I. RELEASE FROM PLANNING PRIOR TO SUBMITTAL TO ENGINEERING DEPARTMENT

Revised August 2005 I. RELEASE FROM PLANNING PRIOR TO SUBMITTAL TO ENGINEERING DEPARTMENT Before the applicant submits improvement plans and reports for Engineering plan checking, the applicant shall contact the Planning Department for the review of the proposed improvement plans (and retaining wall plans, if applicable). Applicant must obtain approval from the Planning Department prior to submitting to the Public Works & Engineering Department. II. APPLICATION SUBMITTAL CHECK LIST The following items are required at the time of application submittal to the City of Dana Point Engineering Department and shall be separate from any other submittal to Planning or Building Department. No partial submittal shall be accepted. Provide an application with an address assigned by Engineering Department. Three (3) wet-signed sets of Improvement Plans prepared by a Registered Civil Engineer OR Licensed Architect, folded to 8½ x 11. Three (3) wet-signed sets of Drainage and Erosion Control Plans prepared by a Civil Engineer, folded to 8½ x 11.. Three (3) copies of the completed Urban Runoff Threat Prioritization Form (attached herewith). One (1) copy of a BMP Report (See page 3 for additional information). Three (3) copies of the completed Construction & Demolition Ordinance Form (attached herewith). Three (3) copies of a current preliminary Title Report (not older than six months) (per Dana Point Municipal Code 9.61.040) Three (3) wet-signed copies of an Engineer s cost estimate subdivided into the following categories: a. Improvements b. Private Improvements (Paving, drainage, etc.) c. Public and private Street and Drainage Improvements d. Erosion Control Improvements Provide a copy of the Conditions of Approval for the project, if they were issued by the Planning Department. Plan check fee (Cash or check). This initial fee may vary depending on the total cubic yardage of grading and improvements. Complete fee will be determined during permit processing. Contact the Engineering Department prior to submitting to determine fees due at the time of submittal or visit the City s website at: http://www.danapoint.org/permitsfees/feeschedule/improvements.htm NOTE: Approval from the owner of the property is required on the plans. The following items may be required to complete your application depending on the permit you are applying for. You will be notified if they are needed at the time you submit plans for the project to the Engineering Department or after a pre-inspection of the site. Three (3) sets of hydrology and hydraulic calculations. Three (3) sets of Geological Report. Three (3) sets of retaining wall structural calculations. Three (3) sets of a Soils report(s) addressing retaining wall design parameters. Three (3) sets of Landscape and Irrigation Plans. Three (3) sets of Especial Erosion Control Plans. Three (3) copies of approved EIR or Negative Declaration. Three (3) sets of Precise Grading Plan. Three (3) copies of the approved Tentative Map if subdivision of parcel applies. Three (3) copies of the Final Map if subdivision of parcel applies. Three (3) copies of Street Improvement Plans. III. IMPROVEMENTS PLAN REQUIREMENTS Improvements plans shall be prepared by a Registered Civil Engineer or a Licensed Architect and shall be wet signed and stamped ( 5.3 Orange County Grading Manual). The plans shall include the following minimum requirements: 1

1. PLANS in general: Plans/Drawings shall be drawn using black ink over white paper only. No color plans will be approved. Acceptable plan size shall be a minimum of 8 ½ x 11 and maximum of 24 x 36. 2. PLAN COVER SHEET shall include: ***A sample cover sheet is included on the final page of this handout. Vicinity Map North Arrow Scale Orange County Benchmark Plan Description in the lower right corner Project Address Name, address, & phone number of engineer/architect, soils engineer, contractor, and/or permittee (Must include declaration of responsible charge) 1 Assessors Parcel Number Legal Description from Title Report Plan Check Number City s Standard Grading Notes 2 Title & Date of Soils Report Source of Topography Project s Conditions of Approval when issued from the Planning Department (if applicable). 1 See page 4 for examples of declaration of responsible charge. 2 Standard Grading Notes are available for download at: http://www.danapoint.org/publicworks/engineeringpermits/engineeringpermits.htm 3. IMPROVEMENTS SITE PLAN shall include: Property lines and bearings Limits of grading and cut and fill lines Location and dimensions of proposed overhead and underground improvements on site Location and dimensions of existing and proposed utilities on site Location and dimensions of proposed free standing or retaining walls Proposed topographic elevation and contour lines of the parcel and the surroundings Easements: location, dimension, width, purpose and the name of the holder of existing and proposed easements. Dimensions, and elevations on public right of way Dimensions, and elevations on parcel Existing utilities on shown streets including line location and dimensions Existing contour-elevations topography of site and surroundings Location and dimensions of proposed buildingstructure footprint Right of Way: Street name(s), roadway, street improvements, dimensions, center line, basis of bearings, cross intersection distance Location and dimensions of existing overhead and underground improvements 25 around property 3 3 This is to ensure the project does not adversely affect surrounding properties during and after construction. Show all buildings, structures, utilities, slabs, berms, free standing or retaining walls, fences, landscaping, curb, gutter, sidewalk, poles, trees, bushes, etc. Additional Information: include any other information as required or applicable to the project. IV. IMPROVEMENTS PLAN CHECK CORRECTION AND RE-SUBMITTAL 1. After receiving a complete improvements plan check application, the City will issue a plan check number for your project. 2. Allow two weeks for permit plan checking (first submittal or re-submittal) then the City will contact the applicant for plan correction or plan approval and permit issuance. 3. NO PLAN CHECK REVIEWS WILL BE DONE OVER THE COUNTER. 2

V. IMPROVEMENTS PLAN APPROVAL AND ISSUANCE The following items are required prior to issuance of an improvements permit: 1. Planning sign off approving consistency of site plan with proposed plans. 2. Comply with all project conditions of approval related to Improvements (if applicable). 3. 24 x36 Mylar drawings will be required after final approval. Wet signatures of the Engineer/Architect, Soils Engineer, Property Owner, and any other principals are required. 4. Payment of all plan check and inspection fees. 5. Surety in the form of a cash deposit, bond, or certificate of deposit. The following items may be required prior to issuance of a permit depending on the scope of work: 1. The project conforms to the approved Tentative Map (if applicable). 2. Fire department approval. 3. Submit plan and questionnaire to California Department of Fish and Game, to obtain permit. (If applicable, review the site, EIR, and/or Negative Declaration). 4. Submit plan to California Coastal Commission, obtain permit (if applicable). 5. Submit plan to the Division of Dam Safety and obtain permit (if applicable). 6. Submit plan to Army Corps. Of Engineers and obtain permit (if applicable). 7. Submit a notarized letter of consent for grading on adjacent property. (Provide easement if applicable). 8. Submit a record consent for drainage onto adjacent property (if applicable). 9. Other Agency approvals (if applicable). 10. Other requirements as indicated by the City Official. 11. Plan check items complete (hydrology, hydraulics, FP3, WQMP, structural, grading, etc.) and approved by plan checker. 12. Provide to the City with a copy of certificate of insurance (general liability for $1,000,000 and workmen s compensation) naming City of Dana Point as additional insured and certificate holder, this must be submitted prior to issuance of permit VI. BMP REPORTS - General Information and How to Prepare the Report: 1. Complete the Urban Runoff Threat Assessment Form (attached) to determine if your project is a low, medium, or high priority project. You will need to come to the front counter to complete this step. 2. Obtain a BMP handout from the front counter pertaining to your project priority. This handout will list all of the BMPs that will need to be included in your report. 3. Go to www.cabmphandbooks.com and click on the "Construction" link at the bottom of the page. You will need to print out all of the required BMPs (per the handout) and place them in a report which states that your contractor will be implementing these BMPs during the construction phase of the project. Provide a cover sheet for the report which lists the project address, property owner s information and signature. 4. Submit three (3) copies of the report with the initial submittal. VII. CONSTRUCTION & DEMOLITION ORDINANCE (C&D ORDINANCE): The City of Dana Point has established a Construction & Demolition (C&D) Waste Recycling Program per ordinance No. 03-17 and Resolution No. 03-12-10-04 to help in diverting C&D Waste from landfills and also to comply with mandates of the California Integrated Waste Management Board (CIWMB). The City s diversion requirement is 75%, which means that certain projects are required to divert 75% of the total C&D waste tonnage at a project site from landfills. You are only required to comply with the C&D Ordinance if you are (1) Exporting waste material offsite and/or (2) if your project is a demolition, re-model, addition, alteration, or new construction which is 150 square feet or greater. 1. Complete the C&D Ordinance Form (attached herewith) 2. Submit a non-refundable C&D Ordinance application fee of $25.00 (will be included in the total fees). 3. At the time of permit issuance, the applicant will be required to provide a refundable deposit in the amount of 1% of the total project valuation or $100, whichever is greater. Payment may be in the form of cash or check. 4. The C&D Deposit is refundable if the C&D Compliance Official determines that you have met the 75% diversion requirement, or have sufficiently illustrated a "good faith effort" to divert C&D Waste. Please be sure to obtain the Construction & Demolition Waste Recycling Program handout for more detailed information. 3

VIII. DECLARATION OF RESPONSIBLE CHARGE: Examples of the Declaration of Responsible Charge for all parties are provided below: Declaration of Responsible Charge for the Engineer of Work: I hereby declare the I am the Engineer Of Work for this project, that I have exercised responsible charge over the design of this project as defined in Section 6703 of the Business and Professions Code, and that the design is consistent with current standards. I understand that the check of project drawings and specifications by the City of Dana Point does not relive me, as the Engineer Of Work, of my responsibilities for project design. Insert the name, address and phone number of Engineer Of Work. By: (Name) R.C.E.# Exp. Date Declaration of Responsible Charge for the Soils Engineer: I hereby declare that I am the Soils Engineer and Geologist for this project, that I have reviewed the improvement plans and find them in conformance with the preliminary soils report entitled: (Insert title and date of report) I understand that the check of the soils report, plans and specifications by the City of Dana Point is confined to a review only and does not relieve me of my responsibility for project soils and geotechnical design. Insert the name, address and phone number of Soils Engineer and Geologist By: (Name) G.E.# Exp. Date By: (Name) C.E.G.# Exp. Date Notice to Contractor: The existence and location of any underground utilities or structures shown on theses plans are obtained by a search of available records. To the best of our knowledge, there are no existing utilities except those shown on these plans. The contractor is required to take all precautionary measures to protect the utilities shown, and any other lines or structures not shown on these plans, and is responsible for the protection of, and any damage to, these lines or structures. Owner s Statement: I have verified the subject property s grant deed and title report and have found no existing easement in conflict with the proposed construction. I acknowledge that I am responsible and accountable for conflicts with existing easements and the proposed construction. By: Signature 4

City of Dana Point Urban Runoff Threat Assessment Form Form 2 Continued Applicant: Project Address: Application Number: APN: Applicant: Please read this form and fill out the required sections to the best of your ability. Counter staff is available to assist you if you have any questions. SECTION 1: Preliminary Identification of Low Priority Sites The Applicant shall begin with Preliminary Identification of Low Priority Sites. 1. Does the construction site disturb less than 1 acre of soil? If YES, proceed to question 2. If NO, proceed to Section 2. 2. Is the site directly adjacent to (within 200 ft.) or discharging directly to an Environmentally Sensitive Area? Refer to the example on page 2 and the ESA Map Book available at the counter. (Circle answer) 1. Yes No 1. Yes No If YES, proceed to Section 2. If NO, your site is automatically LOW priority. Please skip Sections 2 and 3, and check the low priority box on the third page of this form. SECTION 2: Identification of Automatically High Priority Sites The Applicant shall proceed with Preliminary Identification of Automatically High Priority Sites. Please answer questions 1 and 2. (Circle answer) 1. Is the construction site larger than 50 acres? 2. Is the site 5 acres or more AND: 1) Tributary to a 303(d) listed water body impaired for sediment* OR 2) is within or directly adjacent to (within 200 ft.) or discharging directly to a receiving water within an Environmentally Sensitive Area (ESA)? For assistance, refer to the example on page 2 and the ESA Map Book available at the counter. 1. Yes No 2. Yes No If NO to BOTH questions then the applicant should proceed to Section 3 to evaluate prioritization. If YES to EITHER question 1 or 2, then the applicant should skip Section 3 and automatically check the high priority box on the third page of this form. *NOT APPLICABLE AT THIS TIME. Currently, there are no 303(d) listed water bodies impaired for sediment within the City. However, should a water body impaired for sediment within the City be added to the 303(d) list, the City shall inform the applicant and provide any corresponding information at the City Counter. Rev. Oct. 2003 Page 1 of 3 I:\Permit Database\Handouts\Improvements\Improvements Handout 091404.doc

City of Dana Point Urban Runoff Threat Assessment Form Form 2 Continued I. Below is an example of construction site proximity to an Environmentally Sensitive Area (ESA). Please use the ESA Map book provided at the counter to determine project site proximity to an ESA. Because part of this parcel (cross-hatched area) is located within the ESA 200 foot buffer (shaded area), this parcel is automatically High Priority. Rev. Oct. 2003 Page 2 of 3 I:\Permit Database\Handouts\Improvements\Improvements Handout 091404.doc

City of Dana Point Urban Runoff Threat Assessment Form Form 2 Continued SECTION 3: Project Prioritization Prioritization is evaluated by completing items A through D. A point value (1, 2, 3, 4, or 5) is assigned in each step, which is then totaled for a ranking score. Please circle the appropriate point value to the right of each item. ITEM A: Project Size Construction sites less than 50 acres are ranked based upon the size of the area being developed. Please select the appropriate point value to the right. ITEM B: Vicinity of the Project to Environmentally Sensitive Area (ESA) Proximity of the construction site to an ESA. For assistance, refer to the example on page 2 and the ESA Map Book available at the counter. ITEM C: Maximum Slopes Please indicate the maximum finished slopes within the site. ITEM D: Potential to Produce Significant Non-Storm Water Discharges Please rank the project s potential to produce non-storm water discharges. TOTALS By totaling the scores determined above (items A-D) the potential threat to water quality can be determined. Ranking = A + B + C + D PRIORITY DETERMINATION If the ranking total is greater than or equal to 16, then the project is high priority. If the ranking total is less than 16, then the project is medium priority. Please check the appropriate box to the right. 1 = 0-10 acres 2 = 11-25 acres 3 = 26-40 acres 4 = 41-49 acres 5 = > 50 acres 1 = > 5,000 feet 2 = 1,001 5,000 ft. 3 = 501 1,000 ft. 4 = 201 500 ft. 5 = < 200 ft. 1 = Slopes 20:1 or flatter 2 = 20:1 < Slope < 5:1 3 = 5:1 < Slope < 3:1 4 = 3:1 < Slope < 2:1 5 = Slopes 2:1 or steeper 0 = Zero or low potential of nonstorm water discharges 3 = Potential non-storm water discharges from dust control, port-apotty 5 = Potential non-storm water discharges from dewatering activities or landscaping irrigation. Ranking total = High Medium Low (From Section I only) By signing this form, I acknowledge that I have read and understand the statements above, and take complete responsibility for any pollutants that may be generated and discharged to the City Storm Drain System from the construction site described on this form. I have received the Urban Runoff Best Management Practices (BMPs) Requirements packet for my project s specific priority, as determined above. Name of Property Owner/Agent (please print) Signature of Property Owner/Agent Date

Material Conversion Factors Material Category Volume Unit Tons/ Unit Tons Asphalt / Concrete Asphalt (broken) cy. x 0.7 = Concrete (broken) cy. x 0.9 = Concrete (solid slab) cy. x 1.2975 = Brick / Masonry / Tile Brick (broken) cy. x 0.7 = Brick (whole, palletized) cy. x 1.512 = Masonry block (broken) cy. x 0.6 = Tile sq. ft. x 0.00175 = Building Materials (doors, windows, cabinets, etc.) cy. x 0.15 = Cardboard (flat) cy. x 0.05 = Carpet By square foot sq. ft. x 0.0005 = By cubic yard cy. x 0.3 = Carpet Padding Foam 0.000125 = Ceiling Tiles Whole (palletized) sq. ft. x 0.0003 = Loose cy. x 0.0875 = Drywall (New or Used) 1/2 (by square foot) sq. ft. x 0.0008 = 5/8 (by square foot) sq. ft. x 0.00105 = Demo/Used (by cubic yard) cy. x 0.25 = Landscape Debris (brush, trees, etc.) cy. x 0.15 = Scrap Metal cy. x 0.453 = Unpainted Wood & Pallets By board foot bd. ft. x 0.001375 = By cubic yard cy. x 0.15 = Garbage & Trash cy. x 0.175 = Dirt cy. x 1.03 = sq. ft. = square feet cy. = cubic yards bd. ft. = board feet Notes:

PROJECT TITLE PROJECT ADDRESS SHEET INDEX GENERAL NOTES AND QUANTITIES 1 PRECISE GRADING PLAN 2 RETAINING WALL DETAILS 3 TOPOGRAPHIC SURVEY 4 CONDITIONS OF APPROVAL 5 STANDARD GRADING NOTES STANDARD GRADING NOTES (continued) CONSTRUCTION NOTES & EARTHWORK QUANTITY ESTIMATES DECLARATION OF RESPONSIBLE CHARGE, NOTICE TO CONTRACTOR & OWNER S STATEMENT OWNER Name, address & phone number BENCHMARK Description VICINITY MAP LEGAL DESCRIPTION Description from Title Report ARCHITECT Name, address & phone number SOILS ENGINEER & GEOLOGIST Name, address & phone number BASIS OF BEARINGS Description Wet-signed engineer s stamp CITY S STANDARD TITLE BLOCK: Available for download at http://www.danapoint.org/publicworks/engineeringpermits/engineeringpermits.htm JOB ADDRESS Description