HomeMy WebLinkAbout2511 CHAMOMILE LN; ; CBRA2024-0105; RecycleC Cityof
Carlsbad
. " _sONSTRUCTION WASTE
•. •':.'. "MANAGEMENT PLAN
BUILDING DIVISION
s-s9 ORD REC
Development Services
Building Division
1635 Faraday Avenue
,/60-602-2719
CQ,p;varlsbadca.gov
APPLICABLE TO NEW CONS RUCTION, RESIDENTIAL ADDITIONS AND ALTERATIONS OVER $6OK
VALUATION AND COMMERCIAL ADD IT IONS AND ALTER AT IONS OVER $ 2 0 0 K . 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
P . N CBRA 2024-0104, 0103, 0102, 0101, 0105, 0100 . . I erm1t o. _____________ ProJect Tit e Marja Acres (Coral Ridge) Building F17
Project Address 2543, 2535, 2527, 2519, 2511, 2503 Chamomile Lane APN
Applicant Name KB Home Coastal Inc. / Attn: Elizabeth Shoemaker l✓i c□tor
Last First
Other □
Applicant Address 9915 Mira Mesa Blvd ., Suite 100, San Diego, CA 92131
Phone c 760 l 550-1957 E-mail Address eshoemaker@kbhome.com
Applicant Mailing Address 9915 Mira Mesa Blvd., Suite 100, San Diego, CA 92131
(if different than project address)
Project Type
(check oil that apply):
Brief Description
Residential
[Z]
Commercial
□
Public Building □
Project Size ___________ Estimated Cost of Project$ ________________ _
(square footage)
Please check the appropriate box:
D I plan on using REPUBLIC SERVICES roll-off bin(s) for all materials and will provide all receipts after construction.
I ✓ I 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 knowledge and belief.
Print Name _____________ Signature _____________ Oate 9/lLf.(2023
Page 1 of4 Rev. 2.10.21
PART 2 Complete before fi nal inspection, obtain City Approved hauler receipts and return prior to final
building approval.
DEBRIS RECYCLING REPORT (ACTUAL):
• . 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. CBRA 2024-0104, 0103, 0102, 0101, 010s, 0100 Print Name KB Home Coastal Inc.
Address 2543, 2535, 2527, 2519, 2511, 2503 Chamomile Lane Date
E11•1l'■:-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
Examp_Je: Palomar Transfer Station, 5960 El
01/01/2020 Concrete (broken) 5 tons Camino Real.
-(7601 603-0153
01/31/2025 Clean Plaster/Stucco 10.00 10.00 0.00 ARCOSA
02/04/2025 Construction Trash 0.80 0.00 0.80 Miramar Landfill
02/10/2025 Construction Trash 0.54 0.00 0.54 Palomar Transfer
02/12/2025 Construction Trash 0.54 0.00 0.54 Miramar Landfill
@TOTAL 37.42 30.00 7.42
•
~ 65%
Diversion Rate Achieved 30.00 I 37.42 = 81 % S:65%□
Total of columns A + B Total of columns A + B + C DIVERSION
-Contractor/Owner Signature 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
Page 3 of 4 Rev. 04122
ARCOS.A DISPOSAL TICKET
8354 Nelson Way
Escondido CA 92026
;60-205-1797 ,
TICKET NO : e 84004374J CRUSHED CONCRETE
DATE : DISPOSAL RECEIPT
CUSTOMER:
TRUCK NO .
COMMODITY:
PO :
CUST JOB:
COMMENTS :
l!EIGIIMASTEII
X
12169630-CAPACITY CONSTRUCTION INC
75995X3
BOBTAIL LOAD MI XED
LA COSTA
CAPACITY 118 GERARDO
Per Load Energy Surcha r ge Fee
75995X3
~
DRIVERS SIGNATURE
EnergySurcha rge-LA
ffEIGIIHIUlTERR~· C.I'
GROSS:
TARE:
NET:
IQ.tl.s.
0.00
0.00
0.00
.f'
DATE: 1/31/2025
TIME: 10:27:46AM
Bobtai:
Other
Total
125.00
5.00
130.00
The City of
SAN ·• DIEGO_])
Transaction#: 14039431
THE CITY OF SAN DIEGO
ENVIRONMENTAL SERVICES DEPARTMENT
SUPPORT SERVICES DIVISION
9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 9i123-1636
• (858) 694-7000
Account#: 8133613/CAPACITY CONSTR Date: 2i4/2025 13:53:3'7
Decal #: 62129, o, o Scale Operator: KBT
MIRAMAR LANDFILL
5180 CONVOY STREET
SAN DIEGO, CA 92111
LBS TONS
Fleet#: Tag#: 72968F3 lncomin IF_B_o_s,__ __ Gross Weight 22940.00 11 .47
Transaction Type: 01/BUS.--NON RESIDENTIAL
Payment Type: 01/CHARGE
Hauler Type: 01/BUS.--NON RESIDENTIAL ., _ -.
Vehicle Type: 080/HEAVY
Male,lal Type, 001/REfusE 52.11% of Sfflolld rumalns
Origin: 001/SAN DIEGO CITY O ~ . . .. •.
Special Fees: ~
~.
The Miramar Landfill will be closed on Monday,
05/26/2025 (Memorial Day).
ES-072 (REV. 10-24) PW/PS-333
.C'I:
Tare Weight
Net Weight
18140.00 9.07
4800.00 2.40
Tip Fee $ 178.00
Spec Fee $0
RCBus Tax $ 19.00
Recycle $ 31 .00
Total $ 228.00
... u .... J.~..-..,,,_-"----'--~-~-..__---~~..._._ ___ ....,.... _____ ___;:C.:.:.lr.:a.:;.l\:;.::16....:_T;_:l l=..DC=---------
PALOMAR TRANSFER
5960 EL CAMINO REAL
CARLSBAD , CA 92008
(760)603-0153
010258 -CAPACITY CONSTRUCTION INC
PO BOX 420040
SAN DIEGO, CA 92142-0040
Contract: COMM-GATE Yr. 200
GROSS 21,700
TARE 17,420
NET 4,280
Tracking Qty: 0 .00
Qty
2.14
Unit Description
TN MSW
Scale In
Tare Out
54 Ticket #: 2805451
Weighmaster: marticy
In: February 10, 2025
Out: February 10, 2025
Vehicle: A106133
Ref:
BOL:
INBOUND
INVOICE
Rate Exteniion
$101. 2] $216. 59
Tax
$0 .00
Origin: CARLSBAD 100%
10: 22 am
10:22 am
Tot al
$216.59
The Cityo/
SAN• DIEGO])
THE CITY OF SAN DIEGO
ENVIRONMENTAL 6ERVICES DEPARTMENT
SUPPORT SERVICES DIVISION .
9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636.
(858) 694,-7000
MIRAMAR LANDFILL
5180 CONVOY STREET
SAN DIEGO, CA 92111
Transaction#: 14047189
Account#: 8133613/CAPACITY CONSTR Pate: 2/12/2025 13:19:29
Decal#: 63675, 0, O Scale Operator: SRE
Fleet#: Tag#: CGB3R94 lncomin /F....:8~0~5--
Transaction Type: 01/BUS.--NON RESIDENTIAL
Payment Type: 01/CHARGE
Hauler Type: 01/BUS.--NON RESIDENTIAL i . ..
Vehicle Type: 070/MEDIUM HEAVY _ . -~ _
Me1e,iel Type, 001/REFUSE 38.64% of S~md remains
Special Fee~: ~ -•
Origin: 001/SAN DIEGO CITY 't.> r:J.lll -• •.
;<'.
The Miramar Landfill will be closed on Monday,
05/26/2025 (Memorial Day).
LBS TONS
Gross Weight 21920.00 10.96
Tare.Weight 17660.00 8.83
Net Weight 4260.00 2.13
Tip Fee $ 158.00
Spec Fee $0
RCBus Tax $ 17.00
Recycle $'28.00
Total $ 203.00
PALOMAR TRANSFER
5960 EL CAMINO REAL CARLSBAD, CA 92008
(760)603-0153
010258 -CAPACITY CONSTRUCTION INC
PO BOX 420040
SAN DIEGO, CA 92142-0040
Contract: COMM-GATE
GROSS
TARE
NET
Tracking Qty:
Yr. 200
22,960
18,840
4,120
0.00
Qty Unit Description
2.06 TN MSW
Scale In
Tare Out
54 T4"cket #: 2791558
Weighmaster: rnarticy
In: January 06, 2025
Out: January 06, 2025
Vehicle: A57711
Ref:
BOL:
INBOUND
INVOICE
Rate Extension
• $101. 2] $208. 49
Tax
$0.00
·origin: CARLSBAD 100%
PALOMAR TRANSFER
5960 EL CAMINO REAL
CARLSBAD, CA 92008
(760)603-0153
010258 -CAPACITY CONSTRUCTION INC
PO BOX 420040
SAN DIEGO, CA 92142-0040
Contract: COMM-GATE Yr. 200
GROSS
TARE
NET
21,060 Scale In
18,500 Tare Out
2,560
Tracking Qty: 0.00
Qty
1. 28
Unit Description
-TN MSW
54 Ticket #: 2792463
Weighmaster: marticy
In: January 08, 2025
Out: January 08, 2025
Vehicle: A15000
Ref:
BOL:
INBOUND
INVOICE
Rate Extension
$101. 2] $129. 55
Tax
$0.00
Origin: CARLSBAD 100%
9:16 am
9:16 am
Total
$208.49
9: 26 am
9:26 am
Total
$129.55
PALOMAR TRANSFER
5960 .EL CAMINO REAL
CARLSBAD, CA 92008
(760) 603-0153
010258 -CAPACITY CONSTRUCTION INC
PO BOX 420040
SAN DIEGO, CA 92142-0040
Contract: COMM-GATE Yr. 200
GROSS 22,680 Scale In
TARE 18,840 Tare Out
NET 3,840
Tracking Qty: 0.00
Qty
1. 92
Unit Description
TN MSW
54 Ticket #: 2789307
Weighmaster: marticy
In: December 30, 2024
Out: December 30, 2024
Vehicle: A57711
Ref:
BOL:
INBOUND
INVOICE
Rate Extension
$101.2] $194.32
Tax
$0.00
Origin: CARLSBAD 100%
f •
8:47 am
8:47 am
Total
$194.32
Construction & Demo
Received at: INLAND PACIFIC RESOU
Proceed at:
Total Yards Receive
Signature:
• ersion Certifieat~ ij O / 5 9
C Date: \ V\l V--\ ' ~
ercentage: 100%
This certlnes !hot the comporw listed obove hos utlllz!3d o Certtned f Illy lo divert construction demollllon moterlols In occordonce
with LEED requirements. The diversion yordoge Is bosed on on overall ordoge percentoge of the respective green woste·foclllty.
J''
--------···---------· ---· ·---·•·•---,----------. . ·--·--· ·-·------·-·---
Construction & Demo
Received at:
• ersion Certificate 310 6 4 4
Date:\~~
Project: Number/D
ercentage: 100%
Signature:
This certines lhol lhe company llsled above hos ullllzed o Certified f lily lo divert conslrucllon demolition moler1ols In occordonce
with LEED requirements. The diversion yardage Is based on on overall ordoge percentage of the respective green waste foclllty.
--------·----·----------------------------------
Y'
PALOMAR TRANSFER
5960 EL CAMINO REAL
CARLSBAD, CA 92008
(760)603-0153
010258 -CAPACITY CONSTRUCTION INC
PO BOX 420040
SAN DIEGO, CA 92142-0040
Contract: COMM-GATE Yr. 200
GROSS 21,560 Scale In
TARE 18,000 Tare Out
NET 3,560
Tracking Qty: 0.00
Qty
1. 78
Unit Description
TN MSW
54 Ticket #: 2771695
Weighmaster: marticy
In: November 12, 2024
Out: November 12, 2024
Vehicle: a57821
Ref:
BOL: •
INBOUND
INVOICE
Rate Extension
$101. 2J $180 .15
Tax
$0.00
Origin: CARLSBAD 100%
l_
PALOMAR TRANSFER
5960 EL CAMINO REAL
CARLSBAD, CA 92008
(760)603-0153
010258 -CAPACITY CONSTRUCTION INC
PO BOX 420040
SAN DIEGO, CA 92142-0040
Contract : COMM-GATE Yr. 200
GROSS
TARE
NET
21,120 Scale In
18,500 Tare Out
2 , 620
Tracking Qty: 0.00
Qty
L31
Unit Description
TN MSW
54 Ticket #: 277257 5
Weighrnaster: marticy
In: November 14, 2024
Out: November 14, 2024
Vehicle: A15000
Ref:
BOL:
INBOUND
INVOICE
Rate Extension
$101. 2] $132. 59
Tax
$0.00
Origin: CARLSBAD 100%
9:50 am
9:50 am
Total
$180.15
9 :36 am
9:36 am
Total
$132.59
·I
PALOMAR TRANSFER
5960 EL CAMINO REAL CARLSBAD, CA 92008
(760)603-0153
010258 -CAPACITY CONSTRUCTION INC PO BOX 420040
SAN DIEGO, CA . 92142-0040
Contract: COMM-GATE Yr. 200
GROSS 22,040 Scale In
TARE 18,060 Tare Out
NET 3,980
Tracking Qty: 0.00
Qty
1. 99
Unit Description
TN MSW
Origin: CARLSBAD 100%
54 Ticket #: 2768947
Weighmaster: gornezda
I'n: November 05, 2024
Out: November 05, 2024
Vehicle: A53962
RE;!f:
l BOL:
INBOUND
INVOICE
Rate Exten~ion
:$101.2] $201.41
·-----·,-::--
Tax
$0.00
54 Ticket #: 2769807
PALOMAR TRANSFER
5960 EL CAMINO REAL
CARLSBAD, CA 92008 Weighmaster: macaral
(760)603-0153
010258 -CAPACITY CONSTRUCTION INC
PO BOX 420040 SAN DIEGO, CA 92142-0040
Contract: COMM-GATE Yr. 200
GROSS 22,340 Scale In
TARE
NET
18,000 Tare Out
4,340
Tracking Qty: 0.00
Qty
2.17
Unit Description
TN MSW
Origin: SAN MARCOS 100%
In: November 07, 2024
Out: November 07, 2024
Vehicle : a57821
Ref:
BOL:
INBOUND
INVOICE
Rate Extension
$101. 2] $219. 63
Tax
$0.00
10 :38 am
10:38 am
Total
$20°1.41
10:06 am
10:06 am
Total
$219.63
Construction & Demo
Received at: INLAND PACIFIC RESOU
Total Yards Receive
Signature:
• ersion Certifirte ls 1 0 5 8 0
C Date: \Q .S\ \:\ . ~ \
ercentage: 100%
This certifies that the company llsted above has utlllzed a Certlned I Illy to divert canstructic!ri demollllon materials In accordance
with LEED requirements. The diversion yardage Is based on on overall ordage percentage of the respective green waste faclllty.
\ \() /0
f
Construction & Demo • ersion Ce:r~ 31%58
C D,ate: {Jj ~-
Project:
' Total Yards Receive ercentage: 1009/o
Signature:
This certifies that the company listed above has utlllzed a Certtfled f llty to divert construction demolltton materials In accordance
with LEED requirements. The diversion yardage Is based on an overall ardage percentage or the respective green waste laclllty.
PALOMAR TRANSFER
5960 EL CAMINO REAL
CARLSBAD, CA 92008
(760)603-0153
010258 -CAPACITY CONSTRUCTION INC PO BOX 420040
SAN DIEGO, CA 92142-0040
Contract: COMM-GATE Yr. 200
GROSS 24,000 Sct:1,le In
TARE 18,500 Tare Out
NET 5,500
Tracking Qty: 0 .00
Qty Unit Description
2 .75 TN MSW
Origin: CARLSBAD 100%
54 Ticket #: 2763030
Weighmaster : marticy
In: October 22, 2024
Out: October 22, 2024
Vehicle : AlSOOO
Ref:
BOL:
INBOUND
INVOICE
Rate Extension
$101 .2) $278 .33
Tax
$0.00
9:24 am
9:24 am
Total
$278.33
The City of THE CITY OF SAN DIEGO
ENVIRONMENTAL 0SERVICES DEPARTMENT
REFUSE DISPOSAL DIVISION
MIRAMAR LANDFILL
SAN • DIEGO]) 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636
(858) 694-7000
Transaction #: 13936778
Account#: 8133613/CAPACITY CONSTR Date: 10/23/2024 14:09:10
Decal#: 58756, 0, O Scale Operator: JMD
S 180 CONVOY STREET
SAN DIEGO, CA 92111
LBS TONS
Fleet #: Tag#: AT36V62 Incoming /FB 05 ~~~ Gross Weight 21080.00 10.54
Transaction Type: 01 /BUS.--NON RESIDENTIAL ~~\V,, ;,f' 4.:;,~
Payment Type: 01/CHARGE /4~7¼" ~ ~~ o' ~:~::,~ T;::~: ~;~~~!;~ON RESIDENTIAL /§w ~ i m ~ ~¢ I~~~,,,,.~\
Mate,ial Type, 001/REFUSE 52.89% of S~nd remains
-~~i~~~~IFeesc . 001/SANDIEGOCITY ~~
The Miramar Landfill will be closed on Thursday, ,'1f::,:,.a1~i•i'\J~~ .. -
11 /28/2024 (Thanksgiving Day). ...~~ ... -!..!-'>
Tare Weight 17560.00 8.78
Net Weight 3520.00 1.76
Tip Fee $ 130.00
Spec Fee $0
RCBus Tax $ 14.00
Recycle $ 23.00
Total $ 167.00
ES-072 (REV. 7-09) PW/PS-333
Construction & Demo
Proceed at: 12650 Slaughterhouse
Project: Number/Desc
Signature:
: ..... -.,.,.....
• ersion Certificatt: 3,1 i7 5 2 7
C Date: /(,__,)//6 /c! f
p .D
ercentage: 100%
This certifies that the company listed above hos utilized o Certified f Illy lo divert construction demolltton moterlols In accordance
with LEED requirements. The diversion yardage Is based on on overall ordoge percentage of the respective green waste facility.
The Cityo/ THE CITY OF SAN DIEGO
ENVIRONMENTAL SERVICES DEPARTMENT
REFUSE DISPOSAL DIVISION
MIRAMAR LANDFILL
5180 CONVOY STREET
SAN DIEGO, CA 92111 SAN • DIEGO]J 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 92123-1636. •• (858) 694-7000
Transaction #: 13921566
Account#: 8133613/CAPACITY CONSTR Date: 10/9/2024 14:01 :09
Decal#: 65332, o, O Scale Operator: CSL
Fleet#: Tag#: 4165BN3 lncomin /F.___:B:.-,0,;;.3---
Transactlon Type: 01/BUS.--NON RESIDENTIAL
Payment Type: 01/CHARGE
Hauler Type: 01/BUS.--NON RESIDENTIAL i -~,
Vehicle Type: 070/MEDIUM HEAVY . .·. -~ .. ,
Mate,ial Type: 001/REFUSE 32.3~% of S~ond remains
Special Fees: 1~
Origin: 001/SAN DIEGO CITY 'ii .. •
V"
The Miramar Landfill will be closed on Thursday,
11/28/2024 (Thanksgiving Day).
(~\cieJ> ·~,ci:ii_ ,_ -o~
-.
·"' 'b~-__.~
·,;·~: ... :• ,., .. : ... ,.,
LBS TONS
Gross Weight 22620.00 11.31
Tare Weight 17560.00 8.78
Net Weight 5060.00 2.53
Tip Fee $ 187.00
Spec Fee $0
RCBus Tax $ 20.00
Recycle $ 33.00
Total $ 240.00
1:
·:r,1· . ~ .:.:! ·.;.:;
Construction & Demo
Received at: INLAND PACIFIC RESOU
Project:
.,
Total Yards Receive··, .
Signature:
..
• ersion Certific~te (31 D 511
C Date: tQ l O VJ/
ercentage: 100%
This certifies that the compony listed above hos utilized a Certlfled I Illy lo divert construction demolition motertols In accordance
with LEED requirements. The diversion yardage Is based on on overall ordoge percentage of the respective green waste foclllty.
PALOMAR TRANSFER
5960 EL CAMINO REAL
CARLSBAD, CA 9200~
(760) 603-0153
010258 -CAPACITY CONSTRUCTION INC
PO BOX 420040
SAN DIEGO, CA 92142-0040
Contract: COMM-GATE Yr. 200
GROSS 23,000
TARE 18,060.
NET 4,940
Tracking Qty: 0.00
Qty
• 2. 47
Unit Description
TN MSW ·
Scale In.
Tare Out
54 Ticket #: 27 5177 5
Weighmaster: marticy
In: September 25, 2024
Out: September 25, 2024
Vehicle: A53962
Ref:
BOL:
INBOUND
INVOICE
Rate Extension
$101. 2] $249. 99
Tax
$0.00
Origin: ·CARLSBAD 100%
I I
12:07 pm
12:07 pm
Total
$249.99
Construction & Demo
Received at: INLAND PACIFIC RESOU
~
Proceed y= 12650 Slaughterhouse
Custome~ ·---=----#---
Total Yards Receive
Signature:
ercentage: 100%
This certifies that the company listed above hos utlllzed a Certtned r Illy to divert coristrvctlon demolition molerlols In occordonce
with LEED requirements. The diversion yardage Is based on on overall ordoge percentage of the respective green waste toclllty.
l'