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Home My WebLink About2634 LEVANTE ST; ; CBR2020-2809; PermitBuilding Permit Finaled Residential Permit Print Date: 05/21/2021 Job Address: 2634 LEVANTE ST, CARLSBAD, CA 92009-8118 Permit Type: BLDG-Residential Work Class: Parcel#: 2162202700 Track#: Valuation: $34,786.96 Lot#: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: ProjectTitle: Description: KOCH: 664 SF POOL AND SPA Applicant: JOHN KORELICH 35110 TH AVE ESCONDIDO, CA 92025 (760) 212-2877 FEE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Property Owner: OWNER KOCH BRENT R 2634 LEV ANTE ST 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 Pool Total Fees: $937.52 Total Payments To Date: $937.52 (city of Carlsbad Permit No: CBR2020-2809 Status: Applied: Issued: Finaled Close Out: Inspector: Final Inspection: Contractor: Closed -Finaled 11/02/2020 11/24/2020 TAlva 05/21/2021 OCEAN BLUE POOLS AND LANDSCAPE INC 810 LOS VALLECITOS BLVD, # STE D SAN MARCOS, CA 92069-1446 (760) 803-9747 Balance Due: AMOUNT $310.00 $217.00 $41.00 $62.00 $2.00 $4.52 $246.00 $55.00 $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications1 reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Building Division Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov ✓r::_ ____________ _ ( City of Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Job Address ;?",-+ .J..eVtNIJ: c::;rt, Suite: ___ APN: :2: j(p-'2.~-Z'":7 -a:, CT/Project #: _______ ......:...l ..:..1'......:.... _._(!>"-1B""l-"'--=--'l:f,.__ Lot#: ~10 Fire Sprinklers: OYES 6r'No Air Conditioning: 0 YES @'NO Electrical Panel Upgrade:O YES ~O BRIEF DESCRIPTION OF WORK: 0 Addition/New: _____ ,Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF Is this to create an Accessory Dwelling Unit? 0 YON New Fireplace? 0 YON, if yes how many? __ 0 Remodel: ____ SF of affected area Is the area a conversion or change of use? 0 Y ON @ool/Spa: i,~4 SF Additional Gas or Electrical Features? ____________ _ osolar: ___ KW, ___ Modules, Mounted:ORoofOGround, Tilt:O vo N, RMA:OvON, Battery:Ov ON, Panel Upgrade: Ov ON .. D Reroof: ___________________________________ _ 0 Plumbing/Mechanical/Electrical Only: _________________________ _ D Other: ________________________________ _ DESIGN--;;tSSIONAL Name: l±t9 ~1.-\.t#- Address: ?.,-i::,t w.tP Ne . City: ~C&Nt'.>IW 2ate:CA • Zip: 4?t)zr::, Phone:~ ~t'f Email: ~t,J • ~ Architect State License: C.-"'.\ ~Tlp CONTRACTOR BUSINESS Name: ~::1'.44=: ~ I~· Address:~ Y.f1 \t'"C~ ~- Ci~...:c.:..z..-'-L..Jo=:::...,c._State:CA •Zip: q Phone:~~~? Email:\ 3Q.e_y%?, State License: -r~e, II!>(~ Bus. License: - (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 h'.urby affirm under penalty of perjury= of the following declarations: 01 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. ~ve and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the perfo.rmance of the work for which this permit is issued. My workers' compensation ii).?urance carrier and policy number are: Insurance Company Name: -~O=i:<>=~k~~fi....,,~,~-~.\.,,~------------ Policy No. °f sl,3~A K:\ Expiration Date: (p { I /.2<2a..\ 0 Certificate of Exemption:! certify that in the performance of subject to the workers' compensation Laws of California. WARN criminal penalties and civil fines up to $100,000.00, in addition interest and attorney's fees. CONTRACTOR SIGNATURE: ( OPTION B ): OWNER-BUILDER DECLARATION: whic his permit is issued, I shall not employ any person in any manner so as to be come re workers compensation coverage is unlawful, and shall subject an employer to mpensatlon, damages as provided for in Section 3706 of the Labor Code, AGENT DATE/ti-2~ -ZC) I hereby affirm that I am exempt from Contractor's License Law for the following reason: 01, 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. lf, however, the building or improvement is sold within one year of completion, the owner-builder wm have the burden of proving that he did not build or improve for the purpose of sale). 01, 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(sl licensed pursuant to the Contractor's License Law). 01 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. QYES ONo 2. ! (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. ! 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. ! 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: _____ _ I hereby affirm th is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name: -l"'J.-1-.'J':t------------------Lender's Address: ____________________ _ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? I Yes/ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes/ No Is the facility to be constructed within 1,000feet of the outer 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 ANO THE AIR POLLUTION CONTROL DISTRICT. APPLICANT CERTIFICATION: I certify that 1 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 a!! City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon t HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMEN THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is requ red fore EXPIRATION: Every permit issued by the Building Official undert e provis ns of i by such permit is not commenced within 180 days from the date of such the work is commenced for a period of 180 days. CBC section 1 5. APPLICANT SIGNATURE: entioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP NO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF er 5'0' deep and demolition or construction of structures over 3 stories in height ode shall expire by limitation and become null and void if the building or work authorized the building or work authorized by such permit is suspended or abandoned at any tlme after DATE,lt? -e~-w 1635 Faraday Ave Carlsbad, CA 9 8-1 Page 2 of 2 Email: Building@carlsbadca.gov Rev. 06/18 Permit Type: BLDG-Residential Work Class: Pool Status: Scheduled Date Closed -Finaled Actual Inspection Type Start Date Checklist Item Application Date: 11/02/2020 Issue Date: 11/24/2020 Expiration Date: 10/12/2021 IVR Number: 29697 Inspection No. COMMENTS Inspection Status Owner: OWNER KOCH BRENT R Subdivision: LA COSTA SOUTH UNIT #4 Address: 2634 LEVANTE ST CARLSBAD, CA 92009-8118 Primary Inspector Reinspection Inspection Passed BLDG-Building Deficiency April 13, 2021: (Virtual inspection). Yes 05/21/2021 05121/2021 BLDG-Final Inspection Checklist Item BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Friday, May 21, 2021 (No swimming pool/building deficiencies). 1. Perimeter yard fencing, side yard gates, and doors with alarms leading out to pool area, scope of work-approved. 2. Equipotential pool bond wire verified at (4)-pool perimeter location points around pool-verified. 157849-2021 COMMENTS May 21, 2021: Passed Tony Alvarado 1. No swimming pool and spa/Building Deficiencies. 2. Final lnspection-lnground, steel reinforcement-engineered, structural, electrical, plumbing, and mechanical scope of pool and spa work-approved per plans. May 21, 2021: 1. No swimming pool and spa/Building Deficiencies. 2. Final lnspection-lnground, steel reinforcement-engineered, structural, electrical, plumbing, and mechanical scope of pool and spa work-approved per plans. May 21, 2021: 1. No swimming pool and spa/Building Deficiencies. 2. Final lnspection-lnground, steel reinforcement-engineered, structural, electrical, plumbing, and mechanical scope of pool and spa work-approved per plans. May 21, 2021: 1. No swimming pool and spa/Building Deficiencies. 2. Final lnspection-lnground, steel reinforcement-engineered, structural, electrical, plumbing, and mechanical scope of pool and spa work-approved per plans. Complete Passed Yes Yes Yes Yes Page 4 of 4 Application Date: 11/02/2020 Owner: OWNER KOCH BRENT R Permit Type: BLDG-Residential Work Class: Pool Issue Date: 11/24/2020 Subdivision: LA COSTA SOUTH UNIT #4 Status: Closed -Finaled Expiration Date: 10/12/2021 IVR Number: 29697 Address: 2634 LEVANTE ST CARLSBAD, CA 92009-8118 Scheduled Date Actual Inspection Type Start Date Inspection No. Inspection Status Primary Inspector Reinspection Inspection Checklist Item BLDG-Building Deficiency COMMENTS January 2021: (Virtual inspection). "No building deficiencies" 1. Electrical equipotential pool bond attachments to new deck steel rebar reinforcement, running along entire perimeter of pool, bonded at four points locations, scope of work -approved. 2. New gas line, under air pressure test, with gas gauge, new tracer wire wrapped around new gas line, New gas line p.o.c. at two rear yard locations, scope of work-approved. BLDG-54 Equipotential Bond(Pools) 148783-2021 Passed Tony Alvarado Checklist Item BLDG-Building Deficiency BLDG-Building Deficiency COMMENTS January 2021: (Virtual inspection). "No building deficiencies" 1. Electrical equipotential pool bond attachments to new deck steel rebar reinforcement, running along entire perimeter of pool, bonded at four points locations, scope of work -approved. 2. New gas line, under air pressure test, with gas gauge, new tracer wire wrapped around new gas line, New gas line p.o.c. at two rear yard locations, scope of work-approved. December 14, 2020: 1. Pool excavation engineer steel reinforcement rebar scope of work per pool engineers plans and detail specifications-partial pass. 2. Required upslope Pool Wall surcharge, steel rebar reinforcement engineering detail specifications required, in pool packet documentations, on-site. 3. Informed pool contractor owner, regarding "Stapleton pool engineering" upslope pool wan surcharge detail required at next inspection. 4. Pool plumbing and electrical conduit scope of work-approved. 5. Partial Pass for equipotential pool bond wire tails/stubbed-out, scope of work - partial pass. Contractor request it to be noted regarding partial pass for equipotential pool bond wire tails, on permit inspection record card and computer system. 04113/2021 04113/2021 BLDG-55 154731-2021 Passed Tony Alvarado Fence/Preplaster Friday, May 21, 2021 Passed Yes Complete Passed Yes Yes Complete Page3of4 * :-~ ~ * t ---PERMIT INSPJ:CTION HISl:OQY for (CBR2020-2809) Permit Type: BLDG-Residential Work Class: Pool Status: Scheduled Date Closed -Finaled Actual Inspection Type Start Date Checklist Item Application Date: 11/02/2020 Owner: OWNER KOCH BRENT R Issue Dato: 11/24/2020 Expiration Date: 10/12/2021 IVR Number: 29697 Inspection No. COMMENTS Inspection Status Subdivision: LA COSTA SOUTH UNIT #4 Address: 2634 LEVANTE ST CARLSBAD, CA 92009-8118 Primary Inspector Reinspection Inspection Passed BLDG-Building Deficiency December 14, 2020: Yes BLDG-54 Equipotential Bond(Pools) Checklist Item 1. Pool excavation engineer steel reinforcement rebar scope of work per pool engineers plans and detail specifications-partial pass. 2. Required upslope Pool Wall surcharge, steel rebar reinforcement engineering detail specifications required, in pool packet documentations, on-site. 3. Informed pool contractor owner, regarding "Stapleton pool engineering" upslope pool wall surcharge detail required at next inspection. 4. Pool plumbing and electrical conduit scope of work-approved. 5. Partial equipotential pool bond wire tails/stubbed-out, scope of work -partial pass. 146292-2020 Partial Pass Tony Alvarado COMMENTS BLDG-Building Deficiency December 14, 2020: 01/21/2021 01/21/2021 BLDG-23 Gas/Test/Repairs Friday, May 21, 2021 1. Pool excavation engineer steel reinforcement rebar scope of work per pool engineers plans and detail specifications-partial pass. 2. Required upslope Poot Wall surcharge, steel rebar reinforcement engineering detail specifications required, in pool packet documentations, on-site. 3. Informed pool contractor owner, regarding "Stapleton pool engineering" upslope pool wall surcharge detail required at next inspection. 4. Pool plumbing and electrical conduit scope of work-approved. 5. Partial Pass for equipotential pool bond wire tails/stubbed-out, scope of work - partial pass. Contractor request it to be noted regarding partial pass for equipotential pool bond wire tails, on permit inspection record card and computer system. 148935-2021 Passed Tony Alvarado Relnspection Incomplete Passed Yes Complete Page 2 of 4 Building Permit Inspection History Finaled (city of Carlsbad Permit Type: Work Class: Status: Scheduled Date 12/14/2020 BLDG-Residential Pool Closed -Finaled Actual Inspection Type Start Date 12/14/2020 BLDG-51 Excav/Steel{Pools) Checklist Item Application Date: Issue Date: Expiration Date: IVR Number: Inspection No. 146116-2020 COMMENTS 11/02/2020 11/24/2020 10/12/2021 29697 Inspection Status Owner: OWNER KOCH BRENT R Subdivision: LA COSTA SOUTH UNIT #4 Address: 2634 LEVANTE ST CARLSBAD, CA 92009-8118 Primary Inspector Reinspection Inspection Partial Pass Tony Alvarado Reinspectlon Incomplete Passed BLDG-Building Deficiency December 14, 2020: Yes 1. Pool excavation engineer steel reinforcement rebar scope of work per pool engineers plans and detail specifications-partial pass. 2. Required upslope Pool Wall surcharge, steel rebar reinforcement engineering detail specifications required, in pool packet documentations, on-site. 3. Informed pool contractor owner, regarding "Stapleton pool engineering" upslope pool wall surcharge detail required at next inspection. 4. Pool plumbing and electrical conduit scope of work-approved. 5. Partial equipotential pool bond wire tails/stubbed-out, scope of work -partial pass. BLDG-52 Pool Plumbing 146291-2020 Passed Tony Alvarado Checklist Item BLDG-Building Deficiency COMMENTS December 14, 2020: 1. Pool excavation engineer steel reinforcement rebar scope of work per pool engineers plans and detail specifications-partial pass. 2. Required upslope Pool Wall surcharge, steel rebar reinforcement engineering detail specifications required, in pool packet documentations, on-site. 3. Informed pool contractor owner, regarding "Stapleton pool engineering" upslope pool wall surcharge detail required at next inspection. 4. Pool plumbing and electrical conduit scope of work-approved. 5. Partial equipotential pool bond wire tails/stubbed-out, scope of work -partial pass. BLDG-53 Elec/Conduit/Wlrlng(Po ols) 146290-2020 Passed Tony Alvarado Complete Passed Yes Complete Friday, May 21, 2021 Page 1 of 4 STORM WATER POLLUTION PREVENTION NOTES 1. A1..L NECESSARY EQUIPMENT ANO MATERIALS SHALL BE AVAILABLE ON S!TE TO FAOUTATE RAPID INSTALLATION Of EROSION ANO SEDIMENT CONTROL BMPs 'M-IEN RAIN IS EMINENT. 2. THE O~ER/CONffiACTOR Sl-lAll RESTORE All EROSION CONTRCl.. OEvlCES TO YK)RKING ORDER TO THE SATISFACTION OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING RAINFALL. 3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION CONffiOL MEASURES AS MAY BE REQUIRED BY lHE CITY INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR UNFORESEEN ORCUMSTANCES WHICH MAY ARISE. 4. ALL REMOVABLE PROTECllVE DEVICES SHALL BE IN PLACE AT THE END OF EAQ-l WOOKING DAY WHEN THE F1VE (5) DAY RAIN PROBABILITY FOOECAST EXCEEDS FORTY PE CENT ( 40%). SILT AND omrn 0£BRIS SHALL BE REMOVED AFTER EACH RAINFALL. 5. ill GRAVEL BAGS SHALL COHAIN 3/4 INCH t.-11NIMUM AGGREGATE. 6. ADEQUATE EROSION ANO SEDIMENT CONTROL ANO PERIIAE1ER PROTECTION BEST f.lANAGEMENT PRACTICE ~EASURES MUST BE INSTALLED AND MAINTAINED. 7. THE QTY INSPECTOR SHALL HAVE TH[ AUTHORITY TO AL lER THIS PLAN DURING 00 BEFORE CONSTRUCTION AS NEEDED TO ENSURE COMPLIANCE WITH QTY STORM WATER QUAUTY REGULATIONS. OWNER'S CERTIFJC'.ATE: I UNDERSTAND AND ACKNO'M..EDGf THAT I MUST: (1) I1.iPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSlRUCTION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID THE MOOIUZATION OF POO.UTANTS SUCH AS SEDIMENT AND TO AVOID THE EXPOSURE OF STCRM WA1£R TO CONS1RUCTION RELATED POLLUTANTS; AND (2) ADHERE TO, AND AT ALL TIMES, COMPLY WITH THIS aTY APPROVED TIER 1 CONSTRUCTION SwPPP THROUGHOUT THE OURATIOO Of THE CONSTRUCTION ACTIVITIES UNTIL nlE ~STRVCTION WORK IS COMPl.£1E AND APPROVED BY THE CITY CF CARLSBAD. OYINER(s)/o~ER1S AGENT NAME (PRINT) OViNER(S)/OViNER S AGENT NAME (SIGNATURE) E-29 DAT£ STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 CB1<1oZO-?-~ SW BEST MANAGEMENT PRACHCES (BMP) SELECTION TABLE Best Management Practk:e* (BMP) Descriplkln ➔ CASQA Des~nation ➔ CoostructOO ActNlty Grodr'lg/Soil Disturb(J"lce T reochinq/Excovotion ~ □riling/Boring Concrete/Asphalt Sowcuttlng Concr!;!k_Ilotwork Povhg Conduit l e Installation Stucco Of"tar Wark Woste Di~sol S!~ D9wn Arco Equipment Waintenonce ond Fuelino Hozcrdous Substance U5e~toroqe Dewoterino Site Access Across Dirt Other (list): Instructions: Emsloo Conlrol BMPs -il ~ a, -g C Ii C 0"0 . £ ;Ji 1 j ~ 2i g' . -g ~-~ €t i wQ in ~100 ' ' ~ ~ ~ ~ ~ Sediment Control BMPs g 1- c. ~go-~~ e m·g-::-·11-E "'.,. ;°'~ '-' C g 'a ~ vi·s "" ~-~~~].:~,§ _,-.:,111_8a~uc vi ~ 0 c;: Q_ vig ~ -1n1~1~1oo I I I I I IL.I IL.I IL.I 4J IL.I Vl VI Vl Vl Vl ~ I 00 ' ' ~ ~ .x ,. X ),( C ~2 g~ via: 0 :L ~ r....,, CootrolBMPs ~ ! ] ] . ~ . ,§ f ,§ "2~ 1l >-~ :l J:! ~ :g f '.g] vi.E vi& ,1'/ IS IS -W"6< l,tanag&rl\ent BMPs :8 • ~ 8~ !] ~ C ~j'g i .s .2' E ~ t: .e. ~ ~ ~ ~ ~ ~ -g o Q 0 .,.15 i ..!!.lr -~ I) .3 ] l; C O <II Q> o. o Cl... >D n 1~ J, J, z z 00 J, z ~ 6 • ~ lf 2~ ' i! Waste Management and Materials Polll\kln Control BMPs C i 6 O C C .Q • 0 - 0 " C ::) QI f 0 = ~-"ii "tt Cl... _g j ~ Q,J Nini~ ' ' ' jl i' i! i ~~ !i i ~ i ~ 0, "E 0, ~ g I:: g 0 Cl <:> Cl Vl ::I" J: ::I!! '? i! 00 ' i' 1. Check the box to the left of oil applicable construction octi"ity {first column) expected to occur Wring ccmtruction. 2. located along the too of the BMP Tobie is o list of BWP's with it's corresponding California Stormwoter Quolity Association (CASQA) de:iignotion number. Choose one or more BMPS you in'tend to use during constructicn 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 ood details of the chos.en BMPs and how to apply them to the project. SHOW THE LOCATIONS OF ALL CHOSEN BMPs ABOVE ON THE PROJECTS SITE PLAN/EROSION CONTROL PLAN. SEE THE REVERSE SIDE OF THIS SHEET FOR A SAMPLE EROSION CONffiOL PLAN. PROJECT INFORMATION s,,, '""'"" 2\.Q 5-4-t.gvo,m~ Assessor's PIJl'cel Number: --~----- Emergency ~ct: · ,. <om•Uoba KQrQl AC lC\ 24 Ho,c Phono7~ -G,l 2.-2o 11 Con,truction Threat to Storm Water Quality (Check Box) ~l.lEDIUt.l □ LOW ii •E ~gl 65 U2 ., ' ii! Page 1 of 1 REV D2/16 '5-~