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Home My WebLink About1727 BUTTERS RD; ; CB161272; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-07-2016 Pool Permit Permit No: CB161272 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1727 BUTTERS RD CBAD POOL Status: Parcel No: 1562704100 Lot#: 0 NEW Applied: Valuation: $30,936.00 Construction Type: Entered By: Reference #: PC#: Project Title: BOULAN: 600 SF POOL/SPA Applicant: SUNDANCER POOLS INC STE 104 197 WOODLAND PKWY SAN MARCOS CA 92069-3021 760-802-8842 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Electrical Fee Plumbing Fee Strong Motion Fee Green Bldg Standards (SB1473) Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Plan Approved: Issued: Inspect Area: Owner: BOULAN CHRISTIAN&CARL Y 1727 BUTTERS RD CARLSBAD CA 92008 ISSUED 04/01/2016 JMA 04/07/2016 04/07/2016 $284.89 $0.00 $199.42 $0.00 $35.00 $35.00 $4.02 $2.00 $0.00 $0.00 $0.00 $0.00 $560.33 Total Fees: $560.33 Total Payments To Date: $560.33 Balance Due: Inspector: lftlL Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "lmposi!Jon" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 clays from the date this permit was issued to protest irrposition of these fees/exactions. If you protest them, you must follow the protest prooedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordanoe with Garlsbad Munidpal Code Section 3.32.030. Failure to timely follow that prooedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-07-2016 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW160155 Job Address: Permit Type: Parcel No: Reference #: CB#: Project Title: Applicant: 1727 BUTTERS RD CBAD SWPPP 1562704100 CB161272 BOULAN: 600 SF F'OOLISPA SUNDANCER POOLS INC STE 104 197 WOODLAND PKWY SAN MARCOS CA 92069-3021 760-802-8842 Emergency Contact: BOBBY WILLIAMS 760-801-8842 SWPPP Plan Check SWPPP Inspections Additional Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Issued: Inspect Area: Tier: Priority: Owner: BOULAN CHRISTIAN&CARL Y 1727 BUTTERS RD CARLSBAD CA 92008 ISSUED 04/01/2016 JMA 04/07/2016 1 M $54.00 $228.00 $0.00 $282.00 Total Fees: $282.00 Total Payments To Date: $282.00 Balance Due: FINAL APPROVA,L DATE -Wt~ CLEARANCE ________ _ SIGNATURE __ ~ ____ _ $0.00 jTHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING ENGINEERING (city of Carlsbad JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNIT# BUILDING Date TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 6Pu~t~ (JJrDf/~Ait t{DX Ito bOV~ EXISTING USE c:;,P (1,- APPLICANT NAME CITY PHONE EMAIL ADDRESS CITY PHONE EMAIL OFIRE (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 he applicant for such permit to file a signed statement that hH is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt 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 Declaration: I hereby 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 as provided by Section 3700 of the Labor Code, for the pertormance of the work for which this penmit is issued. ~ I have and will maintain worker~~yensa~.r:as r,quired by S!n 3700 of the Labor Code, for the pertonman of the work for whi this permit is issued. My workers' compensation · suran carrier and policy f number are: Insurance Co. ~ bl, V'!!!)"lr d§ Policy No. Expiration Date _,.'+--+-+.....::......_.<1-_,_><-_ This seclion need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the pertonmance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation is unlawful, and shall subject an I to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, for in Labor code, fees. _K5 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D D I, as owner of the property or my employees with wages a~. 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). 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. DYes 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, supervise 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 following persons to provide the work indicated (include name I address I phone I type of work): _K5 PROPERTY OWNER SIGNATURE 0AGENT DATE I certify that I have read the application and state that the above info nnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby aulhorize representative of the City of Carlsbad to enter upon lhe above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA penn~ is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every penn it issued by the Building Official under lhe pro~sions of lhis Code shall expire by limitation and become null and void if the buik:ling or 'Mlrk aulhorized by such pennit is not oommenced within 180 days from lhe date of such penn it or iflhe il ormrk authorized by such pennit is suspended or abandoned at any time after the 'Mlrk is oommenced for a 180 days (Section 106.4.4 Unifonn Building Code). JIS APPLICANT'S SIGNATURE DATE 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 building@carlsbadca.govor Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CA DELIVERY OPTIONS 0 PICK UP: o CONTACT (Listed above) o OCCUIPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB#------------0 MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION 0 MAIL/ FAX TO OTHER:------------------o CHANGE OF USE/ NO CONSTRUCTION A:f APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB161272 Type~: POOL Date Inspection Item 08/09/2016 29 Final Plumbing 08/09/2016 39 Final Electrical 08/09/2016 59 Final Pool 08/09/2016 59 Final Pool 07/19/2016 55 Fence/Pre-Plaster 07/13/2016 51 Excav/Steei/Bonding/Fence 06/02/2016 51 Excav/Steei/Bonding/Fence 05/11/2016 23 GasfT est/Repairs 05/11/2016 31 Underground/Conduit-Wirin 05/11/2016 51 Excav/Steei/Bonding/Fence 05111/2016 52 Underground Plumbing Tuesday,August09,2016 Inspector Act AEK Fl AEK Fl Rl AEK Fl AEK AP AEK AP AEK AP AEK AP AEK AP AEK AP AEK AP BOULAN: 600 SF POOL/SPA Comments CONTRACTOR COULD NOT FIND CARD FOR PRIOR APPROVAL ECO BOND Page 1 of 1 ~ ., • ~ C!TY OF CARLSBAD PLAN CHECK REVIEW TRANSMITTAL DATE: 04-06-2016 PROJECT NAME: BOULAN RESIDENCE POOL/SPA PLAN CHECK NO: SET#: 1 ADDRESS: 1727 BUTIERS RD. VALUATION/SCOPE OF WORK: S30,936 Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov PROJECT ID: CB16-1272 APN: 156-270-41-00 Vrhis plan check review is complete and has been APPROVED by the ENGINEERING Division. c~rrec.,fiul\5 """'4. e By: c, rr '1--7-Ho ( OVI\~r A Final Inspection by the Division is required Yes I No ~ This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the /A attached checklist. Please resubmit amended plans as required. NOTE: ONLY ITEMS THAT NEED CORRECTION/CLARIFICATION ARE MARKED X. Plan Check Comments have been sent to: suM0223@COX.NET You may also have correj~ions from one or more of the divisions listed below. Approval from these divisions ma)r be required prior to the Issuance of a building permit. Resubmitted plans should include corrections from all divisions. For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING FIRE PREVENTION 76Q-602-4610 760-602-2750 76Q-602-4665 .; Chris Glassen 760-602-2784 C h ris.Sexto n@ca rlsba d ca .gov Christogher.Giassen@carlsbadca.gov Gregory. Ryan@carlsbadca.gov Gina.Ruiz@carlsbadca.gov Linda.Ontiveros@carlsbadca.gov Cynthia.Wong@carlsbadca.gov Dominic.Fieri@carlsbadca.gov Remarks: POOL IS SHOWN ENCROACHING INTO 6' UTILITY EASEMENT E-37 All If outslttlltling ;_,•;rtt'-' will /lc mar/.:cd with tl/1 [X] lHa/.:c tire rrcccssary correct itms _fin· complilllrcc tl'itlr ''PJ'iiCill>lc codes 111111 st111rdllrds. Sulnnit corrected plans ttlldlor spcci(iclltiorrs to tire Bui/di11g diuisimr tin rc-su/1/lrilllll to tltc L:rrgirrecri11g dil.'isio11s. I ton.; tilnt collftmn to permit rcqllin•mcllts tilT lllllrkcd with [{] 1. SITE PLAN Provide a fully dimensioned site plan drawn to scale. Show: ,f North arrow ,f Existing & proposed structures ,f Property line dimensions X Easements Show on site plan: ,f Drainage patterns Existing & proposed slopes Existing topography Retaining Walls (location and height) ,f Indicate what will happen with soil excavated from pool area. lncluae on title she•et: ./ Site adclress ,f Assessor's parcel number I Legal description/lot number Gradin!r Quantities of Cut Fill Import Export Project does not comply with the following engineering conditions of approval for project no: Conditions were complies with by: LOT NO. 10 MAP NO. 4675 REF. NO. LEBARR #1 Page 2 of 4 Date: REV6/2012 RW 16-69 E-37 1 2. GRADING PERMIT REQUIREMENTS The conditions that require a grading permit are found in Section 11.06.030 of the Municipal Code. Inadequate information available on site plan to make a determination on grading requirements. Include accurate grading quantities in cubic yards (cut, fill, import, export and remedia'l). This information must be included on the plans. If no grading is proposed write: "NO GRADING" Grading Permit required. NOTE: The grading permit must be issued and rough grading approval! obtained prior to issuance of a building permit. A separate grading plan prepared a registered civil engineer must be submitted together with the completed application form attached . ./ No grading permit required. 3. MISCELLANEOUS PERMITS ./ RIGHT-OF-WAY PERMIT is required to do work in city right-of-way and/or private work adjacent to the public right-of-way. A separate right-of-way issued by the engineering division is required for the following: Please complete attached right-of-way application form and return to the engineering department together with the requirements on the attached right-of-way checklist, at the time of resubmittal. Right··of-way permit and pool permit will be issued simultaneously. Page 3 of 4 REV 6/2012 E-37 1 4. STORM WATER Construction Compliance I Project Threat Assessment Form complete I incomplete 1 Requires Tier 1 Storm Water Pollution Prevention Plan. Please complete attached form and return (SW 16-155 ) Requ'1res Tier 2 Storm Water Pollution Prevention Plan. Requires submittal of Tier 2 SWPPP, payment of processing fee and review by city. Post-Development (SUSMP) Compliance I Storm Water Standards Questionnaire complete I incomplete Proje~ct is subject to Standard Storm Water Requirements. See city Standard Urban Storm Water Management Plan (SUSMP) for reference. http://www.carlsbadca.gov/business/building/Documents/EngStandsw-stds-vol4-ch2.pdf ProjE~ct needs to incorporate low impact development strategies throughout in one or more of the following ways: Rainwater harvesting (rain barrels or cistern) Vegetated Roof Sic-retentions cell/rain garden Pervious pavemenUpavers Flow-through planter/vegetated or rock drip line Vegetated swales or rock infiltration swales Downspouts disconnect and discharge over landscape Other: 5. ADDITIONAL ~COMMENTS Page 4 of 4 REV6/2012 MAP NO. !i:_~~7S L£81\RR ESTATES UNIT-I SH££T 2 OF 2 SHEETS Rl! SU~OIVI S;otv 01' C/!OAR HILLS .4DPI TIDN - ~ o. ~ a<'>. NO. I '-"' ~~ d ... .9CJ.. ~ c_ ~:~jg;?\::0" .. "' "'> !. -39?7' ' \' "'~., ...>-.. ,'-1;:.: -...._ /'' '. I L£0FNO o !NO/CATES SFT "'/4 'l,f?ON PI PC r:z:IC0£0 ,l?C£ 7$04 I :f / • INQ/Ct47CS FOUND,Q$ SWOI-1//V I ' I ~ I . ' ,(J~~v _£~ / ---INOCATc-:780//NC¥J£:?YC¥--UNITAO I ~'{!"/ ')I "/71-,~ f/~ I 1;:-/ -/ ;·rc-I c_• / tr; ~-tL.JV/(_~~vL/ f-t,__;{_J.r-t 1 ~1 L_ • ..__): \ ~ """'~-~ '\"..1 ~ ->-..' (''\\ ~.>-, C':i_ ·-"' ' . /,'/ ...,._~ -, ' . . j ------o n:H '-_ 75oo -~ .. 6. ,iff ;·---\\ 1 '<6. ,( \'~ '\.._ !(:' ,-\ \ d .. .f.5"C9' ·, ,_ ,,p ~\ \\ 'f;ffi~.~ \. .... ~~ ( )'} t ·?<' ?/ -' \ -.._..: ...~ .. -~~ ~ o.~.'6~ . . , C'Z ~~~ Z't r~ 4-k?~cf'31'. ~ "' I> /) N.ftf'33J.V/74z:_~-- 1 ( ).(' 4·90" ~ ---I?-?-:5<XJ "l\.l '/: r-47 s.:r "'' I /."<{.•,543.!!/' '<.' t., I ~) ' {) v ;:.·?5 00"-+---- \' \-. L ::fj~ 'i- ,\\/' J ~ ----1 s5{~ 1.., i~\1 "-...: 66 95' I~ ""= \J.' _(}_' ['9 -5T~T i<l.;..__ t',.· ~ v-I <~~r t--1/' -------'~'IF'''-"•//<1/ ·('\) \ -.... ,...,., t--.. ( (' I v '-' j~ I / iv~ ~~ B tJ!!fP ~ ~" (j /\ 1:1~ ~ \J ~~ .~~~ ij)Q) ~ ~ /',~)~.,- • I oo' 1 7500' 1 II I II C-......-/~ /I /1 )/j/ I L_-i[--""/ V//Lf ~-~-------'\,./1 -1 r1 -~ '('-,, / IMr-' C: /Q~--:1 ~-!b ~~~ ~ ~ :t ~) \'\ ' ( " .~ ~ \ "' \ ,, 1,) ( ,, ''\ II' '-\.) ~' '\~\ PLANNING DIVISION BUILDING PLAN CHECK APPROVAL P-29 DATE: 4-4-16 PROJECT NAME: PROJECT ID: Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www .carlsba de a .e:ov PLAN CHECK NO: CB 16-:1272 SET#: 1 ADDRESS: 1727 Butters Rd APN: 156-270-41-00 ~ This plan check review is complete and has been APPROVED by the Planning Division. By: Chris Sexton A Final Inspection by the Planning Division is required DYes (g) No You may also have corrections from one or more of the divisions listed below. Approval from these divisions may be required prior to the issuance of a building permit. Resubmitted plans should include corrections from all divisions. D This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the attached chec:klist. Please resubmit amended plans as required. Plan Check APPROVAL has been sent to: sumo223@cox.net For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING FIRE PREVENTION 760-602-4610 760-602-2750 760-602-4665 ~ Chris Sexton D Chris Glassen D Greg Ryan 760-602-4624 760-602-2784 760-602-4663 Chris.Sexton@carlsbadca.gov Christogher.Giassen@ca~lsbadca.gov Gregory.Ryan@carlsbadca . .@Y D Gina Ruiz VaiRay Marshall D Cindy Wong 760-602-4675 760-602-27 41 760-602-4662 Gina.Ruiz@carlsbadca.gov YStlB.ill'Ma_r.shall@c_grlsJ;>_gQ.@,gQy_ cynU1_[9.Wong@carlsbadca.gov D Veronica Morones Linda Ontiveros Dominic Fieri 760-602-4619 760-602-2773 760-602-4664 Veronica. Morones@carlsbadca.gQy lJ!ld.E_,_Ontiveros@carlsbad~g_.gg_y_ Dominic.Fieri@carlsbac!.!!_g,gQy_ Remarks: pool, spa SWPPP Section 2: Determination of Project's Construction Threat Level Tier (Check applicable crite1·ia under the Tier Level as determined in section 1, circle Construction Level the correspondong Construction Threat Level, then complete the Threat Level sig_nature block below) Exempt -Not Applicable -Exempt Tier 3 -High Construction Threat Assessment Criteria: M~ Project meets one or more of the following: 0 Project site is 50 acres or more and gradihg will occur during the rainy season 0 Project site is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA High 0 Soil at site is moderately to highly erosive (defined as having a predominance of soils Tier 3 with USDA-NRCS Erosion factors k1 greater than or equal to 0.4) 0 Site slope is 5 to 1 or steeper 0 Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 -April 30). 0 Owner/contractor received a Storm Water Notice of Violation within past two years Tier 3 -Medium Construction Threat Assessment Criteria Medium 0 All projects not meeting Tier 3 High Construction Threat Assessment Criteria Tier 2 -High Construction Threat Assessment Criteria: My: Project meets one or more of the following: 0 Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, inside or within 200 feet of an environmentally sensitive area (ESA) or discharges directly to an ESA 0 Soil at site is moderately to highly erosive (defined as having a predominance of soils High Tier 2 with USDA-NRCS Erosion factors k1 greater than or equal to 0.4) 0 Site slope is 5 to 1 or steeper 0 Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 -Apr. 30). 0 Owner/contractor received a Storm Water Notice of Violation within past two years 0 Site results in 10,000 sq. ft. or more of soil disturbance Tier 2 -Medium Construction Threat Assessment Criteria Medium 0 My project does not meet Tier 2 High Threat Assessment Criteria listed above Tier 1 -Medium Construction Threat Assessment Criteria: M~ Project meets one or more of the following: 0 Owner/contractor received a Storm Water Notice of Violation within past two years Medium 0 Site results in 500 sq. ft. or more of soil disturbance Tier 1 0 Construction will be initiated during the rainy season or will extend into the rainy season (Oct.1 -April 30) Tier 1 -Low Construction Threat Assessment Criteria Low jW My project does not meet Tier 1 Medium Threat Assessment Criteria listed above I certify to the ~est of my knowledge that the above statements are true and correct. I will prepare and submit an appropriate tier level SWPPP as determined above prepared in accordance with the City SWPPP Manual. I understand and acknowledge that I must adhere to and comply with the storm water best management practices pursuant to Title 15 of the Carlsbad Municipal Code and to City Standards at all times during construction activities for the permit type(s) checked above. The City Engineer/Building Official may authorize minor variances from the Construction Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher SWPPP Tier Level is Wetrranted. City Concurrence: Yes No (For City Use Only) X By: CG- Date: 'i -~-I(, Project 10: CBib·fl.12 Owner/Owner's Authorized Agent Sig ~ tAff ~o JJ6?!YW E-32 Page 2 of 2 REV. 02/16 / (City of Carlsbad DETERMINATION OF PROJECT'S SWPPP TIER LEVEL AND CONSTRUCTION THREAT LEVEL E-32 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov I'm applying for: 0 GradinQ Permit ~Building Permit Right-of-way permit 0 Other Project Name: PYJU ££rfJ Project ID: Address: , :sr:1"7 n...~ 1 .,.r;~/Jc . .OAPN lf;h-l'=7~0Jfi...,....W~-=-DWG #/GB# ------ Disturbed Area: Ac Section 1: Determination of Project's SWPPP Tier Level (Check applicable criteria and circle the corresponding SWPPP Tier Level, then go to section 2) Exempt -No Threat Project Assessment Criteria My project is in a category of permit types exempt from City Construction SWPPP requirements. Provided no significant grading proposed, pursuant to Table1, section 3.2.2 of Storm Water Standards, the fC?.1!9.~JYi.11.9 .. P~.r.rn.i~~---c:t~~--~-~~-rnP.t .. f.r.C?.f!l ... §Y.YP..F=>.P. . .r.~.9.Y.i.~~rn~ll.t.~.:. . .. . ... . . .............•................................................................................... i ~ Electrical i ~ Patio i ~ Mobile Home i ~ Plumbing i >-Spa (Factory-Made) . [ .. :F. .. ::.:~:;~~--~~:~i:~~~-~~:::::r.F.:::::~~:~.h.-~:~:~~~~: .. ·:r:F.:.:·::~~~-§:?~:f;·~:~ .. :::.::: .. IF.·::·:··:~i~:~:: .... : .... :.:.::LF.:.:·.::~:??.!~0.~.~:~~~~::~~i~~:~~~~~:::.J Tier 3-Significant Threat Assessment Criteria-(See Construction General Permit (CGP) Section I.B)* 0 My project includes construction or demolition activity that results in a land disturbance of equal to or greater than one acre including but not limited to clearing, grading, grubbing or excavation; or, 0 My project includes construction activity that results in land disturbance of less than one acre but the construction activity is part of a larger common plan of development or the sale of one or more acres of disturbed land surface; or, 0 My Project is associated with construction activity related to residential, commercial, or industrial development on lands currently used for agriculture; or 0 My project is associated with construction activity associated with Linear Underground/overhead Projects (LUP) including but not limited to those activities necessary for installation of underground and overhead linear facilities (e.g. conduits, substructures, pipelines, towers, poles, cables, wire, towers, poles, cables, wires, connectors, switching, regulating and transforming 'equipment and associated ancillary facilities) and include but not limited to underground utility mark out, potholing, concrete and asphalt cutting and removal, trenching, excavation, boring and drillin9, access road, tower footings/foundation, pavement repair or replacement, stockpile/borrow locations. 0 Other per CGP Tier 2-Moderate Threat Assessment Criteria: My project does not meet any of the Significant Threat Assessment Criteria described above and meets one or more of the following criteria: 0 Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, 0 Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria: • located within 200 feet of an environmentally sensitive area or the Pacific Ocean; and/or, • disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical; and/or • disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse; and/or • construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through Apr. 30). r 1-Low Threat Assessment Criteria My project does not meet any of the Significant or Moderate Threat criteria above, is not an exempt permit type per above and the project meets one or more of the following criteria: • results in some soil disturbance; and/or • includes outdoor construction activities (such as roof framing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling) SWPPP Tier Level Exempt Tier3 Tier2 Tier 1 * Items listed are excerpt from CGP. CGP governs criteria for triggers for Tier 3 SWPPP. Developer/owner shall confirm coverage under the current CGP and any amendments, revisions and reissuance thereof. E-32 Page 1 of 2 REV. 02/16 / STORM WATER COMPLIANCE FORM TIER 1 CONST~~UCTION SWPPP l~ {~ E-29 sw - STORM WATER POLLUTION PREVENTION NOTES BEST MANAGEMENT PRACTICES (BMP) SELECTION TABLE Erosion Control Sediment Control BMPs Tracking Non-Storm Water Waste Management and Materials 1. ALL NECESSARY EQUIPMENT AND MATERIALS SHALL BE BMPs Control BMPs Management BMPs Pollution Control BMPs AVAILABLE ON SITE TO FACILITATE RAPID INSTALLATION c OF EROSION AND SEDIMENT CONTROL BMPs WHEN RAIN c c 0 ...., ...., 0 0 :;::; c c -o :;::; :;::; CJ> 0 Q) -o Q) IS EMINENT. E c -o en c 0 0 c c CJ> E c ...., 0 ...., :::> :::> 0 '6 ·c c. 0 0 0 E Q) .... .... :;::; .... Q) Q) ::2 -o en CJ> .... ...., ...., c :::> >, CJ> ...., 2. THE OWNER/CONTRACTOR SHALL RESTORE ALL EROSION c Q) .... Q) c en en en 0 ·c ""-o-.... 0 c en Q) c > ...., CJ> oc; Q_ Q) ·c -c en c .... w Q) 0 0 Best Management Practice* <!8 c 0 rn Q_ .... 0 Q) 0 .... (_') Q) > c :;::; ;s::...., en CONTROL DEVICES TO WORKING ORDER TO THE SATISFACTION en 3: en .... Q) 0 c u .... u Q) ...., Q3 Q) 0 ...., 0+-' ..c: c f-en -o en ::2 c Q) c c :;:::c (BMP) Description --7 en 0 Q)en ·u Q) E en CJ> Q)CJ> rn ·o c CJ> c -om ~ c 0 ::::> Q) +-'Q) VJQ} Q) OF THE CITY INSPECTOR AFTER EACH RUN-OFF PRODUCING Q) :J --""' ...., 0 0 3: c .... 0 -ow -o>, o en c c 0 > g;E Q) E :;::; ·-Q) .._ 0 c 0 0 rn en·-CJ> 0--Q) ........... UQ) 0 0 0> Q) Q) =>E RAINFALL. ::2 Oc:r> 0 c Q) CY E 0 ...., N en ~ 0 0 O'l:;:; Q) Q) c ~~ 0 ..__ $:Q) 0 Q) +-'Q) X 0 Q) E --""' Q3 +-':::> ..0 E ~ :=en =3: L-:.;::; ::0 u·c ·c Q_ o..o CJ> "2c:r> ~CJ> Q) -o ..c:c Q) I..J.... .... Q) :::> ·-Q) :n-o c 0 .... 0 --""' .... -oO 0 0 oo ...., +-'·-c:.c '6 0 > -o .... ...., ..D._ Q) 0 ·-.... 0 ·-0 Q) .... Q) 0 ...., THE OWNER/CONTRACTOR SHALL INSTALL ADDITIONAL EROSION 0 0 .... 0 ...., Q) Q) 0 Q) 0 c 0 0 OCT> 0 0 +-'o > Q) ...., ..c:Q) ....,o ...., 0 ::=c ·-c N C c c 3. Q) 0 0 .... 0 Q) ..c: ..0 .... .;oo 0 ...., .... ....,c ..... o 0 .... 00.. 0 Q)_ o...., 0 ...., a_o oo 0 0 oo (_') 3:: wo en 1Ji en u G: (_') en> en en o.. en-en o::: :S::o.. 0..0 0.. >U ::2en ::2 en en u en::2 :r:::2 U::2 CONTROL MEASURES AS MAY BE REQUIRED BY THE CITY INSPECTOR DUE TO INCOMPLETE GRADING OPERATIONS OR CASQA Designation --7 1'--co ~ -.;:t 0 N t<') 1'--co N 1'0 -.;:t LD tO co m t<') LD tO 1'--co I I I I I I I I I I I I I I I I I I I I I I I I I UNFORESEEN CIRCUMSTANCES WHICH MAY ARISE. u u u u w w w w w w w w CY CY en en en en ::2 ::2 ::2 ::2 ::2 ::2 ::2 Construction Activity w w w w en en en en en en en en f-f-z z z z 3:: 3:: 3:: 3:: 3:: 3:: 3:: 4. ALL REMOVABLE PROTECTIVE DEVICES SHALL BE IN PLACE Grading/Soil Disturbance I~ ~ X K. X .> . .:>< /--. "' ><-.~ AT THE END OF EACH WORKING DAY WHEN THE FIVE (5) Trenching/Excavation DAY RAIN PROBABILITY FORECAST EXCEEDS FORTY PECENT Stockpiling ( 40%). SILT AND OTHER DEBRIS SHALL BE REMOVED AFTER Drilling/Boring -EACH RAINFALL. Concrete/ Asphalt Sawcutting ALL GRAVEL BAGS SHALL CONTAIN 3/4 INCH MINIMUM Concrete Flatwork 5. Paving_ AGGREGATE. Conduit/Pipe Installation 6. ADEQUATE EROSION AND SEDIMENT CONTROL AND PERIMETER Stucco/Mortar Work PROTECTION BEST MANAGEMENT PRACTICE MEASURES MUST Waste Disposal BE INSTALLED AND MAINTAINED. Staqinq/Lay Down Area Equipment Maintenance and Fueling 7. THE CITY INSPECTOR SHALL HAVE THE AUTHORITY TO ALTER Hazardous Substance Use/Storage THIS PLAN DURING OR BEFORE CONSTRUCTION AS NEEDED Dewatering TO ENSURE COMPLIANCE WITH CITY STORM WATER QUALITY Site Access Across Dirt REGULATIONS. Other (list): 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 corres~onding California Stormwater Quality Association (CASQA) designation number. Choose one or more BMPs you intend to use during construction from the list. Check he 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. OWNER'S CERTIFICATE: I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION PROJECT INFORMATION ACTIVITIES TO THE MAXIMUM EXTENT PRACTICABLE TO AVOID Site Address: /7~ 1 ~[Te(iS rtp THE MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO AVOID THE EXPOSURE OF STORM WATER TO CONSTRUCTION Assessor's Parcel Number: ~ 1,.. 7 ().-t{/ "(Jl) RELATED POLLUTANTS; AND (2) ADHERE TO, AND AT ALL TIMES, COMPLY WITH THIS CITY APPROVED TIER 1 CONSTRUCTION SWPPP THROUGHOUT THE DURATION OF THE CONSTRUCTION ACTIVITIES Emergency Contact: UNTIL THE CONSTRUCTION WORK IS COMPLETE AND APPROVED Name: ~~ wrU/IfW BY THE CITY OF CARLSBAD. 24 Hour Phone: 2 ~Q-8'0. L-'i ~tfJ., ." Construction Threat to Storm Water Quality (Check Box) E MEDIUM LOW E-29 Page 1 of 1 REV 02/16