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Home My WebLink About1905 ASTON AVE; 101; CBC2024-0003; Recycle(_ Cicyof Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Development Services Building Division 1635 Faraday Avenue www.carlsbadca.gov This form shall be completed for all demolftions 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 demolltlon projects, most new construction, as well as the majority of building additions or a Iterations 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. Republlc Services is the exclusive franchised waste hauler in the City of Carlsbad. • 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 dose-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. I certify under penalty of perjury under the laws of the State of Callfornla 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. 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. Fa Uure 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 Occupancy (CO) issuance. This project does not Involve disposal of unlversal 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 construct~lon ~ demolition activities. _ Date: /Ill O /2 o/ 1 Signature of Applicant Page lof4 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. • • Permit No . CBC2024-0003 Project Title Concrete Pad Enclolure for Emllrgel'ICY GeneralOr Project Address 1905 Aston Ave, Suite 101 APN 212-120-13-00 Applicant Name L~i&IAI fAhU-1/+M Phone a.If-5¥0-57.. 6S- Last First. l■ll■n-: Complete the following table with estimated waste tonna1e to be 1enerated by your project. 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 salva1ed recyded disposed at landflll Complete this line of the table only If only uslnr, WAS1f MANAGEMENT roll-off bins. Mixed c&D Debris Asphalt & Concrete I( t/ --------~ Brick/ Masonry/ TIie Mixed Inert Debris Cabinets, Doors, Fixtures, Windows (circle all that apply) Carpet Carpet Padding/ Foam Cardboard Celling TIie (acoustic) Drywall (used, new, scrap) ~ Landscape Debris (brush, trees, j_ ✓ stumps, etc.) No dirt. Unpainted Wood & Pallets Roofing Materials Scrap Metal Stucco ---- Other: TOTAL • To meet 65% Diversion Requirement (estimate) ~ X 0.65 = 0, "5Z tons ,ii .. Total Estimated Woste from above Minimum Required Dlvet'$IOn Applicant Signature Date t/zo/2'-1 .- Page 2 of 4 rev 4/24 C cityof Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 part 2 Development Services Building Division 1635 Faraday Avenue 422-339-2719 www. earls bad ca. gov Your project qualifies for the City of Carlsbad Construction Waste Management Plan (CWMP): Section 4.408.1 and Section 5.408.1 of the California Green Building Standards Code requires at least 65% of non-hazardous construction debris is recycled and/ or salvaged for reuse. NEXT STEPS: STEP 1. Before the project - a. Review your CWMP completed prior to permit issuance. (copy is attached to your job card) This plan demonstrates how you will recycle a minimum of 65% of the construction waste generated from your project by choosing: Republic Services or Self Haul. STEP 2 -During the Project a. Save all receipts and/or documents from reuse facilities, recycling centers, processing facilities, and landfills where materials were taken. b. Complete the Debris Recycling Report (ORR) on the next page as your project progresses. Recycling/diversion goals are (at a minimum) 65% of the waste generated by your project STEP 3 -After the Project a. Prior to receiving inspection for final sign off the Building Permit or Certificate of Occupancy, Applicant must submit the fully completed and approved (ORR) of the Construction Waste Management Plan (CWMP) Table. b. Provide the ORR and receipts to your building inspector. FOR MORE INFORMATION: NOTICE: Applicant (contractor and subcontractors) shall comply with the project's CWMP. It is the Applicant's responsibility to collect all receipts from the facilities that recycle their materials AND all project waste/landfill disposal receipts. When working with the City's franchised hauler, Republic Services, one cumulative project receipt is acceptable. However, it is the Applicant's responsibility to confirm that the bins are collected for C&D Recycling. 1. This project shall generate the least amount of waste possible by planning and ordering carefully, following all proper storage and handling procedures to reduce broken and damaged materials, and reusing materials whenever possible. 2. Republic Services can provide 2 roll-off bins, one for commingled construction debris and one for trash. The commingled construction roll-off bin will be taken to a Certified Mixed C&D Processing Facility to sort the material and create receipt(s), to demonstrate the project has met a 65% diversion rate or greater. 3. Applicants with a goal of recycling greater than 65% of the project's total waste should work with the City's exclusive franchised waste hauler to develop a more specific CWMP. This plan may include using additional roll-off bins for particular phases of construction (e.g., concrete and wood waste) to ensure the highest waste diversion rate possible. 4. Contractors/subcontractors hauling their own waste as part of their scope of work (e.g., construction clean up companies, etc.) SHALL NOT be excluded from complying with the CWMP and shall provide weight and waste diversion receipts from a Certified Source Separated Recycling Facility. For a current list of Certified Recycling Facilities go to http://www.sandiego.gov/ environ menta I-services/recycling/cd/i ndex.shtml. 5. If contractors/subcontractors furnish their own debris boxes as part of their scope of work, they SHALL NOT be excluded from complying with the CWMP and shall provide weight and waste diversion receipts from a Certified Source Separated Recycling Facility. Rev. 05122 PART 2 Complete before final inspection, obtain City Approved hauler receipts and return prior to final building approval. DEBRIS RECYCLING REPORT (ACTUAL): -..,.1..i ■r1n._.,.,_. 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 t he information is true and correct t o the best of my knowledge and belief. Permit No. c_, f, C ;l. o ~'J-coo.3 Print Name ·\/.< All#-t,( u.AJJ./Jf'Tf AJP .,_ ·J4os ~sxn,v $.le , -- Address # le1 t Date .lllh'■:• 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 Material Type Actual Amt Actual Amt Actual Amt Destination Facility Reused or Recycled Disposed in (Name, Address, Phone) Salvaged Landfill Examete: Palomar Transfer Station, 5960 El 01/01/2020 Concrete {broken) 5 tons Camino Reol -(760) 603-0153 @TOTAL -~ 65% Diversion Rate Achieved = % ::,65%~ Total of columns A + B Toto/ 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. C.. 8 C, ~ 0 ,il'{-QOQ.3 Print Name Address J(:f 0,5. d: STDN $.I e,. /:t 10 /_ Use this Final Log below to track loads of materials as they leave the Job site. <D>@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 avallable If necessary. Use City Conversion Table to convert volume to tons. A B C Date Material Type E1"1mple: 01/01/1020 / Concrete (broken) -r (;--.., 1-i.-'(., _:JflA-f (f '1..f/v{ {6'.v~~ 71}6/Z-'1 U,~,f_ "'/uA 'f I M Pa-,,tr 1,.,..; I [ r OTOTAL Actual Amt Reused or Salvaged Diversion Rate Achieved _LS_YDS~---'- Total °!:IJf mns A + B Contractor/Owner Slgnature _g/l¥__ - Attach the foUowlng documentation to this Report: • Original recycling weight tickets, landfill wetght tickets Actual Amt Recycled 5 tons '/0.5 I~ YDS Actual Amt Disposed In LandfiU ;.fy05 = Total of columns A + 8 + C i Destination Facility (Name, Addre55, Phone) Palomar Transfer Station, 5960 El Camino Real -60 603-0153 JA1lflA-,~ /1),JO/)'/~ ~~ DIVERSION J#s Date - Return completed form and documentation to: City of Carlsbad • Original donation receipts with photos and/or Itemized descriptions Building DMslon {1st Floor) 1635 Faraday Avenue Carlsbad, CA 92008 • Any other relevant information to support Recycling Report Page 3 of 4 Rev. 04122 Rock Ridge Crushing 14370 Olde Highway 80 STE A El Cajon, CA 92021 US +1 6193750076 BILLING ADDRESS W.E. Heuslein General Contractor 10305 Circa Valle Verde El Cajon, CA 92021 1020-M ixed-Mixed-Bobtail Bobtail Import Fee Import Fee Job/PO# Carlsbad Carrier: We. Hue Plate/Tag: 1 / /,, ' , . , , .. NOTICE: No claims allowed unless made when material is delivered and receipted for. 1 1 TICKET TICKET Number: Ticket Date Payment Terms: Job# Ticket Amount 100.00 5.00 Subtotal Sales Tax Ticket Amount Payment Payment Method 10210499 07/30/2024 Due on receipt Carlsbad $0.00 100.00 5.00 105.00 0.00 105.00 105.00 A finance charge per month on the unpaid balance shall be charged on all accounts 30 days or more past due. Customers agrees to pay all costs and expenses of collection of any amount here-under. RRC will make all reasonable efforts to deliver all material to customer on the date and time specified by customer and in sufficient incremental quantity to meet customers specification therefore when customer order is placed. RRC however, disclaims any responsibility for late delivery or insufficient incremental quantity delivered and customer expressly waivers a claim of damages, right of offset or back charge as a result of late delivery or insufficient incremental quantities delivered. The above waiver of damages shall include actual or consequential damages or any damages under the California Commercial Code. Customer agrees to notify RRC in writing of any claims including claims of defects associated with the material delivered and or picked up here under within 72 hours after the first date and Item set forth on the front of the certification and the afford RRC the opportunity to correct a such claims prior to customer incurring any cost or expense in attempting to correct sale. Customer acknowledges and accepts the health hazards associated with aggregates, asphalt, cement or other construction products. By acceptance of such materials customer releases RRC for all liability associated with such health hazards. Title passes to purchaser at the time of loading PR.OP 65 -Warning to customers and employees products sold or used on these premises may contain chemicals known to the state to cause cancer or birth defects. Seller makes no warranty as to suitability of material for an intended use by customer. Page 1 or 2 ---------, -J SAN • DIEGO.) Transaction #: 13833755 t I U .. '--1 I I VI Jrll' IJI '-'-''-' ENVIRONMENTAL SERVICES DEPARTMENT REFUSE DISPOSAL DIVISION 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636 (85/8) 694-7000 A Jvq II c--e /?, () ./:f'?J'f lO Account#: 1/CASH ACCOUNT Date: 7/23/2024 08:57:03 Scale Operator: CBA FleetW: Tag#: Incoming /FB 02 Transaction Type: 01/BUS.--NON RESIDENTIAL \) \:. ,O • Payment Type: OS/CREDIT CARD Hauler Type: 01/BUS.--NON RESIDENTIAL Vehicle Type: 002/TIER ff (4 CY) Material Type: 004/DEMO Origin: 001/SAN DIEGO CITY Special Fees: The Miramar Landfill will be closed on Monday, 09/02/2024 (Labor Day). Amount Tendered:$330.00 Change Due:$0 ES-072 (REV. 7--09) PW/PS-333 This information is available in alternative formats upon request &l -! c:: .Q . -~ Ill c:: It! ~ 0 0 0 0 0 0 c-, M C") M --ch IYllr\l"'\IYtr""' L..l""\l'IL.lrlL..L- 5180 CONVOY STRE SAN DIEGO, CA 921 ' Remittance Number: 4558 Flat Rate Fee Tip Fee Spec Fee RCBus Tax Recycle Total SIGNATURE $ 296.E $0 $ 12.7~ $ 20.6i $ 330.( . MOop,YS 3210 OCEANSOE Bl VD BONSALL, CA. 92003 760-631-0342 SALE REF#: 00000007 Batch #: 304 06/25/24 10:59:10 APPR CODE: 048909 ENCRYPTED BY B.AVON Trace: 7 VISA AMOUNT TOTAL Manual CP ... , .. $150.00 $150.00 APPROVED THAtf< YOU CUSTOMER COPY MOODY'S ~-EL CORAZON RECLAMATIO • ff /(1 PO BOX 969 . It. L BONSALL, CA 92003 (760) 433-3316 • FAX (760) 433-6691 JOB# DATE CASH CHECK CHARGE COMMERCIAL RESIDENCE TIME CITY OF ORIGIN JOB LOCATION PU !TRAILER 'FLATBED BOBTAIL MATERIAL LOAOCt UNT 1 2 i3 4 5 ' #LOADS X PRICE SIGNATURE All bills due upon presentation unless otherwise arranged in advance. Open accounts subject to 1 tfl°/4 monlh, charge after 30 days unpaid balance. , ,o-WHEEL I END DUMP r & T 6 7 8 9 OTHER CHARGES $ TOTAL TRUCK# MOODY'S ls not responsible for damage to vehicle whUe being loaded or unloaded in yard. JOBCOPV 34~356 10 \i Rock Ridge Crushing 14370 Olde Highway 80 STE A El Cajon, CA 92021 US +1 6193750076 BILLING ADDRESS W.E. Heuslein General Contractor 10305 Circa Valle Verde El Cajon, CA 92021 TICKET TICKET Number: Ticket Date Payment Terms: Job# Ticket Amount: 10208676 06/21/2024 Due on receipt CARLSBAD $0.00 ,,Item# . Item Name Qu.intily Unit Price Taxable Amount 1000-Clean Clean Concrete-Bobtail Concrete-Bobtail Import Fee Job/PO# Carrier: : Plate/Tag: Import Fee CARLSBAD W.E. HUE 1 NOTICE. No claims allowed unless made when material is delivered and receipted for. 1 1 70.00 70.00 5.00 5.00 --.... __ - Subtotal 75.00 Sales Tax 0.00 Ticket Amount 75 .00 Payment 75.00 Payment Method A finance charge per month on the unpaid balance sh~all be charged on all accounts 30 days or more past due Customers agrees to pay all costs and expenses of collection of any amount here-under. RRC will make all re;;sonable efforts to deliver all material to customer on the date and time specified by customer and in sufficient incremental quantity to meet customers specification therefore when customer order is placed. RRC however, disclaims any responsibility for late delivery or insufficient incremental quantity delivered and customer expressly waivers a claim of damages, right of offset or back charge as a result of late delivery or insufficient incremental quantities delivered , The above waiver of damages shall include actual or consequential damages or any damages under the California Commercial Code. Customer agrees to notify RRC in writing of any claims including claims of defects associated with the material delivered and or picked up here under within 72 hours after the first date and item set forth on the front of the certification and the afford RRC the opportunity to correct a such claims prior to customer incurring any cost or expense in attempting to correct sale. Customer acknowledges and accepts the health hazards associated with aggregates, asphalt, cement or other construction products. By acceptance of such materials customer releases RRC for all liability associated with such health hazards Title passes to purchaser at the time of loading PROP 65 -Warning to customers and employees products sold or used on these premises may contain chemicals known to the state to cause cancer or birth defects. Seller makes no warranty as to suitability of material for an intended use by customer. Page 1 of2