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HomeMy WebLinkAbout2560 ORION WAY; ; CBC2023-0200; Recycle('cityof Carlsbad CONSTRUCTION WASTE MANAGEMENT PLAN 8-59 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 materiats that wm be reused, recycted or disposed from your project. 1-f you have que-stlons about the recycltng 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 Carlsbad EOC Wing Remodel Project Address 2560 Orion Way, Carlsbad, CA 92010 APN 209-0502-600 ApplieantName Medina, Julio Architect ~ □------ Lost First ApplicantAddress 7515 Metropolitan Dr, Suite 400, San Diego, CA 92114 Phone (619 ) 723-5294 E-mail Address jmedina@Sillmanarch.com Applicant Malling Addre-ss (if different than project address) Project Type (check all that apply}: Residential □ Commercial ~ Public Building □. Brief Description Tenant Improvement (Tl), converting three existing conference rooms into dedicated office spaces with private offices, Proje.e.t Siz_e 6,3S0 Es_timate.d Cos..t of Proje_e.t $._$_3_,5_0_0_,_00_0 _________ _ (square footage) Please check the appropriate box: ! ti' I I plan on using REPUBLIC SERVICES roll-off bin(s) for all materials and will provide all receipts after construction. !tl'I 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 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 Julio Medina Signature Julio Medina Date 07/03/2023 C cityof 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 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 Carlsbad EOC Renovation Project Project Address 2560 Orion Way, Carlsbad, CA 92010 APN Applicant Name Gilman Builders, Inc. □ Contractor [{] Lost First Applicant Address 21 Sanctuary, Irvine, CA 92620 Phone 949 648-0444 E-mail Address ali@gilmanbuilders.com Applicant Mailing Address _S_a_m_e ____________________________ _ (if different than project address) Project Type (check all that apply): Residential □ Commercial □ Public Building [Z] Brief Description Remodeling the interior building for a new Police Call Center. Project Size 5,500Sf Estimated Cost of Project $_2_,_6_6_1_,_0_0_0 __________ _ (square Joo toge) Please check the appropriate box: I ✓ j I plan on using REPUBLIC SERVICES roll-off bin(s) for all materials and will provide all receipts after construction. I ✓ I 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 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 Alireza Niksefat Signature AwN~ Date 07 /06/24 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: Permit No. CBC2023-0200 Project Title Carlsbad EOC Renovation Project ess 2560 Orion Way, Carlsbad, CA 92010 APN Alireza Phone 949-648-0444 ---------------------- l ast First 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% b wei hts of debris. Material Type Complete this line of the table only if only using WASTE MANAGEMENT 7 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 St ucco Other: TOTAL SECTION C Estimated Waste Quantity (tons) 1 0 1 0.5 0.5 0 0 0.5 1 0 0 0 0.5 0 0 5 To meet 65% Diversion Requirement (estimate) 5 A B C Place a (✓) check next to items to be reused or salvaged Place a ( ✓) check next to items to be recycled X X X X X Place a (✓) check next to items to be disposed at landfill X X X X x 0.65 = 3.25 tons ---------· ------------ Total Estimated Waste from above Minimum Required Diversion Contractor/Owner Signature_A_li_N_i_ks_e_fa_t ___________ Date 07/06/24 Page 2 of 4 Rev. 711120 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. CBC2023-0200 Print Name Alireza Niksefat Address 21 Sanctuary, Irvine, CA 92620 Date 07 /06/24 ----------~ 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. Date Material Type A B C Actual Amt Reused or Salvaged Actual Amt Recycled Actual Amt Disposed in Landfill Destination Facllity (Name, Address, Phone) Example: 01/01/2020 Concrete (broken) 5 tons Palomar Transfer Station, 5960 El Camino Real -760 603-0153 02/06/2025 Misc. Construction Debries 2.77 01/09/2025 Misc. Construction Debries 3.86 11/28/2024 3.34 ©)TOTAL 2.77 7.20 Diversion Rate Achieved 2.77 / 9.97 = 27.78 % Total of columns A+ B Total of columns A + 8 + C DIVERSION Contractor/Owner Signature_A_li_N_i_k_se_f_a_t _________ Date 05/15/25 Attach the following documentation to this Report: Return completed form and documentation to: • Original recycling weight tickets, landfill weight tickets • Original donation receipts with photos and/or itemized descriptions • Any other relevant information to support Recycling Report City of Carlsbad Building Division (1st Floor) 1635 Faraday Avenue Carlsbad, CA 92008 Page 3 of 4 Rev. 0412.2