HomeMy WebLinkAbout2665 WADSWORTH ST; ; CBR2021-3826; PermitBuilding Permit Finaled
Residential Permit
Print Date: 07/18/2023
Job Address:
Permit Type:
2665 WADSWORTH ST,
BLDG-Residential
2081930700
$30,176.64
CARLSBAD, CA 92010-5603
Work Class:
Parcel#:
Valuation:
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
Description: 400 SF POOL/SPA
Track#:
Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check #:
Applicant: Property Owner:
SUE MONGOVEN
321 SUN BIRD CT
SAN MARCOS, CA 92069-3021
(714) 630-6100
FEE
JULIE TRUTANIC
2665 WADSWORTH ST
CARLSBAD, CA 92010-5603
BUILDING PLAN REVIEW-MINOR PROJECTS (LDE)
BUILDING PLAN REVIEW -MINOR PROJECTS (PLN)
SB1473 -GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION -RESIDENTIAL (SMIP)
SWIMMING POOL-RESIDENTIAL
SWPPP INSPECTION FEE TIER 1-Medium BLDG
SWPPP PLAN REVIEW FEE TIER 1 -Medium
Pool
Total Fees: $860,92 Total Payments To Date: $860.92
{city of
Carlsbad
Permit No:
Status:
CBR2021-3826
Closed -Finaled
Applied: 12/17/2021
Issued: 02/11/2022
Fina led Close Out: 07/18/2023
Final Inspection: 05/24/2023
INSPECTOR: Kersch, Tim
Alvarado, Tony
Contractor:
BOYER POOLS AND SPAS INC
1309 HILLSIDE DR
FALLBROOK, CA 92028-9568
(858) 762-2242
Balance Due:
AMOUNT
$194.00
$98.00
$2.00
$3.92
$228.00
$271.00
$64.00
$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 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 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
(:_ City of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan CheckC(?p.zol-1-· ~2.l.()
Est. Value
PC Deposit
Date 12::\7-2..1
JobAddress._24_G._~ ___ 0/4_.4Pz~~Jtl_o,V/t-.~-'jf~_>f ___ unit:. __ ~APN: Jo! -117-01~
CT /Project #:__._"--....,"'-''-=-------,-----.,-'lot#: ;2)-/
BRIEF DESCRIPTION OF WORK: r~ I :IA fg§o 5PA tfCJ
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 YON, if yes how many? ___ _
0 Remodel: SF of affected area Is the area a conversion or change of use? 0 YO N
□ Pool/Spa: _____ SF Additional Gas or Electrical Features? ------------
□solar: KW, ___ Modules, Mounted:QRoof OGround, Tilt: 0 YON, RMA: 0 YON,
Battery:OYO> N, Panel Upgrade: 0Y ON
Other:
PRIMARY APPLICANT
"= Jt!f eY}, Address: '/2~
City: fr►state: ~ Zip: (/kif
Phone: ~2-?/ ....-/b~
Email:O 2-Z ~ MK .nif
DESIGN PRO
PROPERTY OWNER
Name: t!:)_/h40 1!4,Mfc,_
Address: U6.S: WA1J5W~
City: CA1?l5tfJtt2 State: C,1
'if
Zip:4l-t7/cJ
Phone: __________________ _
Email: __________________ _
APPL/CANT CERTIFICATION: f certify that I have read the application and state that the above information is correct and that the information af the plans is accurate. f
agree ta comply with all City ordinances and State laws relating to building construction.
NAME (PRINT): 5iA£ Mr2Al{iplll?N SIGN: !Jl.£-if!!~:.
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: -8558 DATE: /~/rf/wy
Email:. Bu i!dine efil car I~ badq.P.,nv
THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _
A BUILDING PERl~llT 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): UCENSE12__CQ_f'/JIYtqO[QF,t;:LI\_R(l._T[Q_I\J:
lherebyaffirmunderpena/tyofperjwythatlam/icensedunderprovisionso{Chapter9/commencingwithSection7000)ofD/vision3
of the Business and Professions Code, and my license is in full f orceand ef feet. I a/so affirm under penalty of pe,jury one of the
fo//owing declarations/CHOOSE ONE):
0 I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3 700 of the Labor Code, for the performance of the
work which this permit is issued. PolicyNo. _____________________________________________ _
-OR-
O 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: __________________________ 1 Policy No. ___________________________ Expiration Date: _________________ ,
-OR-~ 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
~bject 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.
C_QNSTRUCTION LENDIN_G_/\GENCY.IF_ll,f'/_\I_:
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 i"llame:. ________________________ Lender'sAddress: ________________________ _
CONTRACTOR CERT/FICA TION: The applicant certifies that all documents and plans dearly and accurately show ail existing and proposed buildings, structures, access roads, and
utilities/utility easements. Atl proposed modifications and/or additions are clearly lc1beled 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 p{'operty, 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 accuratety shown and labeled as well as all on-site grading/site preparation.
AU 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): ?Ufi N:rntmVt:3Pv s1GNATURE=~b-4<=..L-,.le-"-'"'""'"---oATE= l't::~ ~
Note: If the person signing above is an authorized agent for the contractor provide a letter of authoriz ---1,,<:__ _________ --1
(OPTION B): OWNER-BUILDER DECLARATION:.
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
0 I, as owner of the property or my employees with wages as their safe 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 dld not build or improve for the purpose of sale).
-OR-
O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's license Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor{sj licensed I pursuant to the Contractor's License law).
-OR-I O I am exempt unde, Bus;ness and P,ofess;ons Code o;vision 3, Chapte, 9, Article 3 fo, this ,eason:
i AND,
0 fORM B-61 "Owner Builder Acknowledgement and Verification Form" h rt•quired /or any permit issued to ~1 prop11rty owner.
By my signature below I acknowledg<" that, except fo, my person,1l re!.ldenu• in which! rnw,t have resided for ut lcust one year prior to comptt:'tion of the
Improvements covered by this permit,! c,mnot legally sell a structore thilt 1 have built a.-. an ownN·builder if it has. not be£m c:omtructed in its entirety by licensed
contracton. I understand that a copy of the applicable law, Section 1044 of the Business and Professions Code, is available upon request when this application is
submitted or at the fol.lowing Website: http:! twww.leginfo.ca.gov/calaw.html.
OWNER CERTIFICATION: 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. Anv 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 .:md proposed use of each
building a5 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
•::::n~s;:;:~;:he p,z;;-;:~;~ with all ,egul:;::~,istence ~ the t;me ~ thei, const,uction. unless o::;:~ot&if /4 ?/
above is rn;,;;;ori.zed a ent for the property owner include fonn 8-62 owner.
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760·602-2719 Fax: 760-602-8558
2
REV. 10/Z
PERMIT INSPECTION HISTORY for (CBR2021-3826)
Permit Type: BLDG-Residential
Work Class: Pool
Application Date: 12/17/2021
Status:
Scheduled
Date
Issue Date: 02/11/2022
Closed -Finaled Expiration Date: 11/20/2023
IVR Number: 37685
Actual Inspection Type
Start Date
Inspection No.
Checklist Item
Are inactives slopes properly
stabilized?
Are areas flatter than 3:1
covered or protected?
Are sediment controls properly
maintained?
Are natural areas protected
from erosion?
Do basins appear to be
maintained as required?
Is the entrance stabilized to
prevent tracking?
Have sediments been tracked
on to the street?
Are storm drain inlets
protected and maintained?
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
Tuesday, July 18, 2023
Owner: JULIE TRUTANIC
Subdivision:
Address: 2665 WADSWORTH ST
CARLSBAD, CA 92010-5603
Primary Inspector Reinspection Inspection
Passed
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Page 5 of 5
PERMIT INSPECTION HISTORY for (CBR2021-3826)
Permit Type: BLDG-Residential
Work Class: Pool
Status: Closed -Finaled
Application Date: 12/17/2021
Issue Date: 02/11/2022
Expiration Date: 11/20/2023
IVR Number: 37685
Owner: JULIE TRUTANIC
Subdivision:
Address: 2665 WADSWORTH ST
CARLSBAD, CA 92010-5603
Scheduled
Date
Actual Inspection Type
Start Date
Inspection No. Inspection
Status
Primary Inspector Reinspection Inspection
Tuesday, July 18, 2023
Checklist Item
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
NOTES Created By
Angie Teanio
Angie Teanio
COMMENTS
May 23, 2023:
1. Approved for fence, gates, and door
and pool water device/alarms -final
swimming pool and spa inspection.
a) sliding glass door leading out to
swimming pool and spa locations --installed
and approved.
b) required for Final, new swimming pool
and spa final inspection owner decided to
purchase and install a floating pool water
device alarm system-verified and
approved.
c) UL listed product-approved.
May 23, 2023:
1. Approved for fence, gates, and door
and pool water device/alarms -final
swimming pool and spa inspection.
a) sliding glass door leading out to
swimming pool and spa locations -installed
and approved.
b) required for Final, new swimming pool
and spa final inspection owner decided to
purchase and install a floating pool water
device alarm system-verified and
approved.
c) UL listed product-approved.
TEXT
424-259-0752 Mario
619-323-8772 Julie
BLDG-SW-Inspection 212183-2023 Passed Tony Alvarado
Passed
Yes
Yes
Yes
Yes
Created Date
04/2112023
05/19/2023
Complete
Page 4 of 5
PERMIT INSPECTION HISTORY for (CBR2021-3826)
Permit Type: BLDG-Residential
Work Class: Pool
Application Date: 12/17/2021
Issue Date: 02/11/2022
Owner: JULIE TRUTANIC
Subdivision:
Status:
Scheduled
Date
05/22/2023
05/24/2023
Closed -Finaled Expiration Date: 11/20/2023
IVR Number: 37685
Address: 2665 WADSWORTH ST
CARLSBAD, CA 92010-5603
Actual Inspection Type
Start Date
Inspection No. Inspection
Status
Primary Inspector
05/22/2023 BLOG.Final Inspection
Checklist Item
211686-2023
COMMENTS
Partial Pass Tony Alvarado
BLDG-Structural Final
NOTES Created By
Angie Teanio
Angie Teanio
May 22, 2023:
1. Partial pass for fence, gates, and alarms
-final swimming pool and spa inspection.
PENDING:
a) sliding glass door leading out to
swimming pool and spa locations -not
installed.
b) informed owner representative what is
required for Final, new swimming pool and
spa final inspection approval.
c) additional safety swimming pool and spa
water floating alarm system required-Per
property owner Mario and Julie
TEXT
424-259-0752 Mario
619-323-8772 Julie
0512412023 BLDG-55 212181-2023 Passed Tony Alvarado
Fence/Prep laster
Checklist Item
BLDG-Building Deficiency
NOTES Created By
Angie Teanio
COMMENTS
May 23, 2023:
1. Approved for fence, gates, and door
and pool water device/alarms -final
swimming pool and spa inspection.
a) sliding glass door leading out to
swimming pool and spa locations -installed
and approved.
b) required for Final, new swimming pool
and spa final inspection owner decided to
purchase and install a floating pool water
device alarm system-verified and
approved.
c) UL listed product-approved.
TEXT
424-259-0752 Mario
BLDG-Final Inspection 212182-2023 Passed Tony Alvarado
Reinspection Inspection
Reinspection Incomplete
Passed
Yes
Created Date
04/21/2023
05/19/2023
Passed
Yes
Created Date
04/2112023
Complete
Complete
Tuesday, July 18, 2023 Page 3 of 5
PERMIT INSPECTION HISTORY for (CBR2021-3826)
Permit Type: BLDG-Residential
Work Class: Pool
Status: Closed -Finaled
Application Date: 12/17/2021
Issue Date: 02/11/2022
Expiration Date: 11/20/2023
IVR Number: 37685
Owner: JULIE TRUTANIC
Subdivision:
Address: 2665 WADSWORTH ST
CARLSBAD, CA 92010-5603
Scheduled
Date
Actual Inspection Type
Start Date
Inspection No. Inspection
Status
Primary Inspector Reinspection Inspection
Tuesday, July 18, 2023
Checklist Item
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
NOTES Created By
Angie Teanio
COMMENTS
April 23, 2023:
1. Partial pass for fence, gates, and alarms
-final swimming pool and spa inspection.
PENDING:
a) sliding glass door leading out to
swimming pool and spa locations -not
installed.
b) informed owner representative what is
required for Final, new swimming pool and
spa final inspection approval.
TEXT
424-259-0752 Mario
BLDG-SW-Inspection
Checklist Item
208941-2023
COMMENTS
Partial Pass Tony Alvarado
Are inactives slopes properly
stabilized?
Are areas flatter than 3:1
covered or protected?
Are sediment controls properly
maintained?
Are natural areas protected
from erosion?
Do basins appear to be
maintained as required?
Is the entrance stabilized to
prevent tracking?
Have sediments been tracked
on to the street?
Are storm drain inlets
protected and maintained?
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 dean
and maintained?
Were spills/leaks observed
during the inspection?
Were there any discharges
during the inspection?
Passed
Yes
Yes
Yes
Yes
Created Date
04/21/2023
Reinspection
Passed
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Incomplete
Page 2 of 5
Building Permit Inspection History Finaled
( City of
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2021-3826)
Permit Type: BLDG-Residential Application Date: 12/17/2021 Owner: JULIE TRUTANIC
Work Class: Pool Issue Date: 02/11/2022 Subdivision:
Status: Closed -Finaled Expiration Date: 11/20/2023 Address: 2665 WADSWORTH ST
IVR Number: 37685 CARLSBAD, CA 92010-5603
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector
Date Start Date Status
02/15/2022 02/15/2022 BLDG.SW-Pre-Con 176668-2022
COMMENTS
Passed Tony Alvarado
03/21/2022 03/21/2022
06/23/2022 06/23/2022
07/25/2022 07/25/2022
04/24/2023 04/24/2023
Tuesday, July 18, 2023
Checklist Item
BLDG-Building Deficiency 1. Preconstruction Inspection-guidelines
and requirements-approved.
2. informed contractor representative
Brian-approved.
BLDG-57 Gunlte 178740-2022 Passed Tim Kersch
Checklist Item COMMENTS
BLDG-Building Deficiency
BLDG-54 Equipotential 185483-2022 Passed Tim Kersch
Bond(Pools)
BLDG-55 187565-2022 Partial Pass Tony Alvarado
Fence/Prep laster
BLDG-55 208794-2023 Partial Pass Tony Alvarado
Fence/Prep laster
Checklist Item
BLDG-Building Deficiency
NOTES Created By
Angie Teanio
COMMENTS
April 23, 2023:
1. Partial pass for fence, gates, and alarms
-final swimming pool and spa inspection.
PENDING:
a) sliding glass door leading out to
swimming pool and spa locations -not
installed.
b) informed owner representative what is
required for Final, new swimming pool and
spa final inspection approval.
TEXT
424-259-0752 Mario
BLOG-Final Inspection 208793-2023 Partial Pass Tony Alvarado
Reinspection Inspection
Complete
Passed
Yes
Complete
Passed
Yes
Complete
Reinspection Incomplete
Reinspection Incomplete
Passed
Yes
Created Date
04/21/2023
Reinspection Incomplete
Page 1 of 5
,
STORM WATER POLLUTlON PREVENTION NOTES
I. A(L NECESSARY EQUIPMENT AND MATERIALS SHALL BE
AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION
or EROSION AND SEDIMENT CONTROL BMPs l',\!EN RAIN
IS EMINENT.
2. THE Ov.t<ER/CONTRACTOR SHALL RESTORE ALL EROSION
CONTROL DE~CES TO WORKING ORDER TO THE SATISFACTION
OF THE CITY INSPECTOR AFTER EACH RUN-Ol'F PRODUCING
RAINFALL
3 THE Ov.t<ER/CONTRACTOR SHALL INSTALL ADOrnONAL ERO~ON
CONTROL MEASURES AS MAY BE REOLIREO BY THE aTY
INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR
UNFORESEEN ClRCUMSTANCES WHICH MAY AR1SE.
4. All REMOVABLE PROTECTIVE orncEs SHALL BE IN PLACE
AT THE ENO OF EACH WORKING DAY WHEN THE FIVE (S)
DAY RA!N PROBABILITY FORECAST EXCEEOS FORTY PECENT ( 40%), Sil T ANO OTHER DEBRIS SHALL BE REMOVED AFTER
EACH RAJ NF ALL
5. ALL GRAVEL BAGS SHAU CONTNN 3/4 INCH MINIMUM
AGGREGATE.
6. ADEQUATE ERO~ON AND SEDIMENT CONTROL ANO PERIMETER
PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST
BE INSTAlLED ANO MAJNTAINEO.
7. THE CITY IN9'ECTOR SHALL HAVE THE AUTHORITY TO ALTER
THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED
TO ENSURE COMPLIANCE 111TH CITY STORM WATER QUALITY
REGULATIONS.
OWNER'S CERTIFJCATE:
I IJNOERSTAfW ANO ACKNOYI\.EDGE THAT 1 MUST: (1) IMPlfMCJIT
BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION
ACTI\/ITIES TO lHE MA)(IMUM EXTENT PRACTICABLE TO AVOID
TH£ MOBILIZATION or POLLUTANTS SUCH AS SEOJMENT AND TO
AVOID nJE EXPOSURE OF STORU WATER TO CONSTRlX:TION
Rff.AlED PCUUTANTS; AND (2) ADHERE TO, AND AT ALL TIMES,
COMPLY Ytlll-1 THIS CITY APPROVED TIER I CONS1RUCTict4 SWPPP
n-lROUGHOllT THE OURATION Or TH£ CONSTRUCTION ACTI\IIT1£s
UNTIL THE CONSlRUCTION WORK rs COMPLETE AND APPROVED
\
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP
E-29
CB ___ _
~
EroSlon ControI
'"''
BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE
S!dlment Conlrol SMPs
1 -
,_,
ConlrolBMPs NoflrSlotm Water Monagemant BMPB
1
SW
Wasle ~nagemenl and Malerlala PdN&kln Control BMP.s
Best Management Pracuce•
(BMP) Oe5cripUon ➔
! ~n
.. !l' ·~ n '.!i ija\ -~ ~ j ~QI Q
~ Bl~ !
E ~ • • & ,s; .E .S
-~"' f.r<ll -~. & di (/) a, O;S
~~! !· i
!'lf_n i_f
i 1~
1 jl ; i • $
.§ 1'! i .~ :J .. i••~lii
~ •• f Q ~ ,l!U
1
g lli l i .-,IL i-
f ii ;I iJ 111
CASQA Oeal{lllanan ➔
ConMnlttlon AclM
Gr11dfn D Disturbance
Tr«!Chh covotlon
Slodpl/11, -
U(=lng ~cre\eA9pholt SaWC.!!_t_UlJ.r1
~reliFJiilWo"rk
Paving
1e TnstaifoiJon
,rtor'Work Cl:/!'lt ' Waste
SfoQ!n
~
~ea
rieot Mpln\engnce gnd FtJef)t H~ous Sybstonce UsejStoroge
Dn«Jterlnc
site Aci::eia Acrois Dirt
I Otber (1111):
11iI t
~1~ ¢ 6 w w
I I ~ I" ~ ii3
.! 11
I iii! Ii • l! l i '8 g.ll f .i l!J_~ j vi£
~,~1~1i1~ i1~1 ~
'"
P,l _i~
~ ~
g, ,f __ t i·I :!!o
~ ~1i1 i
lnstructloos: 1. Check tha tiox to the left of all appllcoble construction activity (first column) expected to occur during construction.
~ \ill\ 1 l
'v U' ,
2. Locoled olong the top of the 8MP Toble Is o list of 8MP's with rt'a corresponding Collfomit:I Stomiwater Quallty Association (CASOA) deslgnotlon number. Chl){Jse one or more SMPa you lnlend to use during construction from lhe list. Check the box where the chosen activity row lntersect1 with the BMP column,
J, Refer to tne CASOA construction handbook for information and dntalfs of the chosen SMPs and how to apply them to the proJeet.
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 CONTROL PLAN.
Site Address:
Assessor' e Parcel Nu,
Emergenoy Co!';,..-.1.
Nom, , ~ jt;;,L
24 "'"' Phone 8517-?G,Z-'Z-Z-l/2
• • .,,
BY THE CITY Of CARLSBAD, _ -a)
•ER~Mt~ r;:JN?~Jlv.
~I DATI:
-BMP's are subject to field inspection-
C<inslrucUon Threat to SIOfm Water Ouallly
(Check Box)
0 MEDIUM rtfJ LOW
&-29 [,/ Pago 1 al I REV D2/16
--1