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Home My WebLink About2608 JACARANDA AVE; ; CBR2023-4493; PermitBuilding Permit Finaled Residential Permit Print Date: 07/19/2024 Job Address: 2608 JACARANDA AVE, Permit Type: BLDG-Residential Parcel#: 2551132500 Valuation: $0.00 Occupancy Group: #of Dwelling Units: Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: CARLSBAD, CA 92009-9115 Work Class: Track#: Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Pool Description: SOWARDS: POOL (30 X19) / SPA (7X7); RETAINING WALL (36X40) Applicant: SUE MONGOVEN 321 SUN BIRD CT SAN MARCOS, CA 92069-3021 (714) 630-6100 FEE BUILDING PLAN CHECK BUILDING PLAN REVIEW-MINOR PROJECTS (LOE) BUILDING PLAN REVIEW-MINOR PROJECTS (PLN) RETAINING WALL-NON-ENGINEERED -CITY STANDARD SB1473 -GREEN BUILDING STATE STANDARDS FEE SWIMMING POOL -RESIDENTIAL SWPPP INSPECTION TIER 1 -Medium BLDG SWPPP PLAN REVIEW TIER 1 -Medium Total Fees: $1,259.65 Total Payments To Date: $1,259.65 Permit No: Status: (cityof Carlsbad CBR2023-4493 Closed -Finaled Applied: 10/02/2023 Issued: 11/15/2023 Fina led Close Out: 07/19/2024 Final Inspection: 06/24/2024 INSPECTOR: Alvarado, Tony Contractor: SOWARDS FAMILY TRUST 07-15-15 2608 JACARANDA AVE CARLSBAD, CA 92009 Balance Due: AMOUNT $169.65 $197.00 $104.00 $153.00 $1.00 $261.00 $292.00 $82.00 $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Fai lure 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 C6t<2/J2.3-qL((J 3 Est. Value -, 1/b,.-~ PC Deposit .j/6 9.SS Date /~fa/ 23 ' Job Address l--'10~ 1fllCAfZ-A1J~A-M Unit:. __ ___,.:APN: ?ff---113::K-m CT/Project#: fit:: Zf¾Z:::::: Lot#: ?t:J"2-Year Built: -"-/f,_._ff""----- Fire SprinklersOEOo Air Conditioning:O YEsONo Electrical Panel UpgradeOEsQNo BRIEF DESCRIPTION OF WORK: ft:()f/4fA: t,,J/MrA flltt{lF ~ X 1fcj?o JI(} 7K zfl'llf ~ f€t: (.A).4-ttz 26 M x ¼ 1 0 New SF : _____ Living SF,.__,., __ Deck SF,. ___ Patio SF,, ___ Garage SF __ Is this to create an Accessory Dwelling Unit? Qv0N New fireplace? ovoN, if yes how many? -- □ Remodel: ____ SF of affected area Is the area a conversion or change of use? 0v ON Pool/Spa:~ Additional Gas or Electrical Features? b/1-S t 1::ftl!f!i;,,~~,f/j,..~ Osotar:. ___ KW, ___ Modufes, MountedOoofO;round, Titt0vON, RMA:Qv()N, ~ Battery: CJ< 0, Panel Upgrade: C,V ~ D Reroof: ------------------------------- □ Plumbing/Mechanical/Electrical D Only: Other: PRIMARY APPLICANT PROPERTY OWNER Name: ;51Uz Wt 06/{~ eN Name: ~~ Address: ?2--1 $Uf;/(j114J CC-Address: ~J~ kd'. C1ty: SA,) /t//h¼)sme:{A Zip:~ City: ~ State: (A-Zip: ~ Phone: 7~ 2--7/ --!b /7L . Phone: ~ooGf: Email: ~!d_f?20 z_._~~ @_ LJJX', w Email: ________________ _ ~:::~ PRtOFESSl~ON~· Al~~ ~A~d=d:ree~ss5CT:N~;~~#~E:~~D ~ /m~A~ . Address: UJ ?iiisud/ft!Ef ~ /V~<-v ~ City: &= =State: Rt Zip: ffio z City: f/1,J(b ~Stai,i 4L Zip: 12ik9 Phone: 7lf-670 ,::6(t:JC-:J Phone: 160.-p7Z--c.r; ~ Email:. ______ .,.,._,......,,.._ ______ Email:. __________________ _ Architect State License: _C='-~_6,_.,~""'~......,/ _____ CSLB License#: 1'9~a$71 Class: (!,£?: Carlsbad Business Ucense # (Required): /; t{Oh~ APPLICANT CERTIACA 110H: I certify that I have read the applicatfQnands_tate that the above information is correct and that the tnformationon the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. , . .,,,,-: ,:~~~~:~ fu0vw@.., __ ,~~: ";17..:::6"-l!tfll.2;._-85£..,15:,..8~:;Jl,4.:~;..,_-- 0 ATE:J:,;~ THIS PA<iE REQUIRED AT PERMIT ISSUANCE PLAN OIECK 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: lherebyaffirmunderpenaltyofperjurythatlamlicensedunderprovisionsofChapter9(commendngwithSection7000)ofDtvision3 of the BusfnessandProfessfons Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the following declarations{CHOOSE ONE): 0 have and wilt maintain a certificate af consent tZ? self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the workwhiehthis permit ls issued. PollcyNo._ ___________________________________ _ -OR.- f'i1 have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance af the work for which this permit is issued. '-"fSvworlcers' compensation insurance carrier and policy number are: lnsuranceCompanyName: ___________________ _ Pollc:yNo. ________________________ Expiration Date: _____________ _ - lficate 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 to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation covenip Is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000.00. In addition the to the a,st of compensation, damaps 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'sName:. ___________________ Le.nder'sAddress: __________________ _ CONTRACTOR CERTIFICATION: I certify that I have read the application and state that theabove information is correct and that the information on the plans isacwrate. I agree to comply with all City ordinances and State laws relating to building construction. -OR - (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: Q I, as owner of the property or my employees with wages as their sole <Xlmpensation, 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). -OR-• a 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). -OR-O I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, 0 FORM 8-61 "Owner Builder Acknowledcement 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. I understandthataCOfl'lof the applicable law, Section 'J'CH4of the Business and Professions Code, isavailableupon request when this application is submitted orat the following Web site: http:/Jwww.leginfo.ca.gov/calaw.html. OWNER CERTIACA TION: I certify that I have read the application and state that the above information is correct and that the information an the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. NAME(PRINT):Su:6'4'.t,0/J{~ SIGN: ..19-"4:,._;...;...;;..;...;...,,-+--.i,:;....~::;__.,_DATE: ,whej!z Note: If the person slcnlng above Is an authorized agent for the property owner indude form 8-62 si d by property owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov 2 REV. 07/21 Building Permit Inspection History Finaled Ccityof Carlsbad PERMIT INSPECTION HISTORY for (CBR2023-4493) Permit Type: BLDG-Residential Application Date: 10/02/2023 Owner: Work Class: Pool Issue Date: 11/15/2023 Subdivision: CARLSBAD TCT#73-18 UNIT#04 Status: Closed -Finaled Expiration Date: 12/09/2024 Address: 2608 JACARANDA AVE IVR Number: 52319 CARLSBAD, CA 92009-9115 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status BLDG-55 251345-2024 Withdrawn Tony Alvarado Re inspection Incomplete Fence/Preplaster Checklist Item COMMENTS Passed BLDG-Building Deficiency No 02/23/2024 02/23/2024 BLDG-23 240393-2024 Passed Tony Alvarado Complete Gas/Test/Repairs Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-51 240245-2024 Passed Tony Alvarado Complete Excav/Steel(Pools) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-52 Pool Plumbing 240243-2024 Passed Tony Alvarado Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-53 240246-2024 Passed Tony Alvarado Complete Elec/Conduit/Wiring(Po ols) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-54 Equipotential 240244-2024 Partial Pass Tony Alvarado Reinspection Incomplete Bond(Pools) Checklist Item COMMENTS Passed BLDG-Building Deficiency Partial pass, four or more grounding Yes copper wire locations verified at perimeter of entire Poland spa -OK partial pass BLDG-SW-Inspection 240392-2024 Passed Tony Alvarado Complete Friday, July 19, 2024 Page 1 of 5 Permit Type: Work Class: Status: Scheduled Date 04/22/2024 PERMIT INSPECTION HISTORY for (CBR2023-4493) BLDG-Residential Application Date: 10/02/2023 Owner: Pool Issue Date: 11/15/2023 Subdivision: CARLSBAD TCT#73-18 UNIT#04 Closed -Finaled Expiration Date: 12/09/2024 Address: 2608 JACARANDA AVE 52319 CARLSBAD, CA 92009-9115 IVR Number: Actual Inspection Type Start Date Inspection No. Inspection Status Primary Inspector Checklist Item Are erosion control BMPs functioning properly? Are perimeter control BMPs maintained? Is the entrance stabilized to prevent tracking? Have sediments been tracked on to the street? Has trash/debris accumulated throughout the site? Are portable restrooms properly positioned? Do portable restrooms have secondary containment? COMMENTS 04/22/2024 BLDG-11 245891-2024 Passed Tony Alvarado Foundation/Ftg/Piers (Rebar) Checklist Item BLDG-Building Deficiency COMMENTS 3 foot high, CMU block, retaining wall with slope, surcharge and foundation footing system and steel reinforcement. Rebar with foundation footing key way, scope of work -OK. BLDG-12 Steel/Bond Beam 246100-2024 Passed Tony Alvarado Checklist Item BLDG-Building Deficiency COMMENTS 3 foot high, CMU block, retaining wall with slope-surcharge (city standard design details) and foundation footing system/steel reinforcement Rebar with foundation footing key way, scope of work -OK. BLDG-SW-Inspection 246101-2024 Partial Pass Tony Alvarado Reinspection Inspection Passed Yes Yes Yes Yes Yes Yes Yes Complete Passed Yes Complete Passed Yes Reinspection Incomplete Friday, July 19, 2024 Page 2 of 5 , PERMIT INSPECTION HISTORY for (CBR2023-4493) Permit Type: Work Class: Status: Scheduled Date 05/09/2024 06/04/2024 BLDG-Residential Application Date: 10/02/2023 Owner: Pool Issue Date: 11/15/2023 Subdivision: CARLSBAD TCT#73-18 UNIT#04 Closed -Finaled Expiration Date: 12/09/2024 Address: 2608 JACARANDA AVE IVR Number: 52319 CARLSBAD, CA 92009-9115 Actual Inspection Type Start Date Inspection No. Checklist Item Are erosion control BMPs functioning properly? Are perimeter control BMPs maintained? Is the entrance stabilized to prevent tracking? Have sediments been tracked on to the street? Has trash/debris accumulated throughout the site? Are portable restrooms properly positioned? Do portable restrooms have secondary containment? COMMENTS 05/09/2024 BLDG-66 Grout Checklist Item 247767-2024 COMMENTS Inspection Status Passed Primary Inspector Tony Alvarado BLDG-Building Deficiency Returning wall, adjacent, pool, construction, grout lift inspection -OK BLDG-SW-Inspection Checklist Item 247993-2024 COMMENTS Partial Pass Tony Alvarado Are erosion control BMPs functioning properly? Are perimeter control BMPs maintained? Is the entrance stabilized to prevent tracking? Have sediments been tracked on to the street? Has trash/debris accumulated throughout the site? Are portable restrooms properly positioned? Do portable restrooms have secondary containment? 06/04/2024 BLDG-54 Equipotential 250490-2024 Passed Tony Alvarado Bond(Pools) Checklist Item BLDG-Building Deficiency COMMENTS passed-four or more grounding copper wire tail connection locations verified at entire perimeter of swimming pool/spa - OK. BLDG-SW-Inspection 250713-2024 Partial Pass Tony Alvarado Reinspection Inspection Passed Yes Yes Yes Yes Yes Yes Yes Complete Passed Yes Reinspection Incomplete Passed Yes Yes Yes Yes Yes Yes Yes Complete Passed Yes Reinspection Incomplete Friday, July 19, 2024 Page 3 of 5 PERMIT INSPECTION HISTORY for (CBR2023-4493} Permit Type: BLDG-Residential Application Date: 10/02/2023 Owner: Work Class: Pool Issue Date: 11/15/2023 Subdivision: CARLSBAD TCT#73-18 UNIT#04 Status: Closed -Finaled Expiration Date: 12/09/2024 Address: 2608 JACARANDA AVE IVR Number: 52319 CARLSBAD, CA 92009-9115 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status Checklist Item COMMENTS Passed Are erosion control BMPs Yes functioning properly? Are perimeter control BMPs Yes maintained? Is the entrance stabilized to Yes prevent tracking? Have sediments been tracked Yes on to the street? Has trash/debris accumulated Yes throughout the site? Are portable restrooms Yes properly positioned? Do portable restrooms have Yes secondary containment? 06/12/2024 06/12/2024 BLDG-55 251453-2024 Passed Tony Alvarado Complete Fence/Preplaster Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-SW-Inspection 251764-2024 Partial Pass Tony Alvarado Reinspection Incomplete Checklist Item COMMENTS Passed Are erosion control BMPs Yes functioning properly? Are perimeter control BMPs Yes maintained? Is the entrance stabilized to Yes prevent tracking? Have sediments been tracked Yes on to the street? Has trash/debris accumulated Yes throughout the site? Are portable restrooms Yes properly positioned? Do portable restrooms have Yes secondary containment? 06124/2024 06/24/2024 BLDG-Final Inspection 252670-2024 Passed Tony Alvarado Complete Checklist Item COMMENTS Passed BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes BLDG-SW-Inspection 252853-2024 Passed Tony Alvarado Complete Friday, July 19, 2024 Page 4 of 5 PERMIT INSPECTION HISTORY for (CBR2023-4493) Permit Type: Work Class: Status: Scheduled Date BLDG-Residential Application Date: Pool Issue Date: Closed -Finaled Expiration Date: IVR Number: Actual Inspection Type Start Date Inspection No. Checklist Item Are erosion control BMPs functioning properly? Are perimeter control BMPs maintained? Is the entrance stabilized to prevent tracking? Have sediments been tracked on to the street? Has trash/debris accumulated throughout the site? Are portable restrooms properly positioned? Do portable restrooms have secondary containment? COMMENTS Friday, July 19, 2024 10/02/2023 Owner: 11/15/2023 Subdivision: CARLSBAD TCT#73-18 UNIT#04 12/09/2024 Address: 2608 JACARANDA AVE 52319 CARLSBAD, CA 92009-9115 Inspection Primary Inspector Reinspection Inspection Status Passed Yes Yes Yes Yes Yes Yes Yes Page 5 of 5 October 30, 2023 City of Carlsbad Community Development Department -Building Division 163 5 Faraday Ave. Carlsbad, CA 92008 Plan Review: Pool, Spa, & Retaining Wall Address: 2608 Jacaranda Ave Applicant Name: Sue Mongoven Applicant Email: sumo223@cox.net OCCUPANCY AND BUILDING SUMMARY: Occupancy Groups: R-3/U Occupant Load: N/ A Type of Construction: V-B Sprinklers: N/A Stories: N/ A Area of Work (sq. ft.): 570 sq. ft. The plans have been reviewed fo r coordination with the permit application. Valuation: Scope of Work: Floor Area: Confirmed Confirmed Confirmed Attn: Building & Safety Department, True North COMPLIANCE SERV ICES City of Carlsbad -FINAL REVIEW City Penn it No: CBR2023-4493 True North No.: 23 -018-979 True No1th Compliance Services, In c. has completed th e final review of the following documents for the project referenced above on behalf of the City of Carl sbad: I. Drawings: One (I) copy dated ENTER DA TE, by Zier Pools. The 2022 Cali fornia Building, Mechanical, Plumbing, and Electrical Codes (i.e., 202 1 !BC, UMC, UPC, and 2020 NEC, as amended by the State of California), 2022 Californ ia Green Building Standards Code, 2022 California Existing Buildi ng 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 bearin g our review stamps fo r your use. Please call if you have any qu estions or ifwe can be of further assistance. Sincerely, True North Compliance Services Review By: Mulham 1-l weidi -Plan Review Engineer Quality Review By: Alaa Atassi -Plan Review Engineer True North Compliance Services, Inc. 8369 Vickers Street, Suite 207, San Diego, CA 92111 T / 562. 733.8030 STORM WATeR POLLUTION PREVENTION NO-res l. ALL NEr.ESSARY EQUIPMENT AND MATERIALS SHALL ilE AVAILABLE OH SllE TO fACIUTAlE RAPIO INSTAllA'IION OF' EROSION ANO SEDIMENT CONTROL BMPs WHEN RAIN IS EMINE!li. 2. THE OftR/CON1RACTOR SMALL Rf:STORE All EROSION CONTROL j)f:'MJES TO WORKlNG OOOER TO lliE SATISFACTION OF THE a1Y INSPECTOR AFTER EACH RUtH)ff PRODUCING RAINFALL: 3, THE 0Ya!ER/CON1RACTOR SHALL INSTALL ADDl110NAL EROSIOO CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY INSPECTOR DUE TO INCOMPLETE' GRADING OPERATIONS OR UNFORESEti>I CIRCUMSTANCES WHICH MAY ARISE. 4. All REMOVABLE PROTECTIVE OE\1CES SHALL BE IN PLACE AT THE END OF EACH WORl<lNO OAY l'i\lEN '!HE flVE (6) DAY RAtl PR081\BILITY FORECAST EXot:EDS FORTY PECEN'f ( 40:l). S11.T AND OTHER DEBRIS SHALL B£ REMOVED AFTER EACH RAIHf ALL 5. ALL ~Al/El BAGS SHALL OON1'AIN 3/4 INCH MINIMUM AGGREGATE. 6. ADEQUATE EROSION AND SEDIMENT CONTROL ANO PERIMETER PROT£CTION BEST MANAGEMENT PRACTICE MEASURES MUST BE INSTAUED AND MAINTAINED. 7, THE CITY INSPECTOR SHALL HA VE THE AUlHORllY TO ALTER THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEOEO TO ENSURE COMPLIANCE WITH CtTY STORM WATER QUALITY REGULATIONS. OWNER'S CQR11FlCATli: I UNO£RS1'At«) ANO AC1(NOl'A.E[)G£ lHAT I MUSTl (I) IMPLEMM B£ST MANAOEM!HT PRA01tCES (BMPS) DURINO OONSTAUCTIOII ACTIVlnES TO 11iE MAXIMUM EXlENT PRACTICIIIILE TO AVOID TIIE MOlllUZA'IIOII OF POllVTANTS SUCH AS SEDIMENT AND TO AVOID l»E JOO>OSURE OF STORM w,ilER TO COIISTRUCTION Rfl.A1£1l POllUlM4TS; AND (2) A~E TO, AND AT All 'ltMES, COMPLY \'Alli lit$ CITY APPROI/ED TIER I CONSTRUC'll<N 5\ff P 11-IROUGHOUT 1HE DURATION OF M: CONSTRUCTION AcnVITIES UNTIL 'IHE CONS1RIJ0110N Yl0RI< IS COMIII.E1E AND APPRO\IEO BY THE CITY Of' CARLSBAD. , ,...,,,. / \ STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP E-29 CB _____ _ svv_ .. ____ _ BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE e,~ Contiol 0 pg .. Sodhnonl Control OMPs Traddllo C<lnllolllMPo Non,Slo1m Walor ~nogement BMPe Yletto Manl9Qmenl a11d M~lkila PQMIM Cllnllol BMPs ] I I j I 6 I j ,§ f t 6 ...,ll l 'IQ J j Iii 1 I I § j Bcst Mensgement Pracllce' ~ :i I l it j ~ n (BMP) Desorfpllon ➔ f !l ... ! i i Ii 1~ i ~-~§, ~ I ~·1 I 1 '2 i ii t· 11·1 Ji I i l!i J '!!!! g, -g ~ l !1 1.~ & ,E ' !?I 6 l;p .,,ji ti.a it io. ::II :la OASQAOoll(JJlollon -) ', OQ OI T -t'l ·r. ~ ~ 'r ~ 0 N .., ,-. "' :r i '7 I • s ~ ~ ~ ~ 'T ~ ~ ~ J, ~ OonalRmiln Actlllv Iii Iii id Iii lM f!: z !!1 I Q'Q 01110 . ...,, Dlltlltl!onco ·-~ --~ ,c TM "'" ... =I •• 0, ..,,,,..., e,,...,.,..1 SawcutUnn ....... e fllatwotk tWtftG _,..,,1 '""' 1111la11ollon U""" ortar -c -•e --... .,, QUI own Area nlllbll\lftt Mr ~•--04 ond Fu....,, dJ'lll"lJOCl9 SU >11lonco U.1/Stor- 011/0lltnllff -ta Acron Dirt -,, D ' nttruc a 1. Cllock the bc)l( lo lho lell of al O)>l>Ucobto conalrU<:llon oollv!ty (Oral column) eMpocled lo occur during conalruc\lon, 2. (.ocotod q_lP.(lg the lop of lhe BMP Toblo 11 a ttsl of BMP's with 11·a corrpapondlng Collfoml!J Stormwator Quollly Aaaoolatfon (CASOfl) dea!gnotlon number. Choooa ono or moro SMPo you lnlend to uso during consbucllcn from the Un . Chock the bo,c Where the cho1on octMly row Jntersoota wllh the BMP column, .l, Refor lo tho Cl.SOIi conatruollon handbook for lnformulton and dotaDa of tho ohosen BMPt and how lo oppJy them to Iha projocl, PROJECT INFORMf ON Sita AddregG: ,zj,pJ½~, ,, .. ,g I 1 = SHOW Tl-IE LOCATIONS OF A/.1. CHOSEN BMPs ABOVE Of.J THE PROJECTS SITE PLAN/1:ROSION CONT!jOL PLAN. SEE THE REVERSE SIDE OF THIS SHEET FOR A SAMPLE EROSION CONTROL Pl.AN. Aasas,or'e Porcat Number. l,![f,'---(/7 --~ -BMP1s a&'e subject to fieOrd Inspection~ Emer9N°::o: Co:Jft:y 2d 2~ How Phono:~~ ~ ji 11 .. ~ ·~ £: fV], DJV Ge; ·11 t:::IV IE~~ AG£N tttl~q Construction Thtoa( lo Slorm Wotor Quallly (Choo!, Box) 0 MEDIUM r1lJ LOW £-29 Pogo 1 of 1 REV 02/16