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Home My WebLink About2273 CARNELIAN CT; ; CBR2024-2273; 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 ALTERATIONS OVER $60K VALUATION AND COMMERCIAL ADDITIONS AND ALTERATIONS OVER $200K. You are required to list materials that will be reused, recycled or disposed from your project. If you have questions about the recycling requirement or completing this form, please contact Republic Services at (760) 332-6464, a certified C&O recycler, or the Carlsbad Building Division at (442) 339-2719 Please note: Unless you are self-hauling, Republic Services or approved haulers must be used for all construction projects within the City of Carlsbad. PART 1 Complete and submit this form when applying for a Building Permit. Note: Permits will not be issued Permit No .. _____________ Project Title Project Address_2_2_7_3_C_A_R_N_E_L_IA_N_C_T_. ______________ .APN 2132411000 Applicant Name _P_A_R_IZ_E_A_u _____ A_N_N_E ______ r ne1 l:rr Architect {] last First 5304 ONTARIO ST. OCEANSIDE CA 92056 Applicant Address ---------------------------------- Phone ..... {..:.7.:::6,,e.0 __ ..,___2_0_1_3_34_7 ____ E-mail Address ANNETHEARCHITECT@GMAIL.COM Applicant Mailing Address (If different than project address) Project Type (check all that apply): Re□lal X Co□cial PUTC Burne lntj'I ADD 157 S.F. TO SFR, '157 S.F. DECK OVER; ADD JACUZZI AND GARDEN WALL Brief Description 314 100,000.00 Project Slze. ___________ Estlmated Cost of Project$ ________________ _ (square footage) Please checl< the appropriate box: I plan on using REPUBLIC SERVICES roll-off bin(s) for all materials and will provide all receipts after construction. l plan on using a City Approved hauler and will provide all receipts at the final occupancy inspection. This is a proposed LEED certlfied 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. Signature fM hl:1 Page 1 of4 Rev. 2.10.21 PART l Complete, obtain signature, and submit this form when applying for a Building Permit. Note: Permits wil not be issued without a completed Const ruction Waste Management Plan. DEBRIS RECYCLING ESTIMATE: SECTION A Permit No. ___________ Project Title Project Address ________________________ APN Applicant Name _____________________ Phone Last First SECTION B Complete the followb,g table With estiiTiated ~aste tci'nnage, to be generated by your project. Th_1s isiY9ur_plan'f~r construction waste manageme~t, Ch~~Jies c~.n b~ mqde op the final recycle report • , • • ., 1 '. , •• • . Goal: the diversion rate shall be 6.5%. by weigh is 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 Scrap Metal Stucco Other: TOTAL SECTION C Estimated Waste Quantity (tons) To meet 65% Diversion Requirement (estimate) A B C Place a(✓) check next t o items to be reused or salvaged Place a {✓) check next to items to be recycled Place a ( ✓) check next to Items to be disposed at landfill ________ x 0.65 = ___________ tons Tata/ Estimated Waste from above Minimum Required Diversion Contractor/Owner Signature ./kJ. , t.).4 Date Page 2 of4 Rev. 7l1il0 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., ________________ Print Name Address _________________________ Date SECTION B yse thls• Final log below ,to tra'ck loa~~: of materiais a$ th~y ·1e·ave the job site. ·fr ,. ' .·' @@SAVERECEIPl'S@@ ' ' • ' • lndir:aie FINAL·quantities in tons for eaah material'qnd sa~e r:eceipts a~d documents from facilltie~ where material is taken. : c.;,, : Additional Pr.oJect ~og·pag~s are avaital:>l'e: If nec;~ssary. Use Ci~Y ~Gtwerision Table to convert vol um~ to' tdns. ' A B C Date Material Type Actual Amt Actual Amt Actual Amt Destination Facility Reused or Recycled Disposed in (Name, Address, Phone) Salvaged landflll Exgml!.le; Palomar Tran sf er Station, 5960 El 01/01/2020 Concrete (broken) 5 tons Camino Real -760 603-0153 Diversion Rate Achieved _______ __, __________ = ____ % ~65%□ S65% Total of columns A + B Contractor/Owner Signature f.b0.-,: 1'J J{ Attach the following documentation to this Report: • Original recycling weight tickets, landfill weight tickets Total of columns A + B + C DIVERSION Date t$ / 'U,, / 1.. 'f Return completed form and documentation to: 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 Page 3 of 4 Rev. 04122 ,,, _____________________________________________ _ {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 ALTERATIONS OVER $6OK VALUATIO N AND COMM ER CI AL 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 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 Project Address_a_i1_~_4r_f\_~_,_ .. W\___,__c.o_l/\(_~~IJ-Gt--'--l-s_W_C.fr __ 9_).._<>_v_.;.'\ ____ APN Applicant Name _w_,\:.._~_->---'-____ C_h_"'-_<.,_~ ______ f;e j Contractor □ Architect □ Other □ Last First Applicant Address 'ld--1~ ~'"~ \;Cv\ ~, C~/~6°"~ CA 'Hov~ I Phone (/,◊ l ~3\-~:il~ E-mail Address (.V\~0\(c\_:_j 91-00~ 8-J•~"-;{,c,.,'i Applicant Mailing Address (if different than project address) Project Type (check all that apply): Residential ~ Brief Description Roof't\ o,_,l),_,·ko" Commercial □ Public Building □ Project Size ____________ Estimated Cost of Project $_1-'3'-o_,_o_v_o _____________ _ (square footage) Please check the appropriate box: D I plan on using REPUBLIC SERVICES roll-off bin{s) for all materials and will provide all receipts after construction. ~ 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 separat ing 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. Signature ~ l} 1l Date 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 ___________________________ 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. Material Type Complete this line of the toble 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 Goal: the diversion rate shall be 65% by weights of debris. Estimated Waste Quantity (tons) I -r,J {),\i,.J 0 . \ -f,J A B C Place a ( ✓) check next to items to be reused or salvaged Place a ( ✓) check next to items to be recycled Place a ( ✓) check next to items to be disposed at landfill To meet 65% Diversion Requirement (estimate) x 0.65 = 1 • ~ tons --------------------- Total Estimated Waste from above Minimum Required Diversion Contractor/Owner Signature a;_ WA. Date __.1(_3-'-'\/_L_v_2..-_r _______ _ Page 2 of 4 Rev. 7/1/20 "!'_ City of Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN B-59 Development Services Building Division 1635 Faraday Avenue www .carlsbadca.gov This form shall be completed for all demolitions 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 building 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 B -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 EACH BOX @ I ce rtify 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 accura cy of the information, and t hat the information is true and correct to the best of my knowledge and belief. D I understand the waste diversion requirements of the State of California and submit this Construction Waste Management Plan pursuant to California Green Building 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 resu lt in enforcement action against me or other responsible parties, including a notice of violation, citations, and any other remedies 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 universa l or hazardous waste in a responsib le, safe and ve rifiable manner. Disposal of asbestos- containing materials, batteries, electronic waste, fluorescent bulbs, lead based paints, mercury containing equipment and refrigerants, require special processing prior to commencement of ivities. Date:_~_,__--_1_)_·W_1_5_ Page 1 of 4 rev 4/24 I PART 1 Complete and submit this form when applying for a building permit. Permits will not be issued without a completed Construction Waste Management Plan. SECTION A Permit No. _C_b_f.._1_o·_t _\.\_-'t_1_1____,,3'-----_Project Title Project Address 11.71, LC..JV\.fll0.n {.+-Co-r \.s:ba. d C A APN Applicant Name_B------,-,~,-c=-~"-'~-=~-=f,__ ____ ...=,L=e--'-r_V\-=-(l=--lto-"""-----Phone 7(po ~ZS ~4S] 5 Last First SECTION B Complete the following table with estimated waste tonnage to be generated by your project. Material Type Complete this line of the table anly if only using WASTE MANAGEMENT roll-off bins. M ixed C&D Debris Asphalt & Concrete Brick/ Masonry/ Tile Mixed Inert Debris Cabinets, Doors, Fixtures, Windows [circle all that apply) Carpet Carpet Padding/ Foam Cardboard Ceiling Tile [acoustic) Drywall [used, new, scrap) Landscape Debris [brush, trees, stumps, etc.) No dirt. Unpainted Wood & Pallets Roofing Materials Scrap Metal Stucco TOTAL SECTION C Estimated Waste Quantity (tons) 0 To meet 65% Diversion Requirement (estimat e) Page 2 of4 A B C Place a (✓) check next to items to be reused or salvaged □ □ □ □ M □ □ □ □ □ □ ~ ~ □ □ □ Place a ( ✓) check next to items to be recycled □ □ □ □ □ □ □ ~ □ □ l!Z □ □ t8 □ □ Place a ( ✓) check next to items to be disposed at landfill □ □ □ □ □ □ □ □ □ [g' □ □ □ □ ________ x 0.65 =-------'(l'--'-,L ______ tons ted Waste from above Minimum Required Diversion rev 4/24 i,,PA~T :J. 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 doc_µmentation, 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. f tRLO'V"\ -1...Z.. l ) Project Title Project Address '1..... '1-7 ~ C llr-N l 1 '\"" c~ C o..r b ba ,A APN Applicant Name 1:.stesr--~(' ---Cut'"\t,'d (v ____ Phone --1100 • 5 ts -i..{ '>'7 5· Last First 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 facilit ies where material is taken. Additional Project Log pages are available if necessary. Use City Conversion Table to convert volume to tons. Date Example: 01/01/2020 SECTION C Material Type Concrete (broken) @TOTAL A Actual Amt Reused or Salvaged 0 B Actual Amt Recycled 5 tons 0 C Actual Amt Disposed in Landfill 0 Destination Facility (Name, Address, Phone) Palomar Transfer Station, 5960 El Camino Real -(760} 603-0153 Diversion Rate Achieved ll ~a ________ ..., ___________ = _____ % ~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 t he laws of the State of California that the information provided in and w ith this form pertains to construction and demolition debris generat ed only from t he project listed in PART 1, that I have reviewed the accuracy of the information, and that th is true and correct to the best of my knowledge and belief. Applicant Signatur Page 3 of 4 rev 4/24 CONVERSION TABLE FOR COMMON CONTRUCTION WASTE. This document is informational only and may be useil to convert truckload quantities to tons. 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 Building Materials (cabinets, doors, windows, etc.) X cy 0.00175 = Cardboard (flat) 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 5/8" (by square foot) sq ft X 0.09 = Demo/used (by cu. yd.) cy X 0.0008 = Landscape Debris (brush, trees, etc.) cy X 0.00105 = Asphalt Composition X 0.25 Shingles, asphalt Shingle = cy Unpainted Wood/Pallets By board foot bd ft X 0.15 = By cubic yard cy X 0.22 = Trash/Garbage cy X 0.001375 = Other (estimated weight) cy X 0.15 = cy cy X 0.18 = cy X estimate = Total ALL = 0 Page 4 of 4 rev 4/24 -' ,1 -C • PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD , CA 92008 c f A A t,,e,J'-54 Ticket #: 2827970 lfV~~master: ma car al (760) 603-0153 000999 -CASH AND CHECK CUSTOMER ADDRESS Carlsbad, CA 92008 Contract: RESI -GATE Yr . 2 GROSS 14,440 Scale In TARE 13,280 Tare Out NET 1,160 Tracking Qty: 0 .00 Qty Unit Description 0.58 TN MSW Origin: SAN DIEGO 100% Signature: In : April 08 , 2025 Out: April 08 , 2025 Vehicle: Al 05169 Ref : BOL: I NBOUND CASH Rate Extension Tax $0.00 $101. 2] $58.70 Total Paid Change .EDIT CARD-SCALE 10:24 am 10:24 am Total $58 .70 $58.70 $58.70 $0.00 V PALOMAR TRANSFER • 5960 EL CAMINO REAL CARLSBAD , CA 92008 (760)603-0153 0009J . -CASH AND CHECK CUSTOMER AD~~.., 5'"t carlsbad, CA 92008 Contract: RESI -GATE Yr . 2 GROSS 16,000 TARE 13,280 NET Tracking Qty : 2 ,720 0 .00 Qty 1. 36 Uni t Description TN MSW Scale In Tare Out :A Ticket #: 2825936 Weighmaster: cantihy In: April 03 , 2025 Out: April 03 , 2025 Vehicle: A105169 Ref : B01 : INBOUND CAS H Rate Extension $101 . 2] $137. 65 Tax $0.00 Origin: CARLSBAD 100% Signature: Total Paid Change .EDIT CARD-SCALE 9 :52 am 9 :52 am Total $137.65 $137.65 $137.65 $0.00 V R TRANSFER 760-603-0153 DEPOSIT Sa 2L CAMINj' REAL CARLSBAD, CA 92008 000999 CASH AND CHECK CUSTOMER ADDRESS Carlsbad, CA 92008 'Contract:RESI -GATE Yr . 2007 0.00 7.06 SCALE IN hRORR WP.ThH~ SCALE OUT TARE WEIGHT YD tn Tracking QTY MSW PALOMAR TRANSFER 760-603-0153 C V\,vcJ,c 14, 120 NET TONS 0 NET WEIGHT 7 .06 14,120 DEPOSIT 5 960 EL CAMINO REAL-CARLSBAD , CA 92008 000999 CASH AND CHECK CUSTOMER ADDRESS Carlsbad, CA 92008 Contract:RESI -GATE Yr . 2007 0.00 7.06 SCALE IN GROSS WEIGHT SCALE OUT TARE WEIGHT YD Tracking QTY tn MSW 14,120 0 NET TONS NET WEIGHT 7 .06 14,120 54 54 000000 Daniel G. 2/25/25 12:30 pm CD 14120/200cc 2/25/25 12:30 pm INBOUND CASH $101. 21 $ 714.54 $ 0.00 $714. 54 Payment ls) Check# V 000000 Daniel G. 2/25/25 12 :30 pm CD 14120/200cc $101. 21 $714 .54 Payment (s) Check# V $0.00 2/25/25 12:30 pm INBOUND CASH $ 0 .00 $714.54 $0 .00