HomeMy WebLinkAbout1415 YOURELL AVE; ; CBR2022-1504; RecycleCcityof
Carlsbad
PURPOSE
CLIMATE ACTION PLAN
CONSISTENCY CHECKLIST
B-50
Development Se rvices
Building Division
1635 Faraday Avenue
442-339-2719
www.carlsbadca.gov
This checklist is intended to help building permit applicants identify which Climate Action Plan (CAP) ordinance requirements
apply to their project. This completed checklist (B-50) and summary (B-55) must be included with the building permit
. application. The Carlsbad Municipal Code (CMC) can be referenced during completion of this document by clicking on
the provided links to each municipal code section.
NOTE: The following type of permits are not required to fill out this form
❖ Patio I ❖ Decks I ❖ PME (w/o panel upgrade) I ❖ Pool
Consultation with a certified Energy Consultant is encouraged to assist in filling out this document. Appropriate
certification includes, but is not limited to: Licensed, practicing Architect, Engineer, or Contractor familiar with Energy
compliance, IECC/HERS Compliance Specialist, ICC G8 Energy Code Specialist, RESNET HERS rater certified, certified
ICC Residential Energy Inspector/Plans Examiner, ICC Commercial En ergy Inspector and/or Plans Examiner, ICC CALgreen
Inspector/Plans Examiner, or Green Building Residential Plan Examiner.
If an item in the checklist is deemed to be not applicable to a project, or is less than the minimum required by ordinance,
check N/A and provide an explanation or code section describ ing the exception.
Details on CAP ordinance requirements are available at each section by clicking on the municipal code link provided. The
project plans must show all details as stated in the applicable Carlsbad Municipal Code (CMC) and/or Energy Code and
Green Code sections.
Project Name/Building
Permit No.: CBR2022-1504 BP No.: CJ3R2ozz_.-~604
Property AddresS/APN: 1415 vourell 156-052-49
-"----'-'--"'-''----'-'-'--'----'--'--"--'-"-------------------------
Applicant Name/Co.: Arlen Roper
Applicant Address: 1443 Panorama Ri dge Rd, Oceanside, 92056
Contact Phone: 760 522 3997 Contact Email: arlenroper@gmail.com
Contact information of person completing this checklist (if different than above):
Name:
Company
name/address:
same Contact Phone: 760 522 3997
Contact Email:
Applicant Signature: ________________ Date: 6-1-22
B-50 Page 1 of 7 Revised 04/21
Use the table below to determine which sections of the Ordinance checklist are applicable to your project. For
alterations and additions to existing buildings, attach a Permit Valuation breakdown on a separate sheet.
Building Permit Valuation (BPV) $ breakdown ________ _
Construction Type
[!] Residential
□ New construction
□ Additions and alterations:
□ BPV < $60,000
~ BPV;:: $60,000 ll
□ Electrical service panel upgrade onl
□ BPV;:: $200,000
D Nonresidential
□ New construction
□ Alterations:
□ BPV;:: $200,000 or additions;:: 1,000
square feet
□ BPV ;:: $1 ,000,000
□ ;:: 2,000 sq. ft. new roof addition
Checklist Item
Complete Section(s) Notes:
A high-rise residential building is 4 or more stories, including a
Low-rise High-rise mixed-use building in which at least 20% of its conditioned floor
area is residential use
2A*, 3A*, 1B, 2B, *Includes detached, newly constructed ADU 4A*, 3B, 4A
N/A N/A All residential additions and alterations
1A,4~ 4A 1-2 family dwellings and townhouses with attached garages
only.
-*Multi-family dwellings only where interior finishes are removed
1A, 4A* 1B, 4A* and significant site work and upgrades to structural and
mechanical, electrical, and/or plumbing systems are proposed
1 B, 2B, 3B, 4B and 5
1 B, 5
1B, 2B, 5 Building alterations of;:: 75% existing gross floor area
2B, 5 1 B also applies if BPV;:: $200,000
Check the appropriate boxes, explain all not applicable and exception items, and provide supporting calculations and documentation as necessary.
1. Energy Efficiency
Please refer to Carlsbad Municipal Code (CMC) 18.21.155 and 18.30.190,and the California Green Building Standards Code (CALGreen) for more
information. Appropriate details and notes must be placed on the plans according to selections chosen in the design.
A ~ Residentialadditionoralteration=!:$60,000buildingpennitvaluation. □ N/A __________ _
Details of selection chosen below must be placed on the plans referencing CMC □ Exception: Home energy score~ 7
18.30.190. (attach certification)
Year Built Single-family Requirements Multi-family Requirements
~ Before 1978 Select one option:
I!!! Ductsealing D Attic insulation □Cool roof □ Attic insulation
□ 1978 andlater Select one option:
□ Lighting package D Water heating Package
D Between1978and1991 Select one option:
D Ductsealing □ Attic insulation □Cool roof
D 1992 and later Select one option:
D Lighting package □ Water heating package
Updated 4/16/2021 3
B. D Nonresidential* new construction or alterations~ $200,000 building permit valuation,
or additions~ 1,000squarefeet.See CMC 18.21.155and CALGreen Appendix AS D N/A ----------
AS.203.1.1 Choose one: D .1 Outdoorlighting D .2 Restaurant seNice water heating (CEC 140.5)
□ .3 Warehouse dock seal doors. □ .4 Daylight design PAFs □ .5 Exhaust air heat recovery □ N/A
AS.203.1.2.1 Choose one: □ .95 Energy budget (Projects with indoor lighting OR mechanical)
□ .90 Energy budget (Projects with indoorlightingAND mechanical) □ N/A
AS.211.1 ..... □ On-site renewable energy:
D N/A
AS.211.3** D Green power: (If offered by local utility provider, 50% minimum renewable sources)
D N/A
AS.212.1 D Elevators and escalators: (Project with more than one elevatorortwo escalators)
D N/A
AS.213.1 D Steel framing : (Provide details on plans for options 1-4 chosen)
D N/A ________ _
* Includes hotels/motels and high-rise residential buildings
** Foralterations2: $1 ,000,000 BPV and affecting> 75% existing grossfloorarea, ORalterationsthatadd 2, 000squarefeetof newroofaddition: comply
with CMC 18.30.130 (section 2B below) instead.
2. Photovoltaic Systems
A D Residential new construction (for low-rise residential building permit applications submitted after 1/1/20). Refer to 2019 California
Energy Code section 150.1(c)14 for requirements. If project includes installation of an electric heat pump water heater pursuant to
CAP section 3B below (low-rise residential Water Heating), increase system size by .3kWdc if PV offset option is selected.
Floor Plan ID (use additional CFA #d.u. Calculated kWdc*
sheets if necessary)
Total System Size:
kWdc = (CFAx.572) / 1,000 + (1 .15 x #d .u.)
*Formula calculation where CFA = conditional floor area, #du = number of dwellings per plan type
If proposed system size is less than calculated size, please explain.
kWdc
Exception
D replacing existing gas tank WH,
D replacing existing gas tank WH 11
D replacing existing gas tank WH 11
D replacing existing gas tank WH 11
B. 0 Nonresidential new construction or alterations ~$1,000,000 BPV AND affecting ~75% existing floor area, OR addition that increases
roofarea by ~,000 square feet Please refer to CMC 18.30.130 when completing this section. *Note: This section also applies to
high-rise residential and hotel/motel buildings.
Choose one of the following methods:
□ Gross Floor Area (GFA)Method
GFA:
□ If< 1 O,OOOs.f. Enter: 5 kWdc
Min. System Size:
□ If~ 10,000s.f. calculate: 15 kWdc x (GFA/10,000)**
kWdc
**Round building size factor to nearest tenth, and round system size to nearest whole number.
Updated 4/16/2021 4
,
D Time-Dependent Valuation Method
AnnualTDV Energy use:*** ______ .x .80= Min. system size: ______ kWdc
***Attach calculation documentation using modeling software approved by the California Energy Commission.
3. Water Heating
A D Residential and hotel/motel new construction. Refer to CMC 18.30.170 when completing this section.
Provide complete details on the plans.
D For systems serving individual dwelling units choose one system:
D Heat pump water heater AND Compact hot water distribution AND Drain water heat recovery (low-rise
residential only)
D Heat pump water heater AND PV system .3 kWdc larger than required in CMC 18.30.130 (high rise
residential hotel/motel) or CA Energy Code section 150.1 (c) 14 (low-rise residential)
D Heat pump water heater meeting NEEA Advanced Water Heating Specification Tier 3 or higher
D Solar water heating system that is either .60 solar savings fraction or 40 s.f. solar collectors
~ Exception: replacing existing gas tank WH with tankless -per plan and T24
D For systems serving multiple dwelling units, install a central water-heating system with ALL of thefollowing:
□ Gas or propane water heating system
□ Recirculation system per CMC 18.30.150(8) (high-rise residential, hotel/motel) or CMC 18.30.1 ?0(BJ (low-
rise residential)
□ Solar water heating system that is either:
D .20 solar savings fraction
□ .15 solar savings fraction, plus drain water heat recovery
□ Exception: replacing existing gas tank WH with tankless -per plan and T24
B. D Nonresidential new construction. Refer to CMC 18.30.150 when completing this section. Provide
complete details on the plans.
D Water heating system derives at least 40% of its energy from one of the following (attach documentation):
D Solar-thermal D Photovoltaics D Recovered energy
D Water heating system is (choose one):
D Heat pump water heater
□ Electric resistance water heater( s)
□Solar water heating system with .40 solar savings fraction
□ Exception: replacing existing gas tank WH with tankless -per plan and T24
It may be necessary to supplement the completed checklist with supporting materials, calculations or certifications, to
demonstrate full compliance with CAP ordinance requirements. For example, projects that propose or require a
performance approach to comply with energy-related measures will need to attach to this checklist separate calculations
and documentation as specified by the ordinances.
Updated 4/ I 6/21 5
4. Electric Vehicle Charging
A [j] Residential New construction and major alterations*
Please refer to CMC 18.21.140 when completing this section.
~ One and two-family residential dwelling or townhouse with attached garage:
~ One EVSE Ready parking space required D Exception : _____________ _
D Multi-familyresidential: D Exception : ____________ _
Total Parking Spaces EVSE Spaces
Proposed EVSE (10% of total) I Installed (50% of EVSE) I Other "Ready" I Other "Capable"
I I I
Calculations: Total EVSEspaces = .10 x Total parking spaces proposed (rounded up to nearest whole number) EVSE Installed = Total EVSE
Spaces x .50 (rounded up to nearest whole number) EVSE other may be "Ready" or "Capable"
*Major alterations are: ( 1 )for one and two-family dwellings and townhouses with attached garages, alterations have a building permit
valuation<:!$60,000 or include an electrical service panel upgrade; (2) for multifamily dwellings (three units or more without attached
garages), alterations have a building permit valuation<! $200,000, interiorfinishes are removed and significant site work and upgrades to
structural and mechanical, electrical, and/or plumbing systems are proposed.
*ADU exceptions for EV Ready space (no EV ready space required when):
(1) The accessory dwelling unit is located within one-half mile of public transit.
(2) The accessory dwelling unit is located within an architecturally and historically significant historic district.
(3) The accessory dwelling unit is part of the proposed or existing primary residence or an accessory structure.
(4) When on-street parking permits are required but not offered to the occupant of the accessory dwelling unit.
(5) When there is a car share vehicle located within one block of the accessory dwelling unit.
B. D Nonresidential new construction (includes hotels/motels) □ Exception : replacing existing gas tank WH with t
Please refer to CMC 18.21.150 when completing this section
Total Parking Spaces
Proposed EVSE (10% of total} I Installed (50% of EVSE) I Other "Ready" I Other "Capable"
I I I
Calculation: Refer to the table below:
Total Number of Parking Spaces provided Number of required EV Spaces Number of required EVSE Installed Spaces
D 0-9 1 1
D 10-25 2 1
D 26-50 4 2
□ 51-75 6 3
D 76-100 9 5
D 101-150 12 6
D 151-200 ' 17 9
D 201 andover 10 percent of total 50 percent of Required EV Spaces
Calculations: Total EVSEspaces = .10 x Total parking spaces proposed (rounded up to nearestwholenumber) EVSE Installed = Total EVSE
Spaces x .50 (rounded up to nearest whole number) EVSE other may be "Ready" or "Capable"
Updated 4/16/202 1 6
. •
•
5. □Transportation Demand Management (TOM): Nonresidential ONLY
An approved Transportation Demand Management (TOM) Plan is required for all nonresidential projects that meet a threshold of employee-generated ADT.
City staff will use the table below based on your submitted plans to determine whetherornoryourpermit requires a TOM plan. lfTDM is applicable to your
permit, staff will contact the applicant to develop a site-specific TDM plan based on the permit details.
Acknowledgment:
Employee ADT Estimation for Various Commercial Uses
Office (all)2 20
Restaurant 11
Retaib 8
Industrial 4
Manufacturing 4
Warehousing 4
1 Unless otherwise noted, rates estimated from /TE Trip
Generation Manual, 10th Edition
13
11
4.5
3.5
3
1
2 For all office uses, use SAN DAG rate of 20 ADT/1,000 sf to
calculate employee ADT
3 Retail uses include shopping center, variety store, supermarket,
gyms, pharmacy, etc.
Other commercial uses may be subject to special
consideration
sample calculatjons:
Office: 20,450 sf
1. 20,450 sf I 1000 x 20 = 409 Employee ADT
Retail: 9,334 sf
1. First 1,000 sf= 8 ADT
2. 9,334 sf -1,000 sf= 8,334 sf
3. (8 ,334 sf/ 1,000 x 4.5) + 8 = 46 Employee ADT
I acknowledge that the plans submitted may be subject to the City of Carlsbad's Transportation Demand Management Ordinance. I agree to be contacted should
my permit require a TOM plan and understand that an approved TOM plan is a condition of permit issuance.
ApplicantSignature:. __________________ _ D 6-1-22 ate: ______ _
Person other than Applicant to be contacted for TOM compliance (if applicable):
Name(Printed}: ___________________ _ Phone Number:. _____ _
Email Address: ___________________ _
Updated 4/16/2021 7
•
r
('city of
Carlsbad
CLIMATE ACTION PLAN (CAP) COMPLIANCE
CAP Bui lding Plan
Template
B-55
Development Services
Building Division
1635 Faraday Avenue
442-339-2719
www.carlsbadca.gov
The following summarizes project compliance with the applicable Climate Action Plan ordinances of the Carlsbad Municipal Code and
California Green Building Standards Code (CALGreen), current version. Use this form to summarize all applicable CAP measures for your
project. IF CAP MEASURES ARE APPLICABLE, IMPRINT THIS COMPLETED FORM ONTO PROJECT PLANS.
1. ENERGY EFFICIENCY APPLICABLE: 12]YES □No
Complies with CMC 18.30.190
& 18.21.155 [a Yes □ N/ A
Existing Structure, year built: _1_ss_7 ___ _
Prepared Energy Audit? OYes [!:] No
Energy Score: NIA • see T24
Efficiency Measures included in sco pe:
HERS test for duct leakage,
refrigerant charge, fan efficacy,
range hood specs
2. PHOTOVOLTAIC SYSTEM APPLICABLE: □YES 0 NO
Complies with CMC section 18.30.130 and 2019 California Energy
Codesection150.l(c)l4 OYes ON/A
Required Provided
Size of PV system (kWdc):
Sizing PV by load calculations □Yes □No
If by Load Calculations:
Total calculated electrical load:
80% of load:
Hardship Requested D Yes O No
Hardship Approved D Yes ONo
3. ALTERNATIVE WATER HEATING SYSTEM APPLICABLE: □ YES 0 NO
4.
5.
Complies with CMC sections 18.30.150
and 18.30.170?
Alternative Source:
o Electric
o Passive Solar
Hardship Requested
Hardship Approved
ELECTRIC VEHICLE (EV) CHARGING APPLICABLE:
OYes
OYes
0vES
□No
□ No
□No
Complies with CMC
section 18.21.140?
Panel Upgrade?
Oves ON/A
Oves 0No
Required Provided
Total EV Parking Spaces:
No. of EV Capable Spaces:
No. of EV Ready Spaces:
No. of EV Installed Spaces:
Hardship Requested
Hardship Approved
OYes
□Yes
TRAFFIC DEMAND MANAGEMENT APPLICABLE:
Compliant?
TOM Report on file with city?
PART 2. Complete and submit this form before final inspection. Projects are required to submit their Waste
Log, Acknowledgement Form, and Weight Receipts prior to Certificate of Occupancy (CO) issuance. Failure to
provide documentation, reporting of waste diversion less than 65%, and failure to provide adequate weight
receipts, may render the Project non-compliant and the responsible parties subject to code enforcement.
SECTION A Permit No. C I? (1.. "2-0 '2.. Z.-l ~OL/ Project Title
Project Address L) ) ", "f O O < e. \) A,\l (L... APN
App licant Name ___ o_~~Z~ ________ A_n_Y""'-______ Phone 7 IPo -Z o I :_ ilf11'/ 7~y'3
Last First
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.
Date
Exam le:
01/01/2020
Material Type
Concrete (broken)
@TOTAL
A B C
Actual Amt Actual Amt Actual Amt
Reused or Recycled Disposed in
Salvaged Landfill
5 tons
~'7 £". {i'"D
;z, f) l • 12-
6, t7 D
~-l) D I . 'iv
. D .&'f
Diversion Rate Achieved ~l~~-•-~_v_~;-~J-~_._/_~ ___ = 1i
Destination Facility
(Name. Address, Phone)
Palomar Transfer Station, 5960 El
Camino Real
-(760) 603-0153
% ~ 65%
Total of columns A + B Total of columns A + B + C DIVERSION
Attach the following documentation to this Report:
• Original recycling weight tickets, landfill weight tickets
• Original donation receipts with photos and/or itemized descriptions
• Any other relevant information to support Recycling Report
SECTION D
Return completed form and documentation to:
City of Carlsbad
Building Division (1st Floor)
1635 Faraday Avenue
Carlsbad, CA 92008
I certify under penalty of perjury under t he 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.
Applicant Signature -~a~~~ ____ f2.a-,o ___________ Date __ s __ .,...._z_o __ -_::z __ i ___ _
Page 3 of 4 rev 4/24
CONVERSION TABLE FOR COMMON CONTRUCTION WASTE. This document is informational only and may be
used to convert truckload quantities to tons.
Column A Column B Column C
Category Material Volume TonsLUnit Tons
Mixed Debris Construction cy X 0.18 =
Demolition cy X 1.19 =
Asphalt/Concrete Asphalt (broken) cy X 0.70 =
Concrete (broken) cy X 1.20 =
Concrete (solid slab) cy X 1.30 =
Brick/Masonry/Tile Brick (broken) cy X 0.70 =
Brick (whole, pa lletized) cy
X 1.51 =
Masonry brick (broken) cy
X 0.60 = Tile sq ft
Building Materials (cabinets, doors, windows, etc.) X 0.00175 = cy
Cardboard (flat) cy X 0.15 =
Carpet By square foot sq ft X 0.05 =
By cubic yard cy X 0.0005 =
Carpet Padding/Foam sq ft X 0.30 =
Ceiling Tiles Whole (palletized) cy
X 0.000125 =
Loose cy
X 0.0003 = Drywall (new or used) 1/2" (by square foot) sq ft
5/8" (by square foot) X 0.09 = sq ft
Demo/used (by cu . yd .) cy X 0.0008 =
Landscape Debris (brush, trees, etc.) cy X 0.00105 =
Asphalt Composition X 0.25 Shingles, asphalt Shingle = cy
Unpainted Wood/Pallets By board foot X 0.15 = bd ft
By cubic yard cy X 0.22 =
Trash/Garbage cy
X 0.001375 = Other (estimated weight) cy
X 0.15 = cy
cy X 0.18 =
cy X estimate =
Total ALL =
Page 4 of 4 rev 4/24
'cR~ REPUBLIC' ;J,,-v SERVICES
q/!~ REPUBLIC" ~'v SERVICES
5960 El Camino Real
Carlsbad CA 92008
5960 El Camino Real
Carlsbad CA 92008
Customer Service (760)332-6464
RepublicServices.com/Support
Important Information
Account Number
Invoice Number
Invoice Date
Past Due on 07/31/23
Payments/Adjustments
Current Invoice Charges
3-0661-1003625
0661 -000391257
July 31 , 2023
$178.20
$0.00
$674.30
Please remit your payment to Republic Services #66 1,
PO Box 78829 Phoenix AZ 85062-8829 or utilize
www.republicservices.com/pay-blll; please do not use the
Carlsbad return address on this invoice for payments
Total Amount Due I Payment Due Date
$852.50 Past Due
CURRENT INVOICE CHARGES
Description Reference Quantity Unit Price
Ann Ross 1415 Yourell Ave CSA S012323386
Carlsbad, CA Contract: 9661001 (C20)
1 Waste Container 40 Cu Yd, On Call Service Construction/Demolition Debris
Disposal/Recycling 07/03 2568427 4.8400Tons
Receipt Number 13845
Pickup Service 07/03 Ann Ross 1.0000 $292.81
Receipt Number 13845
Rental 07/01-07/01 $187.11
CURRENT INVOICE CHARGES, Due by August 30, 2023
Simple account access at your fingertips.
Download the Republic Services app or visit
RepublicServices.com today.
Past Due 30 Days
$178.20
60 Days
$0.00
Total Amount Due
Payment Due Date
90+ Days
$0.00
Amount
$375.34
$292.81
$6.15
$674.30
$852.50
Past Due Please Return This
Portion With Payment Account Number 3-0661-1003625
Invoice Number 0661-000391257
Total Enclosed □ Return Service Requested for Billing Address Changes
Ctleck Box and Completo R<-ivorse
ANN ROSS
1415 YOURELL AVE
CARLSBAD CA 92008
306611 0 036250 □000003912570000 67 4 3 00000852506
Make Checks Payable To:
REPUBLIC SERVICES #661
PO BOX 78829
PHOENIX AZ 85062-8829
'cR~ REPUBLIC 5960 El Camino Real ~'v SERVICES Carlsbad CA 92008
Customer Service (760)332-6464
RepublicServices.com/Support
Important Information
Account Number
Invoice Number
Invoice Date
Previous Balance
Payments/Adjustments
Current Invoice Charges
3-0661-1003625
0661-000355346
May 31, 2023
$603.58
-$603.58
$811.36
Please remit your payment to Republic Services #661,
PO Box 78829 Phoenix AZ. 85062-8829 or utilize
www.republicservices.com/pay-bill; please do not use the
Carlsbad return address on this invoice for payments
Total Amount Due I Payment Due Date
$811.36 June 30 , 2023
PAYMENTS/ADJUSTMENTS
Description
Payment-Thank You 05/08
CURRENT INVOICE CHARGES
Reference
1
Amount
-$603.58
Description Reference Quantity Unit Price Amount
Ann Ross 1415 Yourell Ave CSA S012323386
Carlsbad, CA Contract: 9661001 (C20)
1 Waste Container 40 Cu Yd, On Call Service Construction/Demolition Debris
Disposal/Recycling 05/16 2548365 6.9400Tons
Receipt Number 4216
Pickup Service 05/16 Ann Ross 1.0000 $278.87
$354.29
$278.87
$178.20
$811 .36
Receipt Number 4216
Rental 05/01-05/31 $178.20
CURRENT INVOICE CHARGES
Simple account access at your fingertips. -.. l
Download • he Republic Services app or visiL
RepubticS rv,ces.com tod y.
t:/!~ REPUBLIC ~.., .IIMC/UI
5960 El Camino Real
Carlsbad CA 92008
Return Service Requested
ANN ROSS
1415 YOURELLAVE
CARLSBAD CA 92008-1052
30661100362500000003553460000811360000811368
Please Return This
Portion With Payment
Total Enclosed
Total Amount Due
Payment Due Date
Account Number
Invoice Number
□
For B,lli.,g Address Ch~nges
Check Bo>: and Complete RevP.rse
Make Checks Payable To:
REPUBLIC SERVICES #661
PO BOX 78829
PHOENIXAZ 85062-8829
$811 .36
June 30, 2023
3-0661-1003625
0661-000355346
t:cR~ REPUBLIC 5960 El Camino Real iJ,,,v SERVICES Carlsbad CA 92008
Customer Service (760)332-6464
RepublicServices.com/Support
Important Information
Account Number
Invoice Number
Invoice Date
Previous Balance
Payments/Adjustments
Current Invoice Charges
3-0661-1003625
0661-000323260
April 30, 2023
$1,475.66
-$1,475.66
$603.58
Please remit your payment to Republic Services #661 ,
PO Box 78829 Phoenix AZ 85062-8829 or utilize
www .republicservices.com/pay-bill;please do not use the
Carlsbad return address on this invoice for payments
Total Amount Due I Payment Due Date
$603.58 May 30, 2023
PAYMENTS/ADJUSTMENTS
Description
Payment-Thank You 04/08
CURRENT INVOICE CHARGES
Reference
1
Amount
-$1,475.66
Description Reference Quantity Unit Price Amount
Ann Ross 1415 Yourell Ave CSA S012323386
Carlsbad, CA Contract: 9661001 (C20)
1 Waste Container 40 Cu Yd, On Call Service Construction/Demolition Debris
Disposal/Recycling 04/22 2538610 2.8700Tons
Receipt Number 99473
Pickup Service 04/22 Ann Ross 1.0000 $278.87
$146.51
$278.87
$178.20
$603.58
Receipt Number 99473
Rental 04/01-04/30 $178.20
CURRENT INVOICE CHARGES
Simple account access at your fingertips . --
Download che Republic Services app or vrstt
RepubllcServices.com today.
5960 El Camino Real
Carlsbad CA 92008
Return Service Requested
ANN ROSS
1415 YOURELLAVE
CARLSBAD CA 92008-1052
30661100362500000003232600000603580000603588
Please Return This
Portion With Payment
Total Enclosed
Total Amount Due
Payment Due Date
Account Number
Invoice Number
□
...
For Billing Address Chang~s.
Cht>t:k Box anti Complete Reverse.
Make Checks Payable To:
REPUBLIC SERVICES #661
PO BOX 78829
PHOENIXAZ 85062-8829
$603.58
May 30 , 2023
3-0661-1003625
0661-000323260
~R.. ]-· REPUBLIC 5960 El Camino Real
..,.., SERVICES Carlsbad CA 92008
Account Number
Invoice Number
3-0661-1003625
0661-000318454
March 31, 2023
~R~ REPUBLIC ~liJ IEJl~ES
5960 El Camino Real
Carlsbad CA92008
Customer Service (760)332-6464
RepublicServices.com/Support
Important Information
Invoice Date
Previous Balance
Payments/Adjustments
Current Invoice Charges
$818.85
-$818.85
$1,475.66
Please remit your payment to Republic Services #661 ,
PO Box 78829 Phoenix AZ. 85062-8829 or utilize
WWW .republicservices.com/pay-bill; please do not use the
Carlsbad return address on this invoice for payments
Total Amount Due I Payment Due Date
$1 ,475.66 April 30, 2023
PAYMENTS/ADJUSTMENTS
Description
Payment-Thank You 03/15
CURRENT INVOICE CHARGES
Reference
1
Amount
-$818.85
Description Reference Quantity Unit Price Amount
Ann Ross 1415 Yourell Ave CSA S012323386
Carlsbad, CA Contract: 9661001 (C20)
1 Waste Container 40 Cu Yd, On Call Service Construction/Demolition Debris
Disposal/Recycling 03/07 2520377 10.1800Tons $745.99
Receipt Number 90133
Pickup Service 03/07 Ann Ross 1.0000 $278.87 $278.87
Receipt Number 90133
Disposal/Recycling 03/22 2526067 3. 7200Tons $272.60
Receipt Number 92969
Rental 03/01-03/31 $178.20 $178.20
CURRENT INVOICE CHARGES $1,475.66
Simple account access at your fingertips.
Downloau the Republic S rvlces app or v1sil
RepublicServlces.com today.
Please Return This
Portion With Payment
Total Enclosed
Total Amount Due
Payment Due Date
Account Number
Invoice Number
$1 ,475.66
April 30, 2023
3-0661-1003625
0661-000318454
Return Service Requested □
For B:lllnu Addres;. Chang•~~
ANN ROSS
1415 YOURELLAVE
CARLSBAD CA 92008-1052
30661100362500000003184540001475660001475662
Check Bol( arm :::omplete Revttrs ..
Make Checks Payable To :
REPUBLIC SERVICES #661
PO BOX 78829
PHOENIX AZ. 85062-8829
't
rP. _]) REPUBLIC 5960 El Camino Real a,.._, SERVICES Carlsbad CA 92008
Account Number
Invoice Number
3-0661-1003625
0661-000286249
February 28, 2023
5960 El Camino Real
Carlsbad CA 92008
Customer Service (760)332-6464
RepublicServices.com/Support
Important Information
Invoice Date
Previous Balance
Payments/ Adjustments
Current Invoice Charges
$0.00
-$278.87
$1,097.72
Please remit your payment to Republic Services #661,
PO Box 78829 Phoenix AZ 85062-8829 or utilize
www.republicservices.com/pay-blll;please do not use the
Carlsbad return address on this invoice for payments
Total Amount Due I Payment Due Date
$818.85 March 30, 2023
PAYMENTS/ADJUSTMENTS
Description
Payment -Thank You 01/27
CURRENT INVOICE CHARGES
Reference
1
Amount
-$278.87
Description Reference Quantity Unit Price Amount
Ann Ross 1415 Yourell Ave CSA S012323386
Carlsbad, CA Contract: 9661001 (C20)
1 Waste Container 40 Cu Yd, On Call Service Construction/Demolition Debris
Container Delivery 02/08 1.0000 $75.87 $75.87
Disposal/Recycling 02/18 2514535 8.4600Tons $619.95
Receipt Number 81645
Pickup Service 02/18 Ann Ross 1.0000 $278.87 $278.87
Receipt Number 81645
Rental 02/08-02/28 $178.20 $123.03
CURRENT INVOICE CHARGES $1,097.72
Simple account access at your fingertips.
Downloa the Republic Services app or visit
RepublicServlces.com loday.
Please Return This
Portion With Payment
Total Enclosed
Total Amount Due
Payment Due Date
Account Number
Invoice Number
$818.85
March 30, 2023
3-0661-1003625
0661-000286249
Return Service Requested □
For Billing Aodr\"% Chan(JO$
ANN ROSS
1415 YOURELLAVE
CARLSBAD CA 92008-1052
30661100362500000002862490001097720000818856
Check Box nn11 Complete Rf-Wf!rse.
Make Checks Payable To:
REPUBLIC SERVICES #661
PO BOX 78829
PHOENIX AZ 85062-8829