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HomeMy WebLinkAbout2563 BROOM LANE; ; CBRA2023-0248; Recycle{_city of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN 8-59 Develooment Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov APPLICABLE TO NEW CONS RUCTION, RESIDENTIAL ADDITIONS AND ALTERATIONS OVER $60K VALUATION AND COMMERCIAL ADDITIONS AND ALTERATIONS OVER $200K. You are required to list materials that will be reused, recycled or disposed from your project. If you have questions about the recycling requirement or completing this form, please contact Republic Services at (760) 332-6464, a certified C&D recycler, or the Carlsbad Building Division at (442) 339-2719 Please note: Unless you are self-hauling, Republic Services or approved haulers must be used for all construction projects within the City of Carlsbad. PART 1 Complete and submit this form when applying for a Building Permit. Note: Permits will not be issued Applicant lnform.1tion P It N CBRA2023-0247, 0246, 0245, 0244, 0243, 0242 p j Tl I erm o. _____________ ro ect t e Marja Acres (Coral Springs, Phase M6 Project Address 2590, 2572, 2554, 2536, 2518 Broom Lane APN 207-102-03-00 . Owner Applicant Name KB Home Coastal Inc./ Attn: Elizabeth Shoemaker l ✓I Contractor □ Architect Other □ □ Lost First ApplicantAddress 9915 Mira Mesa Blvd, Suite 100, San Diego, CA 92131 Phone ( 760 ) 550-1957 E-mail Address eshoemaker@kbhome.com Applicant Malling Address 9915 Mira Mesa Blvd, Suite 100, San Diego, CA 92131 (if different than project address) Project Type (check oil that apply): Residential [l] Commercial □ Brief Description Marja Acres -Coral Springs, Phase 4 Public Bulldlns □ Project Slze ___________ Estlmated Cost of Project$ ________________ _ (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. 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 without a completed Construction Waste Management Plan. DEBRIS RECYCLING ESTIMATE: -.,:1-iu, • Permit No. csRA2023-0241, 0246, 024s, 02◄4, 0243, 0242 Project Title Marja Acres (Coral Springs, Phas(}t 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 -~T~,::'.~~~~plete: ~~•.toll~~-'1J lf<~b1,,r•t~'.~~r~a~~r!r'ii'~~~: t~jl~~,f to.~e:,t~~fi~'~ ,by y~tit ·e-~oj~~:: :'1 ·. ~} \ ~,1 •• ~T~ls Is Y,opJir.PJ~n: for.,corsfruction Wastejllanagel'J1e~t •. 9"1~9ge~ pa~•p,e tyl,atte <>'!;!4~·.e.~r,"al,r,~~"'I~ r:~por,t :~; .. i;~'•J ~,;;~ ·: . :k,. • 1 • -•.. ~t ·:. ·--_ • · <'., ~;!!:· ;$, .. Goalr the diversion .rate:JhaO,.be_ 65%.',bt. welillts ·o,f debris.•,,, • ;., "·;· "·;;;1,N',. ji.. :,,. . ,. , \ .. 1;.. A B C Material Type Estimated Place a ( ✓) check Place a(✓) check next Place a(✓) check next Waste Quantity next to items to be to items to be to items to be (tons) reused or salvaged recycled disposed at landfill Complete this line of the table only If only using WASTE MANAGEMENT roll-off bins. Mixed C&D Debris Parking lot Asphalt & Concrete Brick/ Masonry/ Tile Mixed Inert Debris Cabinets, Doors, Fixtures, Windows (circle all that apply) Carnet Carpet Padding/ Foam Cardboard Ceiling Tile (acoustic) Drywall (used, new, scrap) landscape Debris (brush, trees, stumps, etc.) No dirt. Unpainted Wood & Pallets Concrete Roofing Materials Scrap Metal Stucco Other: Trash TOTAL --~--~,, To meet 65% Diversion Requirement (estimate) X 0.65 = tons Total Estimated Waste from above Minimum Required Diversion Contractor/Owner Signature Date Page 2 of 4 Rev. 7/1120 PART 2 Complete before final inspection, obtain City Approved hauler receipts and return prior to final building approval. DEBRIS RECYCLING REPORT (ACTUAL): Acknowledgement I certify under penalty of perjury under the laws of the State of California that the information provided in and with this form pertains to construction and demolition debris generated only from the project listed in PART 1, that I have reviewed the accuracy of the information, and that the information is true and correct to the best of my knowledge and belfef. Permit No. CBRA2023-0247, 0246, 0245, 0244, 0243, 0242 Print Name KB Home Coastal Inc. ---------------------1 Address 2509, 2527, 2545, 2563, 2581, 2599 Broom Lane Date Use .this Final Log beio.w to track load$ of materials as they leave the Job site. , ', • l . ,, , .r... '"', ~ •• ,. ' '.@@SAVE RECEIPTS@©) . ••• '. • lrydlcate FINAL quantities in tons.for eacp material and sa~e receipts and documents from faclUties where material is taken. Additional Project "Log'pages are avahable if'necessary. Use City Conversions Table to con~eh volume to tons. A B C Date Material Type Actual Amt Actual Amt Actual Amt Destination Faclllty Reused or Recycled Disposed In (Name, Address, Phone) Salvaged Landfill Exam9.le: Palomar Trans/ er Station, 5960 El 01/01/2020 Concrete (broken) 5 tons 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 _______ _, __________ = ____ % Total of columns A +-B Total of columns A +-B +-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 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. -------------------i Address 2509, 2527, 2545, 2563, 2581, 2599 Broom Lane Date . , '' , i%, ·• Use thJs FJnal Lbg,J>t!l~w to. t,a~kJoadf of .ma efials s they leave .the job site:·:.·' : ' ~ .. ~ •.. ,\--. I"·-.. ' •• @<D>SAVE~'RECEIPTS@'<a) • " ., !;,:· ~ • Indicate FINAL qoantities In to~s for each.material an~ save·.receipts and docii'ments from facilitie~ where material is taken. ': _;-: ' •.. Addjtion'al P.roJec't Log age$· a~e ·a~aila~ie ,if netessary,-JiJse C(ty CotiveJ,pn·tabl_e ~o conv~r.t,voJu';ne-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 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 Diversion Rate Achieved _2_5_.5_0 _____ ~/ __ 3_1_.5_6 ______ = ___ 8_1_% Total of columns A + B Total of columns A + B + 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. 041'22 Coral Springs (Modern) Phase M6 (Bldg. MS-units 142-147 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: Project: Total Yards Recelvelf Signature: • ersioo· Certificate 3 0 9 9 3 ~- Date: 5: / /, d l/ ercentage: 100% T'11s certifies that tt,e company listed above has utilized a Certified I Illy lo divert construdlon demolition moterlols In accordance wtlh LEED requiremenls. lhe dlverilon yardage Is based on on overol ordoge percentoi;ie or the respective green waste faclllty. ii "1 :I" '.,&:·,. '-,·+e·;,, '·,.,; hottb! I ct( :#Ht' t'" \ '+t d rtht b SC td! ' 1 )it qf' ?t et Er d .U)◄l 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 23,440 Scale In TARE 18,280 Tare Out NET 5,160 Tracking Qty: 0 .00 Qty 2.58 Unit Description TN MSW Origin: CARLSBAD 100% .-- . ~rol__ ~?( \Y Ct}) 54 Ticket #: 2765526 Weighrnaster: marticy In: October 28, 2024 Out: October 28, 2024 Vehicle: A106316 Ref: B01: INBOUND INVOICE Rate Extension $101. 2] $261.12 Tax $0 .00 10:19 am 10:19 am Total $261.12 The City of THE CITY OF SAN DIEGO ENVIRONMENTAL SERVICES DEPARTMENT REFUSE DISPOSAL DIVISION SAN• DIEGO]) 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636 MIRAMAR LANDFILL 5180 CONVOY STREET SAN DIEGO, CA 92111 • (858) 694-7000 Transaction #: 13921566 Account#: 8133613/CAPACITY CONSTR Date: 1·019/2024 14:01 :09 LBS TONS Decal #: 65332, 0, 0 Scale Operator: CSL Fleet#: Tag#: 41658N3 lncomin /FB ____ o_3..._~ Transaction Type: 01/BUS.--NON RESIDENTIAL ~--~~-'• Payment Type: 01/CHARGE o Hauler Type: 01/BUS.--NON RESIDENTIAL / ~~ Vehicle Type: 070/MEDIUM HEAVY J:... .. , Material Type: 001/REFUSE 32.34% of Sure Bond remains Origin: 001/SAN DIEGO CITY 'cj ii\ .: , ·• ~ Special Fees: ~ ~ • • V' • •✓., The Miramar Landfill will be closed on Thursday, 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 11/28/2024 (Thanksgiving Day). ~ ;/ ~ ~?f i ru-3 ~.. c Jm n CONSTRUCT I 011 ., ..... ~ ,,,;,,. ' ,,. ,,.,.,., .. ;_.._,,IJ • ' .. , ....... '. "'1 ~Mi 8133b13-. ~ ... · ·• f ·./ ES-072 (REV. 7-09) PW/PS-333 .J..,,, ---------------- This Information Is oval/able In alternative formats upo"r.re9.11,._est .... ,,:,,,4 >1•. 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 23,480 Scale In TARE 18,500 Tare Out NET 4,980 Tracking Qty: 0.00 Qty 2.49 Unit Description TN MSW 54 Ticket #: 2745453 Weighrnaster: marticy In: September 11, 2024 Out: $epternber 11, 2024 Vehicle: AlS000 Ref: BOL: INBOUND INVOICE Rate Extension $101.2] $252.01 Tax $0.00 Origin: CARLSBAD 100% 9:28 am 9: 28 am Total $252.01 The City of THE CITY OF SAN 01EGO ENVIRONMENTAL SERVICES DEPARTMENT REFUSE DISPOSAL DIVISION MIRAMAR LANDFILL 5180 CONVOY STREET SAN DIEGO, CA 92111 SAN DIEGO~ 9601 RIDGEHAVEN CT., SUITE 310. SAN DIEGO, CA 92123-1636 (858) 694-7000 Transaction #: 13900925 Account#: 8133613/CAPACITY CONSTR Date: 9/20/2024 14:13:34 Decal #: 65939, 0, 0 Scale Operator: EWE Fleet#: Tag#: 87741C3 Incoming /F~B-0"'"3.--.. .. Transaction Type: 01/BUS.--NON RESIDENTIAL . "1,)'i}P.'J:../!]:(t•.f,-. Payment Type: 01/CHARGE /.;,:?:_·i'r ~ ~ C- Hauler Type: 01/BUS.--NON RESIOENTIAL A:,13".t m ;1;3'i;,";\ Vehicle Type: 070/MEDIUM HEAVY l.:f ~~~~:")--~ \'f,:,\ Material Type: 001/REFYSE 67.98% of Surety Bond remains Origin : 001/SAN pl EGO CITY • 'iJ\ ~ _hzJ~--~~i:::,, Special Fees: \:-,·~ l'ffi'I , i!J~'t,~1. ~1• ,•'Q 1J. ~ ~. I ,..-::, ~\ k~ . ,. , .► , ~ ~ Th M. L d ·11 ,J· .~ ;;;;ff~► e 1ramar an f1 will be closed on Thursday, . ..filtu~ti:.-\\·t-,.;:":' 11/28/2024 (Thanksgiving Day). --•--~• 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 (REY. 7-09) PW/PS-333 711/s information is available in alternative formats upon request. SIGNATURE ·-·----------- ARCOS.A CIWSHED CONCRETE DATE : DISPqSAL TICKET 8354 Nelson Way 760-205-1797 ~~ Ei,condido CA 92026 TICKET NO: ~ DISPOSAL RECEIPT CUSTOMER: TRUCK NO. COMMODITY: 12169630-CAPACITY CONSTRUCTION INC 92269Y2 DATE: 10/10/2024 TIME: 10:26:381\M • I PO: 10 WHEEL LOAD MIXED CARLSBAD Per Load Energy Surcharge fee CUST JOB: COMMENTS: CAPACITY CONST . #105 MARTIN CORDOVA ~ WEIGRMASTER RJi t;,·, GROSS: 0.00 Load 150.00 TARE: 14. 63 * Other 5.00 X NET: 0.00 Total 155 .00 .. P. T. DRIVERS SIGNATURE .Construction & Demo Received at: INLAND PACIFIC RESOU Proceed at: Project: Total Yards Receive Slgna~ure: ercentage: 100% This certlffes that the company listed above hos utlllzed a Certtned f lily to divert conslructlon demontton materials In accordance with LEED requirements. The dlvenlon yardage Is based on on overon ordoge percentage of the mspecttve green waste foc"lty. f ' 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: A106249 Ref:- BOL: INBOUND INVOICE Rate Extension $101.2] $285.41 Tax $0.00 Origin: CARLSBAD 1 00% 10:24 am 10:24 am Total $285.41 Construction & Demo!\( ersion C. er~cat~ 3i 'l 1 7 4 Received at: INLAND PACIFIC RES ~~~ Date: ~ f5j 1-8 \ •. 1?i) et #: __,j.__ _____ _ Project: 100% Sig.nature: This certifies tho! the company listed above hos ullllzed a Certified f , lity lo divert construction demolition materlals In accordance with LEED requirements. The diversion yardage Is bmed on on overall yardage percentage of !he respective green waste facility. PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760) 603-0153 010258 -CAPACITY CONSTRUCTION INC PO BOX 42 0040 SAN DIEGO, CA 92142-0040 Cont ract : COMM-GATE GROSS TARE NET Tracking Qty: Yr. 200 22 ,220 18,500 3,720 0.00 Scale In Tare Out 54 Ticket #: 2738641 Weighmaster: ma rti cy In: August 26, 2024 Out : August 26, 2024 Vehicle: A15000 Ref: BOL: INBOUND I NVOI CE 8 :55 am 8:55 am Qty Unit Description 1 . 86 TN MSW Rate Extension $101. 2) $1 88. 25 Tax $0.00 Total $188.25 Origin: CARLS BAD The City of SAN • DIEGO]) Transaction #: 13876010 100% i:HE CITY .OF SAN DIEGO ENVIRONMENTAL SERVICES DEPARTMENT REFUSE DISPOSAL DIVISION 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636 (858) 694-7000 Account#: 8133613/CAPACITY CONSTR Date: 8/28/2024 14:28:43 MIRAMAR LANDFILL 5180 CONVOY STREET SAN DIEGO, CA 92111 LBS TONS Decal#: 63675, 0, 0 Scale Operator: CSA Fleet#: Tag #: CG83R94 lncomin /F..:.B-...,..05;,..-.,.___ Gross Weight 23880.00 11.94 Transaction Type: 01/BUS.--NON RESIDENTIAL Payment Type: 01/CHARGE ~:~::,~ r;;;~: ~;~~~:~~~i~::~DENTIAL 1;_i:-?~ ~ Material Type: 001/REFUSE 12.28% of Surety Bond remains Origin: 001/SAN DIEGO CITY ,--~~1 ••. Special Fees: I/, • . . The Miramar Landfill will be closed on Monday, 09/02/2024 (Labor Day). ·"'\·.~--~· /\"' -0 ~-✓ ,--. ~()'(°'-". ~-ff! ru~ ES-072 (REV. 7-09) PW/PS-333 ~ 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 & Demo1 • • Received at: INLAND PACIFIC RESOU Proceed at: Project: Total Yards Receive • ersion Certijlte ,310281 C Date: J .LL{ luf ~1 ~rcentage: 100% Signature: _____ ~"":--~--" This certifies thal lhe compony listed above hos utlllzed a Cerllfled f llty to dlv~rt construction ae~~iitb~ mater1ols In occordonce with LEED requirements. The diversion yardage Is based on on ov~ h ardoge percentage of the respe~tlve green waste foclllty . .. '~ _.,;;,, ◄.,..' __________________________________ ___,/ The City of THE CITY OF SAr, DIEGO ENVIRONMENTAL SERVICES DEPARTMENT REFUSE DISPOSAL DIVISION MIRAMAR LANDFILL 5180 CONVOY STREET SAN DIEGO, CA 921 11 SAN • DIEGO]J 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636 (858) 694-7000 Transaction #: 13847524 Account#: 8133613/CAPACITY CONSTR The Miramar Landfill will be closed on Monday, 09/02/2024 (Labor Day). ES-072 (REV. 7-09) PW/PS-333 This fnformotion is available 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 l R.CBus Tax Recycle :, ' r,~)1 ~ SIGNATURE TONS 10.75 8.78 1.97 $ 146.00 $0 $ 16.00 $ 26.00 $ 188.00 Construction & Demo Received at: INLAND PACIFIC RESOU Proceed at: 12650 Slaughterhquse Customer: __ c_· ---4------:lfMl-t!! Total Yards Receive Signature: \ ercentag,: : 1 QOo/o This certifies thal the company listed obove hos uflllzed a Certlfled r Illy to divert construction demolition molerlals In accordance with LEED requirements. The diversion yardage Is based on on overall ordage percentage or 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 21,820 TARE 18,500 NET 3,320 Tracking Qty: 0.00 Qty 1. 66 Unit Description TN MSW Origin: CARLSBAD Scale In Tare Out 100% 54 Ticket #: 2718995 Weighmaster: aceveos In: July 11, 2024 Out: July 11, 2024 Vehicle: AlS000 Ref: BOL: INBOUND INVOICE Rate Extension $101. 2) $168 . 01 Tax $0.00 9:08 am 9:08 am Total $168.01 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 Vehicle Type: Mal.erial Type: Origin: Special Fees: The Miramar Landfill will be closed on Thursday, 07/04/2024 (Independence Day). ES-072 (fiEV. 7-09) PW/PS-333 This lnformutlon Is O)!Ollablt In alter:natfve formats uoon reauat (858) 694-7000 . 1 LBS TONS 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 RCBus Tax $ 20.00 Recycle $ 33.00 Total $ 201.00 CAPACITY COKSTRUCTIOH 8133613--~: 1 t- •' '.4, ~!_GNATURE •r:-l -----------------------'-------------,----------------- Construction & Demo Received at: INLAND PACIFIC RESOU Proceed at: '-·ProJect: Number/ Total Yards Receive -•. - Signature: ercentage: 100% This certifies Iha! the company listed a ove has. utilized a Certified I Illy to divert i::onstructlon demolition materials In accordance with LEED requirements. The diversion yardagr, Is bci~ed on an overall ardage percentage· of the respective green waste facility. f '. : ltc tbrtC't¼' 'd h trt '\;P'th et ➔·b10Nb1 ·,•,itiff; l bt··''a 'f ddt Ct 'bf 'rt Mt !lo . tt ft t j t!M 11 thrt :9-t+ ,-tit