HomeMy WebLinkAbout1763 CAPE MAY PL; ; CB153264; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-16-2015 Pool Permit Permit No: CB153264
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
1763 CAPE MAY PL CBAD
POOL
2073121100
Status:
Lot#: 0 Applied:
Valuation: $3,094.00 Construction Type: 58 Entered By:
Reference #:
PC#:
Project Title: LEE: 60 SF SPA
Applicant:
MISSION POOLS OF ESCONDIDO INC
755 W GRAND AV
ESCONDIDO CA 92025
619-7 43-2605
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:
Owner:
LEE ROBERTS
P 0 BOX 1794
CARLSBAD CA 92018
Issued:
Inspect Area:
ISSUED
10/01/2015
JMA
10/13/2015
10/13/2015
$61.37
$0.00
$42.96
$0.00
$35.00
$35.00
$1.00
$1.00
$0.00
$0.00
$0.00
$0.00
$176.33
Total Fees: $176.33 Total Payments To Date: $176.33 Balance Due:
Inspector:
FINAL APPROVAk
Date: ;;J.. ·f)-. f Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exact"1ons." 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 legal action to attack,
review, set aside, void, or annul their imposition.
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-16-2015
Storm Water Pollution Prevention Plan (SWPPP) Permit
Permit No:SW150388
Job Address:
Permit Type:
Parcel No:
Reference #:
CB#:
Project Title:
Applicant:
1763 CAPE MAY PL CBAD
SWPPP
2073121100
CB153264
LEE: 60 SF SPA
MISSION POOLS OF ESCONDIDO INC
755 W GRAND AV
ESCONDIDO CA 92025
619-743-2605
Emergency Contact:
JIM MCGREEVY
760-535-215 7
SWPPP Plan Check
SWPPP Inspections
Additional Fees
TOTAL PERMIT FEES
Lot#: 0
Owner:
LEE ROBERTS
P 0 BOX 1794
CARLSBAD CA 92018
Status:
Applied:
Entered By:
Issued:
Inspect Area:
Tier:
Priority:
ISSUED
10/01/2015
JMA
10/13/2015
1
M
$54.00
$228.00
$0.00
$282.00
Total Fees: $282.00 Total Payments To Date: $282.00 Balance Due: $0.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING ENGINEERING
City of
Carlsbad
JOB ADD.!JES~~ ., 17 u:::;; Ca ·
CT /PROJECT#
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#
#BEDROOMS #BATHROOMS
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF)
CONTRAC'rOR BUS.' NAME /111;..5610/L
ADDRESS
ZIP CITY q;;::;Bt:;;/
PHONE
Est. Value
Plan Ck. Deposit
Date
STATE
FAX
AIR CONDITIONING
YES0No0
ZIP
·7{t?0.-7C/ 8-.;:;i..&O
EMAIL
STATE LIC.#
:50\&7&0
OCC. GROUP
FIRE SPRINKLERS
YEsONoO
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repa·lr any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he 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 performance of the work for which this permit is issued.
[;gl I have and will maintain wor~ers' compensatio?, as r~quye~by 9ection 3700 of :he L<j)lor Code, for the performance of the work for w~ich this per~t is issued. My workers' compensation.in uranc carrier and policy
number are: Insurance Co. t VCI'C 5 t::: IYt:C t:J 0 11 a L Policy No("/9 100:21 5:;31 J5 I Expiration Date q 5: -?
This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, for in 3706 of the Labor code, interest and attorney's fees.
_as 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 as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
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):
_as PROPERTY OWNER SIGNATURE 0AGENT DATE
Is the applicant or future building occupant required to submit a business P!!'JP• acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? DYes l:l'I-J'Io ,
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air ~Jiity management district? DYes Ji(No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYes CJII.No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING 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 infonnation 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 authorize representative of the City of Carlsbad to enter upon the 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 penmit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every penmitissued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or worl< authorized by such penni! is not commenced within
180 days from the date of such penmit or if the building orworl< authorized by such penmit is suspended or abandoned at any time after the worl< is commenced for a period of 180 days (Section 106.4.4 Unifonm Building Code).
~APPLICANT'S SIGNATURE DATE I/()
Inspection ist
Permit#: CB153264 Type: POOL LEE: 60 SF SPA
Date ~-Inspection Item ln~pector Act Comments
02/12/2016 59 Final Pool Rl
02/12/2016 59 Final Pool PO AP
01/29/2016 55 Fence/Pre-Plaster PY AP
12/18/2015 51 Excav/Steei/Bonding/Fence py AP
Friday, February 12, 2016 Page 1 of 1
DATE: PROJECT NAME:
PLAN CHECK
REVIEW
TRANSMITTAL
Community & Economic
Development Department
1635 Faraday Avenue
Carlsbad CA 92008
www.carlsbadca.gov
PLAN CHECK NO: SET#: J\DDRESS:
PROJECT 10: CB15-3264
APN: 207-312-11-00
VALUATION/SCOPE OF WORK:
This plan check review is complete and has been APPROVED by the ENGINEERING
Division.
By:
A Fina~ Inspection by the Division is required Yes No
This plan check review is NOT COMPLETE. Items missing or incorrect are listed on the
attached checklist. Please resubmit amended plans as required.
You may also have corrections from one or more of tl1e 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.
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
Dominic.Fieri@carlsbadca.gov
Remarks:
E-37
"'"'~""'"·•na issues will he marked with [X] Make the necessary N,.,.,..,,."n'"
codes and standards. Submit correc!:ed and/or tv
re-sulmtittal tv ihe divisions.
are marked with [ZJ
1. SITE PLAN
Provide a fully dimensioned site plan drawn to scale.
Show:
North arrow
Existing & proposed structures
Property line dimensions
Easements
Show on site plan:
Drainage patterns
' Existing & proposed slopes
' Existing topography
. i Retaining Walls (location and height)
Indicate what will happen with soil excavated from pool area.
lncluCie on title sheet:
Site address
Assessor's parcel number
Legal description/lot number
Grading: 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. 89
MAP NO. 7657
REF. NO. CT 72-18
Page 2 of 4
Date:
REV 6/2012
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
remedial). 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
Project Threat Assessment Form complete[ / incomplete
Requires Tier 1 Storm Water Pollution Prevention Plan. Please complete attached form
and return (SW 15-388 )
Requires Tier 2 Storm Water Pollution Prevention Plan. Requires submittal of Tier 2
SWPPP, payment of processing fee and review by city.
Post-Development (SUSMPl Compliance
1 Storm Water Standards Questionnaire complete incomplete
· Project is subject to Standard Storm Water Requirements. See city Standard Urban
Storm Water Management Plan (SUSMP) for reference.
http: I /www. ca rlsbadca. gov /business/build i ng/Docum ents/EngStandsw-stds-vol4-ch2. pdf
. Project needs to incorporate low impact development strategies throughout in one or
more of the following ways:
Rainwater harvesting (rain barrels or cistern)
Vegetated Roof
_.i Bio-retentions cell/rain garden
Pervious pavement/pavers
Flow-through planter/vegetated or rock drip line
: Vegetated swales or rock infiltration swales
Downspouts disconnect and discharge over landscape
: QJbe...c
5. ADDITIONAL COMMENTS
Page 4 of 4 REV 6/2012
W CITY OF
CARLSBAD
STORM WATER
COMPLIANCE
ASSESSMENT
B-24
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carlsbadca.gov
I am applying to the City of Carlsbad for the following type(s) of construction permit:
0 Building Permit 0 Right-of-Way Permit
D My project is categorically EXEMPT from
the requirement to prepare a storm water
pollution prevention plan (SWPPP) because it
only requires issuance of one or more of the
following permit types:
Patio/Deck
Photo Voltaic
Re-Roofing
Sign
Spa-Factory
Sprinkler
Electrical
Fire Additional
Fire Alarm
Fixed Systems
Mechanical
Mobile Home
Plumbing Water Discharge
Project Storm Water Threat Assessment Criteria*
No Threat Assessment Criteria
D My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because
it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier
Level. My project does not meet any of the High, Moderate or Low Threat criteria described below.
Tier 1 • Low Threat Assessment Criteria p My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project
meets one or more of the following criteria:
o Results in some soil disturbance; and/or
o Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling).
Tier 2 • Moderate Threat Assessment Criteria
D My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria:
o Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or,
o 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:
o Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or
o Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or
o Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or
o Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30).
Tier 3 • Significant Threat Assessment Criteria
D My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any
associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or
D My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any
associated construction staging, equipment storage, refueling and maintenance areas: or,
D My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant
potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s).
I certify to the best of my knowledge that the above
checked statements are true and correct. I understand
and acknowledge that even though this project does
not require preparation of a construction SWPP, I must
still adhere to, and at all times during construction
activities for the permit type(s) check above comply
with the storm water best management practices
pursuant to Title 15 of the Carlsbad Municipal Code
and to City Standards.
Project Address: Assessor Parcel No.
'The City Engineer may authorize minor variances from the Storm
Water Threat Assessment Criteria in special circumstances where it
can be shown that a lesser or higher Construction SWPPP Tier Level is
warranted.
B-24
City Concurrence:
~YES ONO
Page 1 of 1
Date:
(<) -q-IS' By:
C&
Rev.03/09
Construction
SWPPPTier
Level
Tier 3
Tier 2
Tier 1
Exempt
CITY OF
CONSTRUCTION THREAT
ASSESSMENT WORKSHEET FOR
DETERMINATION OF PROJECT'S
PERCEIVED THREAT TO
STORM WATER QUALITY
E-33
Develo]l_ment Serv,Lces,,
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
Perceived
Construction Threat Assessment Criteria* Threat to
Storm Water
Quality
Tier 3 -High Construction Threat Assessment Criteria
0 Project site is 50 acres or more and grading will occur during the rainy season
0 Project site is 1 acre or more in size and 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 with
USDA-NRCS Erosion factors kt 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
0
through April 30).
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
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 with
USDA-NRCS Erosion factors kt greater than or equal to 0.4) High
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
through April 30).
0 Owner/contractor received a Storm Water Notice of Violation within past two years
0 Site results in one half acre or more of soil disturbance
Tier 2 -Medium Construction Threat Assessment Criteria Medium D All projects not meeting Tier 2 High Construction Threat Assessment Criteria
Tier 1 -Medium lnsQection Threat Assessment Criteria
0 Project is located within the Buena Vista or Agua Hedionda Lagoon watershed, within or
directly adjacent to 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 with
USDA-NRCS Erosion factors kt greater than or equal to 0.4) Medium 0 Site slope is 5 to 1 or steeper
D Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1
through April 30).
0 Owner/contractor received a Storm Water Notice of Violation within past two years
0 Site results in one half acre or more of soil disturbance
Tier 1 -Low lnsQection Threat Assessment Criteria Low ~ All projects not meeting Tier 1 Medium Construction Threat Assessment Criteria
-Not Applicable -Exempt
*The City engineer may authonze mmor vanances from the construction threat assessment cntena 1n special circumstances
where it can be shown that a lesser or higher amount of storm water compliance inspection is warranted in the opinion of
the city engineer
E-33 Page 1 of 1 REV 4/30/10
~CITY Of
RLSB
STORM WATER
STANDARDS
QUESTIONNAIRE
E-34
Develo12.ment Servic!l.§
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
To address post-development pollutants that may be generated from development projects, the City requires that new development and
significant redevelopment priority projects incorporate Permanent Storm Water Best Management Practices (BMP's) into the project
design per the City's Standard Urban Stormwater Management Plan (SUSMP). To view the SUSMP, refer to the Engineering Standards
(Volume 4, Chapter 2) at www.carlsbadca.gov/standards.
Initially this questionnaire must be completed by the applicant in advance of submitting for a development application (subdivision,
discretionary permits and/or construction permits). The results of the questionnaire determine the level of storm water standards that
must be applied to a proposed development or redevelopment project. Depending on the outcome, your project will either be subject to
'Standard Stormwater Requirements' or be subject to additional criteria called 'Priority Development Project Requirements'. Many
aspects of project site design are dependent upon the storm water standards applied to a project.
Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City staff has
responsibility for making the final assessment after submission of the development application. If staff determines that the questionnaire
was incorrectly filled out and is subject to more stringent storm water standards than initially assessed by you, this will result in the return
of the development application as incomplete. In this case, please make the changes to the questionnaire and resubmit to the City.
If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the questions, please
seek assistance from Land Development Engineering staff.
A separate completed and signed questionnaire must be submitted for each new development application submission. Only one
completed and signed questionnaire is required when multiple development applications for the same project are submitted concurrently.
In addition to this questionnaire, you must also complete, sign and submit a Project Threat Assessment Form with construction permits
for the project.
Please start by completing Step 1 and follow the instructions. When completed, sign the form at the end and submit this with your
application to the city.
To determine if your project is a priority development project, please answer the following questions:
1. Is your project LIMITED TO constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet
the following criteria: (1) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or
other non-erodible permeable areas; OR (2) designed and constructed to be hydraulically disconnected from
paved streets or roads; OR (3) designed and constructed with permeable pavements or surfaces in
rrr.rrl<>nr·o with USEPA Streets
2. LIMITED TO retrofitting or redeveloping existing paved , or roads that are
in accordance with the USEPA Green
YES NO
If you answered "yes" to one or more of the above questions, then your project is NOT a priority development project and therefore is
NOT subject to the storm water criteria required for priority development projects. Go to step 4, mark the last box stating "my
project does not meet PDP requirements" and complete applicant information.
answered "no" to both 2.
E-34 Page 1 of 3 Effective 6/27113
STORM WATER
STANDARDS
QUESTIONNAIRE
E-34
p_evelopment Servic~
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
To determine if your project is a priority development project, please answer the following questions:
1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces collectively
over the entire project site? This includes commercial, industrial, residential, mixed-use, and public
development projects on public or private land.
2. Is your project creating or replacing 5,000 square feet or more of impervious surface collectively over the entire
project site on an existing site of 10,000 square feet or more of impervious surface? This includes commercial,
industrial, residential, mixed-use, and ublic develo ment ro ·ects on ublic or rivate land.
3. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface
collectively over the entire project site and supports a restaurant? A restaurant is a facility that sells prepared
foods and drinks for consumption, including stationary lunch counters and refreshment stands selling prepared
foods and drinks for immediate con sum tion.
4. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface
collectively over the entire project site and supports a hillside development project? A hillside development
project includes development on any natural slope that is twenty-five percent or greater.
5. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface
collectively over the entire project site and supports a parking lot. A parking lot is a land area or facility for the
temporary parking or storage of motor vehicles used personally for business or for commerce.
6. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious surface
collectively over the entire project site and supports a street, road, highway freeway or driveway? A street,
road, highway, freeway or driveway is any paved impervious surface used for the transportation of
automobiles, trucks, motorc c/es, and other vehicles.
7. Is your project a new or redevelopment project that creates or replaces 2,500 square feet or more of
impervious surface collectively over the entire site, and discharges directly to an Environmentally Sensitive
Area (ESA)? "Discharging Directly to" includes flow that is conveyed overland a distance of 200 feet or Jess
from the project to the ESA, or conveyed in a pipe or open channel any distance as an isolated flow from the
project to the ESA i.e. not commingles with flows from adjacent lands.*
8. Is your project a new development that supports an automotive repair shop? An automotive repair shop is a
facility that is categorized in any one of the following Standard Industrial Classification (SIC) codes: 5013,
5014, 5541, 7532-7534, or 7536-7539.
9. Is your project a new development that supports a retail gasoline outlet (RGO)? This category includes RGO's
that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily Traffic (ADT) of
100 or more vehicles per da .
1 O.ls your project a new or redevelopment project that results in the disturbance of one or more acres of land and
are expected to generate pollutants post construction?
11.1s your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of
impervious surface or (2) increases impervious surface on the property by more than 10%?
YES NO
If you answered "yes" to one or more of the above questions, you ARE a priority development project and are therefore subject to
implementing structural Best Management Practices (BMP's) in addition to implementing Standard Storm Water Requirements such
as source control and low impact development BMP's. A Storm Water Management Plan (SWMP) must be submitted with your
application(s) for development. Go to step 3 for redevelopment projects. For new projects, go to step 4 at the end of this
questionnaire, check the "my project meets PDP requirements" box and complete applicant information.
If you answered "no" to all of the above questions, you ARE NOT a priority development project and are therefore subject to
implementing only Standard Storm Water Requirements such as source control and low impact development BMP's required for all
development projects. A Storm Water Management Plan (SWMP) is not required with your application(s) for development. Go to step
4 at the end of this questionnaire, check the "my project does not meet PDP requirements" box and complete applicant
information.
E-34 Page 2 of 3 Effective 6/27/13
CITY OF
STORM WATER
STANDARDS
QUESTIONNAIRE
E-34
Development Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
If you answered "yes," the structural BMP's required for Priority Development Projects apply only to the creation or replacement of
impervious surface and not the entire development. Go to step 4, check the "my project meets PDP requirements" box and
complete applicant information.
If you answered "no," the structural BMP's required for Priority Development Projects apply to the entire development. Go to step 4,
check the " PDP box and information.
D My project meets PRIORITY DEVELOPMENT PROJECT (PDP) requirements and must comply with additional stormwater
criteria per the SUSMP and I understand I must prepare a Storm Water Management Plan for submittal at time of application.
I understand flow control (hydromodification) requirements may apply to my project. Refer to SUSMP for details.
W My project does not meet PDP requirements and must only comply with STANDARD STORMWATER REQUIREMENTS per
the SUSMP. As part of these requirements, I will incorporate low impact development strategies throughout my project.
Applicant Information and Signature Box
Accessor's Parcel Number(s): 8-0'? -.5/~ _ /I
Applicant Title: C(:j CIL-
Date: ;6/; //5
This Box for City Use Only
City Concurrence: I YES I
I X I
By: C6-
Date: !0-q,-/f,
Project ID: C B /5-J ).r6 Lf
NO
*Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas
designated as Areas of Special Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the
San Diego Basin (1994) and amendments); water bodies designated with the RARE beneficial use by the State Water Resources
Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); areas designated as preserves or their
quivalent under the Multi Species Conservation Program within the Cities and County of San Diego; and any other equivalent
environmentally sensitive areas which have been identified by the Copermittees.
E-34 Page 3 of3 Effective 6/27/13
CITY Of
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP
E-29
STORM WATER COMPLIANCE CERTIFICATE
./ My project is not in a category of permit types exempt from the Construction
SWPPP requirements
./ My project is not located inside or within 200 feet of an environmentally
sensitive area with a significant potential for contributing pollutants to nearby
receiving waters by way of storm water runoff or non-storm water
discharge(s).
./ My project does not require a grading plan pursuant to the Carlsbad
Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code)
./ My project will not 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 that 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 April 30).
I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT ALL OF THE ABOVE
CHECKED STATEMENTS ARE TRUE AND CORRECT. I AM SUBMITTING
FOR CITY APPROVAL A TIER 1 CONSTRUCTION SWPPP PREPARED IN
ACCORDANCE WITH THE REQUIREMENTS OF CITY STANDARDS.
I UNDERSTAND AND ACKNOWLEDGE THAT I MUST: (1) IMPLEMENT BEST
MANAGEMENT PRACTICES (BMPS) DURING CONSTRUCTION ACTIVITIES
TO THE MAXIMUM EXTENT PRACTICABLE TO MINIMIZE THE
MOBILIZATION OF POLLUTANTS SUCH AS SEDIMENT AND TO MINIMIZE
THE EXPOSURE OF STORM WATER TO CONSTRUCTION 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 UNTIL THE
CONSTRUCTION WORK IS COMPLETE AND APPROVED BY THE CITY OF
CARLSBAD.
J3 a rl:::a rcc. 6m ~~
OWNER(S)/OWNER'S AGENT NAME (PRINT) ~&dL.-
OWNER(S)/OWNER'S AGENT NAME (SIGNATURE)
m/;/;5
DATE I
E-29
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 ENGINEER AFTER EACH RUN-OFF
PRODUCING RAINFALL.
3. THE OWNER/CONTRACTOR SHALL INSTALL
ADDITIONAL EROSION CONTROL MEASURES
AS MAY BE REQUIRED BY THE CITY
ENGINEERING OR BUILDING INSPECTOR DUE
TO UNCOMPLETED GRADING OPERATIONS OR
UNFORESEEN CIRCUMSTANCES WHICH MAY
ARISE.
4. ALL REMOVABLE PROTECTIVE DEVICES SHALL
BE IN PLACE AT THE END OF EACH WORKING
DAY WHEN THE FIVE (5) DAY RAIN
PROBABILITY FORECAST EXCEEDS FORTY
PERCENT (40%). SILT AND OTHER DEBRIS
SHALL BE REMOVED AFTER EACH RAINFALL.
5. ALL GRAVEL BAGS SHALL BE BURLAP TYPE
WITH 3/4 INCH MINIMUM AGGREGATE.
6. ADEQUATE EROSION AND SEDIMENT
CONTROL AND PERIMETER PROTECTION BEST
MANAGEMENT PRACTICE MEASURES MUST BE
INSTALLED AND MAINTAINED.
SPECIAL NOTES
Page 1 of 3
Develof2ment Services
Land Development Engineering
1635 Faraday Avenue
760-602-2750
www.carlsbadca.gov
PROJECT INFORMATION
Site Address:l:Zt.t73 Ca QC /f?t?tt) et."' I
Assessor's Parcel Number: ,9,.0? ~ 3/£ -{/
ProjectiD: SW 15Q3g-<l'
Construction Penmit No.: I '"S" ~ Lf
'
Estimated Construction Start Date ____ _
Project Duration Months
Emergency Contact:
Name: (Cim tY7 C Uz f" CCV Ci ,
24 hour Phone:?&O ·-S-35-;,?) 16/
Perceivefthreat to Stonm Water Quality
(9'' Medium
0 Low
If medium box is checked, must attach a site plan
sheet showing proposed work area and location
of proposed structural BMPs
For City Use Only
CITY OF CARLSBAD
STANDARD~R~WPPP
Approved By:--------
Date: /0-r -IS'
REV 4/30/10
Erosion Control Tracking Non-Storm Water Waste Management and Materials Sediment Control BMPs Control BMPs BMPs Management BMPs Pollution Control BMPs
c c c 'E 'E 0 0 0 -o :g u Cl ~ Q) -o Q) c c E c E -o rn ttl 2 2 0 c Cl c. ttl c ill E ~ '6 -E Q) ttl 2 rn Cl til Q) ·:; ~ Cl ~ ""OQ) iiirn iii c c rn Q) Cl c. c ""E i:: (§ 'E 0" Q) ttl ttl iii Best Management Practice c c-Q) ·~ c rn c c 0 ell :.c ttl ttl rn !!! []J ·c. -0 Q) 0 Q) ~ w .~ ttl :g $: ttl• rn 3: Q) (BMP) Description ~ c I-E all? c (.) L. (.) rn -o Qi rn ~ * $: 5 rn u Q)IJJ -~ rn Cl []J "ffi c Cl c -o $: c Q) rn Q) :; ~ Q) Q) 'E ctl 0 ctl ;;;: ·-Cl L. 0 -ow ""0>. o rn c .: .~ Cl ::::> _Ql > ctl :::1 Q) E ~ ~ u Cl []J lllE 0~ Q)-Q) ctl c: .~ ttl ~l 0 -Q Cl~ Cl c Q) ~ ctl N rn :!:;!;;;: Cl Q) ~l "iii ~ $: "E ~ c ~ -o Q) Q) E ""' Qi -::I .0 EM :=UJ c :0 u c ·;: i~ .t:: c u.. u til > Q) :::1 -o :0~ ·--o Q)-~ :g ttl u ~ 0 t ·-c. '6 Q) ~ u c .oro -u ·:;; ~ ·-ctl ill u N c c Q) 0 Ill !!! 0 -Q) .t:: .0 !!! ctl .s e Ill C) &l& ctl Ill &.o ~~ .9 0 ~~ 0 ~ $: iii i:i5 -ro -c $0:: ~ ~ (!) UJCl Ill (.) u:: (!) Ill> Ill 1/JO... Ill-a.. Ill 1/J. u::;
CASQA Designation ~ ..... co Ol ~ ~ ('") ;z LO (0 ..... co 0 ~ N ~ ('") ..... co ~ N ('") ., LO (0 co u u u 0 w w w w w w ~ r:r. ch ch ch ch ~ ~ ~ I ~ ~ ~ ~ UJ UJ UJ (/) Ill Ill Ill Ill Ill Ill I-I-z z z z $: $: $: $: $: $: $: Construction Activity UJ Ill
Grading/Soil Disturbance ...;... .1\ <if
Trenching/Excavation IX. !X ~
Stockpiling
Drilling/Boring
Concrete/Asphalt Saw
cutting
Concrete flatwork
Paving
Conduit/Pipe Installation
Stucco/Mortar Work
Waste Disposal
Staging/Lay Down Area
Equipment Maintenance
and Fueling
Hazardous Substance
Use/Storage
Dewatering
Site Access Across Dirt 'i. A y
Other (list):
Instructions: Begin by reviewing the list of construction activities and checking the box to the left of any activity that will occur during the proposed construction. Add any other activity descriptions in the
blank activity description boxes provided for that purpose and place a check in the box immediately to the left of the added activity description. For each activity descrribed, pick one or more best
management practices (BMPs) from the list located along the top of the form. Then place an X in the box at the place where the activity row intersects with the BMP column. Do this for each activity that was
checked off and for each of the selected BMPs selected from the list. For Example -If the project includes site access across dirt, then check the box to the left of "Site Access Across Dirt". Then review
the list for something that applies such as "Stabilized Construction Ingress/Egress" under Tracking Control. Follow along the "Site Access Across Dirt" row until you get to the "Stabilized Construction
Ingress/Egress" column and place an X in the box where the two meet. As another example say the project included a stockpile that you intend to cover with a plastic sheet. Since plastic sheeting is not on
the list of BMPs, then write in "Cover with Plastic" in the blank column under the heading Erosion Control BMPs. Then place an X in the box where the "Stockpiling" row intersects the new "Cover with
Plastic" column.
To learn more about what each BMP description means, you may wish to review the BMP Reference Handout prepared to assist applicants in the selection of appropriate Best Management Practice
measures. The reference also explains the California Stormwater Quality Association (CASQA) designation and how to apply the various selected BMPs to a project.
E-29 Page 2 of 3 REV 4/30/10
PLANNING DIVISION
BUILDING PLAN CHECK
APPROVAL
P-29
DATE: 10-1-15 PROJECT NAME: PROJECT ID:
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.1wv
PLAN CHECK NO: CB 15-3264 SET#: 1ADDRESS: 1763 Cape May PI APN: 207-312-11-00
~ 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 Yes No
You may also have corrections from one or more of
from these divisions may be required to the
Resubmitted plans should include
divisions listed below. Approval
a building permit.
divisions.
This plan check review is NOT COMPLETE. Items missing or incorrect are listed on
the attached checklist. Please resubmit amended plans as required.
Plan Check APPROVAL has been sent to:
For questions or clarifications on the attached checklist please contact the following reviewer as marked:
PLAN !'.liNG
760-602-4610
[8J Chris Sexton
D
760-602-4624
Chris.Sexton@carlsbadca.gov
Gina Ruiz
760-602-4675
Gina.Ruiz@carlsbadca.gov
Remarks:
ENGINEERING
760-602-2750
FIRE PREVENTION
760-602-4665