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Home My WebLink About11 GREENVIEW DR; ; CBR2023-5083; Recycle( 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 A ND ALTERATIONS OVER $6OK VALUATION AND COMMERCIAL ADD IT I ONS 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 ou are self-haulin , Re ublic Services or a roved hau lers must be used for al l construction ro·ects 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 Greenview Residence Project Address 11 Greenview Dr., Carlsbad, CA 92009 APN 215-231 -33-00 Applicant Name De Voe Daniel & Angela f7i Architect □ □ Last First Applicant Address 11 Greenview Dr., Carlsbad , CA 92009 Phone 949 351-9280 E-mail Address XFactorNetSD@gmail.com Applicant Mailing Address (if different than project address) Project Type (check all thot apply}: Residential [Z] Commercial □ Public Building □ Brief Description lnteror remodel of existing two story single family residence Project Size 1356 Estimated Cost of Project $_1_5_0_0_0_0 ____________ _ (square footage) Please check the appropriate box: l ✓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 knowledge and belief. Print Name Daniel De Voe Signature_D_a_n_i e_l_D_e V_o_e_Date 11/6/2023 Page 1 of 4 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: • ' Permit No . Project Title Greenview Residence Project Address 11 Greenview Dr., Carlsbad, CA 92009 APN 215-231 -33-00 Applicant Name De Voe Daniel & Angela Phone 949-351-9280 Last First a.,=--■111 ... ,■: Complete the following table with estimated waste tonnage to be generated by your project. This is you r 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 (✓) check Place a ( ✓) check next Place a (✓)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 line of the table only if 4 X only using WASTE MANAGEMENT roll-off bins. M ixed C&D Debris Parking lot Asphalt & Concrete Brick/ Masonry/ Tile Mixed Inert Debris Cabinets, Doors, Fixtures, 1 X Windows (circle all that apply) Carpet 1 X Carpet Padding/ Foam 1 X Cardboard 1 X Ceiling Tile (acoustic) Drywall (used, new, scrap) 2 X Landscape Debris (brush, trees, stumps, etc.) No dirt. Unpainted Wood & Pallets 1 X Concrete Roofing Materials Scrap Metal Stucco .5 X Other: TOTAL -To meet 65% Diversion Requirement (estimate) 11.5 X 0.65 = 7.47 tons Daniel D' eVot Waste from a::vtee Minimum Required Diversion Contractor/Owner Signature 11/6/2023 Page 2 of 4 Rev 711120 PART 2 Complete before final inspection, obtain City Approved hauler receipts and return prior to final building approval. DEBRIS RECYCLING REPORT {ACTUAL): ..,,iiiil..i■rtn,•• Acknowledgement I certify under penalty of perjury under the laws of the State of Ca lifornia that the information provided in and with this form pertains to construction and demolition debris generat ed only from the project listed in PART 1, that I have reviewed the accu racy of the informat ion, and that the information is true and correct to the best of my kn owledge and belief. Permit No. Print Name Address Date 11/6/2023 -.,iiil.-■r1n,•~• 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 materi al 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) Sa lvaged Landfill Examole: Palomar Transfer Station, 5960 El 01/01/2020 Concrete (broken) 5 tons Camino Real -(760) 603-0153 -- -~ - @TOTAL .. ,i•uin, ~ 65% Diversion Rate Achieved = % S:65%□ Total of columns A+-B Toto/ 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 . Origina l 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 Page3 of4 Rev 04122