HomeMy WebLinkAbout2808 RANCHO COSTERO; ; CBR2022-0121; PermitCity of Carlsbad
PERMIT REPORT
Residential Permit
Print Date: 02/27/2024
Job Address: 2808 RANCHO COSTERO, CARLSBAD, CA 92009-2104
Permit Type: BLDG-Residential Work Class: Deck
Parcel#: 2218111100 Track#:
Valuation: $0.00 Lot#:
Occupancy Group: Project#:
#of Dwelling Units: Plan#:
Bedrooms: Construction Type:
Bathrooms: Orig. Plan Check#:
Plan Check #:
Project Title:
Description: POOL REMODEL (528 SF)/DECK (480 SF)/PATIO COVER (465 SF)/GAS TO FIRE PIT
Applicant: Property Owner:
MISSION POOLS OF ESCONDIDO INC
ALISON FICKLE
755 W GRAND AVE
ESCONDIDO, CA 92025-2594
(760) 743-2605
CARON FAMILY TRUST 03-11-19
2808 RANCHO COSTERO
CARLSBAD, CA 92009-2104
FEE
SB1473 -GREEN BUILDING STATE STANDARDS FEE
BUILDING PLAN REVIEW -MINOR PROJECTS (PLN)
PLUMBING, MECHANICAL & ELECTRICAL PERMITS
DECKS/BALCONY -NEW/REPLACE
PATIO -FRAME WITH COVER & WALLS
BUILDING PLAN CHECK
Total Fees: $2,560.75 Total Payments To Date:
NOTICE:
$2,560.75
CBR2022-0121
{cityof
Carlsbad
Permit No: CBR2022-0121
Status:
Applied:
Issued:
Finaled Close Out:
Inspector:
Final Inspection:
Contractor:
Closed -Expired
01/13/2022
03/15/2022
MISSION POOLS OF ESCONDIDO
755 W GRAND AVE
ESCONDIDO, CA 92025-2594
(760) 743-2605
Balance Due:
AMOUNT
$1.00
$98.00
$193.00
$825.00
$550.00
$893.75
$0.00
Please take NOTICE that approval of your project includes the "imposition" of fees, dedications, reservations, or other exactions
collectively referred to as "fees." You have 90 days from the date this permit was issued t o protest the imposition of these fees. To protest
the imposed fees, you must follow the protest procedures set forth in Government Code Section 66020(a) and file the protest with the City
Manager. Failure to timely follow the required procedures will bar any subsequent legal action to attack, review, set aside, void, or annul
the imposition of t hese fees.
You are FURTHER NOTIFIED of your right to request an audit t o review the fees imposed on your project. To request an audit, follow the
procedures provided in Government Code Section 66023(a). Additionally, you may file a written request for mailed notice for the public
meeting to review the fee account or fund information related to certain fees that are imposed as a result of the approved permit.
You are FURTHER NOTIFIED that your right to protest the specified fees 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 of which you have previously been given a NOTICE similar to thisEY.l'JRF.tri~E'R. ~:1l,
PERW1 HAS EXPff,E!J !rt I\CC0:<0,),NG:.: N!rf C.6.C.
SECTION 106.;, \ AS p,',!ENDci) flY 1.:.:-.,.c.1~.o...ow
DATE2JZJ /2'fs1G~ATUttf J1w trJ J(lg ~ •
1635 Faraday Avenue I Carlsbad, CA 92008-7314 I 442-339-2719 I 760-602-8560 f I www.carlsbadca.gov
( City of
Carlsbad
Job Address 2808 Rancho Costero
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check CJ2;;Z2()2--Z-OJ;J./
Est. Value
PC Deposit
Date
Unit: APN:221-811-11-00 ·-----·
CT/Project #: _________________ Lot #:_2_9 ___ Year Built: __ ...,ci>"-OO ____ l ____ _
BRIEF DESCRIPTION OF WORK: Refinish pool surface & construction of new backyard patio cover.
E] New SF: Living SF, ____ Deck SF, ___ Patio SF, 465 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: _____ SF of affected area Is the area a conversion or change of use? O YO N
1iiJ Pool/Spa:_5_28 ___ SF Additional Gas or Electrical Features?Gas fire pit ---"-----------
0Solar: ___ KW,. ___ Modules, Mounted:ORoofOGround, Tilt: ()YON, RMA: OY ON,
Battery:OVC N, Panel Upgrade: Ov ON
Other: Patio cover 465 sq.ft. 8'6" in height, patio deck 480sq.ft. and remodel of 528 sf. pool/spa.
£&,,nfri~Nl ~s t\ LJ-Mfflt.l'f.\
PRIMARY APPLICANT
Name:Alison Fickle
Address: 755 W. Grand Ave.
City: Escondido State:_C_A __ Zip: 92025
Phone: 760-801-6877
Email: ali@missionpools.com
DESIGN PROFESSIONAL
Name: Curtis Patterson
Address:928 Stockton Dr. Ste. 201
City: San Diego
Phone: 858-605-0937
State:_C_A __ Zip:92103
Email: curtis@pattersoneng.com
PROPERTY OWNER
Name:Justin & Kelly Caron
Address: 2808 Rancho Costero
City: Carlsbad State: CA Zip:._9_20_0_9 __ _
Phone: 760-685-5444
Email: ___________________ _
CONTRACTOR OF RECORD
Business Name: Mission Pools -----------------Address: 755 W. Grand Ave.
City: Escondido State:_C_A __ .Zip: 92025
Phone: 760-743-2605
Email: ali@missionpools.com
Architect State License: SE 5629 ------------CSLB License #: 326760 Class: B, C53 ------
Carlsbad Business License # (Required): BLOSO10944· 12·2021
APPLJCANT CERTIFICATION: I certify that I have read the application and state that the above information is co"ect and that the Information of the plans is accurate. I
agree to comply with all City ordinances and State laws relating to building construction.
SIGN:--+/Jl,..,,.,,..d-tlq.........,~~--;L------oATE: ___,./ /2_1..,.11_~--NAME (PRINT): _A_lis_o_n_F_i_ck_l_e ____ _
1635 Fafadav Ave Carlsbad, CA 92008 Ph: 760-602·2719 Fax: 760-602-8558 Email: Byildlpg@carjsbadc1,gov
REV. 10/21
( OPTION A). WORKERS'COMPENSATION DECLARATION.
I hearby affirm under penalty of perjury one of the following declarations. 0 I 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 i~ issued
IZl I have and will mamtain worker's compensation, as required by Section 3700 of the labor Code, for UJe p3rformrn,ce of the work forA'h,ch th,s permit 15 ,ssued
My workers' compensation insurance carrier and policy number are: Insurance Company Name: t-808ra lnSUranCS vOm any
Policy No. -5430.9..Sc-....'--------Expiration Date: _415120 .. 2 ... 2~---
0 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 be come
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 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.
CONTRACTOR SIGNATURE: __ /Jiw,,, ...... 'twM,....;i::>,<..:..I"'-~~::,,,::;.._-----_JAGENT DATE: ---L,.JJ./s,q../.--a,K.,;J...~
( 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 sole 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 did not build or improve for the purpose of sale)
0 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(s) licensed
pursuant to the Contractor's License law).
0 I am exempt under Section . _______ Bus mess and Professions Code for this reason:
1 I personally plan to provide the major labor and materials for construction of the proposed property improvement QYES Q NO
2 I (have/ have not) signed an application for a building permit for the proposed work
3 I have contracted with the following person (firm) to provide the proposed construction (include narre address/ phone/ contractors' license number)
4 I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address / phone /
contractors' license number)
5 I will provide some of the work, but I have contracted (1'1r<>d) tt•e follow,ng persons to prov1dP the work 1nd1cated (include name/ addre;s /phone/ type of work),
OWNER SIGNATURE: J AGENT DATE: _____ _
CONSTRld_~Tl_{)N LEN.QING AGENCYl If ANY:
I hereb~· affirm that there 1s a construction lend1r,g dgency for the p.-rorm.31,ce of the work this per,,.,,t ,s ,s;ued (S,ic. 309 7 (1) CMI Code)
lender's Name. lender's Address.
ONL V COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to ;ubm1t .i business plan, acutely ha,ardous rNterials registration form or risk managemen and preve!"tIon
program under Section, 25505, 25533 or 25534 of the Presle~ Tanner Ha,ardooJs Substance Account Act' Yes / No
Is the apphcart or future bJild1r,g occupant reQu:red to obta,r J permit from th.-, air pollution control district or air ouahry managen,en· '11',tnct) Yes / No
, tlie fac,li~ to be constr Jcted withir l 000 feei o' tre outer bounrid<'{ o' a school ,m,? Yes I No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING T'iE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
APPL '..ANT CfRIIFt(ATION
:~rt,f; •h,1: r.a,.c r~3j tft? .Jpohcit or ,J :j .,'"atj.,I ~,.. Jt tl'i .. Jb0. ,,,, rl"! ,• , ... _ , .--• i .1 "h l. i-..~ ,... rr-·a~ r .. ,.. clar
•·, j, .. -1 ..: Jnti Sta·~ a 1 , el i r~ • b "o'"L Or" '"r , t r
r,,~rt-'t: f 3 J'"t'O;" ,,, 'flpr~s~r; ,!• .J" :,r ·t", C. ( t c ~r !jt)J,j tl t) tPr JJ;Or •t,~ JhC\, "ti r ~d ~(I p~r"'"·y .. "r r~i2t-l~)Cn C .rpo ,(; A '){\ ..\GRt ~ I.., SA·., t. tl ,. '\41', F) J.\N ..-...[P
~~"-'.E.55 T'-<i: C TY OF -:ARGaA::i AGA1~,5~ Ac. .AS • ES, JuDG!l.lt'J'S CO) rs A'l'HXP~NSb 1,•;k ,_ ... v;,.y ~. ,\','( wA, A(.(Q.., AGA 'IS' 5A O C TY "'CO"<SfQUE"-ICt '),
M~ GR.AN-NG OF r ~,s .J•,q_\l "' 5i--4A ~ OS>1A perrr1rt J') rpq, ... 1red for ~xcav.1r• ,,., '°' , .... j~~ 1rd den:oht ori or ccnstn,ctIon vf ;tr ... ctures "\ver i ;:er es r he,gt"t
fl'~IRA" c,, • ,er; ~~rr ,t Issci,".! t, •~e 3J!i·l1rg Of~cral under :t·e pr0v1;,cn~ ,:,i 'he• Cod~ \tall ~xpir~ b) lf"'rtJ:,0r J"c1 ~-~r,,e n,1 I and ;0Id ,ft~~ 0J1ld1rg :ir Ncr~ >Jtr.on,eJ
by.., 1d-;:,1.~rT\1t 1 '"V~ -..or, Mtflcec ,•,•ti' r :SC j,c17 ~,r tt1€ datt ~• ,uct p~rn·It $ if lhe b• ... 1ldn:g er \\Ork Jvthonled b'1 )vt:.h u--rri•1t t!. lU\P~l"l~d Uf abanck'n+\:.i at u y t'r"'f.' Jher
•h., wc,rlr +s coIT'roenced for a penod of 18') davs CBC sectIc0 10, ,
APPLICANT SIGNATURE: ~ ~---------DATE: __ l ..... /. ...... r;;,/~
1635 F:iradav Av~ Carlsbad CA 92008
81
Ph 760 602 2719 Fax 760·602-8558
Pa,~e 2 cf 2
t!lB I g
• 1W
INTERWEST
A SAP' _;vtll C.:>MPANY
DATE: 02-22-2022
JURISDICTION: Carlsbad
PLAN CHECK#.: CB-CBR2022-0121.RC1
PROJECT ADDRESS: 2808 Rancho Costero
PROJECT NAME: Caron-Res-Remodel
SET: II
□ APPLICANT
□ JURIS.
~ The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building 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:
~ 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:
Date contacted :
Mail Telephone
0 REMARKS:
(by:
Telephone#:
) Email:
Fax In Person
By: Erich A. Kuchar, P.E. (For R.M.)
lnterwest
Enclosures:
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
DATE: 2/8/2022
JURISDICTION: Carlsbad
PLAN CHECK#.: CBR2022-0121
• fflT
INTERWEST
A SAFEbullt COMPAHV
SET: I
PROJECT ADDRESS: 2808 Rancho Costero
PROJECT NAME: Fire Pit and Patio Cover
□ APPLICANT
□ JURIS.
D 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.
~ 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.
~ The applicant's copy of the check list has been sent to the jurisdiction at:
Alison Fickle D lnterwest staff did not advise the applicant that the plan check has been completed.
~ lnterwest staff did advise the applicant that the plan check has been completed.
Person contacted : Telephone#: 760-801 -6877
Date contacted: (by: ) Email: ali@missionpools.com
Mail Telephone Fax In Person
0 REMARKS:
By: Richard Moreno. Phone: 858-345-6435
lnterwest
1/15/2022
Enclosures:
9320 Chesapeake Drive, Suite 208 ♦ San Diego, Californ ia 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576
Carlsbad CBR2022-0121
2/8/2022
PLAN REVIEW CORRECTION LIST
SINGLE FAMILY DWELLINGS AND DUPLEXES
PLAN CHECK#.: CBR2022-0121 JURISDICTION: Carlsbad
PROJECT ADDRESS: 2808 Rancho Costero
FLOOR AREA:
Patio cover : 4 65 SF
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION:
DATE INITIAL PLAN REVIEW
858-345-6435
COMPLETED: 2/8/2022
FOREWORD (PLEASE READ):
STORIES: 1
HEIGHT: 11 ft -patio Cover only
DATE PLANS RECEIVED BY
ESGIL CORPORATION: 1/15/2022
PLAN REVIEWER: Richard Moreno. Phone:
This plan review is limited to the technical requirements contained in the California Residential
Code, California Building Code, California Plumbing Code, California Mechanical Code,
California I Electrical Code and state laws regulating energy conservation, noise attenuation and
access for the disabled. This plan review is based on regulations enforced by the Building
Department. You may have other corrections based on laws and ordinance by the Planning
Department, Engineering Department, Fire Department or other departments. Clearance from
those departments may be required prior to the issuance of a building permit.
Present California law mandates that construction comply with the 2019 edition of the California
Code of Regulations (Title 24), which adopts the following model codes: 2019 CRC, 2019 CBC ,
2019 CPC, 2019 CMC and 2019 CEC.
The above regulations apply, regardless of the code editions adopted by ordinance.
The following items listed need clarification, modification or change. All items must be satisfied
before the plans will be in conformance with the cited codes and regulations. Per Sec. 105.4 of
the 2019 California Building Code, the approval of the plans does not permit the violation of any
state, county or city law.
To speed up the recheck process, please note on this list (or a copy) where each
correction item has been addressed, i.e., plan sheet number, specification section, etc.
Be sure to enclose the marked up list when you submit the revised plans.
Carlsbad CBR2022-0121
2/8/2022
PLANS
1. The following note should be given with each correction list:
Please make all corrections, as requested in the correction list. Submit FOUR new
complete sets of plans for commercial/industrial projects (THREE sets of plans for
residential projects). For expeditious processing, corrected sets can be submitted
in one of two ways:
1. Deliver all corrected sets of plans and calculations/reports directly to the City of
Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760)
602-2700. The City will route the plans to EsGil and the Carlsbad Planning ,
Engineering and Fire Departments.
2. Bring TWO corrected set of plans and calculations/reports to EsGil, 9320
Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all
remaining sets of plans and calculations/reports directly to the City of Carlsbad
Building Department for routing to their Planning, Engineering and Fire
Departments.
NOTE: Plans that are submitted directly to EsGil only will not be reviewed by the
City Planning, Engineering and Fire Departments until review by EsGil is complete.
2. Please provide structural calculations from engineer of record .
MISCELLANEOUS
3. Please indicate here if any changes have been made to the plans that are not a
result of corrections from this list. If there are other changes, please briefly
describe them and where they are located in the plans.
• Have changes been made to the plans not resulting from this correction list?
Please indicate:
Yes □ No □
4. The jurisdiction has contracted with lnterwest, located at 9320 Chesapeake
Drive, Suite 208, San Diego, California 92123; telephone number of
858/560-1468, to perform the plan review for your project. If you have any
questions regarding these plan review items, please contact Richard Moreno.
Phone: 858-345-6435 at lnterwest. Thank you.
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 \\HEN RAIN
IS EMINENT.
2. lHE O'M'-lER/CONTRACTOR SHALL RESTORE ALL EROSION
CONTROL DEVICES TO WORKING ORDER TO lHE SATISFACTION
OF lHE OTY INSPECTOR AFTER EACH RUN-OFF PRODUCING
RAINFALL.
3. lHE O'M'-lER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION
CONTROL MEASURES AS f.lAY BE REQUIRED BY lHE CITY
INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR
UNFORESEEN ORCUMSTANCES \\HICH MAY ARISE.
4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE
AT lHE ENO OF EACH WORKING DAY \\HEN lHE FIVE (5)
DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT
( 40,:). SILT ANO OlHER DEBRIS SHALL BE REMOVED AFTER
EACH RAINFALL
5. ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM
AGGREGATE.
6. AOEQUA TE EROSION AND SEDIMENT CONTROL AND PERIMETER
PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST
BE INSTALLED ANO MAINTAINED.
7. lHE OTY INSPECTOR SHALL HAVE lHE AUlHORITY TO ALTER
lHIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED
TO ENSURE COMPLIANCE 'MTH OTY STORM WATER QUALITY
REGULATIONS.
OWNER'S CERTIFICATE:
I UNDERSTAND ANO ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT
BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION
ACTI'ATIES TO THE MAXIMUM EX1ENT PRACTICABLE TO AVOID
THE MOBILIZATION OF POllUTANTS SUCH AS SEDIMENT ANO TO
AVOID THE EXPOSURE Of STORM WATER TO CONSTRUCTION
RELATED POllUTANTS; ANO (2) ADHERE TO, ANO AT ALI. TIMES,
COMPLY WITH THIS OTY APPROVED TIER 1 CONSTRUCTION SWPPP
THROUGHOUT THE DURATION Of THE CONSTRUCTION ACTI'ATIES
UNTIL THE CONSTRUCTION WORK IS COMPLETE ANO APPROVED
BY THE CITY Of CARLSBAD.
0
0 ~l-
E-29
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP
E-29
BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE
CB
SW
Erosion Coo1r<>I Sediment Coo1r<>I BMPs Traddng Non-Stonn Wate, Waste Management and Materials BMPs CootrolBMPs Management BMPs Polution Coolrol BMPs
C C ~ ii -g .2 0 0 -g ii ., u ~ "' E ..,
0 .!! ~ .!!' 0 ~ 5 0 2 .s ~ .9-"' .., ., "' ., _,. :, >, "' " 0" ., ~ -t i ~ I "' 5~ 0.. ·'" £ .§ ~ g .!! Best Management Practice' ~ .E ., 0 CD g-6 i; w i--fi ., . ~ ~ -~ ol:' ~ .., 'ii :: ~ l ~11 (BMP) Description ➔ ., o, Vl C E ., "' ""' "' ~., .., ., ., 3 """ ·e ., 0 ~ 0 • C °' o.2 -g~ ]~ !s a C C :::> ii u ii C CD ~-~ 0 '" ., ., "' CO> C ii OI> ., ~g :§ K er 0 -N 0, i; ,g °':;::; ~-~ 'a. tto ., :5.~ ., ..._ -~ ] 1 -" Eu := II) =• :g g "8 i; ]g ~ ~"E :g ~ ~8 c C i; 8 =~ ~g ~c 8-.., i! -► i; l ~~ o2 0 i c~ iii " ~ 6 0 -~ ~8 oc "' we VI Vl 0 Vl> Vl VlO.. iii C "'"' "'"' "' iii t!-o "'"'
CASQA Designation ➔ ,... "' "' .., . "' "' ,... "' 0 N .., ,... "' ' N .., . "' I I I ' ' I I I I I I ' ' I ' I I I I I I I
0 0 0 u lj,J lj,J lj,J lj,J lj,J lj,J lj,J lj,J I!: I!: Vl Vl Vl Vl i i i i i Construction Activity w .., .., .., z z z z
Gradina/Soil Disturbance
Trenchinn l>xcavation
Stocko!ina
Orm inn /Rorinn
Concrete/Asahalt Sowcuttina
Concrete Flatwork --SC:
Pavino
Conduit/Pine Installation
Stucco/Mortar Work
Waste Di.,,osal lit
Staoina/Lav Down Area
Eouioment Maintenance ond fuelino
Hazardous Substance Use /Storane
Dewaterina
Site Access Across Dirt X
Other llist l:
Instructions: 1. Check the box to the left of all applicable construction activity (ftrst column) expected to occur during construction.
2. Located along the top of the Bt,jP Table is a list of BMP's with it's corresponding California Storrnwoter Quality Association (CASQA) designation number. Choose one or mare BMPs you intend ta use during construction from the list. Check the box where the chosen activity row intersects with the BMP column.
3. Refer to the CASOA construction handbook for information and detais of the chosen BMPs and how to apply them to the project.
SHOW THE LOCA T/ONS OF ALL CHOSEN BMPs ABOVE
ON THE PROJECTS SITE PLAN/EROSION CONTROL PLAN.
SEE THE REVERSE SIDE OF THIS SHEET FOR A SAMPLE
EROSION CONTROL PLAN.
-BM P's are subject to field Inspection-
PROJECT INFORMATION
Site Address: ______________ _
Assessor's Parcel Number: ----------
Emergency Contact:
Nome: ______________ _
24 Hour Phone: ___________ _
Construction Threat to Storm Water Quality
(Check Box)
0 t.lElltUM 0 LOW
., ii i3t; ~ "' cc NC cc :i:::::.
"' I i
]_
3 ii
~i b c cc 00 o :::>
"' I i
V
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