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Home My WebLink About1210 PINE AVE; ; CBR2022-3080; PermitBuilding Permit Finaled Residential Permit Print Date: 07/17/2023 Job Address: 1210 PINE AVE, CARLSBAD, CA 92008-1938 Permit Type: Parcel#: Valuation: BLDG-Residential 2050203400 $64,899.27 Occupancy Group: R3 #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: 2019 Sprinkled: No Project Title: Work Class: Addition Track#: Lot#: Project#: Plan#: Construction Type:VB Orig. Plan Check#: Plan Check#: Description: GLASSER: ADDITION (309 SF) CONVERTING SUN ROOM TO LIVING SPACE Permit No: Status: (city of Carlsbad CBR2022-3080 Closed -Finaled Applied: 08/24/2022 Issued: 01/06/2023 Fina led Close Out: 07/17/2023 Final Inspection: 05/24/2023 INSPECTOR: de Roggenbuke, Dirk Renfro, Chris Applicant: Property Owner: Contractor: TNT DESIGN AND BUILD INC SAMUEL DURON CO-OWNERS DANIEL AND ELIZABETH GLASSEF TNT DESIGN AND BUILD INC 3142 TIGER RUN CT, # 108 CARLSBAD, CA 92010-6706 FEE BUILDING PLAN CHECK 1210 PINE AVE CARLSBAD, CA 92008-1938 BUILDING PLAN REVIEW-MINOR PROJECTS (LOE) BUILDING PLAN REVIEW-MINOR PROJECTS (PLN) GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION 581473-GREEN BUILDING STATE STANDARDS FEE SFD & DUPLEXES STRONG MOTION -RESIDENTIAL (SMIP) Total Fees: $2,395.74 Total Payments To Date: $2,395.74 3142 TIGER RUN CT, # STE 108 CARLSBAD, CA 92010-6693 (760) 363-5584 Balance Due: AMOUNT $755.30 $194.00 $98.00 $175.00 $3.00 $1,162.00 $8.44 $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 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 aside1 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 ( Cicyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check CU7LZ2-?v'SO Est. Value ~'I £99. ,-- PC Deposit ·&:·5;, 0 Date l;) tµz- Job Address 1210 Pine Ave, Carlsbad, CA 92008 Unit:, ____ __,APN:_2_os.._02_0-_34_-o_o ______ _ CT/Project #: ___________________ .Lot#: Lot 5• ST Year Built: _1_97_6 ________ _ BRIEF DESCRIPTION OF WORK: Home Addition -Existing sunroom (303 SF) conversion into living space (309 SF). Minor kitchen remodel. Rough plumbing and rough electrical. 0 New SF : Living SF, _____ Deck SF, ____ Patio SF, _____ Garage SF ___ _ Is this to create an Accessory Dwelling Unit? O Y O N New Fireplace? O YO N , if yes how many? ___ _ D Remodel: 309 SF of affected area Is the area a conversion or change of use? O YO N ----- Additional Gas or Electrical Features? □ Pool/Spa: ____ SF -------------- OSolar: ___ KW,, ___ Modules, Mounted:QRoof QGround, Tilt: 0Y0 N, RMA: 0 YO N, Battery:OYO N, Panel Upgrade:OYON Other: PRIMARY APPLICANT Name: Samuel Duron Address: 3142 Tiger Run Ct #108 City: Carlsbad State:_C_A __ .Zip: 92010 Phone: 760-975-4869 Email: samuel@tntdnb.com I! I •J h1a:c) 11,-ldn,b cent PROPERTY OWNER Name: Elizabeth Glasser Address: 1210 Pine Ave City: Carlsbad Phone: 760.586.8372 State:_C_A __ .Zip: 920208 Email: elizabethglasser6@gmail.com DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name:. ___________________ Business Name: TNT Design & Build Address: Address: 3142 Tiger Run Ct #108 City: ________ State: ___ .Zip:,_____ City: Carlsbad State:_C_A __ Zip: 92010 Phone: Phone: 800-959-6558 Email:, __________________ _ Email:, ___________________ _ Architect State License: ___________ _ CSLB License #:,_1_0_12_3_7_9 ____ Class:_B ______ _ Carlsbad Business License# (Required): BLNR004269-11-2018 APPUCANT CERTIFICATION: f certify that I have read the application and state that the above information is correct and that the information of the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT): Samuel Duron DATE: 08/15/2022 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov REV. 10/21 THIS. PAGE REQUIRED AT PERMIT ISSUANCE PIAN 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: I herebyaffirm under penal tyof perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 )of Division 3 of the Business and Professions Code, and my license is in full forceond effect. I olsoaffirm under penalty of perjury one of the following declarations (CHOOSE ONE): 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. PolicyNo. __________________________________________ _ -OR- (!I I have and will maintain worker's 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 Company Name: _s_ta_t_,_c_~~pe_,,._,..,_,_""'-'"-"-"-'-"-00 _____________ 1 Policy No. 9230670 Expiration Date: _04_1_21_12-'0_23'--------------I -OR- 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 to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage Is unlawful and shall subject an employer to criminal penalties and civil fines up to $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 LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name: Lender's Address: ______________________ _ CONTRACTOR CERT/FICA TION: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are not approved for construction and may be required to be altered or removed. The city's approval of the application Is based on the premise that the submitted documents and plans show the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and util"lties. The existing and proposed use of each building as stated is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation. All improvements existing on the property were completed in accordance wlth all regulations in existence at the time of their construction, unless otherwise noted. NAME (PRINT): Avner Tamari SIGNATURE: ./? iNt4A., / ~ DATE: 08/15/2022 Note: If the person signing above is an authorized agent for the contracto ovide a letter of authorization on contractor letterhead. -OR- (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: 0 1, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). -OR- DI, 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- DI am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND. 0 FORM B-61 "Owner Builder Acknowledgement and Verification Form" is required for any permit issued to a property owner. By my signature below! acknowledge that, except for my personal residence tn 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. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: http:/lwww.leginfo.ca.gov/calaw.html. O'WNER CERT/FICA TION: The applicant certifies that all documents and plans clearly and accurately show all existing and proposed buildings, structures, access roads, and utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially existing detail within these plans inconsistent with the site plan are not approved for construction and may be required to be altered or removed. The city's approval of the application is based on the premise that the submitted documents and plans show the correct dimensions of; the property, buildings, structures and their setbacks from property lines and from one another; access roads/easements, and utilities. The existing and proposed use of each building as stated is true and correct; all easements and other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site preparation. All improvements existing on the property were completed in accordance with all regulations in existence at the time of their construction, unless otherwise noted. NAME (PRINT): __________ SIGN: --,-----,----DATE: _____ _ Note: If the erson sl nln above is an authorized a ent for the ro e owner include form 8·62 sl 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 2 owner. Email: Building@carlsbatjca.gov REV. 10/2 PERMIT INSPECTION HISTORY for {CBR2022-3080) Permit Type: BLDG-Residential Application Date: 08/24/2022 Owner: CO-OWNERS DANIEL AND ELIZABETH GLASSER Work Class: Addition Issue Date: 01/06/2023 Subdivision: CARLSBAD LANDS SUB TCTS 114 & 120 Status: Closed -Finaled Expiration Date: 08/15/2023 Address: 1210 PINE AVE IVR Number: 42875 CARLSBAD, CA 92008-1938 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date 02/16/2023 02/16/2023 05/24/2023 05/24/2023 Monday, July 17, 2023 Status BLDG-24 Rough/Topout 203458-2023 Passed Checklist Item COMMENTS BLDG-Building Deficiency NOTES Created By TEXT Angie Teanio 760-607-8138 Phoenix BLDG-34 Rough 203457 -2023 Passed Electrical Checklist Item COMMENTS BLDG-Building Deficiency NOTES Created By TEXT Angie T eanio 760-607-8138 Phoenix BLDG-Final Inspection 211923-2023 Passed Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final NOTES Created By Angie T eanio COMMENTS TEXT 760-975-4869 Sam Chris Renfro Complete Passed Yes Created Date 02/15/2023 Chris Renfro Complete Passed Yes Created Date 02/15/2023 Chris Renfro Complete Passed Yes Yes Yes Yes Yes Created Date 05/23/2023 Page 2 of2 Building Permit Inspection History Finaled (city of Carlsbad PERMIT INSPECTION HISTORY for (CBR2022-3080) Permit Type: BLDG-Residential Application Date: 08/24/2022 Owner: CO-OWNERS DANIEL AND ELIZABETH GLASSER Work Class: Addition Issue Date: 01/06/2023 Subdivision: CARLSBAD LANDS SUB TCTS 114 & 120 Status: Closed -Finaled Expiration Date: 08/15/2023 Address: 1210 PINE AVE IVR Number: 42875 CARLSBAD, CA 92008-1938 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status 01/09/2023 01/09/2023 BLDG-11 200308-2023 Passed Chris Renfro Complete Foundation/Ftg/Piers (Rebar) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 01/20/2023 01/20/2023 BLDG-83 Roof Sheating, 201231-2023 Passed Chris Renfro Complete Exterior Shear (13, 15) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-13 Shear Panels-HD (ok Yes to wrap) BLDG-15 Roof Yes Sheathing-Re roof 01/25/2023 01/25/2023 BLDG-15 Roof/ReRoof (Patio) 201408-2023 Passed Chris Renfro Complete Checklist Item COMMENTS Passed BLOG-Building Deficiency Yes BLDG-84 Rough 201537-2023 Passed Chris Renfro Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 01/26/2023 01/26/2023 BLOG-16 Insulation 201579-2023 Partial Pass Chris Renfro Reinspection Incomplete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 01/30/2023 01/30/2023 BLDG~17 Interior Lath/Drywall 201783-2023 Passed Dirk de Roggenbuke Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes Monday, July 17, 2023 Page 1 of 2 , ... .. _.,, ~ LOVELACE ENGINEERING STRUCTURAL ENGINEERING SERV I CES STRUCTURAL COMMENT RESPONSE DATE: PROJECT: ARCHITECT: JOB: NOVEMBER 14, 2022 GLASSER RESIDENCE 1210 PINE AVENUE CARLSBAD, CA 92008 RECEi\/ED NOV 2 3 2022 CITY OF CARLSBAD BUILDING DIVISION TNT DESIGN BUILD 3142TIGER RUN COURT#B CARLSBAD, CA 92008 ]22304 Trw North Compllllnce Semcea. lno. I PLAN REVIEW ~PPROVAL I THESE ~ME~ ttAYe BEEN REVIEWED FOR COMPLIAf4CE wt'PH THE NIPIJCABLE CALIFORNIA BUILDING Sl'ANOAADS CODES AS ADOPTED BY THE STATE 0, CALIFORNIA ANO AMENDED BY THE JUAISOICTION. PLAN REVIEW ACCEPTANCE OF DOCUMENTS DOES NOT AUTHORIZE CONSTRUCTION TO PROCEED IN VIOt.ATION OF ""'FEQERAL. STATE. NOR LOCAL:fGwTION. BY ~ OATE: ~p& THIS SET OF THE Pl.ANS ANO SPECIFICATIONS MUST BE KEPT ON THE JOB SITE AT ALL TIMES AHO IT IS UNLAWFUL TO MAKE AAY CHANGES OR ALTERATIONS WITHOUT PERMISSION FROM THE CITY. OCCUPANCY Of STRUCT\JRE(SI IS NOT FiRMITTED UNTIL FINAL APPROVAL IS GRANTB) 8Y All APPLICABLE DEPARTMENTS. 858.535.9111 I fax 858.535.1989 I www.lovelaceeng.com 10509 Vista Sorrento Pkwy, Suite 102 San Diego, CA 92121 •I ' LOVELACE ENGINEERING STRUCTURAL ENGINEERING SERVICES J223O4 -GLASSER RESIDENCE JOB __________________ _ SHEETN0. __________ OF ______ _ CALcuLArEoev ____ s_.A_. _____ oArE_,_I1_I4_;2_2 ___ _ CHECKEDBY __________ DATE _____ _ 10509 Vista Sorrento Parkway, Suite 102, Son Diego, CA 92121 phone 858.535.9111 • fax 858.535.1989 • www.lovelaceeng.com SCALE __________________ _ 1 21 0 PINE C ARLSBAD, AVENUE CA 9 2 008 S TRU C TURAL C ORRECTIONS CBR2 002 -3080 □CORRECTION# SI Structural calculations have been included for a revieH. 0 CORRECTION # PC3 Lateral resisting s~stem design remains the same due to < 10 % change per GBC 503.4. The existing shear Hall along Hall line I and G are sufficient. See attached "GLASSER -RESIDENCE EXISTING VS. NEW Height calculation". GLASSER RESIDENCE-EXISfTNG S.A. ~ LOVELACE SAMUEL DURON 11/14/ZOU. ENGINEERING 5TaUCTltaAL'CNGtN•••t NO autvrc•• J22304 Page: SEISMIC WEIGHT Level 1 ROOf Typical Plate Ht. (ft.) 11.38 Element Tvoe Dead Load (psf) Area (sf) Welllht Diaphragm ROOF 20 2370.00 47400 Diaphragm 0 Diaphragm 0 Dead Load hist> Lenllth ·,tt.} Weight Wall EXTtRIOR 16 207.00 37690.56 Wall INTERIOR 7 370.IIO 29474.2 Wall 0 We.ht Dead Load (lbs.) I I I 0 j Misc./ Concentrated I I I Total We!I!:!! !lbs.) ~4564.76. I Seismic We!§!!! !lbs.) 80982.38 I -· ---u. GLASSER RESIDENCE-NEW ~ LOVELACE SAMUEL DURON 11/14/ZOU. ENGINEERING nttuctUIIAL •No1w11111,tO H IIVICl!I J22304 Pase: SEISMIC WEIGHT I Level 1 i"ooi Typical Plate Ht. (ft.) 1L38 Element Tvne Dead Load (psf) Area (sf) Weight Diaphragm ROOF 20 2375.00 47500 Diaphragm 0 DlaDhraRm 0 DeadloadfDSfl Lenath (ft.) Welllht Wall EXTERIOR 16 207.00 37690.56 Wal INTERIOR 7 370.00 29474.2 Wal 0 j Misc./ concentrated I . Dead Load (lbs.) I I I W:iht . I 0 I Total Weight ilbs.) 114664.76 I Seismic We!l!!t !lbs.) 81082.38 J '1 [BS] 503.4 Existing Structural Elements Carrying Lateral Load Except as permlU8d by Section 503.13, where the •lteratJon lnc:reuea dNoi lateral loeds, results In a prohibited structural lrregulartty aa defined ,n ASCE 7, or decreaeea the capacity of any exfa1lng lateral loack:erryinsi structural element, the atructure of the aHered buldlng or structure ahal meet the requirements of Sections 1809 and 1613 of the CallfomJa Bui/ding Code. Reduced aefamlo forces shall be permftted, Exception: Any existing lateral load-canytng structural element whose demanc:kapacity ratio with the alteration con&Jdared Is not more than 10 peroent greater than Its demanck:apactty ratio with the alteration Ignored ahall be permitted to temaln unaltered. For purposes of calculating demand-<:apadty ratios, the demand shall consider applicable load combinations wtth design lateral loads or forces In accordance with Sacaons 1609 and 1613 of the Callfomle Buldlng Code. Reduced seismic forces shall be permitted. For purposes of this exception, comparisons of damanck:apactty rallos and calculation of desJgn lateral loads, forces and capacftles shall account for the cumulative affeaa of adcltJona and alterations since original construction. ,oTAL :::: (city of Carlsbad STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 442-339-2750 www.carlsbadca.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. . ' ' . ·. ' :'··,' ;--,·,,, ,,·.:: ', \-''•,•;,' :_,..: ',' :< PRQ;IECTI~,•~ :: .''\,, . > ,,. '•.··.,, .. · ... , . .··.· '•. PROJECT NAME: Home Addition APN: 205-020-34-00 ADDRESS: 1210 Pine Avenue, Carlsbad, CA 92008 The project is (check one): D New Development [i] Redevelopment The total proposed disturbed area is: J1:i ft2 I \ acres The total proposed newly created and/or replaced impervious area is: 309 ft2 I l 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 SWQMP#: 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 Ci vUse Only YES NO Date: Project ID: City Concurrence: □ □ By: E-34 Page 1 of4 REV 02/22 . :: ... : . / ':··,-;: \'.:·:~ti-_::.( :,> .. ··•12>,l••••· , , ... $'J'EP,t,,:,:-,,:i: : ,·<: ,.'::, • :. : • :;~;•\. :\{f; : ' ) . / ·:·,). >.••···•~,. 'I!;~--· •.,.fr .··. < •.: . . : .. '_:·:_ .· '," ;";, .,·,1 :.it'Q: . , ....... • · ._.. 8,_'\ . . . · .. ··. >.'}:%;:·;:.c .. . .:;• .. . 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 D !xi 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): If you answered "no" to the above question, the project is a 'development project', go to Step 2 . .· . .·· ; ;,.: . •',:~-~~.,;.:.:ir~-,-·j:;;;\ .. ,. .·• . ,··,_ ,, ·, ·-·'. ,_;_-_ .,::,p ',,"-5, ,:·;.,; . .:· . .··· : .. ":·::·-:--_·,.-'.'' ' )> 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 D [xi 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 auidance? 2. Retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in D [jg accordance with the USEPA Green Streets guidance? 3. Ground Mounted Solar Array that meets the criteria provided in section 1.4.2 af the BMP manual? D [xi 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 of4 REV 02/22 To determine if your project is a PDP, please answer the following questions (MS4 Permit Provision E.3.b.(1 )): 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 develo ment ro·ect includes develo ment on an natural slo e that is twen -five ercent or realer. 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 trans ortation of automobiles, trucks, motorc cles, 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 facility 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 YES NO D [ii D []I D D [xi D Ix] D [i} D !Kl D !Kl D Ix] D Ix] D [ii If you answered "yes" to one or more of the above questions, your 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 ca ture uestions .. * 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 02/22 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. ~ 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 applicant information. If you answered "no," the structural BMP's required for PDP apply to the entire development Go to step 6, check the first box statin ro·ect is a PDP ... "and com lete a licant information. 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 O [Kl 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 Trans ortation 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 com lete a licant information. O 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. 1K] 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 0 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. 0 My project is NOT a 'development project' and is not subject to the requirements of the BMP Manual. Applicant Information and Signature Box Samuel Duron Applicant Name: _______________ ~Applicant Title: --~A~r=ch=i=tect=u=r=a~I D=ra=ft=e~r _____ _ Applicant Signature: __ S._~ ___ D._"tM,B. __ n-_____ Date: 08/18/2022 E-34 Page 4 of 4 REV 02/22