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Home My WebLink About1 LEGOLAND DR; ; CBC2024-0255; RecycleC_cityof Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Development Services Building Division 1635 Faraday Avenue www.carlsbadca.gov This form shall be completed for all demolitions and new construction, additions, and alterations. The California's Green Building Standards Code (CALGreen) requires that at least 65% of construction site debris generated during demolition projects, most new construction, as well as t he majority of building additions or alterations be recycled, reused, or otherwise diverted from landfill disposal. STEP 1: The Applicant must submit PART 1 of this form before a building permit application is approved. STEP 2: The permit holder shall utilize a waste management company that can provide verifiable documentation that meets 65% waste diversion. Republic Services is the exclusive franchised waste hauler in the City of Ca rlsbad. • Option A -Roll-Off Bins: Call Customer Service (760) 332-6464 and ask for a C&D account for waste diversion. Republic Services will provide roll-off bins for construction waste. • Option B -Self Haul to Republic Services or other dump site that can provide verifiable documentation. It must be a Certified Source Separated Recycling Facility. When you enter the site, explain to gate operator that this is C&D material. When you exit the site, request a receipt and certificate from gate operator for waste diversion. STEP 3: Prior to permit close-out (permit final), the permit holder shall complete PART 2 of this form and submit all trash and recycling weight receipts to the building inspector. Waste log, acknowledgement, and tickets must be submitted to release your certificate of occupancy. C&D CERTIFICATION: I& I certify under penalty of perjury under the laws of the State of Ca lifornia 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 co rrect to the best of my knowledge and belief. I understand the waste diversion requirements of the State of California and submit this Construction Waste Management Plan pursuant to California Green Building Standards Code 4.408.2 or 5.408.1.1. Failure to provide documentation of C&D reporting, reporting of waste diversion less than 65%, and failure to provide adequate weight receipts, may result in enforcement action against me or other responsible parties, including a notice of violation, citations, and any other remedies provided in Chapters 1.08 and 1.10 of the Carlsbad Municipal Code. Projects are required to submit their Waste Log, Acknowledgement Form, and Weight Receipts prior to Certificate of Occ upancy (CO) issuance. This project does not involve disposal of universal or hazardous waste OR this project includes disposal of universal or hazardous waste in a responsible, safe and verifiable manner. Disposal of asbestos- containing materials, batteries, electronic waste, fluorescent bulbs, lead based paints, mercury containing equipment and refrigerants, require special processing prior to commencement of co truction ~ demolition activities. ) Date: __ 1_0_12_9_/2_4 ____ _ Page 1 of 4 rev 4/24 PART 1 Complete and submit this form when applying for a building permit. Permits will not be issued without a completed Construction Waste Management Plan. SECTION A Permit No. _C_B_C_-0_2_5_5 ______ Project Title Legoland Burger Kitchen Tl Project Address _______________________ APN 211 -022-10 Applicant Name Mike Gonzalez Phone 951.901.3085 Last First SECTION B Complete the following table with estimated waste tonnage to be generated by your project. M aterial Type Complete this line of the table only if only using WASTE MANAGEMENT roll-off bins. Mixed C&D Debris Asphalt & Concrete Brick/ Masonry/ Tile Mixed Inert Debris Cabinets, Doors, Fixtures, Windows (circle 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 Roofing Materials Scrap Metal Stucco Other: TOTAL SECTION C Estimated Waste Quantity (tons) To meet 65% Diversion Requirement (estimat e) A B C Place a ( ✓) check next to items to be reused or salvaged Place a(✓) check next Place a (✓) check next to items to be to items to be recycled disposed at landfill _1_._3_9 _____ x 0.65 = __ ._9_0_3_5 ______ tons Total Estimated Waste from above Minimum Required Diversion Applicant Signature _____ M_ik_e_G_o_n_z_a_le_z ________ Date ____ 1_0_/2_9_/_2_4 _____ _ Page 2 of 4 rev 4/24 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....._.B .... C""-..,_0"'2""'55...,__ _____ Project Title Legoland Burger Kitchen Tl Project Address _______________________ APN 211 -022-1 0 Applicant Name Gonzalez Mike Phone 951 901 3085 Last First SECTION B 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 C Date Example: 01/01/2020 9/16/24 SECTION C M aterial Type Concrete (broken) Ti le Broken ken) @TOTAL Actual Amt Reused or Salvaged Actual Amt Actual Amt Recycled Disposed in Landfill 5 tons Destination Facility (Name, Address, Phone) Palomar Transfer Station, 5960 El Camino Real -(760) 603-0153 Edco Disposal Corp, 6670 Federal Blvd., Lemon Grove CA Diversion Rate Achieved __ o_.8_4 ____ _, ___ 1 _______ =_·8_4 ___ % ;?: 65% Tata/ of columns A+ B Total of columns A + B + C DIVERSION Attach the following documentation to this Report: • Original recycling weight tickets, landfill w eight 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 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, t hat 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 ___ M_ik_e_G_o_n_z_a_le_z _________ Date ____ __:._1..:.:0/c...::2=-=9'-'-/2=4....:...._ ___ _ 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 Tons[Unit 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, palletized) cy X 1.51 = Masonry brick (broken) cy X 0.60 = Tile 480 sq ft Building Materials (cabinets, doors, windows, etc.) X 0.00175 = n A..::t. 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) sq ft X 0.09 = 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 bd ft X 0.15 = By cubic yard cy X 0.22 = Trash/Garbage cy X 0.001375 = Other (estimated weight) cy X cy 0.15 = cy X 0.18 = cy X estimat e = Total ALL = Page 4 of 4 rev 4/24 Ti \ I 0~ 'I °'" 1 0 /,l / ~ uni R t ln, n 1 ,, 0\.1 I l 21 0 l R&fus ,39 l.25. oo per TON INVOJC 'r1u0 k 1 l f,ft/<n l\\. i l\ l' I R0\11.. I 020,0 Or igin, 020 GAN OI!C.O 6.n tons Sc:1#3 Tare G.33 tone M h Wt Net: Ext.end d Ch rge 90.00 , 39 tonol PAID CREDIT CARD 90.00 OSIRIS Driver EDco DISPOSAL CORP 6670 FEDERAL BLVD LEMON GROVE. CA 919451312 7607442700 Cashier: Christian E Transaction 100166 Total $90.00 CREDIT CARO AUTH $90.0D VISA 1203 Retaf n this copy for statement validation 16.Sep-2024 12:10:22P S90.00 I Method: EMV VISA CREDIT xxxxxxxxxxxx1203 ROBERT KAY Reference ID: 426000828786 Auth ID: 016239 MID: .. I\ ...... , ae1 AID:A0000000031010 AthN1wkNm: VJSA SIGNATURE Online: https://clover.com/p /K0DQASRZl 7ZKE PaymentK0DQASRZ17ZKE Clover Privacy Policy https://clover.com/privacy