 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: $819.86 Total Payments To Date: $819.86 Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Balance Due: 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 ff 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. Permit No: CBR2018-2954 Closed -Finaled 10/26/2018 12/07/2018 TFraz 4/15/2019 8:44:48AM $0.00 $248,01 $173,61 $41.00 $49,00 $1.00 $3.24 $246.00 $58.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov Ccicyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check e,(l,R;,QI~ -295"4 Est. Value 24 1 ~'05- PC Deposit -------- Date 10-2..Lp -19) Job Address --=z_:1_:i:....:i-__;,v_a\...:..tll_e1f.;_(l__:..,D_f i:....~=-------·Suite: ___ APN: l\) -I so -2.0-0 0 CT/Project#: _________ Lot#: 441-Fire Sprinklers: yes/ no Air Conditioning: yes/ no BRIEF DESCRIPTION oF woRK: NeV'l 1n9rnu.l'\d voo \ </<. s Pl\ roo1:42~Y!lf1 syg·.>1-'\S<!f:\: tota1:4=r5 554ft. 0 Addition/New: _____ ,Living SF, ___ Deck SF, ___ Patio SF, ___ G.arage SF Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __ D Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes/ No ~ool/Spa: .l\°=t1.j SF Additional Gas or Electrical Features? ___________ _ □ Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground , Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No Panel Upgrade: Yes/ No D Reroof: _________________________________ _ D Plumbing/Mechanical/Electrical Only: _______________________ _ D Other: --------------------------------- APPLICANT (PRIMARY) PROPERTY OWNER Name: (.~YO\\'QQ \V\UT-t\Ylet Address: 111,o~ tiuSill(illCl,ll. Wi S\Jllf/ lb!> City: &ll~ 0\UIO State: C..A-Zip: 1.\2.1.31 Phone: 'a~~~-~\'\ Email: r,o. \C WL 4\i, ~OOl&-ntt DESIGN PROFESSIONAL Name: _______________ _ Address: ______________ _ City: _______ State: ___ ,Zip: ___ _ Phone: _______________ _ Email: _______________ _ Architect State License: __________ _ Name: j~j 3( ~tlafl\e ~\lctena Address: l1 gq 1'Qlmetm Dn\t City: CAr\6 l>Gt Ill State: (;A. Zip: ctZ..O()'\ Phone: ( ~~0) '\0'1 -q \'iS '\ Email: __________________ _ CONTRACTOR BUSINESS Name: MQJf-Sjl(/ \'00\c; ~ ~Yt\~ Address: C\'l03 Bli~\1,USft\Vt-11\'t-J\/\t-e 103 City: Sl\n tl\tS() State: (;t,.. Zip:-"'""']...""\~=~'----- Phone: '»5'6-1'\0"'C\'\\c.\. Email: tc.\10\IY\ a.@..'filgian IJ £0Cl~· J\f,;- State License: <tB?</i b Bus. License: \ 1.3f,Co~1. (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}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-1 Page 1 of 2 Rev. 06/18 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury one of the following declarations: □·1 have and will maintain a certificate of consent to self~insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. □ 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 covera1e Is unlawful, and shall subject an employer to criminal penalties and civil 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: __ £y,J,.4~,~~'t-~==---------'J8:AGENT DATE: _l,...0+'/23~! I..,.~_ ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law far the fallowing reason: □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). □ l, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section ________ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes D No 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? □ Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. APPLICANT CERTIFICATION: 1 certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO 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 permit is required for excavations over S'O' 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 if the building or work authorized by such permit is not commenced within 180 days from the date of such pennit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT SIGNATURE: " .. t ft1---DATE: 10 I '23 j 1% 1635 Faraday Ave Carlsbad, CA 92008 B-1 Ph: 760-602-2719 Fax: 760-602-8558 Page2 of 2 Email: Building@carlsbadca.gov Rev. 06/18 PERMIT INSPECTION HISTORY REPORT (CBR2018-2954) Permit Type: BLDG-Residential Application Date: 10/26/2018 Owner: TRUST KUDERKA FAMILY TRUST 10-07-14 Work Class: Pool Issue Date: 12/07/2018 Subdivision: CARLSBAD TCT#02-14 BRESSI RANCH UNIT#06 Status: Closed -Finaled Expiration Date: 10/09/2019 Address: 2787 Palmetto Dr Carlsbad, CA 92009-3081 IVR Number: 14940 Scheduled Actual Complete Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Relnspectlon 01124'2019 01124/2019 BLDG-61 082064-2019 PaHed Tim Frazee Complete Excav/Steel(Poola) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-64 082066-2019 Partial Pass Tim Frazee Reinspection Incomplete Equipotential Bond(Pools) 01/30/2019 01/30/2019 BLDG-52 Pool 082686-2019 Passed Tim Frazee Complete Plumbing 03/14/2019 03/14/2019 BLOG-64 086039-2019 Passed Tim Frazee Complete Equipotential Bond(Pools) 03/27/2019 03/27/2019 BLDG-66 087106-2019 Passed Tim Frazee Complete Fence/Preplaster Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 04/09/2019 04/09/2019 BLDG-Final 088262-2019 Failed Tim Frazee Reinspection Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Gate is not closing automatically 4/9/19 No BLDG-Plumbing Final No BLOG-Structural Final No BLDG-Electrical Final No 04/12/2019 04/12/2019 BLOG-Final 088764-2019 Failed Tim Frazee Reinspection Complete Inspection Checklist Item COMMENTS Passed BLOG-Building Deficiency Gate is not closing automatically 4/9/19 No Failed again 4/12/19 BLDG-Plumbing Final No BLOG-Structural Final No BLDG-Electrical Final No 04/16/2019 04/16/2019 BLDG-Final 088883-2019 Passed Tim Frazee Complete Inspection Checklist Item COMMENTS Passed BLOG-Building Deficiency Gate is not closing automatically 4/9/19 Yes Failed again 4/12/19 Gate fixed 4/15/19 BLDG-Plumbing Final Yes BLDG-Structural Final Yes BLOG-Electrical Final Yes April 15, 2019 Page 1 of2 STORM WATER POLLUTION PREVENTION NOTES 1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN IS EMINENT. 2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING RAINFALL. 3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONTROL 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 ( 40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFALL. 5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM AGGREGATE. 6. ADEQUATE EROSION AND SEDIMENT CONTROL 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 CONSTRUCTION AS NEEDED TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY REGULATIONS. OWNER'S CERTIFICATE: I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) 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 PQLUTANTS; AND (2) ADHERE TO, AND AT ALL TIMES, COMPLY WITH THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD. tfir..01.1nc_J_:_ ~E~r~A~~I OWNtK(SJ/OWNtK:s ~------------ (~ OWNER(S}9'0WNER'S [/<'GENT NAME (SIGNATURE} E-29 1rJ!?Li )u ~ STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 CB (UQl6-2154 SW_ BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE Erosion Control BMPs Sediment Control BMPs Tracking I Non.Storm Water I Waste Management and Materials Control BMPs Management BMPs Pollution Control BMPs Best Management Practice* (BMP) Description ➔ CASQA Designation ➔ Construction A9Mfy Grading/Soil Disturbance Trenching/Excavation StockpilinQ Drillinq/Boriri_g Concrete/Asphalt Sowcutting Concrete Flotwork Paving Condui.!.Lei2_e Installation Stucco/Mortar Work Waste DiSQOSOI Staging/Loy Down Area EQuipm_e_nt Maintenance and Fuelii:i_g_ Hazardous Substance Use/Storage Dewoterinq Site Access Across Dirt Other (list): Instructions: " -0 ::; "' Ii .s: {i "3 -::le X ., --0 0 0 ., ~ c., ,.... I 00 I I (.) (.) u.J u.J -0 ., C: ., Oo ., ., ., u, ~ Q,) 0 "' 0 .,:; C: -·-~o 0 ~ u..10 "' I ~ ., .s: e 0 ., 8-vi 'T u w ., u C: ., u. -in I Lu u, -0 C: 0 -E "' ~ ., C. ~ C: ., E ., ·a. ·c: 0 CD ~ o!: E ., 0 .s: ., "' ., "' CD 0 C: -0 'a 0 ., C: ~o C: 0 CD cn ·E "' 0--., a:: 0 -_!; .,,_ --;; -::, .a E~ u ~ > ., ::, -0 ~--0 ., ., 0 ., u C: 00 ., .,:; ~ ~ .b 0 0 -~ u, (.) c., (/) > u, tn Cl. ,,., .... ,n "' ,..._ 00 0 ~ I I I I I I I u.J u.J u.J u.J u.J Lu u.J u, (/) u, u, u, u, u, X ...:><: C: -C: C: 0 -.2 .2 :;::; C: C: ., -0 --"' 0 E C: ., -0 u u C: C: .gi E C: 2 ::, .2 'o C. 0 0 ~ -~ ·3 >, ., --C: '-"' ., ., ., 0 ·c: CT ~ 0 C: C: ., C: > ~ ~ :8 ~ c., u.J C: 0 ., 0 ., ., -., 0 -u~ (.) ., -0 ., 0 -0 --;; ., ::; C: ., C: "' C: .. C: 0 ::, ~ -., -g~ -0 0 ., C: C: 0 ., :g E :!lo (.) ., 0 0 "' ., N U, u CJ'):;: ., ., C: E 8, 0 ·a. ~-.. ., =t =i \..:;:i :a o ·c ·c: Cl. 0 "' C: 0 ~ 0 .,,_ ~ .a ~ .a 0 ., u ·-~ 0 ·-0 ., ~ ., u ---0 0 0 "' -o > ., -.,:; ., -o -0 = C ·-C: -C: .8 0 0 ~ 0 0 ~o o-0 -C. 0 oO u,_ tn a:: .. Cl. Cl. 0 Cl. ::; (/) ::le u, U,(.) (/) ::le ~ I N I I 'T I .,., ,~, 00 I I ~ N ,,., .... ,n I I I I I I I I I f;"c f;"c (/) (/) u, ~ ::; ~ ~ ::; z z z .. .. I'-..,,-' ~ ><C><: 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 Tobie is o list of BMP's with it's corresponding California Stormwoter 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 infonmotion and details of the chosen BMPs and how to apply them to the project. SHOW THE LOCA T/ONS 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. -BM P's are subject to field inspection- Page 1 of 1 PROJECT INFORMA,TION Site Address: 21:'.3} PQ\mttto nr,ve Assessor's Parcel Number: 113-!'ISO-23-00 Emergency Contact: Nome: Pli\t Whitcomb 24 Hour Phone: <ooi -i-=t T -IL.l (o 1" Construction Threat to Storm Water Quality (Check Box) ~EDIUM O LOW ., -.s ., 0 ., ,._ o-C: .. ii " ., ::i E " E 0 ., -., -0 "' ., "' 5 0 l:;o N C: C: C: 0 0 8~ :,: ::; "' 00 I I ~ i I~ REV 02/16 . ·ccityof Qirlsbad DETERMINATION OF PROJECT'S SWPPP TIER LEVEL AND CONSTRUCTION THREAT LEVEL E-32 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov I'm applying for: □ Grading Permit l!!f Building Permit fl!{ Right-of-way permit □ Other Project Name: ~\/0.et-fll. Address: 2'.t"l P~IMC11n prillt Project ID: -~~--DWG #/CB# ______ _ APN 213·1':6Q-23-oa DisturbedArea: ____ Ac Section 1: Determination of Project's SWPPP Tier Level SWPPP (Check annlicable criteria and circle the corresoondina SWPPP Tier Level, then ao to section 21 Tier Level Exem11t -No Threat Project Assessment Criteria My project is in a category of permit types exempt from City Construction SW PPP requirements. Provided no significant grading proposed, pursuant to Table1, section 3.2.2 of Storm Water Standards, the following_permits are exemot from SW PPP reouirements: Exempt ► Electrical ► Patio ► Mobile Home ► Plumbing ► Spa (Factory-Made) ► Fire Sprinkler ► Mechanical ► Re-Roofing ► Sign ► Roof-Mounted Solar Array ····················--------................... ....... ···········--··------.................... ... ·········--·----------------............. .................. ....................... .. ............ ......................... ··········--·--·····--------.......... .. .................... Tier 3-Significant Threat Assessment Criteria (See Construction General Permit (CGP) Section I.B)* □ My project includes construction or demolition activity that results in a land disturbance of equal to or greater than one acre including but not limited to clearing, grading, grubbing or excavation; or, □ My project includes construction activity that results in land disturbance of less than one acre but the construction activity is part of a larger common plan of development or the sale of one or more acres of disturbed land surface or, □ My Project is associated with construction activity related to residential, commercial, or industrial Tier3 development on lands currently used for agriculture; or □ My project is associated with construction activity associated with Linear Underground/overhead Projects (LUP) including but not limited to those activities necessary for installation of underground and overhead linear facilities (e.g. conduits, substructures, pipelines, towers, poles, cables, wire, towers, poles, cables, wires, connectors, switching, regulating and transforming equipment and associated ancillary facilities) and include but not limited to underground utility mark out, potholing, concrete and asphalt cutting and removal, trenching, excavation, boring and drilling, access road, tower footings/foundation, pavement repair or replacement, stockpile/borrow locations. □ Other per CGP Tier 2-Moderate Threat Assessment Criteria: My project does not meet any of the Significant Threat Assessment Criteria described above and meets one or more of the following criteria: □ Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, □ 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: Tier2 • 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 throuoh Aor. 30l. Tier 1-Low Threat Assessment Criteria !ii(_ My project does not meet any of the Significant or Moderate Threat criteria above, is not an exempt penmit type per above and the project meets one or more of the following criteria: Tier 1 • results in some soil disturbance; and/or • includes outdoor construction activities (such as roof framing, saw cutting, equipment washing, material stockpilinQ, vehicle fuelino, waste stockpiling) • Items listed are excerpt from CGP. CGP governs cntena for triggers for Tier 3 SWPPP. Developer/owner shall confirm coverage under the current CGP and any amendments. revisions and reissuance thereof. E-32 Page 1 of2 Rev. 2/16116 SWPPP Section 2: Determination of Project's Construction Threat Level Tier (Check applicable criteria under the Tier Level as determined in section 1, circle Construction Level the corresponding Construction Threat Level, then complete the Threat Level si!:mature block below) Exempt -Not Applicable -Exempt Tier 3 -High Construction Threat Assessment Criteria: Ml,' Project meets one or more of the following: □ Project site is 50 acres or more and grading will occur during the rainy season □ Project site is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA High □ Soil at site is moderately to highly erosive (defined as having a predominance of soils Tier 3 with USDA-NRCS Erosion factors kf greater than or equal to 0.4) □ Site slope is 5 to 1 or steeper □ Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 -April 30). □ Owner/contractor received a Storm Water Notice of Violation within past two years Tier 3 -Medium Construction Threat Assessment Criteria Medium □ All projects not meeting Tier 3 High Construction Threat Assessment Criteria Tier 2 -High Construction Threat Assessment Criteria: Ml£ Project meets one or more of the following: □ Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA □ Soil at site is moderately to highly erosive (defined as having a predominance of soils High Tier2 with USDA-NRCS Erosion factors kr greater than or equal to 0.4) □ Site slope is 5 to 1 or steeper □ Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1-Apr. 30). □ Owner/contractor received a Storm Water Notice of Violation within past two years □ Site results in 10,000 sq. ft. or more of soil disturbance Tier 2 -Medium Construction Threat Assessment Criteria Medium □ My project does not meet Tier 2 High Threat Assessment Criteria listed above Tier 1 -Medium Construction Threat Assessment Criteria: Ml£ Project meets one or more of the following: □ Owner/contractor received a Storm Water Notice of Violation within past two years Medium 18,.. Site results in 500 sq. ft. or more of soil disturbance Tier 1 □ Construction will be initiated during the rainy season or will extend into the rainy season (Oct.1-April 30) Tier 1 -Low Construction Threat Assessment Criteria Low □ My project does not meet Tier 1 Medium Threat Assessment Criteria listed above I certify to the best of my knowledge that the above statements are true and correct. I will prepare and submit an appropriate tier level SWPPP as determined above prepared in accordance with the City SWPPP Manual. I understand and acknowledge that I must adhere to and comply wrth the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards at all times during construction activities for the permit type(s) checked above. The City Engineer/Building Official may authorize minor variances from the Construction Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher SWPPP Tier Level is warranted. owner/Owner's Authorized Agent Name: Title: City Concurrence: Yes No (For City Use Only) Date: By: Date: Project ID: E-32 Page 2 of 2 Rev. 2/16/16