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Home My WebLink About1078 BUENA VISTA WAY; ; CBR2022-2155; Recycle{city of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN 8-59 Deve/01?_ment Ser_vices 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. ____________ _ ProjectAddress_._/~o~]_,_G_~.....,_~~~~~~-~---------~ J;~;:TiVl APN Owner Contractor Architect Other Applicant Name _________________ _ □ □ □ □ Last First Applicant Address ------------------------------------ Phone _._ __ ,__ _________ E-mail Address Applicant Mailing Address (if different than project address) Project Type (check all that apply): Brief Description Residential ~ Avu.. Commercial □ Public Building □ Project Size ___ $:J~'--,1'2~------Estimated Cost of Project $_1_1._S--+-_(J:JQ ____________ _ (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 self-hauling to a certified recycling facility 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 SERVCES. 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 informat~ion, d that the information is true and correct to the best of my knowledge and belief. Print Name ~ ~} /I Signature_--,£--'"'----"------Date ~-(I -L-,}L-l-- Page 1 of 3 Rev. 05122 CBR2022-2155 /8 ADU WAY 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: ... ,,..11,1.,., Permit No . f{,Project Title Project Address l 0 1 b Bu~£. \J r5i~ APN Applicant Name ~t= ~ Phone ( 7 fu ) 53~-097>1 Last First .11,1,,■: 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 Place a (0) check Place a (0) check next Place a (0) check next Waste Quantity next to item s t o be to items to be to items to be (tons) reused or salvaged recycled disposed at landfill Complete this line of the table only if only using WASTE MANAGEMENT roll-off bins. I igp □ Mixed C&D Debris □ Asphalt & Concrete \ □ B □ Brick / Masonry / Tile I □ g □ Mixed Inert Debris □ □ l5a> Cabinets, Doors, Fixtures, □ □ □ Windows (circle all that apply) Carpet □ □ □ Carpet Padding / Foam □ [l n Cardboard \ □ &er □ Ceiling Tile (acoustic) □ □ □ Drywall (used, new, scrap) □ n □ Landscape Debris (brush, trees, □ □ □ stumps, etc.) No dirt. Unpainted Wood & Pallets I □ 8=' □ Roofing Materials I □ ';IQ □ Scrap Met al ' □ @ □ Stucco I n n IS(I) Other: □ □ □ TOTAL -- • To meet 65% Diversion Requiremm~nt (e • te) fl-x 0.65 = s ~ tons . 1/,:::t IE t mated Waste from above Minimum Required Diversion Contractor/Owner Signature Date i✓ !1 ~ i~ 7.,V , Page 2 of 4 Rev. 05122 Conversion Table for Common Construction Waste This document is informational onlv. It is here to helo vou convert truckload auantities to tons, if necessary. Column A Column B Column C Category Material Volume TonsLUnit Tons Mixed Debris Construction cy X 0.18 = Demolition cy X 1.19 = Asphalt/Concrete Asphalt (broken) cy X 0.70 = Concrete (broken) cy X 1.20 = Concrete (solid slab) cy X 1.30 = Brick/Masonry/Tile Brick (broken) cy X 0.70 = Brick (whole, palletized) cy X 1.51 = Masonry brick (broken) cy X 0.60 = Tile sq ft X 0.00175 = Building Materials (cabinets, doors, windows, etc.) cy X 0.15 = Cardboard (flat) cy X 0.05 = Carpet By square foot sq ft X 0.0005 = By cubic yard cy X 0.30 = Carpet Padding/Foam sq ft X 0.000125 = Ceiling Tiles Whole (palletized) cy X 0.0003 = Loose cy X 0.09 = Drywall (new or used) 1/2" (by square foot) sq ft X 0.0008 = 5/8" (by square foot) sq ft X 0.00105 = Demo/used (by cu. yd.) cy X 0.25 = Landscape Debris (brush, trees, etc.) cy X 0.15 = Asphalt Composition Shingles, asphalt Shingle cy X 0.22 = Unpainted Wood/Pallets By board foot bd ft X 0.001375 = By cubic yard cy X 0.15 = Trash/Garbage cy X 0.18 = Other (estimated weight) cy X estimate = cy X estimate = cy X estimate = cy X estimate = Total all = Page 3 of 3 Rev .. 05122