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HomeMy WebLinkAbout2543 CHAMOMILE LN; ; CBRA2024-0104; RecycleC Cityof Carlsbad <;ONSTRUCTION WASTE " ,,.. ~ ~ .• •• --· --··MANAGEMENT PLAN BUILDING DIVISION Development Services Building Division 1635 Faraday Avenue ,/60-602-2719 C Q.ll;varlsbadca.gov APPLICABLE TO NE W CO NS RUCTION, RE SIDENTIAL ADDITIONS AND A LTERATI ONS OVER $6OK VAL UATION AND COMMERCI AL ADD IT IONS A ND 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 se lf-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 csRA 2024-0104, 0103, 0102, 0101. 010s. 0100 P . T" 1 erm1t o. _____________ roJect 1t 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 !✓I Contractor □ Architect Other □ □ Last First Applicant Address 9915 Mira Mesa Blvd., Suite 100, San Diego, CA 92131 Phone c 760 l 550-1957 E-mail Address eshoema ker@kbhome.com Applicant Mailing Address 9915 Mira Mesa Blvd., Suite 100, San Diego, CA 92131 (if different than project address) Project Type (check all that apply): Brief Description Residential [Z] Commercial □ Public Building □ Project Size ___________ Estimated Cost of Project$ ________________ _ (square faatage) Please check the appropriate box: D I plan on using REPUBLI C SERVICES roll-off bin(s) for all materials and will provide all receipts after construction. j ✓ j I plan on using a City Approved hauler and w ill 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 t hat 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 _____________ Date 9(1'+/2023 Page 1 of4 Rev. 2.10.21 PART 2 Complete before final inspection, obtain City Approved hauler receipts and return prior to final building approval. DEBRIS RECYCLING REPORT (ACTUAL): 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 generat ed 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. Permit No. CBRA 2024-0104, 0103, 0102, 0101, 0105, 01 00 Print Name KB Home Coastal Inc. --------------------1 Address _2_5_43'--,_2_5_3_5'--, 2_5_2_7.:...., _25_1_9---'---, _2_51_1__:_,_2_5_03_C_h_am_o_m_il_e_L_a_ne ____ 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. Date Material Type A B C Actual Amt Reused or Salvaged Actual Amt Recycled Actual Amt Disposed in Landfill Destination Facility (Name, Address, Phone) Example: 01/01/2020 Concrete (broken) S tons Palomar Transfer Station, 5960 El Camino Real. -760 603-0153 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 Diversion Rate Achieved ___ 3o_._o_o ___ _,/ __ 3_7_.4_2 ______ = __ a_1 __ % 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 • 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 of4 Rev. 04/22 ARCOSA DISPOSAL TICKET 8354 Nelson lfay Escondi do CA 92026 160-205-1797 ___ ..___. TICKET NO : e 8400437~ CRUSHED CONCRETE DATE : DISPOSAL RECEIPT CUSTOMER : TRUCK NO. COMMODITY: PO: CUST JOB: COMMENTS : 12169630-CAPACITY CONSTRUCTION INC 75995X3 BOBTAIL LOAD MIXED LA COSTA CAPACITY 118 GERARDO Per Load Energy Surcharge Fee 75995X3 X ~ DRIVERS SIGNATURE EnergySurcharge-LA t!EIGIIHl'.81'EIIR-"' C.14 GROSS: TARE: NET: ~ 0.00 0 .00 0.00 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 CllY OF SAN DIEGO ENVIRONMENTAL SERVICES DEPARTMENT SUPPORT SERVICES DIVISION 9601 RIDGEHAVEN CT., SUITE 310 • SAN DIEGO, CA 9i123-1636 • (858) 694-7000 Account#: 8133613ICAPACITY CONSTR Date: 2/4/2025 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 Incoming IF_B_.0~5:---.. Gross Weight 22940.00 11.47 Transaction Type: 01IBUS.--NON RESIDENTIAL Payment Type: 01ICHARGE Hauler Type: 01/BUS.--NON RESIDENTIAL ~ . -. Vehicle Type: 080/HEAVY . . _ .. _ Male,ial Type, 001/REFUSE 52.11% of Sm>nd remains Origin: 001/SAN DIEGO CITY O ~ .. . • Special Fees: l,A,.' • l~. The Miramar Landflll will be closed on Monday, 05/26/2025 (Memorial Day). £5-072 (Re\/. 10-24) PW/PS-333 .r:i: Tare Weight Net Weight 18140.00 9.07 4800.00 2.40 Tip F.ee $ 178.00 Spec Fee $0 RCBus Tax $ 19.00 Recycle $ 31.00 Total $ 228.00 ,.....,_,__,_,_, ___ ..,___,__ __ ~_..._...__ __ ~~-'--'----~-------=:C:'"'-lr..:.:;.l\::.!16."'-'-T~l l~D=-C-------- 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 Weighrnaster : 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 Total $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 #: CG83R94 lncomin /F_B:-0 ... 5~-- Transaction Type: 01/BUS.--NON RESIDENTIAL Payment Type: 01/CHARGE ii --- . . -•' Hauler Type: 01/BUS.--NON RESIDENTIAL Vehicle Type: 070/MEDIUM HEAVY 38.64% of Sfflond remains \w .-.. Material Type: Origin: Special Feeii; 001/REFUSE 001/SAN DIEGO CITY 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 2.06 Unit Description TN MSW Scale In Tare Out 54 T4,cket #: 2791558 Weighmaster: marticy 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 Weigh.master: 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 9200B (760) 603-0153 010258 -CAPACITY CONSTRUCTION INC PO BOX 420040 SAN DIEGO, CA 92142-0040 Contract: COMM-GATE Yr. 200 GROSS TARE NET Tracking Qty: 22,680 Scale In 18,840 Tare Out 3,840 0 .00 Qty Unit Description 1.92 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% r · 8:47 am 8:47 am Total $194.32 Construction & Demor • Received at: INLAND PACIFIC RESOU Proceed at: Total Yards Receive Signature: • ersion Cerfifieatt . ij O / 5 9 C Date: \ V\l ~ .• 4 ~ ercentage: 100% ..... This certlnes that the comporw listed above hos utilized o Certified f llty to divert construction demolltlon moterfols In accordance with LEED requirements. The diversion yardage Is based on on overall ordoge percentage of the respective green woste·foclllty. f' ---------··-------···· ---· ·----.. ,.---,-----------. . • --··-.. -·------·--- Construction & Demo • ersion Certificate 310 6 4 4 Date:\~~ Project: Total Yards Receive ercentage: 100% Signature: lhls certiOes that the company listed above hos utilized a Certified f lily to divert construction demolition moter1ols In accordance with LEED requirements. The diversion yardage Is based on on overall ordoge percentage of the respective green waste facility. ----------··-·---------------------------------- J"' 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 #c: 2771695 Weighrnaster : marticy In: November 12, 2024 Out: November 12, 2024 Vehicle: a57821 Ref: BOL:. INBOUND INVOICE Rate Extension $101. 2] $180 .15 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 Tracking Qty: 21, 120 Scale In 18,500 Tare Out 2,620 0.00 Qty 1-. 31 Unit Description TN MSW 54 Ticket #c: 2772575 Weighrnaster: marticy In: November 14, 2024 Out: November 14, 2024 Vehicle: AlSOOO 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 Weighrnaster: gomezda I'n: November 05, 2024 Out: November 05, 2024 Vehicle: A53962 RE;if: )· 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 Weighrnaster: rnacaral (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 18,000 Tare Out _ NET 4,340 Tracking Qty: 0.00 Qty 2.17 Unit Description TN MSW Origin: SAN MARCOS 100% In: Out: Vehicle: Ref: BOL: INBOUND INVOICE November 07, 2024 November 07, 2024 a57821 Rate Extension $101. 2) $219. 63 Tax $0.00 10:38 am 10:38 am Total s20·1. 41 10:06 am 10:06 am Total $219.63 -------------------- Construction & Demo Received at: INLAND PACIFIC RESOU Project: Total Yards Receive Signature: • ersion Certifl~ate ls 1D58 0 C Date: \~~S\ ¼ • < \ ercentage: 100% This certifies that the company listed above has utilized a Certllled f llty to divert constructlo'ri demollllon materials In accordance with LEED requirements. The diversion yardage Is based on an overall ardage percentage of the respective green waste laclllty. f Received at: INLAND PACIFIC RESOU ,.!if, Total Yards Recelvetll .' 'l-1, Signature: ercentage: 100% This certifies that the company listed above hos utilized a Certtfled f Illy to divert construction demolition materials In accordance with LEED requirements. The dlve,;lon yardage Is based on on overall ordoge percentage of the respective green waste facility. PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD, CA 92008 (760)603-01 53 010258 -CAPAC ITY CONSTRUCTION INC PO BOX 420040 SAN DIEGO , CA 92142-0040 Contract : COMM-GATE GROSS TARE NET Tracking Qty: Yr. 200 24,000 18,500 5,500 0 .00 Qty Unit Description 2.75 TN MSW Origin: CARLSBAD Sci3-l e In Tare Out 100% 54 Ticket #: 2763030 Weighmaster: mar ticy In: October 22 , 2024 Out : October 22, 2024 Vehicle : Al5000 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 SAN • DIEGO]) THE CITY OF SAN DIEGO ENVIRONMENTAL 0SERVICES DEPARTMENT REFUSE DISPOSAL DIVISION MIRAMAR LANDFILL 5180 CONVOY STREET SAN DIEGO, CA 92111 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 LBS Fleet#: Tag#: AT36V62 Incoming /FB 05 ff:~ ..... Gross Weight 21080.00 Transaction Type: 01/BUS.--NON RESIDENTIAL I:'\'}\,:;:,--1i'~., Payment Type: 01/CHARGE ~~-. ~ • Q (;y~..d\>,. ~ ~ Hauler Type: 01 /BUS.--NON RESIDENTIAL ~ ~j ~ ~ . -:~, Vehicle Type: 080/HEAVY :: ~~--:n:-;i'~ ~ Mate,ial Type, 001/REFUSE 52.89% of ~ond remains ,Origin: . 001/SAN DIEGO CITY ~tJ ~ • ei" ~,O Special Fees: ·~ t!\~ Jt CS, ~ ~~. ~~~~.:.~u. ~' The Miramar Landfill will be closed on Thursday, -~'.:!ii:{r_-~-i~1-~{? 11/28/2024 (Thanksgiving Day). ~- Tare Weight 17560.00 Net Weight 3520.00 Tip Fee Spec Fee RCBus Tax Recycle Total ES-072 (REV. 7-09) PW/PS-333 TONS 10.54 8.78 1.76 $ 130.00 $0 $ 14.00 $ 23.00 $ 167.00 Construction & Demo Received at: INLAND PACIFIC RESOU Proceed at: 12650 Slaughterhouse Project: Total Yards Receive Signature: : ____ ___ • ersion Certificate_ 31 il 5 2 7 c Date: /r_)//t 7( Y p .D ercentage: 100% This certifies that the company listed above hos utlllzed a Cert!Red f Illy to divert construction demolition molertols In accordance with LEED requirements. The diversion yardage Is based on on overall ordoge percentage of the respective green waste foclllty. The Cityo/ THE CITY OF SAN DIEGO ENVIRONMENTAL SERVICES DEPARTMENT REFUSE DISPOSAL DIVISION MIRAMAR LANDFILL 5180 CONVOY STREET SAN DIEGO, CA 92111 SAN • DIEGO]) 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, 0, 0 Scale Operator: CSL Fleet#: Tag#: 41658N3 Incoming /F-B,,,,.0_3~-- Transactlon Type: 01/BUS.--NON RESIDENTIAL Payment Type: 01/CHARGE Hauler Type: 01/BUS.--NON RESIDENTIAL j, .~ Vehicle Type: 070/MEDIUM HEAVY . .· ·~ .. , Mate,ial Type: 001/REFUSE 32.34% of S~nd remains Special Fees: ~ • Origin: 001/SAN DIEGO CITY 'ii .. ' i-1" The Miramar Landfill will be closed on Thursday, 11/28/2024 (Thanksgiving Day). (~~deJJ , ~'(d '·. -() ~ -. ·"' '.~'::"~~!"!:?, 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: Construction & Demo Received at: INLAND PACIFIC RESOU Project: Total Yards Receive•· Signature: • ersion Certificute (31 D 511 C Date: tQ (0 \AJf ercentage: 100% This certifies that the company listed above hos utlllzed a Certlned f Illy to divert construction demolition materials In occordance with LEED requirements. The diversion yardage Is based on on overall ordoge percentage of the respective green waste faclllty. 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 23,000 TARE 18,060. NET 4,940 Trac king Qty: 0.00 Qty 2.47 Unit Desc ription TN MSW · Scale In. Tare Out 54 Ticket #: 27 5177 5 Weighmaster: rnarticy In: September 25, 2024 Out: September 25, 2024 Vehicle: A53962 Ref: BOL: INBOUND INVOICE Rate Extension $101. 21 $249. 99 Tax $0.00 Origin: ·CARLSBAD 100% I I 12:07 pm 12:07 pm Total $249.99 , I ··------~------------------------___.. ..... __.=----------~------ Construction & Demo Received at: INLAND PACIFIC RESOU ~ Proceed y= 12650 Slaughterhouse \,I. Custome~·----'=------i!-- Total Yards Receive Signature: ' .... -··.····. ercentage: 100% This certifies that the company listed above has utlllzed a Certlned r Illy to divert coristructlon demolition materlals In accordance with LEED requirements. The diversion yardage Is based on on overall ordoge p ercentage of the respective green waste fac111ty. l •,1 _ _:_ __________ ..;._ ________ ---=--------------·---