HomeMy WebLinkAbout2843 VISTA ACEDERA; ; CBR2018-0437; PermitBuilding Permit Finaled
Residential Permit
Print Date: 03/01/2021
Job Address:
Permit Type:
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Project Title:
2843 VISTA ACEDERA, CARLSBAD, CA 92009-6900
BLDG-Residential Work Class:
2553111200 Track#:
$38,012.23 Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Addition
(city of
Carlsbad
Permit No: CBRZ0lS-0437
Status:
Applied:
Issued:
Finaled Close Out:
Inspector:
Final Inspection:
Closed -Finaled
02/21/2018
05/11/2018
CRenf
03/01/2021
Description: WELBORN: 65 SF ADDITION TO LIVING ROOM// 1,100 SF CALIFORNIA ROOM W/ BBQ & FIREPLACE
Applicant: Property Owner:
ANDRES SAAVEDRA
626 RICH MAR AVE, # 57
WELBORN THOMAS F AND NANCY E
2843 VISTA ACEDERA
SAN MARCOS, CA 92069-1513
(760) 809-0545
FEE
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
CARLSBAD, CA 92009
ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION
MECHANICAL 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: $1,186.46 Total Payments To Date: $1,186.46 Balance Due:
AMOUNT
$335.60
$234.92
$41.00
$170.00
$42.00
$62.00
$2.00
$4.94
$238.00
$56.00
$0.00
Please take NOTICE that approval of your project includes the "\mposition11 of fees, dedications, reservations, or other exactions hereafter
collectively referred to as 11fees/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
♦
• . r . (__ Cicyof Building Permit Application Plan Check No. Cf:R2.0 fe,-Q,4 '?,"'3-
B6,n1') 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 780-802,2719 Fax: 760-602-8558
email: bulldlng@carlsbadca.gov Plan Ck. Deposit
www.~arl§Qad!;;;a.gQv 2-.21-1'3 Date
JOB ADDRESS 281../3 V1s-tA AceJeve,,.. SUITE#/SPACE#/UNIT# IAPN ..l.55 -3 I I -I 2. -06
CT/PROJECT# I LOT# I PHASE# I# OF !ITS I# BEDgOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I OCC. GROUP
Ct-88 -o.3 .3
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
AJJ N,, .. ,i,, tc, r L.-J fo-.t-,"o r I 100 ,; r:: /JJ,J Ne, (j' (lr'1' AJJ Ne...., ~ ,,._
,
_AJJ Ne,. .Cive ,:,/ c.r,, AVO {5 5.F or-l...c-h; ~~1,1.-SAc.C=
' '
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF} I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
R,,._, ·)c""-1-;.._ I f..es: J,,.,.-1 ;'-I '-t so YES □#_ NO □ YES □ NO □ YES □ NOJS.
APPLICANT NAMJ (P'f_,ary Contact) PROPERTY OWNER NAME Tl-i-.. °' r ,=--We/6 o,,v1 4,. .,,:,,, J c,.,.. i,,,,Jvr.
ADDRESS ADDRESS -tt-S ( . J.~'t 3. ,(J t R tl.,1,v1 "'·, ,/{u, ~ ~ V;tc... A,edvevc...
CITY s /v1 '4vfu r
STATE ZIP CITY C.:,..✓i 5tx,_J STATE ZIP
°'' CA C,J ✓16't C .A, "tJ.oCJ'f
PHONE
7 tr> Rr,q oc; 9 r I FAX PHONE IFAX 160 t/3-611(
EMAIL EMAIL
0..111Jve ss "'"'" ecJvo..@lc io.,.J., o..-v, f ~ o'-""" c,..j f\.ve I bovV1 e'o..o I. Cco-A-J
DESIGN PROFESSIONAL NAME ">c..K/1,.. A.oP/1·,
CONTRACTOR BUS. NAME
C-< . i-
ADDRESS . ADDRESS
---... CITY STATE ZIP CITY STATE ZIP
PHONE I FAX PHONE I FAX
..... --· EMAIL EMAIL
I STATE LIC. # STATE LIC.# I CLASS I CITY BUS. UC.#
(Sec, 7031.5 Business and P_rofessIons Code: Any City or Coun_ty 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 si~ned statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any v1olatIon 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)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
D l 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.
D l have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. _____________________ ~ Policy No _______________ Expiration Dale __________ _
This section need not be completed if the permit is for one hundred dollars ($100) or less 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 become subject lo the Workers' Compensation Laws of
California, WARNING: Failure 10 secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
~ CONTRACTOR SIGNATURE □AGENT DATE
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's License Law for the following reason·
□ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors
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),
D 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 lo 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 □ 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 I phone I 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 I address I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
,,ft$ PROPERTY OWNER SIGNATURE □AGENT DATE
-·
. 'OMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
't=>resley-Tanner Hazardous Substance Account Act? D 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 feel 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1v1I Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certifythatl have read the application and state that the above information is correct and that the Information on the plans ls accurate. I agree to oomplywith 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 inspecoon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY 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 5'0' d d demolition or construction ofstrucb.Jres over 3 stones in height.
EXPIRATION: Every permit issued by the Building cial u the provisklns of this Code shall expire by limitation and become null and void if the building or WOO. authorized by such permit is riot commenced within
180 days from the date of sudl perm!: or if ~bui · authorized by sudl permit is suspended or abandoned at any time after the worn is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
_g APPLICANT'S SIGNATURE , DATE
Permit Type: BLDG-Residential
Work Class: Addition
Status: Closed -Finaled
Application Date: 02/21/2018 Owner: COOWNER WELBORN THOMAS F AND
NANCY E
Issue Date: 05/11/2018 Subdivision: CARLSBAD TCT#88-03-03
Expiration Date: 07/10/2019
IVR Number: 9677
ARROYO LA COSTA UNIT#03
Address: 2843 VISTA ACEDERA
CARLSBAD, CA 92009-6900
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status -----------··-··-----------------------------
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
---· _____ ,. _____ _
Monday, March 1, 2021
COMMENTS
Not ready. Owner did not know his two
hour window. Will call for inspection at a
later date.
Passed
Yes
Yes
Yes
Yes
Yes
Page 3 of 3
Permit Type: BLDG-Residential Application Date: 02/21/2018 Owner: COOWNER WELBORN THOMAS F AND
NANCY E
Work Class: Addition Issue Date: 05/11/2018 Subdivision: CARLSBAD TCT#88-03-03
ARROYO LA COSTA UNIT#03
Status:
Scheduled
Date
Closed -Finaled
Actual Inspection Type
Start Date
Expiration Date: 07/10/2019
IVR Number: 9677
Inspection No. Inspection
Status
Address: 2843 VISTA ACEDERA
CARLSBAD, CA 92009-6900
Primary Inspector Reinspection Inspection
·-··--·---·--· -----__________________ .. , .......
01/08/2019
01/0912019
01111/2019
01107/2021
02119/2021
03/01/2021
01108/2019 BLDG-18 Exterior
Lath/Drywall
Checklist Item
080719-2019
COMMENTS
Failed Chris Renfro
BLDG-Building Deficiency Nobody home. Called the contractor and
nobody on job site. Left a door hanger
01109/2019 BLDG-18 Exterior
Lath/Drywall
Checklist Item
080901-2019
COMMENTS
Failed Chris Renfro
BLDG-Building Deficiency No plans or inspection card on site.
01111/2019 BLDG-18 Exterior
Lath/Drywall
Checklist Item
081031-2019
COMMENTS
Failed Chris Renfro
BLDG-Building Deficiency No contractor on site: No plans or
inspection card on site.
01/0712021 BLDG-Final Inspection
Checklist Item
147603-2021
COMMENTS
Failed Chris Renfro
BLDG-Building Deficiency Not ready. Owner did not know his two
hour window. Will call for inspection at a
later date.
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
02/1912021 BLDG-Final Inspection
Checklist Item
150899-2021
COMMENTS
Failed Chris Renfro
BLDG-Building Deficiency Not ready. Owner did not know his two
hour window. Will call for inspection at a
later date.
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
03101/2021 BLDG-Final Inspection
GFCl receptacles required on all exterior
kitchen countertop barbecue areas. Install
a a watertight cover plate on exterior box
above flood light. Call for final inspection
when completed
151634-2021 Passed Chris Renfro
Reinspection Incomplete
Passed
No
Reinspection Incomplete
Passed
No
Reinspection Incomplete
Passed
No
Roinspoction Incomplete
Passed
No
No
No
No
No
Rcinspcction Incomplete
Passed
No
No
No
No
No
Complete
·-·-·--"·----------------Monday, March 1, 2021 Page 2 of 3
Building Permit Inspection History Finaled
(city of
Carlsbad
Permit Type: BLDG-Residential Application Date: 02/21/2018 Owner: COOWNER WELBORN THOMAS F AND
NANCY E
Work Class: Addition Issue Date: 05/11/2018 Subdivision: CARLSBAD TCT#88-03-03
ARROYO LA COSTA UNIT#03
Status: Closed -Fina led Expiration Date: 07/10/2019 Address: 2843 VISTA ACEDERA
IVR Number: 9677 CARLSBAD, CA 92009-6900
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
06122/2018 06122/2018 BLDG-SW-Pre-Con 058657-2018 Passed Tim Frazee Complete
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
06/06/2018 06/06/2018 BLDG-11 060196-2018 Passed Tim Frazee Complete
Foundatlon/Ftg/Plers
(Rebar)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-21 060195-2018 Passed Tim Frazee Complete
Underground/Underflo
or Plumbing
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
09113/2018 0911312018 BLDG-14 069986-2018 Passed Chris Renfro Complete
FramefSteel/BoltlngrNe
!ding (Decks)
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Rough framing OK in California room. Need Yes
to install cricket at chimney at roofline. Call
for rough inspection of electrical when
ready
11/07/2018 11/07/2018 BL0G-34 Rough 075469-2018 Failed Chris Renfro Reinspc-ction Incomplete
Electrical
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Grounding wires need to be made up in all No
boxes, add ground screws to bond to
metal boxes, need switch box installed at
interior location. Call for reinspection
11/13/2018 11/13/2018 BLDG-34 Rough 075821-2018 Passed Chris Renfro Complete
Electrical
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
12/14/2018 12/1412018 BLDG-91 Complaints 078896-2018 Partial Pass Paul Burnette Rcinspcction Incomplete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
Monday, March 1, 2021 Page 1 of 3
City of Carlsbad cbR2018-0437
Mar 6, 2018
«~'>" ~ CITY OF
CARLSBAD
SPECIAL INSPECTION
AGREEMENT
B-45
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
In accordance with Chapter 17 of the C&llfornla Building Code the following must be completed when work being performed
requires special Inspection, structural observation and construction material testing.
'roject/Permit: clt/L?..o[!} o<-(1.:,JProjectAddress· 6l8't..i 3 \j' ,<"ta. ~ c eclcrt:z
A. THIS SECTION MUST BE COMPLETED BY THE PROPERTY OWNER/AUTHORIZED AGENT. Please check W you are Owner-Builder
:a::o(:::::::t~owni:_buhdeo~;;ocomplete1onBofth5agreerrent) We l bar()
ILast1
'] • ''"'" \} .\ IMI) A d
Mailing Address; o<-'6 1--\ J. ' S TQ... f "c C C {-C<.
EmaiLfb.0~4Sf We l V,)0f0@ O.Q_I ~ (.,(l(Y)Phone t Jei.,o"', 61 "?,-l, / 7 7
I am: ~roperty Owner □Property Owner's Agent of Record □Architect of Record □Engineer of Record
state of California Registration Numbe · Expiration Date: _______ _
AGREEMENT: I, the undersigned, declare under penalty of perjury under the laws of the state of Cal~ornia, that I have read,
understand, acknowledge promise to comply with the City of Carlsbad requirements for special inspections, structural
observations, cons! · n materials t ti and off-site fabrication of building components, as prescribed in the statement of
special inspectiora>1'\"nl'l><1 on t a pr plans and, as re uired by the California Building ode. · • ,;,_
Sig nature:_ ___ _ _____ Date: __ L.j'-+--"'c).'---'-T--+--"cl=L~·,~I ~~,,---
B. CONTRACTOR'S STATEMENT OF RESPONSIBILITY (07 CBC, Ch 17, Section 1706). This section must be completed by the
contractor/ builder/ owner-builder.
Contractor's Company Name: __________________ Please check if you are Owner-Builder ,,/
Name: (Please print) -----,;c-----------------------------------
(F,rs11 (M' I llflSt)
Mailing Address: _________________________________ _
Email: ________________________ Phone: __________ _
state of California Contractor's License Number: __________ Expiration Date: _______ _
• I acknowledge and, am aware, of special requirements contained in the statement of special inspections noted on
the approved plans;
• I acknowledge that control will be exercised to obtain conformance with the construction documents approved by the
building official;
• I will have in-place procedures for exercising control within our (the contractor's) organization, for the method and
frequency of reporting and the distribution of the reports; and
• I certify that I will have a qualified person within our (the contractor's) organization to exercise such control.
• I w/11 provide a trnat repon / letter In comp/lance with CBC Section 1704.1.2 prior to requesting tfna/
lnapection.
Signature~· ______________________ Date: __________ _
B-45 Page 1 of 1 Rev. 08/11
DATE: May 8, 2018
JURISDICTION: City of Carlsbad
✓• EsG1I
A SAFEbuilt Company
PLAN CHECK#.: cbR2018-0437
PROJECT ADDRESS: 2843 Vista Acedera
SET III
□ APPLICANT
~URIS
PROJECT NAME: Attached Patio Cover with Exterior Fireplace and Addition for
Welborn Residence
[gj The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building 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.
D 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.
D The applicant's copy of the check list has been sent to:
[gJ EsGil Corporation staff did not advise the applicant that the plan check has been completed.
D EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted~ --Telephone#:
Date contacted: --(6y{ I ) Email:
Mail Telephone
0 REMARKS:
By: Rich Moreno
EsGil
Fax In Person
Enclosures:
May1,2018
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
DATE: Apr 30, 2018
JURISDICTION: City of Carlsbad
✓• EsG1I
A S/IFEhuilt Company
PLAN CHECK#.: cbR2018-0437
PROJECT ADDRESS: 2843 Vista Acedera
SET: II
~PLICANT )4 JURIS.
PROJECT NAME: Attached Patio Cover with Exterior Fireplace and Addition for
Welborn Residence
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.
~ The check list transmitted herewith is for your information. The plans are being held at Es Gil
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.
~ The applicant's copy of the check list has been sent to:
Andres Saavedra
D EsGil staff did not advise the applicant that the plan check has been completed.
~ EsGil staff did advise the applicant that the plan check has been completed.
Person contacted: Andres Saavedra Telephone#: 760-809-0545
Date contacted: 4 ✓ 3D (~ ) Email: andressaavedra@icloud.com
t_Maii'i( Telephone )c Fax In Person
0 REMARKS:
By: Rich Moreno
EsGil
Apr23,2018
Enclosures:
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
City of Carlsbad cbR2018-0437
Apr 30, 2018
NOTE: The items listed below are from the previous correction list. These
remaining items have not been adequately addressed. The numbers of the items
are from the previous check list and may not necessarily be in sequence. The notes
in bold font are current.
PLANS
1. Please make all corrections, as requested in the correction list. Submit FOUR new
complete sets of plans for commercial/industrial projects (THREE sets of plans for
residential projects). For expeditious processing, corrected sets can be submitted in
one of two ways:
1. Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad
Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-2700. The City
will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire
Departments.
2. Bring JJ/Y..Q corrected set of plans and calculations/reports to EsGil Corporation, 9320
Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all remaining
sets of plans and calculations/reports directly to the City of Carlsbad Building Department for
routing to their Planning, Engineering and Fire Departments.
NOTE: Plans that are submitted directly to EsGil Corporation only will not be
reviewed by the City Planning, Engineering and Fire Departments until review by
EsGil Corporation is complete.
12. Glazing in the following locations should be shown on the plans as safety glazing
material in accordance with Section R308.4:
a) Glazing in doors. As scaled, existing windows within 24-inches of new 13-ft
bifold will also need to be tempered.
17. It is not clear how underpinning will be achieve based on detail provided. please
clarify new and existing sections of foundation and if rod/dowel connection to
existing foundation.
a) Detail 4/A-6 seems incomplete. Please note rebar size, number, clear cover,
etc. Also, detail pad footings connection to existing slab on grade.
b) Missing detail 8/A6 as called on foundation plans.
28. You have chosen to use the conventional construction bracing provisions outlined
in the CRC. Provide documentation to show that the plans comply with the Braced
Wall provisions of Section R602.10. Include the following:
b) Documentation to show there are sufficient Braced Wall Lines in the building, per
Section R602.10.1.
City of Carlsbad cbR2018-0437
Apr 30, 2018
c) Documentation to show there are sufficient Braced Wall Panels in each Braced
Wall Line, per Section 602.10.1.1. Be sure to include all length factor adjustments
from Section 602.10.
d) If the above items cannot be provided or if the building does not satisfy the
conventional bracing provisions. then provide design calculations from a licensed
Engineer or Architect to show compliance.
The patio cover proposed does not meet the San Diego approved Standard
construction for a patio cover. Please review seismic force resisting system
proposed to meet the requirement set forth on the California Residential
Code. Alternatively, please consult the services of a California licensed
professional Architect or Engineer to assist you in your design.
30. The plans shall indicate that special inspection will be provided for the following
work. (CBC Chapter 17 and Section 107.2)
Expansion/Epoxy anchors. Periodic special inspection should be provided for
anchors installed in hardened concrete. Section 1705.3. To be reverified.
MISCELLANEOUS
53. To speed up the review process, note on this list (or a copy) where each correction
item has been addressed, i.e., plan sheet, note or detail number, calculation page,
etc.
54. Please indicate here if any changes have been made to the plans that are not a
result of corrections from this list. If there are other changes, please briefly
describe them and where they are located in the plans.
Have changes been made to the plans not resulting from this correction list? Please
indicate:
Yes □ No □
55. The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake
Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468,
to perform the plan review for your project. If you have any questions regarding
these plan review items, please contact Rich Moreno at EsGil Corporation. Thank
you.
DATE: Mar 6, 2018
JURISDICTION: City of Carlsbad
✓• EsG1I
A SA~Ll,u1lt Comp.-iny
PLAN CHECK#.: cbR2018-0437
PROJECT ADDRESS: 2843 Vista Acedera
SETI
D APPLICANT y JURIS.
PROJECT NAME: Attached Patio Cover with Exterior Fireplace and Addition for
Welborn Residence
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.
IZJ 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.
IZJ The applicant's copy of the check list has been sent to:
Andres Saavedra
D EsGil staff did not advise the applicant that the plan check has been completed.
IZJ EsGil staff did advise the applicant that the plan check has been completed.
Person contacted: Andres Saavedra Telephone#: 760-809-0545
Date contacted: 3 { Ei / 18' (by:-a,J) Email: andressaavedra@icloud.com
~ail Telepba;;> Fax In Person
0 REMARKS:
By: Rich Moreno
EsGil
Feb 23, 2018
Enclosures:
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
• City of Carlsbad cbR2018-0437
Mar 6, 2018
PLAN REVIEW CORRECTION LIST
SINGLE FAMILY DWELLINGS AND DUPLEXES
PLAN CHECK#.: cbR2018-0437 JURISDICTION: City of Carlsbad
PROJECT ADDRESS: 2843 Vista Acedera
FLOOR AREA: STORIES: 1
Attached Patio Cover: 1100 sq-ft
Addition: 65 sq-ft HEIGHT: 12-ft
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION: Feb 21, 2018
DATE INITIAL PLAN REVIEW
COMPLETED: Mar 6, 2018
FOREWORD (PLEASE READ):
DATE PLANS RECEIVED BY
ESGIL CORPORATION: Feb 23, 2018
PLAN REVIEWER: Rich Moreno
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 2016 edition of the California
Code of Regulations (Title 24), which adopts the following model codes: 2015 IRC, 2015 IBC,
2015 UPC, 2015 UMC and 2014 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 2015 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.
. City of Carlsbad cbR2018-0437
Mar 6, 2018
[DO NOT PAY -THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Carlsbad
PREPARED BY: Rich Moreno
PLAN CHECK#.: cbR2018-0437
DATE: Mar 6, 2018
BUILDING ADDRESS: 2843 Vista Acedera
BUILDING OCCUPANCY: R-3/U
BUILDING
PORTION
Patio Cover
Addition
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code
1997 UBC Plan Check Fee
Type of Review:
D Repetitive Fee
· _ -..., i Repeats
AREA Valuation
( Sq. Ft.) Multiplier
1100 citv est
65
1
cb By Ordinance
... ·--;-1
0 Complete Review
D Other
D Hourly
EsGII Fee
Reg. VALUE
Mod.
D Structural Only
1------IIHr. @ *
Comments: In addition to the above fee, an additional fee of$
$ /hr.) for the CalGreen review.
($)
38,012
38,012
$336.091
$218.461
$191.571
is due ( hour@
Sheet 1 of 1
City of Carlsbad cbR2018-0437
Mar 6, 2018
• PLANS
1. Please make all corrections, as requested in the correction list. Submit FOUR new
complete sets of plans for commercial/industrial projects (THREE sets of plans for
residential projects). For expeditious processing, corrected sets can be submitted in
one of two ways:
1. Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad
Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602-2700. The City
will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire
Departments.
2. Bring IWQ corrected set of plans and calculations/reports to EsGil Corporation, 9320
Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all remaining
sets of plans and calculations/reports directly to the City of Carlsbad Building Department for
routing to their Planning, Engineering and Fire Departments.
NOTE: Plans that are submitted directly to EsGil Corporation only will not be
reviewed by the City Planning, Engineering and Fire Departments until review by
EsGil Corporation is complete.
2. Permit application states detached patio cover, but plan show an attached patio
cover, please clarify.
3. New area on A-1 states 60-sqft addition.
4. All sheets of plans to once again be signed by the person responsible for their
preparation on re-submittal. (California Business and Professions Code).
5. Note occupancy type on building information section on the cover sheet of the
plans. (R-3/U?)
6.
7.
• FIRE PROTECTION
Please indicate on the plans whether the existing residence has a fire sprinkler
system installed. If so, then provide a note stating that any additions/alterations will
be provided with an automatic residential fire sprinkler system. Section R313.2.
Show locations of permanently wired smoke alarms with battery backup, per
Section R314:
a) Inside each bedroom.
b) Outside each separate sleeping area in the immediate vicinity of the
bedrooms.
c) Such smoke alarm locations shall comply with the following:
i) They shall be not less than 3' from the door opening of a bathroom.
ii) They shall be at least 20' from a cooking appliance.
iii) They shall be at least 3' from supply registers of heating/cooling
systems.
iv) They shall be at least 3' from the tip of the blade of a ceiling-mounted
fan.
-City of Carlsbad cbR2018-0437
Mar 6, 2018
• NOTE: When more than one smoke alarm is required to be installed, the alarm
devices shall be interconnected in such a manner that the actuation of one
alarm will activate all of the alarms in the unit.
8. In existing buildings, when alterations, repairs or additions requiring a permit occur
(or when one or more sleeping rooms are added), the dwelling unit shall be
provided with smoke alarms located as required for new dwellings; the smoke
alarms shall be interconnected and hard wired. Exception: Smoke alarms in existing
areas need not be interconnected and hard wired where the alterations or repairs
do not result in the removal of interior wall or ceiling finishes exposing the structure,
unless there is an attic, crawl space, or basement available which could provide
access for hard wiring and interconnection without the removal of interior finishes.
Section R314.8.1.
9. In dwelling units within which fuel-burning appliances are installed (and in dwelling
units having attached garages), show the locations of permanently wired carbon
monoxide alarms with battery backup, per Section R315:
a) Outside each separate sleeping area in the immediate vicinity of the
bedrooms.
• NOTE: When more than one carbon monoxide alarm is required to be installed,
the alarm devices shall be interconnected in such a manner that the actuation of
one alarm will activate all of the alarms in the unit.
10, When alterations, repairs or additions are proposed for dwelling units within which
fuel-burning appliances are installed (and in dwelling units having attached
garages), the dwelling unit shall be provided with carbon monoxide alarms
located as required for new dwellings; the carbon monoxide alarms shall be
interconnected and hard wired. Exception: Carbon monoxide alarms in existing
areas need not be interconnected and hard wired where the alterations or repairs
do not result in the removal of interior wall or ceiling finishes exposing the structure,
unless there is an attic, crawl space, or basement available which could provide
access for hard wiring and interconnection without the removal of interior finishes.
Section R315.2.
• GENERAL RESIDENTIAL REQUIREMENTS
11. Not sure if plans are showing remodeling work at existing residence of if new
outlines are drafting errors. Please clarify all working being proposed on
resubmittaL
12. Glazing in the following locations should be shown on the plans as safety glazing
material in accordance with Section R308.4:
a) Glazing in doors.
•City of Carlsbad cbR2018-0437
Mar 6, 2018
13. Specify on the plans the following information for the roof materials, per Section
R106.1.1:
a) Manufacturer's name and product name/number.
b) ICC approval number, or equal.
• FOUNDATION REQUIREMENTS
14. Note on plans that surface water will drain away from building and show drainage
pattern. The grade shall fall a minimum of 6" within the first 10 feet (5%) or 2% for
impervious surfaces. Section R401.3.
15. Please dimension foundation width on 3/A-6.
16. It appears that detail 2/A-6 should be for a perimeter footing detail. A capillary break
must be shown at slab breaks from indoor from outdoors.
17. It is not clear how underpinning will be achieve based on detail provided. please
clarify new and existing sections of foundation and if rod/dowel connection to
existing foundation.
• STRUCTURAL
18. Clarify roof framing work at main residence addition. Provide existing roof framing
condition and proposed roof framing. Note on the plans if existing framing are
trusses and clarify bearing location for framing.
19. Provide strap ties at discontinuous top plates.
20. Is section A-A on A-5 the same as section 2 shown above framing plans?
21. Specify nail size and spacing for the floor diaphragms on the plans. Table
R602.3(1). Specify plywood, grade and panel span rating. Table R503.2.1(1)
22. Show double top plate with minimum 48" lap splice. Section R602.3.2.
23. Show blocking size at ends and at supports of floor joists, rafters and trusses at
exterior walls. Section R502.7.
24. Please dimension eave overhang.
25. No calculations were submitted for the lateral stability of attached patio covers. If
applies: Show knee brace detail to reflect size of knee brace, number and size of
connections i.e. lag bolts with minimums depth of penetration noted or thru bolt size
and spacing etc.
26. Provide and reference face framing for patio cover exterior and outlook framing.
Detail and note framing plywood, nailing schedule, etc.
-City of Carlsbad cbR2018-0437
Mar 6, 2018
27. Provide and reference detail for 2x6 outlooks connection to 6x rafters.
28. You have chosen to use the conventional construction bracing provisions outlined
in the CRC. Provide documentation to show that the plans comply with the Braced
Wall provisions of Section R602.10. Include the following:
a) A checklist to show that the building is not "irregular," as defined in Section
R301.2.2.2.5.
b) Documentation to show there are sufficient Braced Wall Lines in the
building, per Section R602.10.1.
c) Documentation to show there are sufficient Braced Wall Panels in each
Braced Wall Line, per Section 602.10.1.1. Be sure to include all length
factor adjustments from Section 602.10.
d) If the above items cannot be provided or if the building does not satisfy
the conventional bracing provisions, then provide design calculations
from a licensed Engineer or Architect to show compliance.
29. No ridge is shown on detail 2/A-5.
30. The plans shall indicate that special inspection will be provided for the following
work. (CBC Chapter 17 and Section 107.2)
a) Expansion/Epoxy anchors. Periodic special inspection should be provided
for anchors installed in hardened concrete. Section 1705.3.
• MECHANICAL, ELECTRICAL
31. Please provide listing information for the outdoor cooking appliance, to verify
clearance to combustibles and overhead protection. If this is an unlisted appliance,
it cannot be installed beneath a combustible overhead. CMC Section 921.0.
32. Show on the plans that countertop receptacle outlets comply with CEC Article
210.52(C): In kitchens a receptacle outlet shall be installed at each counter space
12 inches or wider; Receptacles shall be installed so that no point along the wall
line is more than 24 inches; Island and peninsular countertops 12 inches by 24"
long (or greater) shall have at least one receptacle. (Counter top spaces separated
by range tops, refrigerators, or sinks shall be considered as separate counter top
spaces).
City of Carlsbad cbR2018-0437
Mar 6, 2018
33. Include on the plans the following specifications for electrical devices installed in
dwellings: CEC Article 210 & 406
a) Tamper resistant receptacles for all locations described in 210.52 (i.e., all
receptacles in a dwelling).
b) Weather resistant type for receptacles installed in damp or wet locations
(outside).
c) Arc-fault protection for all outlets (not just receptacles) located in rooms
described in NEC 210.12(A): Kitchens, laundry areas, family, living,
bedrooms, dining, halls, etc.
d) GFCI protected outlets for locations described in NEC 210.8(A): Laundry
areas, kitchen dishwashers, kitchens, garages, bathrooms, outdoors,
within 6' of a sink, etc.
• RESIDENTIAL GREEN BUILDING STANDARDS
The California Building Standards Commission has adopted the Green Building Standards
Code and must be enforced by the local building official. The following mandatory
requirements for residential construction must be included on your plans. CGC Section
101.3. The Standards apply to newly constructed residential buildings, along with
additions/alterations that increase the building's conditioned area, volume or size. CGC
Section 301.1.1. Provide a sheet on the plans labeled "Green Building
Code Requirements" and include the following notes as applicable.
34. Indoor water use. Show compliance with the following table, per CGC Section
4.303.1.
FIXTURE FLOW RATES
FIXTURE TYPE MAXIMUM FLOW RA TE
Water closets 1.28 gallons/flush
Showerheads 2 gpm@80 psi
Lavatory faucets 1.2 gpm@60 psi1
1. Lavatory faucets shall not have a flow rate less than 0.8 gpm at 20 psi.
35. Recycling. Note on the plans that a minimum of 65% of construction waste is to
be recycled. CGC Section 4.408.1.
36. Recycling. Note on the plans that the contractor shall submit a Construction
Waste Management Plan, per CGC Section 4.408.2.
37. Pollutant control. Note on the plans that during construction, ends of duct
openings are to be sealed, and mechanical equipment is to be covered. CGC
Section 4.504.1.
. City of Carlsbad cbR2018-0437
Mar 6, 2018
38. Pollutant control. Note on the plans that VOC's must comply with the limitations
listed in Section 4.504.3 and Tables 4.504.1, 4.504.2, 4.504.3 and 4.504.5 for:
Adhesives, Paints and Coatings, Carpet and Composition Wood Products. CGC
Section 4.504.2.
39. Interior moisture control. Note on the plans that concrete slabs will be provided
with a capillary break. CGC Section 4.505.2.1.
40. Interior moisture control. Note on the plans that the moisture content of wood
shall not exceed 19% before it is enclosed in construction. The moisture content
needs to be certified by one of 3 methods specified. Building materials with visible
signs of water damage should not be used in construction. The moisture content
must be determined by the contractor by one of the methods listed in CGC Section
4.505.3.
41. Indoor air quality. Note on the plans that bathroom fans shall be Energy Star
rated, vented directly to the outside and controlled by a humidistat. CGC 4.506.1.
42. Note on the plans that prior to final inspection the licensed contractor, architect or
engineer in responsible charge of the overall construction must provide to the
building department official written verification that all applicable provisions from
the Green Building Standards Code have been implemented as part of the
construction. CGC 102.3.
• ENERGY CONSERVATION
43. For plans submitted for plan check on or after 1/03/17, provide an energy design
detailing compliance with the Mandatory Measures and either the Performance or
Prescriptive Methods of compliance. The Prescriptive design and the latest
Performance software programs are available at:
http://www.energy.ca.gov/title24/2016standards/index.htm1
44. A complete energy plan check will be performed after completed and/or the
corrected energy design has been provided.
45. Include all applicable sections of the (MF1 R) RMS-1 form or the specifications
contained thereon with the plans.
Residential Energy Lighting Requirements: ES 150.0(k)
46. All installed luminaires shall be high-efficacy in accordance with ES TABLE 150.0-
A. Light sources that are not marked "JA8-2016-E" shall not be installed in enclosed
luminaires. ES 150.0(k)
47. In bathrooms, garages, laundry rooms, and utility rooms at least one luminaire shall
be controlled by a vacancy sensor.
48. Dimmers or vacancy sensors shall control all LED style luminaires. Two exceptions:
Fixtures installed in hallways or (closets under 70 square feet).
City of Carlsbad cbR2018-0437
Mar 6, 2018
49. Recessed can light fixtures shall be IC listed, air-tight labeled, and not be equipped
with a standard medium base screw shell lamp holder. ES 150.0(k)
50. Alternations
When replacing or modifying the mechanical system:
o If more than 40' of new ductwork is installed in unconditioned space, HERS
inspection is required for both existing and new duct sealing.
o Replacement of mechanical equipment (air handler, condensing unit of an air
conditioner or heat pump, cooling or heating coil, or the furnace heat exchanger)
requires HERS inspection.
o Note: The CF1R-ALT-HVAC form may be submitted at the final inspection, it is
not required at initial plan submittal.
• MISCELLANEOUS
51. If special inspection is required, the designer shall complete the city's "Special
Inspection Agreement" attached at end of list.
52. If CalGreen requires a Waste Management Plan, the applicant shall submit the
Carlsbad special form attached at end of list.
53. To speed up the review process, note on this list (or a copy) where each correction
item has been addressed, i.e., plan sheet, note or detail number, calculation page,
etc.
54. Please indicate here if any changes have been made to the plans that are not a
result of corrections from this list. If there are other changes, please briefly
describe them and where they are located in the plans.
• Have changes been made to the plans not resulting from this correction list?
Please indicate:
Yes □ No □
55. The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake
Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468,
to perform the plan review for your project. If you have any questions regarding
these plan review items, please contact Rich Moreno at EsGil Corporation. Thank
you.
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 t-.1AY 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 TI-IE 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 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.
11 G()J le':, c 1,, ;£1 b()(r'7
O~:~{S)j~~E (PRINT)
.,_,._ ,;iX.)i,,.. ___ ·--•---. ----· ..... ' ...... ; ... , .... '.,... ....... \ J,n-1$_
DATE
E-29
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP
RECEIVED
FEB 2 1 2018
CITY OF CARLSBAD
QuR2D1i 04~~
BEST MANAGEMENT PRACTICES (B~~~,;j~'f~L~N
Erosion Control
BMPs Sediment Control BMPs Tracking I Non-Slonn Water I Waste Management and Materials
Control BMPs Management BMPs Pollution Control BMPs
Best Management Practice*
(BMP) Description ➔
CASQA Designation ➔
Construction Activity
Grading/Soil Disturbance
Trenching/Excavation
Stockpiling
Drilling/Boring
Concrete/Asphalt Sawcutting
")(I Concrete Flatwork
Paving
Conduitif>ipe Installation
XI Stucco/Mortar Work
YI Waste Disposal
Staging/Lay Down Area
Equipment Maintenan<:_e and Fuelina
Hazardous Substance Use/Storaae
Dewatering
Site Access Across Dirt
Other Uisil:
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Instructions: 1. Check the box to the left of all applicable construction activity (first column) expected to occur during construction.
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2. Located along the top of the BMP Table is a list of BMP's with it's corresponding California Stormwater Quality Association (CASQA) designation number. Choose one
or more BMPs you intend to use during construction from the list. Check the box where the chosen activity row intersects with the BMP column.
3. Refer to the CASQA construction handbook for information and details of the chosen BMPs and how \o apply them to the project.
PROJECT INFORMATION
Site Address: 2 8 ~ S )/,i +c. A, ck vr.,
I
Assessor's Parcel Number: .2. 5 5 -:?. 11 -I ).. -o t>
Emergency Contact:
Name: -f l, o ..,,, ~ ,1 J:: VVel b Otre:f
24 Hour Phone: 76 0 6 ls 6 I 1?
Construction Threat to Storm Water Quality
(Check Box)
□ MEDIUM □ LOW
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Page 1 of 1 REV 11/17