HomeMy WebLinkAbout2509 BROOM LANE; ; CBRA2023-0245; Recycle{city of
Carlsbad
City of Carlsbad
CONSTRUCTION WASTE Development Services DEC 11 2024 Building Division
MANAGEMENT PLAN BUILDI 1635 Faraday Avenue 8-59 . NG DIVISION 760-602-2719
www.carlsbadca.gov
APPLICABLE TO NEW CONS RUCTION, RESIDENTIAL ADDITIONS AND ALTERATIONS OVER $6OK
VALUATION AND COMMERCIAL ADDITIONS AND ALTERATIONS OVER $200K. You are required to list
materials that will be reused, recycled or disposed from your project. If you have questions about the recycling
requirement or completing this form, please contact Republic Services at (760) 332-6464, a certified C&D recycler, or
the Carlsbad Building Division at (442) 339-2719 Please note: Unless you are self-hauling, Republic Services or approved
haulers must be used for all construction projects within the City of Carlsbad.
PART 1 Complete and submit this form when applying for a Building Permit. Note: Permits will not be issued
Applicant Information
Permit No. CBRA2023-0247, 0246, 0245, 0244, 0243, 0242 Project Title Marja Acres (Coral Springs, Phase M6
ProjectAddress259'J 2572, 2554, 2536, 2518 Broom Lane APN 207-102-03-00
Contractor Architect Other . Owner
Applicant Name KB Home Coastal Inc. / Attn: Elizabeth Shoemaker I ✓ I □ □□--
Last First
ApplicantAddress 9915 Mira Mesa Blvd, Suite 100, San Diego, CA 92131
Phone I 760 > 550-1957 E-mail Address eshoemaker@kbhome.com
ApplicantMallingAddress 9915 Mira Mesa Blvd, Suite 100, San Diego, CA 92131
(if different than project address)
Project Type
(check all that apply):
Residential Ill
commercial □
Brief Description Marja Acres -Coral Springs, Phase 4
Public Building □
Project Slze. ___________ Estimated Cost of Project$. _______________ _
(square footage)
Please check the appropriate box:
D I plan on using REPUBLIC SERVICES roll-off bin{s) for all materials and will provide all receipts after construction.
l✓I I plan on using a City Approved hauler and will provide all receipts at the final occupancy inspection.
D This is a proposed LEED certified project. I plan on separating materials on site in conjunction with Republic.
Acknowledgement: I certify under penalty of perjury under the laws of the State of California that the information
provided in and with this form pertains to construction and demolition debris generated only from the project listed
in PART 1, that I have reviewed the accuracy of the information, and that the information is true and correct to the
best of my knowledge and belief.
Print Name _____________ Slgnature. ____________ Date
Page 1 of4 Rev. 2.10.21
PART 1 Complete, obtain signature, and submit this form when applying for a Building Permit. Note: Permits will
not be issued without a completed Construction Waste Management Plan.
DEBRIS RECYCLING ESTIMATE:
1 , Permit No. ceRA2023--0241, 024s, 02◄s. 0244, 0243, 02◄2 Project Title Marja Acres (Coral Springs, Phas~
APN 207-102-03-00 Project Address 2509, 2527, 2545, 2563, 2581, 2599 Broom Lane
Applicant Name KB Home Coastal, Inc./ Attn: Elizabeth Shoemaker Phone 760-550-1957
Last First
,;i' • • ., ·, .• .. -. . • .,. ',;, ' • ; ' '. -~-' ', ' ,li'
• : I ~' •• Complete ~.he -~oll_owlng ~'3le -'l"lth, esthnat,f:1 ~a5'e t~nnage to b~-•~ner.ate'd .,y your ~roj~Clt.
' t_hls 'lsj olir ,P,lan ~or 'COf!Stru~i<>(lWaste,_m~l'i.ag~m~Jf. ChangEt~ cati ~~ ~~de·o~ t~~._firyal re~cle r~poi;t .. ' ·'. ' ~1~ "· .,. "' .·:' ·•.,_,,':;, Goa1:·_the.dlverslon,rateshaH::l,e6S'6:~u,~el11\ts.ofdebrls .. ,,,. . .. · :·,. ·· • ;J
Material Type
Complete this //ne of the table only If
only vslng WASTE MANAGEMENT
roll-off bins.
Mixed C&D Debris
Parking lot Asphalt & Concrete
Brick/ Masonry/ Tile
Mixed Inert Debris
Cabinets, Doors, Fixtures,
Windows (clrcle all that apply)
Carpet
Carpet Padding/ Foam
Cardboard
Ceiling Tile (acoustic)
Drywall (used, new, scrap)
Landscape Debris (brush, trees,
stumps, etc.) No dirt.
Unpainted Wood & Pallets
Concrete Roofing Materials
Scrap Metal
Stucco
Other: Trash
TOTAL
Estimated
Waste Quantity
(tons)
To meet 65% Diversion Requirement (estimate)
A B C
Place a (✓) check Place a(✓) check next Place a{✓) check next
next to items to be to items to be to items to be
reused or salvaged recycled disposed at landfill
________ .x 0.65 = ___________ tons
To to/ Estimated Waste from above Minimum Required Diversion
Contractor/Owner Slgnature ________________ Date
Page 2 of 4 Rev. 711120
PART 2 Complete before final inspection, obtain City Approved hauler receipts and return prior to final
building approval.
DEBRIS RECYCLING REPORT (ACTUAL):
• Acknowledgement
I certify under penalty of perjury under the laws of the State of California that the information provided in and with
this form pertains to construction and demolition debris generated only from the project listed in PART 1, that I.have
reviewed the accuracy of the information, and that the information is true and correct to the best of my knowledge
and belief.
Permit No. CBRA2023-0247, 0246, 0245, 0244, 0243, 0242 Print Name KB Home Coastal Inc. ------------------1
Address 2509, 2527, 2545, 2563, 2581, 2599 Broom Lane Date
•i •• '~;--,•~ •• •••• L~~-~~!~w::~~:~~~f ~!-~a-~(~t,·~l~teri~ls'.~itH~-•. ~~\~V~-t _b.~,jpb -~,t~/,
., ·ffa_: ·.: ::.@@SAVE.'RECEIPJS@. .,, · ' • . ::· · ... ,-.•. •. • .
.. . ., . ~-fn·iteri~(and ·saie:~~c~ipt~ a~J ocu . . ;iiit1~s v,i~ete:·mat~ri~I is t~i~r'/
, "• • •
0
• .,, ••. ~ •• • • •• , ,. • ..... , , ~ •"t 1. ..., , • , ., • ., _ ( I' •I • ~ ' , • , • • ,• • •~ f ' " • • ·d.dit1onal •P~oJect Log PJI . .. avai_lable:i.f (lecessar:v:. Use, City .C;onye_rslqrqable JP. 1=onv.e.rt vplu_m_e.to ton~.
Date
Example:
0l/01/2020
05/11/2024
06/18/2024
06/20/2024
06/26/2024
07/11/2024
07/22/2024
08/02/2024
08/15/2024
08/26/2024
Material Type
Concrete (broken)
Clean Wood
Trash
Clean Wood
Clean Wood
Trash
Clean Wood
Trash
Clean Wood
Trash
A B C
Actual Amt Actual Amt Actual Amt Destination Facility
Reused or Recycled Disposed In (Name, Address, Phone)
Salvaged Landfill
Palomar Transfer Station, 5960 El
5 tons Camino Real
-760 603-0153
3.00 3.00 0.00 Inland Pacific Resource Recovery
0.64 0.00 0.64 Miramar Landfill
3.00 3.00 0.00 Inland Pacific Resource Recovery
2.00 2.00 0.00 Inland Pacific Resource Recovery
0.42 0.00 0.42 Palomar Transfer
3.00 3.00 0.00 Inland Pacific Resource Recovery
0.50 0.00 0.50 Miramar Landfill
3.00 3.00 0.00 Inland Pacific Resource Recovery
0.47 0.00 0.47 Palomar Transfer
Diversion Rate Achieved _______ _, __________ = ____ %
Toto/ of columns A + 8 Total of columns A + 8 + C DIVERSION
Contractor/Owner Signature ______________ .Date
Attach the following documentation to this Report: Return completed form ·and documentation to:
• Original recycling weight tickets, landfill weight tickets City of Carlsbad
• Original donation receipts with photos and/or Itemized descriptions Building Division (1st Floor)
• Any other relevant information to support Recycling Report 1635 Faraday Avenue
Carlsbad, CA 92008
Page 3 of 4 Rev. 04/22
PART 2 Complete before final inspection, obtain City Approved hauler receipts and return prior to final
building approval.
DEBRIS RECYCLING REPORT (ACTUAL):
Acknowledgement
I certify under penalty of perjury under the laws of the State of California that the information provided in and with
this form pertains to construction and demolition debris generated only from the project listed in PART 1, that I have
reviewed the accuracy of the information, and that the information is true and correct to the best of my knowledge
and belief.
Permit No. CBRA2023-0247, 0246, 0245, 0244, 0243, 0242 Print Name KB Home Coastal Inc. ------------------Address 2509, 2527, 2545, 2563, 2581, 2599 Broom Lane Date
Use this Final log be_low to track loads of m~terlals _as tt'!ey leave·the J~b site.
• • ' • • 4 ' 1 •• <D>(Q)SAVE RECEIPTS<D><D> •• ' •
Indicate· FINAL quantities In tons for each material and save receipts and docu.ments from facilities where material is taken.
' Addition al Project Log pages .are available if nec;essarv. µse City Conversion Tab\~ to convert vqlu·me to tons:
Date
Example:
01/01/2020
08/28/2024
09/06/2024
09/06/2024
09/11/2024
09/20/2024
10/09/2024
Material Type
Concrete (broken)
Trash
Trash
Clean Wood
Trash
Trash
Trash
10/10/2024 Clean Plaster/Stucco
10/28/2024 Trash
A B C
Actual Amt Actual Amt Actual Amt
Reused or Recycled Disposed In
Salvaged Landfill
5 tons
0.78 0.00 0.78
0.71 0.00 0.71
1.50 1.50 0.00
0.63 0.00 0.63
0.41 0.00 0.41
0.64 0.00 0.64
10.00 10.00 0.00
0.86 0.00 0.86
31.56 25.50 6.06
Diversion Rate Achieved _2_5_.5_0 _____ __,/ __ 3_1_._56 _______ =
Total of columns A -1-B Total of columns A -1-B -1-C
Contractor/Owner Signature ______________ Date
Destination Facility
(Name, Address, Phone)
Palomar Transfer Stot/on, 5960 El
Camino Real
-760 603-0153
Miramar Landfill
Palomar Transfer
Inland Pacific Resource Recovery
Palomar Transfer
Miramar Landfill
Miramar Landfill
ARCOSA
Inland Pacific Resource Recovery
81 %
DIVERSION
.? 65%□
S 65%
Attach the following documentation to this Report: Return completed form and documentation to:
• Original recycling weight tickets, landfill weight tickets City of Carlsbad
• Original donation receipts with photos and/or Itemized descriptions Building Division (1st Floor)
• Any other relevant Information to support Recycling Report 1635 Faraday Avenue
Carlsbad, CA 92008
Page 3 of 4 Rev. 04122
Coral Springs (Modern) Phase M6 (B.ldg. MS-units 142-147
·:•: ..... : ·M. • .. .x.· • •• 'f \ .:
/' .. ",.. c ~,.-• .
. ·.· . . • ; . ' ...... , ''
. . '
~A·;, .. •· i_
Permit#
Lot #147 CBRA2023-0247
Lot #146 CBRA2023-0246
Lot #145 CBRA2023-0245
Lot #144 CBRA2023-0244
Lot#143 CBRA2023-0243
Lot#142 C BRA2023-0242
Construction & Demo
Received at: INLAND PACIFIC RESOU
Proceed at:
,,
... \•
Total Yards Recelvel:O
Signature:
• ersion· Certificate 3 0 9 9 3 ~.
Date: > I/_;) l/
ercentage: 100%
lhls certifies that the company listed above hos ullllzed o Certified f Illy to divert consfruc'tton demollllon moterlols In accordance
with LEED requirements. The diversion yardage Is based on on overoli\ordoge percentage of the respecttve green waste facility.
,I
\
'°)(i '~ ~ .. ~
....___,,
The City of THE CITY OF SAN DIEGO
ENVIRONMENTAL SERVICES DEPARTMENT
REFUSE DISPOSAL DIVISION SAN•
DIEGO]J 9601 RIDGE.MAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636
MIRAMAR LANDFILL
5180 CONVOY STREET
SAN DIEGO, CA 92111
Transaction#: 13921566
Account#: 8133613/CAPACITY CONSTR
• (858) 694-7000
Date: 1·019/2024 14:01 :09
Decal #: 65332, O, O Scale Operator: CSL
Fleet#: Tag#: 41658N3 Incoming /FB 03
Transaction Type: 01/BUS.--NON RESIDENTIAL ~,-~~~:,
Payment Type: 01/CHARGE /~~ ~ ~ O
Hauler Type: 01/BUS.--NON RESIDENTIAL }'~ • ~J fi'ffi' ~~~<~
Vehicle Type: 070/MEDIUM HEAVY /:: ~~~ \~
Mate,;a1 Typec 001/REFUSE 32.3_'1% of S~nd remains
Origi~: 001/SAN DIEGO CITY ,~ W' -c, , •·· ~ {;
Special Fees: ~ a~lZi!b :~
-.t. ~~£l-!2 ~' ✓,.,,,..>_~--:<\.~ The Miramar Landfill will be closed on Thursday, .ltJ:>Hifvif,\\:N,
11/28/2024 (Thanksgiving Day). ~
~ ~firu-3''"' ~jACITY C0H$TRUCTI0II ,. ~ ... ,
• l
I ~,Ill . ' .. ,... ..... • ' .. i
LBS TONS
Gross Weight 22620.00 11 .31
Tare Weight 17560.00 8.78
Net Weight 5060.00 2.53
Tip Fee $ 187.00
Spec Fee $0
RCBus Tax $ 20.00
Recycle $ 33.00
Total $ 240.00
!~ 8133b13 · . · • __ .... f" ••
ES-072 (REV. 7-09) PW/PS-333 J ,., • ----------------
This Information Is available In alternative formats upa1vegJ,l~t~,'i'I·~'"'· SIGNATURE
... --·-.·.·.
ARCOSA
CRUSHED CONCRETE
DATE :
DISP(?SAL TICKET
9354 Nelson Way 760-205-1797 /'_~
Escondido CA 92026 TICKET NO:~
DISPOSAL RECEIPT
CUSTOMER:
TRUCK NO.
COMMODITY:
12169630-CAPACITY CONSTRUCTION INC
92269Y2
DATE: 10/10/2024
TIME: 10:26: 38AM
I •
PO:
1 0 WHEEL LOAD MIXED
CARLSBAD Per Load Energy Surcharge Fee
CUST JOB :
COMMENTS : CAPACITY CONST. #105 MARTIN CORDOVA
WEIGHMASTER RJ,• Cy,
X /\),:; ..,..+,,,
DRIVERS SIGNATURE
GROSS:
TARE:
NET:
* P.
~
0.00 Load 150.00
14.63 * Oth er 5.00
0 .00 Total 155.00
T.
PALOMAR TRANSFER
5960 EL CAMINO REAL
CARLSBAD, CA 92008
(760)603-0153
010258 -CAPACITY CONSTRUCTION INC
PO BOX 420040
SAN DIEGO, CA 92142-0040
Contract: COMM-GATE Yr. 200
GROSS
TARE
NET
Trac king Qty:
Qty Unit
2.58 TN
23,440
18,280
5,160
o.oo
Description
MSW
Origin: CARLSBAD
Scale In
Tare Out
100%
r~ ' ·4 ~ c...._ '--.
0..f r W'\~~ry
54 T,icket #: 2765526
Weighmaster: marticy
In: October 28, 2024
Out: October 28, 2024
Vehicle: Al06316
Ref:
BOL :
INBOUND
INVOICE
Rate Extension
$101 .2] $261.12
v r) I .:2
Tax
$0.00
10:19 am
10:19 am
Total
$261.12
PALOMAR TRANSFER
5960 EL CAMINO REAL
CARLSBAD, CA 92008
(760)603-0153
010258 -CAPACITY CONSTRUCTION INC PO BOX 420040
SAN DIEGO, CA 92142-0040
Contract: COMM-GATE
GROSS
TARE
NET
Tracking Qty:
Yr. 200
23,480
18,500
4,980
0.00
Qty Unit Description
2. 49 TN MSW
Origin: CARLSBAD
Scale In
Tare Out
100%
54 Ticket #: 2745453
Weighmaster: marticy
In: September 11, 2024
Out: $eptember 11, 2024
Vehicle: Al5000
Ref:
BOL:
INBOUND
INVOICE
Rate Extension
$101. 2) $252. 01
Tax
$0.00
9:28 am
9:28 am
Total
$252.01
The City of
SAN
DIEGO~
THE CITY OF SAN OIEGO
ENVIRONMENTAL SERVICES DEPARTMENT
REFUSE DISPOSAL DIVISION
9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636
(858) 694-7000
Transaction #: 13900925
Account#: 8133613/CAPACITY CONSTR Date: 9/20/202414:13:34
MIRAMAR LANDFILL
5180 CONVOY STREET
SAN DIEGO, CA 9211 j
LBS TONS
Decal #: 65939, O, O Scale Operator: EWE
Fleet#: Tag#: 87741C3 Incoming /FB 03 Gross Weight 20980.00 10.49
Transaction Type: 01/BUS.-NON RESIDENTIAL /ft.~\-
Payment Type: 01/CHARGE ~~:j/' ~ ~ ,)\
Hauler Type: 01/BUS.--NON RESIDENTIAL ,~.~ ~~t ~,w ~~,(~
Vehicle Type: 070/MEDIUM HEAVY ~ :: ~~~/~ \~\
Material Type: 001/REFYSE 67 .98% of Surety Bond remains
Origin: 001/SANplEGO CITY t~~\ "J.J.I ~~ ,:' ~ £0
Spedal Fees: ~. ,b_~~f_/)t;
The Miramar Landfill will be closed on Thursday, -~!!f!>...:_R_'\·_il_J\,~li,ii
11/28/2024 (Thanksgiving Day). --_,..., •• 'iiP'
Tare Weight 17700.00 8.85
Net Weight 3280.00 1.64
Tip Fee $121.00
Spec Fee $0
RCBus Tax $ 13.00
Recycle $ 21 .00
Total $ 155.00
ES-072 (REV. 7-09) PW/PS-333
This information Is avoilable in oltemative formats upon request. SIGNATURE
PALOMAR TRANSFER
5960 EL CAMINO REAL
CARLSBAD, CA 92008
(760)603-0153
010258 -CAPACITY CONSTRUCTION INC PO BOX 420040
SAN DIEGO, CA 92142-0040
Contract: COMM-GATE Yr.· 200
GROSS 24,200 Scale In
TARE 18,560 Tare Out
NET 5,640
Tracking Qty: 0.00
Qty
2 .82
Unit Description
TN MSW
54 Ticket#: 2743456
Weighmaster: marticy
In: September 06, 2024
Out: September 06, 2024
Vehicle: Al06249
Ref:·
BOL:
INBOUND
INVOICE
Rate Extension
$101. 2] $285. 41
Tax
$0.00
Origin: CARLSBAD 100%
--------·---·-·--•.
10:24 am
10:24 am
Total
$285.41
_Construction & Demo
Received at:
Proceed at:
Project:
Total Yards Receive ercentage: 100%
Slgna~ure:
This certlnes Iha! lhe company listed above hos ullllzed a Certtfted I Illy to divert construction demollllon materials In accordance
w1th LEED requirements. The diversion yardage Is based on an overall ardage percentage of the respective green waste loclllty.
f .
;-:
Construction & Demo~,ti~.,~iQ.t1ersion Cer
• '•.,~ •:,f.-~"'-f ":J~1~ "'.,•JI,
Received at: INLAND PACIFIC RESOUltCtal(JJjJtQM'LbLC Date: ' ),. ..... .v.'~:,t:. }(,>:,;••~. "IF<----'-~-+--_,__ __ _ ,· ·: : -~ •,. '·;•t;t:})\
Proceed at:1 _ 2F~:..:..::!...:..:..;_:_.:.:...:...-ir=-=-~~~~~=~
Customer: -----\----'----"'1-F,~=:~.:~,: .• ~:~~'---"--=:::"',,!~ cket #:
Project: Number/D ••
If
Total Y~rds Received·, _-··.....,·· ..... • ·"'4~--''---"'ec._~..:;:,,.~ .-Percentage: 100%
Sig.nature: . <!,,~±....; ... ••=--------
rh1s certifies that the company listed above hos utilized o Certified\ ~Illy to divert construction demolition moterlols In occordonce
with LEED requirements. The diversion yardage Is based on on overall yardage percentage of the respective green waste facility.
PALOMAR TRANSFER
5960 EL CAMINO REAL CARLSBAD, CA 92008
(760)603-0153
010258 -CAPACITY CONSTRUCTION INC
PO BOX 420040
SAN DIEGO, CA 92142-0040
Contract: COMM-GATE Yr. 200
GROSS
TARE
NET
Tracking Qty:
22,220
18,500
3,720
0.00
Qty
1. 86
Unit Description
TN MSW
Scale In
Tare Out
54 Ticket #: 27 38 641
Weighmaster: marticy
In: August 2 6, 2024
Out: August 26, 2024
Vehicle : AlS000
Ref:
BOL:
INBOUND
INVOICE
Rate Extension
$101. 2) $188. 25
Tax
$0 .00
Origin : CARLSBAD 100%
8:55 am
8:55 am
Total
$188.25
The City of
SAN • DIEGO])
THE CITY OF SAN DIEGO
ENVIRONMENTAL .SERVICES DEPARTMENT
REFUSE DISPOSAL DIVISION
MIRAMAR LANDFILL
5180 CONVOY STREET
SAN DIEGO, CA 92111
Transaction#: 13876010
9601 RIDGEHAVEN CT., SUITE 31 0 • SAN DIEGO, CA 92123-1636
(858) 694-7000
Account#: 81 33613/CAPACITY CONSTR Date: 8/28/2024 14:28:43 LBS
Decal#: 63675, 0, 0 Scale Operator: CBA
Fleet #: Tag#: CG83R94 Incoming /FB 05
Transaction Type: 01/BUS.-NON RESIDENTIAL . ~\i;_G()']~i~• .,
Gross Weight 23880.00
Payment Type: 01/CHARGE ,:f:'· ~ ~ ~. ~ s~• Hauler Type: 01/BUS.--NON RESIDENTIAL ~ ~•j II~ ~ Q1
Vehicle Type:. 070/MEDIUM HEAVY ;:} ~~~~C:-,~ ~t:,.
Material Type:
Origin:
Special Fees:
ES-072 (REV. 7-09) PW/PS-333
Tare Weight
Net Weight
17660.00
6220.00
Tip Fee
Spec Fee
RCBus Tax
Recycle
Total
TONS
11.94
8.83
3.11
$ 230.00
$0
$ 25.00 ·
$ 40.00
$ 295.00
\
---------·-----·
Construction & Demo
Received at: INLAND PACIFIC RESOU
Proceed at:
Project:
~
Total Yards Receive
• ersion cernrite ,3 i O 281
C Date:] _LL/4(( . I
100%
Signature: ____ __,_-~--"
This certifies that the company listed above' hos uttllz~d a Certffted f Illy to dlv~rt constructton de~~Hilb~ mot~rfols In accordance
with LEED requirements. The diversion yardage Is based on on ovef ·n ordoge percentage of the l'aspettlve green waste foclllty.
j. . . /
The City of THE CITY OF SAt:J DIEGO
ENVIRONMENTAL SERVICES DEPARTMENT
REFUSE DISPOSAL DIVISION
MIRAMAR LANDFILL
5180 CONVOY STREET
SAN DIEGO, CA 92111 SAN • DIEGOl) 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636
(858) 694-7000
Transaction #: 13847524
Account#: 81 33613/CAPACITY CONSTR
The Miramar Landfill will be closed on Monday,
09/02/2024 (Labor Day).
ES-072 (REV, 7-09) PW/PS-333
This Information is avoilob/e In alternative formats upon request
Date: 8/2/2024 14:06:05 LBS
Gross Weight 21500.00
• Tare Weight 17560.00
Net Weight 3940.00
Tip Fee
Spec Fee
• /RCBus Tax
Recycle
~Ji,,
~If •. fJ
SIGNATURE
TONS
10.75
8.78
1.97
$ 146.00
$0
$ 16.00
$ 26.00
$ 188.00
-------··-·------------------~-----------:--
. I
The Cityo/ THE CITY OF SAN DIEGO
ENVIRONMENTAL SERVICES DEPARTMENT
REFUSE DISPOSAL DIVISION SAN
DIEGO~ 9601 RIDGEHAVEN CT., SUIT~ 310 • SAN DIEGO, CA 92123-1636
MIRAMAR LANDFILL
5180 CONVOY·STREET
SAN DIEGO, CA 92111
(858) 694-7000 . 1
Transaction#: 13793337
Account#: 8133613/CAPACITYCONSTR Date: 6/18/202414:06:15 LBS TONS
Decal#: 65332, 0, O Scale Operator: RMA
Fleet#: Tag#: 41658N3 Incoming /FB~Rt.,,.~,, .
r•t"!-'. :-•• < l .: t~ .:.~·-~--Transaction Type: 01/BUS.--NON RE~IDENTIAL -~•.1:..\1,.:b~;.\'-.. :.,.:·.,{ '.~:~~
;.•:~)\, : '!',,... .;~~: .. ~ r. • ... f. '.(f, • .,. t·,
Payment Type: 01 /CHARGE .,~)·;•.;t, if;'!:,!;.... ···-~-.C'\
Hauler Type: 01/BUS.-NON RESIDENTIAL J\(:,i1·:~q-J1 ~'A;:~1 ~¥~>{\t·;i
Vehicle Type: 070/MEDIUM HEAVY /~'.,jl :;~:)Y>/~\~~i._:.l,}~: .. ,\,:: "(>:-\.
Material Type: 001/REFUSE
Gross Weight 22660.00 11.33
Tare. Weight -17560.00 8.78
Net Weight 5100.00 2.55
Tip Fee $ 148.00
Spec Fee $0 Origin: •
Special Fees:
001/SAN DIEGO CITY RCBus Tax $ 20.00
The Miramar Landfill will be closed on Thursday,
07/04/2024 (Independence Day).
ES-072 (REY. 7--09) PW/PS-333
This Information Is oyol/oble In olter:crot/ve formats uoon reautst
Recycle
Total
ClPACITT COKSTRUCTIOH
8133bl3--;: ' i·
•' ••('~ ..
_?_!£;NATURE
$ 33.00
$ 201.00
'.,·11•·.: . H · .'•I
Construction & Demo
Received at: INLAND PACIFIC RESOU
Proceed at:
\..... .• :-r: Pro,ect: Number/
Total Yards Receive
-.. -
Signature:
' ersion Certirat~ 3 0 9.9 ·1
• \ ~\S>~' C ·Date:-~· •. • .. · ~. '·
ercentage: 100%
This certifies that the company listed o ove hos,uti_llzed o CertlHed I Illy to divert i::onstructtcin demolltton moterlols In accordance
with LEED requirements. The diversion yordogy' Is b~)ed on on overall ordoge percentoge· of the respective green waste focHlty.
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Construction & Demo
Received at: INLAND PACIFIC RESOU
Proceed at:
Total Yards Receive
Signature:
• ·, \
ercentag,: • !. 1QO%
This certifies that the company listed above has utilized a Certified f Illy to divert construction demolition materials In occordonce
with LEED requlreme~ts. The diversion yardage Is based on on overall ordage percentage of the respective green waste laclllty .
. : . ,.
PALOMAR TRANSFER
5960 EL CAMINO REAL CARLSBAD, CA 92008
(760)603-0153
010258 -CAPACITY CONSTRUCTION INC
PO BOX 420040
SAN DIEGO, CA 92142-0040
Contract: COMM-GATE Yr. 200
GROSS
TARE
NET
21,820
18,500
3,320
Tracking Qty: 0.00
Qty
1. 66
Unit Description
TN MSW
Scale In
Tare Out
54 Ticket #: 2718995
Weighmaster: aceveos
In: July 11, 2024
Out: July 11, 2024
Vehicle: A15000
Ref:
BOL:
INBOUND
INVOICE
Rate Extension
$101. 2] $168. 01
Tax
$0.00
Origin: CARLSBAD 100%
. \
9:08 am
9 :08 am
Total
_$168 .01