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
_ _:_ __________ ..;._ ________ ---=--------------·---