HomeMy WebLinkAbout1640 SANDALWOOD LN; ; CBRA2021-0024; PermitBuilding Permit Finaled
(city of
Carlsbad
Residential Associated Permit
Print Date: 07/19/2023
Job Address: 1640 SANDALWOOD LN, CARLSBAD, CA 92008-2618
Permit Type: BLDG-Associated Permit Residential Work Class: Addition
Parcel#: 2051305900 Track#:
Valuation: $96,709.00 Lot#:
Occupancy Group: Project#:
#of Dwelling Units: Plan#:
Bedrooms: Construction Type:
Bathrooms:
Occupant Load:
Orig. Plan Check#: PC2020-0051
Plan Check #:
Code Edition:
Sprinkled:
Project Title:
Permit No:
Status:
CBRA2021-0024
Closed -Finaled
Applied: 02/16/2021
Issued: 03/30/2021
Finaled Close Out: 03/29/2022
Final Inspection: 06/01/2023
INSPECTOR: Alvarado, Tony
Kersch, Tim
Renfro, Chris
Description: GEESEY: 798 SF SECOND FLOOR LIVING ADDITION// 700 SF REMODEL KITCHEN TO KITCHEN (ADU PER SEPARATE PERMIT)
Applicant: Property Owner:
DAVID GEESEY CO-OWNERS GEESEY DAVID AND BETH
1640 SANDALWOOD LN
CARLSBAD, CA 92008-2618
(760) 707-3910
FEE
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
1640 SANDALWOOD LN
CARLSBAD, CA 92008-2618
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: $1,526.96 Total Payments To Date:
Building Division
$1,526.96 Balance Due:
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
AMOUNT
$614.21
$245.18
$43.00
$175.00
$52.00
$80.00
$4.00
$12.57
$246.00
$55.00
$0.00
Page 1 of 1
PERMIT INSPECTION HISTORY for (CBRA2021-0024)
Permit Type: BLDG-Associated Permit Residenti, Application Date: 02/16/2021
Work Class: Addition Issue Date: 03/30/2021
Status:
Scheduled
Date
Closed -Finaled Expiration Date: 12/05/2022
IVR Number: 31569
Actual Inspection Type
Start Date
Inspection No.
Checklist Item
Are inactives slopes properly
stabilized?
Are areas flatter than 3:1
covered or protected?
Are natural areas protected
from erosion?
Is the entrance stabilized to
prevent tracking?
Have sediments been tracked
on to the street?
Have materials collected
around the storm drains?
Has sediment accumulated on
impervious surfaces?
Are dumpsters and trash
receptacles covered?
Has trash/debris accumulated
throughout the site?
Are all storage areas clean
and maintained?
Were spills/leaks observed
during the inspection?
Were there any discharges
during the inspection?
COMMENTS
Inspection
Status
Wednesday, July 19, 2023
Owner: CO-OWNERS GEESEY DAVID AND
BETH
Subdivision: SANDALWOOD DALE
Address: 1640 SANDALWOOD LN
CARLSBAD, CA 92008-2618
Primary Inspector Reinspection Inspection
Passed
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Page 4 of,
PERMIT INSPECTION HISTORY for (CBRA2021-0024)
Permit Type: BLDG-Associated Permit Residenti, Application Date: 02/16/2021 Owner: CO-OWNERS GEESEY DAVID AND
BETH
Work Class: Addition
Status: Closed -Finaled
Issue Date: 03/30/2021
Expiration Date: 12/05/2022
IVR Number: 31569
Subdivision: SANDALWOOD DALE
Address: 1640 SANDALWOOD LN
CARLSBAD, CA 92008-2618
Scheduled
Date
Actual Inspection Type
Start Date
Inspection No. Inspection Primary Inspector Reinspection Inspection
02/08/2022
06/06/2022 06/06/2022
06/01/2023 06/01/2023
Nednesday, July 19, 2023
Checklist Item
BLDG-Plumbing Final
BLDG-16 Insulation
Checklist Item
Status
COMMENTS
January 8, 2022-Saturday.
Existing gas pipe line leak, gas pressure
test approved.
Released gas meter to SDGE after hours
department, on Saturday, January 8, 2022.
176198-2022 Passed Chris Renfro
COMMENTS
BLDG-Building Deficiency
BLDG-23 176200-2022 Passed Chris Renfro
Gas/Test/Repairs
Checklist Item COMMENTS
BLDG-Building Deficiency
BLDG-34 Rough 176199-2022 Passed Chris Renfro
Electrical
Checklist Item COMMENTS
BLDG-Building Deficiency
BLDG-17 Interior 184258-2022 Partial Pass Chris Renfro
Lath/Drywall
Checklist Item COMMENTS
BLDG-Building Deficiency
BLOG~Final Inspection 212915-2023 Passed Tony Alvarado
Checklist Item COMMENTS
BLDG-Plumbing Final
BLDG-Mechanical Final
BLOG-Structural Final
BLOG-Electrical Final
BLOG-SW-Inspection 212916-2023 Passed Tony Alvarado
Passed
Yes
Complete
Passed
Yes
Complete
Passed
Yes
Complete
Passed
Yes
Reinspection Incomplete
Passed
Yes
Incomplete
Passed
Yes
Yes
Yes
Yes
Complete
Page 3 of 4
Permit Type:
Work Class:
Status:
Scheduled
Date
1010112021
11102/2021
01/07/2022
01/10/2022
PERMIT INSPECTION HISTORY for {CBRA2021-0024)
BLDG-Associated Permit Residenti, Application Date: 02/16/2021 Owner: CO-OWNERS GEESEY DAVID AND
BETH
Addition Issue Date: 03/30/2021 Subdivision: SANDALWOOD DALE
Closed -Finaled Expiration Date: 12/05/2022 Address: 1640 SANDALWOOD LN
IVR Number: 31569 CARLSBAD, CA 92008-2618
Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection
Start Date Status
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Kitchen island underground combo for
plumbing, electrical and DWV.
Yes
BLDG-11 Foundation-Ftg-Piers
(Rebar)
BLDG-12 Steel-Bond Beam
BLDG-21
Underground-Underfloor
Plumbing
BLDG-31
Underground-Conduit Wiring
10/01/2021 BLDG-13 Shear
Panels/HD (ok to wrap)
167664-2021
Checklist Item COMMENTS
BLDG-Building Deficiency
11/0212021 BLDG-18 Exterior
Lath/Drywall
169864-2021
Checklist Item COMMENTS
BLDG-Building Deficiency
Passed Chris Renfro
Passed Tim Kersch
Yes
Yes
Yes
Yes
Passed
Yes
Passed
Yes
Inspection
Complete
Complete
01107/2022 BLDG-23 174160-2022 Failed Tony Alvarado Reinspection Incomplete
Gasrrest/Repairs
Checklist Item
BLDG-Building Deficiency
COMMENTS
January 7, 2022.
Spoke to owner builder David, gas
pressure test not holding air pressure. Gas
test inspection failed.
0111012022 BLDG-23 174215-2022 Passed Tony Alvarado
GasfTest/Repairs
Checklist Item
BLDG-Building Deficiency
BLDG-Building Deficiency
COMMENTS
January 7, 2022.
Spoke to owner builder David, gas
pressure test not holding air pressure. Gas
test inspection failed.
January 8, 2022-Saturday.
Existing gas pipe line leak, gas pressure
test approved.
Released gas meter to SDGE after hours
department, on Saturday, January 8, 2022.
BLDG-Final Inspection 174216-2022 Partial Pass Tony Alvarado
Passed
No
Complete
Passed
No
Yes
Reinspection Incomplete
Wednesday, July 19, 2023 Page 2 of 4
Building Permit Inspection History Finaled
(Cityof
Carlsbad
PERMIT INSPECTION HISTORY for (CBRA2021-0024)
Permit Type: BLDG-Associated Permit Residenti. Application Date: 02/16/2021 Owner: CO-OWNERS GEESEY DAVID AND
Work Class: Addition
Status: Closed -Finaled
BETH
Issue Date: 03/30/2021 Subdivision: SANDALWOOD DALE
Expiration Date: 12/05/2022
IVR Number: 31569
Address: 1640 SANDALWOOD LN
CARLSBAD, CA 92008-2618
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
Date Start Date Status
04/01/2021 04/01/2021 BLDG-SW-Pre-Con 153982-2021
COMMENTS
Passed Chris Renfro
04/20/2021
04/26/2021
04/30/2021
07/20/2021
08/05/2021
Checklist Item
BLOG-Building Deficiency
04/20/2021 BLDG-22 Sewer/Water
Service
155324-2021 Passed Chris Renfro
Checklist Item COMMENTS
BLDG-Building Deficiency
04/26/2021 BLDG-24 Rough/Topout 155915-2021 Passed Tony Alvarado
Checklist Item
BLOG-Building Deficiency
COMMENTS
April 26, 2020:
1. No building deficiencies.
2. Underground new 1" copper pipe,
domestic water plumbing line, point of
connection at existing water meter, to point
of connection at existing dwelling water
pressure regulator Location-Approved.
04/30/2021 BLDG-11 156316-2021 Passed Chris Renfro
Foundation/Ftg/Piers
(Rebar)
Checklist Item COMMENTS
BLDG-Building Deficiency
07/20/2021 BLDG-15 Roof/ReRoof 162267-2021 Passed Chris Renfro
(Patio)
Checklist Item COMMENTS
BLDG-Bu'1lding Deficiency
NOTES Created By
Christina Rodriguez
08/05/2021 BLDG-81 Underground 163615-2021
Combo(11, 12,21,31)
TEXT
CANCEL INSPECTION REQUEST BY EMAIL
7/16/2021
Partial Pass Chris Renfro
Wednesday, July 19, 2023
Passed
Yes
Passed
Yes
Passed
Yes
Passed
Yes
Passed
Yes
Created Date
07/16/2021
Complete
Complete
Complete
Complete
Complete
Reinspection Incomplete
Page 1 of 4
RECORD c:OPV
-.. r -• L . "'••.J UI val SIIIIE!P.I OCT O 4 2021
BUILDING DIVISION 5PEOII.IISPttla
tNCORPORATED
. ProjectName Geesey Residence Dale 9/17fll -. Addras 1640 SandalwoodLn, Carlsbad Permit# CBRA2021.oo25. 0024 -OmlractBr Owner/ Builder · An-6ilttt
Sllbcomractor Engineer Solid Forms Engineering
-Concrete -Pre-Stressed Concrete _Masonry _Epoxy X Wood
-Structwal Steel Fire Proofing -Other
Desqiption of wort ofmened
Arrived on site to provide periodic special inspection of shear walls requiring nailing at 4" on center or
less. Rekrenced sheets S2-S4 for wall types and locations, Shearwall Schedule and Hold Down Schedule.
Inspection included sheathing type and tbickn=. V erified.oail spacing, edge distance and penetration. Top
and bottom shear .transfers were.complete. All workappearedro be in.compliance with conu:act.documents .
.
NIJl'lCE: l lten,by certify that. auhe lime -of lni1l inspection, u,,,.,, .obser,ed.all ,if Jbe.ai-e n,pon,,d wonr.1Dlfas othmwise nowl. To Jbe best
-ef-.bmw.kdge.and belief, I.hmefi,m,d.tbis wtdto """'l'!Yvriln the appraw,d plans. specjfications. and qpplicable s=tio,,{s) of the~
Building Code. as applicable to the namicipality where this p,Qjedis localt!d. Tim ff7JOrl camr.ot be constructed to be a reconmumd4tion Qf work
of any 1ltl1Ure to be per:formed. It 3fwuld be noted that our presence and d,e servDS prov;,deJ do not relieve t1u1 contractor from tt& obltgation to
meet<XHIIMCl1itJl""{lliremeltl
. ,,,..._ Hrs. : 4 The lJwneT or a SUCt:e!f.SOI" in btterest shail hold hanrilen Shotv!ltne Special 1nspecttM4 Inc., a
O.T. Hrs.: Cal!fi,mia Corpon,,tm.fro,n any-and all lqp/~ ef anynaturn,,.,,,_, fhal are.-e/ated
lD the ;_,,,;,»,!IIU'Vi£esp,ow,J,,il illWS n,pt1l1. Slwldd ShmelineSpecial l1lfJ)(!Climl. lm:. be required
Test Olis.: to inStilulekga/ adionfor ths colkcnm, of a debt inaJrnld as a result of the acceptance ef this ,-,port,
TVDI!: Shoreline Special fnspechon, Inc. shall be ennrted to Atrorney"3 fee:, and costs tncurred in said actton. .
Michael Vidovich /VlAA_\/~ 1262/ 8292714
I, eclmician N---,,,.ff ttltnkimt C, . n#
854 Blue Heron Drive San Marcos, CA 92078 619-206-3884
RECORD COPY
Project N11111e Geesey Res
NCORPORATED
DIiie 08/0412021
City of Carlsbad
OCT O 4 2021
BUILDING DIVISION
Project Address 1640 Sandalwood Lane,Car1sbad Permit# CBRA2021-0025,0024
Contractor OWner/Bklr Archilect
Subcontractor Engineer Solid Forms Engineering
□Concrete D Pre-Stressed Concrete □Masonry lx]Epoxy □Wood
D Structural Steel D Fire Proofing □Other PAA_. o[.Wfl.rlc observed
Observation of epoxy 5/8" threaded rod for siH anchors and Hold Downs.
GL 1/A-C, (3)HDU4 & sill anchors per SW Marked-4-
GLA/4.2,6,7.8,9, (4) HDU4's & sill anchors per SW marked-2-
GL9/A.8, (1)HDU4 & siH anchors per SW marked-4-
GL C/2-4,(3)HDU4's & sill anchors per SW marked-3-
GL 5/E-F, (2)HDU4 's & sill anchors per SW marked-3-
GL E/6.2-7.4,(2)HDU4's & sill anchors per SW marked-2-
GL G/4.8-5.2,(2)HDU's & sill anchors per SW marked-3-
G GL 3/D.8-F, ~3) HDU4's & sill anchors per SW marked-4-
L D12-3, (2) DU4's & sHI anchors per SW marked-3-
5/8" threaded rod for HDU4's, 12-112" minimum embed, HD Schedule,Det. 4, 7, 1 0/S5
5/8" sill anchors 5" minimum embed Per Det. 6,3/S5 and SW note 4.
Holes drilled with carbide bit, blown out and brushed clean,
lnstaDed per ICC/ESA 2508
Simn=n SET-XP-Lot1000160663-F'Yn,5-3-23
NOTICE: I herd,y cenify thal, at the t;me of this insp,,ctwn, I haw: obser><ed all of the abo.,. reported work. unlas otlrerwise noted. To the best of my
/rno1vledge and belief. I have fo,,nd th,$ work to comply witlr tire approved plans. specifications. and applicable section($) of tire gow,erning .Bvilding Cock. as
applicable ta the municipality where this project is located. This report cannot be. constructed to be a recommendation of wort-of any nalllre to be pe,:formed.
It should be nored dun ovr presence and the services prm,ukJ do -relieve the cvntrodorfrom its obligation to meet contraclual requironenlS.
Reg Hrs. 4 hrs 11re Owner or a successor iJt interf!SI :dull/ hold llamdEss S/roreline Spei:tal lnspcetion, Inc., a California
O.T. hrs. Corporation, from any and all legal proceedings of any nature whalsoever, dun are relaJed lo the inspection
,ervice, pro,,;,/,,d ilt t/m npo,t. Should Slwnlute SpeciJJ/ lnspec1ion. Inc. be requin!d to iJt.<titute legal actio« far
TestCyls the collectton of a debt incurred as a n,sult of the accepla1IC8 of this report, Slwreline Special Jnspect;on, Inc.
Type shall be entided to Attonreyt f~ .-::; .,/ incun-t!d in said action.
£0~ , 52203511CC Nk:ho/as Narbeth
l,upectarll'ed,.nld,m N-e 1nspec1o'rn. -1 • '•SJ,:,,-re Codjlcadon#
854 Blue Heron Drive San Marcos, CA 92078 619-206-3884
I (.__ City of
Carlsbad
CERTIFICATION Of SCHOOL FEES PAID
This form must be completed by the City, the applicant, and the appropriate school districts and returned to the City prior
to issuing a building permit. The City will not issue any building permit without a completed school fee form.
Project# & Name:
Permit#: CBRA2021-0024 =====:..:.._ ____________ _
Project Address: 1640 SAN DAL WOOD LN -...:....C.----'-----------
A s s es so r's Parcel#: 2051305900 ====-------------
Project Applicant: OWNER GEESEY DAVID AND BETH
(Owner Name)
Residential Square Feet:
New/Additions: 798 .:..::..:;:.._ _____________ _
Second Dwelling Unit: _________________ _
Commercial Square Feet:
New/Additions: ----------------
City Certification:City of Carlsbad Building Division Date: 03/29/2021
Certification of ApplicanUOwners. The person executing this declaration rowner") certifies
under penalty of perjury that (1) the information provided above is correct and true to the
best of the Owner's knowledge, and that the Owner will file an amended certification of
payment and pay lha additional fee if Owner requests an increase in the number of
dwelling units or square footage after the building permit is issued or if the initial
determination of units or square footage is found to be incorrect, and that (2) the Owner is
the owner/developer of the above described project(s), or that the person executing this
declaration is authorized to sign on behalf of the Owner.
I ,,/_ j Carlsbad Unified School District
6225 El Camino Real
Carlsbad CA 92009
Phone: (760) 331-5000
D Encinitas Union School District
101 South Rancho Santa Fe Rd
Encinitas, CA 92024
Phone: (760) 944--4300 x1166
D San Dieguito Union H.S, District
684 Requeza Dr.
Encinitas, CA 92024
Phone: (760) 753--6491 Ext 5514
(By Appt. Only)
D San Marcos Unified Sch, District
255 Pico Ave Ste. 100
San Marcos, CA 92069
Phone: (760) 290-2649
Contact: Katherine Marcelja
(By Appl.only)
I;: . j Vista Unified School District
1234 Arcadia Drive
Vista CA 92083
Phone: (760) 726-2170 x2222
SCHOOL DISTRICT SCHOOL FEE CERTIFICATION
(To be completed by the school dlstrlct(s))
THIS FORM INDICATES THAT THE SCHOOL DISTRICT REQUIREMENTS
FOR THE PROJECT HAVE BEEN OR WILL BE SATISFIED,
The undersigned, being duly authorized by the applicable School District, certifies that the developer, builder,
or owner has satisfied the obligation for school facilities. This is to certify that the applicant listed on page 1
has paid all amounts or completed other applicable school mitigation determined by the School District. The
City may issue building permits for this project.
Signature of Authorized School District Official:=:2:, · \?;i , :,;, 1 ·y:,, _ · , , C; J t, __ '-\ < j ;, c Q Q_
(_ (: . · C, ' 'd '.!, .. i,,J:" '," ',.< \,_ ,<5
Title: -~--.::,, , , :;,..c 1 , >r::, \~, , vl--£ _ 1 , :k-Date: · :CS ,). [ I -:.;),, \ \ C -""'--'""--''--'---'--'""-+4-
Name of School District: ·CRI/A91RH:LS:J,-8.P,ADMUM!N\!f1FHIE.!f:D-&ISC_H_O_O_L 0_1_sT_R_1c_r _____ Phone: '1 lc {
-6225 EL eAMl!iO REAL
Community & Economi~~~~\lriPO\undlng Division
1635 Faraday Avenue I Carlsbad, CA 92008 I 760-602-7719 I 760-602-8558 fax I building@carlsbadca.gov
( City of
Carlsbad
CERTIFICATION OF SCHOOL FEES PAID
This form must be completed by the City, the applicant, an'd the approprlate school districts and returned to the City prior
to issuing a building permit. The City will not issue any building permit without a completed school fee form.
Project# & Name:
Permit #: CBRA2021-0025 ===...::.::;:::::... __________ _
Project Address: 1642 SANDALWOOD LN ----------------
Assessor's Parcel#: 2051305900 ====-"----------------
Project Applicant: OWNER GEESEY DAVID AND BETH
(Owner Name)
Residential Square Feet:
New/Additions:
Second Dwelling Unit: ;;;:58:;;6;__ _______________ _
Commercial Square Feet:
New/Additions: --------------------
City Certification:City of Carlsbad Building Division Date: 03/29/2021
Certification of ApplicanUOwners. The person executing this declaration ("Owner") certifies
under penalty of perjury that (1) the information provided above is correct and true to the
best of the Owner's knowledge, and that the Owner will file an amended certification of
payment and pay the additional fee if Owner requests an increase in the number of
dwelling units or square footage after the building permit is issued or if the initial
determination of units or square footage is found to be incorrect, and that (2) the Owner is
the owner/developer of the above described project(s). or that the person executing this
declaration is authorized to sign on behalf of the Owner.
I;,/ I Carlsbad Unified School District
6225 El Camino Real
Carlsbad CA 92009
Phone: (760) 331-5000
D Encinitas Union School District
101 South Rancho Santa Fe Rd
Encinitas, CA 92024
Phone: (760) 944-4300 x1166
D San Dieguito Union H.S. District
684 Requeza Dr.
Encinitas, CA 92024
Phone: (760) 753-6491 Ext 5514
(By Appl. Only)
D San Marcos Unified Sch. District
255 Pico Ave Ste. 100
San Marcos, CA 92069
Phone: (760) 290-2649
Contact: Katherine Marcelja
(By Appl.only)
D Vista Unified School District
1234 Arcadia Drive
Vista CA 92083
Phone: (760) 726-2170 x2222
SCHOOL DISTRICT SCHOOL FEE CERTIFICATION
(To be completed by the school dlstrict(s))
THIS FORM INDICATES THAT THE SCHOOL DISTRICT REQUIREMENTS
FOR THE PROJECT HAVE BEEN OR WILL BE SATISFIED.
The undersigned,. being duly authorized by the applicable School District, certifies that the developer,. builder,
or owner has satisfied the obligation for school facilities. This is to certify that the applicant listed on page 1
has paid all amounts or completed other applicable school mitigation determined by the School District. The
City may issue building permits for this project.
Name of School District: CARLSBAD UNIFIED SCHOOL DISTRICT
6Zl5 EL CAMINO REAL
Community & Econom~Bpn\4!BI098ulldlng Olvlsion
1635 Faraday Avenue I Carlsbad, CA 92008 I 760-602-2719 I 760-602-8558 fax I building@carl,badca,gov
STORM WATER POLLUTION PREVENTION NOTES
1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE
AVAILABLE ON SITE TO FACILITATE RAPID INSTALlATlON
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/CON1RACTOR SHALL INSTALL ADDITIONAL EROSION
CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY
INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR
UNFORESEEN CIRCUMSTAACES WHICH MAY ARISE.
4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE
AT THE END OF EACH WORKING DAY WHEN THE FIVE (5)
DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT
(40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER
EACH RA/NF ALL.
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 Al TER
THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED
TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY
REGULATIONS.
OWNER'S CERTIFICATE,
I UNDERSTAND AND ACKNOWLEDGE 1HAT 1 MUST: (1) IMPLEMENT
BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION
ACTIVITIES TO 'THE MAXIMUM EXTENT PRACTICABLE TO AVOID
THE MOBIUZA TION OF POU UT ANTS SUCH AS SEDIMENT ANO 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 CONSl'RUCTION ACTIVITIES
UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED
BY 11,E CITY OF CARLSBAD.
Davk:l Geesey
OWNER(S)/OWNER'S AGENT NAME (PRINT)
p a,,,,d b
SI
March 29, 2021
GBf4T NAME (SIGNATIJRE) DATE
E-29
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP
E-29
CBRA2021-0024-0025
SW
BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE
Erosion Control Secfment Control BMPs Tracking Non-Stlrm Water Waste Management and Materials BMPs I Control BMPs Management BMPs Pollution Control BMPs
C
V .£ ~ ~ ifj V ifj V !! § 1:> u c: c: "' E § E c: ~ v0 E o, ._ "' 2 £ i 'g l: ·5° >. 'g, o 2
,,, c:~ C. t .!= ~ £ ] ., ~ g -c ~ ~ ~ 0 5 ~ 2 Best Management Practice* ~ ~ : ~ ., ~ o::a fr e;; c: 8 ~ 8 ~ (.!) 2 w = ~ 6 ~ ., .... 3::_, i--
(BMP)Description ➔ ~ ~ J~ -~ ~ c: j '8 .f fW ~ ~§ if~ -g,., ~"' ]g i ].,, ~ ::i ! ! ]~ ~~ .,~ ~::i;:ao,a iii., a:: _ _,Eo:.., .!:'!"'~"' 0 .~.,,:.:~<1>.S ~8,£!~ito~:g.v~~., 2 ., .c.';?; ., 1.a.. .§ i5 ... i ., g ,,g SM :5; :;:;i ti3 .c: e. i3 £ c: t ~ 'ai ti _.::,. ., o e o b g ~l]gf !;i]6~&~]~vict ~go~& il~ri~~ l~j~l8~~ij8j
CASQADesi{1lation ➔ '-;-"f' 'f I I 7 f '? 'f '-;-'? 7 I ';-i I 7 1; "f' I ';-i 7 f '? 'f "f'
CoristructionActMty ~ ~ ~ ~ ~ !:-l !},j !7/ ~ !},j !7/ ~ f':: g; ~ ~ ~ ~ i i i i j i J
Grodino/Soij Disturbance
• Trenchin~ covotion •
• St ilinn •
Drillin□/80fin□
• Concrete1Asnh□lt Sowcuttinn • •
• Concrete Flatwork •
Povino
• Conduit 10i e Jnstollotioo • •
• Stucco /Mortar Work • •
• Waste Disoosol • •
• Sto□in ·1 "" Down Area •
E,.,ui ment Maintenance ond Fuelin"
Hazardous Substance Use/Storoae
Dewoterino
Site Access Across Dirt
Other I list\;
Instructions:
1. Check the box to the left of oil applicable construction activity (first column) expected to occur during construction.
2. Located along the top of the BMP Tobie is o list of BMP's with it's corresponding California Stormwoter Quality Association (CASQA) designation number. Choose one or mOfe BMPs )l:)U 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 !nformotion ond details of the chosen BMPs and how to apply them to the project.
SHOW THE LOCA T/ONS OF ALL CHOSEN BMPs ABOVE
ON THE PROJECTS SITE PLAN/EROSION CONTROL PLAN.
SEE THE REVERSE SIDE OF THIS SHEET FOR A SAMPLE
EROSION CONTROL PLAN.
Page 1 of 1
PROJECT INFORMATION
Site Address: 1640 Sandalwood Lane, Carisbad 920Q8
AssessOf's Parcel Number. 205-13D-S9-00
Emergency Contact:
Nome: David Geesey
24 Hour Phone: ?SO-?0].Jg,O
Construction Threat to storm Water Quality
(Check Box)
□ MEDIUM u] LOW
REY 02/16
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Property is flat
All trenching will occur in back of house
New flat slab only poured in back of house
Fence completely surrounds back yard
All staging will be in back yard