HomeMy WebLinkAbout1208 OAK AVE; ; PC2023-0037; RecycleC City of
Carlsbad
CONSTRUCTION WASTE
MANAGEMENT PLAN
B-59
Development Services
Building Division
1635 Faraday Avenue
www.carlsbadca.gov
This form shall be completed for all demolitions and new construction, additions, and alterations.
The California's Green Building Standards Code (CALGreen) req uires 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
documentation 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 sha ll complete PART 2 of this form and
submit all trash and recycling weight receipts to the bu ilding inspector. Waste log, acknowledgement, and
tickets must be submitted to release your certificate of occupancy.
C&D CERTIFICATION:
~ 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 t rue and correct to the best of my knowledge and belief.
I 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 we ight rece ipts, 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 unive rsa l 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 equipment and refrigerants, require specia l processing prior to commencement of
01· • n activities.
5/31/2024 Date: __________ _
Page 1 of 4 rev 4/24
..
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.
SECTION A Permit No. _P_c_20_2_3_-_oo_3_7 ______ Project Title 1208/1210 Oak Ave. ADU Remodel
Project Address 1208 / 1210 Oak Avenue Carlsbad APN 156-180-49
Applicant Name_D_a_v_i_s _____________ D_i_a_n_a ______ Phone 760-521-9224
Last First
SECTION B Complete the following table with estimated waste tonnage to be generated by your project.
Material Type
Complete this line af the table only if
only using WASTE MANAGEMENT
roll-off bins.
Mixed C&D Debris
Asphalt & Concrete
Brick/ Masonry/ Tile
M ixed Inert Debris
Cabinets, Doors, Fixtures,
Windows (circle all that 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: Trash/ Debri
TOTAL
SECTION C
To meet 65% Diversio
Page 2 of 4
Estimated
Waste Quantity
{tons)
A B C
Place a { ✓) check
next to items to be
reused or salvaged
400
300
700
Place a {✓)check next
to items to be
recycled
350
350
Place a {✓) check next
to items to be
disposed at landfill
150
200
200
550
1050 550 _________ x 0.65 = ____________ tons
Total Estimated Waste f rom above Minimum Required Diversion
rev 4/24
PART 2 Complete before final 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 Cal ifornia that t he 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. ~eg ~ OJ,. 3 --a 11 6 Print Name
Address /20# Of}K. /JV[ 4AAL$~ t'A ?,2t;o$ Date
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
Example:
01/01/2020
Palomar Transfer Station, 5960 El
Concrete (broken) 5 tons
I
IS-30
,5D
,So
,Y
I j{)
@TOTAL 1-3
Diversion Rate Achieved
Total of columns A+ B Total of columns A + B + C DIVERSION
Camino Real
-760 603-0153
;,: 65%
~ 65%
Contractor /Owner Signature C::::::::/tJ 2 Date O 7/! I ../4 y -
Attach the following documentation to this Report: Return completed form and documentation to:
• Original recycling weight tickets, landfill 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
{"_city of
Carlsbad
CONSTRUCTION WASTE
MANAGEMENT PLAN
B-59 part 2
Development Services
Building Division
1635 Faraday Avenue
422-339-2719
www.carlsbadca.gov
Your project qualifies for the City of Carlsbad Construction Waste Management Plan (CWMP): Section 4.408.1 and Section 5.408.1
of the California Green Building Standards Code requires at least 65% of non-hazardous construction debris is recycled and/
or salvaged for reuse.
NEXT STEPS:
STEP 1. Before the project -
a. Review your CWMP completed prior to permit issuance. (copy is attached to your job card) This plan demonstrates how
you will recycle a minimum of 65% of the construction waste generat ed from your project by choosing: Republic
Services or Self Haul.
STEP 2 -During the Project
a. Save all receipts and/or documents from reuse facilities, recycling centers, processing facilities, and landfills where
materials were taken.
b. Complete the Debris Recycling Report (ORR) on the next page as your project progresses. Recycling/diversion goals are
(at a minimum) 65% of the waste generated by your project
STEP 3 -After the Project
a. Prior to receiving inspection for final sign off the Building Permit or Certificate of Occupancy, Applicant must submit t he
fu lly completed and approved (ORR) of the Construction Waste Management Plan (CWMP) Table.
b. Provide the ORR and receipts to your building inspector.
FOR MORE INFORMATION:
NOTICE: Applicant (contractor and subcontractors) shall comply with the project's CWMP. It is the Applicant's responsibility to
collect all receipts from the facilities that recycle their materials AND all project waste/landfill disposal receipts. When working
with the City's franchised hauler, Republic Services, one cumulative project receipt is acceptable. However, it is the Applicant's
responsibility to confirm that the bins are collected for C&D Recycling.
1. This project shall generate t he least amount of waste possible by planning and ordering carefully, following all proper
storage and handling procedures to reduce broken and damaged materials, and reusing materials whenever possible.
2. Republic Services can provide 2 roll-off bins, one for commingled construction debris and one for trash. The
commingled construction roll-off bin will be taken to a Certified Mixed C&D Processing Facility to sort the material and
create receipt(s), to demonstrate the project has met a 65% diversion rate or greater.
3. Applicants with a goal of recycling greater than 65% of the project's total waste should work with the City's exclusive
franchised waste hauler to develop a more specific CWMP. This plan may include using additional roll-off bins for
particular phases of construction (e.g., concret e and wood waste) to ensure the highest waste diversion rate possible.
4. Contractors/subcontractors hauling t heir own waste as part of their scope of work (e.g., construction clean up companies,
etc.) SHALL NOT be excluded from complying with the CWMP and shall provide weight and waste diversion receipts from
a Certified Source Separated Recycling Facility. For a current list of Certified Recycling Facilities go to
http://www.sandiego.gov/envi ron menta I-services/recycling/cd/i ndex.shtm I.
5. If contractors/subcontractors furnish their own debris boxes as part of their scope of work, they SHALL NOT be excluded
from complying with the CWMP and shall provide weight and waste diversion receipt s from a Certified Source Separated
Recycling Facility.
Rev. 05122
PALOMAR TRANSFER
5960 EL CAMINO REAL
CARLSBAD, CA 92008
(760)603-0153
018415 -MUTUAL PARTNERS , INC .
1640 OCEANSIDE BLVD
OCEANSIDE , CA 92054
Contract: COMM-GATE Yr . 200
GROSS 11 ,960
TARE 10 ,000
NET 1 ,960
Tracking Qty: 0 .00
Qty
0.98
Unit Description
TN MSW
Origin: OCEANSIDE
Signature:
54 Ticket #: 2718009
Weighmaster: marticy
Scale In
Tare Out
100%
In: July 09, 2024
Out: July 09 , 2024
Vehicle : a61926
Ref:
BOL:
INBOUND
INVOICE
Rate Extension
$101. 2] $99.19
Tax
$0 .00
Total
Paid
Change
9 :29 am
9 :29 am
Total
$99 .19
$99.19
$0 .00
$0.00
PALOMAR TRANSFER
5960 EL CAMI,NO REAL
CARLSBAD, CA 92008
(760)603-0153
(
018415 -MUTUAL PARTNERS , INC .
1640 OCEANSIDE BLVD
OCEANSIDE , CA 92054
Contract : COMM-GATE Yr. 200
GROSS 12 ,020
TARE 9,840
NET
Tracking Qty:
2 ,180
0.00
Qty Unit Description
1 .09 TN MSW
Origin: OCEANSIDE
Signature:
54 Ticket ( 2711807
Weighmaster: marticy
Scale In
Tare Out
100%
In :
Out :
Vehicle :
Ref :
801 :
INBOUND
INVOICE
June 24 , 2024
June 24 , 2024
al06151
Rate Extension
$101.2] $110 .32
Tax
$0.00
I 5D
Total
Paid
Change
9:08 am
9 :08 am
Total
$110 .32
$110 .32
$0 .00
$0 .00
/{-tv.f( p 4tJ1tr5 r/L.prt O r)lf/l. ~/lt)'J(C'f_f
(o>W dAJ011..5 ).
PALOMAR TRANSFER
5960 EL CAMI NO REAL
CARLSBAD, CA 92008
(760)603-01 53
018 415 -MUT UAL PARTNERS , INC.
1640 OCEANSI DE BLVD
OCEANSIDE, CA 92054
Contract : COMM-GATE Yr. 200
GROSS 1 1 ,800
TARE
NET
Tracking Qty:
9 ,840
1 ,960
0 .00
Qty Unit Description
0 .98 TN MSW
Origin: OCEANSIDE
Signature :
54 Ti cke[ ~: 2705965
We i ghmaster: marticy
Scale In
Tare Out
100%
-----
crt:-~-.:i:+-~1 0 , 2024
Vehicle :
Ref:
BOL :
INBOUND
INVOICE
a l06151
Rate Extension
$101.2] $99.19
Tax
$0 .00
Total
Paid
Change
8 :59 am
8 :59 am
Total
$99 .19
$99 .19
$0 .00
$0 .00