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Home My WebLink About2545 BROOM LANE; ; CBRA2023-0247; RecycleCity of Carlsbad {city of Carlsbad CONSTRUCTION WASTE Development Services DEC 11 2024 Building Division MANAGEMENT PLAN BUILD 1635 Faraday Avenue 8-59 ING DIVISION 760-602-2719 www.carlsbadca.gov APPLICABLE TO NEW CONS RUCTION, RESIDENTIAL ADDITIONS AND ALTERATI ONS OVER $6OK VALUATION AND COMMERCIAL ADDITION S AND ALTERATIONS OVER $200K . You are required to list materials that will be reused, recycled or disposed from your project. If you have questions about the recycling requirement or completing this form, please contact Republic Services at (760) 332-6464, a certified C&D recycler, or the Carlsbad Building Division at (442) 339-2719 Please note: Unless you are self-hauling, Republic Services or approved haulers must be used for all construction projects within the City of Carlsbad. PART 1 Complete and submit this form when applying for a Building Permit. Note: Permits will not be issued Applicant lnform,Hion Permit No. CBRA2023--0247, 0246, 0245, 0244, 0243, 0242 Project Title Marja Acres (Coral Springs, Phase M6 Project Address 2590, 2572, 2 :1,.2536, 2518 Broom Lane APN 207-102-03-00 , Owner Applicant Name KB Home Coasta Inc. Attn: Elizabeth Shoemaker I✓ I Last First Contractor □ Architect □ Other □ AppllcantAddress 9915 Mira Mesa Blvd, Suite 100, San Diego, CA 92131 Phone (760 l 550-1957 E-mail Address eshoemaker@kbhome.com AppllcantMallingAddress 9915 Mira Mesa Blvd, Suite 100, San Diego, CA 92131 (if different than project address) Project Type {check all that apply): Residential 0 Commertiill □ Brief Description Marja Acres -Coral Springs, Phase 4 Public Building □ Project Size. ___________ Estlmated Cost of Project$ _______________ _ (square footage) Please check the appropriate box: □ I plan on using REPUBLIC SERVICES roll-off bln(s) for all materials and will provide all receipts after construction. I ✓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 w ithout a complet ed Construct ion Waste Managem ent Plan. DEBRIS RECYCLING ESTIMATE: I . Permit No. csRA202J-0247, 0246, 02◄s. 0244, 0243, 0242 Project Tltle Marja Acres {Coral Springs, PhasEmj Project Address 2509, 2527, 2545, 2563, 2581, 2599 Broom Lane APN 207-102-03-00 Applicant Name KB Home Coastal, Inc./ Attn: Elizabeth Shoemaker Phone 760-550-1957 Last First I : il;; , Co'mple~e the follow,ln'g ~bl~_~lth, estimate~ ~a5'e t~nna&! ~o be g~ne~ted by yo~r p~oject. ;, • ,3 : dt~ · This 'is your: plan for constru~i9n .wa~te mana,g~rnent. ~hange,s c'an be ryiade on th~, final recycle r~por;t. " . " •. . -~ ,, ~ .• ,1%:,Goal: .the diversion .rate,'shall' be 65'6'-bV. welgflts of debr.ls. • ,, • . • A B C Material Type Estimated Place a ( ✓) check Place a(✓) check next Place a ( ✓) check next Waste Quantity next t o items to be to items to be to items to be (tons) reused or salvaged recycled disposed at landfill Complete this line of the table only If only using WASTE MANAGEMENT roll-off bins. Mixed C&D Debris . Parking lot Asphalt & Concrete Brick / Masonry / Tile Mixed Inert Debris Cabinets, Doors, Fixtures, Windows (circle all that apply) Caroet 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 I To meet 65% Diversion Requirement (estimate) X 0.65 = tons Toto/ Estimated Waste from above M inimum Required Diversion Contractor/Owner Signature Date Page 2 of4 Rev. 7/1120 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. ------------------t Address 2509, 2527, 2545, 2563, 2581, 2599 Broom Lane Date -• •• Use this Final log below to tratk1 loads· of materials •as th~y le~ve the job site. m • ' • ' . @@SAVE RECEIPTS@@ ' • ' ' ' . Indicate FINAL quantities in tons tor each material and _save receipts ~n.~ docl{ments. from facilities where material is taken. Additional Project Log pages ar.e available if necessary. Use City Conversion .Table to cbnvert volume to tons. A B C Date Material Type Actual Amt Actual Amt Actual Amt Destination Facility Reused or Recycled Disposed In (Name, Address, Phone) Salvaged Landfill Examp_le: Palomar Transfer Station, 5960 El 0l/01/2020 Concrete (broken) 5 tans Camino Real -760 603-0153 05/11/2024 Clean Wood 3.00 3.00 0.00 Inland Pacific Resource Recovery 06/18/2024 Trash 0.64 0.00 0.64 Miramar Landfill 06/20/2024 Clean Wood 3.00 3.00 0.00 Inland Pacific Resource Recovery 06/26/2024 Clean Wood 2.00 2.00 0.00 Inland Pacific Resource Recovery 07/11/2024 Trash 0.42 0.00 0.42 Palomar Transfer 07/22/2024 Clean Wood 3.00 3.00 0.00 Inland Pacific Resource Recovery 08/02/2024 Trash 0.50 0.00 0.50 Miramar Landfill 08/15/2024 Clean Wood 3.00 3.00 0.00 Inland Pacific Resource Recovery 08/26/2024 Trash 0.47 0.00 0.47 Palomar Transfer Diversion Rate Achieved -------~----------= ____ % Toto/ of columns A + B 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. 04122 PART Z 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. -------------------f Address 2509, 2527, 2545, 2563, 2581, 2599 Broom Lane Date Use this Final Log below to track loads of mate,:lals as they leave the job site. . ' ' <D><D>SAVE RECEIPTS<D><D> Indicate FINAL quantities in tons for each material and save receipts and documents from facilities where material is taken. Additional Project Log pages ate ·available if necessary. ,Use City Cohversion Table to cohvert vo.lume to tons. A B C Date Material Type Actual Amt Actual Amt Actual Amt Reused or Recycled Disposed In Salvaged Landfill Exomele: 01/01/2020 Concrete (broken) 5 tons 08/28/2024 Trash 0.78 0.00 0.78 09/06/2024 Trash 0.71 0.00 0.71 09/06/2024 Clean Wood 1.50 1.50 0.00 09/11/2024 Trash 0.63 0.00 0.63 09/20/2024 Trash 0.41 0.00 0.41 10/09/2024 Trash 0.64 0.00 0.64 10/10/2024 Clean Plaster/Stucco 10.00 10.00 0.00 10/28/2024 Trash 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+ B Total of columns A+ B + C Contractor/Owner Signature. ______________ Date Destination Facility (Name, Address, Phone) Palomar Transfer Station, 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 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. 041'22 Coral Springs (Modern) Phase M6 (Bldg. MS-units 142-147 MG ·,, MS 147l 57 2509 Broom Lane 3C MG J , MS if!c. 146L 58 ,, 2527 .:c Broom Lane 1C -.. .. MG MS 145L 59 -2545 Broom Lane 2A MG MS 144l 60 ,. 2563 ~ Broom Lane 28 .;.'., MG MS 143L 61 2581 Broom Lane 1A .) _, M6 MS 142L 62 2599 Broom lane 38 Permit# Lot#147 CBRA2023-0247 Lot #146 CBRA2023-0246 Lot #145 CBRA2023-0245 Lot #144 CBRA2023-0244 Lot #143 CBRA2023-0243 Lot #142 CBRA2023-0242 Construction & Demo • • Received at: INLAND PACIFIC RESOU Proceed at: Total Yards Recelvell Signature: • ersion Certificate 3 0 9 Date: > J/.;:2l/ ercentage: 100% This certifies that the company listed above has utUlzed a Certlned f Illy to divert construc'Hon demolition materials In accordance with LEED requirements. The dlvenlon yardage Is based on an overan"\,ardage percento_ge of the respective green waste facNlty. The Cityo/ THE C:ITY OF SAN DIEGO ENVIRONMENTAL SERVICES DEPARTMENT REFUSE DISPOSAL DIVISION SAN• DIEGO]) 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636 • (858) 694-7000 MIRAMAR LANDFILL 5180 CONVOY STREET SAN DIEGO, CA 92111 Transaction #: 13921566 Account#: 8133613/CAPACITY CONSTR Date: 1·019/2024 14:01 :09 Decal #: 65332, 0, 0 Scale Operator: CSL Fleet#: Tag#: 41658N3 Incoming IF __ s,.,.o_3 __ Transaction Type: 01/BUS.--NON RESIDENTIAL g ··o'\l,G-O' B~14.~ l• Payment Type: 01/CHARGE tJ;' ~ O Hauler Type: 01/BUS.--NON RESIDENTIAL J"f:r. '-J fl~ Ii.,~, ~..:.i Vehicle Type: 070/MEDIUM HEAVY /': ~~._,., t:,_ Material Type: 001/REFUSE Origin: 001/SAN DIEGO CITY Special Fees: The Miramar Landfill will be closed on Thursday, 11/28/2024 {Thanksgiving Day). ~ )l ~ ~fi(r~•• C}ACI Tl CON$TRUC TI OH .• ..... , . .; i ·f" . . " .. . ' ;~8133b13-.• • ..... ·f ES-072 (REV. 7-09) PW/PS-333 This Information Is aval/able In alternative formats upo'\ feqJ#St .. ,(;!.~,., .. 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 SIGNATURE ------------------------------------ ARCOSA CRUSHED CONCRETE DATE : DISPQSAL TICKET 8354 Nelson Way 160-205-1797 ~ Escondido CA 92026 TICKET NO:~ DISPOSAL RECEIPT CUSTOMER: TRUCK NO. COMMODllY: 12169630-CAPACITY CONSTRUCTION INC 92269Y2 DATE : 10/10/2024 TIME: 10:26:38AM PO: 10 WHEEL LOAD MIXED CARLSBAD Per Load Energy Surcharge Fee CUST JOB: COMMENTS : CAPACITY CONST . #105 MARTIN CORDOVA ~ WEIGIIMASTER R--'· t,,, GROSS: 0.00 Load 150.00 TARE: 14 .63 * Other 5.00 X NET: 0.00 Total 155.00 * P. T. DRIVERS 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 Origin: CARLSBAD 100% 54 Ticket #: 2743456 Weighrnaster: marticy In: September 06, 2024 Out: September 06, 2024 Vehicle: Al06249 Ref:- BOL: INBOUND INVOICE Rate Extension $101.2] $285.41 Tax $0.00 -------··· --·-·-· 10:24 am 10:24 am Total $285.41 _Construction & Demo Received at: INLAND PACIFIC RESOU Proceed at: Project: Total Yards Receive Signature: ercentage: 100% This certifies 1hat 1he company 11s1ed above has utlllzed a Certtffed I Illy to divert constrvctlon demoflllon mote~als In accordance w11h LEED requtements. The diversion yardage ls based on an overall ardage percentage of 1he respective green waste 1aclllly. 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 23,440 Scale In 18,280 Tare Out 5,160 Tracking Qty: 0.00 Qty 2.58 Origin: Unit Description TN MSW CARLSBAD 100% 54 Ticket #: 2765526 Weighmaster: marticy In: October 28, 2024 Out: October 28, 2024 Vehicle: Al06316 Ref: BOL: INBOUND INVOICE Rate Extension $101. 2] $261.12 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 Yr. 200 GROSS 23,480 Scale In TARE 18,500 Tare Out NET 4,980 Trac king Qty: 0.00 Qty 2.49 Unit Description TN MSW Origin: CARLSBAD 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 Cityo/ THE CITY OF SAN EJIEGO ENVIRONMENTAL SERVICES DEPARTMENT REFUSE DISPOSAL DIVISION SAN DIEGO~ 9601 RIDGEHAVEN CT .. SUITE 310 • SAN DIEGO, CA 92123-1636 (858) 694-7000 MIRAMAR LANDFILL 5180 CONVOY STREET SAN DIEGO, CA 9211 i Transaction #: 13900925 Account#: 8133613/CAPACITY CONSTR Decal #: 65939, 0, 0 Scale Operator: EWE Fleet#: Tag#: 87741C3 Incoming /FB 03 . Transaction Type: 01/BUS.--NON RESIDENTIAL "\)...,yp_<J.:.J}J~,-,,, Payment Type: 01/CHARGE $ ,;_:·..;,.+"Ir "' .. -..... ~•~)\. Hauler Type: 01/BUS.--NON RESIDENTIAL ~~,~.. 'fl.""'~\~~ Vehicle Type: 070/MEDIUM HEAVY f'.:::f ,-r,~""'.~:-?-~ ,1::..\ Material Type: 001/REFYSE 67.98% of Sureiy Bond remains ~~~:7~, Fees 001/SAN p1EGO CITY ~~~~ £!: -~~4~~5 The Miramar Landfill will be closed on Thursday, . ;~;.T-cr__s __ <_-.-i\·t,,,.~"· 11/28/2024 (Thanksgiving Day). ~~ Date: 9/20/2024 14:13:34 LBS TONS Gross Weight 20980.00 10.49 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 $155.00 ES-072 (REV. 7•09) PW/PS-333 This Information is available In alternative formats upon request. SIGNATURE ' Construction & DemoU.~~'i~\ersion Certi,;$\at' 3 i'1174 Received at: INLAND PACIFIC RES Date: f5 L?'-1 \ Al Total Y~rds Received,·_· ·_,_,_-:4'¥"---''--""'---4-,', 100% . ~. Signature: •~ This certifies that the company listed above hos utilized a Certified~ iilnty to divert construction demolition moterlols In accordance 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 Scale In Tare Out 5 4 Ticket #: 2738641 Weighmaster: marticy In: August 26, 2024 Out: August 26, 2024 Vehicle: A15000 Ref : 801: INBOUND INVOICE 8:55 am 8:55 am Qty Unit Description 1 .86 TN MSW Rate Extension $101.2] $188 .25 Tax $0.00 Total $188.25 Origin: CARLSBAD The City of SAN • DIEGO]) Transaction #: 13876010 100% "T;HE c rry_oF SAN DIEGO ENVIRONMENTAL SERVICES DEPARTMENT REFUSE DISPOSAL DIVISION 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636 (858) 694-7000 Account#: 813361 3/CAPACITY CONSTR Date: 8/28/2024 14:28:43 MIRAMAR LANDFILL 5180 CONVOY STREET SAN DIEGO, CA 92111 LBS TONS Decal#: 63675, 0, O Scale Operator: CBA Fleet#: Tag#: CG83R94 lncomin /F..:B ... 0;.;;5----Gross Weight 23880.00 11 .94 Transaction Type: 01/BUS.--NON RESIDENTIAL Payment Type: 01/CHARGE . . Hauler Type: 01/BUS.·-NON RESIDENTIAL ai · .. Vehicle Type: 070/MEDIUM HEAVY . ~-•-:;,:-, .. . Material Type: 001/REFUSE 12.28% of Suret:y: Bond remains Origin: 001/SAN DIEGO CITY 'tJ__ ~~-• l}, • -- Special Fees: ~ _ , Elt1 ,.,,,.. .. ·"' The Miramar Landfill will be closed on Monday, 09/02/2024 (Labor Day). (\ -~ -..r: ("' ~ 'f o .. t ~ pr I r :J _) ES-072 (REV. 7-09) PW/PS-333 1/1 Tare Weight 17660.00 8.83 Net Weight 6220.00 3.11 Tip Fee $ 230.00 Spec Fee $0 RCBus Tax $ 25.00 Recycle $ 40.00 Total $ 295.00 \ Construction & Demo Received at: INLAND PACIFIC RESOU Proceed at: Total Yards Receive , ' '' • ersion Certifi/j_te ,3 i O 2 81 C Date: 'J l2-( 4/f . I 100% ,, Signature: This certtnes that the company listed obov~ hos uttUz~d o Certlned f Illy to div~ construction ae,;;Hi~ moler1ots In accordance with LEED requirements. The diversion yardage Is based on on ov ft ordoge percentage of the t'espe¢tlve green waste focmty. j. ~·~ ------------------------·-' _·, _:_, ... • _______ __,/ The Cityo/ SAN • DIEGOJ) THE CITY OF SAl':J DIEGO ENVIRONMENTAL SERVICES DEPARTMENT REFUSE DISPOSAL DIVISION 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636 • (858) 694-7000 MIRAMAR LANDFILL 5180 CONVOY STREET SAN DIEGO, CA 92111 Transaction #: 13847524 Account#: 8133613/CAPACITY CONSTR Date: 8/2/2024 14:06:05 Decal #: 65332, 0, 0 Scale Operator: AMI Fleet#: Tag#: 41658N3 Incoming /FB 03 , Transaction Type: 01/BUS.--NON RESIDENTIAL ~~'- Payment Type: 01/CHARGE /4~,. ~ ~O~ Hau~er Type: 01/BUS.--NON RESIDENTIAL l~ ~J m ~ ~; Vehicle Type: 070/MEDIUM HEAVY I: ~~~ ~~ Material Type: Origin: Special Fees: 001/REFUSE 001/SAN DIEGO CITY 55.60% of Surety Bond remains \,. ., -~l ~ .. LBS Gross Weight 21500.00 • Tare Weight 17560.00 Net Weight 3940.00 Tip Fee Spec Fee i R.CBus Tax Recycle The Miramar Landfill will be closed on Monday, 09/02/2024 (Labor Day). ••. · ;/.l Yi t--~.. OIISTRUC TI 01 :.-J'.'\~l -~11ttt, . '"'I $...,J,., ., ;~,, .. , .,&r. • . • t ~1~8133bl3.: .;.,., . .:l'f(t . ~~-· --~t-· --- ES-072 (REV. 7 -09) PW/PS-333 This Information Is available in alternative formats upon request SIGNATURE . I TONS 10.75 8.78 1.97 $ 146.00 $0 $ 16.00 $ 26.00 $ 188.00 The City of Tf-lE CITY OF SAN DIEGO ENVIRONMENTAL SERVICES DEPARTMENT REFUSE DISPOSAL DIVISION SAN • DIEGO]J 9601 RIDGEHAVEN CT., surn: 310 • SAN DIEGO, CA 92123-1636 MIRAMAR LANDFILL 5180 CONVOY· STREET SAN DIEGO, CA 92111 (858) 694-7000 . , Transaction #: 13793337 Account#: 8133613/CAPACITY CONSTR Date: 6/18/2024 14:06:15 Decal#: 65332, o, O Scale Operator: RMA Fleet#: Tag#: 41658N3 Incoming IF8,~tq~,.,, .. ,,. Transaction Type: 01/BUS.--NON RESIDENTIAL .,•:•1~}~i:\~•.:~lt;'.:}.~~- Paymenl Type: 01/CHARGE ,.ffi?:.. :'f~~t.. •:\,cf}, Hauler Type: 01/BUS.--NON RESIDENTIAL /1\,/ ::~ij)> ~'fh.\:1 .:;<,;':f./\,:,:f, Vehicle Type: 070/MEDIUM HEAVY t,~::/ l·)( .. ,J ~i/:·;:J~/i/•·:•,~: ,Ys:<t_. Material Type: 001/REFUSE Origin: 001/SAN DIEGO CITY Special Fees: The Miramar Landfill will be closed on Thursday, 07/04/2024 (Independence Day). LBS Gross Weight 22660.00 Tare.Weight -17560.00 Net Weight 5100.00 Tip Fee Spec Fee RCBus Tax Recycle Total CAPACITY COKSTRUCTlOH 8133613-.; ' ~- ES-072 (REIi. 7--09) PW/PS-333 ·' M~~• This Information Is aya!lable In alter.native formats uoon reouest ?LGNATURE TONS 11 .33 8.78 2.55 $ 148.00 $0 $ 20.00 $ 33.00 $ 201.00 ---------·-·------------------------------------------ Construction & Demo Received at: INLAND PACIFIC RESOU Proceed at: Total Yards Receive -.. -- Signature: ercentage: 100% This cerllfles that the company listed a ove has,uttllzed a Cerllfled I Illy to divert construction demolition materlals In accordance with LEED requirements. The dlver51on yardagr·1stio.sed on an overall ardage percentage of the respecflve green waste facfflty. r . tr ±'tS'i ' Id 1 ·:u· ·o#'t ·») .·.·&:··•hi ·2,rws-..1 ·1 Ht ct "bf ... \11 !& • h I I 1 r)f Id t At:rfttts#f Construction & Demo Received at: INLAND PACIFIC RESOU Proceed at: 12650 Slaughterhquse Customer: _(_,,,,.._· _ .. '"\._,_.· ,.___ Total Yards Receive Signature: \ ercentag,: ! 1 QO¾ This certifies that the company listed above has uttllzed a Certified f Illy to divert construction demolition materials In accordance with LEED requirements. The diversion yardage Is based on an overall ardage 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 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: Al5000 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