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Home My WebLink About1738 SCHOONER WAY; ; CBR2023-5062; RecycleJ (city of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Qevelopm~nt Seryifes Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov APPLICABLE TO NEW CONS RUCTION, RESIDENTIAL ADDITIONS AND ALTERATIONS OVER $6OK VALUATION AND COMMERCIAL ADD IT IONS 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 you are self-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 Permit No. ____________ Project Title Sundseth Addition Project Address 1738 Schooner Way APN 207-320-06-00 Appl TrU41 Nokritcompliance Servicei~stnc. Contractor [Z] □------ • • as, uite i, Carlsbad, CA 92008 Proj Plea [Z] □ Public Building rnv 1 0 2024 for all materials and will provide all receipts after construction. rovide all receipts at the final occupancy inspection. □ ~~-~~-------' 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 Alena Blasio Page 1 of4 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: SECTION A Permit No. ___________ Project Title Project Address __________________________ APN Applicant Name ______________________ Phone Last First SECTION B Complete the following table with estimated waste tonnage to be generated by your project. This is your 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. Material Type Complete this line of the table only If only using WASTE MANAGEMENT roll-off bins. Mixed C&D Debris Parking lot Asphalt & Concrete Brick/ Masonry/ Tile Mixed Inert Debris Cabinets, Doors, Fixtures, Windows (circle all that apply) Car et Carpet Padding/ Foam Cardboard Ceiling Tile (acoustic) Drywall (used, new, scrap) Landscape Debris (brush, trees, stumps, etc.) No dirt. Unpainted Wood & Pallets Concrete Roofing Materials Sera Metal Stucco Other: TOTAL SECTION C Estimated Waste Quantity (tons) To meet 65% Diversion Requirement (estimate) A B Place a ( ✓) check Place a ( ✓) check next next to Items to be to items to be reused or salvaged recycled C Place a(✓) check next to items to be disposed at landfill _______ _,;x 0.65 = ___________ tons Total Estimated Waste from above Minimum Required Diversion Contractor/Owner Signature. _________________ Date Page 2 of 4 Rev. 711/20 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 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 . .CM 1.J..fl/)-'57262 Address \73~ S/4ou,,,er Wo/ Print Name uc\sloJ CA °!1LJ:/£" SECTION B 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: 01/01/2020 SECTION C Material Type Concrete (broken) @TOTAL Diversion Rate Achieved Actual Amt Reused or Salvaged Actual Amt Actual Amt Recycled Disposed in Landfill 5 tons Destination Facility (Name, Address, Phone) Palomar Transfer Station, 5960 El Camino Real -760 603-0153 ?to-I 1-0 '12 ~65% s 65%(2] Total of columns A + 8 Total of columns A + B + C Contractor/Owner Signature ~ _g Attach the following documentation to this Report: DIVERSION • Original recycling weight tickets, landfill weight tickets • Original donation receipts with photos and/or itemized descriptions • Any other relevant information to support Recycling Report Date Return completed form and documentation to: City of Carlsbad Building Division (1st Floor) 1635 Faraday Avenue Carlsbad, CA 92008 Page 3 of 4 Rev. 04122 Conversion Table for Common Construction Waste This document is informational only. It is here to helo vou convert truckload auantities to tons, if necessary. Column A Column B Column C Category Material Volume Tons[Unit Tons Mixed Debris Construction cy X 0.18 = Demolition cy X 1.19 = Asphalt/Concrete Asphalt (broken) cy X 0.70 = Concrete (broken) cy X 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 X 0.60 = Tile sq ft X 0.00175 = Building Materials (cabinets, doors, windows, etc.) cy X 0.15 = Cardboard (flat) cy X 0.05 = Carpet By square foot sq ft X 0.0005 = By cubic yard cy X 0.30 = Carpet Padding/Foam sq ft X 0.000125 = Ceiling Tiles Whole (palletized) cy X 0.0003 = Loose cy X 0.09 = Drywall (new or used) 1/2" (by square foot) sq ft X 0.0008 = 5/8" (by square foot) sq ft X 0.00105 = Demo/used (by cu. yd.) cy X 0.25 = Landscape Debris (brush, trees, etc.) cy X 0.15 = Asphalt Composition Shingles, asphalt Shingle cy X 0.22 = Unpainted Wood/Pallets By board foot bd ft X 0.001375 = By cubic yard cy X 0.15 = Trash/Garbage cy X 0.18 = Other (estimated weight) cy X estimate = cy X estimate = cy X estimate = cy X estimate = Total all = Page 4 of4 Rev. 2.10.21 C,,j « ~Qrd ms SEQ-s.t;t,, Milla Wt"":~ £'lt1/<tro0 ~'« r111~ ~CNHCOP't i13fi' T.lf Yr:. 2 15,080 12,480 2,600 o.oo Sea 1<> In Tare Out 100, w,, I 11hm,1 , t ~, 1 "'", 1 lo 3 t 11: Nolll"ml,• 1 I 8, 202'1 2:~n pm 2:27 'PIii VPhicle: Re!: aoL: INBOUND CASH al08715 Rate Extension $101.2J $131. 57 EDl Tax $0.00 To l i' Cha Total $131. 57 12 ll 1~1$17 ~ .~kt V'JAIQJT lttJt 04 I Luo SC6l In 47) i180 S~l OUt ·a I ;3 , 300 '4:IJ:,qc. ClJIU 1.00 t:t,~ Q,p ~ Jption r \' HAT 1001 OEL HA~ 1001 ENVl~A:t. J'££ l F'Of!L 1{£cOV&Ry FE£ Y9 ticket I: 2408758 Weig~stvr: calixch ln: Oocember 12. Out: ~cem>er 12, Y hicle: A1U003 R f: BOL: lNBOONO CASH te Exten$1on G8.oo $8.00 .,us.oc $189.75 Sl9.71 $19, 71 lL:22 $16.26 202◄ 9; 4S .ain 2024 10:17 am T•x $0.62 so.oo $0.00 so.oo Total Paid Change Total $8.62 Sl89. 7!; $1.9.'11 $16.26 $234.34 ,aic.~, .a.oo p.j ELCORAZ< PC BONSA (760 r>.O NO SOLD TO ADORl:SS MOOOYS 3210 OCEANSl>E Bl.VO BONSALL. CA 92003 760-631-0342 DEBIT SALE Batch # 378 0710812.4 7lef#. 00000005 Rim 708144448 07:-4448 JOBJ..OCATION APPR COOE; 488788 ENCRYPTED BY a.A VON flltyan< fmate Trace 5 DEBIT AMOUNT Contactless $76.86 APPROVED us DEBrr AID: A0000000980840 TVR: 00 00 00 00 00 THAN< YOU 108'1ad on 't:::" ~E TO ,., T0NS -:::-:,J~~~~ Loaded at O Oceans106 Blvd. anslde. CA 92056 TOTAL TAX TOTAL AMOUNT AMOUNT RESALE □YES ONO ft 'T:I..C:ka t: :;?'Hi2S70 ~;At2Q;,j! W~igh#wl•~e~t pete•j2G J0:.JlfZ4 C,4f Xn: 0 0~.l n . ~04~ 9t.\9 a ~ ff'.SA-Wl CV '.l"Of'.,SR OU . 0 '() r; :!: l , 20~4 , •• & . " .. ~ V h.1Clq. alll003 0.,C.d ~wrr Ret: iUli ~l)lf 001.: ftOI A SC.;!11 Jn U.:b• 11' ,◄00 Tau:~ Out IUBOUNO INOta ll ,420 CASH '"" 09Hl, i').OO ::aartt. t::u:, pt.ion Ti11MW1. 0( Rat Extension Tnx '.rot.al $101.2) S2,4 .28 $0 .00 $2,~.28 SAlEmxM SZ74J 1001 CUSTO!i'U (OPr W£10tO•~STE.R CEATtF1CA TE nus IS TO CERTIFY that the k)iJ(:JW1ng d..cr'ibeid commo®V WU .-Mori !M:&SUted, or cx;,unted b'f a weiQhmt\Stet wnooe a\gfl tur • , ,s • recogntzod suUJO!n-, ol c;curaoy, ~ ELCORAZ P.< SONS, {76 PO NO SOLD1'0 MOOOYS 321> OCEANS()f Bl VO BONSALL. CA 92003 760-631-03-42 DEBi LE ADDRESS JOBLOCATJC Batch #: 373 07105124 REF#: 00000014 RRN: 70S202019 13:20.19 ~ TONSJCUSIC \ APPR COOE: 579753 ENCRYPTED BY El.AVON Trace: 14 OE8IT Chip AMOUNT $123.41 us Df8lT Al)A~ tVR. 80 SO 04 ~ 00 TSI: SS_)JIJ • toommonc:ing 'HI' t2700) di Orv . and Pfo1 5 eooe. admtnetciod by rm' Sta.o<brds of .,._ Cittoni\11 O&p :oe Loaded at ,1 0 Ocearis de Blvd. ans\do, CA 92056 ARA.1VEJ08 PLANT TK NO LEAVE JOB UNIT PRICE AMOUNT MOODY•s Pr rnr1 A7.0N RECl..AMATJON C MOoovs 91 "~ 321> ~ ~•vo SONS I ( 76'J wl OA.fE : lCHECK -r~ SALE Batch #. 317 REF#: OOuOOoo1 J0e \.:OCAllQN 07/03/24 15:&151 APPR CODE: 025118 PU TRAILER cNCRYPTEQ BY Li.AVON ENO DUMP T&T Trace: 1 VISA Maru.1 CP NT 4 ~ ........... 9268 *-/ti 2 AIVIOUNT 8 9 ,o $~'16.()() TOTAL $3"\t..aa APPROVED THANK 'IOU :UST' >MER COP'< •