The URL can be used to link to this page

Home My WebLink About1741 SKIMMER CT; ; CB160485; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-17-2016 Pool Permit Permit No: CB160485 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1741 SKIMMER CT CBAD POOL Status: Parcel No: 2159212300 Lot#: 0 Applied: Valuation: $18,046.00 Construction Type: NEW Entered By: Reference #: PC#: Project Title: Applicant: HEMERICK: 350 SF POOUSPA WITH 5' TALL ROCK WATERFALL WATERLINE POOLS AND SPAS INC. P.O. BOX605 CARDIFF CA 92007 760-815-6733 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Electrical Fee Plumbing Fee Strong Motion Fee Green Bldg Standards (SB1473) Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Plan Approved: Issued: Inspect Area: Owner: HEMERICK SCOTT R&VICTORIA A 1741 SKIMMER CT CARLSBAD CA 92011 ISSUED 02/09/2016 SLE 02/17/2016 02/17/2016 $194.42 $0.00 $136.09 $0.00 $35.00 $35.00 $2.35 $1.00 $0.00 $0.00 $0.00 $0.00 $403.86 Total Fees: $403.86 Total Payments To Date: $403.86 Balance Due: Inspector: Clearance: $0.00 NOTICE; Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, l'ese!Vations, or other exactions hereafter collectively referred to as ''fees/exactions." You have 90 days from the data this pennit was issued to protest irrposition 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 follcw that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTl FIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sev.er 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 ' . . . . . ' ' . ' ------~------·;.-~----.. --··--·-··· City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-17-2016 Storm Water Pollution Prevention Plan (SWPPP) Permit Permit No:SW 160046 Job Address: Permit Type: Parcel No: Reference #: CB#: Project Title: Applicant: 1741 SKIMMER CT CBAD SWPPP 2159212300 HEMERICK: POOL/ SPA WATERLINE POOLS AND SPAS INC. P.O. BOX 605 CARDIFF CA 92007 760-815-6733 Emergency Contact: H. PIETER 760-815-6733 SWPPP Plan Check SWPPP Inspections Additional Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Issued: Inspect Area: Tier: Priority: Owner: HEMERICK SCOTT R&VICTORIA A 1741 SKIMMER CT CARLSBAD CA 92011 ISSUED 02/09/2016 SLE 02/17/2016 1 M $54.00 $228.00 $0.00 $282.00 Total Fees: $282.00 Total Payments To Date: $282.00 Balance Due: FINAL APPROVAL =~:C-1~-- •------a ... w111 II • • 1• _,. ,. ..•.. $0.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING Ccicyof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov □BUILDING □FIRE Plan Check No. Est. Value Plan Ck. Deposit Date Z-9-/ SWPPP SUITEf/SPACEf/UNITf ~IS--9ZJ LOT# PHASE# # OF UNITS # BEDROOMS It BATHROOMS TENANT BUSINESS NAME CONSTR. "TYPE OCC. GROUP DESCRIPTION OF WORK: Include Squa111 Feet at Affected Area(S) /4 C! ~IU S77l ve-77 ~,...J CJF ?°'--/ sr c.._! /'f:»l;',tE7E) ::F:JJ :) F W/ 5\ To.JI {loc.x_ wo...terfoJI EXISTING USE PROPOSED USE PATIOS (SF) AIR CONDITIONING FIRE SPRINKLERS NcQ YES □No □ YES□ No□ APPLICANT NAME A ~ L/ /t,£' Ptln• COnt•ct vr..,,r,7c;-, <. ADDREssp O Box l.t,o S" CITY STATE C..l'f,UJ r. CA DESIGN PROFESSIONAL ADDRESS CITY STATE PHONE FAX EMAIL ZIP z_()o 7 ZIP STATE LIC. # ADDRESS I r SK11ttHt=7t... er, Cll):..Lln STATE .............-icL.l P:,fl.f) t!A-ZIP d/2011 PHONE FAX 7&:. 0 -1./73 -702<.c EMAIL CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE UC.# CllY BUS. LIC.# 5'73SO 'z., 2-4 '3 (Sec. 7031.5 Business and Professions Code: Any Ci!Y or Counly which requires a permit to construct, alter, improve, demolish or repair any structure. prlQr to Its issuance, also requires the applicant for such permit to file a sil!lled statement tl\at he is licensed pursuant to the provisions of the contractor's License Law IChapterl:I, commending with Section 7000 of Division 3 of the Business and Professions Code} or fhat 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 penally of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I herebyalliml unde! penaJtyofperjulyoneofthe following declarations: D I have and will maintain a certlAcate of consent to salf-lnsu111 for workers' compensation as provided by Section 3700 of the Labor Code, lor the performance of Ile work for which this permit is issued. fiil I have and will maintain workers' compen,i;ion, as required b'( Section 3700 of lhe Labor Code, for the performan~;:e work for which Hlis permit is issued. My workers' corr,pensaliz ins\Jrah carrier cWld p:,icy numberare:lnsuranceeo.5'1'1'tf?::= C4rv-e ftt15Jll hiLC) PolicyNo. ~235'70 Expiration Dale 7 /~ ZPIS This section need not be completed~ the permit is fo ~e hundred dollars ($100) or less. ~ 0 Certificate of Exemption: I certify lhal in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as lo become subject lo the Workers' Compensation Laws of California. WARNING: Failure to secu111 workers' comp coverage is unlawful, and shall subjact an employer to criminal penalties and clvll llnes upto one hundred thousand dollars {&100,000), In addition to the cost of compensation, dama , provi ed ~ n 3706 of the Labor code, lnte111st and attorney's tees. ,L$ CONTRACTOR SIGNATURE --v----~- I hereby affirm that I am exempt m Contractor's License Law for the foliutling reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensaljon, wil do the work and lhe structure is not inlended or offered for sale (Sec. 7044, Business cWld Professions Code: The Conlraclor's License Law does not apply lo an owner of property who builds or improves thereon. and who does such work himse~ or IIYough his own employees, provkled that such i~rovements are not inlended or offered for sale. If, however, the buiding or improvement is sold within one year of oo~letion, the owner-builder wil have the burden of proving that he did not buld or improve for the purpose of sale). I, as owner of lhe property, am exclusively conlracting with !censed conlrac\ofs lo construct lhe project (Sec, 7044, Business and Professions Code: The Conlraclllr's License Law does not apply to an 0M1er of property who builds or improves lhereon, and conlracls for such projects with contractor(s) licensed pursuant to the Contrador's License Lawi I am exempt under Seclion ____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for oonstruction of the proposed property improvement □Yes 0No 2. I (have I have not) signed an application for a building permit for lhe proposed work. 3.1 have conlracled w~h the following person (firm) lo 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. 1 will provide some of the work, but I have oonlracled (hired) the following persons to provide the work indicated (include name I address I phone I type ol work): ,IS PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials regis1ration form or risk management and prevention program ooder Sections 25505, 25533 or 25534 ot the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required lo obtain a permit from the air pollution con1rol dis1ricl or air quality management dis1rict? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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 TIE REQUIREMENTS OF THE OFFICE a= EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm lhal lhere is a construction lending agency for the performance of lhe work !his permit is issued (Sec. 3097 ~) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I a,i1lfy that I have read the appllcatlon and S1ate 1hatlheaboWI tnbmallon ls correct and that the lioonnation on the plans ls accurate. I agree to comply with al Ci!Joldlnences and Slate laws relating" buldlngconstruc:llon. I hereby authorize representative of Ille City of Cadsbad to enter upon the above mentioned property for inspeciion purposes. I ALSO AGREE TO SAVE, lNDEMN FY AND KEEP HARMLESS TfE OTY CF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY 1N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the 8.lilding Dfficia provisions of this Code shall expre by limitation and become nu! and void if the building or wrk authorized by such permtt is not commenced ~ii 100 da1,I from the date of such permit or if the b 'lding or · ch permit is suspended or abandoned at any time after the wrk is commenced for a period of 100 ays (8edi'.Jn 100.4 .4 Unibrm Rildi1g Code). ,.«$" APPLICANT'S SIGNATURE DATE zct Inspection List Pennit#: CB160485 Type: POOL Date . _ lnspec:tio_n !!em .. . .. _ _ ____ _ 04/26/2016 55 Fence/Pre-Plaster 04/26/2016 55 Fence/Pre-Plaster 04/26/2016 59 Final Pool 04/26/2016 59 Final Pool 04/12/2016 51 Excav/Steel/Bonding/Fence 03/15/2016 23 Gas/Test/Repairs 03/15/2016 31 Underground/Conduit-Wirin 03/15/2016 51 Excav/Steel/Bonding/Fence Tuesday, April 26, 2016 Inspector Act RI PD AP RI PD AP PD AP PD AP PD AP PD AP HEMERICK: 350 SF POOL/SPA WITH 5' TALL ROCK WATERFALL Comments Page 1 of 1 , & ~ CITY OF CARLSBAD PLAN CHECK REVIEW TRANSMITTAL DATE: 02/16/2016 PROJECT NAME: HEMERICK RESIDENCE POOL/ SPA PLAN CHECK NO:1 SET#: 1 ADDRESS: 1741SKIMMERCT VALUATION/SCOPE OF WORK: 18046 Community & Economic Development Department 1635 Faraday Avenue Carlsbad CA 92008 www.carlsbadca.gov PROJECT ID: CB160485 APN: 2159212300 ✓ This plan check review is complete and has been APPROVED by the ENGINEERING Division. By: VALRAY NELSON A Final Inspection by the ENGINEERING 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. NOTE: ONLY ITEMS THAT NEED CORRECTION/CLARIFICATION ARE MARKED X. Plan Check Comments have been sent to: WATERLINEPOOLSSPAS@YAHOO.COM 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. 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 I Kathleen Lawrence Greg Ryan 760-602-4624 760-602-27 41 760-602-4663 Chri:i.SextQn~cs;1rl5!2s;1gca.gov Ks;1!hlggn.Ls;1wreni;;e~~s;1rll2!2i:!g~s;1.gQv ~ regQ!Y, R~a n~~s;1rl5!2s;1g~s:1 .gQ~ Gina Ruiz Linda Ontiveros Cindy Wong 760-602-4675 760-602-2773 L 760-602-4662 Gina.Ruiz@carlsbadca.gov Linda.Ontiveros@carlsbadca.gov C~nthia.Wong@carlsbadca.gQv ✓ ValRay Ma rsha ll Dominic Fieri 760-602-2741 760-602-4664 ValRay .Marshall@carlsbadca .gov DQminic.Fieri@carlsbadcs;1.gov Remarks: 1 50' TRAIL EASEMENT NOT SHOWN ON SITE PLAN. ONLY SHOWS USEABLE PL E-37 Any outstanding issues will be marked with an [X] Make the necessary corrections for compliance with applicable codes and standards. Submit corrected plans and/or specifications to the Building division for re-submittal to the Engineering divisions. Items that conform to pennit requirements 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 Retaining Walls (location and height) [?] Indicate what will happen with soil excavated from pool area. lnc1uae on title sheet: r7J Site address Assessor's parcel number Legal description/lot number Grading: Quantities of Cut Fill Import Project does not comply with the following engineering conditions of approval for project no: Conditions were complies with by: LOT NO. 64 MAP NO. 13839 REF. NO. CT 97-15 Page 2 of 4 Date: REV 6/2012 ' .. 1 1 2. GRADING PERMIT REQUIREMENTS The conditions that require a grading permit are found in Section 11.06.030 of the Municipal Code. 1 ---~] [--] 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" L .. __ l !__ ___ J 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 INDICATED ALL r7 RIGHT-OF-WAY PERMIT is required to do work in city right-of-way and/or private work WORK AND adjacent to the public right-of-way. STAGING TO BE DONE ON A separate right-of-way issued by the engineering division is required for the following: DRIVEWAY E-37 L __ _j 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. Page3 of◄ REV6/2012 ------•-···. , ........... _. ---·-··---··------- 1 E-37 • 1 4. STORM WATER Construction Compliance Ci.] Project Threat Assessment Form complete[.{] incomplete C~J. r~····-1 ~----....l LLJ Requires Tier 1 Storm Water Pollution Prevention Plan. Please complete attached form and return (SW 16-46 ) Requires 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 r~J Storm Water Standards Questionnaire complete,-✓ l incomplete L ... J. r----7 r~-7 Project is subject to Standard Storm Water Requirements. See city Standard Urban •···••···· .. ···...l .............. , Storm Water Management Plan (SUSMP) for reference. http://www.carlsbadca.gov/business/building/Documents/EngStandsw-stds-vol4-ch2.pdf L ...... .J L_ _ __J Project needs to incorporate low impact development strategies throughout in one or more of the following ways: LJ Rainwater harvesting (rain barrels or cistern) [] Vegetated Roof [~] Bio-retentions cell/rain garden [-·-··1 Pervious pavement/pavers [=:) Flow-through planter/vegetated or rock drip line D Vegetated swales or rock infiltration swales L~ Downspouts disconnect and discharge over landscape [=:) Other:. S. ADDITIONAL COMMENTS ·-----······-··-···---------- Page 4 of 4 --------------·-·•··. -.. REV6/2012 «,It', ~ 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: 'Ji Building Permit □ Right-of-Way Permit □ 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 □ My project qualifies as NO THREAT and is exempt from the requirement to prepare a stonm 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 ;s My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt pennit type (See list above) and the project meets one or more of the following criteria: • Resu Its in some soil disturbance; and/or • Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehk:le fueling, waste stockpiling). Tier 2 -Moderate Threat Assessment Criteria □ My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following aiteria: • Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or, • 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 April 30). Tier 3 -Significant Threat Assessment Criteria □ My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totalilg one or more acres including any associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or □ 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, □ 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 statement• are true and correct. I underatand 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 Stonn Waler Threat Assessment Criteria in special circumstances where it can be shown that a lesser or higher Construction SWPPP Tier Level is warranted. B-24 Date: Page 1 of 1 Date: 2-9-/(p Project 10: Rev.03/09 ~ «.,~"> ~ CITY OF CONSTRUCTION THREAT ASSESSMENT WORKSHEET FOR DETERMINATION OF PROJECT'S PERCEIVED THREAT TO STORM WATER QUALITY E-33 Development Services Land Development Engineering 1635 Faraday Avenue 7~602-2750 www.carlsbadca.gov CARLSBAD Construction Perceived SWPPPTier Construction Threat Assessment Criteria* Threat to StonnWater Level Quality Tier 3 -High Construction Threat Assessment Criteria □ Project site is 50 acres or more and grading will occur during the rainy season □ 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 □ Soil at site is moderately to highly erosive (defined as having a predominance of soils with Tier3 □ USDA-NRCS Erosion factors kr greater than or equal to 0.4) Site slope is 5 to 1 or steeper □ Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 □ through April 30). Owner/contractor received a Storm Water Notice of Violation within past two years Tier 3 -Medium Construction Threat Assessment Criteria Medium □ All projects not meeting Tier 3 High Construction Threat Assessment Criteria Tier 2 High Construction Threat Assessment Qriteria □ 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 □ Soil at site is moderately to highly erosive (defined as having a predominance of soils with USDA-NRCS Erosion factors kr greater than or equal to 0.4) High □ Site slope is 5 to 1 or steeper Tier2 □ Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). □ Owner/contractor received a Storm Water Notice of Violation within past two years □ Site results in one half acre or more of soil disturbance Tier 2 -Medium Construction Threat Assessment Criteria Medium □ All projects not meeting Tier 2 High Construction Threat Assessment Criteria Tier 1 -Medium lns~ction Threat Assessment Criteria □ 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 □ Soil at site is moderately to highly erosive (defined as having a predominance of soils with ~ USDA-NRCS Erosion factors kr greater than or equal to 0.4) • Tier 1 i Site slope is 5 to 1 or steeper Construction is initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30). □ Owner/contractor received a Storm Water Notice of Violation within past two years □ Site results in one half acre or more of soil disturbance ' Tier 1 -low lns"""ction Threat Assessment Criteria Low ~ ) All projects not meeting Tier· 1 Medium Construction Threat Assessment Criteria Exempt -Not Applicable -Exempt *The city engineer may authorize minor variances from the construction threat assessment cnteria in 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 REV4/30/10 ,. \. «~ ¥ CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov INSTRUCTIONS: 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 Requ irements' 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. STEP1 TO BE COMPLETED FOR ALL PROJECTS To determine if your project is a priority development project, please answer the following questions: YES NO 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 IJ 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 accordance with USEPA Green Streets auidance? 2. Is your project LIMITED TO retrofitting or redeveloping existing paved alleys, streets, or roads that are __A designed and constructed in accordance with the USEPA Green Streets guidance? 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. If you answered "no" to both questions, then go to Step 2. E-34 Page 1 of 3 Effective 6/27/13 «~ ~ CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov STEP2 TO BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECTS To determine if your project is a priority development project, please answer the following questions: YES 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 public development projects on public or private 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 consumotion. 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, motorcycles, 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 overfand"a .distance of 200 feet or less 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 oer dav. 10. 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 .ls 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%? NO ~ )<1 ~ ><J ·~ X) )() )<J ;<\ ~ ~ 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 6/27/1 3 ' J «1~ ~ CITY OF CARLSBAD STORM WATER STANDARDS QUESTIONNAIRE E-34 STEP 3 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov TO BE COMPLETED FOR REDEVELOPMENT PROJECTS THAT ARE PRIORITY DEVELOPEMENT PROJECTS ONLY Complete the questions below reqardinq your redevelopment project: YES Does the redevelopment project result in the creation or replacement of impervious surface in an amount of less than I I 50% of the surface area of the previously existinq development? NO 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 "my project meets PDP reauirements" box and complete applicant information. □ STEP4 CHECK THE APPROPRIATE BOX AND COMPLETE APPLICANT INFORMATION 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. 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 Address: Ire/I 5 .J:.tu-tv--tte:71(_ c, Accessor's Parcel Number(s): · VS -q 2 I -z 3 Applicant Title: (_' c>Nn<./.k,V,t.,__ Date: z/c;/;?:, ~, This Box for City Use Only City Concurrence: NO By: Project ID: * 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 of 3 Effective 6/27/13 ~ ~ CITY OF CARLSBAD 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 nol 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 STANPARDS. 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. OWNER(S)/OWNER'S AGENT NAME (SIGNATURE) 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 Development Services Land Development Engineering 1635 Faraday Avenue 760-602-2750 www.carlsbadca.gov PROJECT INFORMATION Site Address: t'1 l{ \ 5'1(li,.16¾:Yl CT, Assessor's Parcel Number; '2.15 _ q V-Z:2 Project ID: Q.o \lo 04'3 5 Construction Permit No.: ;N'J [lo --'i-lp Estimated Construction Start Date ·'2,. (1 l&/t(p ( Project Duration •~ Months Emergency Contact: Name \J-:-Y, 'filrl-~~$ 24 hour Phone1cP § 15 ....-{a13 3 Perceived Threat to Storm Water Quality 6, Medium rlow 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 TIER 1 SWPPP REV 4/30/10 «~, ~ CITY OF CARLSBAD PLANNING DIVISION BUILDING PLAN CHECK APPROVAL P-29 Development Services Planning Division 1635 Faraday Avenue (760) 602-4610 www.carlsbadca.2ov DATE: 2/10/16 PROJECT NAME: POOL/SPA/WATERFALL PROJECT ID: PLAN CHECK NO: CB160485 SET#: ADDRESS: 1741SKIMMER CT APN: [ZI This plan check review is complete and has been APPROVED by the PLANNING Division. By: GINA RUIZ A Final Inspection by the PLANNING Division is required □ Yes rgi 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 checklist. Please resubmit amended plans as required. Plan Check APPROVAL has been sent to: WATERLINEPOOLSSPAS@YAHOO.COM For questions or clarifications on the attached checklist please contact the following reviewer as marked: PLANNING ENGINEERING FIRE PREVENTION 760-602-461.0 760-602~2750 760-602-4665 □ Chris Sexton □ Chris Glassen □ Greg Ryan 760-602-4624 760-602-2784 760-602-4663 Chris.Se:xtQn~carlsbadca.gov Christogher.Glassen@carlsb2dca.gov Gregory.Rxi;!n@carlsbadca.gov ~ Gina Ruiz □ ValRay Marshall □ Cindy Wong 760-602-4675 760-602-2741 760-602-4662 Giaa.Ruiz@carl~!;iadca.gQv ValRay:.Marshall@carlsbadca.gov Cxnthia.Wong@carlsbadca.gov □ Veronica Morones □ Linda Ontiveros □ Dominic Fieri 760-602-4619 7 60-602-2 773 760-602-4664 Veronica.Moron!i!s@carlsbadca.gov Linda. Ontiveros@ca rls badca .gov Dominic.Fieri@carlsbadca.gov Remarks: WATERFALL STATES HEIGHT IS MAXIMUM 5'