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Home My WebLink About1531 BASSWOOD AVE; ; CBR2023-3166; PermitBuilding Permit Finaled Residential Permit Print Date: 02/23/2024 Job Address: Permit Type: Parcel#: Valuation: Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: 1531 BASSWOOD AVE, BLDG-Residential 2051304000 $19,322.76 CARLSBAD, CA 92008-1946 Work Class: Track#: Lot#: Project#: Plan#: Construction Type: Orig. Plan Check #: Plan Check#: Addition Description: NESTOR: EXTEND TWO BEDROOMS AT REAR OF HOUSE (92 SF) Applicant: Property Owner: ALEX FAULKNER 2120JIMMY DURANTE BLVD, # STE 114 DEL MAR, CA 92014-2215 RUSING LIVING REVOCABLE TRUST 1531 BASSWOOD AVE CARLSBAD, CA 92008 (858) 481-1819 FEE BUILDING PLAN CHECK BUILDING PLAN REVIEW -MINOR PROJECTS (LDE) BUILDING PLAN REVIEW -MINOR PROJECTS (PLN) SB1473 -GREEN BUILDING STATE STANDARDS FEE SFD & DUPLEXES STRONG MOTION -RESIDENTIAL (SMIP) Total Fees: $2,357.65 Total Payments To Date: $2,357.65 {city of Carlsbad Permit No: CBR2023-3166 Status: Closed -Fina led Applied: 06/22/2023 Issued: 08/31/2023 Fina led Close Out: 02/23/2024 Final Inspection: 01/25/2024 INSPECTOR: Alvarado, Tony Renfro, Chris AMOUNT $813.15 $194.00 $98.00 $1.00 $1,251.00 $0.50 Balance Due: $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 Check C:8Js2DZ'>-3,\J.f, Est. Value t /9, 3 2Z, 7(. PC Deposit t e I 3,/ s Date .C/zz/z3 ' Job Address 1531 BASSWOOD AVE. Unlt: ____ _,APN: 205-130-40-00 CT/Project#:. ________________ t.ot#: Year Bullt:...;1.;;.968;.;... ______ _ BRIEF DESCRIPTION OF WORK: EXTEND TWO BEDROOMS AT REAR OF HOME 0 New SF : Living SF,,.:9;::2 ___ 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: O SF of affected area Is the area a conversion or change of use? O Y C!) N □ Pool/Spa:, ____ SF Additional Gas or Electrical Features? ___________ _ 0Solar: ___ .KW,, ___ ,Modules, Mounted:0Roof OGround, Tilt: 0 YON, RMA: 0 YO N, Battery:OYO N, Panel Upgrade: OY ON Electric Meter number: ___________ _ Other: APPLICANT (PRIMARY CONTACT) Name: ALEX FAULKNER Address: ALEX FAULKNER DESIGNS City: DEL MAR State:,_CA __ Zlp: 92014 Phone: 760-809-8n2 Email: alexfdesgns@gmail.oom DESIGN PROFESSIONAL Name: ALEX FAULKNER Address· ALEX FAULKNER DESIGNS PROPERTY OWNER Name: JACK NESTOR Address: 1531 BASSWOOD AVE. City: CARLSBAD State: CA Zip:,.;.92008=.;;_ __ Phone:760-840--0595 Email: Jackneslor359@gmall.oom CONTRACTOR OF RECORD Business Name: f1vt..U2tl Co...J.5--(tJC1' \oJ City: DEL MAR State: CA Zlp:._9_20_1_4 __ Address:U2126' CCfANt % C1ty:&0 ™, State:ClA Phone: ':!fr.;;.Jj_iJ--2, 2 3 3 Zip: qz.oo,!$ Phone:760-809-8n2 Email: alexfdasgns@gmaU.oom Architect State License: __________ _ Email:. ____ .-r-,,.------------- CSLB Ucense#: 4'2./]BS: Class:._ .... f).,._ __ _ Carlsbad Business License# (Required):. ______ _ APPUCAHT CERTIFICATION: I c,rtify thot I have read the app/icatlon and state that the abo,,. Information Is co,,..ct and thot th< lnfonnat/an of the plans Is a<curate. I agree to comply wtth all City ardlnanm and State laws relating to building construction.A NAME (PRINT): ALEX FAULKNER SIGN~ _ DATE: 06/21/2023 1635 Faraday Ave carlsbad,CA 92008 Ph: 442·339-2719 Email: Building@carlsbadca.gov REV. 04/22 I 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: I hereby affirm under penal tyof per jury that I am I icensed under provisions of Chapter 9 ( commencing with Section 7000) of Division 3 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): DI 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. Po!icyNo. ___________________________________________ _ -OR- l°'ia"1 have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, fo~ the performance of the work for which this perniit, is issued. ~ workers' compe?ation insur?~ce carrier and policy number are: Insurance Company Name: ~( lJt.) '1 \Jt,J :¼p ~J OJ,-)JV,..AUfi..f- Polir.y No. _ "].?} f S 5:'f Expiration Date: / / '1 -f I 2.. ..J -OR-I r -tr T 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 securl:! 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. '.1097 (i} Civil Code). Lender's Name: _______________________ ,Lender's Address: _______________________ _ CONTRACTOR CERTIFICATION· The applicant certifies that all documents and plans clearly and accurate:y show all eKisting and proposed buildings, structures, access road,, and utilities/utility easements. All proposed modifications and/or additions are clearly labeled on the site plan. Any potentially eKisting 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 propertf, buildings, structures and their setbacks from propert'/ 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 ~imeoftheir construction, unless otherwise noted. NAME (PRINT): A:w :}iuLt<.::C1:--SIGNATURE: ///,P -DATE: & 2.2 • LO Note: If the person signing above is an authorized agent for the contractor rovide 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: D I, as owner of the property or my employees with wages as their sole compensation, will cto 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 ctoes not apply to an owner of oroperty who tuilds or improves thereon, and contracts for such projects with contrar:tor(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 FOi{M B-61 "Owner Builder Acknowledt}?m•:!nt and Verification Form" is requi~d for ar.y permit issued to a property owner. B'f my sigr.ature below I ack11owledge tlBt, exc•~pt for my per~onal residence ·11 whicn I must ha11e resided for at lease one year p1•ior to completion ,)f the impro•1ernents covered by this permit, I cannot legally sel1 a structure that I ha·~e built as an ::iwner-builder if it has not been constructed in it!; entirety by licensed contractors./ understand that a copy of the applicable law, Section 70440/ the Business and Professions Code, is available upon request when this application is submitted orat the foUowing Web site: http:I/www./eginfo.ca.govlcalaw. 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. 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/ecsements, and utilities. The existing arid proposed use of each building as stated is true and correct; all easements an:l other encumbrances to development have been accurately shown and labeled as well as all on-site grading/site pr~paration 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 si nin above is an authorized a ent for the ro ert owner include form B-62 si ned b ro ert owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Email: Building@carlsbadca.gov 2 REV. 0•1/22 PERMIT INSPECTION HISTORY for (CBR2023-3166) Permit Type: BLDG-Residential Application Date: 06/22/2023 Owner: JACK NESTOR, TRUST RUSI NG LIVING REVOCABLE TRUST Work Class: Addition Issue Date: 08131/2023 Subdivision: SANDALWOOD DALE UNIT# 2 Status: Closed -Finaled Expiration Date: 03111/2024 Address: 1531 BASSWOOD AVE CARLSBAD, CA 92008-1946 IVR Number: Scheduled Actual Inspection Type Inspection No. Date Start Date BLDG-18 Exterior Lath/Drywall Checklist Item 223863-2023 COMMENTS BLDG-Building Deficiency 01/25/2024 01/25/2024 BLDG-Final Inspection 237729-2024 Friday, February 23, 2024 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS 50179 Inspection Primary Inspector Status Passed Chris Renfro Passed Chris Renfro Reinspection Inspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Page 2 of 2 Building Permit Inspection History Finaled (city of Carlsbad PERMIT INSPECTION HISTORY for (CBR2023-3166) Permit Type: BLDG-Residential Application Date: 06/22/2023 Owner: JACK NESTOR, TRUST RUSING LIVING REVOCABLE TRUST Work Class: Addition Issue Date: 08/31/2023 Subdivision: SANDALWOOD DALE UNIT#2 Status: Closed -Finaled Expiration Date: 03/11/2024 Address: 1531 BASSWOOD AVE IVR Number: 50179 CARLSBAD, CA 92008-1946 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Re inspection Inspection Date Start Date Status 09/05/2023 09/05/2023 BLDG-11 222878-2023 Passed Chris Renfro Complete Foundatlon/Ftg/Piers (Rebar) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-83 Roof Shoaling, 222953-2023 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-Reroof BLDG-84 Rough 222954-2023 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 09/11/2023 09/11/2023 BLDG-17 Interior 223454-2023 Cancelled Tony Alvarado Reinspection Incomplete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Cancelled-owner rescheduled, out of No town. BLDG-18 Exterior 223453-2023 Cancelled Tony Alvarado Reinspection Incomplete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Cancelled-owner rescheduled, out of No town. 09/12/2023 09/12/2023 BLDG-16 Insulation 223862-2023 Passed Chris Renfro Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes Friday, February 23, 2024 Page 1 of 2 July 27, 2023 City of Carlsbad Community Development Department -Building Division 1635 Faraday Ave. Carlsbad, CA 92008 Plan Review: Residential -Addition Address: 1531 Basswood Ave Applicant Name: Alex Faulkner Applicant Email: alexfdesigns@gmail.com OCCUPANCY AND BUILDING SUMMARY: Occupancy Groups: R-3 Occupant Load: NIA Type of Construction: V-B Sprinklers: No Stories: One Area of Work (sq. ft.): 92 sq. ft. The plans have been reviewed for coordination with the permit application. Valuation: Confirmed Scope of Work: Confirmed Floor Area: Confirmed Attn: Building & Safety Department, 'lrue Nortl1 COMPLIANCE SE RV ICES City of Carlsbad -FINAL REVIEW City Permit No: CBR2023-3 l 66 True North No.: 23-018-538 True North Compliance Services, Inc. has completed the finru review of the following documents for the project referenced above on behalf of the City of Carlsbad: I. Drawings: One (1) copy by Alex Faulkner Designs. The 2022 California Building, Mechanical, Plumbing, and Electrical Codes (i.e., 2021 !BC, UMC, UPC, and 2020 NEC, as amended by the State of California), 2022 California Green Building Standards Code, 2022 California Existing Building Code, and 2022 California Energy Code, as applicable, were used as the basis of our review. Please note that our review has been completed and we have no further comments. We have enclosed the above noted documents bearing our review stamps for your use. Please call if you have any questions or ifwe can be of further assistance. Sincerely, True North Compliance Services Review By: Bryan Montes -Plan Review Engineer True North Compliance Services, Inc. 153 75 Barranca Pkwy, Suite A202, Irvine, CA 92618 TI 562. 733.8030 STORM WATER POLLUTION PREVENTION NOTES 1. All NECESSARY EQUIPMENT AND MATERIALS SHALl BE AVAJLABLE ON SITE TO fAOUTATE RAPID INSTALlATION OF EROSION AND SEDIMENT CONTROL BMPs v.1-tEN RAIN IS EMINENT. 2. 1liE O'M<ER/CONTRACTOR SHALl RESTORE All EROSION CONTROL DrnCEs TO WORKING ORDER TO TIHE SATISFACTION Of TI-IE CITY INSPECTOR Af'TER EACH RUN-OFF PROOUCING RAINFALl. 3. TIHE O'M<ER/CONTRACTOR SHALL INSTALl ADDITIONAL EROSION CONTROL MEASURES AS MAY BE REQUIRED BY 1liE CITY INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR UNFORESE£N ORCUMSTANCES \\HICH MAY ARISE. 4. ALL REMOVABLE PROTECTIVE DE\IICES SHALL BE IN PLACE AT THE END OF EACH \\llflKING DAY \\HEN THE FIVE (5) DAY RAJN PROBABILITY FORECAST EXCEEDS FORTY PECENT ( 40ll). SILT AND OTIHER DEBRIS SHALL BE REMOVED AFTER EACH RAINFAlL 5. ALL GRAVEL BAGS SHALl CONTAJN 3/4 INCH MINIMUM AGGREGATE. 6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTALLED ANO MAINTAINED. 7. TIHE CITY INSPECTOR SHALL HAVE TIHE AUTIHORITY TO ALTER THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED TO ENSURE COMPLIANCE 'MTI-t CITY STORM WATER QUALITY REGULATIONS. OWNER'S CERTIFICATE, I UNDERSTAND ANO ACKNO'M..EDGE TI-IAT I MUST: (1} lMPl.£MENT BEST WANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES TO lH£ MAXIMUM EXlENT PRACTICABI.£ TO Al/aD THE MOBIUZATION CF PCUUTANTS SUCH AS SEDIMENT AND TO A VOID THE EXPOSURE Cf STORM WATER TO CONsmuCTION REI.ATEO PCUUTANTS; AND (2) ADHERE TO, AND AT All TIMES, COMPLY 'MTH THIS CHY APPRO\£D TIER 1 CONSlRUCTION S\Wf'P TI-IROUGHOUT THE DORATION Of THE COOSlRUCTIOH ACTIVITIES UNTIL THi'. CONSTRUCTION WORK IS COMPL..ElE -'HD APPR0',{1) BY THE "TY OF CARLJI""".' ~ ·~ O' &~f;/<-'!J E-29 STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 CB ___ _ SW BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE Best Management Pradlce' (BMP) De,criptlon ➔ ,_Cornn< ..... ! ~ "§U t j 1! j s J ~l I Seclmlnt Control BMPa ~ J s J I iii!! 1 !-[1 1t ill R ~ ] i~ j i~ CASQA-➔ ~,, ~ := -~ ~1~1~1 ~ l'fl :S ConslnlctlonActi ~ ~ ~ ~ ~ tw ~ ~ ~ tlt bl tlt Grodin Son Dltturbance Trenchln xcovat1911 ~a Mllng/Bor: eoncret~" hatt Sawcutt1n9 Concrete FJQtworic Po,o Conduit e lnetallatlon Stucco ortar Woete DI~ I Stoq!ng/Lay Down Arfll ul ment Maintenance and Fueltn Hazardoue Subetance Ute tora1111 Dewatering Site Aceeu Acro11 Dirt other~ ,_ """"'""' 1 i ~ !l .§ 11 llj • t iii~ iii ~ i ---.. _ ...... f !I i • ! .§ B s ii ] r j :S-~ Ji 0 ;Ii; 0. 0 ~ ~ ~ ~ Wute Managem9nl and Malerlall """""'"""'"""' s iii _f I t j i_.t. i .i !] 2VI ~ ~ Jt'i ,, . -,_ .. _ "! "t ;1/i i ~ a ,, ~1 l. l. •l~l~l~l•l•I• ' ln.tructlona: 1. Check the box to the left of oU applicable con1tructlon actMty (flret column) expected to occur during conetructlon. 2. Located alOl!O the taD of the BMP Table It a ll1t of BMP's with It's correspondlnQ California Stomlwoter Quality Auodatlan (CASQA) dee!Qnatlon number. Ch0011 one or more BMP-1 )OU ln\end to uM durklg con1tructlon from the ltet. Chtck the boll wh .. the chosen octMty row lntentctl with the BMP column. 3. Refer to the CASQA con1tructlon handbook for Information and detaffl of the choten BMP• and how lo 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. -BMP's are subject to field Inspection- Page 1 of 1 Site Addren:: ..,.,...,, p,,,. ""~""' 'Ze5:-11:P-to -oq Emerge,cy Contict: N Nome • {KK, :(6~ 24 "'"' Ph'"°' 1'26 -&---fo:OSC(S: Conetructlon lhr$Clt to Storm Water Quality (Check Box) □ MEDIUM r,4ow REV 02/16 C City of Carlsbad DETERMINATION OF PROJECT'S SWPPP TIER LEVEL AND CONSTRUCTION THREAT LEVEL E-32 Development Services Land Development Engineering 1635 Faraday Avenue 442-339-2750 www.carlsbadca.gov I'm applying for: □ Grading Permit ■ Building Permit □ Right-of-way permit □ Other ProjectName: 1£5p, k?:Q1:r,t..J ProjectlD: ____ DWG#/CB#_~---- Address: _________ APN'.Zof-f.%?·1/0-v<> DisturbedArea: 'f2sc Ac Section 1: Determination of Project's SWPPP Tier Level SWPPP (Check annllcable criteria and circle the conesnnndlnn SWPPP Tier Level, then ao to section 21 Tier level FYAmnt -No Threat Project A 1.ent Crileria My project is in ., categoty of permit types emmpt from City Construction SWPPP requinmenls. Provided no significant grading proposed, pursuant ID Table1, section 322 of Storm Waler Standards, the following nennits are exemnt from SWPPP reauirements: Exempt !► Electrical !► Patio !► Mobile Home !► Plumbing I ► Spa (Factory-Made) !► Fire Sprinkler !► Mechanical !► -oofing !► Sign !► Roof.Mounted Solar Arra>f ' TJ6r 3-Significant Threat Assessment Criteria -(See Construction General Penni! (CGP) Section I.B)* O My project includes construction or demolition activity that results in a land disturbance of equal to or greater than one acre including but not liniled to clearing, grading, grubbing or excavation; or, □ My project includes conslruclion activity that results in land disturbance of less than one acre but the construction activity is part of a laiger common plan of development or the sale of one or more acres of disturbed land surface or, □ My Project is associated with construction activity related to residential, commercial, or industrial Tier 3 develop!, ,ent on lands currently used for agriculture; or □ My project is associated with construction activity associated with Linear Underground/overhead Projects (LUP) including but not liniled to those activitieo; necessary for installation of underground and overhead linear facilities (e.g. conduits, subslruclures, pipelines, towers, poles, cables, wire, towers, poles, cables, wires, connectors, swilciting, regulating and transfonning equipment and associated ancillary facilities) and indude but not liniled to underground utility mark out, potholing, concrete and asphalt culling and removal, trenching, excavation, boring and drilling, access road, tower footings/foundation, pavement repair or replacement, stockpile/borrow locations. □ Other,,... CGP Tier 2-Moderate Threat A§s m,nt Criteria: My project does not meet any of the Significant Threat Assessment Criteria described above and meets one or more of the following criteria: □ Project requires a grading plan pursuant to the Cal1sbad Grading Ordinance (Chapter 15. 16 of the Caitsbad Municipal Code); or, □ Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, lefueling and maintenance areas and project meets orie or more of the additional following criteria: Tier2 • localed within 200 feet of an environmentally sensitive area or the Pacific Ocean; and/or, • disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical; and/or • disturbed area is located along or within 30 feet of a stonn drain inlet, an open drainage channel or waten:ourse; and/or • construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 throuah Anr. 301. Tier 1-Low Threat AJ!ses§ment Criteria II! My project does not meet any of the Significant or Moderate Threat criteria above, is not an exempt permit type per above and the project meets orie or more of the following aiteria: Tier 1 • results in some soil disturbance; and/or • indudes outdoor construction activities (such as roof framing, saw culling, equipment washing, material stndmHin!l, vehicle fuelin!l, waste clnrl,nilin~' • 11ems listed are excerpt from CGP. CGP governs aileria for triggers for Tier 3 SWPPP_ Deuelopertowner shaU confirm coverage under 1l1e amen! CGP and any amendments, .-m and reissuance 1hereof. E-32 Page 1 of2 Rev.04/22 SWPPP Section 2: Determination of Project's Construction Threat Level Tier (Check applicable criteria under the Tier Level as determined in section 1, circle Construction Level the corresponding Construction Threat Level, then complete the Threat Level sianature block belowl Exempt -Not Applicable -Exempt Tier3 High Construction Threat Assessment Criteria: My Project meets one or more of !he following: □ Project site is 50 acres or more and grading will occur during the rainy season □ Project site is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA High □ Soil at site is moderately to highly erosive (defined as having a predominance of soils Tler3 with USDA-NRCS Erosion factors kf greater than or equal to 0.4) □ Site slope is 5 to 1 or steeper □ Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 -April 30). □ Owner/contractor received.a Stonn Water Notice of Violation within past two years Tier 3 -Medium Con§!ruction Threat Assessment Criteria Medium □ Ail projects not meeting Tier 3 High Construction Threat Assessment Criteria Tier 2 -High Construction Threat Assessment Criteria: My Project mee!§ one or more of the following: □ Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA □ Soil at site is moderately to highly erosive (defined as having a predominance of soils High with USDA-NRCS Erosion factors kr greater than or equal to 0.4) Tier2 □ Site slope is 5 to 1 or steeper □ Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1-Apr. 30). □ Owner/contractor received a Stonn Water Notice of Violation within past two years □ Site results in 10,000 sq. ft. or more of soil disturbance Tier 2 -Medium Construction Threat Assessment Criteria Medium □ My project does not meet Tier 2 High Threat Assessment Criteria listed above Tier 1 Medium Construction Threat Assessment Criteria: My Project meets one or more of the follgwing: □ Owner/contractor received a Stonn Water Notice of Violation within past two years Medium □ Site results in 500 sq. ft. or more of soil disturbance Tier1 □ Construction will be initiated during the rainy season or will extend into the rainy season (Oct.1-April 30) Tier 1 -LQl!! Cons!rugjgn Threat Asse~m§nl Qriteria Low • My project does not meet Tier 1 Medium Threat Assessment Criteria listed above I certify to the best of my knowledge that the above statements a"' true and correct. I will prepare and Slllmlt an appropriate lier level SWPPP as detennined above prepared in accordance with the City SWPPP Manual. I undef1!1and and acknowledge that I must adhere to and comply with the stonn water best management practices pursuant to Tille 15 of the Carlsbad Municipal Code and to City Standards at all times during construction activities for the permit type(s) checked above. The City Engineer/Building Official may authorize minor variances from the Construction Th19al Assessment Criteria in special circumstances where ii can be shown that a lesser or higher SWPPP Tier Level is warranted. Owner/Owne!'s Authorized Agent Name: fllle: City Conameace: Yes No ~, (For City Use OnM Date: By: Date: Project ID: E-32 Page2of2 Rev. 04/22