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Home My WebLink About2320 CAMINO VIDA ROBLE; ; CBC2023-0265; Recycle( 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. C&D CERTIFICATION: ~ 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 construction or demolition activities. Ol~ly signed by Scon E Youmans Scott E Youman'C,. DN,'c-us,E-,,ouman,Ohitt•!l'OOm,0-HITT '° Go ractlno. CN-Scon E Youmans Oi 2024.08 14 08.02:43-07'00' Signature of Applicant Page 1 of 4 Date: __ 0_8_/1_4_/_20_2_4 ___ _ rev 4/24 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;c..=B....;;C;....;;2::....0""'2=-3.:;;..-_;0:...;;2::....6::....5::....__Project Title CISCO LUXTERA -LAB CONVERSION AND UPGRADE Project Address 2320 CAMINO VIDA ROBLE, CARLSBAD, CA 92011 APN Applicant Name. _ _;Y_;o;;;..;u;;;..;m~a=n.;...;;s;;...._ _______ ..:::S-=c-=o....:.tt;:__ _____ Phone 424-369-1575 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 MANAGEMENT roll-off bins. Mixed 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 Ti le (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 Estimated Waste Quantity (tons) 8.75 To meet 65% Diversion Requirement (estimate) A B C Place a(✓) check next to items to be reused or salvaged Place a ( ✓) check next Place a ( ✓) check next to items to be to items to be recycled disposed at landfill 5.75 3 ___ 8_. 7_5 ___ x 0.65 = ____ 5_. 6_8_7_5 ____ tons Total Estimated Waste from above Minimum Required Diversion Applicant Signature _____________________ Date ______________ _ Page 2 of 4 rev 4/24 PART 2 Complete before final inspection, obtain City Approved hauler receipts and return prior to final building approval. DEBRIS RECYCLING REPORT (ACTUAL): -..,:r-■111~,-j Acknowledgement I certify under penalty of perjury un der 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. CBC2023-2065 Print Name Cisco Luxtera Address 2320 Camino Vida Roble Date 7 /23/25 13•111hi■:• -- 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 Material Type Actual Amt Actual Amt Actual Amt Destination Facility Reused or Recycled Disposed in (Name, Address, Phone) Salvaged Landfill ExampJe: Palomar Transfer Station, 5960 El 01/01/2020 Concrete (broken) 5 tons Camino Real -(760) 603-0153 06/07/2025 Recycle/Trash 10.3% 3.29 10.3% Palomar Transfer Station, 5960 El Gamino Real -(760)603-0153 @TOTAL I ~ 65% Diversion Rate Achieved 10.3% 10.3% =20.6 % :;;65%~ Total of columns A+ B Total of columns A + B + C DIVERSION Contractor/Owner Signature Roman E. Rokez Date 06/05/2025 - 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) . Any other relevant information to support Recycling Report 1635 Faraday Avenue Carlsbad, CA 92008 Page 3 of 4 Rev. 04/22 Republic Services, Inc. Diversion Report* {\.S5=Q\.mt:'HITT CONTRACTINGJOB # 184631 Diversion %: Container ID# 661-1545-00001-01 10.03%' Site Name HITT CONTRACTING JOB# 184631 HITT CONTRACTING JOB# 184631 Account: HI I I CON I RAll ING Diversion %: 10.03% Container ID# Site Name 661-2306-00001-01 HITT CONTRACTING Account Number: 661-1545-00001 Site Address 2320 CAMINO VIDA ROBLE 2320 CAMINO VIDA ROBLE Container Name Roll Off 40yd C&D Roll Off 40yd C&D Service Period 4-Apr 27-Mar Year 2025 2025 Container Size 40.00 40.00 Container Qty Compactor No No C&D C&D Description Waste Type Recycle Trash Waste Type Trash Account Type Temporary Temporary Account Type Temporary Schedule OnCall OnCall Schedule OnCa ll Unit of Tonnage Measure 0.33 1.34 TN TN Unit of Tonnage Measure 1.62 TN RECYCLE TOTAL 0.33 SOLID WASTE TOTAL 2.96 GRAND TOTAL 3.29 10.03%