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Home My WebLink About2598 STATE ST; ; CBC2022-0188; Recyclel_ City of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Development Services Building Division 1635 Faraday Avenue www .ca rlsbadca .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 the 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 document ation that meets 65% waste diversion. Republic 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 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. APPLICANT CERTIFICATIONS: CHECK EACH~ [2( 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 roject listed in PART 1, that I have reviewed the accuracy of the information, and that the nformation is true and correct to the best of my knowledge and belief. 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 Occupancy (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 equii;i ent and refrigerants, require special processing prior to commencement of consttucfon or demoliti ivi:~L Date:~f? )2S;; I Page 1 of 4 rev4/24 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. Last First Complete the following table with estimated waste tonnage to be generated by your project. 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) 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 Estimated Waste Quantity (tons) 0 A Place a(✓) check next to items to be reused or salvaged □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ B C Place a (✓) check next Place a(✓) check next □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ to items to be disposed at landfill □ □ □ □ □ □ □ □ □ □ □ □ □ tons Waste from above Minimum Required Diversion ~~=-----1'.::'.:~===-------Date _4-+---'-/ \ 7_/ ~--/ l Page 2 of4 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 Project Address,_:=::~~:_::~:!.LL-""::::::~=::;;~~::;:~~Y..f;dl::...21::.. ____ --;~r Applicant Name ~-=--=--=-:l...ll..::......;:Uc::~~.ldl...u:.:--= Last First 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 Material Type Concrete (broken} @TOTAL Diversion Rate Achieved Actual Amt Reused or Salvaged 0 Total of columns A + B Attach the following documentation to this Report: • Original recycling weight tickets, landfill weight tickets Actual Amt Actual Amt Recycled Disposed in Landfill 5 tons 0 0 Total of columns A + B + C Destination Facility (Name, Address, Phone) Palomar Transfer Station, 5960 El Camino Real 3 2: 65% DIVERSION Return completed form and documentation to: City of Carlsbad • Original donation receipts with photos and/or itemized descriptions Building Division (1st Floor) 1635 Faraday Avenue Carlsbad, CA 92008 • Any other relevant information to support Recycling Report Page 3 of4 rev 4/24 {'city of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN 8-59 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov APPLICABLE TO NEW CONS RUCTION, RESIDENTIAL ADDITIONS AND ALTERATIONS OVER $6OK VALUATION AND COMMERCIAL ADDITIONS AND ALTERATIONS OVER $200K . You are required to list materials that will be reused, recycled or disposed from your project. If you have questions about the recycling requirement or completing this form, please contact Republic Services at (760) 332-6464, a certified C&D recycler, or the Carlsbad Building Division at (442) 339-2719 Please note: Unless you are self-hauling, Republic Services or approved haulers must be used for all construction projects within the City of Carlsbad. PART 1 Complete and submit this form when applying for a Building Permit. Note: Permits will not be issued Applicant Information Permit No. ____________ Project Title _W_il_d_la_n_d_s _____________ _ Project Address2598 State Street, Carlsbad Ca. 92008 APN ApplicantName Resnick John Pi Coor 'E~r □ ------ last First Applicant Address 2598 State Street, Carlsbad Ca. 92008 Phone 619 850-6590 E-mail Address john@jeune-jolie.com Applicant Mailing Address (if different than project address) Project Type (check all that apply): Residential Commercial □ 0 Brief Description T_I _R_e_s_t_a_u_ra_n_t _____________________________ _ Project Size. ___________ Estimated Cost of Project$ ________________ _ (square footage) Please check the appropriate box: lv'I I plan on using REPUBLIC SERVICES roll-off bin(s) for all materials and will provide all receipts after construction. D I plan on using a City Approved hauler and will provide all receipts at the final occupancy inspection. D This is a proposed LEED certified project. 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 kno4•~•• and~ Print Name~\/\ _Jt{6\J\\C..,L Signatur"'(._ __ ~=--~-=---~---Date 4/12/23 Page 1 of4 Rev. 2. 10.21 PART 1 Complete, obtain signature, and submit this form when applying for a Building Permit. Note: Permits will not be issued without a completed Construction Waste Management Plan. DEBRIS RECYCLING ESTIMATE: SECTION A Permit No. __________ Project Title Wildlands ----------------- Project Address2598 State St. Carlsbad, Ca. 92008 APN Applicant Name Resnick John Phone 619-850-6590 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 IMNAGBIIIENT roll-off bins. Mixed c&D Debris Parking lot Asphalt & Concrete Brick/ Masonry/ Tile Mixed Inert Debris Cabinets, Doors, Fixtures, Windows (circle all that apply) Car et Carpet Padding/ Foam Cardboard Ceiling Tile (acoustic) Drywall (used, new, scrap) Landscape Debris (brush, trees, stumps, etc.) No dirt. Unpainted Wood & Pallets Concrete Roofing Materials Sera Metal Stucco Other: TOTAL SECTION C Estimated Waste Quantity (tons) 8.5 4.3 30.0 .6 1.2 10.0 To meet 65% Diversion Requirement (estimate A B C Place a ( ✓) check next to items to be reused or salvaged 6.0 Page 2 of 4 Place a(✓) check next to items to be recycled 8.5 4.3 8.0 10.0 Place a ( ✓) check next to items to be disposed at landfill Rockridge Rockridge Sanco Sanco Miller Metal l\llinimum Required Diversion 4/12/23 Rev. 711120 PART 2 Complete before final inspection, obtain City Approved hauler receipts and return prior to final building approval. DEBRIS RECYCLING REPORT (ACTUAL): I 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 .. _______________ Print Name Wildlands __________________ __, Address _2_5_98_S_ta_t_e_S_t_re_e_t _C_a_rl_sb_a_d---'-,_C_a_._9_2_0_0_8 ______ Date 4/12/23 SECTION B Use this Final Log below to track loads of materials as they leave the Job site. (Q)(O)SAVE RECEIPTS(O)(O) 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. Date Material Type A B C Actual Amt Reused or Salvaged Actual Amt Actual Amt Recycled Disposed in Landfill Destination Facility (Name, Address, Phone) Example: 01/01/2020 Concrete (broken) Stans Palomar Transfer Station, 5960 El Camino Real -760 603-0153 <lbTOTAL SECTION C Diversion Rate Achieved -------~"" ___________ = _____ % A + B + C DIVERSION 4/12/23 Return completed form and documentation to: • Original recycling weight tickets, Ian fill 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 SANCO Resource Recovery 6750 Federal Blvd. Lemon Grove , CA 91 945 (619) 287 -7555 customer: 0583 Ticket: 18928 Date: 08/01/22 BTS EQUIP . UNL., INC. 13465 CMNO CANADA #106-5 01 EL CAJON, CA. 92021 Rate In: 11:55 Out: 12:09 83.00 per TON INVOICE Truck: 0307 Container: Route: 02034 Origin: 020 SAN DIEGO Commodity Units 34 CONSTRUCTION/ DEMOL .77 [Gross(In): 1 3,360 . lbs Scl#2 Tare 11,820 . lbs Scl#2 Extended Charge 63.91 Net: 1 ,540 . lbs) TOTAL DUE 63.91 Construction & Demolition Diversion Certificate --Diversion Percentage 69% This certifies that the company listed above has utilized an EDCO facility 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. Brayan Tapia Driver ... SANCO Resource Recovery 6750 Federal Blvd. Lemon Grove, CA 91945 (619} 287-7555 Customer: 0583 Ticket: 18909 Date: 08/01/22 BTS EQUIP. UNL., INC. 13465 CMNO CANADA #106-501 EL CAJON, CA. 92021 Rate In: 10:49 Out: 11:05 83.00 per TON INVOICE Truck: 0307 Container: Route: 02034 Origin: 020 SAN DIEGO Commodity Units 34 CONSTRUCTION/ DEMOL 2.94 [Gross(In}: 17,780. lbs Scl#l Tare 11,900. lbs Scl#l Extended Charge 244.02 Net: 5 ,880. lbs] TOTAL DUE 244.02 Construction & Demolition Diversion Certificate -· Diversion Percentage 69% This certifies that the company listed above has utilized an EDCO facility 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. Brayan Tapia Driver SYCAMORE LANDFILL 8514 MAST BLVD SANTEE , CA 92071 () - 333428 -BTS EQUIPMENT UNLIMITED, I NC. 13465 CAMINO CANADA 106-501 EL CAJON, CA 92021 Contract: BTS EQUIPMENT UNL GROSS 41, 720 Scale In TARE 34,100 Tare Out NET 7,620 Tracki ng Qty: 0 .00 Qty 3 .81 Origin: 1.00 Signat ure: Unit Description TN C&D CARLSBAD ENVIRONMENTAL FEE 1 100% , • Ticket #: 2074514 Weighmaster: torrestl In: August 01, 2022 Out: August 01, 2022 Vehicle: 4245/A61610 Ref: 22-50 BOL : INBOUND INVOICE Rate Extension $78.00 $297.18 $18.00 $18.00 Tax $0.00 $0.00 Total Paid Change 4 :05 pm 4:05 pm Tota l $297.18 $18 .00 $315.18 $0.00 $0 .00 PALOMAR TRANSFER $·"; ,.,17:: 5960 EL CAMINO REAL CARLSBAD , CA 92008 (760)603-0153 333419 -BTS EQUIPMENT UNLIMITED, INC . 13465 CAMI NO CANADA 106-501 EL CAJ ON , CA 92021 Contract: COMM-GATE Yr. 200 GROSS 42 ,220 TARE 34 ,020 NET Tracki ng Qty: 8 ,200 0 .00 Qty 4 .10 Unit Description TN MSW Origin: CAMP PENDLETON Signatu re: Scale In Tare Out 100% s• Ticket #: 2435039 Weighmaster: rivernol In: July 29, 2 022 Out: J uly 29, 2022 Vehi cle: A61903 Ref: C+D BOL : I NBOUND INVO I CE Rate Extension $87 .54 $358 .91 Tax $0.00 Total Paid Ch ange 8:27 am 8 :27 am Total $358.91 $358 .91 $0 .00 $0 .00 PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-0153 333419 -BTS EQUIPMENT UNLIMITED, INC . 134 65 CAMINO CANADA 106-501 EL CAJON , CA 92021 Contract: COMM-GATE Yr. 200 GROSS 46,100 Scale In TARE 34,020 Tare Out NET 12,080 Tracki ng Qty: 0 .00 Qty Un it Descri ption 6 . 04 TN MSW Or igin: CAMP PENDLETON 1 00% Signa ture: Welghmaster: rivernol In: Jul y 28 , 2022 Out : July 28, 2022 Vehicle : A61 903 Ref: 22~JS-o eti.dl.g_t~n BOL: INBOUND INVOICE Rate Extensi on $87.54 $528 .74 Tax $0 .00 Total Paid Change 8:30 am 8 :30 am Total $528.74 $528.74 $0 .00 $0.00 SYCAMORE LA~DflLL 8514 MAST BLVD SANTEE , CA 92071 () - w ,i l' (~~ Ticket #, 218 964 2 s . '29 Weiqhmaster: perezJ l-i9J In : June 16, 2023 333428 BTS EQUIPMENT UNL IMITED, I NC. 13465 CAMINO CANADA 106-501 Ou'.:.: Jt:.ne l6, 2023 EL 2AJON , CA 92021 Conlract: BTS GROSS TARE NET EQUTPMENT UNI 40,120 32,960 7 ,160 ':'racking Qty : 0 .00 Qty Lnit Desc::-i.p".:.ion 3.58 TN C&D Origin : CARLSBAD l.OC ENVIRONMENTAL Signa~ure: Scale In Ta:::e OuL 1 00% FEE , - Vehicle: 4240/4 7401 Ref : wildiife BOL: I NBOUND INVOICE Rate Extens ion $81. 90 $293 .20 $19 .71 $19.71 '!'ax S0.00 $0 .00 Total Paid Change 8 : 42 am 8 : 42 am Total S293 .20 $19.71 $312.91 $0 .00 $0 .00 SYCAMORE ~A~or:LL 8:i:4 MAS7 B!.VD SANTC:E , Ci\ 92071 {) - 333428 8'1'S I::QU1PMENT UN1,lMI'I'ED, INC. ~J465 CAMI NO CANADA 106-501 EL CAJON , CA 92021 Cont r uct : BTS GROSS TARI:: NtT EQU:?MENT UNL 41 ,540 34,080 7 ,460 'l'r:ack:..ng Qty: 0 .00 Qty : . ·, 3 Unit Dcscript'on TN C&D Griqir.: SAN DIEGO Scale In Scale Ci;~ 100% 1.00 tNVIRO~~ENTAL FEE 1 Oul : '124G/30 Ref: dcl ! o S'.l~:::.r BOL: nrno:.JND IN\/Ol CI•; Ra te Ex•~•-P.s~ >:- sa:. 98 ~3·;~ .. ~e: $19.·1: S 1 . cc .$ J g . Tot< ' Pai : Change $C .0C SYCAMORE LANDF:LL 851'1 MAST BLVD SAN'.:'1::E, CA 92071 ,/}fl /J;::-Tic ket J , 2189848 ;J,, Wei ghmaster: calixch () - 3334d8 -BTS EQUIPMtNT UNLIMITED, INC. 1 34 6~ CAMI NO CANADA 106-501 EL CAJO~, CA 9202 - Cont=act : BTS EQUIPMRNT UNl GROSS 58 ,880 Scale In 1'ARE 33 ,920 Tar e Out NET 2 4,960 Tracklng Qty: 0 .00 Qty Unit Descri pt.ion 12.48 TN C&D Origin: ZL CAJON 100 % i.. 00 ENVIRONMENTAL FEE l Signature : In : June 16, 2023 Out : June 16, 2023 Vehicle: 1240/c:t64496 Ref: 2ND ST ARBY'S BOL : INBOUND I NVOICE Rate Extension $81.90 $1,022 .11 $19.71 $19.71 Tax $0.00 $0.00 Total ?a::.d Cha?;ge '.!.2: 4 0 pm 12 :40 pm Total $1.022 .11 $19.7 1 $1,04 1 .82 $0 .00 so .co Non-Negotiable Bill-of-Lading and Transportation Agreement PH: 619-324-706! FX: 619-443-0441 BTS EQUIPMENT UNLIMITED, INC. 5472 DAILY TRIP REPORT BILLED TO: as: DATE: l, -JS· ..2,J INSPECTED: TRUCKJNG CO: VEHICLE#: ST ART TIME: C PLANT: JOB#: STOPTlME: V LO QTY-PLANT LEAVE NO. TICKET NUMBER MATERIAL YD/TN LOCATION AT PLANT PLANT JOBSITE/ DESTINATION ARR. JOB LEAVE JOB 1 ~~ C ~-,../ .. H.•/7 2 .,<1,,t.~ ~,J,i; I-7"1 ,,~ C, I .;l-JJ/7 7 7~ }),~ -dkM° -. 9,2.o 3 ~ J1CJ' ';>,)'D /J1.-11A. ~ Id.I<. ~31> -4 J ~<LrLS 2J , • ;J 5 ' ., f <"~" ,( :fl?~ l I' ") JO 6 '1 Jh /'YJ J 1. tt-L '1i ~ I /) 'JA) 7 '1.10 1'1-'J J 'Y -~ . /:z_3:J!--I 8 ,J,i(l /)£Mb & f /:J.,,/15 9 1. )1) Ml~ I-, ~ I I'> ,$1 1.0.;I 10 210 ,,,,,, ')t /., ~ "l ' ,,.J_ 2~ 11 ;fl) f) ,n ,'is~~ :,_-I'> I .Jfe J ;If 12 RX/~ 1. IL •" (l~.._J t1.! J.,/)1 '-I I , 13 14 15 COMMENTS (NOTE ANY DELAYS): CHECK#'S: TOTAL TONS: TOTAL HRS: /P TOT AL LOADS: HRRATI TOTAL CHG:$ CUSTOMER SIGNATURE BltllfAI DRIVER SIGNATURE WHITE: BTS Copy YELLOW: Carrier/Trucking CO. PINK: Customer Non-Negotiable Bill-of-Lading and Transportation Agreement B~EOU~MENTUNLIMITED,INC DAILY TRIP REPORT PH: 619-324-7065 FX: 619-443-0448 5473 BILLED TO: DATE: ( ,.. J L . .2-] INSPECTED: . TRUCKJNG CO: VEHICLE #: TRUC~: t/JP DRIVER NAME:~ /Jj START TIMI!: ~ PLANT: LO QTY-PIANT LEAVE NO. TICKET NUMBER MATERIAL YD/TN LOCATION AT PIANT PIANT JOBSITE/ DESTINATION ARR. JOB LEAVE JOB 15 COMMENTS C\'OTE ANY DELAYS): CRECK#'S: TOTAL TONS: TOTAL HRS: /0 TOTAL LOADS: HR RATE TOTALCHC:S CUSTOMER SIGNATURE Bl■fHi DRIVER SIGNATURE WHITE: BTS Copy YELLOW: Carrier/Trucking CO. PINK: Customer ~i, Ticket #: 2526422 PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 Weighrnaster: IN -venegern OUT -rnarticy (760) 603-0153 333419 -BTS EQUIPMENT UNLIMITED, INC. 13465 CAMINO CANADA 106-501 EL CAJON, CA 92021 Contract: COMM-GATE Yr . 200 GROSS 46,960 Scale In TARE 35,220 Scale Out NET 11,740 Tracking Qty: 0.00 Qty 5.87 Unit Description TN MSW Origin: CARLSBAD Signature: 100% In: March 23, 2023 Out: Ma r ch 23, 2023 Vehicle: CD Ref : 22-050 -BTS BOL: INBOUND INVOICE Rate Extension S87 .54 S513 .86 Tax $0.00 Total Paid Change 11: 57 am 12 :12 pm Total $513.86 $513.86 $0.00 $0.00