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Home My WebLink About2451 IMPALA DR; A; CBC2023-0040; Recycle(city of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Develooment Services Building Division 1635 Faraday Avenue 442-339-2719 www.carlsbadca.gov APPLICABLE TO NEW CONSTRUCTION, ALL RESIDENTIAL ADDITIONS AND ALTERATIONS AND COMMERCIAL ADDITIONS AND ALTERATIONS OVER $200K. 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) 339-2700. 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 without a completed Construction Waste Management Plan. Applicant Information Permit No. CBC2023-0040 Project Title Project Address 2451 Impala Road, Carlsbad CA REXFORD 2451 IMPALA APN Applicant Name N~n lt u h Last Contractor 00 Architect □ 209-041-11 -00 Other □-- First c,l.fl"r<. \ VO Applicant Address ~1~0fKJ~AsltKJ+-'-t"'-'-__ /nl ......... l--+~~cu.__.rl .......... b _t?a~d _________ _ Phone ,(R1g , fJ(f/ fl(bZ E-;ailAddress /(C1VI~ Wh(r( (Ct1tirrtAGh lrll nc -(vrvt Applicant Mailing Address (if different than project address) Project Type (check all that apply): Residential □ Commercial 0 Public Building □ 8 ri ef Description oeMO EXISTING OFFICE SPACES, KEEP EXtSTING RESTROOM ANO rr ROOM wAU.S. PROVIDE New OFFICE SP Ace AREA WITH New RESTROOMS FlxruRes. REMOVE ALL wAAeHOUse UGHTINO F1xruAes ANO PROVIDE Project Size± 4,016 SF Estimated Cost of Project $_1_1_1_,_5_7_1_.6_9 __________ _ (square footage) Please check the appropriate box: □ □ □ I plan on using REPUBLIC SERVICES roll-off bin(s) for all materials and will provide all receipts after construction. I plan on using a City Approved Hauler and will provide all receipts after construction. This is a proposed LEED certified project and 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. Signature_~~.a.,..c.);{_, --'~'-"-----'--'-----Date i i Z3 }Z-3 Page 1 of 3 Rev. 05/22 PART 1 Complete, obtain signature, and submit this form when applying for a Building Permit. Note: Permits will (cont'd) not be issued without a completed Construction Waste Management Plan. DEBRIS RECYCLING ESTIMATE: SECTION A Permit No. CBC2022-0368 Project Address 2451 Impala Suite A Applicant Name Norman, Leah PC Last First Project Title REXFORD 2451 IMPALA APN Phone (760 )931-1130 SECTION B 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. Material 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) Car et Carpet Padding/ Foam Cardboard Ceilin Tile (acoustic) Drywall (used, new, scrap) landscape Debris (brush, trees, stumps, etc.) No dirt. Unpainted Wood & Pallets Roofing Materials Sera Metal Stucco Other: TOTAL SECTION C 10 .05 .02 .75 Estimated Waste Quantity (tons) .150 25 'R.25 To meet 65% Diversion Requirement (estimate) A Place a (u) check next to items to be reused or salvaged □ □ □ □ □ □ 11.25 B C Place a (u) check next Place a (u) check next to items to be to items to be recycled disposed at landfill □ □ □ □ □ □ □ x 0.65 = 7 -31 tons -------------------Total Estimated Waste from above Contractor/Owner Signature __ ..,l,,_iU\-...... ... !A ............. M .... e:t:L._ ........ ,+'\c:(A)'-'--"-__.,""'-"-"='--',........---Date Minimum Required Diversion 4/18/23 Page 2 of 4 Rev. 05122 RT 2 C.ompl te before final inspection obtain C.1ty Approved hauler receipts ,md return prior to fm I building approval. DEBRIS RECYCLING REPORT (ACTUAL): SECTION A 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.(3 C 2-ov _, bO'-{D Address 2451 Impala Dr. Carlsbad CA Print Name Date 9/11 /23 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 Material Type Actual Amt Actual Amt Actual Amt Destination Facility Reused or Recycled Disposed in (Name, Address, Phone) Salvaged Landfill Exam le: 01/01/2020 Palomar Transfer Station, 5960 El Concrete (broken) 5 tons Camino Real -760 603-0153 3/21/23 TRASH 1.01 DM'9lrtJS,} 3/31 /23 TRASH 2.96 4/27/23 C&D 7.52 @TOTAL 7.52 3.97 SECTION C Diversion Rate Achieved DIVERSION Contractor/Owner Signature,~--1--/-~b,LJj~'.:..\f-~ir=::=-~D~ate 1 j\ \ / , ... :3 Attach the following documentatio Return completed form and documentation to: • Original recycling weight tickets, landfill weight tickets • Original donation receipts with photos and/or itemized descriptions • Any other relevant information to support Recycling Report City of Carlsbad Building Division (1st Floor) 1635 Faraday Avenue Carlsbad, CA 92008 Page 3 of 4 Rev. 04122 At? I I Esc ondido Resource R covery 1021 WIMission Ave Escondido. CA 92025 (760) 745-3203 ~ I Customer: 2187 ' I Ticket: 53950 Date : 04/27/23 ! TI TAN CONSTRUCTIONS R I 8534 HUBBLES LANE SANTEE JCA 92071 TRK T2J WGUTE SILVER DO 4500+BLK TRLR I Commodity Rate In: 7: 36 Out: 8:21 INVOICE Truck : 9999 Container: Route: 08614 Orig in: 086 Extended Ch;,r<1o 14 MIXED C & D [Gross In): 26.760 . Units 3.76 bs Scl#5 105.00 per TON Tare 19,240. lbs Scl#5 Net : 7.520. lbs] TOTAL DU E Construction & De olition Diversion Certificate --Diversion Percentage 70% t~is ¢er~ifies.thkt the compa~y li~ted above h~s utilized an EDCO facility to di with .t,.BBD requ1.refnent. ·The d1.vers1.on tonnage 1s based on an overall tonnage per '; l -,el!"""\, -..-Urive,· SANCO Resource Recovery · 6750 Federal Blvd. Lemon Grove, CA 91945 (619) 287-7555 ~ustomer: 0914 Ticket: 51532 Date: 03/31/23 In: 14 : 36 Out: 14:47 TITAN CONSTRUCTION SERVI 8534 HUBBLES LANE SANTEE CA 92071-4408 Commodity Units 34 CONSTRUCTION/ DEMOL 1.48 (Gross(In): 22,440. lbs Scl#l Rate 83.00 per TON Tare 19,480. lbs Scl#l INVOICE Truck: 3095 Container: Route: 02034 Origin: tp£.l5,8Pr-D Extended Charge Net: 2,960. lbs] TOTAL DUE Constructron & Demolition Diversion Certificate --Diversion Percentage 69% This certifies that the company listed above has utilized an EDCO tacillty to divert construction demolition materials in accordance with LEED requirement. The diversion tonnage is based on an overall tonnage percentage of the respective EDCO facility . Dariana Ramirez -Joh 1_~_? _4-+-r,_cA_.s..._;//;__s;. _____ _ Driver EDCO Station 8184 Commercial St. La Mesa, CA 91942 (619) 466-3355 Customer: 0512 Ticket: 37886 Date: 03/21/23 TITAN CONSTRUCTION SERVI 8534 HUBBLES LANE SANTEE, CA 92071-4408 Commodity Units Rate 20 Commercial Refuse 1.01 In: 10:42 Out: 11:01 INVOICE Truck: 9999 Container: Route: 02020 Origin: C4/l.U.8RD Extended Charge [Gross(In): 5.79 tons Man Wt Tare 4.78 tons Scl#l Net: 1. 01 tons] TOTAL DUE Miguel E. Driver