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Home My WebLink About2503 DAVIS AVE; ; CBRA2024-0024; RecycleCicyof 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 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 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 result 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 universal or hazardous waste in a responsible, safe and verifiable 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 -~~~~====------Ci tt;tE~~~l58tf Signat of Applican MAY 1 3 2025 ECORD CO Page 1 of4 rev 4/24 BUILDING DIVISION 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_R_A_2_02_4_-_0_0_24 ______ Project Title 2503 Davis Ave Project Address2503 Davis Ave., Carlsbad, CA 92008 APN 155-261-14-00 Applicant Name Cuevas Jorge Phone -----------------------(619)244-1909 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 only if only using WASTE rv'ANAGfrl/1ENT roll-off bins. Mixed C&D Debris Asphalt & Concrete Brick/ Masonry/ Tile Mixed Inert Debris Cabinets, Doors, Fixtures, Windows (circle ah 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 Other: TOTAL SECTION C To meet 65% Diversion Require Page 2 of 4 Estimated Waste Quantity (tons) -h:""5 0 A B C Place a ( ✓) check next to items to be reused or salvaged □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ 1 Place a (✓)check next to items to be recycled □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ X 0.65 = _y·, 15 Place a ( ✓) check next to items to be disposed at landfill □ □ □ □ □ □ □ □ □ □ □ □ □ tons Total Estimated Waste from above Minimum Required Diversion Date April 30, 2025 rev 4/24 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. CBRA2024-0024 Project Title 2503 Davis Ave. Project Address2503 Davis Ave., Carlsbad, CA. 92008 APN 155-261-14-00 Applicant Name_C_u_e_v_a_s_Jo_r_g_e __________________ Phone {619)244-1909 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 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 Actual Amt Recycled Disposed in Landfill 5tons 0 0 Destination Facility (Name, Address, Phone) Palomar Transfer Station, 5960 El Camino Real -760 603-0153 .,.,. Diversion Rate Achieved ________ _, ___________ = _____ % 2: 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 inform he information is true and correct to the best of my knowledge and belief. Page 3 of 4 rev 4/24 CONVERSION TABLE FOR COMMON CONTRUCTION WASTE. This document is informational only and may be used 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 sqft Building Materials (cabinets, doors, windows, etc.) X 0.00175 = cy 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 = Cei ling 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) rtJ X 0.09 = sq ft 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 boa rd foot X 0.15 = bd ft 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 ~DCG Tr2u1sfer Station !660 Dalbergia St . ,an Di ego, CA 92136 (619) 234 -0848 :ustomer: 0000 3PEARHEAD RENOVATIONS . ,,_,/ -(!A.,, ~\,V Ticket: 58362 In: 7:43 Date: 01/24/25 Out: 7 :44 :ommodity Units Rate 20 Commercial Refuse 1.22 125.00 per TON Truck: Container: Route: Origin: INVOICE 10509/**** 02020 020 SAN DIEGO [Gross(In): 4 .18 tons Scl#l Tare 2.96 tons Stored Net: Extended Charge 152.50 1. 22 tons] HORACIO ROJAS PAID CREDIT CARD 152.50 Driver ED:o DISPOSAL CORP 6fi70 I fl:t(<AL Bl VQ LEMON GIIO'/F CA 9194513 0112-112025 07:+t-l:' CREDIT CARD VISA SALE Cildil XXXXXXXXXX Q( 1 . 5 I Chip Card: VISA (lEBff /!JD: AD0000000311J1(1 !;ft/,. 6 B11b F1 : 111:' INVOICE a t,pproval Code: uN•11(1 Enb··, Method: Contactles:, Mo,k l5Sdfi' Tax Amount: ~O.uO L1S[1 SALE AMOU~T ~152.50 Li)[) WSTOMER COPY ~,~ EDCO Transfer Station IV 3660 Dalbergia St. San Diego, CA 92136 (61 9) 234 -0848 Customer: 0000 JORGE. Ticket: 43537 Date: 11/04/24 Commodity Units Rate In: 8: 14 Out: 8:14 20 Commercial Refuse 1.78 125.00 per TON INVOICE Truck: 0000/0000 Container: Route: 02020 Origin: 020 SAN DIEGO [Gross(In): 4.77 tons Scl#l Tare 2 .99 tons Man Wt Net: Extended Charge 222.50 l. 78 tons] RBOTE PAID CREDIT CARD 222.50 Driver t:uC0 DISPOSAL CORP 6670 FEDERAL BLVD. . LEMON GROVE, CA 9194513 1 l /04/2024 08: I 5Ji' C,ir,j # 1.l1ip Card: ti]C,: .EQ #: liiikh #: INVOICE ~IPproval Code: CREDIT CARD VISJ\ SALE XXXXXXXXXXXXt:.!i I VISA DEllH A00000000311l1 (I 1:: I . nb·y Metl1od: B:l':1 1'.' 071!il l Ch~ R,!ad IssL1er $0.00 llSCt Mode: !'ax Amount: SALE AMOUNT CUSTOMER COPY EDCO Transfe~ Stati~nL,,IJj~• .... ,...1Afl? ~ ~ t'Y\_1~. 3660 Dalbergia St. ~ ~·~ San Diego, CA 92136 INVOICE (619) 234-0848 Customer: 0000 JORGE Ticket: 41140 Date: 10/22/24 Commodity Units Rate In: 8: 09 Out: 8:10 20 Commercial Refuse 2.65 125.00 per TON Truck: 0000/0000 Container: Route: 02020 Origin: 020 SAN DIEGO [Gross(In): 5.60 tons Scl#l Tare 2.95 tons Man Wt Net: Extended Charge 331.25 2.65 tons] , , RBOTE PAID CREDIT CARD 331.25 Driver EDCO DISPOSAL CORP 667q FEDERAL BLVD LEMON GROVE, CA 9191513 10/22/2024 08:10:4:1 c1rd ii hip Card: \JD: [Q q: ;ab:h 11: :NVOICE ,p~rnval Code: :nlry Metl 10d: ·c1x Amount: CREDIT CARD VIS/1 SALE XXXXXXXXXXXX1:i. 51 • VISA DEBIT A000000003101(1 1 i' IW, 1~' 02111 11 Chip ft., :;1, 1 Issue, $0.00 LISI) )AlE AMOUNT CUSTOMER COPY EDPT~~~r ~t:i~ n~' ~ _., I)~ I 12 10. 3660 Dalbergia St. San Diego, CA 92136 (619) 234-0848 Customer: JORGE 0000 Ticket : 42846 Date: 10/30/24 Commodity Units Rate In : 14:46 Out: 14:47 20 Commercial Refuse 1.39 125.00 per TON INVOICE Truck: 0000/0000 Container: Route: 02020 Origin: 020 SAN DIEGO [Gross(In): 4.38 tons Scl#l Tare 2.99 tons Man Wt Net: Extended Charge 173.75 1.39 tons] -----'-------------'RBOTE PAID CREDIT CARD 173.75 Driver EDCO DISPqSAL CORP 6670 fEDt:RAL BLVI} LEMON GROVE, CA 9194513 I 0/30/2024 14 :48: 11 ,1r,j # '11ip Card: •'tJCo: ,,i1b:h 1,: CR!'i ·. ·.~RD ·, VISJ1 SALE XXXXXXXXXXXXI i. !i l VISA DEllIT A0000000031Ul(I I INVOICE llJ+ 5:1 0541li;' h~ R,~ad Issuer $0.00 1 I) (~1p1uval Code: :.nb·y Metl1od: i~ode: rax Amount: ,;ALE AMOUNT ~173.75 USD CUSTOMER COPY EDCO Transfer Station~~ t"'hl,\'-. 3660 Dalbergia St. • • ~ San Diego, CA 92136 (619) 234-0848 . Customer: 0000 Ticket: 38667 In: Date: 10/09/24 Out: SPEARHEAD CONSTR Commodity Units Rate 20 Commercial Refuse 1.32 125.00 per TON [Gross(In): 4 .31 tons Scl#l Tare 2.99 tons LALO INVOICE 12:38 Truck: 0000/0000 12:39 Container: Route: 02020 Origin : 020 s Extended Charge 165.00 Man Wt Net: 1.32 tons] PAID CREDIT CARD 165.00 Driver EDCO DISPOSAL CO 6670 FEDERAL BLV LEMON.rJRQVE, CA ~M513 0/09/2024 .. 12:40:0: CREDIT CARD VISA SALE iird ii ~'/J.. n 51 hip Card: VISA DEllll ,JD: AOOOOOOOOJ101( [Q #: 5i ;,1kh #: llL1 ;IWOICE li(I .pproval Code: 03'11115 nb"I Method: Contactlrn !1ode: Issuer ilx Amount: $0.00 LISI) 1AlE AMOUNT CUSTOMER COPY f . _,,,,, EDCO Trans er Station 3660 Dalbergia St. San Diego, CA 92136 (619) 234-0848 Customer: 0000 Ticket: 37573 In: Date': 10/03/24 Out: JORGE Commodity Units Rate 20 Comme rcial Refuse 2 .37 125.00 per TON [Gross ( In) : 5.36 tons Scl#l Tare 2.99 tons 'RBOTE INVOICE 14:27 Truck: 0000/0000 14 :27 Container: Route: 02020 Origin: 020 SAN DIEGO Extended Charge 296.25 Man Wt Net: 2.37 tons] PAID CREDIT CARD 296 .25 Driver m n nrsPO5AL CORP , ,. I ' I LI II RAL Bl VO FWt~J GW1Vt CA 919-1~13 c[d # t1~ Card: JD: [ti et: akh ff: .WOICE pproval Code: nb·y Meltiod: ltldc: ax Amount: CREDIT CARD VISA SALE Y:f..'IJ.JJJJ.X'/.JJ 1 51 VISA DEBII A000000003 llll (I 3;• ll0,' 93 0521!17 O,p R,~ Issuer $0.00 llSD ALE AMOUNT CUSTOMER COPY I EDCO Transfer Station 3660 Dalbergia St. CJ\'I\S• .r· . . . San Diego, CA 92136 (619) 234-0848 INVOICE Customer: JORGE 0000 Ticket: 36129 Date: 09/26/24 Commodity Units Rate 20 ,Commercial Refuse 1.29 125.00 per TON 14:54 Truck: 0000/0000 15:07 Container: Route: 02020 Origin: 020 SAN DIEGO [Gross(In): 4.27 tons Scl#l Tare 2.98 tons Scl#l Net: Extended Charge 161.25 1 . 29 tons] RBOTE PAID CREDIT CARD 161.25 Driver EDCO DISPOSAL CORP 6670 FEDERAL BLVD LEMON GROVE, CA 9194513 9/26/202-1 15:08:1(1 CREDIT CARD VISA SALE ,1rd # ~W. I l 5 l nip Card: VISA DEllfl !Ci: A0000000031111(1 i:() I/: 59 :tkh rr: BO(I JV(,JCE lil 1p1oval Code: OOOl!HI ·,try Method: a,~ Rt!ad i)de: Issuer ax Amount: $0.00 LISI) 1~LE AMOUNT ~16L2~ U')D CUSTOMER COPY EDCO Transfer Station r,4W. 3660 Dalbergia St. ..,,,,.., San Diego , CA 92136 (619) 234-0848 Customer: 0000 JORGE Ticket: 30643 Date: 08/30/24 Commodity Units Rate In: 11:40 Out: 11:55 20 Commercial Refuse .80 125.00 per TON [Gross(In): 5.09 tons Scl#l Tare 4 .29 tons Scl#l INVOICE Truck: 0000/0000 Container: Route: 0202 0 Origin: 020 SAN DIEGO Net: Extended Charge 100.00 .80 tons] PAID CREDIT CARD 1 00 .00 RBOTE Driver EDCO DISPOSAL CORP 6670 FEOERJ,L BLVD LEMON GRlJVE. CJl 919-1513 0H/30/202-+ 11:56:J(I CREDIT CARD VISA SALE Ci1rd Ii ' Chip Card: XXXXXXXXXXXX 11.5 I VISA DEBIT A0000000031 Ill 0 AlD: S[Q r;: Bc1tch if; INVOICI: Approval Code: Entry Metl1od: Mode: Tax Amount: SALE AMOUNT CUSTOMER COPY SI 0951:iH Chip R1!ad !SSUel' $0.00 LIS[! EDCO Transfer Station •()t\\1i~ • 3660 Dalbergia St. I\J San Diego , CA 92136 (619) 234-0848 Customer : 0000 JORGE Ticket: 30390 Date: 08/29/24 Commodity Units Rate In: 10 :54 Out: 10:55 20 Commercial Refuse 2.08 125 .00 per TON INVOICE Truck: 0000/0000 Container: Route: 02020 Origin: 020 SAN DIEGO [Gross(In): 5.07 tons Scl#l Tare 2.99 tons Man Wt Net: Extended Charge 260.00 2. 08 tons] RBOTE PAID CREDIT CARD 260.00 Driver El 1 DISPOSAL CORP 6t FEDERAL BLVI) LEMOI\ JVE, Lk 919-1513 08/29/2024 10:55:, CREDIT CARD VISA SALE Cctrd Ii xxxxxxxxxxxxr,.s 1 Chip Card: VISA DEIJIT AJD: A00000000311110 SE:Q .;: ·l':I Batch FT: 172 INVOICE ~(I Approval Code: omn Entry Method: Chip R1!acl M,Jde: lssuer Tax Amount: $0.00 LISI) S1~lE AMOUNT i260.00 USD CUSTOMER COPY EDCO Transfe~ Station •~' ~" •~' r1UAA_ 3660 Dalberg1a St. t'\• \'"1 ~~.,.., ii~ San Diego, CA 92136 Mi • '-. (619) 234-0848 • 6 .,_ ,c. ~ ., \ ~ INVOICE Customer: 0000 ~ls2 -In: 14: 1 Truck: 0000/0000 02020 Date: 08/13/24 Out: 14:57 Container: Route: JORGE Origin: 020 SAN DIEGO Commodity Units 20 Commercial Refuse .42 [Gross(In): 3.82 tons Scl#l '· RBOTE Rate 125.00 per TON Tare 3.40 tons Scl#l Net: Extended Charge 90.00 .42 tons] PAID CREDIT CARD 90.00 Driver EDCO DISPOSAL CORP 66 70 FEDERAL BLV: LEMON GROVE, CA 9194513 08/\]/2024 14:57:51. CREDIT CARD VISA SALE C1ird # xxxxxxxxxxxxm 1 Chip Card: VISA DEBIT AlD: A0000000031010 S[Q #: .,, ,/ Batch#: 756 INVOICE Ill Approval Code: 015717 Entry Method Chip R~ad Mode: Issuer T c1x Amount: $0.00 USD SAlE AMOUNT ~90.00 USD CUSTOMER COPY PALOMAR TRANSFER 5960 EL CAMINO REAL CARLSBAD , CA 92008 (760) 60!>-0153 / I 000999 -CAS H AND CHECK CUSTOMER ADDRESS carlsbad, CA 92008 Contract : RESI GROSS TARE NET Tracking Qty : -GATE Yr . 2 8 ,060 7 ,360 700 0 .00 Qty 0 .35 Unit Description TN MSW Origin : SAN DI EGO Signatu re : Scale In Scal e Out 100% S4 Ticket #: 2731265 Weighmaster : IN -martios3 OUT -macara In : August 08 , 2024 Out : Au gust 08 , 202 4 Vehicle : CD Re f : 8 , 060/ /lO0cc BOL : INBOUND CASH Ra te Extension Tax $0 .00 $101.2 ] $58 .00 Total Paid Change EDIT CARD-SCALE 12 :31 pm 1 :09 pm Total $58 .00 $58 .00 $58 .00 $0 .00 V PAlOM~P fRANSFER STATI ~?60 l:L CAMINO REAL CARI $BAO, CA 92008 08/08,202-l 13: lO:O& CREDIT CARD VISA COMPLETED SAU. Card# a,~ card: I AID: SEQ 11 ORIG PRE·AUTH SEQ fl: Batch h: ltNOICE Approval Code: &tlry Melhod. I Mode: Tax Amomt: SAlE AMOUNT Y:ff/J..X'/J.XXXX 115 l VISA DEBI1 A00000000310W 7fi 6~ 70 023m Contactles<, Issue, $0.0(1 CUSTOMER COPY ... ,.., ,,,,,. ~ \ft· EDCO Transfer Stati""' .,,_ OWLf 3660 ~albergia St. M San Diego, CA 92136 (619 ) 234-0848 Customer: 0000 Ticket: Date: SPEARHEAD RENOVATIONS Commodity Units 20 Commercial Refuse 3.52 20051 07/10/24 Rate In: Out: 125.00 per TON 6:55 6:56 Truck: Container: Route: Origin: INVOICE ,0000/0000 02020 020 SAN DIEGO [Gross(In): 6.51 tons Scl#l Tare 2.99 tons Man Wt Net: Extended Charge 440.00 3. 52 tons] LALO PAID CREDIT CARD 440 .00 Driver I EDCO DISPOSAL CORP 66 70 FEDERAL BLVD LEMON GROVE, CA 9194513 Oi'/10/2024 06:56: 12 CREDIT CARD VISA SALE Card ii ro:J:t/...X'IJ.'Jf.J.1151 Chip Card VISA DEBIT AlD: AG000000031010 SEQ r/. 7 Batch #: 7D. INVOICE 7 Approval Cc,u,-015ti09 Entry MeUIOd. Con tactless Mode: Issuer Tax Amount: $0.00 S,~lE AMOUNT ~0.00 CUSTOMER COPY EDCO Transfer Stati~~~ 3660 Dalbergia St. San Diego, CA 92136 (619) 234-0848 Customer: 0000 JORGE Ticket: 10478 Date: 05/23/24 Commodity Units Rate In: 11: 10 Out: 11 :19 20 Commercial Refuse .97 115.00 per TON [Gross(In): 5 .52 tons Scl#l Tare 4.55 tons Scl#l 1 INVOICE Truck: 0000/0000 Container: Route: 02020 Origin: 020 SAN DIEGO Net: Extended Charge 111.55 . 97 tons] PAID CREDIT CARD 111.55 RBOTE Driver , () DISPOSAL CORP .,, • I ~EDER.Al,.: VD LfMuN CJROI/E, ~A 9194513 05/23t2024 11:20:-fO Card # Chip Card: AID: SEq :i : Batch ;;:: INVOICE Ar1prov JI Code: Ently Method: Mode: Tax Amount: CREDIT CARD VISA SALE XXXXXXXXXXXX rn I VISA DEBIT A0000000031010 ]2 674 ]J 0020H Chip Read Issuer $0.00 SAl.E AMOUNT $111.55 CUSTOMER COPY