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HomeMy WebLinkAbout2218 AZURITE PL; ; CBR2023-2827; Recycle(Cityof Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov APPLICABLE TO NEW CONS RUCTION, RESIDENTIAL ADDITIONS AND ALTERATIONS OVER $6OK VALUATI ON 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 n~ be issued Applicant Information Permit No. CBR2023-2827-2218 Project Title _A_d_d_it_io_n ___________ _ Project Address2218 Azurite Pl Carlsbad CA 92009 APN 2132402400 Applicant Name Eco Home Builders Inc. Last First □ Contractor ~ Applicant Address 7343 Ronson Rd, Ste.G San Diego CA 92111 Phone (619 1 919-1121 E-mail Address info@ecohomebuildersinc.com Applicant MallingAddress 7343 Ronson Rd, Ste.G San Diego CA 92111 (if different than praject address) Project Type (check all that apply): Resldential ~ Commercial □ Brief Description ±191 SF ADDITION, interior remodel, new deck Project Size 600 Estimated Cost of Project $_5_5_,0_0_0 ___________ _ (square faotage) Please check the appropriate box: It! I I plan on using REPUBLIC SERVICES roll-off bin(s) for all materials and will provide all receipts after construction. D 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 Eco Home Builders Inc. Slgnature. __ ---",,.~-==---:Z:"'-----____ Date ~ \ \ ~ \'\..c'L-~ 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: • • Permit No . CBR2023-2827-2218 Project Title Addition Project Address2218 Azurite Pl Carlsbad CA 92009 APN 2132402400 Applicant Name Eco Home Builders inc. Phone 619-919-1121 Last First • ; Complete the following table with estimated waste tonnage to be generated by your project . This is your plan for construction waste management. Changes can be made on the final recycle report. Goal: the diversion rate shall be 65% by weights of debris. 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 toble only if only using WASTE MANAGEMENT roll-off bins. Mixed C&O Debris Parking lot Asphalt & Concrete O.'t, ✓ Brick/ Masonry/ Tile 0.2, \/ Mixed Inert Debris Cabinets, Doors, Fixtures, Q .\ ✓ Windows (circle all that apply) Carpet Carpet Padding/ Foam Cardboard Ceiling Tile (acoustic) Drywall (used, new, scrap) 0 ,\ V Landscape Debris (brush, trees, stumps, etc.) No dirt. Unpainted Wood & Pallets Concrete Roofing Materials scrap Metal Stucco (\ .\ ✓ ~ Other: a.\ ✓ TOTAL 0,9 .J • To meet 65% Diversion Requirement (estimate) ~-~ X 0.65 = o.53S tons a t,d Wo>teJrom obo~ Minimum Required Diversion Contractor /Owner Signature \o~\b\~'? Date Page 2 of 4 Rev. 711120 PAl--:T 2 Comp!e1.(~ bafo;·E: finc:1 inspectinr., obtz:n C:ii~• 1\ppi'm:0.~, hnulcr t-,·c.~;p;·s, ;i'! '''.:tur,1 p!'i'.:lr ·,;n ;i:12> b:11!di113 ;.:;~!1W\":>i. DEBRIS RECYCLING REPORT (ACTUAL): -..,:11111111(f1,, •• 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. CBR2023-2827-2218 Print Name Eco Home Builders Inc. Address 2218 Azurite Pl Carlsbad CA 92009 Date ~ I \•::, 7..D'L? l •• (,Jl'•,~ Use this Final Log below to track loads of materials as they leave the job site. ©>@SAVE RECEIPTS@@ Indicate FINAL quantities in tons for each material and save receipts and documents from facilities where material is taken. Additional Project Log pages are available if necessary. Use City Conversion Table to convert volume to tons. A B I C Date Material Type Actual Amt Actual Amt Actual Amt Destination Facility Reused or Recycled I Disposed in (Name, Address, Phone) Salvaged Landfill Exam.p_/e: Polomor Transfer Station, 5960 El 01/01/2020 Concrete (broken) Stons Camino Real -/7601603-0153 r¥vPki.l~ l l&n~ . ") 11it11IL .v(-.51ltr., h~ . z ~~-~ / t:l;;,,.,r'S , 1 -- [') r'vv"',,Cf l,ViA) -I 'f, hi-( (/0 . I d-->~,.:, I @TOTAL -C) 0 ~65%;[EJ Diversion Rate Achieved I O.q ::: % :SGS% -- Total ~,f columns A+ B Total of columns A+ B + C DIVERSION Contractor/Owner Signature Date - Attach the following documentation to this~: Return completed form and documentation to: • Original recycling weight tickets, landfill weight tickets City of Carlsbad . Original donation receipts with photos ,md/oritemized descriptions Building Division (1st Floor) . Any other relevant Information to support Recycling Report 1635 Faraday Avenue Carlsbad, CA 92008 Page 3 of4 Rev. 04122 F/lfC;-\ ((trnr-k:·~· .. , :1<::~hf:,:: :::·.r,r ··:i:t•:.;., :"J(,:i ~t :i:~:·,h ·;:~·J~ :·,:·:·:': -,:her i.:!p'.;fvlr-:· .. ~ ·?r);' :~ :(~~=i.J··:;~ :>~;•;·~J~ t,;::r:c: r:~2nrJ~g ·.··=·, nr . .ri: !.},:_~ t~:;i,;;~t!: rl·~~ ln ~~~ ~:: ·:-?;:-~ f.dr:Y~:Q~.i .:::,! :~:_!'t'.s;:ion V:f;.:.-:::· :-:: r~ ·-~~;~c ~=iv!t·:::i-:.Ft!'. :J!~· :':. DEBRIS RECYCLING ESTIMATE: --PermitNo. CBR2023-2827-2218 Project Title Addition Project Address2218 Azurite Pl Carlsbad CA 92009 APN 2132402400 Applicant Name Eco Home Builders inc, Phone 619-919-1121 Last First ·--. ...... ~r,111■' Complete the following table with estimated waste tonnage to be generated by your project. This is your plan for construction waste management. Changes can be made on the final recycle report, Goal: the diversion rate shall be 65% by weights of debris. 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 tobfe only if only using WASTE MANAGEMENT rol/.off bins. Mixed C&O Debris Parking lot Asphalt & Concrete V."b ✓ Brick/ Masonry/ Tile 0,? ... V Mixed Inert Debris Cabinets, Doors, Fixtures, 0 .\ ✓ Windows (circle all that apply) Carpet ----- Carpet Padd Ing/ Foam Cardboard Ceiling Tile (acoustic) Drywall (used, new, scrap) {) ., V Landscape Debris (brush, trees, stumps, etc.) No dirt. Unpainted Wood & Pallets Concrete Roofing Materials Srran Metal -----~--~ ·-- Stucco --iJ \ ✓ -- Other: C"i . \ ✓ TOTAL 0,9 ./ ___ _,.,. To meet 65% Diversion Requirement {estimate) n .g x. 0.65 = o.5ss tons .,..-·-·.T.a.ta1£:i,({!nated ~gstep-om above Minimum Required Diversion Contractor/Owner Signature -... ---·"' ~---·-' , 'b, •·., ··:, e, __ .....--Date "-· ; ., \.1...., L. Page 2 of4 Rev. 711/20