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HomeMy WebLinkAbout1590 MARBRISA CIR; ; CBC2022-0082; PermitBuilding Permit Finaled
(city of
Carlsbad
Commercial Permit
Print Date: 12/20/2022 Permit No: CBC2022-0082
Job Address: 1590 MARBRISA CIR, CARLSBAD, CA 92008 Status: Closed -Finaled
Permit Type: BLDG-Commercial Work Class: Tenant Improvement
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
2111312300 Track#:
$0.00 Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Applied: 03/10/2022
Issued: 04/01/2022
Finaled Close Out: 12/20/2022
Final Inspection: 12/13/2022
INSPECTOR: Alvarado, Tony
Renfro, Chris
Description: GRAND PACIFIC MARBRISA: VENTS ADDED AT UNDERSIDE OF (E) EXTERIOR SOFFIT
Applicant: Property Owner:
DANTALANT
4990 N HARBOR DR, # 201
SAN DIEGO, CA 92106-2371
(858) 736-1508
GRAND PACIFIC PALISADES OWNERS
ASSOCIATION INC
FEE
BUILDING PLAN CHECK
5900 PASTEUR CT, # 200
CARLSBAD, CA 92008
BUILDING PLAN REVIEW -MINOR PROJECTS (LOE)
BUILDING PLAN REVIEW-MINOR PROJECTS (PLN)
MECH : OTHER COMPLEX MECHANICAL
Total Fees: $971.80 Total Payments To Date: $971.80
Contractor:
MC CONTRACTING
504JONES RD
OCEANSIDE, CA 92058-1218
(760) 433-7700
Balance Due:
AMOUNT
$267.80
$194.00
$98.00
$412.00
$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City M anager 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 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
(cityof
Carlsbad
Job Address 1590 Marbrlsa Circle (VIiia 58)
COMMERCIAL
BUILDING PERMIT
APPLICATION
B-2
Plan Check t/3{, 2(, 72 ~ (jJll
Est. Value
PC Deposit
Date 3 }tcJ/Z.L
Suite: Muldpte APN: 211-131-07
Tenant Name#: Grand Pacific MarBrisa Owners Association, Inc. Lot 1#:,_N_IA ___ Vear Bullt: .;2;,;01,;,;:3;,._ ______ _
Vear Built: 2013 Occupancy:._R_-2 __ Construction Type:~ fire sprlnklers@'ESQNO A/C:(:')vesQNo
BRIEF DESCRIPTION Of WORK: VENTS ADDED AT UNDERSIDE OF EXISTING EXTERIOR SOFFIT FOR VENTILATION AND TO FACILITATE
EXTERIOR ELEVATED ELEMENT ("EEE") INSPECTIONS ·o Addition/New: New SF and lJ~e, _________ NeW SF and Use
-
______ SF Deck VENTS ADOEl> ATJ.!!mEBSiDE OF EXISTING ~gJ];RIOR SOFFIT FOR VfflJn,.AJJ.QN, :lfy),~---' -ANP TO FACILITATE ElCTeRIOR ELEVATED ELf,;MEl{Tf'EEE'J INSPECTIONS -
Orenant Improvement: _____ SF, Existing Use; _______ Proposed Use: ______ _
_____ SF, Existing Use: Proposed Use; ______ _
0 Pool/Spa:. _____ SF Addltlonal Gas or Electrlca1Features7 ____________ _
D Solar: KW, Modules, Mounted: 0Roof 0Ground 0 Reroof•._, ______ ....., ___________________________ _
0 Plumblng/Mechanlcal/Elect;lcal
[Z] Other: WATERPROOFING AND FR~MINC3 REPAIRS AT EXISTING BUILDING
PRIMARY APPLICANT
Name: fl11n 'l'alanl. NOAA Gmup In~
Address: •000 N. HllibqrOr.
City: Sall otaJ10 State:_c_A __ .Zlp: 92100
Phone: (868) 738·1608
Email: dant@noaainc.com
DESIGN PROFESSIONAL
Name: Joseph Hllosek, NOAA Group In.
Address: 4990N. Hlllbot Or.
City: San Otego State:_c_A __ Zlp: 92106
Phone: 819-2117-8066
Email: Jch@l1Claalnc.com
PROPERTY OWNER
Name: Grand Pacmc MarBnsa Owners Association, tnc.
Address: 1684 MlirBllaa Cll'ilfQ
City: c1rlsblld
Phone· 1Go-131-.,&oo
Email: hernold@tpra,orta.com
CONTRACTOR OF RECORD
State._• c_A __ ,Zlp: 92006
Business Name:._M_c_· _eo_n_rract=in;;a:·P-----------
Addre~ 504 Jones Road
City
Phone:.
Email:.
Oceanside .. ---"State CA
760.433. 7700
JasonP@mc-ooo1r.u:=1!ng.;z;;;.com:;;.;;. _________ _
Architect State License: c19•24 CSLB License#: s1as20 Class ___ e ____ _
Carlsbad Business License# (Required): BLoso11012-01-2022
APPLICANT CERT/FICA TION: I certify ehatl have read the appllcattonandstate that theabove fnformatlon ls correct and that the
Information on the plans lsaccurate. layreetocompty with all City ordinances and State laws relating to building
construction, · /0 ./!j
NAME (PRINT): Dan Talant SIG~ DATE: 31412022
1635 Fmday Ave C1rlsbtld,CA 92008 Ph: 760-602-2719Fax==~ Email: 8ujldlngdDcatlfbadg ~
REV. 07/21
THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _
A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON
SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO
PERMIT ISSUANCE.
(OPTION A): LICENSED CONTRACTOR DECLARATION:
lherebyaffirmunderpenaltyofperjurythatlamlicensedunderprovisionsofChapter9(commencingwithSection7000)ofDivision3
of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the
following declarations (CHOOSE ONE):
D1 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. Policy No •. _____________________________________ _
-OR-(!]1 have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which t his permit is issued.
My workers' compensation Insurance carrier and policy number are: Insurance Company Name: _F_ed_•_ra_11_ns_u_ra_nce_c_om...;.p_n...;•Y ____________ _
Policy No. 54326272 Expiration Date: _s,_112_2 _____________ _
-OR-
O certificate of Exemption: I certify. that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become
subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage is unlawful and shall subject an employer to
crlmlnal 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.
CONSTRUCTION LENOfNG 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: ___________________ _
CONTRACTOR CERT/FICA TION : I certify that I have read the application and st te that the above information is correct and that
the informationon the plans is accurate. I agree to comply with alt City or nces and State laws relattn . to building
construction.
-OR -
{OPTION B): OWNER-BUILDER DECLARATION:
I hereby affirm that: I am exempt from Contractor's License Law for the following reason: n I, as owner of the property or my employees with wages as their sole c:ompe-ruation, will do the work and the structure is not intended or offered for sale (Sec.
~4, Business and Professions Code: T,he C:Ontractor's License Law does not 1Jpply 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).
-OR-0 1, 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).
-OR-0 1 am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason:
AND,
D FORM B-61 "Owner Builder Acknowledgement and Verification Form" is required for any permit Issued to a property owner.
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the
improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed
contractors./ understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, ls available upon request when this applicat ion is
submitted or at the following Website: http: I l www.leginfo.ca.gov/calaw. html.
OWNER CERT/FICA TION: I 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.
NAME (PRINT): SIGN: DATE: ----------------------Note: If the person signing above is an authorized agent for the property owner Include form B-62 signed by property owner.
1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Fax: 760-602-8558 Email: Bulfdlr,g@c-.irlsbadca.goy
2 REV. 07/21
Building Permit Inspection History Finaled
{City of
Carlsbad
PERMIT INSPECTION HISTORY for (CBC2022-0082)
Permit Type: BLDG-Commercial Application Date: 03/10/2022 Owner: GRAND PACIFIC PALISADES OWNERS
ASSOCIATION INC
Work Class: Tenant Improvement Issue Date: 04/01/2022 Subdivision:
Status:
Scheduled
Date
09/28/2022
10/04/2022
10/27/2022
12/13/2022
Closed -Finaled Expiration Date: 04/03/2023 Address: 1590 MARBRISA CIR
CARLSBAD, CA 92008 IVR Number: 39259
Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection
Start Date Status
09/28/2022 BLDG-18 Exterior 192817-2022 Partial Pass Tony Alvarado Reinspection
Lath/Drywall
Checklist Item COMMENTS Passed
BLDG-Building Deficiency 1. Marbrisa, villa building #58, balcony Yes
vents-retrofit,
Building rear elevation balconies -
approved.
2. Metal, stucco wire ceiling lid lath and
vent device installed-approved.
10/04/2022 BLDG-18 Exterior 193246-2022 Passed Chris Renfro
Lath/Drywall
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
10/27/2022 BLDG-Final Inspection 195096-2022 Cancelled Chris Renfro Reinspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structural Final No
BLDG-Electrical Final No
12/13/2022 BLDG-Final Inspection 198679-2022 Passed Chris Renfro
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLDG-Structural Final Yes
BLDG-Electrical Final Yes
Tuesday, December 20, 2022
Inspection
Incomplete
Complete
Incomplete
Complete
Page 1 of 1
•
C cityof
Carlsbad
I INSTRUCTIONS:
STORM WATER STANDARDS
QUESTIONNAIRE
E-34
Development Services
Land Development Engineering
1635 Faraday Avenue
(760) 602-2750
www.carlsbad ca.gov
To address post-development pollutants that may be generated from development projects, the city requires that new
development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management
Practices (BMPs) into the project design per Carlsbad BMP Design Manual (BMP Manual). To view the BMP Manual,
refer to the Engineering Standards (Volume 5).
This questionnaire must be completed by the applicant in advance of submitting for a development application
(subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of
storm water standards that must be applied to a proposed development or redevelopment project. Depending on the
outcome, your project will either be subject to 'STANDARD PROJECT' requirements, 'STANDARD PROJECT' with
TRASH CAPTURE REQUIREMENTS, or be subject to 'PRIORITY DEVELOPMENT PROJECT' (PDP) requirements.
Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City
staff has responsibility for making the final assessment after submission of the development application. If staff
determines that the questionnaire was incorrectly filled out and is subject to more stringent storm water standards than
initially assessed by you, this will result in the return of the development application as incomplete. In this case, please
make the changes to the questionnaire and resubmit to the city.
If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the
questions, please seek assistance from Land Development Engineering staff.
A completed and signed questionnaire must be submitted with each development project application. Only one completed
and signed questionnaire is required when multiple development applications for the same project are submitted
concurrently.
PROJECT INFORMATION
PROJECT NAME: Marbrisa Resort Villa 58 Balcony Vents APN: 211-131-07
ADDRESS: 1590 Marbrisa Circle, Carlsbad, CA 92008
The project is (check one): D New Development ){Redevelopment
The total proposed disturbed area is: 0 ft2 ( 0 ) acres
The total proposed newly created and/or replaced impervious area is: 0 ft2 ( 0 ) acres
If your project is covered by an approved SWQMP as part of a larger development project, provide the project ID and the
SWQMP # of the larger development project:
Project ID N/A SWQMP#: NIA
Then, go to Step 1 and follow the instructions. When completed, sign the form at the end and submit this with your
application to the city.
This Box for City Use Only
YES NO Date: Project ID:
City Concurrence:
□ □ By:
E-34 Page 1 of 4 REV 09/21
STEP1
TO BE COMPLETED FOR ALL PROJECTS
To determine if your project is a "development project", please answer the following question:
YES NO
Is your project LIMITED TO routine maintenance activity and/or repair/improvements to an existing building ~ □ or structure that do not alter the size (See Section 1.3 of the BMP Design Manual for guidance)?
If you answered "yes" to the above question, provide justification below then go to Step 6, mark the box stating "my project
is not a 'development project' and not subject to the requirements of the BMP manual" and complete applicant
information.
Justification/discussion: (e.g. the project includes only interior remodels within an existing building):
Vents added at underside of existing exterior soffit for ventilation and to facilitate exterior elevated
element ("EEE") inspections.
If you answered "no" to the above question, the project is a 'development project', go to Step 2.
STEP2
TO BE COMPLETED FOR ALL DEVELOPMENT PROJECTS
To determine if your project is exempt from PDP requirements pursuant to MS4 Permit Provision E.3.b.(3), please answer
the following questions:
Is your project LIMITED to one or more of the following:
YES NO
1. Constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria:
a) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non-
erodible permeable areas; OR □ □ b) Designed and constructed to be hydraulically disconnected from paved streets or roads; OR
c) Designed and constructed with permeable pavements or surfaces in accordance with USEPA
Green Streets quidance?
2. Retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in □ □ accordance with the USEPA Green Streets guidance?
3. Ground Mounted Solar Array that meets the criteria provided in section 1.4.2 of the BMP manual? □ □
If you answered "yes" to one or more of the above questions, provide discussion/justification below, then go to Step 6, mark
the second box stating "my project is EXEMPT from PDP ... " and complete applicant information.
Discussion to justify exemption ( e.g. the project redeveloping existing road designed and constructed in accordance with
the USEPA Green Street guidance):
If you answered "no" to the above questions, your project is not exempt from PDP, go to Step 3.
E-34 Page 2 of 4 REV 09/21
-. ~ ,r • .-.p-. . I . \ { ,. J:
-.I ,· 1)_ :~ ::~: °'·, ~ l I I ,.~.1 ,•\•)~-::AO .. . . .. ·., ..
To determine if your project is a PDP, please answer the following questions (MS4 Permit Provision E.3.b.(1 )):
YES NO
1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces
□ □ collectively over the entire project site? This includes commercial, industrial, residential, mixed-use,
and public development projects on public or private land.
2. Is your project a redevelopment project creating and/or replacing 5,000 square feet or more of
impervious surface collectively over the entire project site on an existing site of 10,000 square feet or □ □ more of impervious surface? This includes commercial, industrial, residential, mixed-use, and public
development projects on public or private land.
3. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more
of impervious surface collectively over the entire project site and supports a restaurant? A restaurant is
□ □ a facility that sells prepared foods and drinks for consumption, including stationary lunch counters and
refreshment stands selling prepared foods and drinks for immediate consumption (Standard Industrial
Classification (SIC) code 5812).
4. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious
surface collectively over the entire project site and supports a hillside development project? A hillside □ □ development project includes development on any natural slope that is twenty-five percent or qreater.
5. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more
of impervious surface collectively over the entire project site and supports a parking lot? A parking lot is □ □ a land area or facility for the temporary parking or storage of motor vehicles used personally for
business or for commerce.
6. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more
of impervious street, road, highway, freeway or driveway surface collectively over the entire project □ □ site? A street, road, highway, freeway or driveway is any paved impervious surface used for the
transportation of automobiles, trucks, motorcycles, and other vehicles.
7. Is your project a new or redevelopment project that creates and/or replaces 2,500 square feet or more
of impervious surface collectively over the entire site, and discharges directly to an Environmentally
□ □ Sensitive Area (ESA)? "Discharging Directly to" includes flow that is conveyed overland a distance of
200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an
isolated flow from the project to the ESA (i.e. not commingled with flows from adjacent lands).*
8. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square
feet or more of impervious surface that supports an automotive repair shop? An automotive repair □ □ shop is a fa cility that is categorized in any one of the following Standard Industrial Classification (SIC)
codes: 5013, 5014, 5541 7532-7534 or 7536-7539.
9. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square
feet or more of impervious area that supports a retail gasoline outlet (RGO)? This category includes □ □ RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily
Traffic (ADT) of 100 or more vehicles per day.
10. Is your project a new or redevelopment project that results in the disturbance of one or more acres of land □ □ and are expected to generate pollutants post construction?
11 . Is your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of
□ □ impervious surface or (2) increases impervious surface on the property by more than 10%? (CMG
21 .203.040)
If you answered "yes" to one or more of the above questions, you r project is a PDP. If your project is a redevelopment
project, go to step 4 . If your project is a new project, go to step 6, check the first box stating, "My project is a PDP ... "
and complete applicant information.
If you answered "no" to all of the above questions, your project is a 'STANDARD PROJECT'. Go to step 5, complete the
trash capture auestions ..
* Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas designated as Areas of Special
Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies
designated with the RARE beneficial use by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and
amendments); areas designated as preserves or their equivalent under the Multi Species Conservation Program within the Cities and County of San Diego; Habitat
Management Plan; and any other equivalent environmentally sensitive areas which have been identified by the City.
E-34 Page 3 of 4 REV 09/21
STEP4
TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPMENT PROJECTS (PDP)
ONLY
Complete the questions below regarding your redevelopment project (MS4 Permit Provision E.3.b.(2)):
YES NO
Does the redevelopment project result in the creation or replacement of impervious surface in an amount
of less than 50% of the surface area of the previously existing development? Complete the percent
impervious calculation below:
Existing impervious area (A) = sq. ft. □ □
Total proposed newly created or replaced impervious area (B) = sq. ft.
Percent impervious area created or replaced (B/A)*100 = %
If you answered "yes", the structural BMPs required for PDP apply only to the creation or replacement of impervious
surface and not the entire development. Go to step 6, check the first box stating, "My project is a PDP ... " and complete
appli cant information.
If you answered "no," the structural BM P's required for PDP apply to the entire development. Go to step 6, check the first
box statinq, "Mv project is a PDP ... " and complete aoolicant information.
STEPS
TO BE COMPLETED FOR STANDARD PROJECTS
Complete the question below regarding your Standard Project (SDRWQCB Order No. 2017-0077):
YES NO
Is the Standard Project within any of the following Priority Land Use (PLU) categories?
R-23 (15-23 du/ac), R-30 (23-30 du/ac), Pl (Planned Industrial), CF (Community Facilities), GC (General □ □ Commercial), L (Local Shopping Center), R (Regional Commercial), V-B (Village-Barrio), VC (Visitor
Commercial), 0 (Office), VC/OS (Visitor Commercial/Open Space), Pl/O (Planned Industrial/Office), or
Public Transportation Station
If you answered "yes", the 'STANDARD PROJECT' is subject to TRASH CAPTURE REQUIREMENTS. Go to step 6,
check the third box stating, "My project is a 'STANDARD PROJECT' subject to TRASH CAPTURE REQUIREMENTS
... " and complete applicant information.
If you answered "no", your project is a 'STANDARD PROJECT'. Go to step 6, check the second box stating, "My project is
a 'STANDARD PROJECT' ... " and complete applicant information.
STEP&
CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION
D My project is a PDP and must comply with PDP stormwater requirements of the BMP Manual. I understand I must
prepare a Storm Water Quality Management Plan (SWQMP) per E-35 template for submittal at time of application.
□ My project is a 'STANDARD PROJECT' OR EXEMPT from PDP and must only comply with 'STANDARD PROJECT'
stormwater requirements of the BMP Manual. As part of these requirements, I will submit a "Standard Project
Requirement Checklist Form E-36" and incorporate low impact development strategies throughout my project.
□ My project is a 'STANDARD PROJECT' subject to TRASH CAPTURE REQUIREMENTS and must comply with
TRASH CAPTURE REQUIREMENTS of the BMP Manual. I understand I must prepare a TRASH CAPTURE Storm
Water Quality Management Plan (SWQMP) per E-35A template for submittal at time of application.
Note: For projects that are close to meeting the PDP threshold, staff may require detailed impervious area calculations
and exhibits to verify if 'STANDARD PROJECT' stormwater requirements apply.
)( My project is NOT a 'development project' and is not subject to the requirements of the BMP Manual.
Applicant Information and Signature Box
Applicant Name: Dan Talant Applicant Title: Ag ent for Owner
Appl;cant s;gnature: ~~ Date: 3/3/2022
E-34 Page 4 of 4 REV 09/21