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HomeMy WebLinkAbout2548 CAMPBELL PL; ; CBC2023-0375; Recycle(city of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Development 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. _____________ Project Title L3 Harris Renovation of Bldg. N4 Project Address 2548 Campbell Place, Carlsbad, CA 92009 Applicant Name Pacific Building Group Contractor 0 Last First Applicant Address 9752 Aspen Creek Court, San Diego, CA 92126 Phone ( 858 ) 552-0600 E-mail Address Applicant Mailing Address (if different than project address) Project Type (check all that apply): Residential Commercial □ 0 Public Building □ Brief Description Tenant Improvement including Demo, Mechanical, electrical APN Architect Other □ □ Project Size 10,578 Estimated Cost of Project $_$_2_·_2_M _____________ _ (square footage) Please check the appropriate box: I plan on using REPUBLIC SERVICES roll-off bin(s) for al l 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. 1 ~!u1n•d by Jacqueline hnuite P . t N Jacqueline Tahuite . Jacqueline TahuIt0 Jl""ull,Opacilkbulldiao,,wpoom, rm ame _____________ S1gnature c.~,.,,r,,,.,,. . . Date 2/14/2024 Page 1 of 3 Rev. 05122 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: • ' Permit No. Project Title L3 Harris Renovation of Bldg. N4 Project Address 2548 Campbell Place, Carlsbad , CA 92009 APN Applicant Name Pacific Building Group Phone ( 858 )552-0600 Last First -,~-••tm■: 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 Pl ace a (i.i) check Place a (i.i) check next Place a (i.i) 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 fine of the toble 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 2.2T □ X □ □ Carpet Padding/ Foam □ n n Cardboard □ n □ Ceiling Tile (acoustic) 3.45T □ □ X □ Drywall (used, new, scrap) 1.12T □ X n □ Landscape Debris (brush, trees, □ stumps, etc.) No dirt. □ □ Unpainted Wood & Pallets □ □ □ Roofing Materials □ □ □ Scrap Metal .73T □ X □ □ Stucco □ n n Other: Ductwork 1.9T □ □ X □ TOTAL = 9.40T • To meet 65% Diversion Requirement (estimat e) 9.40 X 0.65 = 6• 11 tons Total Estimated Waste from above Minimum Required Diversion OlilellyPi!l!KbyJ~T~, Contractor/Owner Signature J acqueline T ahuite ~~!=""'~""-· Date 2/14/24 Page 2 of 4 Rev. 05/22 PART 2 Complete before final inspection, obtain WASTE MANAGEMENT signature, and return with receipts prior to final building approval. DEBRIS RECYCLING REPORT (ACTUAL): -..,iiiiil•■r111.,••-..1 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.BG.Z.O:J.~-0~'15 Print Name L'?, M AAl'IS T :t Address 2.SLfS CAl'\P ~ I.LL-p ... C.AA'-'':l "'o CA q 'J.Od'f Date ~II-'{ I l,OZ, 'f -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 Material Type Actual Amt Actual Amt Actual Amt Destination Facility Date Reused or Recycled Disposed in (Name, Address, Phone) Salvaged Landfill ExameJe: Palomar Transfer Station, 5960 El 01/05/2018 Concrete (broken) 5 tons CominoReol -(760) 603-0153 3/5/24 Trash 3.30T EDCO Station, La Mesa, CA -3/6/24 Metal 2.60T Allan Company, San Diego, CA --·- 3/8/24 Metal 2.09T Allan Com any, San Diego, CA 3/11/24 Trash 3.81T EDCO Station, La Mesa, CA --3/18/24 Carpet 2.21T LA Fiber Co, Los Angeles, CA - - ---- I-- □TOTAL 6 .. 90T 7.11T -..,.,,,. ~ 65% Diversion Rate Achieved 6.9 I 14.01 = 50 % $65%0 Toto/ of columns A+ B Toto/ of columns A+ B + C DIVERSION Contractor/Owner Signature J11uJ-/ j,4-t.~ LP" 6-s I'" I 1-0 z.-1 -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 Rev. 51612022 3825 Bancroft Drive, Spring Valley, CA 91977 P-619-589-6001 F -619-589-7158 CONSTRUCTION AND DEMOLITION DEBRIS RECYCLING LOG Daily Log of Construction and Demolition (C&D) Materials Removed or Reused on Job Site Date: 4/25/2024 Project: L3 Harris Reno of Bldg N4 Address: 2548 Campbell Place, Carlsbad, CA 92009 DATE TICKET NO. 3/5/24 66505 3/6/24 TSDYOS 3/8/24 TSDYQJ 3/11/24 68896 3/18/24 240329H TOTAL RECYCLED: 49% DESTINATION EDCO Station Allan Comoanv Allan Comoanv EDCO Station LA Fiber Comoanv LOCATION La Mesa CA San Dieao CA San Dieao CA La Mesa CA Los Anaeles CA Job No: 1-23-1806 Customer: Pacific Building Group (TONS) (TONS) RECYCLED TRASH % RECYCLABLE 3.30 0% 2.60 100% 2.09 100% 3.81 0% 2.21 100% 6.90 7.11 Name of Person Verifying Accuracy: s1goa1,ra , 7 L_ ana Ap claoef // , MATERIAL TYPE Refuse Metal Metal Refuse Caroel Certification for Recycled Used Carpet • Certification: 240329H • Date: March 18, 2024 • Location: Pacific Building Group 2548 Campbell Place San Diego, CA • Square Yards: 490 (4,410 square feet) The carpet removed from your premises was sent to our recycling facility, processed and recycled into new products and new uses. None of the carpet was sent to a landfill. Thank you for making a difference in our environment, our community, and our future. rmco Station 8181 Commercial St . L,a Mesa, CA 91942 (619) 466 -3355 Customer: 0171 CASPER CO Ticket : Date : 3825 BANCROFT DR. SPRING VALLEY CA 91977 Commodity 30 Roll Off Refuse [Gross (In) : 20 . 59 \_}C> b.#' .,.:lye> tJ s-J ur;i.its 3.81 tons Scl#l oJ. s-y-8 ~p&I I Pt. CHRIS 68896 03/11/24 o\o# ZJ.f oo r;~ PD:tl-1 lo2Z4 t)5 In: 12 :43 Out : 12:43 Rate Truck: Container: Route: Origin: INVOICE 1108/1108 J 02030 020 SAN DIEGO Tare 16.78 tons Stored Net: 3 .81 Extended Charge 438.15 tons] TOTAL DUE 438.15 Driver WEIGIIMASTER CERTIFICATE TRUCK SCALE ** REPRINTED ON 03/08/24 ** Ticket#: TSDYQJ Purchased From: CASP02 SIIIP DATE: 03/08/24 CASPER COMPANY 3825 BANCROFT OR SPR ING VALLEY, CA 91977 Veh II 28668M1 ID II CASPER ALLAN COMPANY 5165 CONVOY STREET SAN DIEGO, CA 92111 PHONE: (858) 268-8971 FAX: (858) 268-8972 SHPMNTtl COMMOO !oT1Y TSDYQJ MIXED LOAD GROSS TARE N8T1 37540a 33360a 4180 1AOJ REASON 0 RED 0/~I RO EX•T PO WT! 4180 PRICE UM TOT-AL AMT 0.0 0.00 0.0000 * 0.00 ALL WEIGHTS ARE REPORTED IN POUNDS UNLESS OTIIERWISE INDICATED. ALL NON -POUND WEIGHTS ARE ASSUMED TO BE MANUAL ~IEIGIITS TOT'AL·S 0 0.0 Ticket Comment: 2548 CAMPBELL PL/ LIGHT STEEL/ KIAN WEIGHMASTER SIGNATURE CUSTOMER SIGNATURE (MAGDALENA ORTIZ) GRS Date 03/08/24 GRS Time 08:50 TRE Date 03/08/24 TRE Time 08:57 jSHORT TO\IS I 2.0900 I I o=SCALE 1 b=SCALE 2 c=SCALE 3 d=SCALE 4 m=MANUAL WE I GHT WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY lhat lhe following described commodity was weighed, measured, or counled by a weighmaster, whose slgnalure Is on lhls cer1Ificate, who Is a recognized aulhorily or accuracy, as prescribed by Chapter 7 (commencing wllh Section 12700) of Division 5 or the California Business and Professions Code, administered by the Division or Measurement Standards of the California Department ol Food and Agriculture. 0.00 '2-:7~ ~ C f>,-M ~6lL fl WEJGHMASTER CERTIFICATE TRUCK SCALE Purchased From: CASP02 CASPER COMPANY 3825 BANCROFT DR SPRING VALLEY, CA 91977 Ticket#: TSDYOS SHIP DATE: 03/06/24 Veh # 2866BM1 ID # CASPER • • . yt-t-, ~!I\ iu,*,e~~lb,tf~ .sli~r:,_N'ftt;t~<?f1~Q_O;~ht{:;. TSDYOS MIXED LOAD 38420a 33220a 5200 A 0 ALLAN COMPANY 5165 CONVOY STREET SAN DIEGO, CA 92111 PHONE: (858) 268-8971 FAX: (858) 268-8972 0.0 0.00 ~&-;•tf.\-bgJ:x...-:~~ . _ 1;-i.TPJIA!.Y~P, 0.0000 * 0.00 ALL WEIGHTS ARE REPORTED IN POUNDS UNLESS OTHERWISE INDICATED. ALL NON·POUND WEIGHTS ARE ASSUMED TO BE MANUAL WEIGHTS lt~~;:; ~-~ >~ f~ff~T·O~. Ticket Conment: 2548 CAMPBELL PL. / LIGHT STEEL/ KIAN WEIGHMASTER SIGNATURE CUSTOMER SIGNATURE (MAGDALENA ORTIZ) a=SCALE 1 b=SCALE 2 c=SCALE 3 d=SCALE 4 m=MANUAL WE!G~T WEIGHMASTER CERTIFICATE +-------------------+ GRS Date 03/06/24 GRS Ti me 14:58 TRE Date 03/06/24 TRE Time 15:04 !SHORT "TONS I 2.6000 I I +---·---·--··------·+ THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who Is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) or Division 5 of the Callromla Business and Professions Code, administered by the DIVlsion of Measurement Standards of the California Department of Food and Agriculture. EDCO Station 8184 Commercial St. La Mesa, CA 91942 (619) 466 -3355 Customer: 0171 CASPER CO 3825 BANCROFT DR. SPRING VALLEY CA 91977 Ticket: 66505 Date: 03/05/24 Commodity Units Rate 30 Roll Off Refuse 3.30 0 -5 In: 10:39 Out: 10: 39 Truck: container: Route: Origin: INVOICE 0002/0002 w 02030 020 SAN DIEGO [Gross(In): 20.22 tons Scl#2 Tare 16.92 tons Stored Net: Extended Charge 379.50 3. 30 tons] TOTAL DUE 379.50 Miguel E. Driver