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Home My WebLink About2659 STATE ST; ; CBC2022-0314; PermitBuilding Permit Finaled Commercial Permit Print Date: 02/21/2024 Job Address: Permit Type: Parcel#: Valuation : Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: 2659 STATE ST, CARLSBAD, CA 92008-1627 BLDG-Commercial Work Class: 2030542600 Track #: $104,097.84 Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Project Title: JUEN E ET JOLIE Patio DEV2018-0037 { City of Carlsbad Permit No: CBC2022-0314 Status: Closed -Finaled Applied: 08/23/2022 Issued: 12/27/2023 Finaled Close Out: 02/21/2024 Fina l Inspection: 01/17/2024 INSPECTOR: Renfro, Chris Description: JU ENE ET JOLIE: CONVERT DRIVEWAY TO 1,806 SF OUTDOOR DIN ING W/ GAS & ELECTRIC Applicant: CHAMPION PERMITS TIM SEAMAN 1127 11TH ST IMPERIAL BEACH, CA 91932-2901 (619) 993-8846 FEE BUILDING PLAN CHECK Property Owner: 2659 STATE PARTNERS LLC 2659 STATE ST, # STE 100 CARLSBAD, CA 92008-1627 (619) 840-7721 BUILDING PLAN REVIEW-MINOR PROJECTS (LDE) BUILDING PLAN REVIEW -MINOR PROJECTS (PLN) FIRE A-2 & A-3 Occupancies -Tl SB1473-GREEN BUILDING STATE STANDARDS FEE SITE IMPROVEMENTS STRONG MOTION -COMMERCIAL (SMIP) Total Fees : $1,649.04 Total Payments To Date: $1,649.04 Balance Due: AMOUNT $367.11 $194.00 $98.00 $391.00 $5.00 $564.78 $29.15 $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 COMMERCIAL BUILDING PERMIT APPLICATION B-2 Plan Check ________ _ Est. Value PC Deposit Date Job Address Z b "1 1 .s-r '"·q~; ST -Suite: /OZ: APN: __________ _ TenantName#: Je,vKS 6.,-JQL-1.E-, l..L.v Lot #: ____ Year Built: ________ _ Year Built: __ _ Occupancy: __ _ Construction Type: __ _ Fire sprinklers0,ESQN0 A/C:CJ{ES NO BRIEF DESCRIPTION OF WORK: D Addition/New: ___________ New SF and Use, _________ New SF and Use ______ SF Deck, _______ SF Patio Cover, SF Other (Specify) ___ _ [Jrenant Improvement: _____ SF, _____ SF, Existing Use: _______ Proposed Use: ______ _ Existing Use: Proposed Use: ______ _ D Pool/Spa: _____ SF Additional Gas or Electrical Features? ___________ _ D Solar: ___ KW, ___ Modules, Mounted:O Roof OGround D Reroof: __________________________________ _ 0 Plumbing/Mechanical/Electrical O0ther: _______________________________ _ APPLICANT (PRIMARY CONTACT) PROPERTY OWNER Name: J,olh{ t{E.~Ml~l;( Name: .f-"ijeft; 2,s--1 Sf.A;,~ t'A:Jf:(¾f.~ L..l.,C-- Address· "(Zot; {lr.A-n.'1,~w Q'1. Address: 2.6 7 (:;. ,)i.Al'r~ ~T--t:ttoo City· l,4(lC.$ 9A°') State: t* Zip: ,i,ooR City: c Am.J-g.At-, State: lA Zip: qzoox Phone· .b.J1 (so ,~10 Phone: 6tg ... l$''l0 -772..1 Email· ;i;,._,-(~J~\/,-1G-.lot..tE-lo t-"\. Email: $!3,ei,tQ,1;':( e ~'sJS(t'/c..l~✓ptfl1e-ta) · (of"'\. DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: _________________ Business Name: Hawkins Construction Inc. Address: Address: 4177 Yale Ave City_· _______ State: ___ .Zip:. _____ City: La Mesa State: CA Zip:._9_19_4_1_· ---- Phone: _________________ Phone: 619-463-122 Email: _________________ Email: Jamlejr@hawkinsconstructlonlnc.com Architect State License: ___________ CSLB License#: 732952 Class:_8 _____ _ Carlsbad Business License# (Required): BLOS1240316 APPLICANT CERTIFICATION: I certify that I have read the application and state that the above informatfon is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and 5 te laws relating to building construction. / NAME (PRINT): "1o 1f"{ 1ZtSt:(rc¼, SIGN:--,,,r.;.,,.,,,c;.,~-r--,.__ __ DATE: (2,,121/?2 / 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Fax: 7 Email: Buildiog@carlsbadca.gov REV. 07/21 THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _ A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE. (OPTION A): LICENSED CONTRACTOR DECLARATION: lherebyaffirmunderpenaltyofperjurythatlamlicensedunderproyjsionsofChapter9(commencingwithSection7000)ofDMsion3 of the BusinessandProfessionsCode, and my license isin full force and effect. I also affirm underpenaltyof perjury one of the following declaratfons(CHOOSE ONE): □, have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. Policy No .. _______________________________________ _ -OR- G:]1 have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: lnsuranceCompany Name: _St_a1_e_c_om_pe_nsa_110_n_1ns_u_ran_c:e_F_u_nd ___________ _ Policy No. 910,3-4023 Expiration Date: _513012<1Z __ 4 _____________ _ -OR- O certiflcate 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 cfvll 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: I certifythatl have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT): jamie hawkins jr SIGNATURE: Jamie Hawkins jr DATE: 12/26/2023 Note: If the person signing above Is an authorized agent for the contractor provide 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: rl I, 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. ~. 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- D 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License La w). -OR-□1 am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this re_ason: D, D FORM 8-61 •owner Builder Acknowledgement and Verification Form# is required for any permit issued to a property owner. By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors./ understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when th is application is submitted orat t he following Web site: http:/ lwww.leginf o.ca.gov/ ca/aw.html. OWNER CERT/FICA TION: I certify that/ have read the application and state that the above information ts correct and that the informationon the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT): SIGN: __________ DATE: ______ _ Note: If the person signing above is an authorized agent for the property owner Include form 8-62 signed by property owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 442-339-2719 Fax: 760-602-8558 Email: Bul1dipg@cartsbadca.gov 2 REV. 07121 Building Permit Inspection History Finaled ( City of Carlsbad PERMIT INSPECTION HISTORY for (CBC2022-0314) Permit Type: BLDG-Commercial Work Class: Patio Status: Closed -Finaled Application Date: 08/23/2022 Owner: 2659 STATE PARTNERS LLC Issue Date: 12/27/2023 Subdivision: SEASIDE LANDS Expiration Date: 07/15/2024 Address: 2659 STATE ST IVR Number: 42846 CARLSBAD, CA 92008-1627 Scheduled Date Actual Inspection Type Start Date Inspection No. Inspection Primary Inspector Reinspection Inspection Status 01/17/2024 01/17/2024 BLDG-84 Rough 236846-2024 Passed Chris Renfro Combo(14,24, 34,44) Checklist Item BLDG-Building Deficiency BLDG-14 Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout BLDG-34 Rough Electrical BLDG-44 Rougl1-Ducts-Dampers COMMENTS All work completed at an earlier date. Never entered into our system. BLDG-Final Inspection 236847-2024 Passed Chris Renfro Wednesday, February 21, 2024 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS All work completed at an earlier date. Never entered into our system. Complete Passed Yes Yes Yes Yes Yes Complete Passed Yes Yes Yes Yes Yes Page 1 of 1 SAN DIEGO REGIONAL OFFICE USE ONLY HAZARDOUS MATERIALS RECORD ID# PLAN CHECK# QUESTIONNAIRE BP DATE JsIness ame ( Telephone# Ell tl~ -"( ...\ ol,{ CA C/200 Project Address (include suite) City State Zi C ~ n~ 1°2... C.Actt..> C, q Mailing Address (include suite) City State Zip Code Plan File# Applicant E-mail Telephone# ,Jot-It( t,.u~*,.Jol-tE.ewr"l 6/C,. "f50 -'1s"i ~ The followlng questions represen the faclllty's activities, NOT the specific project description. 1 o : Indicate y c,rc Ing t item, whet r your usIness wr use, process, or store any o t applicant must contact the Fire Protection Agency with jurisdiction prior to plan submittal. Occupancy Rating: Faclllty's Square Footage (including proposed project): Fl 1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives cJ 2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards 3. Flammable/Combustible Liquids 7. Pyrophorics 11 . Highly Toxic or Toxic Materials ~ne of These. 4. Flammable Solids 8. Unstable Reactives 12. Radioactives '-...--/" 0 CalARP Exempt I Date Initials 0 CalARP Required I Date Initials 0 CalARP Complete I Dale lnttials SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT PCD: The following questions are intended to identify the majority of air po p anrnng stage. our proJec may require a ibona measures not identified by these questions. Residences are typically exempt, except-single building with more than four dwelling units and those with more than one detached residential buildings on the property-a. granny flats (+Excludes garages & small outbuildings not used as dwelling units]. If yes is answered for the questions below please see link i rther instructions: here or for more comprehensive requirements, please contact apcdcomp@sdapcd.org or call (858) 586-2650. YES NO 1. D ~e project disturb 100 square feet or more or existing building materials? If yes, submit an asbestos survey to apcdcomp@sdapcd.org. D Will any load supportln.g strudural members be removed? If yes, submtt an asbestos survey and demolHbn notiflcation to 2. ~-p@sdapcd.org al least 10 working days prior lo starting the demolition of a load bearing structure. A notification Is required even if no asbestos is presen1 • he strudure. D (AN R ONLY IF QUESTION 1 IS YES) Will 100 square feet or more of friable asbestos material be disturbed? If yes, submtt a notification of asbestos 3. I r val lo apcdcomp@sdapcd.org al least 10 working days prior to starting asbestos remova . 4.0 Will any equipment or operations be installed that may require an APCD Permtt lo Operate? Please see the reverse side of this form for typical equipment requiring an APCD permit. If yes, contact APCO prior to the issuance of a building permit. Briefly describe business activities: ,,.,,- Ar-<. l Briefly describe proposed project: ol'-{ /2- Dale FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: _______________________________ _ BY· DATE· I I EXEMPT OR NO FURTHER INFORMATION REQUIRED RB.EASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RB.EASED FOR OCCUPANCY COUNTY-HMO" APCD COUNTY-HMO APCO COUNTY-HMO APCO .. •A stamp rn thrs box 2[)b'exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permIttIng requirements may still apply HM-9171 (01122) County of San Diego -DEH -Hazardous Materials Division (_ City of Carlsbad ! INSTRUCTIONS: 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, "PRIORITY DEVELOPMENT PROJECT (PDP) requirements or not considered a development project. This questionnaire will also determine if the project is subject to TRASH CAPTURE REQUIREMENTS. Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City staff has res ponsibility for making the final assessment after submission of the development application. If staff determines that the questionnaire was incorrectly filled out and is subject to more stringent storm water standards than initially assessed by you, this will result in the return of the development application as incomplete. In this case, please make the changes to the questionnaire and resubmit to the city. If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, please seek assistance from Land Development Engineering staff. A completed and signed questionnaire must be submitted with each development project application. Only one completed and signed questionnaire is required when multiple development applications for the same project are submitted concurrently. PROJECT INFORMATION PROJECT NAME: -s V\. "r-J-~e... "'5o Q_ APN : ADDRESS: o--1.t>S °' b °" \-l-b)' The project is ( check one): D New Development '&if' Redevelopment The total proposed disturbed area is: \ '6 ~ Dtt2 ( ) acres The total proposed newly created and/or replaced impervious area is: 0 ft2 ( ) 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 City Use Only YES NO Date: Project ID: City Concurrence: □ □ By: E-34 Page 1 of 4 REV 08/22 STEP1 TO BE COMPLETED FOR ALL PROJECTS To determine if your project is a "development project", please answer the following question: YES NO Is your project LIMITED TO routine maintenance activity and/or repair/improvements to an existing building □ □ or structure that do not alter the size (See Section 1.3 of the BMP Design Manual for guidance)? If you answered "yes" to the above question, provide justification below then go to Step 6, mark the box stating "my project is not a 'development project' and not subject to the requirements of the BMP manual" and complete applicant information. Justification/discussion: (e.g. the project includes only interior remodels within an existing building): If you answered "no" to the above question, the project is a 'development project', go to Step 2. STEP2 TO BE COMPLETED FOR ALL DEVELOPMENT PROJECTS To determine if your project is exempt from PDP requirements pursuant to MS4 Permit Provision E.3.b.(3), please answer the following questions: Is your project LIMITED to one or more of the following: YES NO 1. Constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria : a) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non- erodible permeable areas; OR □ ~ b) Designed and constructed to be hydraulically disconnected from paved streets or roads; OR c) Designed and constructed with permeable pavements or surfaces in accordance with USEPA Green Streets guidance? , 2. Retrofitting or redeveloping existing paved alleys, streets, or roads that are designed and constructed in □ ~ accordance with the USEPA Green Streets guidance? 3. Ground Mounted Solar Array that meets the criteria provided in section 1.4.2 of the BMP manual? □ ~ If you answered "yes" to one or more of the above questions, provide discussion/justification below, then go to Step 6, mark the second box stating "my project is EXEMPT from PDP ... " and complete applicant information. Discussion to justify exemption (e.g. the project redeveloping existing road designed and constructed in accordance with the USEPA Green Street guidance): If you answered "no" to the above questions, your project is not exempt from PDP, go to Step 3. E-34 Page 2 of 4 REV0B/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 twent -five percent or reater. 5. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface collectively over the entire project site and supports a parking lot? A parking lot is a land area or facility for the temporary parking or storage of motor vehicles used personally for business or for commerce. 6. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious street, road , highway, freeway or driveway surface collectively over the entire project site? A street, road, highway, freeway or driveway is any paved impervious surface used for the transportation of automobiles, trucks, motorcycles, and other vehicles. 7. Is your project a new or redevelopment project that creates and/or replaces 2,500 square feet or more of impervious surface collectively over the entire site, and discharges directly to an Environmentally Sensitive Area (ESA)? "Discharging Directly to" includes flow that is conveyed overland a distance of 200 feet or less from the project to the ESA , or conveyed in a pipe or open channel any distance as an isolated flow from the project to the ESA (i.e. not commingled with flows from adjacent lands).* 8. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square feet or more of impervious surface that supports an automotive repair shop? An automotive repair shop is a 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 YES □ □ □ □ □ □ □ □ 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 D 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%? (CMC D 21 .203.040) 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 5, complete the trash capture question. If you answered "no" to all of the above questions, your project is a 'STANDARD PROJECT'. Go to step 5, complete the trash capture question. • 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); waler 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 08/22 STEP4 TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEV!LOPMENT PROJECTS (PDP) ONLY Complete the questions below regarding your redevelopment project (MS4 Permit Provision E.3.b.(2)): YES NO Does the redevelopment project result in the creation or replacement of impervious surface in an amount of less than 50% of the surface area of the previously existing development? Complete the percent impervious calculation below: 7D00 Existing impervious area (A)= sq . ft. □ ~ D Total proposed newly created or replaced impervious area (B) = sq . ft. Percent impervious area created or replaced (B/A)*100 = Q % 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 5, complete the trash capture question. If you answered "no," the structural BM P's required for PDP apply to the entire development. Go to step 5, complete the trash capture question. STEPS TO BE COMPLETED FOR ALL DEVELOPMENT PROJECTS Complete the question below regarding your Project (SDRWQCB Order No. 2017-0077): YES NO Is the Project within any of the following Priority Land Use (PLU) categories and not exempt from trash capture requirements per section 4.4.2.2 of the BMP Manual? R-23 (15-23 du/ac), R-30 (23-30 du/ac), Pl (Planned Industrial), CF (Community Facilities), GC (General □ ~ Commercial), L (Local Shopping Center), R (Regional Commercial), V-8 (Village-Barrio), VC (Visitor Commercial), O (Office), VC/OS (Visitor Commercial/Open Space), Pl/O (Planned Industrial/Office), or Public Transportation Station If you answered "yes", the 'PROJECT' is subject to TRASH CAPTURE REQUIREMENTS. Go to step 6, check the first box stating, "My project Is subject to TRASH CAPTURE REQUIREMENTS ... " and the second or third box as determined in step 3. If you answered "no", Go to step 6, check the second or third box as determined in step 3. List exemption if applicable for 'no' answer here: STEP& CHECK THE APPROPRIATE BOX(ES) AND COMPLETE APPLICANT INFORMATION □ My project is subject to TRASH CAPTURE REQUIREMENTS and must comply with TRASH CAPTURE REQUIREMENTS of the BMP Manual. I understand I must prepare a Storm Water Quality Management Plan (SWQMP). 0 My project is a 'STANDARD PROJECT' OR EXEMPT from PDP and must only comply with 'STANDARD PROJECT' stormwater requirements of the BMP Manual. I will submit a "Standard Project Requirement Checklist Form E-36". If my project is subject to TRASH CAPTURE REQUIREMENTS, I will submit a TRASH CAPTURE Storm Water Quality Management Plan (TCSWQMP) per E-35A. □ 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. Note: For projects that are close to meeting the PDP threshold, staff may require detailed impervious area calculations and exhibits to verify if 'STANDARD PROJECT' stormwater requirements apply. ~My project is NOT a 'development project' and is not subject to the requirements of the BMP Manual. oplicant Information and Signature Box ~e_~t 1licant Name: \ l J\l"-.... s,~~vd, Applicant Title: ·.ant Signature: 1if~ A'/ Date: ~ 1 a1' l~c> \.: /- E-34 Page 4 of 4 REV 08/22