HomeMy WebLinkAbout2703 WATERBURY WAY; ; CBR2024-1578; 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 ADD ITIONS 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 Ca rlsbad Building Division at (442) 339-2700. Please note: Unless you are se lf-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 Neves Addition
Project Address 2703 Waterbury Way Carlsbad CA 92010 APN 167-441-1300
Applicant Name _o_w_e_n_n_G_e_i_s ___________ _
Other I ✓ I Designer
Last First
Applicant Address 339 Durian St. Vista CA 92083
Phone ( 714 ) 402-6241 E-mail Address owenngeisdesigns@gmail.com
Applicant Mailing Address
(if different than project address)
Project Type
(check all that apply):
Residential
[Z]
Commercial
□
Public Building □
Brief Description A_dd_i_tio_n ________________________________ _
Project Size 2A08 SF Estimated Cost of Project $_$_8_7_,_0_0_0 ____________ _
(square f ootage)
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 w ith Republic
Acknowledgement: I certify under penalty of perjury under the laws of the Stat e 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 t he
best of my knowledge and belief.
Print Name Owenn Geis Signature ___ O_WUIA'v ___ ~_e.t,y_· _____ Date 06/08/2024
Page 1 of 3 Rev. 05122
CBR2024-1578
f
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. ____________ Project Title Neves Addition
P • t Add 2703 Waterbury Way Carlsbad CA 92010 APN roJec ress _________________________ __ 167 -441-1300
Applicant Name Geis Owenn Phone (714 )402 6241
Last First
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
rail-off bins.
Mixed C&D Debris
Asp ha It & Concrete
Brick/ Masonry/ Tile
Mixed Inert Debris
K:abinets, Doors, Fixtures. I
Windows (circle all t hat apply)
Carpet
Carpet Padding/ Foam
Cardboard
Ceiling Tile (acoust ic)
Drywall (used, new, scrap)
Landscape Debris (brush, trees,
stumps, etc.) No dirt.
Unpainted Wood & Pallets
Roofing Materials
Scrap Metal
Stucco
Other:
TOTAL
SECTION C
.1
.4
2
.5
Estimated
Waste Quantity
(tons)
3
To meet 65% Diversion Requirement (estimate) 3
A B C
Place a (0) check
next to items to be
reused or salvaged
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
Place a (0) check next Place a (0) check next
to items to be to items to be
recycled disposed at landfill
□ □
□ □
□ □
□ □
□
□
□
□
□
□ □
□ □
□ □
□ □
2.1 .9
x 0.65 = 1-95 tons -------------------
Total Estimated Waste f rom above Minimum Required Diversion
Contractor/Owner Signature. ___ __,,O::;__..,.~..:...._;;;_ ____ q..=..a._Uy=--=-•.&....-Date 6/8/24
Page 2 of4 Rev. 05122