HomeMy WebLinkAbout2381 MARCA PL; ; CBR2022-1870; PermitBuilding Permit Finaled
Print Date: 02/07/2024
Job Address: 2381 MARCA PL,
Permit Type: BLDG-Residential
Parcel #: 2163522900
Valuation: $4,437.60
Occupancy Group:
#of Dwelling Units:
Bedrooms:
Bathrooms:
Occupant Load:
Code Edition:
Sprinkled:
Project Title:
Residential Permit
CARLSBAD, CA 92009-8022
Work Class:
Track#:
Lot#:
Project#:
Plan#:
Construction Type:
Orig. Plan Check#:
Plan Check#:
Alteration
Ccityof
Carlsbad
Permit No: CBR2022-1870
Status: Closed -Finaled
Applied: 05/31/2022
Issued: 12/14/2023
Finaled Close Out: 02/07/2024
Final Inspection: 01/04/2024
INSPECTOR: Renfro, Chris
Description: 2381 MARCA: NEW DETACHED ACCESSORY BUILDING (120 SF) FOR TOOL SHED -NO PLUMBING OR ELECTRICAL
FEE
ATTACHED ACCESSORY & UTILITY USES
BUILDING PLAN CHECK
SB1473 -GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION -RESIDENTIAL (SMIP)
Total Fees: $704.30 Total Payments To Date: $704.30 Balance Due:
AMOUNT
$494.00
$208.72
$1.00
$0,58
$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 Municipa I 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
,r
~:Cifyof
\_:arlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check~o_22.-( iJ70
Est. Value I' ~ '14'Z~-~
PC Deposit _./J. _ _.JS_{l,_(, f b
Date 5 .. 3/.~ 4,Z.'2.-
Job Address 2':;J CS\ fY\ a.. -r C..k 9\a...c...s:,. Unit: ____ APN:2\b3S'2.. 2.. qoo
CT /Project #: ________________ lot#: \ 0Q Year Built: _\,._C\_._B,__5 _______ _
11.R1li: DtscR1Pr10N oF woRK: \ D ~le x20 £\. ,99\:S'o~J No :e. \ e..~~-r-~-. c_:_ ~)
'De ·, ~ \J < °5C:..: '<"~. ~ C:... ~ ""'u ~ v ~ '\::,~, <\
0 New SF: Living SF, ____ Deck SF, ___ Patio SF, ____ Garage SF~~~ -~~--~ a-ll
,is this to ere.ate an Accessory Dwelling Unit? OY ON New Fireplace? O YON, if yes how many 1 ~--~
0 Remodel: _____ SF of affected area Is the area a conversion or change of use? 0 Y O N
□ Pool/Spa:_-____ SF Additional Gas or Electrical Features? _______ ~
: :solar: . KW,. ___ Modules,Mounted:0RoofQGroundM4it:f}Y,QN, RMA:OYO N,
Battery:Q)Y<ll ·N, Panel Upgrade: Ov ON <.) {_ :/a
Other: \0 ~-\-)(. 2-t:> ~\-:=co¢>\ :S ':nr ~
CONTRACTOR OF RECORD
Name: ________________ Business Name: ______________ _
Address: Address: ________________ _
City: _______ State: __ --'Zip:____ City: ______ State: ___ Zip: _____ _
Phone: Phone: ________________ _
Email: Email: _________________ _
Architect State License: CSLB License #: ______ Class: ______ _
Carlsbad Business license # (Required): ______ _
APPLICANT CERT/FICA T/ON: I certi/V thot I hove reod the oppl;,ot,on ond stale that the obove information 1s correct and that the mformorion <>/ 11,,. r)la11·, ,,_ '", u, ,,r,· 1 "::::•;;;:::;:•;:;;~:"~Q_"~~:,;•i'=~ Q -~TE: ,S 1~'\,tl
!1,~:, f,irilday Ave larisbad,CA 92008 Ph, 442 339-2719 Ern~,I I' ,
REV 04i?l
THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _
•. !'I ttMlf CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER 1r IHI
:': 0 h AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER 15 REQUIRED PRIOR TO Pl l<IVII: 1 • • •
•• ,~.: ,'\J LICH.ISED CONTRACTOR DECLARATION:
I twrebvut f imamder penalty of perjury that lam licensedu11derprovisio11sof Chapter 9/commencingwith Section i't!Oll:, ,! /I
, ,; tiic Hu,1ncssa11dProf essions Code, and my license is in fullforceandeffect. lalsoaffirmunderpenaltyof pe1yu v,1;1, ,::
1,.,/low111C1 Ut>t lomtiom(CHOOSE ONE):
[] I h,,v,, ,,nd wdl n1,1111t;,m d ceftlticate of consent to self-insure for workers' compensation provided by Section 3700 of the L~bor Code, for the performam" ul •ii,•
W<tt k which th" p<'rrml is 15sued, Policy No. _____ .. ·---·--------·--·--· ...
-111~-o I h,,v., ,ind w,11 n1.1int;,1n worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this perr111t is'""""
My wo,k,•rs· rnmpen,at,on rmurance carrier and p_olicy number are: lnsuranteCompany Name: _________________ _
Policy No. ____________________________ Expiration Date: ________ _
-OK-
□ U·rt,t,ra!e o! [xC'mpt,on: I certify that in the performar\i:e of the work for which this permit is issued, I shall not employ anv person in anv mannl'f ,o .,., to h,·, """'
,,111>wn lo the workl'rs· compensat,on laws of California. WARNING: Failure to secure workers compensation covera■e is unlawful and shall subject an employl'r to
criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, dama1es as provided for in Section 3706 of the Labor Code,
interest and attorney's fE!1!S,
'•~'! I f.NDING AGENCY, IF ANY:
I 1,,,n•hy ,11!1101 th.ii thPt<' is a ronslruction lending agency for lhe performance of the work this permit is issued (Sec. 3097 (ii Civil Cadel.
Lender's Name; ________________________ Lender's Address:
U)Nff~ACIOR Cf:RT/F/CATION: !he applicant certrfies that all documents and plans clearly and occuralelv show all ••istinc and proposed building,, ,1,u,1w,•,. ,,.,, .. , .. ,._,,,d· .. ,n,I
•JI 1i1!11 -~!!11,111 v i:+.1 .. r-.i1H•n1 ~-,\II µropo'!.ed rnod,hccJtions and/0< add1t1r;>ns are cteany labeled on tnf' site ;plan. Aov pctent1ally e111:1st,og detail w1th1n th@~ pl.:ms 1nc.01'11!11'5ote-rn w11h tile -..11P 111-.,ro 1t,-,
111Jl .1t11J1 ll\ll•tl Tur { 1,11•,rr tu.ttu11 c1n.J m;iv be required to be altered er removed. The city's. approval of the .3pphcat•on is based on the premise that the \ubm1tted docurnt!Plt" ,l1,tl 1i1.•i1•. ,11;,-.h
1 hr• .-01 rci t d•1nc.1n .,_1,m,; ot; the propNtY. buildings, structures and their setbacks from property tin('s. and from one another; actl!"SS. roads/Fas.emenu, and u.t1htie-s Thfl ,e,c_1.,111,R ,l11l1 p1(1J11.,•-, ii
l•',1• i1, 1•.1t h li{11tti1r,g ,re. ~•~~tlf:l'<l 1~ nue .md correct..tU ea&ements.and otherencumbr,1nce"fl todeveklpment hav,e been accurately~hown .uuJ lal.Jeled a"!:.well ,1~.1tl(ln 'li1h.:•~1.1th11r,i-..11t-IJt1 ,1.11.111,-11
All m111•qvt'mf'nh ,')mt 1n~ °'' the prop-ettty w-ere-comp~eted in accordanc.e with alt re.Rulations 1n existence at the time or tnirir <.on-struttlon, unll!''i!i otherw1-se noted
NAME (PRINT):
i ,JWNlRj}UILDER DECLARATION:
!_!:;:,reby affirm that I am exempt from Contractor's License Law for the following reason: •
l!f1, '" uwncr uf the property or my employees with wages as their sole compensatron, w,11 do the worl< and the structure is not intendl!d or ofh,n,d for ,.,I,· (S,·<
7044. Bu,,mPss amt Profc>s\1ons Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who doe,"" h
w,nk hrnisl'lf or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvrm,•nl ,., ·,uld
w11hir, """ y,,,u of rnrnpll'!Jon, the owner-builder will have the burden of proving that he did not build or improve for the purpose of saleJ.
-111{•
[J '· .,•,, ,w, ,.,.,. ot tlu• p, operly. Jm exclusively contracting with licensed contractors to construct the project (Sec. 7044. Business and Professioris Code, Th,..
l unlr,.,ttm\ 1." ense 1,1w does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contr.ictor(s) l,c,•nsed
pur<:.u.int to, hi::, Contractor·~ Uc.ense-Lr1w) .
. ( lk,-0 I ,1n, ,.,..,mp! under Bu,oness ,ind Professions Code Division 3, Chapter 9, Article 3 tor lhis reason:
~ >w1u•r Rt,ildol.:'r Acknowledgement and Veriftcation form",,, 't•qu1wd Im .-wy ~wr1111l 1-.•,Lwil t11 d prnpt•rty uw111·1
-\. ·, ,·~ •.11. • .;1 u1, i-.1•ilh,\. : ,1; krioWh•di~l~ thdt t'.:KU!"pl f,_:.r rny 1wr •,ur1,d ! ec.1dt~rH e 1n whtth I rnw,t h.tVl~ 1 t•~1dttd tc.:r <1t h~1l\l 01·,~ y1.1;1-r 1.,t1ur 10 l.(1111pl,1!1·:1:1 l•i 11 ,r·
I:.:;•',·, r'' .,,_ r :! • I.;\ I •:1 -1I il;, In•·, ppl ·~,1l I r.·,mw, l(•r,tdly 1-f'II a~-rnrlhrf• u,,;t I ti.1\'t-' !"ft.Hit ,l"'-rlr"i IIWIIPf• hu1lcb•r 1f 1t llil-"J r,Ot ti,p.pn t l"l'i~_trlli.. tnl ,,-. •T· i'! .111-r !
, . ; . , : , , I unde, ~land that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when thisapplirntio11 r;
.,u/lmi/ted m ut t/Je Jul/owing Website: http:l /www.leginfa.ca.govtcataw.htmf.
1 iVt',\Jt: I-< Lt".1'' r1r1c:A f ,orv. ·tt1i! ,,ppl1rant i;Prtifie"'i th~t all dotument-s; and ptaris. clear~ and ,"lc::.uratefy show all ei,::isting and propo-sed buildinf'~-litructures, acct'"-"" ti:1.1d..,_, ;ir11I tJ11!111i••,/l1111.r-..
1 .1 ,,1~1,•r.l, ~\1l 1\r11pi,•.1•d ff1i:H'lif1r ;1l1t1n!; ,lnd/m add1lmn-s. .JfE" r.lP.ariy lor1b-P.IP.-d on thP. sitP. plan. Any potent1c1lly Px1st1ng detail within the-se pl.1r.-s 1nr.om;1"Strnt with tl1r •,it,~ c.d,1-"1 ,,,, ,1,1! -ir•P• ,1-,-, ·
f11·. 1·-11·,:1111·111111 .:,1t1 ,1-,1y t;it.' 11:'quut'd to b~ altered or removed. The city1s approtJal of th@ apphcation 1s based on the premise that the \-ubm1tted documenh, .md 1J-Llm ·.l,Pw tli.•, ..... , 1
.111• ;1-11·,,, 11·1 , ,t. tl,r: i11111;1•1 tv. b1.1ild1n~°'>. c,tru.ct1.1rt"s and thPir setbacks from property hoes .an.d rrom one ;mother; access roads/east""mrnts, and utiht1t1s. Thi• ~x1s.lif1f,; .m(I 1>1ti1i1••·F'II 1r·,•· 11! , .11 1,
h.Jdd11ii: ,1•. ,1.1t1•1i 1• .. 111w ••qd n1f!'(~d. ,-di ~a!":.eme-r\t~ and oth,er encumbraores to devel(")pment hav,ei, twen aclurate-lv ~hown and labt'"led ai; we-ti J{, all on .,11e grL1rl1111~/,1t,· p~,,p .. 1,111,,1, -1 •
nripr,10vF•tH1•nt~. E·.11.1.,ttnr. m1 thl' 1uOOl'rty w~rE~ compl~t~d in MC{udanct• with all rC'guli3tior1"\ 111 ,~K!-S:tP.tlC:e ~• thp time of th('lf con4i.truc:lion, 1i.nh~!io"'io oth .. rw1-s,f• r1mrd.
NAME (PRINT):S-ic tN s,.. & . ~"'°''ft"""' SIGN:
Note: If the_p~~!.<ln si nin above is an authorized a nt for the r ert owner Include form B-62 s'
I', i•·, >.11.,cL,v Ave C,irl,bild. CA 92008 Ph: 442-339-2719
2
RI-V. ,M/.1.'
,,, .
\~ Cityof
i ~,irlsbad
OWNER-BUILDER
ACKNOWLEDGEMENT
FORM
8-61
Development ·,
Building Division
1635 ~JrJdc1y Avr'lllH·
442 J'l9 }/l<i
WWW c,1rl,b:1d, ,1 I'.''\
OWNER-BUILDER ACKNOWLEDGMENT FORM
Pursuant to State of California Health and Safety Code Section 19825-19829
To: Property Owner
An application for construction permit(s) has been submitted in your name listing you as the owner builder oft l1e
property located at:
Site Address ~ :> & \ ffia.~s;.c,.,. 1'\ a.cg ~0..,-r-\~\,~) ~ -Z....D ~ :\
The City of Carlsbad ("City") is providing you with this Owner-Builder Acknowledgment and VerificJt1on fr,, n,
to inform you of the responsibilities and the possible risks associated with typical construction activ1til', 1,•,u, d
in your name as the Owner-Builder.
1 he City will not issue a construction permit until you have read and initialed your understanding o1 C,Hh
provision in the Property Owner Acknowledgment section below and sign the form. An agent of the owner
cannot execute this notice unless you, the property owner, complete the Owner's Authorized Agent form and
it is accepted by the City of Carlsbad.
INSTRUCTIONS: Please read and initial each statement below to acknowledge your understd11cl111,', .inrl
verification of this information by signature at the bottom of the form. These are very important construction
related acknowledgments designed to inform the property owner of his/her obligations related to the reque\led
permit activities.
~~derstand a frequent practice of unlicensed contractors is to have the propPrty ownc>r ol,L1111 ,1
Builder'' building permit that erroneously implies that the property owner 1s providing hie, or twr ,,1.,;i, .,1.
m.itcrial per,on.:illy. I, as an Owner Builder, may be held liable and subject to serioU', fin.:inc1-il r1,k 1,,. ,111\ 'i" ,,
-, 11·. t.1t,wd by an unlicensed contractor and his or her employees while working on my property My t1on,,·1J ,,. , , , 1
• 11,,u1,rnce m<1y not provide coverage for those inJuries. I am willfully acting as an Owner Builder c111d .irn .,w.,, ,, ,,t
ll1C· l1rn1ts of my insurance coverage for injuries to workers on my property
II ~S,understand building permits are not required to be signed by prop_erty owners unless trwy -➔r ,, 11" 1 , •• , 1 I "
for the construction and are not hiring a licensed contractor to assume this responsibility.
:11 ~C;-,_mderstand as an "Owner Builder" tam the responsible party of record on the pern1It I uI1c1,·r•.!.;.,,: •1, .i
I,i,;y µrotl'ct my,;elf from potential tinancial ri~k by hiring a licensed contractor and having thP p1•r,1,;t iii,,,,, 1
,, 11.,, I1,1me instead of my own.
~c.-, , 'V -,1__::_ ___ I understand contractors are required by law to be licensed and bonded in California and to list their I,u n·.,
numbers on permits and contract!..
V. ~~Yunderstand if I employ or otherwi'>e engage any persons, other th;in California l1cP11,,•d rnr,t,.h 1 .. •
tl11• tot.ii vallH' of my con~truction Is at least five hundred dollars ($500), including labor and rn,1ll·1 ,.i•••. 1 ': , ;
d'll',1dorcd an "employer" under state and federal law.
RtV 08/W
Owner-Bui Ider Acknowledgement Continued
~f:J._~11df'r',tand 1/ I ,im con~iderPd ,rn "employer" under state and federal law, I must register with the ,t,ite
.11,d IPd,,r,il government, withhold payroll tcJxes, provide workers' compensation disability insurance, and
, ,·,,,1,dJ1JI<"• 1" urH•rnployment conipe11satIon for vach "0rnployc'e." I ;ilso understand my failure to ahidr· by tlwo•'
l,1\\', 111.iy ',l!fJJ!'ll nw tu ',l;'rl(.)U~ ftni.lliCIJl ri~k
'J 1 ~nd,,,,tancl under C.1li!orni;i Contractors' State'. License Law, an Owner Builder who builds single faniilv
,, •. :d1°1il1.il -,rructurf's cannot legally build them w,th the intent to offer them for sale, unless all work is perfurm<"d
11,1 i1<1•1,·,1·d •,ubcontuctors and the number of structures does not exceed four within any calendar year, or allot
th,.• v,lirk I~ pl'rlo1111ed under contract with a licensed general building contractor.
'./Ii!. C:~lC-1,,,•,t.md a, ;in Owrwr Builder if I •;pll th(• propPrty fur which this p<'rmit rs issued, I may be hL'ld l1c1tJIP ~ ·" y frn,iriclJI ui ppr,onal injurie·, sust;iined by JnV subsequent owner(s) which result from Jny lc1t,·nt
, ,J1,•.t1 •11t1iJ1I dc•fpctc, 111 ti,,. workm.i11sh1p or rn,1u,rii\l, ~
'\ ~r1cJ,,1,t::md I may obt;iin mor0 1ntormation rq~.irding my obligations as an "employer" trorn thl' lr1krn,1I
h,•v, 1Iul' ':,prvru•, the United States Small Business Administration, the California Department of Bunefrt
1'.,yriwrw,. ,.111d the Cc1liforn1a Division of Industrial Accidents. I also understand I may contact the CJll1urr1i,1
c 11,1tr-1tt1,1•.' St,itP Licensf' Board (CSLB) at 1800 321 CSLB (2752) or www.cslb.ca.gov for more intormatron
,d,uul li,,r,r1,l'd contrJctors.
' ~irn c1wa1rP of c1r1d con,ent to an Owner Builder building pnmit ,1ppl1ed !or in my name, anci undPrst,1nd
«~~.'11~1 t ii\' p.11ty\t-g,1lly,111d fi11.J11c:u lly n··,po11,1blc for pr opu,cd co n,truction <1ctiv1t y at the following addrco,:
~ ':!>8\ 'fY'\g,_-c-t:..(;... _ ~'\g,.s;__~tS~-~ ...... _\~~c...,~l:__~_.__ <:\_~~S~t~---
x1 5~ r,0 e t l1;1t, il, the party legally and financially responsible for this proposed construction activity, I will .J\J1de
liy ,II ,1ppi1cable laws and reqwrements that govern Owner Builders as well as employers.
\!I #~" to notify the i.s~urr of this form immediately of any additions, deletions, or change, to any t>I tile·
II', 1, ,r 1'\.11 ru ri I h,1ve provided on this form.
L1ccr1,ed contractors are regulated by laws designed to protect the public. If you contract with someone who
doc, 11ot have a license, the Contractor's State License Board may be unable to assist you with any financial lo,s
you may ~ustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court
It rs also important for you to understand that if an unlicensed Contractor or employee of that individual or firm
rs 1r1Jured while working on your property, you may be held liable for damages. If you obtain a permit as Owner
Buildrcr and wish to hire contractors, you will be responsible for verifying whether or not those contractors are
prope, Iv licensed and the status of their workers' compensation coverage.
fi,'J(•1c u uw/dmg permit con be issued, this form must be completed, signed by the property owner and returned
tu tl1e Ut)f of Carlsbad Building Division.
',tn fort' under penalty of per1ury that I have read and understand all of the information provided on thrs form and that my responses, 1nclud,ng my
,, :iU,u, itr" to ,i1/11 /1115 form, is true and correct. I om aware that I hove the option ta consult with legal counsel prior to signing this form, and I hove
.:,rnl'r ( 1/ w•1;u/Wd with legal counsel prior to signing this form or (21 hove waived this right in signing this form without the advice of legal counsel.
~ Q.\' \)_ -.. ·
~tyOwner'~
REV.08/20
Building Permit Inspection History Finaled
{¢icy of
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2022-1870)
Permit Type: BLDG-Residential Application Date: 05/31/2022 Owner: TRUST CHAPIN FAMILY TRUST
Work Class: Alteration
Status: Closed -Finaled
04-26-89
Issue Date: 12/14/2023 Subdivision: CARLSBAD TCT#72-24
Expiration Date: 07/02/2024
IVR Number: 40965
Address: 2381 MARCA PL
CARLSBAD, CA 92009-8022
Scheduled
Date
Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection
01/04/2024
Start Date Status
01/04/2024 BLDG~14 235595-2024 Passed ·.• Chris Renfro
Frame/Steel/Bolting/We>
lding (Decks) <
Checklist Item COMMENTS
BLDG-Building Deficiency
BLDG-Flnal Inspection 235594•2024 Passed Chris Renfro
Checklist Item
BLDG-Building Deficiency
BLDG-Structural Final
COMMENTS
No previous inspeclions on detached loo!
shed.
Wednesday, February 7, 2024
Complete
Passed
Yes
Complete
Passed
Yes
Yes
Page 1 of 1
• nv
INTERWEST
DATE: 6/14/2022
JURISDICTION: City of Carlsbad
PLAN CHECK#.: CB-CBR2022-1870
PROJECT ADDRESS: 2381 Marca Place
PROJECT NAME: Chapin Res Tool Shed
SET: I
□ APPLICANT
□ JURIS.
~ The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's codes.
D The plans transmitted herewith will substantially comply with the jurisdiction's codes
when minor deficiencies identified below are resolved and checked by building department staff.
D The check list transmitted herewith is for the applicant's information. The plans are being held at
lnterwest until corrected plans are submitted for recheck.
D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
D The applicant's copy of the check list has been sent to the jurisdiction at:
D lnterwest staff did not advise the applicant that the plan check has been completed.
D lnterwest staff did advise the applicant that the plan check has been completed.
Person contacted: Telephone#:
Date contacted: (by: ) Email:
Mail Telephone
0 REMARKS:
By: Scott Harris
lnterwest
Fax In Person
Enclosures:
6/3/2022
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
STORM WATER POLLUTION PREVENTION NOTES
1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE
AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION
OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN
IS EMINENT.
2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION
CONTROL DEV1CES TO WORKING ORDER TO THE SATISFACTION
OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING
RAINFALL.
3. THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION
CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY
INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR
UNFORESEEN CIRCUMSTANCES 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 RAINfiALL.
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 ALTER
THIS PLAN DURING OR BEFORE CONSTRUCTION. AS NEEDED
TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY
REGULATIONS.
OWNER'S CERTIFICATE:
l UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT
BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION
ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID
THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND 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 CONS1RUCTION SWPPP
THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES
UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED
BY THE CITY OF CARLSBAD.
E-29
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP
BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE
Erosion Control Sediment Control BMPs Tracking Non-Slonn Water Waste Management and Materials
BMPs Control BMPs Management BMPs Pollution Control BMPs
C: C: C 0 +-' +-' 0 0 :;:; C: C: "Cl :;:; :;:; O'I 0 (I) "O (I) -0 (/) C: u u C: C: C7> E C: E C: -0 ..... ::, ::, 0 '5 ·.: a. 0 0 0 E (I) ... ... :;:; ... ·3 (I)
::!: "O (/) OI ... ..... -.£: '->, 0,
C: (I) ... .5: (I) c (I)(/) rn 0 CT .... 0 C 0, a. a, ·.: C: > ... ... -~ 0 <Id Cc C: (I) <.::> l.aJ C: Best Management Practice* .!: C CD a. ... 0 (I) 0 ... (I) = "'3: (I) i-= (I) 0 C: (I) -Q) 0 ..... ..c: C E u ... u (I) j -0 Q) Ill ::E C: (I) C:
(BMP) Description ➔ c:n (.) GJ (/') ·2 Cl) O'I 11.1 OI ID •o C OI C: "0(/) C: 0 :=, Q) ...... (I) (I) "'5 ~ (I)
(I) ..... 0 ~ 0 3: C: ... 0 ~~ "O >-, 0 (/) C: C: 0 O'I > rn E :;:; (J C: Cl CD cn·-0, Cl:;:; u~ Cl 0 11.) Q) ~ 0 a, Cl C: Q,) a::: ....,E 0 N (I) ~o Cl:;; Ql ~-5 0 (I) c = a: e jw X
.c ~ Q,) .£ .Y. 1 .0 E al ;:~ :=3: ,,_.-::0 ·.: g' ·;:: C. Ol a, Li.. Q,)::, C: 0 .Y. ..... "O Q,) (J ... "O ·--o ~t; Cl u C: Cl).._ Q) (.) _ ..... -0 0 0 -·-C. Q,) (I)::, ......... .0 .._ .0 Cl ·-... ·-0 0 ... 0 ..... -0 Cl) 0 ... (J C: 00 0 OI ~& ...., .s=Q,) _.., 0 ..... 0 = C: ~§ Cl) j 0 ... 0 = (I) .c: ,Q ,._ ..... 0 C -... .B 0 c,C 0 ~u o_, 0 -a. 0 c., I.a.JC i7i (/) (/') u LL c., en> U) U)Q. ti C: C/1 e::: ~a: a.a a. ::!: (/') :::E C/1 Cl1 u Vl::E
CASQA Designation ➔ r--,. IX) .... ..,.. U1 00 a N l"1 r--,. 00 .... N I") ..,.. U1 0) -.... n CD r--,. .... .... ' I I I I I I I I I I I I I I I I 1 I I I I I
0 0 u u w w l.&.I w w w w w I:!:: I:!:: en V> (/') V) I I i i i Construction Activity I.LI w w w ti) (/') V> en ti) ti) (/) (/') z z z z
Gradina/Soil Disturbance
Trenchina7Excovation
Stockoilina
Drillina 7Borina
Concrete/Asohalt Sawcutting
" rconcrete Flatwork
Pavinq
Conduit7Pioe Installation v Stucco/Mortar Work V v i/ y
~ Waste Disoosal v'
Stoaina7Lav Down Area
Eouioment Maintenance and Fuelinq
Hazardous Substance Use /Storoae
Dewaterina
Site Access Across Dirt
Other (list):
Instructions: 1. Check the box to the left of all applicable construclion activity ( first column) expected to occur during construction.
2. Located along the top of the BMP Tobie is a list of BMP's with it's corresponding California Stormwoter Quality Association (CASQA) designation number. Choose one
or more BMPs you 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 information and details of the chosen BMPs and how to apply them to the project.
PROJECT INFORMATION
Site Address: ____________ _
Assessor's Parcel Number:---------
Emergency Contact:
Nome: _____________ _
24 Hour Phone: __________ _
Construction Threat to Storm Water Quality
(Check Box)
□ MEDIUM O LOW
(I) ..., rn C 3:...-C: (/) (I) ::, E 0 GJ -c Ol l5o N C: co :c::E
CD I j
Q) -(I) o-3: C: a,
m E
-(I) E o,
0 Cl C: C:
0 0 U::::ie
00 I ::E ~
,,.
.,..
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