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Home My WebLink About1599 TAMARACK AVE; ; CBR2023-2944; Recycle(city of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov APPLICABLE TO NEW CONS RUCTION , RESIDENTIAL ADDITIONS AND ALTERAT I ONS OVER $6OK VALUATION AN D COMMERCIAL ADD IT IONS AN D 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 ou are se lf-haulin Re ublic Services or a roved haulers must be used for all construction ro·ects within the Cit 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 ZEPEDA ADDITION Project Address 1599 TAMARACK AVE. APN 207-130-51-00 Applicant Name CHINN JAMES Architect ~ Other □-- Last First ApplicantAddress 2120 JIMMY DURANTE BL. #114 DEL MAR, CA. 92014 858 755-5863 Phone ~-~--------- Applicant Mailing Address (if different than project address) Residential E-mailAddress JAMESCHINN400@GMAIL.COM Commercial Public Building Project Type (check all that apply): ~ □ □ Brief Description MASTER BATH / DINING ROOM ADDITION Project Size 611 S · F · Estimated Cost of Project$ 86,000 • 00 ----------------(square footage) Please check the appropriate box: !II' J I plan on using REPUBLIC SERVICES roll-off bin(s) for all materials and will provide all receipts after construction. D I plan on using a City Approved hauler and will 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 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 true and correct to the best of my knowledge and belief. Print Name JAMES CHINN Signature ___________ Date 5-23-23 Page 1 of 4 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 1599 TAMARACK AVE. Applicant Name CHINN JAMES Last First ZEPEDA ADDITION APN 207-130-51-00 Phone 858-755-5863 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. 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 table only if only using WASTE MANAGEMENT roll-off bins. Mixed C&D Debris Parking lot Asphalt & Concrete 0 0 0 0 Brick/ Masonry/ Tile 0 0 0 0 Mixed Inert Debris .2 0 0 .2 Cabinets, Doors, Fixtures, .4 .4 0 0 Windows (circle all that apply) Carpet .2 .2 0 0 Carpet Padding/ Foam .2 0 .2 0 Cardboard .3 0 .3 0 Ceiling Tile (acoustic) 0 0 0 0 Drywall (used, new, scrap) .3 .3 0 0 Landscape Debris (brush, trees, .2 0 0 .2 stumps, etc.) No dirt. Unpainted Wood & Pallets .3 .3 0 0 Concrete Roofing Materials 0 0 0 0 Sera Metal .1 0 .1 0 Stucco .3 0 0 .3 Other: TOTAL 2.5 1.2 .6 .7 X 0.65 = 1.63 tons Minimum Required Diversion Contractor/Owner Signature Date 5-23-23 Page 2 of 4 Rev. 711/20 .. PART 2. Complete and submit this form before final inspection. Projects are required to submit their Waste Log, Acknowledgement Form, and Weight Receipts prior to Certificate of Occupancy (CO} issuance. Failure to provide documentation, reporting of waste diversion less than 65%, and failure to provide adequate weight receipts, may render the Project non-compliant and the responsible parties subject to code enforcement. SECTION A Permit No. Cti g .ao, 3 -?-Ol"i c.( Project Title Z£P€nA-A-DD rn o N ProjectAddress J59') ~~((. 4-v.:: ~~~~ °129ofb APN ~0 '1--l?>o-51-0o Applicant Name -Z..~€""1) 4 +:±"i>L'-~ Phone 1((20 • 3\ 0 • '3y 35" Last First SECTIQN 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 Actual Amt Reused or Salvaged 0 Actual Amt Recycled 5 tons 0 Actual Amt Disposed in Landfill 0 Destination Facility (Name, Address, Phone) Palomar Transfer Station, 5960 El Camino Real -{760) 603-0153 Diversion Rate Achieved __ /cf'.....,;;;c___ _ ____,! __ (()_._'-j ____ 3 __ =_0 _% ~ 65% Total of columns A + B Total 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 Carlsbad • Original donation receipts with photos and/or itemized descriptions Building Division (1st Floor) 1635 Faraday Avenue Carlsbad, CA 92008 • Any other relevant information to support Recycling Report SECTION D 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 be lief. Page 3 of 4 rev 4/24 PALOMAR TRANSFER 5960 EL CAMINO REAL CARLS~AD , tA 92008 (760)603-0153 000999 -CASH AND CHECK CUSTOMER ADDRESS Ca rlsbad, CA 92008 Contract : 24 MINIMUM-CASH 2 GROSS TARE NET Tracking Qty : 1.00 Qty 1.00 Unit Description EA MSW Scale In Scale Out 54 Ticket #: 2789059 Weighmaster: macaral In : December 28 , 2024 Out : December 28 , 2024 Vehicle : M23 Ref : B01 : INBOUND CASH Rate Extension $58 .00 $58 .00 Tax $0 .00 Origin : OCEANSIDE 100% (urn~ \ (\ 5 v \ "'-,\11Y) ol<A door-s Signature : Total Paid Change EDIT CARD-SCALE 3 :05 pm 3 :05 pm Total $58 .00 $58 .00 $58 .00 $0 .00 disc 54 Ticket #: 27 67 68 9 PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD , CA 92008 Weighmast er : IN -martios3 OU T -macara (760)603 -0153 000999 -CASH AND CHECK CUSTOMER ADDRESS carlsbad, CA 92008 Contract : RESI -GATE Yr . 2 GROSS 10,980 TARE NET 9,220 1,760 Tracking Qty : 0.00 Qty 0 .88 Un i t Description TN MSW Origin : SAN DIEGO Scale In Scale Out 1 00% In : November 01 , 2024 Out : November 01 , 2024 Vehi cle : CD Ref: 1 0 , 980/ 1180cc BOL: INBOUND CASH Rate Extension Tax $0 .00 $101 .2] $89.06 13,rol~ UX7jwtull Signature : Total Paid Change .EDIT CARD-SCALE 1 :49 pm 2 : 12 pm Total $89 .06 $89 .06 $89.06 $0 .00 V tti 5960 El Camino Real Carlsbad CA 92008 Customer Service (760)332-6464 Account Number Invoice Number Invoice Date 3-0661-0000534 0661-000628814 August 31 , 2024 Repu blicServices. com/Support Important Information Previous Balance Payments/ Adjustments Current Invoice Charges $0.00 -$305.27 $836.30 Please remit your payment to Republic Services #661, PO Box 78829 Phoenix AZ. 85062-8829 or utilize www.republicservices.com/pay-bill; please do not use the Carlsbad return address on this invoice for payments Total Amount Due I Payment Due Date $531.03 September 30, 2024 PAYMENTS/ADJUSTMENTS Descriptjon Payment -Thank You 08/21 CURRENT INVOICE CHARGES Reference 1 Description Reference Holly Zepeda 1599 Tamarack Ave CSA S015200085 Carlsbad, CA Contract: 9661001 (C20) 1 Roll Off 15 Yd, On Call Service Construction/Demolition Debris Container Delivery 08/22 Contaminated Materials 08/30 Holly Receipt Number 12958 Disposal/Recycling 08/30 2740787 Receipt Number 12958 Rental 08/22-08/31 Rental 08/30-08/31 CURRENT INVOICE CHARGES Quantity Unit Price 1.0000 $78.56 1.0000 $305.27 4.9700Tons 1.0000 $195.00 1.0000 $195.00 Simple account access at your fingertips. Download the Republic Services app or visit Repub licServices.com today. Amount -$305.27 Amount $78.56 $305.27 $401.18 $64.11 -$12.82 $836.30 "<,R~ REPUBLIC" iJ--'v SEIIVJCES Total Amount Due li980 El Camino Real Carlsbad CA 92008 Return Service Requested Please Return This Portion With Payment Total Enclosed • II' '11',, 11,,, 111 •'•I•' 11 1• 11 •I ,1,11, 1111• 111111 1 •II I I I 111111 1 • I HOLLY ZEPEDA : 1599TAMARACKAVE • ~ :? CARLSBAD CA 92008-2607 -N D Ill D Payment Due Date Account Number 3-0661-0000534 Invoice Number 0661-000628814 Make Checks Payable To: 11111111!1111 II 11II'111111IIII1111' • 11111111111111111-1II111111 I 1 REPUBLIC SERVICES #661 PO BOX60586 CITY OF INDUSTRY CA 91716-0586 3066100 □053400000 □□6288140 □□□836300000531038