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2581 DISCOVERY RD; ; CBR2024-2541; Recycle
l_ City of CarlsOad CONSTRUCTION WASTE MANAGEMENT PLAN 9 .. 59 Development Services Building Division 1635 Faraday Avenue www.carlsbadca.gov This form shall be completed for all demol~ions and new construction, additions, and alterations. The California's Green Building Standards Code (CALGreen) requires 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 build Ing 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 8-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 shall complete PART 2 of this form and submit all trash and recycling weight receipts to the building Inspector. Waste log, acknowledgement, and tickets must be submitted to release your certificate of occupancy. APPLICANT CERTIFICATIONS: CHECK EAOf aox if 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. ~ I understand the waste diversion requirements of the State of California and submit this Construction Waste Management Plan pursuant to callfornia Green Bulldlng 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 weight receipts, may result in enforcement action against me or other responsible parties, Including a notice of viol'atlon, citations, and any other remedi~s 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 universal or hazardous waste OR this project Includes disposal of universal or hazardous waste In a responsible, safe and verifiable manner. Disposal of asbestos- contalnlng materials, batteries, electronic waste, fluorescent bulbs, lead based paints, mercury containing equipment and refrigerants, require special processing prior to commencement of construction o dem lltion activities. Page 1 of 4 RECORoc Date: II. o~. 2.uZ::'f City of Carlsbad rev4/24 JUN O 5 2025 BUILDING DIVISION PART l Complete and submit this form when applying for a building permit. Permits wlll not be Issued without a completed Construction Waste Mana ement Plan. I • Permit No. Project Title cnA\.4.-'8::»lce\Jd ...._.._ Project Address &5.fll bl':,CCJdl.'( eo .. M~---~. ~A APN 1.13• ISa • 27-oca Applicant Name l .o~ l~ea-. '11.co-iw Phone fSl .~~1 .'!ODD Last First 1■ In.,■:~ Complete the following table with estimated waste tonnage to be generated by your project. 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 toblr: only if only using WASTE MANAGEMENT □ □ □ roll-off bins. Mixed C&O Debris Asphalt & Concrete □ □ □ Brick/ Masonry/ Tile .10 □ ~ □ Mixed Inert Debris .450 □ ~ □ cabinets, Doors, Fixtures, ·h □ □ liJ' Windows (circle all that apply) Carpet • i,.,; □ D □ carpet Padding/ Foam .2,C; □ ~ □ Cardboard .c;o □ ~ □ Celling Tile (acoustic) 0 □ □ □ Drywall (used, new, scrap) .Sl) □ ~ □ Landscape Debris (brush, trees, 0 □ □ □ stumps, etc.) No dirt. Unpainted Wood & Pallets .~o □ a □ Roofing Materials .to □ □ Q' Scrap Metal .\O □ litr □ Stucco 0 □ □ □ Other: □ □ □ TOTAL 0 -To meet 65% Diversion Requirement (estimate) l . Co x0.65 = '2. 'tl tons # tJ Al-. Total Estimated Woste from above Minimum Required Diversion Applic~l Signature Date l t. os-. 7-o-a.'f """' -' .} Page 2 of 4 rev4/24 !'. \:: I 2. 1:r:r, 1>; ~~ ; Jt1d .:;1.1 ')., i: :: ~,Ii; .= .ii'i. ! ;) -! ,:, '•f::' a, r:1I hLi ) ~f: d 111. f\·rJj :!1:':; ~1/2 ,· ~ :'. • j r: ~.) .. ;~1J,ir1H: i:i: ·!L· \Nri.: ,:-: L ; J, .t~ -:l:11 ··,1.11~ -1 i 5 ~-.: ~ • ·: I: i,· ..... ~j. ' '•/.-:i {·.: .-:~ : :i J,:.: 1,d 1l ,· ::,:, r: :!/d fi.:;: t ::: i:,f 1J; :·.1 ~;~ .. :'. • ( 1~1.,) ~.:;.;u Ji!:--;. ::~ili.t·:: •: :i .J,",:)\ii:J ~ d ,J :u., 1 =.:.: :~. ,:; : .~. • ~. 1 J;::!,, 5 )/ -♦-!: ;~ = :i·: ~t _;i, ), • l :;j tL l! ri "'"Jt :1n-:! /;;il u.·~ ,: : )t,J\/i d-:: ~•rt :=:;u :: : -: w ?ii ; 1 i: re•:?ipe, rn:1,-r:: i.Jc:: t:1c: :J,· ;,j;; ;.: ,, Ji1-:~.,1,.:-liz•,;: ,;11.I :::ic: :·~_;p~,,.:hi~ ;,;;irt:":?.: ~1/Jj-: :-: ,:,:, :)·::-: ~nf,J:1:?,,1':11 :. Permit No. Project Title S b,.L l /<es, 4£-11 <- ------------<-. ss a.sS? I D, A c;.curc-cy ~ Carl skcuJ. CA __ f3 __ r.__,y~ACY\~ ....... -----_.;L'---o_r___.;...; _____ Phone APN Z IE., 130-Z7-00 1p1t:r-<f</I-'?3oo Last First 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 Example; Ol/01/2020 vdz.s Material Type Concrete (broken} @TOTAL Actual Amt Reused or Salvaged Actual Amt Actual Amt Recycled Disposed in landfill Stons Destination Faclllty (Name, Address, Phone) Polomor Transfer Station, 5950 El Camino Real -(750 503·0l53 Diversion Rate Achieved ________ _, ___________ = _____ % Total of columns A + 8 Tota/of columns A + B + C DIVERSION Attach the following documentation to this Report: Return completed form and documentation to: • Original recycling weight tickets, landfill weight tickets City of Carl5bad • Orlginal donation receipts with photos and/or Itemized descriptions Bulldlng Division (1st Floor) 1635 Faradav Avenue Carlsbad, CA 92008 • Any other relevant Information to support Recycling Report 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. Page 3 of4 rev4/24 Column A Column B ColumnC Category Material Volume IonslUnit ~ Mixed Debris Construction cy X 0.18 = Demolition 3 cy X 1.19 = 3 .5, Asphalt/Concrete Asphalt (broken) cy X 0.70 = Concrete (broken) I cy X /. z..o 1.20 ,. Concrete (solid slab) cy X 1.30 = Brick/Masonry/Tile Brick (broken) cy X 0.70 = Brick (whole, palletized} cy X 1.51 = Masonry brick (broken) cy Tile #5! X 0.60 " "33o .to sq ft Building Materials (cabinets, doors, windows, etc.) & X 0.00175 = O LO$" cy Cardboard (flat) I cy X 0.15 = Carpet By square foot sq ft X 0.05 = By cubic yard cy X 0.0005 = Carpet Padding/Foam sq ft X 0.30 = Ceiling Tiles Whole (palletized) cy X 0.000125 .. Loose cy X 0.0003 = Drywall (new or used) 1/2" (by square foot) sq ft S/8" (by square foot} sq ft X 0.09 = Demo/used (by cu. yd.) ~ cy X 0.0008 = . Oo"\ Cg Landscape Debris {brush, trees, etc.) cy X 0.00105 "' Asphalt Composition X 0.25 Shingles, asphalt Shlngle = cy Unpainted Wood/Pallets By board foot bd ft X 0.15 = By cubic yard cy (/ _6 X 0.22 = . Trash/Garbage cy X 0.001375 = Other (estimated weight) cy X cy 0.15 = cy X 0.18 :::; cy X estimate = Total ALL I = ~?:,S,5'0 Page4of4 rev4/24 I R, ct! ]) RCJIUBLIC' ai-v SERVICES POSTED ~ 5960 El Camino Real Carlsbad CA 92008 Customer Service (760)332-6464 RepubllcServfces.com/Support Important Information Account Number Invoice Number Invoice Date Previous Balance Payments/Adjustments Current Invoice Charges I 3--0661-0001999 0661-000767914 April 25, 2025 $185.71 -$185.71 $128.43 CORRECTION: Pa_ge 2 of15 page RESIDENTIAL RECYCLING ORGANICS & WASTE SERVICE GUIDE. Under second paragraph "CART SERVICE" Residents can have up to ''Three" (not "Fou(') Recycling/blue or "Three" (not Four) Organics/green carts for free. Total Amount Due I Payment Due Date $128.43 May 25, 2025 PAYMENTS/ADJUSTMENTS Description Payment-Thank You 04/07 CURRENT INVOICE CHARGES Reference 75143 Description Reference Marrokal Construction 2581 Discovery Rd CSA S016095898 Carlsbad, CA Contract: 9661001 (C10) 1 Waste Container 3 Cu Yd, On Call Service Pickup Service 04/14 Gina Sparks Receipt Number ~ CURRENT INVOICE CHARGES If oudget __ 'tf_._.J .... 000 ....... __ _ ~ Paid ro date ~ l'o'S .] t ~ ____ ......,...,_,_,_ __ H Baiance t,81':t .J:9 ~ 1.0000 Si mple accou nt access at your fingertips. Download the Republic Services app or visit RepublicServices.com today. ~ $128.43 &n2Yn! -$185.71 &o2.lml $128.43 $128.43 r-:1 ~ - " tt,R--n REPUBLIC' .\\ SER\'JCES 5960 El Camino Real Carlsbad CA 92008 Customer Service (760)332-6464 RepublicServices.com/Support Important Information Account Number Invoice Number Invoice Date Previous Balance Payments/Adjustments Current Invoice Charges 3-0661-0001999 0661-000764247 March 25, 2025 $0.00 $0.00 $185.71 CORRECTION: Page 2 of 15 page RESIDENTIAL RECYCLING ORGANICS & WASTE SERVICE GUIDE. Under second paragraph "CART SERVICE" Residents can have up to "Three" (not "Four'') Recyclil)g/blue or "Three" (not Four) Organics/green carts for free. Total Amount Due I Payment Due Date $185.71 April 24, 2025 CURRENT INVOICE CHARGES Description Reference M arrokal Construction 2581 Discovery Rd CSA S016095898 Carlsbad, CA Contract: 9661001 (C10) 1 Waste Container 3 Cu Yd, On Call Service Container Delivery 03/03 Pickup Service 03/25 Gina Sparks Receipt Number 68478 -CURRENT INVOICE CHARGES Quantity 1.0000 1.0000 Unit Price $57.28 $128.43 Budget_ ~......,;.0.....,0 __ _ f Paid to date x:f ~ Amount $57.28 $128.43 $185.71 POSTED Aa!anct ~l()QQ ___ _ ~,;:;f¼>22r ff.~ ~ Simple acco unt access at your fingertips. Download the Republic Servi ces app or visit Repub licServices.com today.