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Home My WebLink About1511 Basswood Ave; ; CBR2017-2581; Permit(city of Carlsbad Residential Permit Print Date: 07/23/2018 Permit No: CBR2017-2581 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 1511 Basswood Ave BLDG-Residential 2051303900 $82,383.50 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Addition Status: Applied: lssued: Permit Finaled: Inspector: Closed -Finaled 10/26/2017 12/05/2017 TFraz P\an Check #: Final Inspection: 7/19/2018 9:47:12AM Project Title: Description: ZAMALLOA: 390 SF ADDITION FOR FAMILY ROOM// 350 SF REMODEL KITCHEN Owner: Contractor: COOWNER ZAMALLOA JOEL ANO LIPSIE SARAH SUFFRIDGE DESIGN AND BUILD INC BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) 1511 Basswood Ave CARLSBAD, CA 92008 ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION MECHANICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $1,298.43 Total Payments To Date: $1,298.43 6912 Halifax St San Diego, CA 92120-1020 619-203-3216 Balance Due: Please take NOTlCE 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 lega\ 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. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $552.19 $386.53 $43.00 $170.00 $52.00 $80.00 $4.00 $10.71 • THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNlNG 0ENGINEERING (city of Carlsbad JOB ADDRESS \$1 CT/PROJECT# LOT# PHASE Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEf/SPACEf/UN1Tf NITS # BEDROOMS # BATHROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 0BUILD1NG 0FIRE 0HEALTH COI/-JS"TRDC.T A~?RO'-t.. -.:390 S:r 1<'.E-1(\'\0DE. <... ~ \ ~ \-\t;::G (l{:' 0 RO)< ~COM (-\Q:) ) n 61\-.J ?::.s'"O Sf- EXISTING USE DECKS (SF) ADDRESS 5'\ \ CITY VlQ..LS PHONE EMAIL 0HAZMATIAPCD ADDRESS ~~~'"-=S-~9'---'----,-'--'.t?,~(~·J~J_•=dn~~___,_,__..=-~-""_,,____-+=~=---__,____.__~.L-'.=~~~=,,,'-=='=""-=-----'--=-"=-~-w- CITY Jo. I\ /) I e SGA-ZIP PHONE EMAIL STATE UC.# '1.i't.fJ'i' (Sec_. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_mit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commending with Section 70_00 of Division 3 of the Business and Professions Code} or that he 1s exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 1 have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance Of the work for which this permit is issued. M1 have and will maintain workers' compensation, as requirei Section 3700 of th!!::abor Code, for the performan~of the work for which this permit is issued. My workers' compensation insurance carrier and policy oomb""" '"'""""' r:,,Jil'J.k..M_/YJf-~"' 6'> ,MJ, f-11,.,) _ Pol,cy No. 0 :[3 'i / J t 7 B<piration Date '1-:,._'1-It ~section need not be completed if the permit is for one hundred dollars ($100) or less LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person 1n any manner so as to become subJect to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compe satlon coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provl f ctlon 3706 of the Labor code, interest and attorney's fees. kS CONTRACTOR SIGNATURE 'fle-1, ectA Ju Alr,--J.sc-~GENT I hereby affirm that I am exempt from Contractor's License Law for the following reason: D 0 D 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 empioyees, 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 bu11d or improve for the purpose of sale). 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). I am exempt under Section ____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I (have I 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 name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supeivise and provide the major work (include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the fol\owirg persons to provide the work indicated (include name I address I phone I type of work): k$ PROPERTY OWNER SIGNATURE QAGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business pla~y hazardous materials registration form or risk mana]ement and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous SLJbstance Account Ac(! Yes ~ _ Is the appl_icant or fllture building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes ei,/ Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes c;;V IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above information Is correct and that the Information on the plans is accurate. I agree to rompl>j with all City ordinances and State laws relating to building construction. \ hereby authorize representative of the City of Carlsbad to enter upon the above mennoned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF Ci\RLSB.A..D AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH . ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: An OSHA pennlt is required for excavations over 5'0' deep and de construction of structures over 3 stories in height EXPIRATION: Every pennlt issued by the Building Offdal under the pro · · of this Code shall expire by limitation and berome null and voi::l W the bui'ding or v.ork authorized by such i:ennit is not mmmenced 'Mthin 180 days from the date of sudl i:ermit or iflhe building or di pennit is susi:;ended or abandoned at any tine after the mo< is mmmenced fo/a period of 100 days (Sec!On 100.4.4 Unifonn Building Code). ,@S' APPLICANT'S SIGNATURE DATE 10 ,a"' / ,.7 T I STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email bui1ding@carl5badca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. OELIYERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On pg_ 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (listed above) MAIL/ FAX TO OTHER:----------------- A5 APPLICANT'S SIGNATURE ASSOCIATED CB#'------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP PERMIT INSPECTION HISTORY REPORT (CBR2017-2581) Permit Type: BLDG-Residential Application Date: 1012612017 Owner: COOWNER ZAMALLOA JOEL AND LIPSIE SARAH Work Class: Addition Issue Date: 12/05/2017 Subdivision: SANDALWOOD DALE UNIT# 2 Status: Closed -Finaled Expiration Date: 01107/2019 Address: 1511 Basswood Ave Carlsbad, CA 92008-1946 IVR Number: 7258 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-41 055322·2018 Passed Tim Frazee Complete Underground Ducts (Mech) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-84 Rough 065462·2018 Passed Tim Frazee Complete Combo{14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Electrical Yes BLDG-44 Yes Rough-Ducts-Dampers 06/03/2018 06102/2018 BLDG-17 Interior 066897·2018 Passed Tim Frazee Complete Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 07/09/2018 07/19/2018 BLDG-Final 063401-2018 Passed Tim Frazee Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Waiting for the recycling and trash receipts Yes Received the paperwork Friday 7/19/2018 BLDG-Plumbing Final Yes BLDG-Mechanical Final Yes BLDG-Structural Final Yes BLDG-Electrical Final Yes July 23, 2018 Page 2 of2 PERMIT INSPECTION HISTORY REPORT (CBR2017-2581) Permit Type: BLDG-Residential Application Date: 10/26/2017 Owner: COOWNER ZAMALLOA JOEL AND LIPSIE SARAH Work Class: Addition Issue Date: 1210512017 Subdivision: SANDALWOOD DALE UNIT#2 Status: Closed -Finaled Expiration Date: 01/07/2019 Address: 1511 Basswood Ave Cartsbad, CA 92008-1946 IVR Number: 7258 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete 01/29/2018 01/2912018 BLDG-11 047118-2018 Passed Tim Frazee Complete Foundation/Ftg/Pier s (Rebar) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 02/05/2018 02(05/2018 BLDG-SW-Pre-Con 047815-2018 Passed Tim Frazee Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 02108/2018 02/08/2018 BLDG-13 Shear 048302-2018 Passed Tim Frazee Complete Panels/HD (ok to wrap) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-15 048301-2018 Passed Tim Frazee Complete Roof/ReRoof (Patio) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 03/08/2018 03/08/2018 BLDG-21 051147-2018 Passed Tim Frazee Complete Underground/Underf loor Plumbing Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-31 051148-2018 Passed Tim Frazee Complete Underground/Condu It-Wiring Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 04/12/2018 04/12/2018 BLDG-16 Insulation 054731-2018 Passed Tim Frazee Complete Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes 04/18/2018 04/1812018 BLDG-14 065461-2018 Passed Tim Frazee Complete Frame/SteelfBoltlng/ Welding (Decks) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-31 055324-2018 Passed Tim Frazee Complete Underground/Condu It-Wiring July 23, 2018 Page 1 of 2 RJS Inspection & Material Testing P.O. Box 2450, Alpine, CA 91903 Ph. 619-540-0612 FAX 619-445-5889 SPECIAL INSPECTION REPORT Project: Zamalloa addition Address: 1511 Basswood ave City: Carlsbad, CA Permit Number: CBR2017-2581 TYPE OF OBSERVATIONS: Reinforcing Steel __ Reinforced Concrete __ Structural Masonry __ Field Welding __ Epoxy__!_ Prestressed Concrete __ Shop Welding __ Boltin_g __ Wedge Anchors __ Number of Samples Type:----------------------- Materials/DesignMix/Psi., Simpson Set XP ICC ER-2508 (exp. 08/19) Date: 2-6-I 8 REPORT Epoxy procedure: Verified that holes are clean, dry, right size & depth. Observed the installation of(2) 5/8" HDU4 threaded rod anchors into 3/4" holes, embedded a minimum of 12.5" and (3) 5/8" threaded rod AB into 3/4" holes, embedded a minimum of 5", all into existing concrete with Simpson Set XP. Installation is per Holdown Schdule on SI and Shear Wall Schedule note #4 on SI of approved plans. Sub Contractor: Frevert Builders WORK INSPECTED CONFORMS WITH APPROVED PLANS AND SPECIFICATIONS UNLESS OTHERWISE NOTED 815 Authorized Job Site Contact Signature Inspection & Material Testing COVERING WORK PERFORMED REQUIRING APPROVAL BY THE SPECIAL INSPECTOR OF: P.O. Box 2450 Alpine, CA 91903 Phone 619-540-0612 Fax 619-445-5889 --- DAY 72.\ D Reinforced Concrete DATE Struct. Steel Assembly (One inspection per Report) D Pre-Stressed Concrete D Fireproofing TIME ON SITE 1 o: u TIME OFF SITE HOURS Project~ {L '7--IJ l ev1s1on O.T. HOURS #OFTEST SPECIMENS Sig ature of Registered Inspector /172- Date of Report Registered Number CERTIFICATE OF COMPLIANCE TO THE BEST OF MY KNOVVLEDGE, THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED, IS IN CONFORMANCE WITH THE APPROVED PLANS AND SPECIFICATIONS AND THE APPLICABLE WORKMANSHIP PROVISIONS OF THE GOVERNING STANDARDS. RECEIVED APR O 2 2018 r-~~~~~~~~~~~~~~~~~~~~~,...,..,"""""~~~LSBAD 'W CIT¥ O J CARLSBAD SPECIAL INSPECTION AGREEMENT B-45 BUILDING D Develo1, ,nf!nt suvice Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov In accordance with Chapter 17 of the California Bulldlng Code the following must be completed when work being performed requires special Inspection, structural observation and construction matenal testing. )roject/Permit: GB R 2.0 n-"Z,.!;i I Project Address: \ ' ( l ~AS$w't.O _.!) A vt A. THIS SECTION MUST BE COMPLETED BY THE PROPERTY OWNER/AUTHORIZED AGENT. Please check rt you are °"1ner-Builder ..l (If you checked as owner-builder yo1. must also comple~ Sectio, B of th,s agreement.) Name !Please prtnn ~.., f +r, c\'T,e Mailing Address.~ 1,, ~ I Z. ·_ ~A\ '~ p...\c 5 r 'I S An ~ 1 ~o C ~ '1 2..1 l.,O L Erria11 \(c.i"~v'tf(1d~~ {;;t/1,,11, (Oh l Phone I am .JProperty Owner )'Property Owrer s Agen: of Record State of Cahforria Registration I\L.mber l\ S \ 0 ~ f; .JArch1tect of Record Expiration Date ...!Engineer or Record z-:?1-,1 AGREEMENT I the undersigned declare unde• penalty of perJ.iry under the laws of the State of Ca:1forn1a that I have react understand acknowledge and promise to comply wrth the City of Carlsbad requ rements for special inspections structural observations construction 'Tlatenals test,ng and off-sl1e fabnca1t0n of bu1ld11"1g components as prescribed 1ri the statement of special insPl\c,ns ~ed o')the apprrved plans and as required by the California Bui1d1ng Code S1gnature._ _ _\.-~lt . Ci4\/ _ Date ~f-z.c /J lf B. CONTRACTOR'S STATEMENT OF RESPONSIBILITY (07 CBC Ch 17 Section 1706). This sect!Of1 must be completed by the contractor I builder I owner-builder d 1;,, '1 C I'/ r,011 Contractors Company Name -....JV t "t (" \ ,\ 'a: e b, es,~ P.\. Please checiri!you are °"flef-BJ l(W , Name.1P1mep11n11 }~ti L J Svj \d~-' Mailing Address l 4 I 2. t-114-{' r A-)< <; ' S,o.,,...., ~ ' e ~ c.. (.":\ q 2. I ""L 0 Email \~ .. .(!-,9; 0.'r{ (9, A1 A ( J ( ~ M Phone ~I~ Z t.?_s · ,~ \ L., State of Cahforr.1a Contractors License Number· <'.j 8 l f Y ~ fxpration Date ~ -l t • \ t. I acknow edge and am aware of special requiremerts contained ,n the statement or special nspectJons noted on the app<olied plans I acknow edge that control will be exercised to otxa,n conforrr.ance with the construcoor. dOcurrents approved by the bu1ldlng off:c1al I will have in-place procedures for exercising control wrth1r our (the contractors) organization, for the metnoo and frequency or reporting and the d1su1bl..t1on of the reports and ' certi'"y that wi11 have a qual,f1ed person w1th1n our (the contractors) organization to exercise such contro: • / will P[OVide s final report I letter In compliance with CBC Section 1704.1.2 prior to requesting final S1gnatur~nspec\°z £: 4, rf '(,t. Date 3-20 -\ <"/ S-45 Page· ot 1 Rev 08/11 ISION DATE: 11/29/2017 JURISDICTION: Carlsbad PLAN CHECK#.: CBR2017-2581 /. EsG1I A SAF'Ebu1lt Company SET: II PROJECT ADDRESS: 1511 Basswood Ave. PROJECT NAME: Zamalloa Remodel and Addition ~PP LI CANT ,,,,;,a JURIS. D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. ~ The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil 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: ~ EsGil staff did not advise the applicant that the plan check has been completed. D EsGil staff did advise the applicant that the plan check has been completed. Person contac~O Telephone#: Date contacted: '~ 0 ) Email: Mail Telephone Fax In Person REMARKS: Please provide city soils stamp for applicant to sign prior to fin,1 approval at the jurisdiction. \( r r.t5 '\ 1 By: Ryan Murphy Enclosures: (J-/.-l" EsGil 7 11/20/2017 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 DATE: 11/08/2017 JURISDICTION: Carlsbad PLAN CHECK#.: CBR2017-2581 ~ Es Gil .f\ SAFl:built Co1np;ihy SET: I PROJECT ADDRESS: 1511 Basswood Ave. PROJECT NAME: Zamalloa Remodel and Addition D APPLICANT .)YJUR/S. D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. 0 The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. 0 The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. ~ The check list transmitted herewith is for your information. The plans are being held at EsGil 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: Larry Hawes 0 EsGil staff did not advise the applicant that the plan check has been completed. ~ EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Larry Hawes Telephone#: (760)940-8910 ~ate/,contacted:\ I\ B (by(\C--} Email: Larry@haweshomedesign.com t)t1ail Telephone Fax In Person D REMARKS: By: Ryan Murphy EsGil Enclosures: 10/30/2017 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 Carlsbad CBR2017-2581 11/08/2017 PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES PLAN CHECK#.: CBR2017-2581 JURISDICTION: Carlsbad PROJECT ADDRESS: 1511 Basswood Ave. FLOOR AREA: Addition: 490 sq. ft. Kitchen Remodel: 350 sq. ft. REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 10/26/2017 DATE INITIAL PLAN REVIEW COMPLETED: 11/08/2017 FOREWORD (PLEASE READ): STORIES: no change HEIGHT: 13'9" DATE PLANS RECEIVED BY ESGIL CORPORATION: 10/30/2017 PLAN REVIEWER: Ryan Murphy This plan review is limited to the technical requirements contained in the California version of the International Residential Code, International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National 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 2016 edition of the California Code of Regulations (Title 24), which adopts the following model codes: 2015 IRC, 2015 IBC, 2015 UPC, 2015 UMC and 2014 NEC. 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 2015 International 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 CBR2017-2581 11/08/2017 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. • PLANS 1. Will reconfirm that all sheets of plans are signed by the person responsible for their preparation as well as structural sheets signed and sealed by EOR. (California Business and Professions Code). 2. Provide a statement on the Title Sheet of the plans stating that this project shall comply with the 2016 California Residential Code, which adopts the 2015 IRC, 2015 UMC, 2015 UPC and the 2014 NEC. Section R106.1. 3. The application indicated that you are remodeling the kitchen as well (350 sq. ft.). The plans do not show any changes. Is this to be included in the scope of work? If so, include in scope of work on sheet 1 and show extent of remodel on plans. 4. On sheet 4, only number 2 from the key/legend is called out on the plans. Also, per structural sheets and calculations, the wall being removed is a bearing wall. Please revise to show bearing wall being demoed and call out the remainder of the legend accordingly for clarification. 5. On sheet 4, legend no. 6 notes: "Construct (n) patio and patio roof." This was not included in the scope of work and I do not see proposed patio included in the framing or foundation plan. Please remove patio from architectural sheet 4, or contact the city to add to scope of work and provide framing and foundation plan for proposed patio. Additional fees may apply from the city. 6. The roof framing plan shown on sheet 6 does not match the roof framing plan shown on sheet S2. Specifically, in area where proposed addition meets existing, structural shows existing framing bearing on RB-1 (over demoed wall). Please coordinate architectural sheets to match structural. Carlsbad CBR2017-2581 11/08/2017 7. Sheet 2 and 4 are labeled "firsUsecond floor." Please relabel to reflect conditions (1 floor). Also, relabel these sheets in sheet index on sheet 1. 8. Please show the required insulation in exterior walls (R-13) and ceilings (R-30) on the plans at proposed addition. 9. Show location of attic access with a minimum size of 22"x30", unless the maximum vertical headroom height in the attic is less than 30". Access must be provided to each separated attic area (if over 30 sq. ft.), shall be located in a hallway or other readily accessible location and 30" headroom clearance is required above the opening. Section R807.1. • FIRE PROTECTION 10. In existing buildings, when alterations, repairs or additions requiring a permit occur (or when one or more sleeping rooms are added), the dwelling unit shall be provided with smoke alarms located as required for new dwellings; the smoke alarms shall be interconnected and hard wired. Exception: Smoke alarms in existing areas need not be interconnected and hard wired where the alterations or repairs do not result in the removal of interior wall or ceiling finishes exposing the structure, unless there is an attic, crawl space, or basement available which could provide access for hard wiring and interconnection without the removal of interior finishes. Section R314.8.1. 11. When alterations, repairs or additions are proposed for dwelling units within which fuel-burning appliances are installed (and in dwelling units having attached garages), the dwelling unit shall be provided with carbon monoxide alarms located as required for new dwellings; the carbon monoxide alarms shall be interconnected and hard wired. Exception: Carbon monoxide alarms in existing areas need not be interconnected and hard wired where the alterations or repairs do not result in the removal of interior wall or ceiling finishes exposing the structure, unless there is an attic, crawl space, or basement available which could provide access for hard wiring and interconnection without the removal of interior finishes. Section R315.2. • STRUCTURAL 12. In the calculations provided, RH-1 was designed with a 1700 lb point load from hip truss AH-1. Per AH-1 calculations, girder truss is bearing 2695 lb at each end. Please revise calculations for roof headers RH-1 and 2 to reflect this. 13. Please provide evidence that the engineer-of-record (or architect) has reviewed the truss calculation package prepared by others (i.e., a "review" stamp on the truss calculations or a letter). CBC Section 107.3.4.1. 14. Based off your calculations for RB-1, it appears that there will be a 4.87 kip point load at existing 12"x 12" continuous footing. Please provide design calculations showing how existing continuous footing will support this load here. Carlsbad CBR2017-2581 11/08/2017 15. In addition to the special inspection for expansion anchors already indicated in the plans, the plans shall indicate that special inspection will be provided for the following work. (CBC Chapter 17 and Section 107.2): a. Structural wood. Periodic special inspection is required for nailing < 4" o.c. Section 1705.11.1. • MECHANICAL 12. Are you modifying the mechanical system in any way? If not, please remove note 10 on sheet 1. Also, show on the plans the location, type and size (Btu's) of all heating and cooling appliances or systems. • ELECTRICAL 13. Show on the plan the amperage of the electrical service, the location of the service panel and the location of any sub-panels. If the service is over 200 amperes, submit a single line diagram, panel schedules, and provide service load calculations. 14. Note on the plans that receptacle outlet locations will comply with CEC Article 210.52. • MISCELLANEOUS • Please provide city soils stamp for applicant to sign prior to final approval at the city. To speed up the review process, note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, note or detail number, calculation page, etc. 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 0 No 0 The jurisdiction has contracted with EsGil, 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 Ryan Murphy at EsGil. Thank you. Carlsbad CBR2017-2581 11/08/2017 [DO NOT PAY -THIS JS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK#.: CBR2017-2581 PREPARED BY: Ryan Murphy DATE: 11/08/2017 BUILDING ADDRESS: 1511 Basswood Ave. BUILDING OCCUPANCY: R-3/U BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier SFD addition 390 SFD remodel 350 city est. Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance Bldg. Permit Fee by Ordinan-c~-~ . ~] Plan Check Fee by Ordinance Type of Review: 0 Complete Review 0 Repetitive Fee --;.1 Repeats --~ Comments: D Other D Hourly EsGil Fee Reg. VALUE Mod. D Structural Only ,__ __ __,,Hr.@* Sheet 1 of 1 ($) 82,384 82,384 $547.29! $355.741 $311.961 Print Date: 07/24/2018 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1511 Basswood Ave BLDG-Permit Revision 2051303900 $ 0.00 Revision Permit Work Class: Residential Permit Revisi Lot#: Reference #: Construction Type Bathrooms: Orig. Plan Check#: CBR2017-2581 Plan Check #: (city of Carlsbad Permit No: PREV2018-0059 Status: Closed -Finaled Applied: 03/08/2018 Issued: 04/03/2018 Permit 07/24/2018 Finaled: Inspector: TFraz Final Inspection: Description: ZAMALLOA: ADD 2 WINDOWS AND CHANGE HIP ROOF TO GABLE Applicant: SUFFRIDGE DESIGN AND BUILD INC KEN SUFFRIDGE 6912 Halifax St San Diego, CA 92120-1020 619-203-3216 FEE BUILDING PLAN CHECK ADMIN FEE MANUAL BUILDING PLAN CHECK FEE Total Fees: $ 203.75 Building Division Owner: Contractor: COOWNER ZAMALLOAJOEL AND LIPSIE SARN SUFFRIDGE DESIGN AND BUILD INC 1511 Basswood Ave CARLSBAD,CA 92008 Total Payments To Date : $ 168.75 6912 Halifax St San Diego, CA 92120-1020 619-203-3216 Balance Due: AMOUNT $35.00 $168.75 $35.00 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov C_ City of Carlsbad PLAN CHECK REVISION OR DEFERRED SUBMITT~t\L APPLICATION B-15 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www .carlsbadca.gov Original Plan Check Number L ~ R z.o 11 -1.S'Sl Plan Revision NumberPRot2D\b -0059 Project Address \ ~\ I \$ A. s; ~woo\) A Vil- General Scope of Revision/D eferred Submittal: A t.> D J N ~ *w o + r AP ~ -z...o, .9 W i l'\J bo<.<J,,S q\, (J'"'J\:r.4rl~e;1 \-\,,:> \loo~ tlO b'ASl ~ W th-.. <;,\ '2...-)..cQ, +-~55 . ' . CONTACT INFORMATION: Nam e ~\::N £vt~c, A~ Address((} 0\ \ 'L \~ ~\ \ ~~ S,, l.J) \ q -203-'"b 2.\ \.!) Phone U\ ~ z_ e-\ --t \ (;ft:s City } t Zip q z._..l 2-. 0 Original plans prepared by a n a rchitect or engineer, r evisions must be signed & stamped by that person. 1 . Elements revised: :0· Plans Q5J. Calculations D Soils ;~ Energy D Other 2. Describe revisions in detail J7c./ b -Q_ ('~ A Q_ <t \<. ' ~ \rv\ f'.A fl V Ct h AV1 <+€. J • (J . V . ,If ?o-~--1 '2uS ~ ~11+...., 6 o-.k' ('I Jh r.\.V\~ ~ ' - ~ (;.,_.In --N~ T{LvS. \ {, ~~ i ,.,J u ., k 1~ S2 -\ uJ t1 Dex (:}{ { .s ~-.!Slb \ ,e., vJ "~ she.ex-~AV\~'- ~ ' ~ !;1,.-T, tJ'l, Z--<-{ C.,,h ~i\.\ (rl. 't:, \j ,L.., +-v 1 .._h.,,_Jov t't'~-brh c> V\ ~ " - 4. Does this revision, in any way, alter the exterior of the project? 5. Does this revision add A NY new floor area/s)? D Yes 6. Does this revision affect any fire related issues? D Yes· 7 ~# • ls this a complete set? 0 Yes D No Jg} Yes E No fl No 3. List page(s) where each revision is shown r'a..-, G V ?,..-16 0 -r Cy ~ - V' c:.-.s. -1-. "' l,~-t z, \>~"') . v · D No £5'Signature \[_s~ ~ • V Da te ?-J-{£' 1635 Faraday Avenue, Carlsbad. CA 92008 Ph: 760-602-27 19 Fax: 760-602-8558 Email: buifding@carlsbadca.gov www.carlsbadca.gov DATE: 03/29/2018 JURISDICTION: City of Carlsbad ~ EsG1I A SAF Ehuilt Company :}1,PLICANT ( vURIS. PLAN CHECK#.: PREV2018-0059 (for CBR2017-2581) ___ SET II PROJECT ADDRESS: 1511 Basswood Ave. PROJECT NAME: Revised Roof Addition and Additional Windows D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. [gj The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil 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: [gj EsGil staff did not advise the applicant that the plan check has been completed. D EsGil staff did advise thJ,applicant that the plan check has been completed. Person contacted: / f Telephone#: Date contacted: (b : ) Email: Mail Telephone Fax In erson [gj REMARKS: Please provide city's soils stamp for applicant to sign prior to final ap o jurisdiction. By: Ryan Murphy EsGil Enclosures: 03/20/2018 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 ' DATE: 03/19/2018 JURISDICTION: City of Carlsbad /. EsG1I D APPLICANT I JURIS. PLAN CHECK#.: PREV2018-0059 (for CBR2017-2581) ___ SET I PROJECT ADDRESS: 1511 Basswood Ave. PROJECT NAME: Revised Roof Addition and Additional Windows D 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 building codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. ~ The check list transmitted herewith is for your information. The plans are being held at EsGil 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: Ken Suffridge D EsGil staff did not advise the applicant that the plan check has been completed. ~ EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Ken Suffridge Telephone #: (619) 203-3216 Date ted: .;ll'l It~ (by~ Email: KenSuffridge@gmail.com ~ail Telephone WlY In Person RE KS: By: Ryan Murphy EsGil 03/12/2018 Enclosures: 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 PLAN REVIEW CORRECTION LIST SINGLE FAMILY DWELLINGS AND DUPLEXES PLAN CHECK#.: PREV2018-0059 (for CBR2017-2581) Carlsbad JURISDICTION: City of PROJECT ADDRESS: 1511 Basswood Ave. FLOOR AREA: No change REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 03/08/2018 DATE INITIAL PLAN REVIEW COMPLETED: 03/19/2018 FOREWORD (PLEASE READ): STORIES: no change HEIGHT: N.C. DATE PLANS RECEIVED BY ESGIL CORPORATION: 03/12/2018 PLAN REVIEWER: Ryan Murphy This plan review is limited to the technical requirements contained in the California version of the International Residential Code, International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National 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 2016 edition of the California Code of Regulations (Title 24), which adopts the following model codes: 2015 IRC, 2015 IBC, 2015 UPC, 2015 UMC and 2014 NEC. 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 2015 International 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. [DO NOT PAY-THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: City of Carlsbad (for CBR2017-2581) PLAN CHECK#.: PREV2018-0059 PREPARED BY: Ryan Murphy DATE: 03/19/2018 BUILDING ADDRESS: 1511 Basswood Ave. BUILDING OCCUPANCY: R-3 BUILDING AREA Valuation PORTION ( Sq. Ft.) Multiplier Structural Rev. 390 nla Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance --------' uildin P rmi F • 1997 UBC B g e t ee ---~ Type of Review: D Complete Review D Repetitive Fee ~~~~~1 • I Repeats * Based on hourly rate Comments: Structural Revision D Other 0 Hourly EsGII Fee Reg. VALUE Mod. D Structural Only ,___ ___ 1.-<51 Hrs.@• $90.00_ ($) $168.751 $135.00! Sheet 1 of 1 PLANS 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 IY'iQ 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. 1. The window schedule provided on sheet 4 does not include additional fenestration. (Proposed windows W08 and W11). Please coordinate T24 fenestration, proposed floor plan, and window schedule to match. 2. Please revise Section A on sheet 4 to show scissor trusses. STRUCTURAL 3. The revised calculation package which was received from the engineer of record for this project was not signed and sealed. Please submit calculation package with cover sheet signed and sealed by engineer of record. 4. Please provide evidence that the engineer-of-record has reviewed the truss calculation package prepared by others (i.e., a "review'' stamp on the truss calculations or a letter). CBC Section 107 .3.4.1. 5. Please fill out and submit the City of Carlsbad's Special Inspection Agreement which is attached to the end of this list. (For indicated retrofit epoxy set hold- downs). 6. Please revise roof shear transfer details provided on sheet S2 to match proposed conditions (scissor trusses). END OF REVIEW • Please provide city's soils stamp for applicant to sign prior to final approval at the jurisdiction. To speed up the review process, note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, note or detail number, calculation page, etc. 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 1:1 No 1:1 The jurisdiction has contracted with EsGil, 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 Ryan Murphy at EsGil. 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 WHEN RAIN IS EMINENT. 2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION CONTROL DEVICES 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 DEVlCES 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 RAINFALL. 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: I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVlTIES 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 1'11TH THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF CARLSBAD. I AQ,9-..':::'.\ ~5. OWNER(S)/OWNER'S AGENT ~INT) ~ OWNER(~AME (SIGNATURE) E-29 IOB)y j (7 'LJAIE' STORM WATER COMPLIANCE FORM TIER 1 CONSTRUCTION SWPPP ~7--;}5g/ BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE Erosion Control Sediment Control BMPs Tracking Non-Storm Water Waste Management and Materials BMPs Control BMPs Management BMPs Pollution Control BMPs C C -C 0 -.2 .2 :;:; C C 'O "' 'O ., C --c> C E C "' 'O u u C c> E C -C -:, :, 0 £ ·.::: .9-C C C E "' L L :;:; 'O L "' "' ::::E 'O ., c> L --C .5 s:::. :, >, c> -C <> L .5 "' c ., ., ., er L C C ., "' c> Co C. "' ·.::: -C u, C > L L u.J !;! C 0 C--Best Management Practice* o'd C C a, C. L 0"' 0 L "' "' :;:; ;,: -., ., 3 ., ,.!:: "' C C "' -"' C -c-..c C E (I) c> "0 C UL u ., 'O ., ~ 'O <ij ., ::::E C <> C C :,:: C (BMP) Description ~ ., u "'Vl ·a ., c> a, c> C C !;! _., ., "' "' (I) C 3c CC Cl ::, "' 3 ~ co L u -C 0 LO 'O u.J 'O >, 0 ., Cc> "' [g E " E ., E C Cl a, U) ·-c> .,, C 0 (I) :;:; Cl:;:; u 1l X ::::E Cl c> Cl C "' er _E C N Ul i:l C en:;:; "' <> C ""' 0 ·c. L-;,: "' 0"' -"' "' C ~ E ~ J .0 E~ i=fil =3 L•-:0 o·c ·cg "ki a. 0 c> ~ c> ~ c> (I) :, cC ~ L ~t, "' -'O ..C C u L (I) :, 'O L-·-'O •-L C <> L u --'O C -·-C. 'i5 "' .0 L .0 C •-C 0 0 LC -"' C LU C 0 0 ~8 --o -= C ~§ 0 .0 Cc> .8 0 CC ..c "' 0 "' ~ CL vi V, "' ..c G:: L -C C -L U) C ;;: ct 0 :§! u c-C -C. 0 "' u.J Cl Vl u "' VJ> Vl Vl a. v, er a.a a. ::::E Vl ::::E Vl VlU Vl ::::E CASQA Designation ~ " a:, O'> ,.., .... "' "' " a:, 0 N ,.., " a:, N ,.., .... "' I I I ' ' I I I I I I ' I I ' I I I I I I I I u u u u u.J u.J u.J w w u.J u.J w f!: f!: U) Vl U) U) i i i i i Construction Activity w u.J u.J w Vl Vl U) Vl U) Vl Vl Vl z z z z Grading/Soil Disturbance IX Trenchina /Excavation Stockpilinq .X X Drill in a /Barino Concrete/Asohalt Sawcuttina Concrete Flatwork Pavina Conduit/Pipe Installation Stucco/Mortar Work Waste Disposal X. Staaina /Lav Down Area Eauipment Maintenance and Fuelina Hazardous Substance Use/Storaae "' Dewaterina Site Access Across Dirt Other rnst ): Instructions: 1. Check the box to the left of all applicable construction activity {first column) expected to occur during construction. 2. Located along the top of the BMP Table is a list of BMP's with it's corresponding California Stormwater 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: 15 I I D(l.,SS(,l:QoD F\ \If: . cc NC cc I::::E "' I i Assessor's Parcel Number: d[)'(· \30-39 · (X) Emergency Contact: Page 1 of 1 Name: KE-\0 '.:?Cl ~~R \ GG E. 24 Hour Phone:\o\C:I 003 3,Q.\(o Construction Threat to Storm Water Quality {Check Box) 0 MEDIUM ~OW uc cC oc U::::E a:, I i '-,.:::: REV 02/16